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Home My WebLink AboutMiscellaneous - 1225 SALEM STREET 4/30/2018 1225 SALEM STREET 210/106.A-011&0000.0 i li I I I I No ; t,n 3 Date.Z?....�.....:. ........... � f NORTH q ° t"`°;• "� TOWN OF NORTH ANDOVER PERMIT FOR WIRING 41 �I �,SSACNUS� ' This certifies that .... ............-��.r ................................................................ r has permission to perform .............................. . ......:...................................... wiring in the building of...........:.. "` ' .' ........ �'� at .�' �......:` ................................................. :� .North Andover,Mass. Fee- ...... Lic. ........................... '' n� 6 ��p3�G! �" � ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only a4t Permit No. -� 39epartment of Public %fctg Occupancy a Fee Checked BOARD OF F1Rt PREVENTION REGULATIONS 527 CMR 12:000 (leave blank) 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 11/2/99 City or Town of NORTH ANDOVER To the Inapector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street b Number) 1225 SALEM.STREET Owner or Tenant LISA SINCLAIR (978) 258-0585 Owner's Address Is this permit In conjunction with 4 building permit: Yes ❑ No ® (Check Appropriate Boit) Purpose of 8uiiding Utility Autttorizatlon No. Existing Service Amps _J`Wts Overhead ❑ Undgmd ❑ No. of Meters Now Service, _ _/tamps_,J Volts Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work IbUd No.o'I Lighting Outlets No.of Hot Ibbs No.of TMnsfonnws KVA No.of Lighting Fixtures Pool Above ❑ 'nd.❑ GeneMtors , KVA No.of Emergency Lighting No.of Receptacle Outlets No.of Oil Surners • Battery Urtlts No.of Switch Outlets No.of On Burners FIRE ALARMS No.of Zones Total N No.of Ranges No.of Air Cond. tions Initiating No.of Disposals No.of Pia per TOW O No.of Sounding Devices No.of Set Contained No.of Dishwashers SpacelArea Heathg KW DetecdoN3ounding Devices No.of Dryers He&"Devices KW Local ❑ Con n ❑fir No.of No.of LawGLAR ALARM No.of Water Heaters KIN 8ignti Bouts �ft No. Hydro Massage Vibe No.of Motor TbW HP OTHER: INSURANCE COVERAGE:Pursuant to the requkements of Massachusetts genal Laws 1 have a current Liability Insurance Peaky including C.orrtpteted Operations Coverage on Its substantial equivalent. YES G NO O 1 have submitted valid proof of same to the OMce.YES O NO O If you have Checked YES, please Indicate the type 01 coverage by checking the appropdaw bot. INSURANCE O BOND. O OTHER O (Please SpedtO (Expiration Oats) Estimated value of Electrical Wbck= 200.00 11/13/99 Work to Start 11/10/99• Inspection Date Requested: Rough Final Signed under the Penalties of per(ury: UC. NO. 1 q 1 C FIRM NAME LIC. NO. , LI31G---�— Licenses nnnal d A Rrnn1rA --Signature But.TW. Na. (Z0l) ?41-4008 — Address 111 Norse Street. Norwood. _MA Aft. Tal. No, OWNER'S INSURANCE WANMR: 1 am aware that the Licensee doe* not have b ktsuMnC4 corsage or Its substantial equivalent N re- qulred by Massachusetts General Laws. and th#U my signature•on this pemW apptiaatwn watvee this requirement. Owner Agent (Please chock one) 1. ... TslephPERMIT FEE s . 3Telephone No.�--�— (Stgnaturs 01 Owns a Agant) ,.qu1S Location No. Dates/� d� „QRT1y TOWN OF NORTH ANDOVER Of "•D • '' O 0 • L 9 t ' Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 11eJ471 17188 J-2 / Building Inspector V U r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING may. BUILDING PERMIT NUMBER: _Ie% DATE ISSUED: ` O SIGNATURE: .� Building Commissioner/InEeector of Buildings Date SECTION 1-SITE INFORMATION I o1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number w� 1.3 Zoning Information: 1.4 Property Dimensions: r2 Fe- Zoning District Proposed Use Lot ArFrontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear-Yard Required Provide Regaired Provided ReqWred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood lone information: 1.8 Sewerage Disposal System: n Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record R I eW41 LO C` 4-r.1A Asa ij /ZZ-s- Nam;- rint) Address for Service: Signature Telephone - j`7'9 - Z�tS= � ZZc0E-K-0 2.2 Owner of Record: Name Print Address for Service: 0 M Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 7� 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number r Address r Z Expiration Date G) Signature Telephone Y I 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.......❑ No.......❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify Brief Description of Proposed Work: zuiXo S7-DvE e4" t 4� 7d N) ro ArM r,� �4ur� (M Ar LSA SECTION 6-ESTIMATED C NSTRUCTION CO TS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY. Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) D r.700 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 ' ZZ Check Number 25a SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN ZZ yo OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1> V 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. Slignature 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 Signature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1 2ND 3RD SPAN DRV ENSIONS OF SILLS DM ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE y ! c: � O W7 _ HearthStone Quality Home Heating Products theome-stead- Wood Stove Model #8570F and #8570H Owner's Manual Installation and Operating Instructions Hearth Mount(#8570H) Freestanding (#8570F) Please read this entire Owner's Manualbefore you Contact local authorities having jurisdiction (your install and use your new Homestead Wood Stove. To local building department or fire officials)about the reduce the risk of fire, follow the following instructions. required permits, any restrictions, and an installation Failure to follow these instructions may result in inspection. property damage, bodily injury,or even death. Revised May 2002 v f t%ORTH 9 O est�eo 46s ti0 .6 OL O c A Town of North Andover Building Department 27 Charles Street 9SSACHUSES North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE IZ'f�! 03 JOB LOCATION1,ie—m Number ,,�.,� � gS-ttreet Address Section of To "HOMEOWNER j ZZS ��i'I.�CVh � � 5 / t?_ 6 93 7 Q•-ZI �=�ZZ� Number Home Phone Work Phoi PRESENT MAILING ADDRESS ��6;A'l s7_ �lJ�( rn�v MA City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of 1 or 2 units 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 (108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which of two there is, or is intended to be, a one family dwelling, attached or detached structures accessory to such use and 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, a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 108.3.5.1) 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 No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re irements. HOMEOWNER'S SIGNATURE V_�xA aA-d APPROVAL OF BUILDING OFFICIAL Note: Three family dwelling 35,000 cubic feet, or larger,will be required to comply with State Building Code Section 127.0 Construction Control. Revised 4.30.03 Home owner Exemptions Form . ORTH o of Andover No. 4 44 q LAK -0' dower, Mass., 6 dO ay C COCHICHEWIK A. 'QA Q �V ORATE D P' �� l S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �,G A ir N d4 � S r N BUILDING INSPECTOR THISCERTIFIES THAT........................................................ .A.. ............................................................................................... �/ Foundation has permission to erect....90.0WAAAW buildings on ...../.. 24%T.......S..A• .........4 ............... Rough ✓ W V�.... ato be occupied as ...........5%............. ...... . ...., 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-Law relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. /06/9 7 &A $/i D PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough 00 01 01 ........... .t•••••••:•••C......... ................... Service . ..... ......... ........ 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.