HomeMy WebLinkAboutMiscellaneous - 15 BRIGHTWOOD AVENUE 4/30/2018 (2) / 15 BRIGHTWOOD AVENUE ��_�
2101067 000.0
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Location
No. 2oo Date 7��
�oRTh TOWN OF NORTH ANDOVER
O�st. o ,•11.
Certificate of Occupancy $
u
+4L I Building/Frame Permit Fee $
Foundation Permit Fee $
s�cMusE
Other Permit Fee $
n;
Sewer Connection Fee $
ory
Water Connection Fee $
O
N
TOTAL $ "
Building Inspector
1 2 6 9 9 Div. Public Works
' Location
No. Date
MCRTN TOWN OF NORTH ANDOVER
n Certificate of Occupancy $
I I'
Building/Frame Permit Fee $
Foundation Permit Fee $
S 'ust
Other Permit Fee $
Sewer Connection Fee $
Cq
Water Connection Fee $ 10
r.:
TOTAL $
Building Inspector
Div. Public Works
i
PERMIT NO. APPLICATION FOR 11C.- MIT TO IIUILI)********NOIITII ANDOVER, MA
Al%I,NO. j LOf.Nc). 2. RECORDOFOWNERS11111 DATE BOOK PACE
V)M1E SUB DIV. 1.0f NO.
4.O(-AIION l'/dZ— PI IRIY ISE(11131111 DING
O\VNER'S NAAIE IJ ) f NO.(X STORIES SIZE li
'O\VNI:R'S ADDRESS 1 BASEMENT Oft SLAB
AR(1II 1 ECI'S NAME SIZE OF FLOOR'1IMBERS I ST 2 ND 3
131111 DE R'S NAME SPAN
DISI ANCE 10 NEAREST'BUILDING DIMENSIONS OF SILLS
DIS FANCE I ROM STREET' DIMENSIONS OF 1'(161 S
DIS I'ANCE FROM LOT LINES-SIDES R R DIMENSIONS OF GIRDERS
AREA OF LUT FRONTAGE I IEIGI IT O:FOONDAII(NJ THICKNESS
IS B1111-DIN(;NEW SIZE OF FOGA INC. x
IS 131111_DING ADDI TION ' MATERIA].OF CI IIAINE Y
I
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FII LED LAND
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Vl'll 1.BUII-DI NG CONFORM TO REQ 11REMENI S OF CODE IS B(11LDING CONNECT EDI 0 TOWN WAFER
BOARD OF APPEALS ACTION, IF ANY IS B1111.DING CCNJNECI ED 10 1 OWN SEWER
15 BUILDING CONNECI ED IO NA FURAL GAS LINE
INS1'11("['IONS 3. PROPER7 -INFORNIA11ON LAND COST
ESI. 1311x). COST
PAGE I FILI.OI IT SECTIONS 1-3 ES 1. 131 DG.COST PER SQ. FT.
EST. BI.IXi. COSI PERR()OIA
ELECTRIC METERS MUST BE ON OUTSIDE 01:131111 DING SEPTIC PERNII I NO.
I
AI-IACIIEDGARAGES MUST cowoRM'FOSTATEFIRE REGULATIONS 4. API'It( vunBI"
PI.ANS MUST BE FILED AND APPROVED BY BUILDING INSPECTORBl IN '1 'EC I
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I)A I E FII I:1) ri OWNERS 11:1.4 � L°
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CONI RAEI.b
• C'OFf1 R.1.IC'l�
SIGN.A I l IRF:OF(":R Oil A I.1 N)tIZIiD AGENT
ILLC.b
•FI:1:
PF:RntIT GRANfP!Z�� I
19
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TOWN OF NORTH ANDOVER
AFFIDAW
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: RCOF �s Est. Cost 5W
Address of Work _ QVC
Owner Name:
Date of Permit Application: r) 61
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 UNER MGL c. 142A.
I
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:
r
Date Y 040 Name
Town of North Andover NORTH
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES °
146 Main Street x ,
WI11IAM 1.SCOTT North Andover, Massachusetts 01845 SAC" S ACNUS�
Director
In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be disposed of in a
properly licensed solid waste disposal facility as defined by MGL c 111, S 150A.
The debris will be disposed of iil:
(Location of Facility
i
)
AI i
Signa re"of Permit AppllcarW
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
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BOARD OF APPEALS 689-9541 BUMDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9533
F N0RTh
Town of Andover
10
m
No.300
Z_
i _ s dover, Mass., Z 19 ?e
O LAKE
'9A_CO HICME WICK LY 1'
S BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
THISCERTIFIES THAT...................................`..1.................... ..l..l. •a6�•• ............................................. Foundation
has permission to wart :....�.�1�.�/�. buildings on .......(..�.... ..•.• ,s%
� Rough
to be occupied as............................................................... ,/ �1• ....................................................................... Chtmn y
e
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough j
Final
PERMIT EXPIRES IN 6 MONTHS
UNLESS CONSTRUCTION STA
ELECTRICAL INSPECTOR
Rough
.............................. .. .... . .... ........ .....................................
Service
LJILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
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3 X, p J�
Date......L/. o'..... .. ..
f NORTH,
"°o4L TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
�SSACHUS
�
This certifies that ..........�1 �/./.�.4...'...1^ .: .........,�,.>.J..l:........-. ..:...
has permission to perform rC
wirj'ng in the building of....... .! :. ..J.!..�Z.......................................................
�........ ,,North Andover,M
at:.....�.�........ .�'.....�.� f. .:�.�......... ..
F4.... Lic.No..(..
LECTRICALINSPECCOR
Check # rJ U i (/////
�eParLn:ertf oJ.ra �ervice� V
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS Rev. 1 I199J {leave Eitank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be perfomicd in accordance with the Massaci1usctts E-Icctricai Code(M/ESC),527 CNIR 12.00
(PL r ISC PRIiV7'ININK OR 7YPL•'.4LL ItVI01Z.1•:ITION) -,0/
Ci or Town of.• /J/0 �I ��iY To the Inspector of Wires:
By this applitcation the undersigned gives notice of his or her Intention to perform the electrical work described below.
Location(Street of Number) /
Telephone No.
Owner or TcnaIitJ'7/,
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No (.Check Appropriate Boz)
1'urliose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of itleters..
New Service Anlps / Volts Ozcrlacad❑ Und;rd ❑ No.of Dieters:
Number of Feeders and Anipacity
Location and Nature of Proposed Electrical Work:
.l
Completion orthe rollon arQ table rnav be hailed by the it'"cetor o�jPrrrx
tiNo.of Total
No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Falls Transformers KVA
'VA
No.of Lighting OutIcis
No.of I•€ot Tubs Generators I�
AbOS a In- ! 0.0 mergency Ib tIIig
No.of Lighting Fixtures. Stivimming Pool -Md. Q prnd. Battery Units
No..of Receptacle Outlets No.of Oil Burners FIRE ALAIti��S No.of Zones
No.0 Detection and
No.of Switches No.of Gas Burners Initiating Devices
TotalNo.of Alertina Devices
No.of Ranges No.of Air Cond. Tons
Heat Pump i umber 'Tons K1V No.a£ elf ontaincd
-No.o£Waste Disposers TtstaIs- Detection/Alerting,Devices
lY unicipal Other
1%.of Dishivashers Space/Area Heating KW Local Q Connection
Heating Appliances KN Security Systems:
i`lo.of Dry era No.of Des ices or E uivalent
i o.of Water iso.of Data;Miring: , '
}~seaters KN Sins Ballasts No.of Devices or E niwalent
Telecomca
munitions~'hang:
No.Hydromassage Bathtubs No.of iliotors Total HP No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Irupeclor oI ff"rns
INSURANCE COVAGE: Unless«�aived by the ovmer,no permit for the performance of electrical work may issue unless
ER
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has e:diibited proof of same to the permit issuing office.
CHECK ONE: IN VBOND Q 'OTHER 13 '(Specify:)
(Expiration late)
/ len required by municipal policy.)
Estimated Value of Electrical Work: ;
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
e informa
I cern ; under lire pains andpenalti ofperjur};tlza thiitsn of Iris pplica:ivtz is trite and complet�
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�(D �-e• LIC_NO.:
FIRM NAINIE: tx cJK t LIC.`i0.:
Licensee: -Ks�l q� Signature _0755
�O.xv�eJo' l3us.TeI.i 0.-Ir
(dJapplicable,enter"e_Yenrpt"in the lice»se nrrnrberTrne.J• g-_&a-j-ol
Address: Oo ter tr1. � t�-Ce-�y�,��(.Q� A oat!s Alt.Tel.No.•
OWNER'S INSURANCE :DIVER: I am atvarc last the Licensee does t have the liability insurance coverage normally
❑
owner
required by Ia�v. 13)'my signature beioo%,.ner.s aeent.
�v,I hereby waive this requirement. I am the(check:one)[I
•
Owner/Agent Telephone No. �1=Ptl I�FEL•: S .S-
Signature