HomeMy WebLinkAboutMiscellaneous - 181 HIGH STREET 4/30/2018J
NORTH ANDOVER BUILDING DEPARTMENT
1600 Osgood Street
AMR Amdover ".
Tel: 978-688-9545 .
Fax: 978-688-9542
.73T1 HESSFO" FOR TOWNCLEM
DAA:
� U
NAME:�-
M ., . ak:f F ICS
TYPE OF JBUSINESS.: T V 0 21 ••� G,
F.
BUR,D7.[ GLAYOUT PROVIDED: YES NO
A7 AMARLHP.ARKMG SPA.MS:
ZON11 G BY LAW USAGE: YES NO
BUILDING INSPECTOR S%4sNATUPIE
13USMSS FORM FORTOWN CLERK
2.40 Home Occupation (1989/32)
.An accessory use conducted within a dwelling by a resident who , resides in the dwel ft as his principal
address, which is clearly secondary to the use. of the -building for iiviug ptuposes. Home occupations shall
'iiicliide,"but not'.timited to the following uses; personal services such as furnished by an artist or instructor,
but not occupation involved waft motor vehicla repairs, beauty parlors, animal kennels, or the conduct of
retail business, or the manufacturing agoods, which impacts itie residential mature of the neighborhood;'
4. For use of a dwelling in any residential district or multi -family district for a home occupation, the
following conditions shall apply:
a. Not more than a total of three (3),.people may be employed iii the Dome occupation, ono
of
whom shall be the owxier of the hbme occupation and residing in said dwelling,
b. The use is carried on strictly withinthe principal building;
c. There shall be no ex-terior alterations, accessory buildings, or display which are not customary
with residential buildings,
d. Not more than twenty-five, (25) percent of the existing gross floor area of the dwelling unit .
so used, not to exceed one thousand (1.000) square feet, is devoted to 'such use. In
connectionwith
such use, there is to be kept no stock in trade, commodities or products which occupy space
beyond these limits;
e. There will be no display of go6& or wares visible from the street;
The: building or premises occupied shall not be rcndered' objectionable ,or detrimental to the
residential character of the neighborhood due to the; exterior appearance, ennssion of odor,
gas, smoke, dust, noise, disturbance, or in any other way become objectionable or
detrimental to any residential use wMffi the neighborhood;
g. Any such building shall include no features of desigi not customary in buildings for residential
use.
Signature
Date .....&..3 ..................
HoarM
4,
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
This certifies that .................. .7 ...........................
has permission to perform ........... &.&R�w .......................................
wiring in the building of ............ 'J-�. �n�: ..... ....................
I.,Y/ P lq4l 5.7—
at..... ............ .. ... ................................................ , North Andover, Mass.
#& Awlik
Fee..3.4�7 .. ...... Lic. No. ........... ....... g......
CrRICAL INSPECTOR
Check # 3
7128
Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
Pernut No. `
Occupancy and Fee Checked
[Rev. 9/05] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE A LIN 0 , ATION) Date: 'Zi 0
City or Town of: .= To the Inspector o Wires:
By this application the undersigned gives notice of his or her intention/to perrf-orrm the electrical work described below.
Location (Street & Number) let
Owner or Tenant
Owner's Address
/i
Telephone No.
Is this permit in conjunction with a building permit?
Yes 'fes' No
❑
(Check Appropriate Box)
Purpose of Building Sj11f1/IY>, c 6
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
Location and Nature of Proposed Electrical Work: eewiez,e me Ww $_ ,
Completion of the following table inay be -waived by the Inspector of 6Vires.
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KNIA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In- El
rnd. rnd.
o EmergencyLighting
Battery Units
No. of Receptacle Outlets 6
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
No. of Detection and
Initiating Devices
No. of Ran
Ranges
g
No. of Air Cond. Total
Tons
No. of Alerting Devices
Heat Pump
Number
Tons
KW
No. of Self -Contained
No. of Waste Disposers
Totals:
�
.
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal ❑ Other
Connection
No. of Dryers
Heating Appliances KW
SecNotof Devi ms or Equivalent
No. of Water IOW
No. of No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
No. H dromassa e Bathtubs
y g
No. of Motors Total HP
Telecommunications Wiring: .
No. of Devices or Equivalent
OTHER:
r ✓ Attach additional detail if desired, or as required by the Inspector of kvires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: //V;l 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 L� BOND ❑ OTHER ❑ (Specify:) 7%�fJ1�2'`��N f / D�
I certify, under the parts mid penalties of penjurthat t�formatiot� on this application is ttz�e acid coni 1ete. 3
FIRM NAME: Q0t34 0 G�Ktf r�/�,,L LIC. NO.: ✓���
Licensee: 1j_d b4 El o,_ k /w Signature LIC. NO.:
(If applicable, enter xempt "j,,n %he lice nseGaanber lin�j.) r Al Bus. Tel. No.010 w 7'
Address: -b 7 Ci"�' ( 4� 1 *1 i /o N Al 011► Alt. Tel. No.:
*Security System Contractor License required for this work; if applicable, enter the license number here:
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: $
Signature Telephone No.
�"
4
TOWN OF ANDOVER
EWCTRiCAL PERMIT FEES
(Effective March 12, 2003)
1�1�PER1vIIT FES
RESUME NMT L <$2S OQ
CoM1VIER��A=L $SO OQ
O SE CABLE ON
OUTSIDE OF BUILDING
Air Conditioners: $40.00 each
Alarm Systems Security: (for fire
systems see smoke/heat detectors)
Residential: $40.00
Commercial: up to 10 Devices
$60.00 additional devices over 10-
$1.00 each
Carnival Equipment: $50.00 each
Ceiling Fans: $1.00 each
Commercial New Construction .or
Alterations:
$100.00 per 1,000 Sq. Ft. of
Construction Space
Commercial Service Change/
Repair:
Miisi have. Utility Authorization Number
$100 (first 100 amperes or fraction, one
meter)
a) each additional 100 amperes
capacity or fraction. $30.00
b) each additional meter $25.00
Commercial Temporary Service:
$100.00
IN'Tust have'Uti.lity Authorization Nuntber
Commercial Repair and/or
Maintenance Permit: (Blanket
Permit) up to 2 Electricians $150.00
per pair of Electricians over 2 $50.00
Data/Telecommunication:
Residential: $1.00. per port
Commercial: $30.00 up to 10
devices over 10 = $1.00 each
Dishwashers & Disposals:
$5.00 Each
Dryers: $15.00 Each
Emergency Lighting (Battery Units)
$ 1.00 each unit
Feeders or Sub -feeders:
each 100 amp capacity of fraction
thereof
Residential: $5.00 each
Commercial: $15.00 each
Gas/Oil Burners:
Residential: $20.00 each
Commercial $20.00 each
Generators Residential &
Commercial:
a) including photovoltaic&
generating Equip Per KVA $1.00
b) un -interruptible power systems,
per KVA $1.00
c) batteries over 100 amp. hours, per
cell $1.00
Heat Devices: $1.00 each
Heat Pumps: $40.00 each
Hydro -Massage Bathtubs/ Hot
Tubs: $20.00 each
Lighting Fixtures $1.00 each
Lighting Outlets: $1.00 each
Major Appliances: (not listed)
$20 each
Motors: (per hp or fractional part
thereof) $2.00
Oil /Gas Burners:
Residential $20.00 each
Commercial $20.00 each
Office Furnishings: per circuit $10
(Relocatable Partitions/Cubicles)
Outlets & Fixture: $1.00 each
Ovens Built in/Counter Top Units:
$10.00 each
Panel Change/Circuit Breaker.
Residential: $20.00
Commercial: $25.00
Phone Jacks: See
data/telecorrmunications
Ranges $15.00 each
Receptacle Outlets: $1.00 each
Recessed Fixtures: $1.00 each
Re -inspection Fee: $25.00
Repair to Service Residential:
$20.00
Residential New Construction
(Dwelling): $220.00
(with service: up to 200 amps)
Ntirst have Utility Authorization Number
for services over 200 amps.see below
a) for each 100 amps capacity or
fraction add $20.00
b) each additional meter $10.00
c) each additional panel/sub panel
$25.00
Residential Additions/Alterations:
$220.00 maximum
Residential Service Change or
Underground Service:
$40.00
Nfust have Utility Authorization Number
a) one meter, up to 100 amp capacity
$40.00
b) each additional 100 amp capacity
or fraction $20.00
c) each additional meter ..$10.00
Sewer Ejection Pump: $25.00
Signs: $25.00 each ballast
Smoke & Heat Detectors &
Initiating Devices:
Residential: $1.00 each
Commercial: $60.00 up to 10
devices over 10 - $1.00 each
Space Heaters:
area heating $1.00 each
Sub -Panel: $25.00
Swimming Pools:
Residential:
Above Ground: $25.00
Inground: $50.00
Commercial Pool: $100.00
Switches: $1.00 each.
Temporary Service:
Must have Utility Authorization Number
Residential $25.00
Commercial $100.00
Transformers:
a) capacitors, Per KVA $1.00
b) ducts, conduit & conductors
(Associated w/ Padmount Transformers) $25
c) each manhole $10.00
d) each handhold $5.00
e) per KVA $1.00
f) primary feeders, $25.00 each (over
600 volts, non-utility owned)
g) vaults and equip. $25.00 each
Washers: $15.00 each
Waste Disposals: $5.00 each
Water Heaters: $30.00 each
*For Multi -Family
Large Commercial Project
:see Wiring .Inspector for
pricing:
Paul Kei nedS•' (978) 623-€I306
(Office lours S ani to 1.0 am)
,Inspection Schedule,:
I ROiJ1GEI
1. FINAL
I TRENCH (if applicable)
ADDITIONAL
INSPECTIONS *$25.00 (if
applicable)
(revised 07/05)
V
Location Fj
No. 6zz Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL$ S Z
191-1
"1L,--L� VA—) Building Inspector
11/30/9511:27
9440
52.00 PAID
Div. Public Works
PERMIT NO. 1022
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
MAP '4O.
LOT NO.
2 RECORD OF OWNERSHIP jDATE
(BOOK ;PAGE
ZONE
I SUB DIV. LOT NO.
r.
i
LOCATION L
PURPOSE OF BUILDING B&JP`�
-B.&
\
OWNER'S NAME st ?
'�:1�••
NO. OF STORIES SIIZEEI���'WViJ�iL�
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECT'S NAME �,� Q.
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
LLL !e4
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 %
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
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3 �-
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVD BY BUILDING INSPECTOR
DATE A' ED�
S Glf`ATURE OFtO'GVN R OR AUJ0I0RIZED AGMT
y FEE
PERMIT GRANTED
19 sr
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST 17, Z OV 4 l
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
` INO INSP[CTOR
OWNERTELJ
CONTR. TEL. k"
CONTR. LIC. #
H.I.C. # i c.
g44.T PA le 6L --7
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILYSi0kIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
—I
8 INTERIOR FINISH
CONCRETE
PINE
HA DW D
B
1
2 13
CONCRETE BL K.
BRICK OR STONE
PIERS
PLASTER
DRY MALL
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B'M'TAREA
_
'/. 1/1 1/1
FIN. ATTIC AREA
NO B M'T
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
_
4 WALLS I
9 FLOORS
CLAPBOARDS
B
1
2
�_
3
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
HARDNI✓'D
COMMCN
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK N MASONRY
BRICK ON FRAME
ATTIC STRS. 8 FLOOR _
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
_
STONE ON FRAME
SUPERIOR I� POOR
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
HIP
BATH (3 FIX.)
GAMBRELMANSARD
A
TOILET RM. (2 FIX.)
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
_
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
_
TAR 8 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. & 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 _
10 13rd
ELECTRIC
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM.,
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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2431
Date .....
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ....Iv. 4 t ..
has permission for gas installation Jtina<- l'.
in the buildings of ... ........................
r —
at o.H ................ North Andover, Mass.
Fee. Lic. . ..........................
/-/ GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
y
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTiNC3 t
(Print or Type)
NORTH ANDOVER Mass. Date %
kuilding Location / / HI l)i �r� � Permit #
I /VO . alyoln t; ef— N� Owners Name
? ,f New 77 Renovation D Replacement Plans Submitted
FIXTURES
I
LJ
(Print or Type) Check one: Certificate
Installing Company Name Q Corp.
Address C (.,j L6u Rfre = Partner.
-1-vGc-ue A',h A6,-= - F71 Firm/Co.
Business Telephone: 500 ..&
Name of Licensed Plumber or Gas Fitter
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy 0 Other type of indemnity Q Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of
this application does not have any one of the above three insurance coverages.
Signature of owner/agent of property Owner 17 Agent El
I hcreby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbin; work and Installations performed under* Permit isseed for this application will -be In compliance with all patinent
provisions of the Massachusetts State Cas Mode snd Chapter 142 of the General Laws. —
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE:
Plumber -
Gasfitter Signature of Licen ed
Master Plumber or Gasfitter
Journeyman -)c�
a �8 I"
License Number
Y
Y
•
..
■oO�����iONE
EME»>MEN»E
(Print or Type) Check one: Certificate
Installing Company Name Q Corp.
Address C (.,j L6u Rfre = Partner.
-1-vGc-ue A',h A6,-= - F71 Firm/Co.
Business Telephone: 500 ..&
Name of Licensed Plumber or Gas Fitter
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy 0 Other type of indemnity Q Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of
this application does not have any one of the above three insurance coverages.
Signature of owner/agent of property Owner 17 Agent El
I hcreby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbin; work and Installations performed under* Permit isseed for this application will -be In compliance with all patinent
provisions of the Massachusetts State Cas Mode snd Chapter 142 of the General Laws. —
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE:
Plumber -
Gasfitter Signature of Licen ed
Master Plumber or Gasfitter
Journeyman -)c�
a �8 I"
License Number
Date .... .........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
a
This certifies that ...... Obl.(E7 ........................................
. ..................
has permission to perform .... Qat-( ....... uai E" W.\ . .....................
wiring in the building of ... eAk?,(&R . .............
at ...(-91........ G.64........ ....................... . North Andover, Mass.
Fee......... Lic. No. A.416 [A .........................................................
ELECTRICAL INSPECTOR
(�v C & t 3 C 25.00 PAID
WHITE: Applicant 0MjUYCBAAj Dept. PINK: Treasurer GOLD: File
0
office
use only
U-1 LalniltanlUiCtilll! of 8�� Permit No. 2> 4 ^ :Y
occupancy A Fee Checked
t ae�ar2tauld of Vtshitc ;�afr2tl Q cv
BOARD OF FIRE PREVENTION REui1LA11ONS 527 CAR 12:00 1-3,190 0eave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts EIectricai Code, 527 CMR 1F.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
q& or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street S
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit: Yes ✓ No r (Check Appropriate Box)
Purpose of Building '/ � -1'y Utility Authorization No.
r—
Existing Service Amps Vcits Overhead '! Unegrnd l_ No. of Meters
New Service Amps Voits Cverhead _ Uncgrnc r No. of Meters
Numcer of Feeders anc Ampacity
Lccaticn and Nature of Prceosed EIectricai Werk
No. -t Lignnng Outsets
klve No. of Lignting Fixtures
NO. of Receetacie Cuttefs
No. of Switch Cutlets
No. at Ranges
No. of Oiscosais
No. of Oishwasners
No. of Orvers
No. of 'Nater Heaters
No. 'Hvcro Massage 'Iuts
OTHER:
No.... Hot --Cs
ACove.— 'n -
Swimming =cc1 rn C _ art c.
e -
i
No. of Cil Burners
No. ct Gas _... r ers
No. cf Air Cana. o.ai
^.s
i
No. --r 70.1s
'o:ai otai
Purrs :ons K:I
ScaceiArea �eanr..a
Heaunc _ewces
No. cf Ne. ar
KN Sicns Ba:ias:s
I No. cf .L1cror_ cta. -'
TOtal
No. at -ansformers K, :A
Generators KVA
No. of Emergency Lighting
Battery Units
F; RE ALARMS No. of Zones
NO. of=etectlon anc
Initiating Devices
No. of Souneing Devices
No. of Sart ContaineC
Oetec-:ontSounoing Devices
Municioai Other
Locai _ Connecnon
Law Vcitage
'Ninnc
INSURANCE CCVERAGF. Pursuant :o the recutrements „f Massacncse::s ;er.erat Laws _ _
I
I have a current Liaoiiity Insurance Policy inc!ucing Carncmiec Ccerat:ens :average or its sucstantial ecuivaient. YES _ NO _
have suomirtea valid proof of same to the Office. YES _ NO _ 3 you nave checxec YES. please incicate the type at coverage Cy
checxing the aoprocnate Cox.
INSURANCE = BOND = OTHER = tP!ease Scec:fy) tE,covauon Datei
Esumatea Value of E:ec ncai WOrK 5 '/ d
WcrK to Stan Inscectmn ;.ate Recues:ec:
Signec unser :he Penaities of per)ury:
FIRM NAME l h'l�4— L
L censea if/.� 42 gas Tg;gra:ure
Rough / � Final
F
UC. Na/'!!� 261 IAQ
_L IC. NO.
Adcress ^ s 4 e -�
OWNER'S INSURANCE WAIVER: 1 am aware tnat me L -pensee toes not 'lave the insurance cCverage or its suostantial equivalent as re-
ouirea oy Massachusetts General Laws. ana :.hat my signature on trs permit application waives this requirement. Owner Agent
1P!ease cnecx ones -
(Signature of Owner at Ageuttr
'erecrcne No. PERMIT FEE 3
t.�5o5