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HomeMy WebLinkAboutMiscellaneous - 15 BRIGHTWOOD AVENUE 4/30/2018 (2) / 15 BRIGHTWOOD AVENUE ��_� 2101067 000.0 1 , i r 1 i 1 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 i 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 I I)A I E FII I:1) ri OWNERS 11:1.4 � L° J 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 I f A 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. i I 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. k �r 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� N q �(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