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HomeMy WebLinkAboutMiscellaneous - 18 WOODCREST DRIVE 4/30/2018Location No.Date �oRTh TOWN OF NORTH ANDOVER i Certificate of Occupancy $ ��s',•a°' Eta SgcMUs Building/Frame Permit Fee $— Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # / ) , -J,9� - 14229 '-'` Building Inspe hof SEC: I IUIN I- Si 1 E• IN FORMAI IUN 1 1.1 Property Ad c�, y 'TOWN OF NORTH ANDOVER Number: Parcel Numb BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING x.k -mss. �. � ."'CHtfi€,.'*. g„ x Y"€<.<: , ./•?xxwa BUILDING PERMIT NUMBER: ,• DATE ISSUED: Front Yard Side Yard SECTION 3 - CONSTRUCTION SERVICES SIGNATURE: AN44W ,X7 Building Commissioner/I for of Buildings Date SEC: I IUIN I- Si 1 E• IN FORMAI IUN 1 1.1 Property Ad c�, y 1.2 Assessors Map and Parcel Map Number Number: Parcel Numb ^Address for Service 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Si. ature Telephone Front Yard Side Yard SECTION 3 - CONSTRUCTION SERVICES Rear Yard Required Provide Required Provided R 'red Provided License Number Expiration Date 3.2 Registered Home Improvement Contractor 1.7 Water Supply M.GL.60. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSIDWAUTHORIZED AGENT 2.1 Owner of Record Name n ^Address for Service na re Telephone .2 Owner of Record: Name Print Address for Service: Si. ature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone 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 building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify' Brief Deschtion of Proposed Work: / I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by pennit applicant {? ,.yAl C '.� „3,,, P-11,48, F _ "T_.. !" 1. Building (a) Building Permit Fee 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 behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED-AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Mature of Owner/A ent Date lasom NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3 SPAN DEVIENSIONS OF SILLS DIMENSIONS OF POSTS DMIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SI7_.E OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,sSACHUS .... )Ixt.l. This certifies that ...... .. .... .............. 4-v / . ... ... ................. has permission to pe2.4—'6L. <4'1' .......... wiring in the building. of l -AY.. ..................... h Andover, Mass. at../ . ... Noft 4�-a 14 'a Fee...l.- ......... Lic. No. /?V? ........ . ......... ELEmicAL INSPECTOR Check # 5571 R _. _�___—.--_.-_.—_ V'Vf/fid/Vel PY iiMlodf v• dTf eiJJ�b1INJClLJ�/ I Permit No. lf�I) Department of Fire Sere% s Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGI LAT IONS Pkev. 11/991 (leave blank) APPLICATION FOR PERMIT ,® PERFORM ELECTRICAL WORK Au weckto bs pada med in wcordwee with %44" ntus60 Fdecdial Code (Nec). 3 271 CAR 12.00 (PLEASE PMT IN 1NK OR TYPE ALL XFO ON} Date:---- Ca#y or Tower of: e� % �'a the 1 ecto ®f Wires: BY this apglia ion the u i or her ir�ntion to perform tlxe clecuic3l work described below. ikon (Stmt & Number) ti , telephone No. owner or Teat �. Owner's Address 60 con'nn with building permit" Yes No (Check Appropriate Boa) fs the ViItsDity Authorization No. Purpose ofExi,W.---- ag Service � Amps Volts Overhead !� Undvd 7i New. = Amps / Volts Overhead 7 Undgrd Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Meters No. of deters inlTnwinv able may ie waived by rhe Inspector o(Wims. No. of Hecessed FixturrsIS^to. of Cell.-Susp. (Foggia) Fags 'transformers KVA No. o€ Ligbting Outlets No. of Hot Tubs Generators tum Na. ofL;tang Fixtures ave- Swimming Pool d. l� „ted, o. o ergency a g Battery. Units No of )iptaicle Outlets No ;of Oil Burners . FIItE :i.Aiv15 No. of Z.oes No..:of Stces No: af`G'as Euraers ' ° . 7oion ion ' Lritiatin Devrees No. df Raag�s 3 :' - No. of Air Cottd:..: - ° Tons No. of Alerting devices :. ., � No. of `'�'aste:Dis users p t p: Totals umber az�s _ . o .o - e - ontaane detection/Alerting Devices . No. of Dishwashers Space/ArtaHeating ICW i Us u0p -Other Local 0 Connection of Dryers IHeatine Appliances KW SecuriNo. I Nof'Devices or E uivalent Sir o. o ater 1Cy Heaters °. o Signs o. of aia ]Data Wiring: . ivant No. H dromassa Bathtubs y � No. of Motors Total RP " elecorgrnurracataons rrstmg: No. of Devices or l� ivaierrt OTHER: AMC* 44dJ nQMQi QOML r) ae 1-- ar as rwqu.ra.r X <,.....�,r.........� -... _. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of :lectriral work may issue unless tttc licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersiped certifies that such caverage is in forte, and has exhibited proof of same to the permit issuing office. CHECK ONE: iNSLMANCE 91 BOND Q. OTH1:R ® (Specify:) ton ate Value of Electncal Work (When required by municipal police:) Work to Start: ,f Z d e) Inspectiom to be requested in accordance Frith NE.0 Rule 10. and upon completion. 1.ewt!fy, u nd> r,thepains and pates ties of Perim ly, that the information on Arts app ° xien rs'rue and corapkae. g..oiAr�caa Alarm&. Ca�ira3catiarur3r Inc. ` . LIC: NC?,. 12121. chard L. $armnson__ Sagnature LIC P(O app J Ie,, after "eampt" in die 6coa.rs numher_Isrre ddress: T:- _ntral _St:reets krlington, i� 02476 Al,, Tea. _N0.: "OWNER'S 05URAIN LE wAlvxx: r aM aware that the L1CCtrSee aces not Ve tnC . aaorut< u MgtarTeti;bylaw. i3y mYagrtature below;.I hereby waive -this regturement.. I 3trt.the )check one)' Owner/Agent : PES Signature Telephone No. FEL:.S War's 9 1 1 1 �¢ x o P (U0� Ile o V) a w C/) a a U w 0 w w a a W Colo ao' c� w a � U z m ao' w z A W W a0 o 2 cn cn Q F- N W H W cii c c m c o � o h Cc 0 CJ C.3 CLC ev ev s ;o ID o ID : N � Ea CF `mom r � o C. N CD E � C2 00 u cm CD c all C� O rD o m3 H 211cmO C c � m A�='CO c O CA O O O dV Mc y O � C o� y m O •�' yZ0 vo ao O ti O C O CL r v� mr0„~ Co.= 'p Z •y '' r�0+ O C E w cma .c .- oa C.:, o A CO N .' = r0+ ®■ * m d MA 4.3 N a y C O ca m m Of .0 m O cm c �C N CD t O Z 0 O a� O O• O v Z O d O CO) p C co cm I C C O•— CO) p 'O CO) c m ow O CD p O cc O d M cQ ca Occ = C V J .Q O CD C CD 0 CL L.± y cc Li C s — ■ C. _c COD 0 U) LU U) w w crw Town of North Andover �� �•'� "` Building Department 27 Charles Street North Andover, MA. 01.845 ��,°'•^''�' S�cNuse D. Robert Nicetta Building Commissioner (978) 688-9545 `(978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE JOB LOCATION Number Street Address Map / lot "HOMEOWNER vx/vw�s Name Home Phone PRESENT MAILING ADDRESS /O ���0"!�) G� AV zv /�r City T State Work Phone Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a t two-year period shall not be considered a homeowner. The undersigned "homeowner' assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner' certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. „ Z__�Z HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Location 6U00D1-1 RIE f D'l- No. �/ Date e lU qc/ MaRTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $� Building Inspector 13302 08/10/99 15:08 25.00 PAID Div. Public Works w _ G C Y� C C VJ r+ Q ,v, � G F" c O � - z � -?c � � 3a c Lq tsl 1� N � C C C C O C O i0 C Yom+ N C .r SFr r� An r� Q U z - _tlf �, w � z w _ G C -FORM U - LOT 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 or requirements. *****'**********************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT -Idwie's -+- S°A;�J R ROA),e y PHONE LOCATION: Assessors Map Number C)3 PARCEL SUBDIVISION STREET JW fib LOT (S) ST. NUMBER *****************************************OFFICIAL USE REC-CMWENDATIONS OF T,QWN AGENTS: Co vt' a 7c V-4`( S ked— CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS , / /,\A L!:�d R /D COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS V2 Lm TE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING !NSPECTCR Revised 9197 j DATE T rA w Q a os u u° �' C/) OC4 U z z A c w° w°' U ro w U a m :3 cov w O w P° w �; O U P z c�° w W a w Q w w c :Q z un ° cn ui I'M CD 0 c O V Z o Q O y � C O cm c cn 0 '2 c — •E m CD CL_0 O � O > co 0 0 L � � d y C rL- ccC C.3 J .� •C. O *-0 C Z CD C.3 C c s •C C c y _o Cn Ld Cn CcW W W Cn "' is � -6 o c� y C c�G. A "r O co EQ� t m 4 L ;:5 • isy O Z oc = or . O o cm c C 2mm CO �: a y y : c o oT y c EC.3 M, m � CD cmaCL ._ coo Occ 2 n cm mVim/ = m H m c C N ~ CD w C m +O+ C-0 y m 4D L •Vl ,r c +- O �. uj E n t C E-0c.3y Z o m` o m !E g V� n _c m� O� C n.... m I'M CD 0 c O V Z o Q O y � C O cm c cn 0 '2 c — •E m CD CL_0 O � O > co 0 0 L � � d y C rL- ccC C.3 J .� •C. O *-0 C Z CD C.3 C c s •C C c y _o Cn Ld Cn CcW W W Cn "' 0 -- N2 2024 0 C Date ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... ......... ........................... C has permission to perform ......... A.. k.ck ...... 0.."A.i .. ................... wiring in the building of .............a„ .a.M..'z .......................................... S- at .....4z ...... 0LQQz.:f. ............... . North Andover, Mass. ,0.C.S1 .. Fee'' 1.. Lic. No. .................................................. ELECTRICAL Nsnc-rOR c� �- L �-3 -7 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer rwg 07 ao-4.a.c 4 ;64rz, 5-64 i BOARD OF FIRE PREVENTION REGULATIO Office Use Only Permit Na_ �, v Occupancy & Fee Checked 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cade 527 CMR/12:00V % �S (Please Print in ink or type all information) Date To the Insp4ctor,6f Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number, Owner or 4?d24�-S?r Owners Address ��'/101 Is this permit in conjunction wwiitch, as building permit Yes,tf No ❑ (Check Appropriate Box) Purpose of Building l/ e � Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgmd ❑ No. of Meters New Service Amps Volts Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed E'.ectncal Workl� G1 I 7/ �7 -A -res- 0 e-�J1 5 / C. OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = if you hive checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resqussted Rough Final Signed underthe Penattles of perjury: �. FIRM NAME LIC. NO. Ucensee Signature LIC. NO. Bus. Tel No. Address Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. that my sf re on this permit appilcadon waives this requirement. Owner Agent (Please Check one) , /�/ � �� 6'.r� Telephone No. f ^ ��� PERMIT FEE $! -o d Total No. of Light8riq Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Ugntinq Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No. of Receptacles Outlets No. of Oil Burners No. of Emergency Ugnang Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. at Dioosal No. Pumos Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Soace/Area Heating KW DetectiontSounding Devices ❑ Municipal ❑ Other e No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No of Water Heaters KW Si ns Sadases Wiring No. Hvdro Massace Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = if you hive checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resqussted Rough Final Signed underthe Penattles of perjury: �. FIRM NAME LIC. NO. Ucensee Signature LIC. NO. Bus. Tel No. Address Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. that my sf re on this permit appilcadon waives this requirement. Owner Agent (Please Check one) , /�/ � �� 6'.r� Telephone No. f ^ ��� PERMIT FEE $! -o d Location 16 No. Date MaRTN TOWN OF NORTH ANDOVER o - p Certificate of Occupancy $ ` i • , Building/Frame Permit Fee $ 'I'�s'•••° 't� s�CHU Foundation Permit Fee $ n Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ T2702 Building Inspector Div. Public Works Location _ No. Z1 Date t TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee $ $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. 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D0TZNCZOMIZ5 DO N Z mxO�o OC 0 OCmN<rO;X m vpi m 0 N y p m D Z m y m 0 7C m N C 0 Z G 10 1 �_ Jp A y T � m Mo cm Z N x 2 Z -C O p ? 08 Q A a n 00 Z I I � In C O N C nn0 D O N N n Z L1 -1N N m z �N-1, DO Nz Z C MkN D n 0�0 Nod BMX -1 ZD IN9 moo �Z_ Moz ;19OZ M 0 W -Z F N p Z'q -��r vy0 z -� 0 =0 34 nZ Sn MM Nq O O on. nr x Z_ m10. -D mmnn 00 m v N �OTm p D A r 0m m D' W A N�cnn n Z Z N O y NNS N N O O m o; 0 y O m m y�, 0 og z p" r f N m O Z Z 0 s ?K .a 0 n x A D n T m T T_ Z Z 1 D Zl ti Z O T n y ZY y; DJOO z 2 N m A-1 LI I I I DD I I I" oo Z I I N I� II II I I S n 00 Z I I � In C O N C nn0 D O N N n Z L1 -1N N m z �N-1, DO Nz Z C MkN D n 0�0 Nod BMX -1 ZD IN9 moo �Z_ Moz ;19OZ M 0 W -Z F N p Z'q -��r vy0 z -� 0 =0 34 nZ Sn MM Nq O Town of North Andover , BUILDING DEPARTMENT Homeowner License Exemption !Please print) ,1'E JOB LOCATION / Wo od c re _% / Number Street Address Section of town iOMEOWNER" VA�1ms's. �/JIt✓C Name !'RESENT MAILING ADDRESS i /Va 14Ni?o4,r2. City Town �$ ? -39 _S Home Phone WaC>DcRC's> Ort State Ra- i Y c GQ ork Phone ,ip code ! The current exemption for "homeowners" was extended to include owner -occupied dwellings of.six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the.owner acts as supervisor. (State Building Code, Section 109.1.1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwell- ing, attached or detached structures accessory -to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a humeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Bulding Official, that he/she shall be responsible for all such work performed under the building permit. (Section'109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. 11 _ HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction -ontrol. Sppc.ruNpt�I u T 'L/1/�l /��►� l v ,5 C 1,a C0Ot�b o a / 8 lobo i5-5 t 1>p-/�e— Sol-4G _ "E-,7 s y J,04 -1E- 4. J,!:i. PA i�nrn0-�? C.Co ;- n e? ,� a w a o d e ez c-� s/ n /V'O a2 T/Y O li F - -Ti -7 f3) - 7 - ISPI '\N R —71 op n Q IL Q TVW 3L El O FMM4 s co O c L V Z co CL O y � C =4A I a a a ° uw o w V, V, .L a cY ° z CA or - o w o w x U c w W p,, o a: co a i.% W o cG c� m G ii a o o n4 G ". 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