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Home My WebLink AboutMiscellaneous - 16 DANA STREET 4/30/2018 North Andover Boa,-d of Assessors Public Access ?` Page 1 of 1 pORTH North. Andover Board of Assessors Q:4�llY Ib,�O �y �-... `TS�cHuBEtTziroperty Record Card Click Seal To Return Parcel ID :210/010.0-0017-0000.0 FY:2013 Community : North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales 1 Summary Residence ' . unu Detached Structure �~ Condo I" 6 DANA STREET I F I Commercial Location: 16 DANA STREET Owner Name: SULLIVAN,DONNA H Owner Address: 16 DANA STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 5-5 Land Area: 0.17 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1463 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 288,900 269,100 Building Value: 135,700 113,300 Land Value: 153,200 155,800 i, Market Land Value: 153,200 Chapter Land Value: LATEST SALE Sale Price: 136,000 Sale Date: 10/04/1993 I Arms Length Sale Code: Y-YES-VALID Grantor: CASTALDO,JEFFREY Cert Doc: Book: 03852 Page: 0027 http://csc-ma.us/PROPAPP/display.do?linkld=2250018&town=NandoverPubAcc 10/9/2013 Residential Property Record Card PARCEL ID:210/010.0-0017-0000.0 MAP:010.0 BLOCK:0017 LOT:0000.0 PARCEL ADDRESS:16 DANA STREET FY:2013 PARCEL INFORMATION Use-Code: 101 Sale Price: 136,000 Book: 03852 Road Type: T Inspect Date: 12/06/2011 Tax Class: T Sale Date: 10/04/93 Page: 0027 Rd Condition: P Meas Date: 12/06/2011 Owner: Tot Fin Area: 1463 Sale Type: P Cert/Doc: Traffic: M Entrance: X SULLIVAN, DONNA H Tot Land Area: 0.17 Sale Valid: Y Water: Collect Id: RRC Addrress:ess: 16 DANA STREET Grantor: CASTALDO,JEFFREY Sewer: Inspect Reas: C ' NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / RESIDENCE INFORMATION LAND INFORMATION Style: CP Tot Rooms: 5 Main Fn Area: 836 Attic: NBHD CODE: 5 NBHD CLASS: 5 ZONE: R4 Story Height: 1.75 Bedrooms: 2 Up Fn Area: 627 Bsmt Area: 836 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: G Full Baths: 1 Add Fn Area: Fn Bsmt Area: 1 P 101 S 7475 0.170 153,201 Ext Wall: AV Half Baths: 1 Unfin Area: Bsmt Grade: DETACHED STRUCTURE INFORMATION Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 1463 Foundation: CN Bath Qual: T RCNLD: 130333 Str Unit Msr-1 Msr-2 E-YR-Blt Grade Cond%Good P/F/E/R Cost Class Kitch Qua[: T Eff Yr Built: 1970 Mkt Adj: G1 S 240 0.00 1988 A A 50///50 5,400 Heat Type: FA Ext Kitch: Year Built: 1939 Sound Value: VALUATION INFORMATION Fuel Type: G Grade: A Cost Bldg: 130,300 Current Total: 288,900 Bldg: 135,700 Land: 153,200 MktLnd: 153,200 Fireplace: 1 Bsmt Gar Cap: Condition: A Aft Str Vail: Prior Total: 269,100 Bldg: 113,300 Land: 155,800 MktLnd: 155,800 Central AC: N Bsmt Gar SF: Pct Complete: Aft Str Va12: Aft Gar SF: %Good P/F/E/R: /100/100/75 Porch Tyne Porch Area Porch Grade Factor E 96 W 210 SKETCH PHOTO 21 W I' i 10 210 Sq.Ft 10 w, >-t.r FlPr0.75 836 Sq.Ft 16 E zz Sq EQt' i 6 16 DANA STREET L Parcel ID:210/010.0-0017-0000.0 as of 10/9/13 Page 1 of 1 Date..`.2 I 140 r10RTly TOWN OF NORTH ANDOVER PERMIT FOR WIRING i ems:',. • B,CHUs� This certifies that .............. „ ' has permission to perform ..... , �..4..►...,............................�......................................................................................................t�ld . winng in the building of....... t „ ., �V .................................................................................. at 1y........>e.!..fifil:...C�.,II.,R:4k................ orth Andover,Mass. va FeecwrS�? --....Lic.No. l�, . Mb...... •: .. �.. Check# (..ommonwaa&o rn466aclu Ib Official Use Only 2apa.tmant o13i.a Swwkw Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:Idk-11, Ci or Town of: �o City �D'�� ' To the I Spector of Wires: By this application the undersigned es notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity /,5 �-Jj,2b gW /--30 14w Location and Nature of Proposed Electrical Work: _ d fi0/1 Or? Zia Completion of the following table ma be waived by the Ins ector of Wires. No.of Recessed LuminairesNo.of Ceil:Susp.(Paddle)Fans o.o To tal 1 Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In o.o Emergency Lighting No.of Luminaires Swimming Pool rnd. ❑ d. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No— and No.of Switches l No.of Gas Burners . o eteng D vi Initiating Devices No.of Ranges Q No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers HeatPump umber.. ons..._ o.oSelf-Contained Totals: . ..,, Detection/Alerting Devices No.of Dishwashers () Space/Area Heating KW Local ElM ❑ other Connnectnect ion No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.o Water KW No.o No.o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP elecommumcations Wiring: No.of Devices or Equivalent j OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 1 Estimated Value of Electrical Work: (When required by municipal policy.) (� Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 9 BOND ❑ OTHER ❑ (Specify:) I certify,under7,V" irs and penalties of perjury,that the information on this application is true and complete FIRM NAME: -tf iG LIC.NO.: a 11 S�� Licensee: ; SignatureLIC.NO.: J6 (If applicable enter" xempt"in a license num erline. Bus.TeL No.• Address: � d1,61�� Alt.TeL No.:'71, 76 T_.] *Per M.G.L.c. 147,s.57-61,security work requirds Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) owner ❑owner's agent. Owner/Agent PERMIT FEE. S Signature Telephone No. 14�/ .� . �. F The Commonwealth of Massachusetts Department of Industrial Accidents ,kMVJ Office of Investigations 600 Washington Street Boston,MA 02111 www mass goy/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/orgmization&dividual): /I Address: City/State/Zip: "Le 5 Phone Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. I am a general contractor and 1 6. []New construction mployees(full and/or part-time).* have hired the sub-contractors 2. am a sole proprietor or partner- listed on the attached sheet t Remodeling 1 ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers' comp.insurance. 9. E]Building addition [No workers'comp.insurance 5. We are a corporation and its required.] officers have exercised their l0lectrical repairs or additions 3. I am a homeowner doing all work right of exemption per MGL 11.[]Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.[C)Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13. Other ''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 then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si tore: Date: Phone#: / < Oficial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Fold,Then Detach Along All Perforations :GOMMONWE&xii`OF MASSWHUS ETM - 1 <3F £Lf CTff ICI ANS ISSUES TH£ .FOLLOWING t'tCENS£ JUURNEY01 £LECTR I C I AN _ R I C�#E4€3D F HORGAN 7 RITAfl ' � T 1'EABODY MA' Q1960-1314 : X62$ 'B 07131::�f 61173 •yj,- Fold,Then Detach Along All Perforations COMMONWEALtH OF MASSACHC3SETTS -� - ELfCTR I C PANS 41SS.UES THE,FOLLOWING-`:LtCENSE AS;: A RfG t ST.ERlt3 MASTE32 1rtECT€t.I C l Ai�1 , � . F ORGAN: Co 7 `R i Tfl acs: cj �EaoDY � 0.19bo=1314 21133: 07/311 95072 Date..M c?A\-5.. 142 1 NORTH, TOWN OF NORTH ANDOVER .* O .•o .. •ti0 PERMIT FOR PLUMBING This certifies that.... .:...... . P S �� Fah�,.`.................................................... has permission to perform.................�.............................4.1 ...................................... plumbin m buildings of...��.... �'.A:. .... .................................... Gat............. ................ v'.!..`)..........:........................ ............., North Andover, Mass. aFee 2� ...Lic. No. ..�...................................................................... PLUMBING INSPECTOR Check# �/7/'! .�2 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATE PERMIT# JOBSITE ADDRESSC(� Z ►14 ; v '1�d , . _ j•_ OWNERS NAME .&ft na :5X P OWNER ADDRESS �.� __.._.�..:.__:..4.._. . a,:a�.«A..w.,,.._,4 :...,.�..�i TEL[ TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW RENOVATION:; REPLACEMENT- j PLANS SUBMITTED: YES NO FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM ; DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR!AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE I MOP SINK TOILET URINAL WASHING MACHINE CONNECTION 3 WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: �- I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES' NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY' OTHER TYPE OF INDEMNITY BOND ^2 �),WNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the LPlassachusetts 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 1 have submitted or entered regarding this application am true irate a best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in com i pro ' ion e Massachusetts State Plumbing Code and Chapter 142 of the General taws. PLUMBER'S NAME,1 Timothy L Mansfield LICENSE# 13437 Sl UR MP': JP CORPORATION #'2561-C PARTNERSHIP . # LLC # COMPANY NAME Mansfield Plumbing&Heating,Inc. ADDRESS 2 Harmony Lane CITY;Georgetown STATE MA ZIP 01833 TEL 978-352-5493 FAX 978-352-5410 CELL 508-962-6048 EMAIL mansfieldplumbing@verizon.net 1v Offlee Warbwe _ � A MAN 4 .. 2 Harmony Lane - - Lam' Una � � 4.0law5 aRdl 2-018magoleadto� e ZElftmodeftg s*=hwwM - & O Wawa �araea�pF h = Q pbviuiame issenow - Aquho&l - 5-0 leaftacoipan I Maits lGLOsw 3_01mal cwadmfwm fir peffic 11 rs- �JwM jusumme � tfil �st�s aeeepe�eep - ��eiedaaa�l�ed M CEO dbw po - - - „ 1 - 4/01 /14 _ JobAddieS� of - - POW Ft��ec� ea � oa3er&cfi=2S&vfbWL-,�.Licoalead. ` aa fine►�$I, OQ�ttac� Cras��+av � tafine a� � adag a r as aaor I - �� aif e1' F Airm 0 1 Awaftm77 +aene�t U 173 .&' - - - - _ c - i s` { COMMONWEALTH OF MASSACHUSETTS PLUMES tS Ar14As7ER PLUMBER ` LICENS ISSUES THE ABOVE UCENSE ` } TI-MOTHY J VANSF IELD m ;I 60 UPTACK POAD GROVELAND Mr1 01834- 1003 13437 15/011i4 160702 1 Date.lb.. J .��................ NORTH O p TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ......!..+,Md ....... . e.R,............................... has permission for ga installation ..... - .. .t .................................. inthe uildij gs of.......... .....? ..` .:........................................................... at........ � 11V�....................................................... North Andover, Mass. Fee... '�... Lic. No. 1 ...... M�k.................................................. GASINSPECTOR Check# MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY N(3r--NZ MA DATE /,P/,30//-!-, PERMIT# • JOBSITE ADDRESS /Co nG` st OWNER'S NAME GOWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL` PRINT CLEARLY NEW: _, RENOVATION: REPLACEMENT: )lC, PLANS SUBMITTED: YES NO APPLIANCES'l FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE ! FRYOLATOR FURNACE GENERATOR 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 S INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES , NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY -, 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 complia .�Gvith Il rtin pr ision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Timothy J.Mansfield LICENSE# 13437 SIGNATU F1 MP , MGF JP JGF . LPGI CORPORATION , # 2561-C PARTNERSHIP # LLC # COMPANY NAME: Mansfield Plumbing&Heating,Inc. ADDRESS 2 Harmony Lane CITY Georgetown STATE MA ZIP 01833 TEL 978-352-5493 FAX 978-352-5410 CELL 508-962-6048 EMAIL mansfieldplumbing@vedzon.net 326 Date..//P,?/,!g. .. .. NpRTN TOWN OF NORTH ANDOVER Of�..ao s,ti0 0 'a pp PERMIT FOR MECHANICAL INSTALLATION �9SSACHUSES This certifies that . . . . . . .. . . . . . . . . . has permission for mechanical installation in the buildings of . � %?/�`r. .5 ! f.�°7` -- . . . . . . . . . . . . . . . at . . . .IN,/ .'�—'y. . . .<'�7`' . . . . . . . . . .. North Andover, Mass. Fee. /�ftic. No.//. 4". !,� . . . . . . . . . . . . .` ... . . . . . . . GASINSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer y �t i i Commonwealth of Massachusetts Sheet Metal Permit Date Permit# Estimated Job C st: 6 � Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# Applicant License# l7l — Business Information: Property Owner/Job Location Information: i Name: Name: Street: S Street: City/Town: City/Town: Telephone: 's Telephone: 92Y— Photo 7Y-- Photo I.D. required/Copy of Photo I.D. attached: YES__t6s_ NO 3 3 Building Type: Residential: 1-2 family 1/ Multi-family Condo/Townhouses Commercial: Office Retail Industrial Educational Institutional Building Cubic Footage: under 35,000 cu. ft. L.11) over 35,000 cu. ft. Sheet metal work to,be completed: New Work:a/ Renovation: HVAC V Metal Roofing Kitchen—Exhaust System Chimney/Vents v Provide brief description of work to be done: W 1 Sheet Metal Commercial Guidelines/Life Safety/Critical Systems Inspection Checklist Yes No N/A„ Set of stamped engineering documents and detailed description of mechanical system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper journeyperson-to-apprentice ratios Fire dampers with access door properly installed and checked for operation Smoke and combination fire/smoke dampers with access doors properly installed- actuator checked for proper operation(May also be verified by fire department during fire alarm testing) Duct smoke detectors with access doors properly located (May also be verified by fire department during fire alarm testing) Smoke/atrium exhaust systems installed and operation verified (May also be verified by fire department during fire alarm testing) Stair pressurization systems installed(where required)and operation verified(May also be verified by fire department during fire alarm testing) Grease/kitchen hood exhaust system installed with all seams and connections welded airtight with properly located cleanouts.Proper cle `ances, fire rated enclosures and ' pressure testing required. _ SFi r:?i re ;,:aint3 install z=F/li r r quired'on egtiipment and dlu,tv. Duct penetrations in fire'tdte-; wall:y and floors sealed Metal roofing systems installed watertight rising proper materials and fasteners Flexible duct runs installed 6'-0"maximum length Ductwork installed using proper hanger spacing,hanger stock,threaded rod and angle iron Ductwork/plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining Volume dampers installed for each supply air branch duct New/clean-properly sized filters installed(final inspection) Testing and Balancing report complete(final sign-oft) i c Y ' 1 i Sheet Metal Residential Guidelines/Inspection Checklist Yes No N/A Detailed description and sketch of sheet metal system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metalwork being performed with proper joumeyperson-to- apprentice ratios Equipment sized per heating/cooling load calculations Duct work sized per manual "D"calculations Bath/shower rooms contain mechanical exhaust fan vented outdoors Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" Flexible duct runs installed 14'-0"maximum length Volume dampers installed for each supply air branch duct Ductwork installed using proper gauges and hangers Ductwork/plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining New/clean -properly sized filter installed(final inspection) Testing and Balancing report complete(final sign-ofo r Y it INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch,112 Yes❑ No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 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 Owner's Agent By checking this box[],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 sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Progress Inspections Date Comments I Final Inspection Date Comments 7:::�: E] e of License: 3y Master Title Master-Restricted ;ity/Town - ❑Journeyperson 'ermit# Signature of Licensee ❑Journeyperson-Restricted �ee$ License Number: Check at www.tnass.govldpl ispector Signature of Permit Approval No.: V.1 s 3 Date O4 NORTH 9 +° TOWN OF NORTH ANDOVER ° : A BUILDING DEPARTMENT IWI ♦ oq^ 1�� i �qs *�� <y Building/Frame Permit Fee $ SACNUS Foundation Permit Fee $ -r .Fbrmit Fee $ \Q V��DOCS 5-�0,j Bui "fin Inlp for PERMIT NO. "W C..j APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 VP K40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE — ZONE I SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAME' k �S NO. OF STORIES SIZE J T << Ga c�� o r woo 1� OWNER'S ADDRESS (\otnq YT- BASEMENT OR SLAB -- ARCHITECT'S NAME ✓ J SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET " POSTS DISTANCE FROM LOT LINES-SIDES REAR 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 INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST AEE BOTH SIDES EST. BLDG. COST 1 PAGE I FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER eq. FT. •' EST. BLDG.COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 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 APPROVED BY BUILDING INSPECTOR DATE FILED zz-d k, 9f( BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE PLANNING BOARD PERMIT GRANTED 19 BOARD OF SELECTMEN BUILDING INSPECTOR WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer BUILDING 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 DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —) 8 INTERIOR FINISH CONCRETE 3 1 2 (3 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'TAREA _ 1/1 'h 1/1 FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE _ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDI!✓'D ASBESTOS SIDING _ 'COMtACN VERT. SIDING ASPH. TILE STUCCOrON MASONRY �— STUCCO,ON FRAME I ' BRICK N MASONRY ATTIC STRS. & FLOOR _ BRICK O FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 - PLUMBING GABLE I HIP BATH (3 FIX.( GAMBREL MANSARD TOILET RM. (2 FIX.( _ FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES_J_ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & 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 1st 13rd NO HEATING • WOOD STOVE INSTALLATION CHECKLIST PM14IT NO: V3 Permit A building permit is required for the installation of any solid fuel burning appliance. The building permit and installation inspection are limited to the stove installation and not to the stove construction. Stove A. New OW11 C.t t Used B. Type/radiant Circulating C. Manufacturer E lm r'g tifouc W a Ells 9 Lab.No. i--to 1A d^ v Name/Model No. �1-ero %e- Collar size Dimensions/Height Length Width Chimney A. New Existing B. Size(flue area) !11 C. Other appliances attached to flue(Number and flue size) shmy%e- D. Prefab(Manufacturer—name and type) E. Masonry/Lined �Sys%�e� :!bL 1 \N`N^__ e liner type a manufacturer) Unlined F. Height(refer to diagrams) cap OVER,70VERIC' oR 10 I 12'� ivuN. 15 KIK Ia' 2 MIN. 18"MIN. (FUEL/XSH •QLGE�iy 511:11 HEARTH CHIMNEY HEIGHT Hearth(non-combustible) �t , A. Materials `�s� �� -��^ v"1' X 3b B. Sub-floor construction C. Minimum dimensions(refer to diagram) Clearances and Wall Protection(see stove installation clearances chart) A. Type of wall protection provided B. Clearances(refer to diagrams) FIREPLACE CORNER WALL/CENTER 13 NORT Town of „ 6 OL ndover =n. er, Mass., 9 �1= �.� 1 � � 'QA COC MIC ME WICK OR pPI- SS BOARD OF HEALTH PERMIT - T 0 THIS CERTIFIES THAT.......5 C ...C. . �� ........................................ BUILDING INSPECTOR � haspermission to erect ......................... buildings on ...15-P.....1��:»:e...5 ............................. Rough tobe occupied as............................\,�:?o Q. ... .. .u. ............................................. Chimney Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION .STARTS Service Final , UILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector I 4 CERTIFICATE OF USE Ft OCCUPANCY Town of North Andover Building Permit Number WS 13 Date December 9 , 1988 THIS CERTIFIES THAT THE BUILDING LOCATED ON 16 Dana Street MAY BE OCCUPIED AS WOODBURNING STOVE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUII.DING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. NORTI CERTIFICATE ISSUED TO Jeffrey Cas taldo • ADDRESS 16 Dana St . , North Andover, MA CHus Building ector Location No. S / Date NORTIy TOWN OF NORTH ANDOVER 6ertificate of Occupancy $ r''BuildinglFiame Permit Fee $ CHUS Foundation.Peerry it,Fee $ Other Perm Fee $ S, U 0�ewer Connection Fee $ �nlNateri*C19.eection Fee $ TOTAL $ `+�s Building Inspector Div. Public Works VPER'Mf' NO. 15,1 O APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. /PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK `PAGE Z? NE SUB DIV. LOT NO. F— I LOCATION POSE OF BLILDING �I�IXC 5 t , �Ii,D• G � �1 n c X��J�s gni s i r 17[nxc A WNER'S NAME t��,h .1. r^ a4 N NO. F OSTORIES St E OWNER'S ADDRESS c 0 (, BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD ILDER'S NAME S. ' 1� 1_'HT -• pC SPAN ---- DISTANCE TO NEAREST BUILDI L/l. CLaC� J DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS Y DISTANCE FROM LOT LINES—SIDES REAR 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 INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST e, Z.gn-�_p� PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. 1 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PrLA.. MUST BE FILED AND APPROVED BY BUILDING INSPECTOR G D E FILE WARD OF HEALTH SIGN-711E OF OWNER OR AUTHORIZED AGENT FEE >/S - d PLANNING WARD PERMIT GRANTED �NER TEL. QTR. TEL.#_SjS:i 3Iy/ 19 CONTR. LIC. WARD OF SELECTMEN WILDING INSPECTOR BUILDING 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 DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 7 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY VJALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ '14 '/I FIN. ATTIC AREA _ NO 8 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARD J'D _ ASBESTOS SIDING _ -COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK N MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING t STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING ; GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. 6 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 1st 13rd I NO HEATING . f f, /6 �i9rlF> ST 0 • - Z- iS7-10 6-ox6-19 2x`/ /6 % e�X Li Zx 4a •1 o,s! /G"Q' 3/y -Fa-6 -221:lec,ti»y STec 19,/s/ $� yg"� 8 'Sono r T � Y v s f I _ox -9 Zx`I i %z C'Dh SLS fir? x -m*lrn 30'sT � Z � • ti 1 - Y Z 4 . a NORTFf Town of �� over L o A dover, Mass., CoC MI C ME WICK Ora `c BOARD OF HEALTH :z= PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...................♦ ..V..4. ................ ................................... Foundation has permission to erect jfAV.0.eA...... buildings on ...I.A.040.00......�.0...................................... Rough to be occupied as.. . 0#4-ie .. . . . . . .. . .. . . . . 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STAR S ELECTRICAL INSPECTOR Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rou Display in a Conspicuous Place on the Premises — Do Not Remove Finagh No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT