HomeMy WebLinkAboutMiscellaneous - 1220 SALEM STREET 4/30/2018 (2) 1220 SALEM STREET
/ 210/106.A-0183-0000.0
,cation
No. Date 9 ��
I
I
NORT1y TOWN OF NORTH ANDOVER
I•1h�t
M Certificate of Occupancy $
• i , , Building/Frame Permit Fee $
�7b'••°•'<� Foundation Permit Fee $
ss,SC NUSE
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
}�I
08/31/98 08:46 65*
wilding Inspector
i
Div. Public Works
r
� 7
Location I i
No. Date
i
,40RT" TOWN OF NORTH ANDOVER
?O°,"1O I•,hO A
Certificate of Occupancy $
' Building/Frame Permit Fee $ `
;�b''•°''<� Foundation Permit Fee $
Ss�CHust
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
08/31/98 48:46 65.00 PAID
Div. Public Works
PERMIT No.__& ,3�� AI'1'LICATION FOR I'ERM1T' TO BUIL[)********NOIZ I ANDOVER, MA
hl%I,No. D LOT.NO. ` 2. RECORI)OFOWNLRSHIP DATE BOOK PAGE
7I)M1E STIR HIV. 1-0I-NU.
LO( A l IONPUIjpO5E(N'BUII DING f`l P
NO.OF STORIES SIZE
EARCI
R'S NAME le 15
iR'S ADDRESS BASEMENT Oft SLAB
!L zu L Cn�
1 t EC'I'SNALIE SIZE OF FLOOR I IMHERS I 2 3
Hl III DER'S N.4nIE SPAN
,� e /v z S/�O lS
DISI ANC E 10 NEARESI BUII-DtAGBUILDIMENSIONS OF SILLS
DIMENSIONS OF POS IS
DIS DANCE FRCN`1 STREET
DIS 1 ANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS
AREA OF LUi
FR(NJFAGE IIEIGIIT(N:FOUNDATION THICKNESS
SIZE-OF P(X)IING X
IS BUILDING NEW p
r1l)
ING ADDITION f2 " too MATERIAL OF CI IIhINEY
BUILDING ALI ERATICNJ 1, 15 BUILDING(NJ SOLID OR FII I.ED LAND
WilILDING CONFORM TO REQUIREMENT S OF CODE s IS BUILDING C(NJNECI ED I O I OWN WA TER I C S
OF APPEALS ACTION, IF ANY IS Bl1ILDING CCNJNECI EI)TOIOWN S1:N'l R
I S BUILDING CONNECI ED TO NA I URAL GAS I INC
ST
INS I'lIC PIONS 3. PROPER 1'1' INFORMATION LAND(- "
Est. BI I)G.COS1 r 0 3G
PAGE I FILL CN IT SECiIONS 1-3 ES 1. BLDG.COST PER SQ. FT.
EST. BLDG. CO S I PER R(K)M
ELECTRIC METERS MUST BE ON Ok)TSIDE OF B011 DING SEPI IC PERL111 NO.
AFlAC11EDGARAGESMUSTC(NIFCN2ti1TOSi'ATEFIREREG(II.A'll(NJS a. APPl40VE1)B1'
PI.ANS MUST 13E FIVED AND APPROVED BY BUILDING INSPECTOR Bllt NC 1 PF.CTO1
+ DAIE1111:1) - -i i. ()WNERS'I1:1.11
COHIRAEI H
t
1� COKI R.LICH
SIG A T IRE OF OW .R lNt Al TI-I y {eTLf=1)AGENT
ILLC.a
PERMIT GRANTEDC0 13d6/1)
C 19
c►ORT
Andover
TONM
o
o m
No..3 6-7 -
*
IL dover, Mass.,
0' svL
.. LAKE
'�•'COCMICMEWICK
T E O
S (G BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
1 , 1 BUILDING INSPECTOR
THISCERTIFIES THAT..........T'4�.w1. .`{.........�V. .QI?......�.............................................................................. Foundation
.. ............. Rough
D o4..1'�.w�...... ... .............................
has permission to erect.......�?�..L�.1�...••-•••••• buildings on ......I..�..�•v
. C 3 � � Chimney
tobe occupied as.......S..l.. .. . 'e.........F.c.k H!i,�.. . ........................................................... . ...............�C./............. ....
provided that the person accepting this permit shall fieryrespect conform to the terms of the application on-ii?e 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 S ARTS Rough
........................... . ......................
... . ..
Service
BUILDING INSPECTOR Final
Occupancy Permit Required t0 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.
Smoke Det.
e ) ) FR t) ******** IZTIEll,('I?(ZMIT NO. ,3(s AI [ LICATtON OCRMi'i' TO (3UIL1) NOI ANI)OVrI2 MA
LOr.NO. 1 2. RECORI)OFOWNLIIS1111, DATE BOOK PAGE
7JItvE SUBI)1v. LO'rNo.
1.0(-A I ION 1'11,t11OSE 01:11I)11 DING i-,J� •� �(r(� C �
OWNERS NAhIE N 1455,44 NO.OF SIORIL'S SIZE
()\VNF:WS ADDRESSU G M BASEMENT OR SLAB
AR(I111 ECl'S NAME T h SIZE OF FLOOR*1IMHERS IST 2 HD 3
[it III DER'S N.MIE I �' N �' s�KOI� SPAN
DISI ANCE TO NEAREST BUILDf4r, DIMENSIONS OF SILLS
DIS FANCE I ROt t SrREE l" DIMENSIONS Of:VOS IS
DISTANCE FROM I.OT LINES-SIDES REAR DIMENSIONS OF GIRDERS
AREA OF LUT FR(N 'I AGE I IEIGI IT OF F(X)NDAlI(Nd THICKNESS
IS BUILDRA;NEW l� p SIZE OF I(X)'I INC, x
IS BUILDING ADDITI(NJ `� Pa MATERIAL OF CHIMNEY
IS BUILDING ALTERATIONf �G l/ - IS BUILDING ON S(N.ID OR FII LED LAND
WI1.1.BUILDING CONFORM TO REQ IIREMENI'S OF CODE S IS BUILDING C(NJNECI ED 1 O I OWN WA I ER L
BOARD OF APPEALS ACTION, IF ANY IS BUILDING C(NJNECI ED TO 1 OWN SEWER >
IS BUILDING C ONNECI ED TO NAI URAL GAS I INC
INSF11(TINS 3. PROPERTY INFORMATION LAND COST
EST. BI Ix;. COSr
P.+\GE 1 FILL O(I r SECTIONS 1-3 ES 1. BLDG. COS fM-R SQ. FT.
EST. BIJX;. COSI PERR(XlM
EI.ECfRIC METERS MUST BE ON(XITSI 13E OF BUILDING SEI'1IC PERAtI I NO.
r-IACIIEDGARAGES MUST C(NJFORMTOSrATEFIREREGIR.ATIONS J. APPROVED BY:
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR Bll) NC 1 1'F.CTOI
DAIEFIIED - u L OWNERSIEtI/
/ C(NJIRAELH
/ C(NJI R.I.ICH
SIG AF IRF:O1=UW :R lNt AlffllfiyTLli1)AGLNT
PhRAIITGRANIED / /`
19 �(v V ��
' > ) ) ******** J '
('I?RMIT NO. 3(5 AI I LiCAT10N I+OR [ ERMITTO I3U1L1) NOIZTII AN[)OVrIZ MA
n)\PNo . 1.0f.No. 2. FIECOHDOFON'NI:RSIIIP DATE BOOK PACE
7I11SE s---�SUB DIV. 1.0T NO.
LU( .I I IDN PIAtP SEO1:1)1)11 DING i �\^ CL(G C x,
OWNER'S NAME S NO.OF STORIES SIZE-;
i)WNF.W S ADDRESS 12- 2.0 5 L C M y BASEMENT OR SLAB
ARIL it I ECI'S NAME SIZE OF FLOOR'I It IBERS IST 2 Nn 3
lit III DER'SN.MIET C N (� 5/�7D1� SPAN
DISI ANC F 10 NEARFST BUII. G DIMENSIONS(N:SILLS
DIS TANCE i RCM 5 rRFFI" DIMENSIONS OF POST S
IHS I ANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF(;IRDERS
AREA OF LOr rRON NAGE I un IT OF FOUNDAI ION THICKNESS
IS BIIILDIN(;NEW i� p SIZE OF r(XYI'ING, x
IS BUILDING ADDITI(NJALTERATION �� D M/ MArER1AL OF CIIIAINEY
IS BUILDING ALTERATIJ rD �C'V - IS BUILDING ON SO)1.ID OR F11 LED LAND
Wit L BUILDING CONFORM TO REQl11REMENI S OF CODE IY S IS BUILDING C(N'1NECi ED 1 O 1 OWN WATER L
BtL4HD OF APPEALS ACTION, IF ANY c• IS BUILDING CONNECT ED 101OWN SEWER
IS BUII.DIt4G CONNECT ED TO NA rIIRAI.GAS LINE
IN&I,u rioNS 3. PROPER 1'Y INFORNIATION LAND COST
Est. BI ix;, COS r l G G J
PAGE 1 F11.1.(X fT SECTIONS 1-3 ES 1. BLDG.COS f PLR S(2, FT.
EST. BLDG. C'051 PER R(X)NI
EI.EC"fRIC METERS MUST BE ON(XITSIDE OF BUILDING SEPI IC PER►.II I'NO.
ArlACI IED GARAGES MUST C(NJFoRm,rOSTATEFIRE RE(;t11.A11(NJS .1, APPROVED BY•
PLANS MUST BE FII.ED AND APPROVED BY BUILDING INSPECTOR Bttl N(' 1 'PEC'rOI
DAIEF111:D - L ()WNERS1F:l.I(
COKIRAE1.11
C(Wl R
.I.IC-N
SIG At I�=�11'11�1�,ZEDAGCIIIT
jtLLC.q
V/ \
1'iiRMITGtAN11:0
q
Town of North Andover MORTIj
OFFICE OF
COMMUNITY DEVELOPMEN7 AND SERVICES °
• t = a
146 Main Streit '
'if '��.rip✓� <y
KENNETH R IMAHONY North Andover, Massachusetts 01845 'SSAC}ws�t
Director (508) 688-9533
L CEASE E.N-DfiPTION
Please print.
DATE
JOB LCCATION Z S ELI
Number :=eet address Section of town
"HOMECWvtiTER" 14 c n1 e L1 Al A- -5lgz --Fg.- 61�- 112 j 6 99- 6F0 Y
Name -.hone Work, phone
PRESEv i -'M AILING ADDRESS 12 2- S/} L erl-m �T .
CitviTown Sate _ Zip code
The current exemption for "homeowners" was erended to include owner-occupied dwellings
of six units or less and to allow s,:c- homeowner _o engage an individual for hire who does
not possess a license, provided that the owner acts as supervisor. (State Building Code Sec-
tion 109.1.1)
DEF INMON OF HOMEOWNER:
Person(s) who owns a parcel ofla=d on wP1Ch he:5he _elides or intends to reside. on which
there is, or is intended to be, a one ;o six amil , d-::e:lins, attached or detached structures ac-
cessory to such use and/or farm A person ho constructs more than one home in a
two-year period shall not be considered a aosecwrner . Such "homeowner" shall submit to
the Building Official, on a form acceptable to the 3uilding Official. that he/she shall be
responsible for all such work per.-ormed under the building permit. (Section 109.1.1)
The undersigned `homeowner- assumes responsibiht7 :or comDllance with the State Build na
Code and other applicable codes. =y- aws. . les and _egulations.
The undersigned "homeowner" ce es that ;.e:she understands the Town of �To. Andover
Building Deparu-nent minimum inspe---:on procec,.:=es and requirements and that helslie will
comply with said procedures ant_
HOMEOWNER'S SIGNATURE
A-PPROVAL OF BUILD, G OFFICIAL
Note: Three family dwellings 35.000 cubic feet, or la.;er, will be required to comply with
State Building Code Section 127.0. Coasuuc'.ion Control.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Julie Partin D.Robert Nioeaa NCkbael Howard Sandra Starr Kathlem Bradley Colwell
C4 d �
1�3'Jt'l/ff
2101-19Ntl
6\
V00,7J -v o.;:i V/
1G hnh
J
Fr
X Sr OG M ni dt= Tr
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C uLu
Edi sn' _
INI
41
LL
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FL o tz
l3 ALU s i E Rs Ar
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/wrmits from `
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements,
******APPLICANT FILLS OUT THIS SECTION*
APPLICANT �'i'� SrS 17 r PHONE
LOCATION: Assessors Map Number PARCEL
SUBDIVISION LOT (S)
r
STREET 122,e) 5-Ale-In V' ST. NUMBER
USEONLY****"**'*""` *'
RECO ENDATIONS OF TOWN AGENTS:
ONSE VATION ADMINI TRATOR DATE APPROVED Z
DATE REJECTED
COMMENTS A t -
TOWN PLANNER DATE APPROVED
l� DATE REJECTED
r .
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
•J
SC SPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS 4 —2 �
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
•
cfic o ,� V
N
LeD 7- ./ 5e -
W
'3i5 9
.4 �PEBY CE.eriiCY 7'0 ryE' rir?-E Als6wo,lr A,vO PG. 0 /
�'NE-BANDY TNgT Tis�E Oh'ELG/.ci6 /S LOCATED 0,V
G oT.qS S.�/i'.V ANO T/d 4T/T OGiES - CD.(/iGePiY/ //V
20.411W4 ,ees m1,4ry 1s I . , - , __
" O�ARTMEMT OF PUBLIC.SAFETY
CONS `
1RUCTIQN SUPERVISOR LICENSE
11u��$r Expires; Birthdate:
CS 16.5952
42/29/1998 12/29/1952
1 Restrieted Ta,; 11 j
JOC#LYNE SIROIS
�-
� ,,,,,,�'�i METHUEN, MA 11844
,
HOME IMPROVEMENT CONTRACTOR
Registration 126398
Type ;< INDIVIDUAL
Expiration
05/26/00
Jocelyne Sirois
ADMINISTRATOR ethuen MA 01844
e - ()
No �e .00 9 Date zt'�.....ZP.....
0 TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
'qCMUS
This certifies that ..... ............................--7"1
...-e�.....................................
has permission to perform .......... ...... .................
wiring in the building ............North Andover,Mass..................................
......�
at.................. .....
...................
............ . ........ ................................................
.Fee .... Lic. /-
ELECTRICAL INSPECTOR
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
Office Use 0
e &Mmonwettlt of AUSUE411oetw Permit No. -
lepartment of Vublic Safety occupancy A Fee Checked
3190 (leave blank)
BOARD OF FiRt PREVENTION REGULATIONS 521 CMR 12-.W
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code. 527 CMR
12:0
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
7/99
City or Town of NORTH ANDOVER To the inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) 1220 SALEM• STREET
Owner or Tenant HENRY J. NASSAR
(978) 688-1179
Owner's Address
Is this permit in conjunction with t;building permit: Yes ❑ No ® (Check Appropriate Boit)
Purpose of Sugding Utility Authorization No.
Existing Service_Mips --. . _its Overhead ❑ ' Undgmd ❑ No. of Meters
New Service Amps_J_-Wits Overhead ❑ Undgmd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
TOW
I No:.of lighting Outlets
No.of Hot Tubs. No.of lhnsfwmsm KVA
Above In=
No.of Lighting Fixtures Swimming Pool gmd. ❑ gmd. ❑ Generators • It VA
No.of Emergency Lighting
No. of Receptacle Outlets No.of OH Sumom Battery Units
No.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones
Total No.of Detection and
No.of Ranges No.of Air Cond. tons Initiating Devices
No.of Heat 11:11211 lbal No.of Sounding Devices
No.of 0lsposats Pumps lions KW
No.of self Contained
No. of Dishwashers SpacelAna Heating KW omectioNSoundi g Devices
/
No.of Dryers Heating Devices KW Local ❑ CConnecdon ❑Other
No.of No.of Low Voltage
No.of Water Heaters KW Sign Ballast. ung DEVICE+
No. Hydro Massage Tubs No.of Motors lbtal HP
_OTHER: TWO (2) SMOKE DETECTORS
INSURANCE COVERAGE:Pursuant to the requirements Massachusetts
p uusett sgeeneraag�a Its substantial equivalent. YES G NO O I
1 have a current Liability Insurance Policy including Completed
have submitted valid proof of same to the Office.YES O NO O It you have checked YES.please Indicate the type of coverage by
checking the appropriate boot.
INSURANCE Q BOND. O OTHER O (Please SPedty) (Expiration Oats)
...Estimated Value of.Electrlcal Work.a 685.00
Work to Start In/7/qq Inspection Oats Requested: Rough Final 10/l l /g9
Signed under.the Penalties of perjury: 1931C,
LIC. NO.
FIRM NAME
Licensee i]nnal d A ILtneks —Signature LIC. NO. . 123
Bus.Tel.No. _(8111 741.4008
Address 111 Morse Street, Norwood- MA Alt.Tet. No.
f 791
OWNER'S INSURANCE WAIVER:1 am aware that the Licensee do*a not have No Insunincs cowrsge or Its substantial equivalent as re•
quited by Massachusetts General Laws. and that my signatureon this permit application walves this requirement. Owner Agent
(Please check one) 1.
oM 3_5.00
...TilephNO. PERMIT REE i. �---
.e��......wl A...ww.w• Awwn11 1.11941
_ Office Use Only .
Permit No.
l'j � �ItTttIliQIt11IP :u�in t IIBI`f Occupancy&Fee Checked
1 �� i$epartina t of JJubf c Iafetg 3190 (leave blank)
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Ward
Area
n
n
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 !
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date yLO)3/16
�N�✓l:� m
City or Town of /I�G r To the Inspector of Wires: m
n
The undersigned applies for a permit to perform the electrical work described below.
v
Location (Street & Number) a0 IEM
Owner or Tenant DON 't C h d i? to'IC Rd b62?,< v
Owner's Address Z20 H -
Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) 1
z
Purpose of Building Utility Authorization No. m
Existing Service Amps I Volts Overhead ❑ Undgmd ❑ No.of Meters o
New Service Amps-J Volts Overhead ElUndgrnd ElNo. of Meters C'
0
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work Installation o f alarm system
Total =
No. of Lighting Outlets No.of Hot Tubs No.of Transformers KVA
m
I
No.of Lighting Fixtures Swimming Pool Above In-
M
gmd. ❑ grnd. ❑ Generators KVA
No.of Emergency Lighting �
No.of Receptacle Outlets No.of Oil Burners Battery Units n
O
v
No.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones
No. of Ranges No.of Air Cond. Total No.of Detection and
tons Initiating Devices
O
Heat Total Total r-
No. of Disposals No of
Pumps Tons KW No.of Sounding Devices
No. of Self Contained z
No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices
v
m
Municipal nc
No.of Dryers Heating Devices KW LOceI ❑ Connection ❑Other O
No.of No.of Low oltage
No.of Water Heaters KW Signs Ballasts Wiring n 0
No. Hydro Massage Tubs No.of Motors Total HP
G7
OTHER: 7D
M
m
z
I
INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General Laws 1 have a current Uabil 1 uEa icy induct- rn
Ing Completed Operations Coverage or its substantial equivalent.YES O NO O 1 have submitted valid proof of same to the Office. n
YES O NO O If you have checked YES, please indicate the type of coverage by checking the appropriate box. �
INSURANCE M BOND O OTHER O (Please Specify) c7
Q ;Expiration Date)
I z
Estimated Value of Iectri Work$ p�
Work to Start q Inspection Date Requested: Rough Final ( / o
-G
Signed under the Penalties of Perjury:
FIRM NAME LIC. NO. 1 2 3 1 0
Licensee Signature 42K, LIC. NO.
Bus.Tel.No.617-431-5800
t Address 60 William St./Wellesley, MA 02181 Alt.Tel.No:617-431-5837
J OWNER'S INSURANCE WAIVER:t am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement.Owner Agent
(Please check one) 3��
Telephone No. PERMIT FEE$
(Signature of Owner or Agent)
Notify Inspector for rough and/or final Inspection.Permit roust be obtained before commencing any,and an work m co npliance with GLC.141&all applica-
a� 2595 Date.. . �
pF Np oT eTOWN OF NORTH ANDOVER
p? .. ��• �m ��Ectl�lcRC
PERMIT FOR lM INSTALLATION a
9SS4CMUSEt
�1 c
This certifies that . . . .
has permission for installation . . .l Ck w,. . .
n
in the buildings of . . . . ! 'o ct.4S.e. . . . . . . . . . . . . . . . . . . . .
at (A .S.c-J n"^. .� . . . . . . . , North Andover, MaQ.
u
Fee. ,S :��. Lic. No.�. .)�q.IC. .
C- 1 4W INSPECTOR
WHITE:Applicant (CANARY: Building Dept. PINK:Treasurer GOLD:File
1I