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HomeMy WebLinkAboutMiscellaneous - 135 FOSTER STREET 4/30/2018 (2) 135 FOSTER STREET 210/104.D-0044 0000.0 P: II / I i TOWN OF NORTH ANDOVER NORTH Office of the Building Department 3a°a.`."�°96 41. Community Development and Services 1.600 Osgood Street North Andover,Massachusetts 01845 hep �SSacHua�� Telephone(978)688-9545 FAX(978)688-9542 March 12, 2008 Re: Thomas Emmons 135 Foster Street North Andover MA 01845 Dear Mr. Emmons: Please be advised that on several occasion our Building Inspector, Brian Leathe, verbally asked you to remove all accessory vehicle from your property. To date there are still many vehicles being stored which violates our zoning bylaw Chapter 175, Storage of Vehicles. Please be advised that you have 30 days to comply with the By Law and remove any vehicles not registered to your address. See Enclosed By Law. Sincerely, Gerald Brown Inspector of Buildings File>135 Foster St i GENERAL BYLAWS OF THE .TOWN OF NORTH ANDOVER (ADOPTED APRIL 23, 1979, AS AMENDED) 4 ' 01 Mo �. ' + I SPECIAL NOTES All references in chapter histories to the General Bylaws are in relation to the compilation of bylaws of the Town of North Andover adopted 4-23-79 Annual Town Meeting, Article 13. This compilation represents the official version of the Town of North Andover General Bylaws, except that the following Table of Contents is unofficial, and the reader is advised to thoroughly review the individual Chapters and Sections contained herein) (This Revision Updates all Town Meeting Actions) [1] J Chapter 175 VEHICLES, STORAGE OF [HISTORY: Adopted by the Town of North Andover as Chapter 6, Section 6.3 of the General Bylaws. Amendments noted where applicable.] § 175-1 Restricted Activity § 175-2 Exceptions § 175-3 Violations and Penalties § 175-1 Restricted Activity. No person shall accumulate, keep, store, part, place, repair, deposit, or permit to remain upon premises. owned by him or under his control, more than one (1) unregistered vehicle or any dismantled, unserviceable, junked or abandoned motor vehicle unless he is licensed to do so under the General Laws or unless he has received written permission to do so from the Board of Selectmen after a hearing. Written permission may only be granted by said Board on condition that the owner agrees to screen the permitted vehicle or vehicles from view from neighboring land; ways or public highways for breach of which agreement said permission shall be revoked. § 175-2 Exceptions. This chapter shall not apply to agricultural vehicles in use on an operating farm. § 175-3 Violations and Penalties. Whoever violates or continues to violate this chapter after having been notified of such violation shall be punished by a fine of fifty dollars ($50.) Each week during which such violation is permitted to continue shall be deemed to be a separate offense. [120] a Location 1�a�S �2 f No. � ' Date 'ro �aRTM TOWN OF NORTH ANDOVER 41 f 9 Certificate of Occupancy $ �'s'••"'tt� Building/Frame Permit Fee $ Alit) ACNUS Foundation Permit Fee $ Other Permit Fee $ tL TOTAL $ Z#9 �^ Check # 1 �1� i 1733 {�-- 'Building Inspector y 1 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .. � " ✓ :>Yv $'L... .n.i= Y . _ 1�y. iYN:I rtS t'�'r'P�'>4ry :� :r § - .r BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: uildin Cornrnissioner/12g=tor of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number I 1.3 Zoning Information: 1.4 Property Dimensions: 02 �. RE5 fdgA)-f-i,-L Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required I Provided Required Provided 1.7 Water Supply M.G.L.C.40. 34)t_ 1.5. Flood Zane Information: / 1.8 Sewerage Disposal System: Public �/ Private ❑ - Zane Outside Flood Zone Q' Municipal ❑ On Site Disposal System LY' SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record ../�U� � �✓tic�.r'�r,'�- �,�Jf_ �o S�C2 STS Name(Print) Address for Service �l HOWI �M t�i1 ONES I Signatures Telephone q 2.2 Owner of Record: Name Print Address for Service: a s M Signature Telephone 00 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 ❑ Company Name A Registration Number i Andress Expiration Date Signature Telephone ' F SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) s Workers Compensation Insurance affidavit must be completed and submitted with this application. Failur&to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Descri tion of Proposed Work check a I applicable) New Construction ❑ Existing Building V Repair(s) ❑ Alterations(s) Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: J SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be h O CIALUSE ONLY ' Completed by Rermit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Y00,co Construction 3 Plumbing AIIA Building Permit fee tel X (b) 4 Mechanical HVAC 560'oz7 5 Fire Protection 9/06,00 6 Total 1+2+3+4+5) -Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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 I, -7210M 4 S L''� 0P as Owner/Authorized Agent of subject t property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Pri e Si ature of Owner/Xgent Date 7.777777777 MEETa- b NO. OF STORIES SIZE z BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS i�Ou B(.� c2 " DIMENSIONS OF POSTS MCSe r1az:-A QqLQM1V DINIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS 10 SIZE OF FOOTING to Y a o X j MATERIAL OF CHIMNEY A gj C IS BUILDING ON SOLID OR FILLED LANDso 1_; IS BUILDING CONNECTED TO NATURAL GAS LINE AZO 00 FORM U s LOT RELEASE FORMZ"� INSTRUCTIONS: This form is used to verify that all necessary approvals/permits 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�-��dh .T� Edi'1 i�1�Y'US PHONE ?1-7?-7025-903�o LOCATION: Assessor's Map Number 10q Q PARCEL SUBDIVISION AIZlq- LOT (S) STREET /8 —7c ST. NUMBER /J's- *****************************************OFFICIAL USE ONLY******** RE ENDATION§ OF TOWN AGENTS: ONSERVATION ADMINIST TOR DATE APPROVED b131 4 DATE REJECTED COMMENTS ' TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INS = TOR-HEA TH DATE APPROVED DATE REJECTED P C NSPECT R ALT DATE APPROVED Z. lo4l DATE REJECTED COMMENTS PUBLIC WORKS -SEWERMATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm 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 isthat the.debris resulting from this work shall be s disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signatu 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 'T fk 1 W The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 0 a Boston, Mass. 02111 /O-� s., Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # f 1 I am a homeowner performing all work myself. I am a sole proprietor and have no one worldng in any capacity . s" I am an employer providing workers'compensation for my employees working on this jobx Company name. = Address Cihr Phone#:. • Insuranc 'Co. Polit7r# Comtranv name. A r+ess ftmrance:Co. Policy 4 t=ailury to secure coverage as required under sectbrf 2-ALA or KIGL 152 carrlee.d tathe irQas�lon of cxirr�ir�akP :of arilne andtor one yupttti es'irnprisorirr�enc steal p�Oa lesmlhesnm� s JFQF fiae €(,3 j a a9ragm�o, understand that a copy of this statement may be forwarded to the Office of Investigations of The DU1 for gage veruicaffeii t do hereby certdy urger the pains and pena&es ofpedwy 6W the sdoviefib r povided above is Iran and conceit Signature Date Print name Phone-# Official use only do not write in this area ba be completed by city or town offic iar C#Y of Town Perrru7tlicer�sirw.. [jQ4ech if irmrre&ate response is requ"red :[] fIWhg ik p SetectrnaWs i Contact person: Phone# He.-ft Uepar Other �.1ORTH Town of O y - f — LAVIA K dover, Mass., Coc'"CMEwICK V x.95 RATE D u BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THATT IM O S O/e'� ................... ....................................................................................................................... Foundation has permission to erect......be.......1.8........ buildings on z � • Rough . .... Fe s...l ........5 t0 be Occupied as... .t �� �a ..U41. A 1' �� w � 4% 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. j p q a VY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N STAKES,, f Rough. Al "AA114a ..... ........ 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. 2. 84.14 ST REST FASTER 38'TO CORNER #135 pro��- LOT C s .� 479 "'-Ia"�e�� PLAN#13321 N.E.R.D. c3`� E)(IST. HSE' PROP. 6.161 ACRES FND• ADD ASSESSORS MAP 104D 4' PARCEL 44 GARAGE SHED PLAN OF LAND IN NORTH ANDOVER, MASS. OWNED BY THOMAS EMMONS SCALE: I"=40' DATE.1/6/2004 111312004 3/17/2004 0' 40' 80' 120' Scott L. Giles R.P.L.S. CO Frank. S. Giles R.P.L.S. �p 50 Deer Meadow Road North Andover, Mass. �d NOTE: THE ZONING DISTRICT IS R1. THE PROPERTY LINES SHOWN ARE THE S LINES DIVIDING EXISTING OWNERSHIPS,AND O, a THE LINES OF STREETS AND WAYS SHOWN 13972�fC 13972 ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALROT&Y ESTABLISHED,AND NO AL LAS NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAYS ARE SHOWN. �d SINK 001 5TOVr FOYFP �b Z F1,5f F�00F PLAN M1511NCO C'�ANS�Op - b0�15 & 1"OM NMON5 1�5 F051�P 5v? FT NOP\,TH ANPOM\, ,MA. Cr • 151 I-f'O r1 GpG i ryj n G EXI5TING WINDOW5 -------------- ----------- ------- -- ------ ----------- -- ---------- ---- ------------------ --- ----------------- ------------- - ------------------- -- ------------------ ---------- ----------- --------- ---- ------------- ------ NEWMA50NPY ----------- ------- -------- - ------------- ------------- ----------------------------- -------- -------- ------ ---------- --------------- ------------ ----------- - ------------ ----------------------------------- ------------ --------------------- ------------ I?I-- VENT --------- - --- ------------ -- ------- --------------- ------------------- ---------_ ------------ -----=------- -------- ------- -- --------------------------- ----------- --- ------------------- -------- --------------------- ------ ----------- ------------ ----------------------------- ----------------- ------------ - ---------------------------- ------------------------------ ---------------------- ------- - ------- --------- ------------ ------ ----- ----------- ------- ❑ ❑ IITI FFR FFFI u l ------------ FINISH GI'.AY�E •� 5•.r. �.r. � .�.�. .,. �.....� •,,., NEW WOOD 5vIN6 I NEW MA50NPY PAVER FA-10 pE?Ifv1ETE?FOUNDA110N DRAIN -----J NE W rOUpED CONCI:ETE FOOTING & FOUNDATION FP\ONf FLFVA110N r y'�a►-t o Do b IWI442 - - -i7TT— I—I—T -" Tl— fr--i A' IIIIIIIIIIII - -IC.NLx" S_ TZ-X brJ• WOOF/ F l AA AF-.' VVI . I SrAll?S r0 �-� I ( I ( I I I I I �INISN Gt?AI�� J I rr ICK Com( _ _ _ c.UN(.r�: T"- 3�OCK C:NIIIIANI 1 FJ,U% BAIL"IN S < FL.JTU?`- �1='r"'r'OVrI- 'W r0lrJt " �t lUNG�%.1 ?rJ C? rVIaJN N ;VI/ 5-r \Ir,.;; /I x IT vVC)OP F-10!5! F Y''.I51"1NG, Milli I ` �L1r.1C%P;r"ICON r;l : FlxI5rINGFI -0t\U �!® �- - - - - - - - - - - - - - - - - F 01"1rJ�:�i"10''� roc F�OLIN r:'F;1 IC.IN "rO r'.f r�',AIN R:-PVF Ic`.3" PIA, POUT'-rte CONCH' .1 t; r'i . . e M.M. 4; FkV51 137L, [3A5WFNT PLAN P�AN5 FOP rFpop\15 & TOM WMON5 NOt\TH ANPOV�P ,MA, 4--W2442/ PNT2410 I 5upr opT MULLION 2-TW2442 PH-r2-4102, ,8 F-QUAI- I%QUAL 5TAIp5 -"O �1 5UPPOp1 ULLION EQUAL EQUAL 0 �INISN GpAP� N pr-MOVE (;XISTING rAf INCA WALL5 < 5HOWN POTTY P> MA50NpY FIpF-pLACF-• F-XTG FPN ❑ 5�r-: OWNE�p �D - SC'�CI�ICATIONS . . . . . . . w�LL �o Kh CN N ®® 0 FAMILY t?OOM . AIp To 21�Ib -LOOP - c�xisnn�� I N�W 51-ATP ?'O.2N(2 F[�. . .. . . . . . . . . � . . . . . . . _ - . . . . . . . . . . . - - - - ALIGN 4'-O" iL TW 2442 TW 2442 N _ 4'-2211 4'-2211 NSW 2 INTI;pIOp FACE OF F-XI51NG FOUNPAVON WALL < 13F-LOW> F-XI5TING Poop Oz � � - n O MA50NpY PAVF-p5 P�COpATIVF 5UPPOpT COLUMN y "CFp�ANS�Of? eoPis & TOM WMONs F1�5� FLoor? P�AN 1�5 FOs1FT' 51\F�1' N0P1'H ANPOM\ ,MA. ou-rLIINI; or ppOp05r-n A PITION 1 F-XI5TING WAA-5 13ft-ow EXISTING 6" X 6" 13 AM 1 IN LINT" WITH FL-0012 J(h5T5 I -._............................................•----.... EXISTING �LOOt? JOISTS; ...._._.._................................... ..........--___......_.._......_........__...._..___.._...._.._...._..__.._..___...----------------- f•----.............._..--------•-------•-------......_.._.._......__......_.--•---•---------••---.._____- t f I I EXISTING STAIpW�LL € 0pI-NING 00 < i It 6" X 6" 13�AM I I FX15TING r3 AM < VIF) C r3r-LOW J015T5> i I II f ' i ppOp05F-b NF-W L - - - - - - - - - - - - - - - - - I I STAII:W�LL OpF-NING f I ' ; f f � If f f 5FCON19 FL00P TAMING PLAN EX15-n%) I f � f , PLAN5 FOP f f , bods & TOM WMON5 I ; NOF\TH ANP0VW ,MA, 1'-0'' PAlf; 5/25/04 f e i EX1511NG Gi?GP�7 NF-W FWICK MA5ONPY CHIMNFY ------------ ------------------------------------------ ------ ------------------ - ----------------------------- ----------------------- --------------------- A5PHALr5HINGLr�5 -------------------------------------- -------------- ---------------------------------------------------- ---- ------------------- ------------------------- ---- -------------------- ---------------- -------------- - --------— -----— -- ---------- -------------- l II�G� V�Nr ------------------------ ---------------------- --- -----------------------------=------------------- ------------ ----------- -------------------- ---------------------- ----------- ----- --------- ----- ------------------------------------------ ----------------------------------------- ---- -- ----------- ------------------------------- ------------------------------ ----------- ---- -- ------------------------------------------ ---------------- -------------- ----------- ---- ------------ ------------------------------- ------------ ----------- --- IFM F-H EM -------------------------------------- ----------- ----- - ----------- ----------- ------ ---------- ----------- --- -- ------- ----- ---------- ------- -- -------- -- ----- ----------------- ------------------- ------------------- - ------------------------------------------------------ -------------------------------------- ----------- - --- FFFI EIB I=FFF] :: FX5111NG Gtr rPr�A1F-12 WOOD FRAMING +: �xlsrlNG I?�rAINING WALL I2" IIIA.1°oLXTV cONGkUTE PEP. p�Ap���VA110N Gw,vANl?EI2 FO5rANCNO� //CONTINUOU5 POUMb CONCIPFrE -1 X �+ PROW/W000 �FOOnNG $ FOUNbATION -�X 4�Y.'EA1EG WOOD pOSr LJ Fj- P,1126r:� VENT PtM5 rod 2 X 8 AT 16" OC r —�— OUTLINF OP CHIMNF-Y n0p15 & TOM �MMON5 135 r05tpl 5TPI�� " NJ0PfH ANPOV�V ,M, 5/ 8" CbX PLYW0012 I2FCKIN6 I I 2 X IO AT 16" OC 5CAU;1/4" - I'-0" bATF. 5/25/04 p-30 INSULATION I TYPICAL F-XTF�I210p WALL; I I 51PING TO MATCH F-X15TING �pAMING CONN�CTOI?5 r3UIL121NG WPW 1/ 2" Cl2X PLYWOOD 5HF-ATHING 2X4AT16" O.C. I:-13 FIr3tpGLA5 IN5ULATION TYPICAL F-AVF-5 PF-TAIL; POLY VAPOP 13APpl�p PINT FA5CIA & 50PPIT 1/ 2" CA" MATCH F-X15TING PE�TAIL5 CONTINUOUS 50FFIT VF-NT p-19 INSUL, 1:201-1131--E� TOP PLATS r J L METAL nplP F-12GF I �II � � � TYPICAL 51LL brTAL: ICF-/ WATT 5HIF-L12 5/ 4" T&G PL�'WOOi2 bF-CKING, ANCHOP r30LT5 AT 4'0.C, NAIL & CL-UF- T(p r-pAMING SILL 5E�AL FOAM IN5ULAT10N 120Ur3LF 2 X 6 TMATF-P SILL CONTINUOU5 IJr: DON J015T PIN15H 15T FLOOD Pp�-�NGIN��t?�12 WOOf2 113 AM TAMING 5Y5TF-M I I %off AM GP 5�1?I�5 60 11 %8" AT 16" OC ( OP, �QUAL> \,r3p,1qc4INcA ;• --.- �INIS�Gp TRU55 FPAMING ( VF-NPOI? CONFIPM) I AT CI?055 5rC110N 13 ' f3 I CI;I�T�p SPAN ;•• TYPICAL EXTE-r:IOp WALL I III '"'+' ( I WA1rr--1?PPOOPING & VF-pTICAL 12PAINAGF� 5Y5T-M '•;ti rn�ICAL s11-L nETAIL: ALTF-pNATI;: ANCHOR r301,1'5 AT 9'0.C. 5/ 8" TYPE I G IT PACING, EXISTING PIF-L125TONF 511-1, SEAL FOAM IN5ULATION 20UME 2 X 6 TMATEI� 511-L CA OVF-I2 I 5UL, PtOVI12F 5HF-LP WALL TO r3F 12�MOVr-12 CON11NUOU5 121r�(ON J015T I AT TqP rpm, WALL �INISNG ��— 1 '•;, FIN. 13A5F-�MrNT FL, .I' r •, 1� Z 7� 2" I?IG112 INSULATION, �l P�pIM�1�1? )PAIN:��•! 4 CONCI?�T� SLAB ,,..` 4" 12IA,Mr,1FOPATF-P PVC PIPF- t.:. ;.'. 6" C1PU5HF-P 5TON� 3/ 4" Cl2U5HF-12 5TON5 PILTEP FALWIC I215CHApGZ� TO APPIPOVF-V "LOW POINT" 4" PIA, 501--V PVC 5LF-F-Vr:�5 AT 4' OC 0 E:XI511NG t2ML-LING DEYONP -------_ --- ------------ _------------------------ --------_- _ MATCHE,'X15TING -- --- - -------------- ----------------—----_-- QAKFTPIMI)FTAIL ------- - - --------------------------------- --- ---- - -------- _--- _-_-_--_ --------_- __-_- _ _-_-_--- - _ -+2_06 -FEI- _------------------ ------------- -- _----------- ----------- -------------------- NF-W MA50WY CHIMNEY - -—--------—_——---—-_—--------—------ ----------------------------------- --- --- ---------- ----------------------- -------- FIN15H 2Nb FLOOR FINISH 151"�L0012 4a FINISH C,pAI�� I LIFT E LSV I?E V O MATCH FX15TING ` I I NFW PORCH 1200F COI?N�1?TRIM iii�•i...�vi'?:'a��'• :i'' I I FIN_DASNMENT FL. ';.4 r,+�• w . r.,r: •a �;• r ; s.• ;N; ;�;,�.:.y I t I I CONc,,,F L — -Xl'-FX15-nNC4 FIFL125TONF lC � WALL TO i3� i?F-MOVF-12 •• 4 X 4 SUppOrT COLUMN (TYPICAL) NEW 13 AM: -5 - 1 j/4" X 11 7/ 8" OUTLINN O� pl?OPOS�n MICPOLAM LVL, U5F- "IN LINA" pl?AMING AI�bITION NF-W CrILING J0151-5: 2 X 6 AT 16" OC FX15TING WALLS 13eLOW U5F- Fl?AMING CONNF-CTOI?: "51MP50N STPONG Tr" JOIST HAN6F125 NGL-TV (TYPICAL AT "IN LINA" pl?AMING) __.-_-______..____.._______---___-----.._________._.___ II -- I I IL 11 I I FAM; 2 - 1 X 11 MICpOLAM LVL ----- -= 1 Ir i ' it II F-XISTING r3 AM - : : TO PF-MAIN 4 X 4 n�COI?ATIV� ; 5TpUCTU12A4- WOOF P05T II II I I II II II II I PpOP05r�n NF-W STAIpWFLL OPENING II 11 i II II 44A : : I I i i p�MOV� FX15TIN6 i FLOOD TAMING < SHOWN JA5HFP) I : : I I I I FLAN5 FOP SFCONn FL00� F�AMING P�M rpop\ 15 & TOM �MMONS N0P,fH ANPOM , A SCAL�;I/ 4" - 1'-O" MA 5/251 04 �XI51"ING �OUNbA110N 1'O 13E� I?F-MOVI;P 2 < IC Al C 3 - 2X10 J f F L E�X15VMC4 Fir-[-p51'ONI% NrW 30' X 3O" X 1211 FOUNPAVON r0 PF-MAIN I'OUI2r-p CONCI2ETE� TOOTING 3 1/2'' IIIA. CONCPr�Tr 511 C FIS -rIP 5TE�F�L- COL-UMN EXISTING r3, 51AIr?W�( � q O Lf� Et t? 51 OFF-NING WOOF 113 AM FL-OOf? J015T5 C VF-M20P 51ZING> FII?5f FL0R TAMING PIAN FLAN5 FOP, P005 & TOM �MMON5 NOI?11d ANPOVFP ,MA. PA1F! 5/251 04 .y EXISTING OILING �I?AMING NEW 12IpGF_ VENT TO pl�MAIN F45TING POOP FPAMING NF-W I?-30 INSULATION TO PF_MAIN -�_ doss 5�CrION A - A • MATCH �45TIN6 Poor 5LOPF 2 X 8 AT 16" OC NEW p-13 IN5ULATION NF-W 6" ON � 2 X 10 1 X 3 5TP-'APPING r30LT TO FPAMING, z f?-30 IN5UL, F-45TING WALL PpAMING 2 X 6 AT 16" OC TO PF MAIN NF-W PPL- J015T HPPI. 2 X 4 AT 16' '' OC NF-W ENTpY POPICH Door 51-pUCTU12r NSW r3F�A I I NEW FLOOPI P1 I MING \\�, r3�AM, 2 - I �/q' X 9 1/2" 3 - 1 3/ 4" X 117/ 8 �� \ MICPOLAM LVL MICI:OLAM LVL PLASH f�19W 5TAIP5 TO \ ------ TYPICAL ( NF-W) I 2NJ FLOOPI 1------- MA50NPY PAVF-p5 t�XTr__pIOI? WALL I ( ------ ------- FIN15N Gf?Ab� L f2-191N5UL, \ L TYPICAL 51L-L, I2F-TAIL, COMPACT�I� ANCHOR 130LT5 AT 4'O.C. `�/ 8 TYpIF_ X \ GpANULAi? 13A5F SILL 5F_AL FOAM IN5ULATION 6Wr3 OVF_R INL \;L POUr3LE 2 X 6 TpE�ATEV SILL I -' L Nr5W 5TAI125 \\� ITO r3A5F�MFNT \ ----- 18'' IIIA, POUPF-P CONCPF-1"E PIE - ------ GALVANIZED pOSt ANCHOR CONCf?�Tl SLAB I MIN, 4' EpO5t COVED ----- 4 X 4 11AtED WOOD pOSt EXISTING r-IF_L.n5TONF_ FOUNDATION r 2" RIGID t?�MOV� �XISTIPJG INSULATION, PI�LDSTON� FOUNDATION OPTIONAL INTE PIOP, PPZAINAGI; 5Y5TF-�M, A5 N01F�1 4'1 DIA,PF_PFOPA1F_1 PVC PIPF_ CPU5NF:1 5TON� 3/ 411 CPU5NF-1 5TONIE� FILTF-p PA13PIC 115CNA26F TO NEW Pr�I?IMF_TF�12 FOUNDATION DpAIN Date.. .?./.1,04.. .. .. ~O oTN Of F? °p TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACHUSES ' This certifies that . . CS'f.�i iI . /'d���� . . 5. . . . . . . . . . . . . has permission for gas installation . . ! ?!.�. . . . . . . 4 � -_ in the buildings of . . :��.flrj.� . . . . . . . . . . . . . . . . . . . . . . . . . . at . . �3,�'�. ds �. `• . . . . . . . . . . . . . .. North dower, _ ass. s. Fee. . . . . . . . Lic. No.LP GAS INSPECTOR Check# Z0721 8053 1 A 30.t)J �� �"'7'1 1 + ` i 1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY —l –NORTH ANDOVER MA DATE FEB. 13,2012 PERMIT# JOBSITE ADDRESS 135 FOSTER ST. OWNER'S NAME I TOM EMMONDS GOWNER ADDRESS TOM EMMONDS TEL 978-725-9036 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL® EDUCATIONAL ® RESIDENTIALD PRINT CLEARLY NEW:E] RENOVATION:® REPLACEMENT:® PLANS SUBMITTED: YES® NO® APPLIANCES 7 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE 11 DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR 1 GRILLE ' INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST _ UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER. RUN AN UNDERGROUND 1 GAS LINE TO A GENERATOR INSURANCE COVERAGE I have a current liability-insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES [a NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY M OTHER TYPE INDEMNITY ® BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ® AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in mpl' nce with all Pertinen visi the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME I JOHN MARSHALL LICENSE# 778 SIGNATURE MPEJ MGF® JP® JGF® LPGI E] CORPORATION Ej# PARTNERSHIP®# LLC #� COMPANY NAME: EASTERN PROPANE GAS ADDRESS 131 WATER ST. CITY I DANVERS STATE MA ZIP 01923 TEL 800-322-6628 FAX CELL EMAIL fig i> 2010 0 36AIV Ivy,. o9 f i Tete Commonwealth of Massachusers -Department ofdndustrial Aceiden!s �° DfJtee Qf Investigax`ions - 600 Washington Stree, Boston..MA 02111 Workers' Compensation Insurance A davit: Builde:slCondi-aeto:-slle--tncians/Fiumben A-Ppli^ant Informa-ion Pl-ase Print TTe Name (Bvsin=tc)T anizauonlindiviouat)' Address. City/statc Zip; v��S/fry Phonet: ��- ��?¢ ✓ `J Are you an empicyer`' Checkahe appropriate.bom: Type of project.(required): 1_ l an.a employer with 4. L] lam a gAneral contraG r tn. anrll b. []N---%v construction employ=s-(frill and/or pat-tin )_ heve hired the sub-cont tats . 2.0 T am a sole proprietor or partner Iisted on the attacbed sheet# Rem.odcIing ship and have no employees These sub-contractors have 8. [�Demolition working for me in any capacity. workers'.comp. insurance-9, F7 gttilding addition [No workers' comp.insurance �. We are a corporat2ar.and its required.] - officers have.e7xrcised their 1Q•�Electric,l.rtpaizs or adaitions 3..Q I am a hoIDeowne-86ing all work right.of exemption per MOLPlumbing-repay or additions . myself. [No workes'comp: c.]52,§1(4),.and we have no 12:0 Roof regain insurance required.]? [No work=s' 13, Other GaS r?` �"`✓ comp. tusurance require,-) Amy applimar•that abeam boz#1 m=also fill the s==beiaw sbowing thcizwod='mon pob-7 mfarmaoea 1 Homeavm=who submit this affidavit inm�ng-they arc doir�all woz and taxa his mid=evnirsetnts==arbm�z Dem 3$daYSC iadi�mc So= CDu==r-'that eheci this-b4=meat==had tm addwunai so_t shawmr tic nanr of Ih say-eonLszoss.aad tna>i wv�tzxs'comp m11e3 °n I am an employer that kprovidfng workers'camper] a=vn ir5w=2;ef'or my employem pefms is th-cpolic,andjob life :• - . infarmat5nri`' / Insurance Compatr;Nam-: L Policy-#or 5e 1-ins,Lit.n; �%C /—"�// — S'6 O��/ Expiration Dat- t 3 S�. ,^tuv�. J1�» , 4,,c lPvev, O lfr Li S' 3oi;Site Add,—,.: v �M�� __ .CitylStatJ2zp: Attaeh.2 eopy.ofthe workers':comDe-ambon policy d clar-stjon.page-(showing.tite;policy nrntber,2nd a Tp ration duce) Failure to roc= coverage as refairrrd under Section 25A ofMGL.c.1S2 can lead to the imoostnon of cumin±-penalb or,a fan^up to S 1;500M and/or ane-year impriso=== as well as civil peaaltics'in th:.form of£STOF WDRK DF.DE:and s..Enc r . of try to n250_00 a day nga.in_st the-violator. Be advised that e copy.of this statement may be forgar3-�d to the Ofznce of Investigations of the DIA for instriancc covmge verificst cm � do hereby.tertl�j undz'r.the pains and p perjt�r3 n 4he Inform¢riort prows dBd a ✓vE fs.zrue artd car,ect �na�ie�g{ Phone#� I Ui�'ccfnl use only. De not write in this area;to he completed by city or town affu•iaL 9 � 7 City or T.$)vvn: Pe_rmh/.lcense t Issuing Authority (circle one). 1. Board of Health 2.Building D--partment Cttyi—lowr Clerk .4.Electrical lmspector 5.Plumbing--inspector 6, Other Contact Person: Phone Date.......1.....C ... . ' HORTI� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... }/1,�..�l��l....... .�. .................. has permission to perform .... � ................. . wiring in the building of.1.�.....��= ..0 ?. .5....................................... at....�. -? ..T... S�'.�"' .. , Orth Andover,Mass. ........ ......... ................ pFee...`��.. .r-.�...� Lic.No�...,..�Zt.'�................. . . . ., . . ... ELE ICALINSP CTOR r Check # /70 10614 ottidat use Doty PenuftNo. J� s. p=W and Ise Cbwiwd BOARD OF FIRE PREVENTION REGULATIONS -iron Own bt.ok APPLICATION FQR PERMIT TO PERFORM ELECTRICAL WORK All wmt to be perfoaDod is aosoedaaoc.ral<eLe M 527 t�tR l2.vo (PWA PNMT BV B r OR EAUINFO iTom Deas~ r CSiy or ToWta of: AlTo the Irrsped of Wines: By ft the notice of his err rdteatian to pafmm the eta-ssicad vnxk desotrAed b low- Lo aoi Tambom No. ✓ ��i� o.taer or Tcmat T6 03 W 0waces Address ' U this permit In conjascilm�s batidiag pa utw. Yes ❑ No Q (Chock A�P�te Boz) Pel?m of sdkftEmbdug IItt �lot4orbaihtoa No. Service Atmos / Witt Overhead❑ uaftrd❑ No.of meters Amp volb oma o. fJndgrd[] Ni.of Hipp I Number of Feeders and Aaspadty• ' Location and Nature of proposed Zkcki=i W die aatde be vrdred b die irmm 09 Tolas No-of Recessed Lumi�s Na of C4L4msp-(Paddle)Fans KVA No.of Lamfsalre Outlets of Hot Tdrs KVA Of La�iaatres Pov1 E3 ❑ U No.of Rece0tac a Oudeft NIL of OS Do sm ALARMS of Vona efudidim and No.efsokicbes No.of Gas Burners Na of of Air Card. T of Alatbr�MOM otts. No.of Waste Disposers T No.of Sfa c4Ara Senftg KAY a 0 Na`of Dsyeas, Heatiag•Appii KW 4f or o step Me. o- y •. KW BatsDaft Na of De*ras or Ieater5shms iYd Hydrom::s>ge No.of mWWs Total HP No.of DeMoes or OT6BR: .ttsoe/r oddfdorroddetall�dfsrbar4 or as ra�nad!ry dee bwoetcroJ� Estimated Vahre f work 5 (whm by plicY-) wok to Stam 2 hupocdoas to be iegmswd is aomffdareoe v th M®C Rule I0,and up=eoraptdion. ofdel,pcEk me3r a G& U�waived by the o rocr,as pump fur ft the iioeasoe prayides pc+oof of' isseraace iadvffiag'�vnapktod p nadexsigired cettirms8s'at such is in force;and bas eaiWited F*Of of sauce m the peanit kmbg offioa. CHBCK ONE: INSURANCE Or BOND Q 0TWR13 ( Y=) I easy,minder the pshm a"pmawm ofpedi 7s dW dW boWmaoman dlds qrnosw"&"eand aoa rl0 FIRM NAME: e"K L w± f- Power ctG No.: X0 TW A Lim K.i)b +'�iJl Li�NO.:337 E n`jgPPl "arar pr"b.die ticseacseBail-TeL - ;Par M.('s.[.:a l4Z sr 57-61 r ee —4►f Ss�s►"S"i erste- _ ,LAr- o. _V-VIMRS U48URANCE WATVERz I am aware that the I.ioeww dons eros ham the liabffl,y by taw- By M, below.I bmeb9 waive dies rap P r ea;. I am Itis(cbe*one owner QowmemageaL `° "t Te op"me No. P�FEE:S The Conunonwealth of Massachusetts Depardnent of Industrial Accidents �i Office of Investigations 0.f _." r 600 Washington Street Boston,MA 02111 4 /S `f www.nwss gov1dla[ Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Ph tubers Applicant Information / Please Print 'b Name(Business/Organization/individual): e~ L Lihf r Potyer L LCA Address: City/State/Zip: Ch fa4 A+ 010-1 Phone#: Are you an employer?Check the appropriate box: Type of protea(required): 1. am a employer with L 4. I am a general contractor and I employees(full and/orpart-time).* have hired the sub-contractors 6. [-]New construction ❑ listed on the attached sheet. 7_ ❑Remodeling 2. I am a sole proprietor or partner ship and have no employees Thi s"b-cOO1s have 8_ Demolition w for me in an employees and have workers' working Y ceP�tY- t 9_ �Building addition ur .. (No workers'comp.insurance gyp.insuranc e �N�] 5. We are a corporation and its 10. Electrical additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LO Plumbing repairs or additions myself.[No workers'comp_ right of exemption per MGL 12.❑Roof repairs insurance -]t c. 152,§1(4),and we have no emP10 o workers' 13.E]Other employees.� comp.insurance required_] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and the hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the narne of the sub-contractors and state whether or not those entities have employees. lfthe subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workm'coaqmwuWon hzwrancefor my enplg'eeL Below is the policy and joh site information. ! Insurance Company Name: 1-he, i 2,�-� / / Policy#or Self-ins.Lic.#: WG Q B WEGrK 3C 6-� Expiration Date: 7 t J1'3/ J- v Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herebyGins and penalties of perjury that the information provided above' true and correct S1 Date: 74 Phone#: 6K 1 1 Offtial use only. Do not write in this area to be completed by city or town official City or Town- Permit/iac ease# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4 Electrical Inspector S.Plumbing labor 6.Other Contact Person: Phone#: ThECONMONWE4LTZH0FMAS CHUSEYTS Office Use only DEPAR7N�7TOFPIIBLIC E7Y Permit No. BOARDOFFREPREMMONR 527CM12. Occupancy&Fees Checked PLICA71 R PERMIT TO E CAL W AP ONFO PRFOIZM LECTRI RK O ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MAS ACHUSSTS 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 rk d scribed below. Location(Street&Number) F'©,5 J 2 I 5- Owner or Tenant /rU Owner's Address S7- _ Is this permit in conjunction with a building permit: / / Yes F1161No (Check Appropriate Box) Purpose of Building �,E 5 j �>�/V / //4 L AdU i / /ox) Utility Authorization No. 3xisting Service Yt_ Amps 00/ Volts Overhead Underground M No. of Meters New Service Amps i _Volts Overhead Underground r-1 No. of Meters dumber of Feeders and Ampacity �/ 7Z 5"' 0-3 6 ocation and Nature of Proposed Electrical Work No.of Lighting Outlets / No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No.of Receptacle Outlets s D No.of Oil Burners No.of Emergency Lighting Battery Units do.of Switch Outlets 'Sry No.of Gas Burners f „nges d No.of Air Cond. Total FIRE ALARMS No.of Zones Tons To. 'isposals O No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices o.of Dishwashers Space Area Heating KW Np,_of Sounding Devices O No'::of Self Contained Deiection/Sounding Devices o.of Dryers Heating Devices KW Local ® Municipal Other - a Connection Heaters KW No.of No.of Signs Bailasis sage Tubs No.of Motors Total HP Pt wanttothetegtia n ofMamichuset1sG�aalLaws tyh>stuat>rePblicyinchldalgCompl Coverageoritssubstantialegluvalau YES ' NO ptoofofsametothe0ffim YES r7 r-'T IfyouhaNedmIedYES,PIMZRdiratethetypeofoDWWby box BOND r7 91FER (Please Spey) E#afion Date Estunaed Value of ec”Wodc$ kgedionDaeReWested Rough Final 1alfiL-'0fpajWY LisemeNo. Signahne LicffWNO BusinessTel.No. All.TeL No. [CEWAIVER;I am awarethat the License does nothave the M==aDwiageorils subs[=alequ'Nalentasto Tmed by Masssachusen(metal Iam petnut application waives this mquiterm>ent Owner ® Agent Telephone No. PERMIT FEE$ signature of Mwner or 7gent i The Commonwealth of Massachusetts Department of Industrial Accidents ,I Office of investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: i err Location/3o- � / Ci /� c �� tibr����� Phone # 7A5 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job.. Company name: Address City Phone#: Insurance Co Policv# O Company name: Address City Phone#: r, Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.(30 and/or one years'imprisonment_as_wU-as_civil.penaltiesin.Shefnrmjfa_STOP WORKORDFR..and a.fine.of-(.$1DO..OD)_asiayagainst.me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. y l do hereby certify under the pains and penalties of perjury that the information provided above is true and conncct^ Signature �i 4 ) t Date ��DY Print name % � `1' �Yyl/�'?l✓�. Phone Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing El Building Dept ❑check if immediate response is required F] LicensinC,f Board F-1 Selectman's Office Contact person: Phone#: F-1 Health Department E, Other r . Location Noh Date ` U� E Of OaRTh TOWN OF NORTH ANDOVER M,, ° ,•'�h.0 + ; , Certificate of Occupancy $ �'�s'•••°U E<�' cNus Building/Frame Permit Fee $ sw Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 5 • Cheek # 1 5 1 5 8610difig InspectoF--f ��F � I TO" OF NORTH AND-OVER iJILD1I G 1)EPAR THEN T f _ ,PPLICATION TD CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING IN RIM Rom 3UILDING PERMIT NUMBER:. 3IGNATURE: BuildingCommissioner/I ctor of BuildingsDate ECTION. 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: i Map Number Parcel Nu 13 Zoning Info ination: 1.4 Property Din! dns: tonin District Lot Area 00 . >:rorifii e R , i.6:BUI IDING SETBACKS ft Front.Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1 B f 1:5. Flood Zone lnfmmation_ Sewerage I ispusal System r1.7 Water S M.G.I.-C.40. 34) t uPPY � outside blood Zone 0 : Municipal D. on Site Disposal Sysoem Q .ublic 0 Ptivatc 0 SECTION 3-PROPERTY OWNERSHMAUTHORIZED AGENT 2.1.Ownzr of Record �y�folM � Cwl Iy1 oN 5 i 5 ce f: ;,(Jame(Print) Address for Service p q7F- 7o15 - 9C� 4�,. 3Signature Telephone 2.2 Owner of Record: 01 Name Print Address for Service: Si nature' Tete hone SECTION.3-CONSTRUCTION SERVICES 3.1 Licenser Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address - Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date 'I3ignature Telephone • c i e � SECTION 4-WORKERS COMPENSATION(AZG.L. C 152 § 25 c(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:; ....O .. S]ECTIOIY 5 ,Ms cnp tion of I.P.o died Work'"cher a, liable,. New Construction 0 Existing Building Repair(s) Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Description.of Proposed Work: N. i� i SEG'TION 6-ESTIMATED CONSTRUCTION COSTS •, Item Estimated Cost(Dollar)to be � . Completedby permit applicant o s 1. Building (a) Buildmg Permit Fee 2 Electrical { ),:Estimated`Tofal Cost of < :Construction, 3 Plumbing... Building Permit fee(a)x(b) rHerebyauthorize nical.:HVAC otection. 1.+2+3+4+$ /S GCS.,p� Check Nurhber E 7a OWNER AUTHORIZATION TO BE COMPLETED WIZEN AGENT OR-CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property orize to act on n all matters relative to work authorized by this building permit application. Si nature of Owner Date SECTION7b OWNER/AUTHORIZED AGENT DECLARATION I, ✓^ �' �1 ���� As Owner/Authorized Agent of subject r property Hereby declare that the statements and information on the foregoing,application are true,and accurate,to the best of my knowledge and belief �'/-�Oc1Jl.►4� tel . Cpt/l.lt�tG?Y'�� 4 Pn't ame Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR`SLAB77771 SIZE OF FLOOR TIMBERS 1 2 r- 3KD SPAN DIMENSIONS.OF SILLS DRyIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CI-MVIINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH Town ofAndover 0 , VA ..w., .�: No. a _ o� - ;� � � dower, Mass., / -zoo/ _ L ORATED PPC S H BOARD OF HEALTH PER T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT........... .......................................................... ........:.... ........:. ............... ............................................ Foundation has permission to erect........................................ buildings on ................. Rough to be occupied as Chimney provided that the person accept! this permit shall in every respect�conform to the terms of the application on file in Final this office, and to the provision 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTs START ELECTRICAL INSPECTOR f� Rough .......................................... �.../.(. Service -i�3�9'PECTOR 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. NORTH Town ® E over 0 -Z40 d �11� coc"'No dover, Mass., Ap� ,�5,p RATED p` S H G 4 BOARD OF HEALTH PER IT T. Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT........... .......................................................... ........:.... ........:: ............... ............................................ ' Foundation has permission to erect........................................ buildings on � � Rough to be occupied as ... ............................. Chimney provided that the person accepti this permit shall in every respect!conform to the terms of the application on file in Final this office, and to the provision 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAkT5 ELECTRICAL INSPECTOR 0-� Rough ..��...............�.../. Service i'd9PECTOR 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. 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: (Location of acility) 0 ` Sig ature 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° 32- 1 Date ..1}0.......... NORTIy °�t"`°:•�"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ACNLl This certifies that'' t has permission too p rform ...... .r. '............. wiring in the building of....... ............................................. i at z..... . .:..Ff - .. ......:.................... .North Andover,Mass. /) Fee',,IP............ Lic.No. ELECTRICAL INSPECTOR Check WHITE: Applicant CANARY: Building Dept. PINK:Treasurer \_ Commonweal of; ad9aclrudetts Official Use Only cc� cc77 Permit No. eL.Jeparlmenit o/jire.�erviced — µx Occupancy aiid"Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] (leave blank) APPLICATJ 1 FOR PERMIT TO PERFORM ELECTRICAL WORK nll work''°t,o tic perfornied in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE;ILL INFOIZ;IL I TION) Date-- (�7— -s�� City or Town of: -l`f A-A)DoVe—Z, To the Inspector of Wires: By this application the undersigned elves notice of his or her intention to perform the electrical work described below. Location (Street R Number) lOFT Owner or Tenant AJ Telephone No 9—/7 Owner's Address Is this permit in conjunction with a building permit' Yes ❑ No -P' (Check Appropriate Box) Purpose of Building; � � � ._ ��Undgrd uthorization No. � Existing Service Amps �,�'oils Overhead ❑ No. ofnAleters New ServiceIm Anyrs Volts Overhead EP"'� Undgrd ❑ No. of Meters Number of Feeders and Ampacite Location and Nature of Proposed Electrical Work: IX ' Coni lesion odthe folbnvine table na Ge iaiycc!by the Ins cctor of IVires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Total Transformers KVA No. of Lighting Outlets No.of Hot TubsGenerators KVA No. of Lighting Fixtures Swimming Pool Above gr ❑ o. o mergence �g ming mrd. rnd. Batteg Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons TotNo.of Alerting Devices No. of Waste Disposers Heat Pump I Number Tons KW No. of Self-Contained Totals: Detection/Alerting Devices No. of DiDishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ Other Heating Appliances Security Systems: No. of Dryers PP K�� No.of Devices or Equivalent No. of Nater KW No.of No.of Daia Wiring: Heaters KW Ballasts No.of Devices or Equivalent No.Hedromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or E uivalent OTHER: ;t teach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVER,kGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ 0.1'hIER ❑ (Specify:) y (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with iV1EC Rule 10, and upon completion. I certif j•, under the pains anti penalties of petjwy that the information ott this application is trite acrd complete. FI NANIE: A ':•LIC.NO.:, Licensee: W69 Signature LIC.NO.: (If applicable, enter "exempt"in the license number line,) Bus.Tel.No.. r z Address: Alt.Tel.No.: —` -- ° OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage norma y required by law. By my signature below, I hereby waive this requirement. I am the(check onc) ❑ owner ❑ oWtter's agent Owner/Agent Signature •1'elepinone No. PL'RMIT FEE: S PLEASE FILL OUT BACK SIDE I Location No. cacv Date l� H011Th TOWN OF NORTH ANDOVER i s Certificate of Occupancy $ 4 �'�S'"°•Eta Building/Frame Permit Fee $ SgCMUs Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # 13882 Building Int`pector c t TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER:U : . � DATE ISSUED. SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION I 0 LI Property Address: 1.2 Assessors Map and Parcel Number: iA5- F05 TEP 5 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Reqjired Provided R red Provided 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name(Print) Address for Service: Signature VTelephone 2.2 Owner of Record: Name Print Address for Service: M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Numbeaan r Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number Address r Expiration Date Signature Telephone fid/ Q L SECTION 4-WORKERS COMPENSATION(XG.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.......El No.......❑ SECTION 5 1)6cri tion of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ ,Specify Brief Description of Proposed Wo rk: k r-C 1)V 1A SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be n OFFhCLALUSE�31�ILY Completed b permit applicant r �i . 1. Building (a) Building Permit Fee l C�U�Dt Multiplier C� 2 Electrical (b) Estimated Total Cost of Da Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC 'ZS 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I 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 Signature of Owner/Agent Date IM IM i NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEV NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I Town of North Andover AORTH OFFICE OF 3a o�'" ti° COMMUNITY DEVELOPMENT AND SERVICES p 27 Charles Street :�o ; WILLIAM J. SCOTT North Andover, Massachusetts 01845 ��ssnCHus���y Director (978)688-9531 w Fax(978)688-9542 CHIMNEY APPLICATION AND PERMIT DATE ,j 3 / — 60 PERMIT , LOCATION__ !,3S- I-057&—/Z OWNER'S NAME 1140 M /4 5 J , t✓I'k w 0 t )S BUILDER'S NAME MASON'S NAME MASON'S ADDRESS MASON'S TELEPHONE MATERIAL OF CHIMNEY INTERIOR CHIMNEY EXTERIOR CHIMNEY NUMBER AND SIZE OF FLUES 0 FLUES a THICKNESS OF HEARTH Will chimney or fireplace conform to requirements of the code and have rules and regulations been received: DATE SIGNATURE OF MASON CONTR. LIC. # EST. CONSTRUCTION COST/CONTRACT PRICE PERMIT GRANTED FEE ROBERT NICETTA, BUILDING INSPECTOR INSPECTED REMARKS SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREMISES BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 t NORTH Town ofAndover O 1 No. ?. ` * = �- oa�D �=- L A � 9= O dower, Mass., COCMICHEWICH ADRATED PP�'�,�5 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT........ ... �.........� BUILDING INSPECTOR . . �. .�. .�.. ...................... .... ............................. Foundation OWD has permission to erect.... .4VII.4buildings on . ....�.. 5..... 0,0� ., ,,,,.,.,. Rough tobe occupied as.................F�. ........ .' ... .. . .Ami.y................................................................... chimney provided that the person accepting this permit shall in every respect conforthe 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 andConst ction of Buildings in the Town of North Andover. O P yA PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. �ss Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ST Rough Service Yo.......... 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smmke Det. Location �����'� ' No. C Date r MORTN TOWN OF NORTH ANDOVER Oe� •.o ,+,h0 • - s Certificate of Occupancy $ ,SSACNUStS'�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ — Check # -5017 14325 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: �© DATE ISSUED. ? SIGNATURE: Building Commissionerflayector of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: D Map umber t Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distrid Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.LC.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record ame(Print) Address for Service: Signa\rej Telephone 7c f J 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 0 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Adtess Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number rM Address e Expiration Date �^ Signature Telephone �!s 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.......0 SECTION 5 Description of Proposed Work check applicable) New Construction ❑ Existing Building V Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition N Other ❑ Specify Brief D ription of Proposed Work: I, SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY % Completed by permit alicant x 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee(a) X (b) / 4 Mechanical HVAC 5 Fire Protection => C _ 6 Total 1+2+3+4+5 p O Check Number SECTION 7a OWNER AUTHORIYATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT It yU � �Ji as Owner/Authorized Agent of subject property Hereby authorize to act on My be'a ,in all matters elativ work authorized by this building permit applicatio . Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 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 TIMBERS 1ST2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Town of North Andover tAORTH 0. Building Department o? 27 Charles Street ~ North Andover, Massachusetts 01845 (9.78) 688-9545 Fax(978)688-9542 � �� `°`�""- • � �. ACHUS���� 3 rt�r: DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: 8uw(PSTU_P, (WA5TG_ P140w- &tC7Vr).__ Facility location Signature of Ap licant 61 _DC-) Date i i NOTE: A demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector. .y ' NORT11 Town of North Andover '•�" Building Department A 27 Charles Street : North Andover, MA. 01.845 D. Robert Nicetta Building Commissioner (978) 688=9545 ..-:(978) 688-9542 Fax HOMEOWNERLICENSE EXEMPTION L _ Please print p .. DATE JOB LOCATION Number Street Address Map/lot "HOMEOWNER EM- PACW 5 ?o�S'-70 (-C� 3 2,3—C;, Name Home Phone Work Phone PRESENT MAILING ADDRESS A)® if AA-od-q� /� City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less 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) i DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. 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 requirements. II HOMEOWNER'S SIGNATURE /"�Afl 4- APPROVAL OF BUILDING OFFICIAL F NORTH ToVM of dover No. OO L A ori dover, Mass., COCMICHEWICK V �d ADRATED S H � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. r .0.....N„ 44 � ........... I' I. a. ..................... ................................. Foundation has permission to erect.../t�. .. L..... buildings on...... ..���,..... . IA..... S.i Rough to be occupied as Q �� �/V �� Irgri 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. P" / d 41 D VY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PEIZIvIrr EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIO T..,Ill TS 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 F nagh No Lathing or. Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. No 1 7 7 1 Date.... . 4 f NORTH 1 3:°•,;�`";';."°,� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSAGMUS� l/"1 This certifies that .... ...... 1 ................................... has permission to perform .....151 iD.l.l.&.........1'.u.! .. .. .... .� `! o; wiring in the building of......f1r.-k.......IDZLA.k.............................................. C J, at..... ....rOSW... ...................................... ,,P4orth Andover, ' s. / Fee...f> dV.... Lic.No.t�.d 1.0 ..... ..__ . ..........1......................... � .p LEC MICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer TH0FiViYSCLffJS= Office Use only DEPARTMEYTOFPUBLICSAFETY Permit No. 17�� MAP 0FF7REPREV=01VREGUL47I0AS527CVR 12:00 Occupancy&Fees Checked PARCEL PERMUTOPERFORMELE=C41L WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSAMUSSTS ELECTRICAL CODE, 527 01AR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover / fq ect r of Wires: The undersigned applies for a permit to perfo `L( elow. MAP W I ' Location (Street&Number) 2ARCEL Owner or Tenant 11 Owner's Address Is this permit in conjunction with a building permit: Yes o (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service IKV Amps c�/ molts Overhead i —t ""' et ound No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampaciry Locatilbn and Nature of Proposed Electrical Work cf tccon- No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total S KVA No.of Lighung Fixtures I Swimming Pool Above Below Generators KVA mround -round — No.of Receptacle Outlets No.of oil Burners No.of Emergent Lighting Battery Units Y _ g fY No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cord. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.bf Heat Total Total No.of Detection and Pumos Tons KW initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection Sounding Devices No.of Dryers Heating Devices KW Local �"�{ Municipal Other F7 Connections No.of Water Heaters KW No.of No.of Signs Bailasis No. Hydro Massage Tubs I No.of Motors Total HP "OTHER Irstrarre Cote-age Pt�sua�a�the rte lur;na�s ct�t',a-la-a1 Laws �/ I ha,,e a o merit li�iuty h�ux=Eloy u��C.aT C( e— cr as abstr±al�Svafaa YES 6� 1`O L�J Iha�e&hTmedyabdpmfofsam lothe0�e YES �i___—� rf}cuha�ed�+cedYES pleaseir etypecian�as tryd� gtFe 9\&-RANCCEE BOND ® OTHER ® (P&aseSpocdy) Expr=D w Estirr,aAed VahmdE M-A Wait S Wcckrisa{t kgxalmDwR Rafeh Fuel FIRM NAME Li=lseNa P `,,n /�� BL ress Tei.Na Ari 1,-2 7&L ��s� l/��� Jl, `//�%� �G�/ /� — Al Tel.Na OWNER'S P aJRA1,�WAIVERt I an au acethatir l does vc t hive Cff=i Laws lthatm,szseaTtis �piwzsesttmf0r (Please check one) Owner Agent Telephone No. PERNCT FEE S r (/ Location r- �s No. Date NOR7h -TOWN OF !NORTH ANDOVER � p Certificate of Occupancy $ Building/Frame Permit Fee $ 4''SSA�MUs`� Foundation Permit Fee $ Other Permit Fee Sewer Connection Fee $ ` Water Connection Fee $ _ TOTAL $ �Q j Building Inspector `i3U0 Div. Public works PERMIT NO. APPLICATION FOR PuRMIT TO BUILD* ******NORTH ANDOVER, MA NIAP N0Z--�/6 zj LOT.NO. L/ ® 2. RECORD OF OWNERSHIP DATE BOOK PAGE ZONE / SUB DIV.LOT NO. LOCATION r PURPOSE OF BUILDING OWNER'S NAME r Kpjj.,4 NO.OF STORIES ✓IIS Stew� SU OIC lNs ZE ,Dx a��J OWNER'S ADDRESS BASEMENT OR SLAB -e(4mi '+c) '^ ARCHITECT'S NAME N A SIZE OF FLOOR TIMBERS 1 sr » O 2rrD RD BUILDER'S NAME SPAN v �/ DISTANCE TO NEAREST BUILDING DIMENSIONSOF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF 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 INSTUCTIONS 3. PROPERTY INFORMATION LAND COST 1929 EST.BLDG.COST ;UtACr0 PAGE I FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT. EST. BLDG.COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: 0112-57 PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FIL- OWNERS'.TEL# CONTR.TEL# AII�Ele_ CONTR.LIC# SIGNATURE OF OWNER OR AUTHORIZED AGENT O'er H.LC.# FEE -, PERMIT GRANTED / C� (p 19 Revised 11/97 JM Town of ' d®Ver Off_ VIA No. e207 0 0510 C IE dover, Mass., V/ 1 "(�, C 0, QL\V S 'Z?A T E D P'�' allB B ARD Al-TH ARI 0 d/ en Septi�d/ c en PERMIT T Septi THIS CERTIFIES THAT.. ...to 0114 At OOKO ow I LD%N2T e ... I...... .... Foundation has permission towN...R.A.2....EM.... buildings on ...../%3.,.r.......... e.p% .... Rough .................. ............. to be occupied as.... . *#+&...VW....../.......Ia.! r...... Chimney provided that the person accepting this permit shall in every respect conform t'*o***the**terms"*o*f*'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 PERmrF EXPaES IN 6 MONTHS Final LESS CONSTRUC N ELECTRICAL INSPECTOR Rough .......... —4n fwOW ;�:� .............. ........ .......................... rPAP.q ...... ........ .. ..................................BUILD.BUILDING INSPECTOR Service Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. -n FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits 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. *****************************APPLICA-NT fFJLLS OUT THIS SECTION*********************** APPLICANT T"INUCM A)` Elv1 t14QA7S PHONE 7df ~y1036 a LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET EvSTIEr ST. NUMBER **** *** ****** ******************OFFICIAL USE ONLY*,,tk, * * *** *** o✓r. ECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED t.. 4 DATE REJECTED COMMENTS �0 QTl`.r' S W t �^ TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS a FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPfT I ECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm II The Commonwealth o Massachuse --� tts Department of Industrial Accidents Office 8//nres#921fons - - 600 Washington Street �3 Boston, Mass. 02111 Workers' Compensation Insurance Affidavit I . Moll 1;111 11111 Now tlx: i"�a-s EIM MWOS location: 3 ED ST r�vr a� !M� �1 s4S t3S- 'a3� Yl am a homeowner performing all work myself. r7 I am a sole proprietor and have no one working in any capacity f7 I am an employer providing workers' compensation for my employees working on this job. �m'arV nai[L8' address: city- phone#- insurance Co policy# 1 am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name -- address•• S1YY• phone#t tnlurttncr co policy# i ad rem- - S1LY' - phone#• i - insaranceco po;ic{T. _.. Failure to secure coverage as required under Section 25A of i*YIGL 152 can lead to the imposition of criminal penalties of a fine up to siS00.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pais and penalties of perjury that the information provided above is true and correct. Signature Date Print name 114c)M k-ls ,Y,. Ewt11vl0 tU S Phone official use only do not write in this area to be completed by city or town official city or town: permit/license p -Building Department C]Licensing Board C] check if immediate response is required C]Selectmen's Office C]Health Department i contact person: phone#; [70ther (rwued 1195 PIA) - . • Town of North Andover NORTIy • o �o•t«.o OFFICE OF 5 L COMMUNITY DEVELOPMENT AND SERVICES H LTi 27 Charles Street WILLIAM J. SCOTT North Andover, Massachusetts 01845 9SsgcHU Director (978)688-9531 Fax (978)688-9542 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 11, S 150 A. The debris will be disposed of in: (Location of Facility) !� wt ',16 vi Sig 'ature of Permit Applicant Date NOTE: Demolition permit from. the Town of North Andover must be obtained for this project throug-h the Office of the Building Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units...or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, along with other requirements. Type of Work: 61vtyL—r DA] Est. Cost OOr0o Address of Work i�'Sfe� �'� T �� Owner Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Pemit No. - Job under $1,000 Date Building not owner-occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND LINER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: ZA Date Owner Name . Town of North Andover NORTH OFFICE OF 320y",to °1ti0� COMMUNITY DEVELOPMENT AND SERVICES ° : p 27 Charles Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT SSACHUSS Director DEMOLITION OF BUILDING AFFIDAVIT (978)688-9531 Fax(978)688-9542 DATE 4/ 7 OWNER'S NAME &ADDRESS LOCATION OF PROPERTY TO DEMOLISH 5AtOC DESCRIPTION ,� ALA, avLk CONTRACTOR'S NAME & ADDRESS /✓/H UJI LL P61ZRZ)Rtv�- '-He U00k K M9 SELF DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS -WATER: SEWER-L-- GAS EWERvGAS ELECTRIC TELEPHONE CABLE ;. A POLIO EXTERMINATOR DUMPSTER - ON/OFF STREET DIG SAFE NUMBER DATE RECD BLDG. INSPECTOR i BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Date N M5 OTi ...:'tio TOWN OF NORTH ANDOVER p / PERMIT FOR PLUMBING SSACHUS� This certifies that !•- - . . . . . . . . . • . . . . . has permission to perfor . . . . . . . . . . . . . . . . . :`.� plumbing in the buildings of . . . . . . . . ... . . . .__.l. . . . . . . . ,.N.orth Andover, Mass. Fee ` . . . . .Lic. Nq�l? �0 . . -- . . . . . . . . . . . PLUMBING INS 08/23/99 13:30 51.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer /101 EMAP /,)Y MASSAC SETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING NORTH-ANDOVER,MASSACHUSETTS: j Date f114' Z& Building Location 13j- Alt, Owners Name ✓Q-W 4v4W5 Permit# / Amount % T e of Occupan2j., ! New Renovation Replacement ® Plans Submitted Yes No FIXTURES Z 45 a - w - z > > . r.> 3MFLOOR _ - 41H MOOR 51RHIM 6MFLaR (Print or type) V/56J Check one: Certificate Installing Company Name �:�Wz Corp. Address Partner: Business Telephone. 6 it n/Co. � Name of Licensed Plumber: Insurance Coverage: Indicate the tvm of insurance coverage b .checking:the appr�nate boa Liability insurance policy Other:type of mdenuuty Bond '" Insurance Waiver: I;the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance ignature Owner Agent D — I hereby certify that all of the;details:.and.information L have.submitted( .>entered above..application.are,true and.accurate o.the: best of.my knowledge and that-all plumbing work.and:install per . Issued,foi,this:application,will.be in. compliance with all pertinent provisions.of the.Massac efts Chapter 142 of the GeneraLLaws.. By: gna e ice um er Type of PI Bing Licen Title .> 0 � City/Town Lagerise _um er `Master o APPR$VEIjeFFiCE USE ONLY N2 2696 Date.. .. � .:. ..... NoarH °t,•``°:'.+ TOWN OF NORTH ANDOVER ? �.a oc p PERMIT FOR WIRING ,SSACNUS� This certifies that ......... ............:"............... .``........................ ................................ has permission to perform ....... ................................ wiring in the building of..... ............................................. at��� ..)......... ...........4,�........................ ,North Andover,Mass. FeeA)...'....... Lic.No.............* o.............. :: �,. �- ................... ELECTRICAL INSPECTOR Check # U� p G/ WHITE:Applicant CANARY: Building Dept. PINK:Treasurer / urncial use urny Permit No. C2;2 G 9 S16e4 Occupancy&Fee Check BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 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 To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the�eeiec�trical work described below. j.ocation(Street&Number F -Owner or Tenant--:L i Owner's Address ;:70 Is this permit in conjunction with a building permit Yes I/ No ❑ (Check Appropriate Box) Purpose of Building 14 try(E-- Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgrnd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd 10 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work r $T Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units i No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di sal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Drvers Heatinq Devices KW Local Connection No.of No.of Low Voltage Ito.of Water Heaters KW Signs Bailases Winn No.Hydro Massage Tuds No.of Motors Total HP / 'OTHER: POW 6 INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Works Work to Stant Inspection Date Resquested Rough Final Signed under the Penalties of perjury: LIC.NO. FIRM NAME Licensee Signature LIC.NO- Bu s. O.Bus.Tel No. Address Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the Insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PER S (Signature of Owner or Agent) ' t Location 93-� No. Date �pRTh TONIN OF NORTH ANDOVER 419 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ r Check # s J' —--Building Inspector TOWN OF NORTH ANDOVER .BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ,; �•: s :: d °�� �'�C�' --' r _. ted,�,.... ,-�� r�,ta§yP"i; L � 7 ,�,: �. st. ���v'�s n,.:''. �;�••..:Y ,,..-:"��.,.. _ .....,> Y,,.. ,:'.• -��'��� � its r- .: � .z.v?��� BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: C Building Commiss-oner/I for of Buildings Date Z SECTION 1-SITE INFORMATION o 1.1 Property Address: 1.2 Assessors Map and Parcel Number: / 3T F57-c-2 ST ioq,.b �g Map Number Parcel Number 1.3 Zoning Information: - 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft F " =_ Front Yard Side Yard Rear Yard Required Provide Required Provided ReqWred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) Address for Service: I t Signatur /j Telephone (,1, aww��✓� 97,3- 7a5-- 703 2.2 Owner of Record: Name Print Address for Service: O z M Signature Tele hone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ' Licensed Construction Supervisor: License Number mn Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number Address Expiration Date �I Signature Telephone v' r SECTION 4-WORKERS COMPENSATION(N.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.......0 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: 41<E SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be 777 OFF ILIAL USE ptly« Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(s)X (b) 4 Mechanical HVAC ----� 5 Fire Protection 6 Total 1+2+3+4+5 `©00 pp Check Number SECTION 7a OWNER AUTHOR TIO TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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 Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1 2ND 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 BLTILDING CONNECTED TO NATURAL,GAS LINE Town of North Andover pORTiy O �t�eo dgti Building Department � gt.,� 0 27 Charles Street o North Andover, Massachusetts 01845 -V (978) 688-9545 Fax (978) 688-9542 by 9 Building Demolition Affidavit SSgcHus���y DATE G " /D -00- OWNERS NAME&ADDRESS %dom,9 5 6MM6A S SSS` Foci P_ 5-1-RCE-7— PROPERTY iRCE-iPROPERTY LOCATION 661u E DESCRIPTION I AK6 &Wly CONTRACTORS NAME &ADDRESS DEPARTMENT SIGN-OFFS D.P.W./WATER v SEWER v . GAS I ELECTRIC TELEPHONE CABLE . .TA,XE$OPAL Kx POLICE FIRE b 'r, EXTERMINATOR DUMPSTER-ON OFF TREET DIG SAFE NUMBER 0?0 6 C;L 3 3 o cz � 8+�. BLDG. INSPECTOR DATE RECD t-Ut1IVI U.- LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fror, Boards and Departments having jurisdiction have been obtained. This does not relievc the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION APPLICANT—% Qtq A S E MAtDIU S PHONE_ LOCATION: Assessor's Map Number /65l,b PARCEL 38 SUBDIVISION_ LOT(S) STREET /_�S� 1�aS7EiZ ST. NUMBER /�S USE =C .. N A*MISTRATOR TOW AGENTS: NATION A . DATE APPROVED ?- DATE REJECTED COMMENTS / TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT �( FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ Revised 9\97 jm Town of North Andover of rokTk 10 • Budding Department 27 Charles Street14 �a North Andover MA. 01845 '•` - '• ' D. Robert Nicetta S�C►ws�� Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please Print J DATE JOB LOCATION �3 I"U`J��I S kejEGr Number Street Address � - 7 /!/� - PM� . Map�rot , � 3 P114 - "HOMEOWNER / PO/14/45- 7$' Vf— Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Tip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less 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 Budding 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 there is, or is intended to be, a one or two family dwelling, attached or detached strictures ac- cessory to such use and/or farm structures_ A person who constructs more than one horse in a two--year period shall not be considered a horneowner 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 hetshe will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL 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: (Location of Facility) Sig ature of Permit Applicant 6od Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector . i I k 4 NORTIy _ E° over Twn O O 6 0 � �I � No. a h � dower, Mass. o 004a COCIYICM I � %i�ADRATED p`P�`i�y BOARD OF HEALTH PERMIT TO RAZE Food/Kitchen Septic System Q BUILDING INSPECTOR THIS CERTIFIES THAT�.O-M.4..5.........C.M.M.Q.IV:. �.................. ......................................... Foundation has permission to~...RA. �....... buildin s on ......I,,,,,' ., ,,,, ,0„���,'„�,......s,�.,,,„ Rough to be occupied as........3.......... ......4. . ..........�w..�.�..C..v.. ..N..`....C. ... chimney P provided that the person accepting this pe it shall in every respect conform to the terms bf the application on file in Final this office, and to the provisions of the Codes and By-Laws elatin to the In action, Alteration and Construction of Buildings in the Town of North Andover. I Dy M Y S siol PLUMBING INSPECTOR VIOLATION of the Zoningor Building Regulations Voids this Permit. Rough 9 9 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTI ARTS ELECTRICAL INSPECTOR cRough `..... ........................... �...... 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 i Street No. SEE REVERSE SIDE Smoke Det. i LAWRENCE K OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 97&352-8318 fax 978=352-2858 cell 978-502-5921 May 24,2006 Mr. Thomas Emmons 135 Foster Street. North Andover,Ma. 01845 RE: Residence, 135 Foster Street,North Andover Dear Mr. Emmons As you requested I visited your residence at 135 Foster Street,to review the Engineered LVL beams used in the construction of the new addition. The beams s are shown on plans prepared by Mr. Stephen Foster dated 5/25/04. 1 verified by calculation the adequacy of these beams.I therefore and can certify that they are adequate to support the superimposed loads as required by the Massachusetts State Building Code and that to the-best of my knowledge are installed properly. Should you have any questions please do not hesitate to call. Yours truly, l� RE C c SI Z�I vG ROLD )awrence H. Ogden P.E. S GDS' N ,0 27765. q FSS/0NAENG\ l I Residential Property Record Card PARCEL-ID:210/104.D-0044-0000.0 MAP:104.11) BLOCK:0044 LOT:0000.0 PARCEL ADDRESS:135 FOSTER STREET :�U �C'11111 . ........ ....... ...... : ::::::,: - Road Ype'L::':::�::':' �::: Pt ... X PARCEL INFORMATION Sale .... .. ::::::::T::: ::::::I,Inspect t 06 F .- 0 pec�i ......... .. ...... ................... -.... ... : $' ....I.............. Owner: Tax Class: T Sale Date: 04/15/1999 Page: 0333 Rd Condition: P ... Meas Date:. 05/11WA64 ':X: WD, M E.,too :TO 170 S T 0 P.... ... EMMONS,THOMAS J P. ... ....... X XX ........ . . ..... Tot Land Area: 6.16 Sale Valid- N Water: Collect Id: RRC' DORIS EMMONS X xx�: ...... STFRJRVSvFlk4.JET:': $0*c W. R Address: . ..... ...... M1! ........ ...... ...... ... . ....... .. ........ ..... ... 135FOSTER STREET NORTH ANDOVER MA 01845 Exempt-B/L% 0/0 Resid-B/L% 100/100 Comm-B/LeW Indust-B/L% 0/0 Open Sp-B/L% 0/0 RESIDENCE INFORMATION LAND INFORMATION P't.- .� NBHD CODE: 5 NBHD CLASS: 5 ZONE: R1 yo-:::X� T R Ar ................. Story Height: 2 Bedrooms: 3 Up Fn Area: 1089 Bsmt Area: 1089 0, .cods::::::*�o ::::::S4 :::;::A .... ......... ...... . .......7,781 ...... Ad.. ... 2 1 P 101 S 43560 1 20 "::: :::::Ad0:FP A 4 ............. ....... Ext Wall: F8 Half Baths: 6 Urifiri Area: Bamt Grade. 2 R 101 A 5.16 41,280 Mesgri... .... ... .T.... ...... ... . ...... .. ..... ...... ... ,I Bath Qual ...T RCNLb246689 CN B Foundation: a DETACHED STRUCTURE INFORMATION : � ';A.A. R 01 Q . 00 P "0%G Q.:. 0,00: Heat Type: HW Ext Kitch: Year Built: 1799 Sound B1 S 2700 1998 A P 50///50 28,400 C 1008 1988 A P ///87 200 .. .. �c6stld02 0::::: S1 , G1 S 792 1988 A A 50///50 10,700 Fireplace: 2 Gar Cap: Condition: A Aft Str Vall: ':!:::d:':.:: W, : . ..... . ........ l, : at ::::::::BS , amp e-i L :Gar ...... Complete SVV 2 ....... ....... VALUATION INFORMATION Aft Gar SF: %Good P/F/E/R: /10011100/78 Current Total: 528,500 Bldg: 279,400- Land: 249,100 MktLnd: 249,100 Prior Total: 480,100 Bldg: 273,800 Land: 206,300 MktLnd: 206,300 SKETCH PHOTO 14 W rr ........ ... 1.2168$%Fqj 2 14 15 FQ4.FM/8 10 9 Sq,Ft 27 ------------- 2j 1:35 C FOSTER STREET X Paroel ID:210/104.D-0044-0000.0 as of 1215/07 Page 1 of 1 1. 84. 4 . TREET S F OS-rFR 38'Tp CpRNER #,ss � � prop°s — LOT C ys 479' la --rs pow' �. PLAN#13321 N.E.R.D. Xl T. HSE. PROP. 6.969 ACRES FND• ADD. ASSESSORS MAP 104D 4' PARCEL 44 GARAGE 5 � SHED PLAN OF LAND IN NORTH ANDOVER, MASS. OWNED BY THOMAS EMMONS SCALE. 1"=40' DATE.1/6/2004 111312004 3/17/2004 B,gRN 01 40' 80' 120' Scott L. Giles R.P.L.S. (S Frank. S. Giles R.P.L.S. 50 Deer Meadow Road North Andover, Mass. fid` NOTE: THE ZONING DISTRICT IS R1. OF oG THE PROPERTY LINES SHOWN ARE THE S LINES DIVIDING EXISTING OWNERSHIPS,AND � 3972 0 THE LINES OF STREETS AND WAYS SHO WN 1 �fC�S3972 ARE THOSE OF PUBLIC OR PRIVATE STREETS s�o�4L 1���,5� 171 OR WAYS ALREADY ESTABLISHED,AND NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAYS ARE SHOWN. 31(? uO ,/� �DA1 �/►�L OTS ?710-7o25- `1&3(o cDS S� b � BIP, 1ell i 1 Date... ... ................. &ORT" TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that ..... ...... ......................... . .. . .... .. .... .... has permission to perform .....AAk4......1--�....................................... c wiring in the building of........ ...........-..5 .................... �eat.... .......r.......................r`.:.... .............. North Andover,Mass. ...... PA Fee.... Lic.No.J.4. .. ...... .I.. -i ]�-C-A' ;.PECTOR Check # Jq00 562' 4 i THECOMMOIVWEALTHOFMAS CHUSETTS Office Use only DEPARTAfl N7'OFPUBLICSA E—lY Permit No. BOARDOFFIREPREVEIVVHONREG&,WONS527CMR12.-OO Occupancy&Fees Checked APPLICATTONFOR PEI'MIT TO P RFORMELECTRICAL WORK ALL WORK TO.BE PERFORMED IN ACCORDANCE WITH THE MAS ACHUSSTS ELECTRICAL CODE,527 CMR 12:00 % (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date - 5 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical rk d scribed below. Location(Street&Number) �Q�S� 2 j r Owner or Tenant QMAA FANM14J 7IsOwner's Address /35'- FaS7-E-k S7- Is this permit in conjunction with a building permit: L 4411'7-ipermit: Yes� No M (Check Appropriate Box) Purpose of Building (?E s),O � Oe / DA Utility Authorization No. Existing Service ...G Amps q00I Volts Overhead MUnderground No. of Meters New Service Amps Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets J No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA jj ground Rround 1 4 No.of Receptacle Outlets O No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges d No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals D No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW Np,of Sounding Devices O Na'I of Self Contained Detrsction/Sounding Devices No.of Dryers Q Heating Devices KW Local Municipal Other Connections No.of Watejr Heaters KW No.of No.of Signs Bailasis No.HydroM4ssage Tubs No.of Motors Total HP t THER".�,' UX=Coverage.RmanttDftMgManCfIsofNb%ad�C-oa Laws aveaamuntIiabAtyhistirmmPbhcyi rlxk; gCompl CovUlNporitsmbstantialagrmia t YES NO aNesubmitedvaliddpfoofofsa etothe0ffim YES r IT fyoubaNedrded-YO,pleaTrdcaPdrWOfODVe,ageby ng theTillebox SURANCEBOND OIH M (Ple?XSpaafy) ExpitationDale Estiiroled VakrofElechical Wotk$ AtoSlait kgectionDateRaluesed Rough Final ned unclerTr anatties of perjury: :MNAME LiouwNo. Msee Signahue LiCMTNo BUMXssTe1No. i imce®� Alt Tel No. �WT,'S PJSURANCE WAWEF,I am aw=that dr-License-does not have the riar&r-,coNwage or it3 subsLTtal equivalent as regmud by IvIassatuselts Geoed Lam that my @gmt ue on thispermit application waives this ngmemmt ;ase check one) Owner Agent r,, Telephone No. PERMIT FEE$ lgnature ot Owner or Tgent i 1 a r The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Q • Boston, Mass. 02111 Workers'Compensation insurance Affidavit Name Please Print Name: 0T Location 3 / 6/&-P :5 62F1 Cl Itie.w /ff/1���2 Phone # I am a homeowner performing all work myself. nI 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:' Address City: Phone#: Insurance.Co. Policv# Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required.under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500:00 and/or one years'imprisonment_as vetell-as_civil..penattiesin.Shefnrm-ofa STOP_WORKORD-ER..and_a.fine_of-(.$1OO.DD)_adayagainst-me. understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. liy 1 do hereby certify un er the pains and penalties of perjury that the information provided above is true and correct. r Sign; Date Print name l� /06>A)6 Phone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing E] Building Dept ❑Check if immediate response is required Q Licensing Board r-1 Selectman's Office Contact person: Phone#. Health Department Other