HomeMy WebLinkAboutMiscellaneous - 12 HERRICK ROAD 4/30/2018 / 12 HERRICK ROAD
J 210/016.0-0020-0000.0
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Location �_� Q
No. Date
TOWN OF NORTH ANDOVER
F ; A Certificate of,Occupancy $
• � : • Building/Frame Permit Fee $ '
��s eta Foundation Permit Fee $
s�tMus ,
` Other Permit Fee
$
s Sewer Connection Fee $
wk Water Connection Fee $
TOTAL $
Building Inspector
!' " ip5l97 08:53 25.04 PAID
I ! C 7 10
f Div. Public Works
;t
NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1
�MT{PVl OT NO. G�� 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE —
ZONE I SUB DIV. LOT NO. —i F —
,. ' CATIONPURPOSE�Q aWj.�rnw�r_
WNER'S NAME �N.Q�( � /'L/�� NO. OF STORIES SIZE
DOWNER'S ADDRESS IJ , BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
,BUILDER'S NAME � /l�j�l7�i /l�a ,A./ SPAN
DISTANCE TO NEAREST BUILDING v !J/®- 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 il, �f�al 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 ST. BLDG. COSTSio ,
PAGE 1 FILL OUT SECTIONS / - 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
v DATE FILED r
BUILDING INSPECTOR
SIG URE OF OWNER OR AUTHORIZED AGENT
F E E OWNER TEL.# V-715 10
PERMIT GRANTED CONTR.TEL.#
19
CONTR.LIC.# 7
,:� H.I.C.#
Q
t�
BUILDING RECORD `
i OCCUPANCY 12
SINGLE FAMILYSTORIES 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
PIERS PLASTER
_ DRY WALL _
UNFIN.
3 BASEMENT
AREA FULL FIN. B M AREA _
'/. 1/1 FIN. ATTIC AREA _
NO 8 M'T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 22 f 3
DROP SIDING CONCRETE I_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDV✓'D _
ASBESTOS SIDING COMMON _
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME
BRI K N MASONRY ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAMESUPERI_
jj—ADEQUATE I1
- NONE
5 ROOF 11 10 PLUMBING
GABLE HIP BATH (3 FIX.) r
GAMBREL MANSARD TOILET RM. (2 FIX.I r
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING f 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
1st 13rd NO HEATING
' rfORTW
Town of 4 over
No. C1.3 ~ -- m
_ LAKE
dower, Mass. 19
??
s ..
�O9 -C O CH > >ICHEWICK i��^
AT T E E) �(J
v �G BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT T
BUILDING INSPECTOR
THIS CERTIFIES THAT (�/ �.. .............•.... .
.................. .... Foun anon
has permission to erect........................................ buildings on .... ......./- t' .� / ...........� ..�.........
Rough
to be occupied as..................... .............. (d. ..............................................
chimney
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
i
Final
PERMIT EXPIRES IN 6 MONTHS
a ELECTRICAL INSPECTOR �
UNLESS CONSTRUCTION STAR Rough
. .............. ... ...:.: ....... .................................... Service
B G INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
r
Display in a Conspicuous Place on the Premises — Do Not Remove F nal
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
Street No.
OSmoke Det. C
O J
PERMIT NO. f APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP K40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK -'PAGE —
ZONE I SUB DIV. LOT NO. 1 —I
LOCATION `i�7� Q / PURPOSE OF BUILDING
OWNER'S NAME NO. OF STORIES SIZE
OWNER'S ADDRESS BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
44.
BUILDER'S NAME a JI 0 �., i`{ SPAN --
DISTANCE TO NEAREST BUILDING �•U ISL. 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
LAND COST
SEE BOTH SIDES
EST. BLDG. COST
PAGE t 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 PPROVED BY BUILDING INSPECTOR
DATE FILED (96
i
BUILDING INSPECTOR
SIGNATURE OF OWNER)6fyAUTHg&IZED AGENT
F E E I� B OWNERTEL.#
Ll
PERMIT GRANTED CONTR.TEL.#19
t4 0
CONTR.LIC.#
H.I.C.# ! o 7
BUILDING RECORD
I OCCUPANCY 12
SINGLE FAMILY I I STORIES 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 11 RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE d 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'TAREA _
'/. 1/2 % FIN. ATTIC AREA _
NO BMT FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDV.'D
ASBESTOS SIDING COMMON
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR I_
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOADEQUATE I NONE
5 ROOF 10 PLUMBING
GABLEHIP BATH 13 FIX.)
GAMBREL MANSARD TOILET RM. 12 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
L
OI
B'M'T 2nd _ ELECTRIC
1st 13rd NO HEATING
^•^�+�+��•.��..�c 1-2 ufu unM ArrUL:A 11UH hU11 ernM1 l 1U LIU r Lura osrru
(Print a Type)
NORTH ANDOVER, - Mass. Date 1204 3.lo- _
Building Permi3Z S
Location -#45 A/C K n .
Owner's
kip) Name ill/
New p Renovation D Replacement Pians Submitted: Yes p No.p
FIXTURE$
• at w s
w s W < «
h N A M O IS s y r
r .1 11
N r M N = ~ h Mt M e1 L s ` s I
O i a • M h < M ! a a
ar 0
0 at • o et a,
� < s s s ss
X sr » w o o 16
o � as
Ir- u s h o Y a M o o s r K w
• • o o •It h w �' o O o < 0 ac • 0
sus—�sMT. I I J I I T. I IA
•AGNMENT
IST 'LOOr1 l ,
!Nor con
alto FLOOR
4TH FLOOR
ITH FLOOR
ITH FLOOR.
ITH FLOOR
ITH Fl.
Check one: Certificate
installing Company Name Corp.13
Address ❑Partnership
Z Firm/Co.
Business Telephone_ a V f .
.Name of licensed Plumber
INSURANCE COVERAGE: Check one
1 have a current liability Insurance policy or No substantWutvalenL Yes EN
you have checked
eq No O
It
Y Ig. please Indicate the typo coverage by checking the appropriate box
A Ilabilly Insurance policy t, . Other type of Indemnity t7 Bond O
OWNER'S INSURANCE WAIVER: I am aware that the Ilceno'ee does not have the Insurance coverage required by
Chapter 142 of the Maas. General Laws, and that my signature on this permit application waives lhla requirement.
Check one:
SIgna(ute o er or OMmer s Agent
Owner D Agent ❑
I hereby cerilly that al of the detals and informatlon 1 have submitted W enlsred)In above appNcallon are trw and awxate to the best of my
It and that al plumbing work and Installations performed under the p moll!awed for thio pikation be In compliance with all
psrtineni fps
of thi Massachusetts Slate Plumbing Code and Chapter 142 of theBY
d
Tills nature
City/Town
Type of f'hrmbkhg License:Master
MF'
riOVED(OFFICE USE ONLY) � Journeyman
} Date . . . . . .
' 3257
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
4o
,SSACHUSE�
This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
has permission to perform . . . . . "'"' . . . .I. . . . . . . .
plumbing/in the bXi/?
of . . .`. .C.... . . . . . . . . . . . . .- . . . . .
at. . . . . . . . . OT. �. . . . . . . . . . .. North Andover, Mass.
Fee . .Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
03/05/97 11:38 30.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
Office Use Only /_
uhr Tommunmralth of �o�Lti� permit No. (G �-
Et}iIIlt trnt of Vabiit —Aafttq C=pancy&Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 C'MR 12:00 3190 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts EIectrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
�& or Town of NORTH MOVER To the Inspector of Wires:
The udersigned applies for a permit
to perform the electrical work de cribed below.
Location (Street & Number) /o! /n/eALeCk
Owner or Tenant 7- �,0j A—'G Pi 4-t)
Owner's Address1-7
Is this permit in conjunction with a building permit: Yes _ No ❑ (Check Appropriate Box)
Purcose of Buildina_ w9/�/� Utility Authorization No.
Existing Service mos _J Voits Overhead Undgrnd ! No. of Meters
New Service Amps _J Voits Overhead Undgrna No. of Meters
Number of Feeders and Ampacity
Location and Nature of Pr000sed Electrical Work �� C
No. of Lignnng Outlets i No. of Hct '.bs No. of Transformers KfA
No. of Lignung Fixtures Swimming ?cot r.o e— crrc. I Generators KVA
No. of Emergency Lighting
No. of Recectac:e Cutlets No. of Oil curners I Sattery Units
No. of Switch Outlets i I No. of Gas 3umers FIRE ALARMS No. of Zones ��}I
No. of Air Ccre. 'otat No. of Cetec:ion and I
No. of Ranges I :ens Initiating Devices —11
No.of ~eat Tan Total
No. of Cisbosais i Purncs Tons KDJ No. of Bouncing Devices
No. of Sett Containea
No. of Dishwashers / ! SoaceiArea Heattro K`:J Detec::oniSounatng Devices
No. at Dryers Heating Devices Kry Local -" Muntcioat Other
Connec::on
No. at No. or Low Voltage
No. of Water Heaters KW I Signs Badasts Wiring
No Hvaro Massace ubs I No. of Motors Total Hr-
OTHER:
POTHER:
INSURANCE CCVERAGE. Pursuant to the requirements --t Massacrusers ,general Laws
I have a current Liacdity Insurance Policy inducing CcmD:etec Cceraticns Coverage or Its substantial eeuivaient. YES = NO = I
have sucmtttea valid proof of same to the Office. YES = NO = It you have checKea YES. please ineicate the type of coverage by
cnecKing the aorroortate Dox.
INSURANCE — BOND = OTHER = (Please Scec:f-.w)
— (ExDiratton stet
Estimates Value of Electrical IN k S 4
7 Final
J L
worx tD Start ��' Insoec::on Date F+acues:ec: Rough
Signea unser Me Penal of
FIRM NAME LIC. NO.
Licensee l --" Sigra:ure ✓ ' G LIC. NO.
/Bus. ,el. No.
Address �` �i�'/� '/i//� U/ d e"-- Alt. Z. No.
OWNER'S IN$URANCc'JVAIVER: 1 am aware that the L:cenSee COeS not Nave trio insurance coverage or its suostanttai eautva
lent as re-
quires by MassaCnusetts General Laws. aha that my signature nature on :rs t:elmtL application waives this reaLtfement. Owner Agent
(Please cnecx ones
Tetecrone No. PERMIT FEE S
(Signature of Owner or Agents x-6505
t.. .. ..r T.v, ...r.r-� _' �..-. ,.. ___...fit _* _ _;• -
i
J '
t 7f Date....... .....
x v- !]
NORTH 1
TOWN OF NORTH ANDOVER 11
PERMIT FOR WIRING
,SSACMUS� y
This certifies that .......... ... ........% � � C
has permission to perform ....... e (C "r
........... .........................................
wiring in the building f....
aty..... ............... .....................................�............ ,North Andover,Mass.
Fee >?1J.: U..... Lic.No,� !...............................................................
ELECTRICAL INSPECTOR
03/05/97 08:53 25.00 pR10
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
- i
Date... ......a.�.....
f 40RT#t
4.° "`° " TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
,SSACHUs�
This certifies that ...... ........ ......../............ ...........................
has permission to perform ..................................r f:....
11
wiring in the building of.....!��..... . ...............
at../I....... .........
..... :
......... ..- North Andover,Mass.
Fee.. .... ..:. Lic.No f�JyZ.j:?................1.. �,�r� r........
ELECTRICAL INSPE&OR
( Check # l/Y S'_.Z__ '
8U4
or massacnuseas
. ....... No
Department of Fire Services
)ccuPallc�, and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS R Lev. (9).:�0) Ioleate hkiril,I
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
k It ,toil, io he itil the 1la��aclul.cn.
I-I-s I It'Ic it I Mule t\11 L 1. ;21 ( IIIc 12,1)(1
/,\K OR 1_1PE,-1L1. INFORAIA110N) Date: - elf
City twl'oviin (&
I//(,, fnvpeclor of 11 7i'e,v,
lt\ thl%JI)PIK011011 the undersigned wives notice ot'his t;r her lintelition to 1-serform the electrical "ork descrihed belim.
Location (Street & Number) C_ 1/r
Ovvocr(or I'Cultill
l/_r a 0I Telephone No.
Owner'% Address
I,- this permit in Conjunction with a building permit'' ties ❑ No �(Chcck Appropriate [it)\)
Purpose of Building
te—_ Ulilit,* Authorization No.1.11>
FAisliug Ser%ice 7M s
MPS 12-f- 2 i.,l o Volls 0%erhead t1_
Undgrd❑ Biu. of Meters
New Scri icc '?_f-aA tit ps /3-6/ .7, 'olls Overhead Uodgrd ❑
No.of Meters
Nouther of Fvctiers and Anipacit-,
Location mid Nature of Proposed Electrical Itkork: 7e-- J
No. ol"Rece%scd Luminaires No. of Ceil.-Susp. (Paddle)Fans No_oT— Total
t. Transformers KVA
of I untinaire Outlets No. of Hot Tubs Cenerators K VA
No- ofl.oniinaire% 11 L�_j Ab( No. ol'Emergence Lighting
end. end. U
Swimining Pool Ive El 1 0 Batten
No. of l4cceptacle ONo.of Oil Burners gurners FIRFALARMS No.ol'Zones
No. of.s-*silches No. of(I Burners No. oetectton and
Initiating DeNices
,No. ofkam_w% No.of Air Cond. otai No. of Alerting Dc%ices
-I
H
ons
No. sit lill'.poser% eat dtmp nmher I Tons K o. of Self-ContaincdTotals: __
I DetectioniAlerting Dc%ice-.
Space/Area Heating KW LAWal L-_l Municipal r--i
— I Connection Other
Ileatin(" Appliances KW SCCU ri t%_7—stems:* I .
No.of I)e%ices fir EtLiti%alctit
Nil. of Witerlicalrrs f No.o
KW Data Wiring:
Signs Ballasts No.of Des ices of- Uui%alert
No. Balblubs Nil. of Motors Total IIP I cleconinionication-,Wirinp_:
No. of Des ices or EquiN alent
\kork:
1wpeclions to be requc,,icd in accol-ditocc mth Nil ( Rik 11), atid tq)tm ctinylctton
INSI It 04( 11- I)Crillit 101-the I-wellormiltKC ol dc%At-tcal ,%ork ma\ ;,,oc
virile
IIIC Ilk Cll""C 11111\Ikk'\ 1)[001' Of I iIII ilISLINtlice illcllldlll�-'
Illill "Itch 1,oV 1 111 Boric, and hit"c0libiled l3roolot "1111C 10 the Incf-Illit
:
It III it K 4 )\1 1\10 KAN( 1. F-r BOND ()IIII.R
certilY. mider the paim and peit,II eperjur,that the ittjortriation eitt thi d application is true ancomplete.
11-114\1 N V\11 U: , /,17
A,
17 4 // -
------
Lam._. I .-----
'r RNO.:
Ae
ticcut,tt 1, AL110 oilliactol I icew'e i-equired for fill' %%ork. It'. ph . hie. micy-the 6CC7,NC 11IM11--cl.Iwic.
(M N ER'S I N%4 kAN( F. WAIVER: I am imarc that the Liccilwc J",S uuJ i!,?l the liablill\ III'lit"Ill-I 0%0,cw.c liol m,111
llcl.cb\ \%;m C 111111, 1 3111 Ilk' t"i1cck t1f1%:I❑ 0\N MA ❑ Dance A.-'ClIt
Tclepholiv. No. PrR11fT 1•'F.F.-: S