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Home My WebLink AboutMiscellaneous - 16 IRVING ROAD 4/30/2018 l` 161RVING ROAD 210/0520-0001`0000.0 Location No. Date 10RTiy TOWN OF NORTH ANDOVER A Certificate'of Occupancy $ 41 Building/Frame Permit Fee $ Foundation Permit Fee $ a a s�CHust Other Permit Fee $ Sewer Connection Fee $' R Water Connection Fee $ TOTAL $ Building Inspector ` r 11000 Div. Public Works �'Q- PERMIT No. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE MAP 1 LOT NO 2 RECORD OF OWNERSHIP (DATE BOOK iPAGE E SUB DIV. LOT NO. — LOCATION 4� ,- I PURPOSE OF BUILDING , OWNER'S NA16_41 i�- - , r.� �� NO. OF STORIES SIZE .. O .: mAA OWNER'S ADDRES - BASEMENT OR SLAB ARCHITECT'S NAME SIZE dF FLOOR TIMBERS IST 2ND 3R0 _ BUILDER'S NAME n� K _/p,/f.,, / ,, SPAN • DISTANCE TO NEAREST W-ALDING 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 FOISTING x IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y 18 BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 19 BUILDING CONNECTED TO TOWN SEWER - IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS c /ee 03 PROPERTY INFORMATION LAND COST SEE BOTH BIDES C1p o • . .. .. _ ._ (r./j-, [1T. BLDG. CO PAGE i FILL OUT SECTIONS 1 - 3 - - EST. BLDG. COST PIER /Q. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. .ti ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING _ 4 APPROVED BY 5 ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILEDAND D BY BU DING INSPECTOR / DATE FI D ! ■UILDING IHtPiCTO5 IG AT OF OWNER ARED AGENT :1 FEE � /" `OWNER TEL I PERMIT GRANTED �� CONTR.TEL/' • C 19 1 CONTR.LIC.M H.I.C.I t BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S"ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILYOFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- .. - APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION Z FOUNDATION I B INTERIOR FINISH CONCRETE JII d' I 1 IJ CONCRETE BL K. PINE BRICK OR STONE HAROW 0 PIERS PLASTER _ DRY V/All UNFIN. 3 BASEMENT AREA FUII FIN. B'M'T' AREA _ FIN. ATTIC AREA _ N_O B M-T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WAILS 9 FLOORS CLAPBOARDS B I' 2 3 DROP SIDING CONCRETE WOOD WOOD SHINGLES EAarH ---777_ ASPHALT SIDING HARO"T'D ASBESTOS SIDING _ COMMi;N _ VERT. SIDING ASPH. IIIE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK N MASONRY ATTIC STRS. 6 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME ADEQUATE IPR -I NONE 5 ROOF 10 PLUMBING S GABLE HIP BATH 13 FIX.1 _ GAMBRELMANSARD — TOILET RM. IZ FIX.1 FLAT I SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 3 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR _ TILE DADO (; FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. b COLS. STEAM / STEEL BMS. 6 COLS. HOT W'T'R OR VAPOR \WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS IIGA - - 'J NO. OF ROOMS OIL BRIC ;M'T 13^ C d I NO HEATING � NORT To, VM - Of.- _� _ over No. 301 * Zo _ i dover, Mass., 1992 _ lA1fE A 9 COCMICMEYI'IGK iY1• BOARD OF HEALTH PERMI-T TFood/Kitchen Septic System / BUILDING INSPECTOR THIS CERTIFIES THAT Foundation has permission to ..... buildings on �F�'.�,. .. . Rough to be occupied as.... VIIJ44 ve..aw t............................................... Chimney provided that the person accepting this permitGhali 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ART Rough 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 Until Inspected and Approved by the Building Inspector. DEPARTMENT Burner Street No. Smoke Det. ` _ , Location a No. Date jORT" TOWN OF NORTH ANDOVER ,'S. , 3? Ot 0 n Certificate of Occupancy $ t'�s Etn Building/Frame Permit Fee $ sACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ X Check # 18198 Building Inspector I , I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING see" kir dd BUII.DING PERMIT NUMBER: 61) ,3 DATE ISSUED: _ �y_ 0,0 -- SIGNATURE: Building Corltmissionerflnsp&tor of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Nuihber /�✓o ll.� �.iel� off+c�_ 1.3 Zoning Information: 1.4 Property Dimensions: 1 Zoning District Proposed Use Cat Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard i Side Yard Rear Yard Required Provide Required Provided Re red Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Infommtion: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ saaal ii: it t it; ��_ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT i! ti iCt: ��lo rlrl 2.1 Owner of Record C-A Cl a a�l _ L 2yr r�9 A,.4 nM �} Name(Print) T1. Address for Service Signature Telephone 2.2 Owner of Record: I� Name Print Address for Service: M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ r- �r/`1 pe 1�V>ly Licensed Construction Supervisor: J eS 7) License Number Address r G 3 G 3.6'3(! ! ra '7 Expiration Date Signatur Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number r r Address ISSUED e c� z Expiration Date G) Signature Telephone • V 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 build ng permit. Signed affidavit Attached Yes.......--ff No.......0 SECTION 5 Description of Proposed Work check aH applicable) New Construction ❑ Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: 2. f n SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY J'v 0 v Completed by permit applicant 1. Building (a) Building Permit Fee J Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical(HVAC) - 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 be If,in 11 afters lative to ork authorized by this building permit application. Si ure of Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION property as Owner/ thorized A` it of subject ro tt Y Hereby declare that the statements and information on the foregoing application are Lrue and accurate,to the best of my knowledge and belief Prir Si a e of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAI3 SIZE OF FLOOR TIMBERS 1' 27- SPAN 7 SPAN DIMENSIONS OF SELLS DINENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE North Andover Building Department Tel: 7 - 9 8 688-9545 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) Signature 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 The Commonwealth of Massachusetts Department of Industrial Accidents Ofrke of Investigations Boston, Mass. 02111 Waiters'Comps wdw Insurance Ai>id" Nam Please Print Nam .. 1'Q Locaft: ! 2 k)(-A-)1 (4—)\ Qftc am a haneowrtar performing all work myself. I am a sole proprietor and have no one working In any capacity c pyer providinwo*e g re' ompensation or my employees worldn9 on this' ® I am an emlofJob. Ccmo®nv name: 7o c: Address /7 u ; City: PlIms 41& Inauni nce.Coa A '1�-c _ /Z�I ci l� ,�_ Poky it Comoarry name' Address C ft Phone�k IrmM rNm Co. Polral! Folkwe to vexes coverage•r"drsd under Secllon 2811 or MOL 152 can Iced to the kroallon of akniml penwIft of's Ane up to$1,300.00 andlor one yeera'imprbarnW.W01-SBA pa WRIW81n Bohm dA STDP VVDRK OROER.foda.ft d.($100 �erderetand that a copy d this sift-wrt meY be tarwerded to the OMw d lmWdgdkxo d the DIA fbr �,� I exnerage verillcetlon. I do hereby undbr ft Paine and penefte o/Per/ury dear rhe k*mNffQn Provided above k bus and correct Signature Date Print name 0 Olf1cm use Only do not wrRe In this arse to be completed by dty or town OfW CRY or Town p nUio [JCheck If'knmedlere response/a rsqukW 13 Budding Dept E3 Lkenskg Bosid p Selectmen's Ol'i!/ce Contact Person: Phone ave [3 Health Department 0 Other r I e ✓fze V�ory�ry�o��ueat �i9�u�Q ! 1 BOARD OF BUILDING REGULATIONS ~ license CONSTRUCTION SUPERVISOR Number CS 071037 Birthdate._0611=8!1950 lit vires 06%1k&7 Tr.no: 11773 Restricte&OQ/ THOMAS A DEFUSCO 23 DUTTON ROAD` G- PELHAM, NH 03076 Commissioner �/te �o�n�naareiura,�z o��/��ccc�ucaelt'. Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR t Registratt n: 117756 Ezptration s=.11/15/2006 TYPe DBA TOM DEFUSCO GENERAL CONT ?A61W9 DEFUSC,O 23 DDUTTON RD < s 9 G Gti� �✓ PELHAM, NH 03076 Administrator I I proposal Page No. of 1 Pages s Tom DeFusco 23 Dutton Road i Home Improvement Reg. # 117756 Pelham, NH 03076 Tel 603-635-3017 Constr. Lic. #071037 Fax 603-635-3751 PROPOSAL SUBMITTED TO PHONE DATE �— t 1 ' (^ STREET JOB NAME CI ,STATE AND ZIP CODE JOB LOCATION &xj ,vL)0c v C-1 Y ARCHITECT DATE OF PLANS. JOB PHONE We hereby submit specifications and estimates for: _._.............................................................................................................................................................................................._......................._..._........_....:._._.................................._....................._..._..._...._.................................................................... j � i �t rf'..j :..Gl�........_..... ,............ ..._ :.'... : ............cn........._..... �.f.... .... ...._._..................... '_..mac .._ri ....... _ J.........._...._................_................................._...... -�,� k✓v TJ,�.�/� .. . ... .. .. . .... f ...............I................... ...............-P-6,.-s/.1 ................ ............. r-4./T �............ ....................................-.............-..........................I.......... ................................................................................................... ........................... ........................................................................................ .................................................................._.................. .................... ......_........ ...................... ............... ............................................................................................................................................................. . Cs L Z P FropLISP hereby to furnish material and labor — complete in accordance_ ith the above specifications, for the sum of: QVC 211/ N 0 � - c < dollars($ Qd ). Payment to bb made as follows: 219W(p v ZO >' f 0/tom, `�a'.•t/f /. >` ,� All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices. Any alteration or deviation from above Signature specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes, Note:This proposal may be accidents or delays beyond our control. Owner to carry fire,tornado and other necessary withdrawn by us if not accepted within �� days. insurance. Our workers are fully covered by Workmen's Compensation Insurance. ,�rx$pfitxtrr of f roposul—The above prices,specifications Signature and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature ®RTH t S g I., 0 of No. G 73 0 _ dover, Mass., .�'9'47,2 dP o � O LAKIE COCMIC EWICK 7�ADRATED P,?��y�� BOARD OF HEALTH PERMIT _ T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT *TV L I t i #TI&* G 0 C I • C 4 - .......... .................................................../..................�...... N.............................................. G Foundation has permission to erect.....,,,5 fR.�....°..........: buildings on.................... ......tr.........x.......... ................ Rough t0 be Occupied as...............* k e r'• • P � W ! <<I� 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 relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 5 &7 / a , PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN- 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO S TS w Rough ............. . ... .... ........................................................................... 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.