HomeMy WebLinkAboutMiscellaneous - 12 DANA STREET 4/30/2018 12 DANA STREET
210/015.0-0044-0000:0
1
1
I
Location
No. 7 - Date A 1r' 'Z
Vic 01 -1 TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
CH Foundation Permit Fee $
s�
Other Permit Fee '7 _ $ - -
l �r Connection Fee $
k
Pppnection Fee $
409 I Awat
/'
*TAL $
001
�LO0/or Building Inspector
Div. Public Works
i
Location
x
i.
No. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
+ Building/Frame Permit Fee $
:33Foundation Permit Fee $
ACNUS
2 �ther Permit Fee $
G Viewer Connection Fee $
p. M- er Connection Fee $
o
T�TAL $
C)
O Building Inspector
Div. Public Works
PEAJi1AN0. .SdS APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. AGE 1
MAP h40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE
a ZONE I SUB DIV. LOT NO.
LOCATION IZ 1� A ST+ /� �/ PURPOSE OF BUILDING tvI'-,-) /? If 8x4
OWNER'S NAME r(, 'cL _ /d.t^�'��l l ✓/ ►AyA /� NO. OF STORIES (jc�
OWNER'S ADDRESS BASEMENT R SLAB
I"�rJ �C'lLO4 K�
ARCHITECT'S NAME .T" SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME • SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES-SIDES ; /� IL= REAR E(i " GIRDERS
AREA OF LOT /��, v FRONTAGE1\7Pt HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW I c S SIZE OF FOOTING X
IS BUILDING ADDITION lel MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE '�C IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY '�� C IS BUILDING CONNECTED TO TOWN SEWER N6
IS BUILDING CONNECTED TO NATURAL GAS LINE N e_
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES EST. BLDG. COS
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT.
PAGE 2 FILL OUT SECTIONS 1 - 12
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
Jvf BOARD OF HEALTH
SIGNA RE OF OWNER OR AUTHORIZED AGENT
S
OWNER TEL.
FEE J GUNCONIN.LIC.#!
PLANNING BOARD
PERMIT GRANTED
7ukY to
l�i�o1 �CC r�X �1 SGc��
I-. BOARD OF SELECTMEN
'iZo 13cr�'C- �? IIM d 2t2.I S l�PL•S
BUILDING INSPECTOR
- �3 Z CC �
I
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY SiOHIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AN-D DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION $ INTERIOR FINISH
CONCRETE 3 1 2 13
CONCRETE BL'K. PINE
BRICK OR STONE HARDW D _
PIERS PLASTER
_ DRY-WALL
UNFIN.
3 BASEMENT
AREA FULL FIN. B M AREA _
'/. 1/7 '/, FIN. ATTIC AREA _
NO BMT FIRE PLACES _
HEAD ROOM MODERN KITCHEN '
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE
WOOD SHINGLES EARTH
ASPHALT SIDING HARD\t✓'D
ASBESTOS SIDING _ COMMCN
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STIRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR
UPE ORE I� POOR
NONE
5 ROOF 10 PLUMBING
GABLE HIP BATH (3 FIX.)
GAMBREL MANSARD TOILET RM. 12 FIX.) _
FIAT SHED WATER CLOSET
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK _
SLATE - NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES _
i
TILE FLOOR
TILE DADO
6 - FRAMING I 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. &COLS. STEAM
STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T ` 2nd Z _ ELECTRIC
1st t# 13rd I NO HEATING
'EWERMATER FINAL PLANNING FINAL ONSIRUT dam' � ��r�AL
�F 'I rl
9
Town of 6 �� Andover
No. 305 _ .. w :. ;,, ., r,.
RIVE1 'AYENTRY IIE er, Mass., �'u �.� �0 1992
�qOR
SSA t BOARD OF HEALTH
PERMIT T LD
THIS CERTIFIES THAT..............tAOvW"C`..)k M......................................
BUILDING INSPECTOR
has permission to erect f �4r. �r.�.. btiililii■gs on ...� .� h..e� .................... Rough
tft
to be occupied as... ... QQ. .......... Chimney
Final
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in
PLUMBING INSPECTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough
Buildings in the Town of North Andover. Final
VIOLATION of the Zoning or Building Regulations Voids this Permit.
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
Rough
A 1 UNLESS CONSTRUCTIO TAR S Service
-roA, V-li '+its Ift" ply 5 NOW N � Final
,,�� L W ........... .......,
leo 1_. FA 0 st let's 'R-P •S BUILDING INSPECTOR GAS INSPECTOR
22 sq ~OccAupancy Permit Required to Occupy Building Rough
Final
Display in a Conspicuous Place on the Premises
FIRE DEPT.
Do Not Remove Burner
No Lathing to Be Done Until Inspected and Approved by
SME
No
Building Inspector
Plot Plan of Land
in
North Andover, Mass.
Scale I in. = 20 f t. July 6, 1992
Robert P. Morris R.P.L.S.
21 Carter Street
Tewksbury, Mass.
I Certify that the building is located as shown
and that it conforms to the zoning bylaws of the
town of North Andover
When constructed,I further certify that it is not in
the F.I.A. Flood Hazard Zone. 1,
Professional Land Surveyor
t
it OF
P.
IWORRM
'F
y N
0106 2715
��d ulib�
0 65.00'
18' Diam
10' Pool O
(prop) t6
12.3'
vs m
c M N
»- v
0 7;475 S.F.± X0 N
1.5'
Existing
Dwelling ;T
I a
N
cc
M
65.00' 257.75' to Marblehead Stb
DANA STREET
i
Town of North Andover a
BUILDING DEPARTMENT
Homeowner License Exemption
(Please print)
DATE 110—7z
le-
JOB LOCATION
Number Street Address Section of town
"HOMEOWNER" M ) c A/) c t\1 r\mA44 611'6_ cl,�9 70C 05,17M /4061
Name Home Phone Work Phone
PRESENT MAILING ADDRESS i'Z ,4},/,q
City Town State Zip code
The current exemption for "homeowners" was extended to include owner
occupied dwellings of six units or less and to allow such homeowners to
engage an individual for hire who does not possess a license , provided
that the owner acts as supervisor. (State Building Code , Section 109 . 1 . 1)
DEFINITION OF HOMEOWNER:
Person(s ) who owns a parcel of land on which he/she resides or intends to
reside , on which there is , or is intended to be , a one to six family dwell-
ing , attached or detached structures accessory to such use and/or farm
structures . A person who constructs more than one home in a two-year
period shall not be considered a homeowner. Such "homeowner" shall submit
to the Building Official , on a form acceptable to the Bulding Official ,
that he/she shall be responsible for all such work performed under the
building permit . (Section 109 . 1 . 1)
The undersigned "homeowner" assumes responsibility for compliance with the
State Building Code and other applicable codes , by-laws , rules and
.regulations .
The undersigned "homeowner" certifies that he/she understands the Town of
North Andover Building Department minimum inspection procedures and
requirements and that he/she will comply with said procedures and
,requirements . /
'HOMEOWNER' S SIGNATURE lk
L
APPROVAL OF BUILDING OFFICIAL
Note : Three family dwellings 35 , 000 cubic feet , or larger , will be
required to comply with State Building Code Section 127 . 0 , Construction
Control .
Location
No. Date
A
T" TOWN OF NORTH ANDOVER
A Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
r? �r Connection Fee $
O Waf�'r�Connection Fee
! '� $
Coll TOTAL $
Building Inspector
j U 3 Div. Public Works
PERM6T NO' a APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1
MAP d40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE
ZO SUB DIV. LOT NO. F—
.or6ATION Z PURPOSE OF BUILDING !4l G✓4C/
WNER'S NAME` ,I 1 G�� .. I G J ^A_ /� NO. OF STORIES SIZE
OWNER'S ADDRESS Sam-Iff BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME I,,(ICNAlE--L.. ► AA �c)gl&yy� SPAN
DISTANCE TO NEAREST BUILDING 1�l Yyl%"y DIMENSIONS OF SILLS
DISTANCE FROM STREET POSTS
K
DISTANCE FROM LOT LINES-SIDES REAR "" GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING X
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
—L
WILLIJUILDING CONFORM TO REQUIREMENTS OF CODE JIS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES EST. BLDG. COST V
Q EST. BLDG. COST PER SQ. FT.
PAiE 1 FILL OUT SECTIONS 1 - 3
4
PAGE 2"FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
(/'/DATE
MUST BE�FIILED AND APPROVED BY BUILDING INSPECTOR
(/ /DATE ILE 'V ZZ' "7G.
�� BOARD OF HEALTH
SIGNATURE O OWNER OR AUTHORIZED AGENT
v/owNER TEL.#6&13700
F E E CONTR.TEL.#---
CONT
_____CON I R.LIC.
4--PLANNING BOARD
PERMIT GRANTED
/U ZZ 19
BOARD OF SELECTMEN
0�
J -v
BUILDING INSPECTOR
r
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY S-ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA-
APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION _ 8 INTERIOR FINISH
CONCRETE _ B 1 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER r _
_ DRY WALL
-5-NF IN '1Q
3 BASEMENT
AREA FULL FIN. B'M'TAREA _
1/1 '/r 1/1 FIN. ATTIC AREA _
NO BMT FIRE PLACES _
HEAD ROOM _ MODERN KITCHEN _
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING HARDW 0
ASBESTOS SIDING _ COMMCN
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING 41 0
STONE ON FRAME _
SUPERIOR I� POOR
ADEQUATE NONE
5 ROOF 10 PLUMBING
GABLE HIP BATH (3 FIX.)
GAMBRELI MANSARD TOILET RM. 12 FIX.)
FL-ATI SHED WATER CLOSET
s
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR & GRAVEL ALL SHOWER
t
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. &COLS. STEAM
STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T 2nd _ ELECTRIC
1st 13rd NO HEATING
r. .�
Town of North Andover
BUILDING DEPARTMENT
Homeowner License Exemption
(Please print)
DATE /U1 Z2
L L
JOB LOCATION /Z_ PA&,,4
Number yStreet Address Section of town
"HOMEOWNER" `""/1 CIA�L L/V,4 �91 OQ f, 5��� / V-
Name Home Phone Work Phone
PRESENT MAILING ADDRESS /ZSy QIP ��d�✓� G1�c��
} o
City Town State Zip code
Tile current exemption for "homeowners" was extended to include owner
occupied dwellings of six units or less and to allow such homeowners to
engage an individual for hire who does not possess a license , provided
that the owner acts as supervisor. (State Building Code , Section 109 . 1 . 1)
DEFINITION OF HOMEOWNER:
Person(s ) who owns a parcel of land on which he/she resides or intends to
reside , on which there is , or is intended to be , a one to six family dwell-
ing , attached or detached structures accessory to such use and/or farm
„structures . A person who constructs more than one home in a two-year
period shall not be considered a homeowner . Such "homeowner" shall submit
to the Building Official , on a form acceptable to the Bulding Official ,
that he/she shall be responsible for all such work performed udder the
building permit . (Section 109 . 1 . 1)
The undersigned "homeowner" assumes responsibility for compliance with the
State Building Code and other applicable codes , by-laws , rules and
regulations .
The undersigned "homeowner" certifies that he/she understands the Town of
North Andover Building Department minimum inspection procedures and
:'requirements and that he/she will c mply with said procedures and
requirements .
HOMEOWNER' S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note : Three family dwellings 35 ,000 cubic feet , or larger , will be
required to comply with State Building Code Section 127 . 0 , Construction
Control .
Suggested Affidavit for Home Improvement Contractor Permit Application
For office Use Only NAM OF CITY/TOWN
Permit No. /l�E!!(' %�/ 1/1D 0 il6R
Date
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
MGL c.142A requires that the"reconstruction,alteration,renovation,repair,modernization,conversion,inprovement,removal,demolition,
or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or
to structures which are adjacent to such residence or building"be done by registered contractors,with certain exceptions,along with other
requirements. -
Type of Work: G�"f G-1 tJ Co P-AS`CL_ ll.;&c �C ,)e.-
7Tw C'i w �.� rJc<A--'-S Est. Cost
s5' Oc), ArvaG� ivy p 1 b
, Address of Work � Z 1�1� q�_5
Owner Name: 64 1 Gf✓4 tL_ AkAMAdA
Date of Permit Application: /0-7,7-YJ
I hereby certify that:
Registration is not required for the following reason(s):
_Work excluded by law
X Job under $1,000
_Building not owner-occupied
XOwner pulling own permit
_Other (specify)
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL
c. 142A.
Signed under penalties of perjury:
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR:
Notwithstand'ng the above goqtice, I hereby app y fo/r a permit as the owner of the above property:
Dae Owner Name
Tow* n of 6 F Nul< iH
0
Andover
No. Y9 � ° . - ,, �,
;. �;:ir1, ;:a..i: M.
er, Mass.,
9 9z
COU�ic nt wicn
PA0F? Pa\�
SS+ F
BOARD OF HEALTH
. PERMIT
T .
LD
THIS CERTIFIES THAT..
... I .... .��Ch.0 ...... �.'� ... � . . . . . ............
BUILDING INSPECTOR
has permission to •• buildings on .....�.�..•. .. i .....•• • .....A••••• Rough
• Chimney
to be occupied as. ... .5 ,�.••�� •• � • •• "�' Final
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in
PLUMBING INSPECTOR
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough
Buildings in the Town of North Andover. Final
VIOLATION of the Zoning or Building Regulations Voids this Permit.
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
Rough
UNLESS CONSTRuqTIQ�N STAR S • Service
Final
......
i&4a *.. ..�..................alf
BUILDING INSPECTOR GAS INSPECTOR
Rough
Occupancy Perinit Required to Occupy Building
Final
Display in a Conspicuous Place on the Premises
FIRE DEPT.
Do Not Remove Burner
No lathing to Be Done Until Inspected and Approved by Smoke Det.
C" Building- Ingpector