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Home My WebLink AboutMiscellaneous - 12 GILBERT STREET 4/30/2018 12 GILBERT STREET 210/013.0-0042-0000.0 II, I r. Location No. V Date 1401tT1, TOWN OF NORTH ANDOVER 0�41,60 :•1�0 C? •. • 0� i ' Certificate of Occupancy $ �'�s'•••° E<� Building/Frame Permit Fee $ sACNUs Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �, Check # rf `Building InVdtor M1 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLINGso BUILDING PERMIT NUMBER rMEUED. rn X SIGNATURE: //4� Build in Colnmissioner/I or of BuildingsDate SECTION I-SITE IN Q 1.1 Property Address: 1.2 Assessors r. Map and Parcel Number 4,01-3 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonis Dialrid Proposed Use Lot Area Fronto fl 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Regaired Provide 'red Provided Rcqwred Provided Q 1.7 Wats Supply M.GLC.40. 34) Outside blood Zone ❑ Maoic13. Flood Zone Inf 1.1 Sawense Disposal system: Public ❑ Private ❑ Zosb ipal ❑ On site Disposal system ❑ SECTION 2-PROPERTY OWNERSEEW/AUTHORIZED AGENT "'� {% ��St�!Ct: ��? r.�C M 2.1 Owner of Record Name(Print) Address for Service: Si a Telephone 210wner o Record: i ,I CI F Name Print Address for Service: 2, a r°'+ Signature Telephone dit SECTTON 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ •�,, lid NOAO ere& } Licensed Construction Supervisor: CO X1 a `� AYy4Ako License Number Addressl Q {� c,A /�/; Expiration Date �a Stgnkiture Telephone r=� 3.2 Registered Home Improvement Contractor Not Applicable ❑ No 49 N 0- /-n/ �.�q Company NV ame r, �7 Registration Number Expiration Date C% Sigiialure Telephone G) SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check v a ble New Construction 0 Existing Building ❑ Repairs) ❑ Alterations(s) 4— Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: l �u g ANA / 7r//—'-/SlYa,A j� C111A. �1Z - SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OMCIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee `U Multiplier 2 Electrical (b) Estimated Total Cost of C`J Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 =00V Check Number SECTIO 7a OWNER AUTHORIZA ION TO BE COMPLETED WHEN OW ENT OR CONIEAgORA.PPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION •� 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Siatuie of Owner/Agent h--__ Date �O S NO. OF STORIES SIZE BASEMENT OR SLA13 r SIZE OF FLOOR TINIBERS iST2 NU 3RD SPAN J DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIlvEENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOO11NG X MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FELLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: G"F- ,,0&w P-- V_ C/ IC/A 7R/J AV/F L (Location of Facility) Signa ure of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector n The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 y Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself 0 0 I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Company name: RUA 469 /7� EjV-�, Address �:y6`�l (�►GZS �Q City i Phone Insurance Co. P01icv# Company name: Address Cifi/: Phone# Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead tothe imposition of criminal penalties of.a tine up to s1,500.U0 and/or one years'imprisonment-as_yell.as_civil.penaitiesinThe form da STOP WORWORDER..and..a.fine of.(.$11)0.00)aj*agaiast..me I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verificauon. I do hereby certify under the pains and penalties of pe •ury that the information provided above is true and correct. Signature [date s � Print name__g P Y .hone# S— S official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensin ❑ []Check Dept if immediate response is required 0 Licensing Board ❑ Selectman's Office person: Phone#. ❑ Health Department ❑ Other PC)0 C H N T El-,R PRI S EE cS, Y. e a b dy. Mas-sac.m.,setts 96, 5.-1-'.4 CIO ay o c�, C) ;Ind 4. 41 BOARD OF BUILDING REGULATIONS '. License: CONSTRUCTION SUPERVISOR Number:.CS 042533 - BIrthd*W: 06108/1.952 F 06/08/7006 Tr.no: 27423 JAMES K MURDOCH 7 CONNORS RD C PEABODY, MA 019$0 Commiasloner Board of BuildFng Regulations and Standkeds 'HOMEIMPROVEMENTCONTRACTOR� Registration: 106998 Eifplration. -7,Y28/2006 YI p13A 'MURDOCF7 ENTERIRI5�;3 James`�Mudrd&h 7 Connors Road I Peabody;MA 01§to Ad'm" nistrator NORTH own of t 4Andover 0 ` dower, Mass., LoC -A:=d-�� O COCMICKEWICK AD'�'ATED P?a� � `S BOARD OF HEALTH PERMI D Food/Kitchen Septic System .•.. .'......'..... THIS CERTIFIES THAT...........d..... . ......................... BUILDING INSPECTOR . Foundation has permission to erect........................................ Vbuigs on.../A.. ... .. ... ....... ....... .......... Rough to be occupied as. .. . i Chimney ......... . ... ................................................................ provided that the perso accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION srj-� Rough Lservice ............ ........................ . ........ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Date..+ 'A10 ZVE Z If HpRTN pf or '` TOWN OF NORTH AND PERMIT FOR GAS INSTA ; . �,SSACHUSEt h This certifies that . . . . !. �. . . . . . . . . .'P ......... . . . . : . . . . . has permission for gas installation . . . . .`.. . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . ./.?:-. . . .'. 1h . . . . . .s t;, North Andover, Mass. Fee. Lic. No.. .0.q . . .<!/.!�" GAS INSPECTOR Check# I V F a 6701 MASSACHUSETTS DWORMAPPUCATONFOR PERM TO DO GAS ffTf.ING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Lo gations Permit# Owners Name . Amount S New❑ Renovation ❑ Replacement Plans Submitted ❑ W p UF Z C m F F O � O F Z Z t x a W O A > W �d z >o " C z a d m Z O Z W O F W SU B -BASEMENT >r �. ' 3 O v O O '4 G a0, O U > BASEMENT 1ST. FLOOR 2N D . FL00 R 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . .FLEO'R STH . FLOORE4 _U_. (Print or type) 'fes Name �J / /v,�syt p �� / Check one: Certificate Installing Company A / Corp. Address v-P - mPartner. usess a ep one `r Firm/Co. Name of Licensed Plumber or Gas Fitter / ` FINSURANCECOVF-RAGE t-liability lnsurance•policy or it's substantial equivalent Check one: ecked es please indicate the a cove Yes � No�nce policy �p rage by checking the appropriate box. p cy � Other type of indemnity D Bond 13 Owner's Insurance Waiver. I am aware that the licensee does n_ o�e the Insurance coverage required by Chapter 142 the] Mass. General Laws,and that my signature on this permit application waives this requirement. Signature of Owner orOwner's Agent Check one: Owner 1 hereby certify that all of the details and information I have submitted(or entered)in 0 apps Agent 13and ac to the ruecurate best of my knowledge and that all plumbing work and in ons performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass usetts tate as Code d Ch 142 of th enetal Laws. Q`jl{ BY Signature of Licensed Plumber Or Gas Fitter Title Q'-Plumber City/Town [3 Gas Fitter:' icensegum er aster _ APPROVED(OFFICE USE ONLY) Journeyman Date.... /vr .......... TOWN. OF NORTH ANDOVER PERMIT FOR WIRING "�SACMUS This certifies that .... A.) <?- r-'O ................................................................................. has Permission to perform .......... ................................................................. wiring in the building of..... ............................................. at........./C;z....... .................................... .North Andover,Mas i.? ....... ...... . .... .... ... E3 3q0j Fee ....... Lic.No.............. ............. .................................................. ELECTRICAL INSPECTOR Check # 7 560 v 11W LulmylUlV"rAU 11 Ur iYL4U ML rjVjLm i u �•• - a,/J /( DEPAR7MENTOFPDB KSWETY Permit No. BOARDOFFWPREVRM0NRBGiVX0N5 CM12� Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERF RM ELECTRICAL WORK ALL WORK TO BE PERFORMED Qr ACCORDANCE WITH THE MASSACHU S ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Da Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the els trical work desc ' below. Location(Street&Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Y No (Check Appropriate Box) Purpose of Building Utility Authorization No. . Existing Service .. ) Amps Volts Overhead Underground No.of Meters New Service Amps Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 41?ie%JY-l- d4C I' No.of Lighting Outlets No.of Hot Tubs No.of Trsnsfomrers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Homers r No.of Ranges No.of Air Cond. Tota FIRE ALARMS No.of Zones Toru No.of Disposals No.of Hest Total Tota No.of Detection and Puma .Tons KW Initiating Devices No.of Dishwasher Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryer Heating Devices KW Local municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Tota HP OTHER- hLxff10e<.'DMW R1=1lDthetep naftdM866mhuMGandIaiw ItmeaaneiLrht'faj+kwm=PbkYmditCm oritsm6sbcdalegivala t YES NO Ihmesut niwdv5dpoafef=wlD t 0floe Y15ff)auharedrdWYMpleaseindcatethetypeefeo�esz by dzddrgthe bmc Ey IPTSURAIHCE BC OIIfR ftm,*cily) Fstin*dV"ofEJmW lWc&$ WodcbStatt Iisspec" Da9Rgx*d Rough field 59wdutder R3>aliescfDe FiRNINAME LwwNa 3 1;r y'e✓J d�Yl��!rlJ *an Lioa>seNo Bu 'Id ��Lf AlLTdNa�� .oWrOCi V &WXEW •lamawa duthelicaue"mthareiheimmnceaN=Wcritss*a3rialegtivWmtastac}medbyN CalaalLan ad drat my s+gaaaae on tats ptnr;t vt+aws etre toquianatt (Please check one) Owner a Agent a Telephone No. pERMrr FEE S signature Owner l t1L'1.Vlt9LYltVn"rAL i n yr t►zts.XVU n9JLMA A J J DEPAR 1NWOFPUNKSMY F Permit No. _ BAARDOFF=PTfEWV fONRB9JlA1'IONS5V a212•f rc� Occupancy&Fees Checked APPUCATTON FOR PERMU TO PEUORM ELE=C,AL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WrrH THE MASSACHUSSTS ELECrRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Da Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes= No O (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts OverheadUnderground a No.of Meters New Service Amps olts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work , 73 No.of Lighting Outlets No.of Hot Tube No.of Tansforroer Tout 1411 KVA No.of Lighting Fixtures jo Swimming Pool Above Below Generators KVA wound.-0 ground No.of Receptacle Outlets No.of Oil Burnes No.of Emergency lighting Battery Units No.of Switch Outlets No.of On Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of zones Tons No.of Disposal No.of Haat Total Total No.of Detection and puffm Tone KW Initiating Devices No.of Dishwasher Space Area Heating KW No.of Sounding Devices -- i No.of Self Contained DetectionlSounding Devices No.of Dryer Hating Devices KW Local ❑ Municipal Other Connections ...o No.of Water Hester KW No.of No.of sign Bailsis No.Hydro Massage Tuba No.of Motor Total HP ER. Crnar�AasuetYbllletegtiar�dMa®disetbC81Qe1LaVVg � Q -0-0:1 ot L AdAy In mm RfginditCbrnpi -C%mwcIrie apvda t YES NO subrrtibdvaidp�aafafsanebthCO>13ae YO BM the hoc. BM EAhwJVatDeaf&CWCd Wade$ od 1DS13d IVectirnDeteRoc=d Rail urtd3 Pataldesa( NAME A- LioaD�IVa mac-"-3 �/� AkTdNa� 'SIlVS<JRp►NCEW •Iaruawa4ethrttheLiaa�sedoeamtharekheirnualaeao�as�ori�sub�alet}i�alaitastac}iledbyMas�Ll�(,err�all,awa aWsigrueaecnItispetmtapPirn6 nvvawsthisDegtliarl�Dt ase check one) OwnerIm Agent „ Telephone No. PERMIT FEE S tg '� Location > l E No. `� ' Date / f ,&OR7H TOWN OF NORTH ANDOVER F jamtkillkp Certificate of Occupancy $ Building/Frame Permit Fee $ ;�s SAGMUS Eta Foundation Permit Fee $ Y Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ SOY .� .. — Rol Buiiding'Inspector %I r� Div. Public Works PERMIT NO.C/2 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK '.PAGE S Z7,'NE I SUB DIV. LOT NO. I ' LOCATION PURPOSE OF BUILDING OWNER'S ME NO. OF STORIES SIZE fr�7V]X OW NE ADDRESS �j�,,,,�n BASEMENT OR SLAB ARCHITECT'S NAME 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 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 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS 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 t LAND COST SEE BOTH SIDES EST. BLDG. COST I * EST. BLDG. COST PER SQ. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 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 � oL / BOARD OF HEALTH SIGNATURE OF OWN OR AUTHORIZED AGENT F E E ✓ CONTR.TEL.# CONTR.LIC.# PLANNING BOARD PERMIT GRANTED -- 19 BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 , SINGLE FAMILY rO�FF,CORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY ESLOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d t 2 13 CONCRETE BL Ka PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M'T' AREA _ 4, '/p 3/, FIN. ATTIC AREA _ NO B M FIRE PLACES. _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ'D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR BRICK ON FRAME CONC. OR CINDER Bl". STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I_1POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT � SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 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 lit, 13rd I NO HEATING JtWiCil/ VVH I a.II - - -- rr wL, cLrfI's.'d••% M NORT1y T U a6 OWJLJL VV ofL ndovvIL No. 426 10 - Is e DRIVEWAY ENTRY PERMIT � r HEWICK er, Mass., d1ta oR Pte. SS PERMe IT BOARD OF HEALTH �. . .it :. - LD THIS CERTIFIES THAT........ - W. W ........., •• /��+� BUILDING INSPECTOR has permission t ..... buildings on ..�,::� ,K .� ' f� . -,h ..... / Chimney to be occupied as...... .. .....� s. e�`.�.�:.../. moo...... Final provided that the person accepting this permit all in every respect conform to the terms of t e 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 CONSTRUCTION STARTS Service e ..47 ' i Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathingto Be Done Until Inspected and Approved b STREET W1 P PP 1 Smoke Det. Building Inspector C N° 1 5 6 1 Date................"q '`:?.. .(�...... .�....... .v °e tNc°7•�tio TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHUS This certifies that '..... :.�. ...... ......................................................................... has permission to perform ...:............-''-f ...�.�.....�� wiring in the building of.... ::.....� ......................................................... at ........................ .North Andover,Mass. Fee��...5................ Lic.Noy��L/.4�f ............... / --ELECTRICAL INSPECTOR 03/26/99 08:34 65-00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer THE CZ0MLI'I0NRF4L2H0FMASS4CHLM= Office Use only DLPARTIKENPOFPUBLICSAFETY Permit No. 45-6/ BOARD 0FMEPREYEM0NREG JUH0AS527CMR 12:1x0 �� Occupancy&Fees Checked IF4PPLICATIONFOR PERAff TO PEUORM==CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) �j -r Owner or Tenant -A--J,•L` f Owner's Address f � Is this permit in conjunction with a building permit; Yes=-<0'-1:1 (Check Appropriate Box) i Purpose of Building ✓ '�;A- C�4�^--- /C j-amu �� j Utility Authorization No. i Existing Service .�,,�i Amps= is Overhead nderground a No.of Meters New Service Amps / Volts Overhead F7 Underground No.of Meters Number of Feeders and Ampacity Loca�pn and Nature of Proposed Electrical Work No.of Li tin Outlets �- ';h 8 No.of Hot Tubs No.of Transformers Total N KVA Nn.'WLighting Fixtures Swimming PoolAbove Below Generators KVA and ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pum s Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices N.p.of Dryers Heating Devices KW Local Municipal Other Connections Flo.of Water Heaters, KW No.of No.of Si s Bailasis 14o.Hydro Massage Tubs No.of Motors Total HP OTHER IrtstrarceCa$-a�RnsUanttotheter�err�oflvlGatera!Laws YES �� I hate aaarstk I�tltty hasare }uatg Cartpl� Caerageor >dal ttival� NO 1ha,,esubcnrt validprwfofswrlot rOff=YES L.! NU IfjwhawdrdzdYES,pleaseirtdicatethety � peofmmaWbytgthe TVMiakbCX N BOND F-1OITiERt (PIe�SP�Y) ' /- E ' J� 9 Es6rt,�dValue��ral Wak�/5�� Waklosw Ragh Fatal Sighed underlie Nnaities of _ FIRMNAME �� Lioa � ,L, i f .� L U ><e C Lioa>SeNo 7 r7'-7 &sines Tel Na Addrtz� Alt Tel.Na OWNER'S INSURANCE WAIVER,IanawaethattheL msedoes10ha-etheinstraret a-Issksar>tialagriralataste#rdbyMasmdasetsCertaalLam acd tha my sigiiman thep=nkapp6mdmwai�csthistmtat$Tnt (Please check one) Owner Agent Telephone No. PERMIT FEE S Location 'No. Date NORTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ # Building/Frame Permit Fee $ cHuFoundation Permit Fee $ s� st p RECt1�6TonnMee IFee $ Sewer $ Ver Connection Fee $ TOTAL $ `' 0 No.Andover Coljec r Building Inspector Div. Public Works APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. /AGE 1 MAP dq0. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. LOCATION I x �� PURPOSE OF BUILDING OWNER'S NAMF,,,,,rA 'f'C-.yT/✓ NO. OF STORIES SIZE OWNER'S ADDRESSy� `r;1 g; ,✓CD+� L•-rT� BASEMENT OR SLAB ARCHITECT'S NAME 4' GT GF /��C-/ SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME`�¢�,�-� .�+,y� n� SPAN -- DISTANCE TO NEAREST BUILDING I2 ll/YC�le ffp)f ,S 70 DIMENSIONS OF SILLS DISTANCE FROM STREET A POSTS 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 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS 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 11 114(51' s EST. BLDG. COST PAGE 1 FILL OUT SECTIONS I - 3 �] EST. BLDG. COST PER 8Q. FT. �' • ' � � PAGE 2 FILL OUT SECTIONS 1 - 12� /1,7 p j11/_"�D�ri.�T EST. BLDG. COST PER ROOM (�¢t`��/~"�� 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 {- (,{�I__ + DATE FILED -T- BOARD OF HEALTH SI TURE OF 6WNER OR AUTHORIZED AGENT FEE A- 161LO PERMIT RAN O"ER Tci. 6 C/ PLANNING BOARD t9 COWTR.LIC.#!-2-0-716 BOARD OF SELECTMEN r BUILDING ECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STouIEs 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 f 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 _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ 1/1 1/1 % FIN. ATTIC AREA _ N_O B M 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\!✓'D _ ASBESTOS SIDING COMMON _ VERT. SIDING ASPH. TILE41� _ - -. - - STUCCO ON MASONRY — STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. _- STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR1--1POOR AD _ EQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET l` ASPHALT SHINGLES LAVATORY WOOD $HINGES KITCHEN SINK - - SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER 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'T2nd _ ELECTRIC 1st 13rd NO-HEATING �LA� G�� SEWER/WAS � oFINAL FINAL Town o0. 6 �� n over No. 202 l A� MVEWAY ENTRY PERMIT - A C? E ry ( er, Mass. _ OR P� r � q F BOARD OF HEALTH PERMIT THIS CERTIFIES T 7.. ......�. im �v kP f BUILDING INSPECTOR has permission to ere .!<.... . . uildings on ... . .....6/1, .64 ..••••• ter Rough ed as........ � ,,`,��, ... ..... Chimney tobe occupied ..... ........... .. .. ... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in p PLUMBING INSPECTOR this office,and io 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 Vo' s this Permit. PERMIT EX P I P ' IN 6 J N T H S ELECTRICAL INSPECTOR UNLESS CO STRUCTI , Rough Final .. .. .... .. .. . ..... . ... . .... .. ... BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough r Final Display in a Conspicuous Place on the Premises FIRE DEPT. t. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector Location No. Date gORTh TOWN OF NORTH ANDOVER Of •�•o , O? �� • h0 s 1WAbLn Certificate of Occupancy $ cJ� ` Building/Frame Permit Fee $ G �7s''•• E<� Foundation Permit Fee $ sgCMus Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector moo PAID 1 ? n 6 i! O2/16/99 1148 Div. Public Works r � PERMIT NO. APPLICATION FOR RMIT TO BUILD" ** "NORTH ANDOVER, MA MAP NO. / '2j LOT.NO. O C�.�� 2. RECORD OF OWNERSHIP DATE BOOK PAGE ZONE /S^UBDIV.LOT NO. /� LOCATION / .S f D PURPOSE OFBUILDING, [/ /✓ i OWNER'S NAME / ! NO.OF STORIES SIZE OWNER'S ADDRESS ` �! BASEMENT OR SLAB ARCHITECT's NAME SQ (=, ND RD SIZE OF FLOOR TIMBERS 1 / 2 3 BUIIAER'S SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS AZ DISTANCE FROM LOT LINES-SIDES AR DIMENSIONS OF GIRDERS Z 4 AREA OF LOT HEIGHT OF FOUNDATION ti THICKNESS 1.4 X IS BUILDING NEW SIZE OF FOOTING I S BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION ��7 IS BUILDING ON SOLID OR FILLED LAND WILL,BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER Yes IS BUILDING CONNECTED TO NATURAL GAS LINE eS INSTUCTIONS 3. PROPERTY INFORMATION LAND COST L/ EST.BLDG.COST O PAGE I FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ.FT. EST.BLDGCOST PERROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACK GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED. - _ OWNERS TEL#1 L:7- L - �c P�9 -- 2, 744 CONTR.TEL# f CONTF-LIC-4 SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE $ S�. PERMITGRANTED 19 Revised 11/97 JM NO R Tjy Town of _ over No. p - : _� ;s dover, Mass., Ec'73 . 0 8 1999 L♦KE '� '9 COCHICMEWICK �"�'�• A�A'i E D�PP`y '�� S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT ht� ...................................................................................�...................................:............................... Foundation has permission to ee.et....= � �-- bails on ..............��- �L�c�-T ......I. Rough ,. . � . C t N t�� .. Chimney to be occupied as...........................��'Cl ......�....!4':.;........................ . ............................................................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR - Rough ............................. ......... ..... ... ... ..................................`-�........ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Fnagh No Lathing or Dry Wall To Be Done FIRE DEPARTMENT " Until Inspected and Approved by the Building Inspector.. �•�• � � 1. �6� � Burner OW NL• Street No. Smoke Det. I i 7'O06," C7A,1170,t'.9 A"I' We `O Wm i a i Y 107 .7.7c'/. SN 707 e v c a. r .F 77 a �aecaw.ca er..st ,.as•.e �s=.�»..x�,.a.�s- s,.'. .. .. ?k a r a } L- Note: This drawing is an artistic NONAIVIE Owg no. interpretation of the general THE appearance of the floor plan. It is HOME DEPOT lahey, angela12filbert st not meant to be an exact rendition. g n andover;ma 5 . F a .. ei 'r tz . 4u '1Ah� Note: This drawing is an artistic NONAIVIE - Dwg no. interpretation of the general THE appearance of the floor plan. it is HOME DEPOT lahey, angela not meant to be an exact rendition. n n dot st v andover,ma rQUOTE - Continued Last Name: LAHEY Page 2 of 2 NO. 74551 VENDOR DIRECT SHIP #1 (Continued) . T0:CUSTOMER SIO•MERCHANDISE TO BE SHIPPED: SIO AMERICAN WOODMARK REF#SO1 .. . :.. AEF:.# SITU.. :: al#Y : UM: CJESI;Aii'T1btV ::;::;.;::...;<:...;::;.;;.::.::.:;.:...:.:. :....:.. ...::..::......... ...... ... TAX PFtlGE . .......i✓ I ENSU . ............................................................................. ................................................................................................................................... S0112 136-586 1.00 EA W3018 /W3018 WALL CABINET /W3018 Fsides:L Y $143.63 $143.63 S0113 136-586 1.00 EA W3018 /W3018 WALL CABINET /W3018 Y $143.63 $143.63 S6114 136-586 1.00 EA CW2436R ICW2436R CORNER WALL CAB /CW2436R Fsides:B - Y-- $235.1-3 $235.13 Hinges:R S01 1 5 136-586 3.00 EA UF3 /UF3 FILLER /UF3 Y $14.25 $42.75 S0116 136-586 1.00 EA VAL48 /VAL48 SCALLOPED VALANCE /VAL48 Y $33.00 $33.00 S0117 136-586 2.00 EAJ CM8 /CM8 WD CROWN MOULDING /CM8 Y $43.13 $86.26 S0118 136-586 2.00 EA BTK8 /BTK8 BASE TOEKICK 96"L. /BTK8 Y $12.75 $25.50 S01 FR 811-860 1.00 1 S/0 FREIGHT SKU D29 Y $115.00 $115.00 VENDOR.SPECIAL INSTRUCTIONS: Line:AWCDESGN DStyle:SMRST C Color:natural Dsgnr:jeffz VENU'OR WILLSHI 'MDSE TO . . LAHEY, ANGELA ADDRESS: 12 GILBERT ST CITY: N ANDOVER STATE: MA ZIP: 01845 COUNTY:ESSEX SALES TAX RATE: 0.00 $3,094.04 PHONE: (978) 685-9559 END OF VENDOR DIRECT SHIP TOTAL CHARGES OF ALL MERCHANDISE & SERVICES $3,094.04 SALES TAX $0.00 TOTAL $3,094.04 BALANCE DUE $3,094.04 END OF ORDER No. 74551 Page 2 of 2 No. 74551 + I n F � •tF. 3 III ' II i NONAME •- Dw9 no. Note: This drawing is an artistic interpretation of the general THE appearance of the floor plan. It is HOME DEPOT lahey, angela not meant to be an exact rendition. 12 gilbert st n andover,tna 143 --- - 88 30 — 25 �- 'T - - - W1836' - CW W4224 R 2436 BSS R 33R SB27 627/02 02 02 W93' 6R -- 72 30" 624 a30 RAN SS2 107 GE UO2 W12 DB12 TB9R - 36L 4 30 1830 L RE FRIG —-_UF3.--- I 1 • -- - ---- - - - --- ---. - - - --- Dwg no. NONAME Scale:1/4"=1 Design: 01119!•9 All dimensions&size designations THE This is an original design and must Date : 01/19/!3 • given are subject to verification on not be released or copied unless lahe .angela job site and adjustment to fit job HOME DET applicable fee has been paid or loby -- — conditions. order placed. 12 gilbert st Designer �_.�.._. in andover ma jeffz t Date. `3-?" . 19 3980 No 0,��tia TOWN OF NORTH ANDOVER 3? cL Q p PERMIT FOR PLUMBING •, SSACHUSf y This certifies that . . . . . . . . . . . has permission to perform . . . . `�. . . . . . plumbing in a buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . at. . . . . . . . . . . . . . . . . . , Northdover, Mass. . Fetes?. . . . . .Lic. No.7,W"/4 . . . . . . . . PLUMBING INSPEC WHITE: Applicant CANARY: Building Dept. PINK:Treasurer (Type or Print) �t NORTH ANDOVER ,Mass. ate: Building Location r Permit 1 , Owners Name +�+ 4 V •��t New JZ Renovation C] ' Replacement [] Plans Sybmitted FIXTURFS ' • z a„ N Ql O Z 2 W W Y J P. d U h N a d Q Q . ir ,,l oC O O < w o a J w It cc J 4 O W E W Z < 2 3: O Z T Y a. 0 H 4 Y < W tt >rC W •i N U } F' O Y 41L7 N H Z O Q z Q1 x W t. O V = Y J Q 1-77 BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR eTH FLOOR (Print or Type), Check one: Certificate installing Company Name / //� Q Corp. Address �(� Partner._ Firm/Co.� Business Telephone Name of Licensed Plumber: > _ Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity ❑ Bond E Insurance Waiver: 1, the undersigned, have been made aware' that the licensee of i this application does not have any one of the above three insurance coiveragesa - ♦ Signature of ownerlagent of property Owner Agents. I btrcbr ccl Lily Wal all of Utc dctads and iofotntalion I lia.c wLim iticd lot cntctcd)in aMt.c applicatioa silt live a Tlwwate to dw bast r w • k"wkdgt aad tbal all pluatbing walk and installations loctfntnicd undct rctmit I%tutd fat this application wW be is cavapuasts>.■iiia ill PsitlsltM M►11 vjiiawa of Ibt►laaaa4usctlt Stats rlumbiai Codc and Cluptct 142 of Clic G"c4al Laws. ,1 I jiBy i Title - Signature of Licensed Plumber City/Town: Tvpe of Plumbing License ? • 15t70Ctt'1VFtl 7aFFICF USE ONLYI License Number ElMastsr 0 Journeym&4