HomeMy WebLinkAboutMiscellaneous - 1463 GREAT POND ROAD 4/30/2018 1463 GREAT POND ROAD
210/062.0-0060-0000.o `
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Location ��3 �12AAT b ICfJ
No. i C f Date
'40M #1
1 TOWN OF NORTH ANDOVER
r C� •
} " ` P Certificate of Occupancy $
o * Building/Frame Permit Fee $ 3 3
I.
sACNUS t� Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ 3
1
' Buil ng Inspec or
y�14/20k 16:15 398.0o PAID '
�+ Div. Public Works
PERMIT NO. � APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
P 4.10. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE
ZONE K-2 SUB DIV. LOT NO.
LOCATION &g3 / Td1?� , PURPOSE OF BUILDING S
OWNER'S NAME /! (� NO. OF STORIES SIZE V Ll_CJ6�fJ
Je4��'-B %'I _
OWNER'S ADDRESS ,4y/ BASEMENT OR SLAB /, 1
ARCHITECT'S NAME l G 1_ L J` SIZE OF FLOOR TIMBERS ISTX/ry 2ND 3RD
BUILDER'S NAME �G ,! SPANLJJ/d G
DISTANCE TO NEAREST BUILDING n �1 DIMENSIONS OF SILL!(? ---
DISTANCE FROM STREET ,/3 J POSTS
DISTANCE FROM LOT LINES-SIDES �� REAR /' A J GIRDERS
AREA OF LOT / 333 - FRONTAGE .�d f HEIGHT OF FOUNDATION �,f/ THICKNESS
IS BUILDING NEW [ Na SIZE OF FOOTING J/ /� X
IS BUILDING ADDITION, � , MATERIAL OF CHIMNEY nip a�
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND G{� G
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y� IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY /` ) yl J IS BUILDING CONNECTED TO TOWN SEWER
`✓�•/ IS BUILDING CONNECTED TO NATURAL GAS LINE c�
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST / ,/I-
SEE
r�
SEE BOTH SIDES EST. BLDG. COST S 2 J 7 p._�._
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT. /1!�, So
PAGE 2 FILL OUT SECTIONS 1 - 12 t _EST. BLDG. COST PER ROOM Z6�d '�
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND PPROVED BY BUILDING INSPECTOR
DATE FILED
ILDI INSPECTOR
SIGNATURE OF OWN R2AUTHORIZED AGENT r�
F E E 9 OWNER TEL.# Z ✓-��I7
CONTR.TEL.#
PERMIT GRANTED b
CONTR.LIC./t
H.I.C.# / 6-7672
OCT t 2 :0,lc'-) S� C�►� —Z¢{�
BU'ftDI-NG RECORD
1 OCCUPANCY 12
SINGLE FAMILY STORIES _ THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
.MULTI. FAMILY 'OFFICES LOT LINES AND EXACT DIMENSIOtVS OF BUILDINGS. WITH.PORCHES. GA-
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH- '
CONCRETE 3 1 2 '3 L. '
CONCRETE BL K. PINE
BRICK OR STONE HARDW-D _
PIERS PLASTER n
_ DRY WALL
UNFIN.
3 BASEMENT
1
AREA FULL A N. B M AREA _
'/ 1/1 '/ FIN. ATTIC AREA -
N_O B M T FIRE'PLACES
HEAD ROOM MODERN KITCHEN
4 WALLS •9', FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING HA-RDW D _
ASBESTOS SIDING COMMON
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY ) �_
STUCCO ON FRAME
BRICK ON MASONRY :_ ATTIC STRS. & FLOOR I_
BRICK ON.FRAME
CONC.•OR CINDER BLK.
STONE ON MASONRY- WIRING
STONE ON FRAME - _
SUPERIOR I� PONOOR _
ADEQUATE 1 NE
5 ROOF 10 PLUMBING
GABLEAKi HIP BATH (3 FIX.)
GAMBREL MANSARD TOILET RM.•12 FIX.) _
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES J KITCHEN.SINK,
SLATE NO PLUMBING
TAR & GRAVEL STALL SHOWER
ROLL ROOFING I MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPELESS FURNACE \ -
FORCED HOT AIR FURN.
TIMBER13MS.'8 COLS. X STEAM
STEEL BMS:d'COLS. HOT W'T'R OR VAPOR
WOOD RAFTERS AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T 2nd. _ ELECTRIC /
lst 13 11 NO HEATING
tAORTH
Town o 2r 6Andover
No
0
- 509
I
0 dover, Mass., 3(:�6 I 19q
OCHICHE
0"'A
"'ATE[)
BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT T D
BUILDING INSPECTOR
THIS CERTIFIES TH ....................
ATaBA........ .................................................................. Foundation
-Ifwr .....f�>.................
has permission to erect..U=.....FIMOA buildings on .... .........6................................. Rough
to be occupied asl�.M.�.LM.Qpaxn...... .........A.coxiv.I Chimney
provided that the person acce)tIng this permit shall In every respect conform to the terms of the application....o-n.-file 1'e"'i n" 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
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONS UC ELECTRICAL INSPECTOR
Rough
.......... ................ Service
N SPECT
OR
W OR 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
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT
To: Town of North Andover
Building and Other Applicable Depts.
From: Barbara and Dean Wiltze October 10, 1995
1463 Great Pond Road
N. Andover, MA
I hereby authorize the town building, public works, or other
departments and authorities to issue any required permits for
the purposes of construction of an addition to our residence
at 1463 Great Pond Road to:
Tara Leigh Development Corp.
Thomas D. Zahoruiko. Pres.
185 Hickory Hill Road
North Andover, MA 01845
(Mass. Construction supervisor License #055417)
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Homeown rs ig a ure
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FORM U - IAT 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 local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: WtA Phone 72-S--3SIZI
LOCATION: Assessor' s Map Number �7, Parcel
Q
Subdivision —"' /fp Lot(s)
Street )q� �� PDYId� dC�Q� St. Number &1�3
************************Official Use Only************************
RECOMMENDATI N OF T WN ENTS:
Date Approved
Conservation Administrator Date Rejected
Comments �,//� U X15 W �N Idd ,
4c/
Date Approved N121
Town Planner Date Rejected
Comments
Date Approved /1S 111
4�—
Health gent Date Rejected
Comments
Public Works - sewer/water connections KJ (� C W
-4
- driveway 2ermit Cb C( QS 1
Fire Department t f
Received by Building Inspector Date ` -W
y Date...............
TO 2707
NOR71{
TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
SA HUS
E
that ..� .........�..j........�.-'..-....ar.........� . S.................This certifies
has permission to perform . C ........ ./.'�:t .•...
wiring in the building of J—>a-.44...... ..........................
at....� ..
North Andover,Mass.
Fee.-:;b .�:'.... Lic.N /� ..............................................................
/ --� Z� -..- ELECTRICAL INSPECTOR
41
2 -11/20/95.11:13 75.00 PAID
WHITE: Applicant CANAIVY_: Building Dept. PINK:Treasurer GOLD: File
?r:� MASSACHUSETTS UNIFORM APPUCATION FOR PERMIT TO DO PLUME31NG
.1 (Print or Typal ..
NORTH ANDOVER, . Masa. OaiaBundin
I LI6� 'Ce—fit Penna
Location
191
Locallon
Owner's �I '�� ,
Name
New 41 Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No.❑
FIXTURES
st is
sr W < »
1W M
r s w e s s a= s o s • a e
j e) r e/ M = 1 1- V • N < tl a. _ t _ M
ar r it O 7 s t w t y w O e »» s et
r J
s V > !� O » M t t a p �' _ _ �► 0O t�icj r1
O t J O < s s sy t O <
it • 1 a • o o S � s F. • ij • a o < )• s •
cull—ts�T.
SAtltHtNT
1ST FLOOR
iNOFLOOR
5110 FLOOR
ITHFLOOR
STH FLOOR
STH FLOOR.
7TH FLOOR
STH FLOOR —
Check one: CertificateInstalling Company game ❑Corp.
Address �,l C.O !�v ❑Partnership
�f-fJTO Ott-1 6<;3.5-P ❑Firm/Co.
Business Telephone �a C3 3 9a
.Name of Licensed Plumber _ dk/'O/,Z
INSURANCE COVERAGE: ecx e
I have a current liability Insurance policy or its substantial equtvalent. Yes L°J No ❑
It you have checked y", please indicate the type coverage by checking the appropriate box
A liability Insurance pcilcy 1;4Y Other type of indemnity 0 Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
Chapter 112 of the Mass. General Laws. and that my signature on this permit application waives this requirement.
Check one:
SonOwner ❑ Agent ❑
store o • « Owners ens
1 hereby certify that sit of the details and Information I hays submitted toe entered)In abW app4katlon are true and accurate to the best of my
knowledge and that as plumbing work and Installations performed under the parmAfor Ws application willbe in compliance
th N
peAlnent provisions of the Massachusetts State Ptumbh�g Code and Grapier 112 t3arwai - �
Title pnatme W Ucensedumber
Gty/Town Ucense Number
Type of Plumbing Umnse: Master ❑
APf'f1WfD (OfF10E USE ONLY) Journeyman ❑
�<
Date.
T-4-2 2696
NORTH
�'<��•° •'�c TOWN OF NORTH ANDOVER
F PERMIT FOR PLUMBING
'ssACHUSEt /f
This certifies that . . . . . ! . . . . . . . . . . . . . .
r
has permission to perform ia colv"Ix.e-
plumbin in the buildings of . . . . F.f� l�%��,.�-. . . . . . . . . . . . . . . .
at. ./ 7L . . !. . �. . ., North Andover, Mass.
Feed .L. No../1.5.ky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
14:46 25.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File
L Office Use Only
014t TiammIIltl mit4 of Musaoust fs Permit No. a
Occupancy&Fee Checked_
�r;turimPut of�uhlit *ttfriq
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 peave blank) G
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
' (M* or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described
described below.
" Location (Street & Numbed I IL G LA-
Owner or Tenant -:D 6 AC-1 �/✓��!1 S t✓
Owner's Address
Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters
New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters
Number of Feeders and Ampacity /
Location and Nature of Proposed Electrical Work l/�/t ' a ��� aJ!
No. of Lighting Outlets I H / I No. of Transformers Total
No. of ,,ot Tubs KVA
No. of Lighting FixturesI 'I Swimming Pool AboveIn-
Generators KVA
ip grnd. gmd. '�
No. of Emergency Lighting
No. of Receptacle Outlets ( I No. of Oil Burners Battery Units
No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones
No. of Ranges No. of Air Cond. Total No. of Detection and
9 tons Initiating Devices
No. of Disposals No.of Heat Total Total
p I Pumps Tons K1,V No. of Sounding Devices
No. of Self Contained
No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices
Heating Devices KW Local Municipal Other
No. of Dryers ( I 9 :, Connection ❑
No. of No. of Low Voltage
No. of Water Heaters KW I Signs Ballasts Wiring
No. Hydro Massage Tubs I No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Compie Operations Coverage or its substantial equivalent. YES = NO = I
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 appro ate box.
INSURANCE BOND ` OTHER = (Please Specify)
(Expiration Date)
j
Estimated Value of E!ectricai Work S `z�b7•JJ
Work to Start I 1—I Inspection Date Requested: Rough I -Zt Final
Signed under the Penalties of perjury:
FIRM NAME VV\A:L A-L~- YI.0"'Cb LIC. NO.
Licensee C 6 Signature - LIC. NO. L,7L2 V �-
Bus. Tel. No.
Address L I t 1 Irl Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one)
Telephone No. PERMIT FEE S
(Signature of Owner or Agent) x-6565