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HomeMy WebLinkAboutMiscellaneous - 13 CLEVELAND STREET 4/30/2018 13 CLEVELAND STREET 210/029.0-0028-0000.0 i ' 2M IT TO BUILD********NORTH ANDOVER, MA PERMIT NO. �� APPLICATION FOR I EI M N'NO. O z 1.0'1'.NO. 2. REcOHI)OFON'NURS11IP DATE Book PAGE 62 ZONE SIIB DIV. LOTNO. LOC. FAIN P1IRPCSE of BUILDING OWNER'S NAME ,� NO.01:S TORIES SIZE OWNER'S ADDRESS BASEMENT-OR SLAB ST Z SIZE OF I IOOR IMBERS I T 3 ARCI IITECI'S NAME_ DLIII DER'S NAME . C SPAN e I)IJ IANC E TONEARES'1'BUII.DINCi DIMENSIONSOF SILLS DIS FANCE FROM 5 FREE I. DIMENSIONS 01:P()S'I'S DIS I'ANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FROJI'AGE FOUNDATIONIIEIGfFT( FOUNDATIONTIIICKNESS IS BUILDING NEW SIZE OFX ,I(XII 3 IS BUILDING ADDIII(Nl MAI ERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID(ItTILLED LAND WILL BUILDING CONFORM TO RECK IIREMENI S OF CODE IS BUILDING CONNECI ED'1'0 TOWN WATER BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECI ED TO'FOWN SEWER IS BUILDING CONNECI ED TO NATURAL GAS LINE LAND COST 4N1'lWTIONS 3. PROPER't'1'INFORNIATION S r� EST.BLDG.C(SF $.AGE I Fill OIFf SECTIONS I-3 EST. BLDG.COST PER SQ.FT. EST.Bl.lx'.i.COS I PER ROOM EI EC-TRIC f IE"I ERS MUST BE ON OUTSIDE OF BUILDING SEPHC PERMIT NO. AI'IACHED GARAGES MUST C(NNFORmTOSTATEFIRE REGUTAFRNS a. APPiIO�'EUBI': A8 t' - BIIII.DINC.IN PECTOR PLANS MUST BE FILED AND APPROVED BY BI111.DING INSPECFOR DA FEFII.ED OWNERS'1'ELN. C(NNTRAULN � C(>NTR.IJc�I SI(iNA Fl IRI:(K OWNER OR All I I0RIZJ;D A0441 .11F I'I RKII I+ANIT{I) %� 19 -- Town of North Andover MORIN OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES p .. 146 Main Street North Andover, Massachusetts 01845 ��;'� •-•'�.5� WII.LIAM J. SCOTT North Nusa Director In accordance with the provisions 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 c I 11, S 150A. The debris will be disposed of in: (Location if Facility) -Signature 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. BOARD OF APPEALS 688-9541 BUII_DUIO 688-9545 CONSERVATION 688-9530 HEALTH 688-9340 PLANNING 688-9533 ORT 0 o t over r L 0 No. * _ i * i - dover, Mass., In) 19 99 O s LAKE ,0 •T 9-CO-HICH&ICK S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System � BUILDING INSPECTOR THIS CERTIFIES THAT ��. . . .. • Foundation ........... .. ................... ... "pc/� �..�. /. n / �. "r— Rough . - has permission to erect. .......... build' s o ........ .......... .... ........ to be occupied as. p.. . !� ...................... .'� . ................ Chimney Ch' e 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 IaD ELE CRCAL INSPECTOR UNLESS CONSTRUCTI Rough Service ..... ... .......ING 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. Smoke Det. Date..///, .71..��,��..... t NpRTM'1 TOWN OF NORTH ANDOVER s r PERMIT FOR WIRING ��SSACH I This certifies that ...... ........................................... has permission to perform .......... l P:....... . wiring in the building of.... sftit�'............� (�: r n . .. at.....1.,�....��A,,..��!:r4.S......(? -n.................. .North Andover,Mass. _ ,,{{�� //�� Fee.-. � P.. Lic.No..I.!V ... 4�r° � ELEC nUCXL INSPECTOR ' Check # -- 483J Official Use Onlyp 774E COMMONWEALTH OF MASSAL74USETTB Pest NO" Deparhnent of Public Safety (/ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 42.00 O=goncy&Fee I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in aopordance with the Massachusetts Electrx3l Code 527 CMR 1200 (Please Print in ink or type all information) ' Date To tate of Town of North Andover The undersgned applies for a permit to perform the electrical work described below. Location(Street&Number C L 6V1-L AA)J�) s7- Owner or Tenant l (` I"L d T 46, A-1`- Owners Address l C,-�V\J? l- Is this permit in conjunction with a buidng permit Yes • No • (Check Appropriate Box) Purpose of Build' e'A Z �S W(= Utility Authorization No. Existing Servioe i'2 Sr 'r 2 J Amos Voits Overtlead Undgmd • No.of Meters 2 New Service Arms Vats Overhead Undgmd • No.of Meters Number of Feeders and Ampadly Location and Nature of Proposed Electrical Work 11 rn V k 6 V h Ild-xc,4J) Gv t, l< 7,L Total No.of Lkittling Outlets 2— No.of Hot fuse No.of Transformers KVA Above M No.of Ughting Fbdures Swimming Pod gmd gmdl Generators KVA No.of Emergency Lighting No.of RectiplacftOutlets No.of Ori Burners Battery Units No.of Swkh Outlets No of Gas Burners RIE ALARMS No.ofZone Total No.of Detection and Nm of Ranges No cf Air Cond Tors Inflating Devices HTotal Total No.of D' Nm Peat Tons KW No.of Sounding Devices NoJ of Self Contained No.of Dishwashers Area Heatity KW Del awdSaaiding Devices • Municipal • Other No.of Dryers Heating Devices KW Local Connection No.of NO.of Low Votlage No.of Water Heaters KWS' ns Bailases Wirin No M Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE Pursuant to the requiremenlits of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operons Coverage or As substantial equ vak"YES= NO = have submitted valid proof of same to the Office YES= NO = If you have chocked YES please indicate the type of coverage by dtedang the appropriate boor. INSURANCE - BOND = OTHER = (Please Specify) EsUrnated YalwM 'eat YVork$ :110 ()� (Expiration Date) Workto l D O lix4eafim Date Resgrreated Rough Rrrai Signed under the OttialAin of perjury: FIRM NAME LIC.NO. Licensee Sigivatae IIn No. Bus.Tel No" Address AN Tei.No. OWNER'S V=RANCB WAIVER: I am aware thatthe Lfoenses does not have the fnsurance coverage or Its substantial equivaleirt as retfulred by Nassau ltuaelts General Laws.Art that my signature on this permit sppigtlon waives this requirernert.Owner �Ap7(e/d/(Please Check one) Telephone Na<G� Ls"!FEE $ vy re of 070,6rAgenQ r t • O E 3�r ' I �r w � � r 30 f � I HEREBY CERTIFY ro THE rIrLE MSUROR AND PL 0 T PLAN ro rim BAmir THAT THE D►ELLING IS LOCATED OM IN THE LOr AS SHOWN AND Mr 17 DOES CONFORM l ffH THE ro�...�Oi�.� ,v,•vo��2 ZONING REGULATIONS REGARDING SETBACKS FROM STREETS k LOr LINES.' I FURTHER CERTIFY THAT THIS DWILL[MG IS Nor DRA il'N FOR LOCATED IN THE B'DE FLOOD HAZARD AREA AS SHOWN ON F8 IrY PANEL 9B ava 3 a yr:: i� ° •- . G' Z - 99 / tnT/�� .SO UTiLi�G�9 T� r 1 L1 Z- S SL.S. DATE THIS PLAN PURPOSES - Nor FOR BouNDARY f'?aN. BOU)MARY INFORMATION MERRIMACK ENGINEERING SERVICES TAKEN FROM EXISTING RECORDS. 66 PARK STREET - Y38 O ANDOVER, MASSACNUSE2TS 01810 Location �� Ule A4.1 . No. Date 42-- 1'7 U 3 MORTq TOWN OF NORTH ANDOVER 0 •. • pw + y + : • Certificate of Occupancy $ cMus t� Building/Frame Permit Fee $ 3d Foundation Permit Fee $ Other Permit Fee $ TOTAL $ -3U Check # 0/`7/8 Building Inspector s r _ i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATIONTOCONSrRUCIRLP RLNOVAT OR DEMOLISH AONEORIWOFAMILYD"LLING SH BUILDING PERMIT NUIVBER: DATE ISSUED: �n� X SIGNATURE: / - & Btlildin CoIn S$io r of Buildings Date Z SECTION I-SM INFORMATION z 1,1 Property Address: 1,2 Assessors.MV rmd ParolNuad IV . A 00 t X41 Map Number Para1 Number 1.3 Zoning Information: 1.4 Property Dimensions: Zamag D atrid PropogedUse Lot Area Frontageft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Provided Required Provided 1.7 Water SWly M CFI C 40.t 34) I.S. Flood Zone kfoonatioa: 1.E SeamV Dispord System Public ❑ Psivsto Q Zane OarsideFloodZone ❑ Municipal 0 On SiteAispaaal Sysreos t] SECTION 2-PROPERTY OWNERSHVIAUTHORIZED AGENT m 2.1 Owner of Record M oi df ?' fill SV uT�{G���i /3 Cc.c�4--R-,vy S7- N Akbb Narke(Print} Address for Service: Signature Telephone 2.2 Owner of Record: • Name Print Address for Service: Z M Signature Telephone t SECTION 3-CONSTRUCTION SERVICES 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 © 0 Co_mpanyName rn Registration Number Adder Expiration Date Si nature Telephone c SECTION 4-WORKERS COMPENSATION(hLG.L 0152 § 2a0(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 Pro.. ed Work(check ab amble New Constrttciion'0 Existing Building 0 Repair(s) J. Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work:_ II •i t.rtS 7� ►' Sir. e cw (,✓c•toles, SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be MEMO Com leted b it a licant 1. Building (a) Building Permit Fee Z 0 Multiplier. 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing, Building Permit fee t l x.(b) 4 Mechanical AC 5 Fire Protection 6 Total 1+2+3+4+5 U.a C Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT L 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 hate SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, �� .s 0 y7/I G Aid as OwnertAudw ized Agent of subject properly Hereby declare that the statements and information on the foregoing application are tate and accurate,to the best of my knowledge and belief PrintName . q 1 Z Si hue:f&erfAjent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3RD SPAN DIMENSIONS OF,SILLS DIMENSIONS 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 F NORTH Town ofAndover . O Mw: w..;; 1.. .1 ,,� TO o� oCLJA dower, Mass., .44 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System =MONO BUILDING INSPECTOR THIS CERTIFIES THAT....... Wl 0 ....................................................... .......................................... ..............iA.................... Foundation �� A � 1 3 C Iwo �A&j has permission to Wit.......................r....... buildings on ........................................................................................�.. Rough to be occupied as......ra . . . . .. . . .......4 r..... ........�O ... 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 I spection, Alteration and Construction of Buildings in the Town of North Andover. a ' gi 3 v s PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR • Rough 1.4w.......................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No.