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HomeMy WebLinkAboutMiscellaneous - 193 ROSEMONT DRIVE 4/30/2018 193 ROSEMONT DRIVE 2101098.6-0049-0000.0 I r. Location 3 t`ase mo A.) l� , No. Date —1� ~02- TOWN 2TOWN OF NORTH ANDOVER - 0�� . o , 1•yC 16. 4 ; , Certificate of Occupancy $ E wcta Building/Frame Permit Fee $ k sMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 9 Building Inspector TOWN OF NORTH ANDOVER BUILDING'DEPARTMENT APPLWATION`TO CONSTRUCT REPAIR;RENOVAT OR DEMOLISH A=ONE:OR TWO 1FAMILY.DWELLING BUII,DING PERMUM MIT NUMBER: DATE ISSUED: X SIGNATURE: Building Commissioner/I r of Buildin Date SECTION 1-SITE INFORMATION 1.1: Property Address: 1.2 , Assessors Map and Parcel Number: : 123 n /I-- Map Number Parcel Number 1.3 Zoning Information: 14 Property.Dimeosiods: Zoning Dl strict Pr ' Use I:ot Area' Fronts' ' $ 9 1.6 BUILDING SETBACKS ft Front Yard Side;Yard:._.'- -t' :Rear Yard7 . 40#red Provide Required.;a :.. > ProvidedRequired Provided _. 1.5. Flood Zone lnfoimsUon 1.8 Saw S 1.7 Water,Supply UQL.C.40.t.54) l y > Public 0 Frivolo ❑ zone tAasWa Flood 2oae fl Municipal ❑ t>a Site Disposal'system 0 SECTION 2 PROPERTY OWNERSHVAUTHORIZED AOENT - r 2.1 Owner of Record D Q �G�Y' ,1q 3 Name(Print)4Address-for Service Signature a hone 2.2 Owner of r I Name PrintAddress for Service: O z Signature Telephone SECTI. N 3-CONSTRUCTION SERVICES 3.1 Licetised Construction Supervisor. Not Applicable Licensed Construction Supervi License Number Address Expiration Date ic Signature Telephone �.. i 3.2 Registered Home Imprtivem 't Contractor Not Applicable Company Name �gq Registration Number Address -� Expiration Date Sign.ature Telephone SECTION 4-WORKERS COMPENSATION(NL: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 ofthe.building.permit, ` Signed affidavit Attached Yes,......0. No...... SECTION 5 Description of Pro osedWork check atl applicable) New Construction 0 Existing'Building Repairs) ❑ Alterations(i) Addition Accessory Bldg, ❑ Demolition 0 Other 0- Specify, Brief Description of Proposed Work: CY-ONV VX, 13x31 2C � Z� 2o�=� SECTION 6 ESTIMATED'CONSTRUCTION COSTS . - Item Estimated Cost(Dollar)to be Completed by permit applicant- 1. BuildingO a ... :BuildingPermit Fee 2 Electrical. (b) Estunated Total Cost of 3 Plumbing Building Permit fee 4 Mechanical AG 5 Fire-Protection . 6 Total (1+2+3+4+5) Check Number". 3+^ ^ti . 77777--77 AMON 72 OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ' I'e U as Owner/Authorized Agent of subject property Hereby.authorize I ALA N L to act on ' My behalf,in a a er relative o work an orized by this/building permit application. 3 Signature of ftltr= Date SECTION 7b 'OWNER/AUTHbRIZED AGENT DECLARATION I, A (-8 yk W A c�/,'e 4- As Own Authorized Ag t of subject property Hereby declare that the statements and information on the foregoing application are true and accura e, o the best of my knowledge and belief ALAA) W A L_KP P__ J Print Nam Si ature of Own /A ent � NO.OF STORIES SITE BASEMENT OR SLAB SIZE OF FLOOR TRvIBERS 1 ST 2 ND .3RD SPAN D&ENSIONS OF SILLS DIMENSIONS.OF POSTS DM ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained This does not relieve the applicant and or landowner from compliance With any applicable requirements. ■.■.■..■,.■.•.■.aa,..■..■■■■■.■.■.■.•.r■L...■■■.■..■arm.!■-■W'S r.r.........■■■■■■ ■ 60 3 APPLICANT AL Ati u-)AL vew 4P n Pjj&jr PHONE ASSESSORS MAP NUMBER 9 —LOT NUMBER SUBDIVISION ]LOT NUMBER STREET di' STREET NUMBER OFFICIAL USE ONLY , RECONllVIENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED CONRVURIns DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED CONMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS D YP DATE APPROVED DEPAR DATE REJECTED COMMIT NTS RECEIVED BY BUILDING INSPECTOR DATE North Andover Building Department Tel: 978-688-954 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of BuildingiPerm Number is that the debris resulting from work shall be t disposed of in a properly licensed solid.waste disposal facility as defined by, c 11, S 150 A. The debris will be disposed of in: �tCAI Z i 1� (Location of Facility) Signature of Permit Appl_ i ant Date NOTE: Demolition permit from toe Town of North Andover must be obtained for this project through the-Office of the Building Inspector Town of North Andover ;."°=T,", oma Building Department °. 27 Charles Street North Andover, MA. 01845o-�-`"-=- 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 /1K 19 ILILI Name Home Phone Work Phone PRESENT MAILING ADDRESS % 3 ; v 4 City Town State Zip Code The current exemption pb 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: Persons)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 two-year period shalt not be considered a.homeowner. The undersigned"homeowner'. assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, ruls 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. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL I _ E i i 1 11I - - -� t NORTH omm of :. over 0 No. 0dover,dover1 Mass. C 0': "NQ: �t RATED 1v n 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.....A,l.. Ar,,o.... r........ .... ..�.I�.................................................... Foundation has permission to erect....FW S.".............. buildings on ....>/..93.....Ro.�.+.I�9 b T....... /t.. Rough to be occupied as....17./.4.5.9..*J4N A...... p 5... RWc...IL A�/ . �................................... y Chimne 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. 9F814JP � 07/- OOW PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR CiRough 64 .... ..... ...........444............................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. 3733 Date......�/O­�**`-�/i��.... NOR71{ a?° e -;°1"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING SSAC MUS� ,-tis certifies that .��:41 49.x.� ............- . f permission to perform .......'. . .1. .................. ........................................ -ing in the building of....... ........................................................ North Andov Mass. Fee.., d.-.cP...... Lic.No� � LECrRICALNSPECTOR Check # TRECOM WON WE4LTHOFMISFACIII.�'L= offiYi:� DEPARTMENTOFPURUCSAFE1Y Permit No. .3 BOARD OFMEPREYE MONREGMYYOAS527CWR 12.00 UAA Occupancy&Fees Checked PPLICATTONFOR PEZMITTO PERFORMELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL.INFORMATION) Dat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) I2,C)s V:—H ` Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes Co"No, (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps_ Volts Overhead a Underground 71 No.of Meters New Service Amps / Volts Overhead [= Underground No.of Meters Number of Feeders and Ampacity Lccikion and Nature of Proposed Electrical Work' A- 1�m Na of Lighting Outlets No.of Hot Tubs No.of Transformers Total i KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 1:1ound No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units �No.of Switch Outlets No.of Gas Burners 1) of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones {` Tons k117 Disposals No.of Heat Total Total No.of Detection and Pumos Tons KW Initiating Devices Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained i Detection/Sounding Devices !Dryers Heating Devices KW Local Municipal Other Connections at Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER ..,.IrmrffireCoaagc Ptnsuanttothete�arBtsctIvlGateraiLaws Iha%eaamatL Yk&r&=Pc ym6x&gGam � L'=:.1 CacrtsskstrtdegrAat YES NO ED IhaNe%hrkedvandpodofsmr1othe0T=YES L=! ® If�cula%,edredcaiYESplmit*fetypecfwxmgebycl 3xgthe 1RA1`,C� BOND O 01 ER O ftweSpeafy) Expaa®atDale Estm0edVahteafEkc iralWait$ WakioShatt —� —05 Ii CtirnDaseRt Rout — I `�?—__ Fatal Sigttedunder�iePcfpajtay. . FIRMNAME :> L—L f i �k�cN1'� -� � �1_� t;t eNc� .. l--7p Btsi=TeLNa A1tTeLNa OWMMS11,&JRANCE WAIVER,Iana%k=MattheLdoesmtCrataalLam and�atmysaernthspeQrtitatwai�est�s tag>iisrtaY. (Please check one) Owner r7 Agent D • Telephone No. PERIviIT FEE$ N° 2939 Date...... "OOL TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,sSACMUSEt This certifies that has permission to perform1*YJ .......... ...... ............................................................ wiring in the building of..... ..of ...................................................... at.....L'�3 r1 d..�. .r�d f �R ,North Andover,Mass .............................. r Fee..3................. Lic.No/ ��............. ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Official Use Only Commonwealth of Massachusetts �?• -, Department of Fire Services [[Rev. ermit No. t�t� a.._. BOARD OF FERE PREVENTION REGULATIONS Occupancy and Fee Checked 11/991 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All,work to be performed in accordance«rith the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT 1NWKOR YPEALL INFORMATION) Date: I s �s_Q City or Town of: 6Vtr To the Inspector of Wires: By this application the undersigned gives no a of his or her intention to perform the electrical work described below. Location(Street&Nu ber) 1 013 . on Owner or Tenant Telephone No.ai V Urf,- y Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Boa) Purpose of Building Utility Authorization No. Existing Sen ice Amps / Volts Overhead❑ Undgrd❑ No. of Meters New Sen ice Amps / Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity — Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of TFires. No. of Recessed FixturesNo. of Cei1-Susp.(Paddle)Fans INo. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA Above ❑ In- ❑ o. o mergencyig ting No.of Lighting Fixtures S�yimming Pool grnd. grnd. Battery Units b No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No. of Gas Burners INo, of Detection and Initiating Devices No.of Ranges No. of Air Cond. - Tons TotNo. of Alerting Devices No. of Waste Disposers (Heat Pump Number Tons KW INo. of Self-Contained Totals: Detection/Alerting Devices _--l' No. of Dishwashers SpacelArea Heating b'VS' . Local ❑ Municipal ❑ Other Connection No.of Dr-vcrs Heating Appliances Kir Security •stems: No.of Devices or Equivalent 01-7 No.of Water K,W No. o o.o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassaae Bathtubs No. of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER Attach additional detail if desired, oras required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for tlie 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 ❑ BOND-❑ OTHER ❑ (Specify:) (Expirauon Date) - •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 compleiiori.­ I certifi,under the pains and penalties of perjury,that the.information on this application is true and complete FIRM NAME: ADT Security Services 111 Morse Street,Non o MA 02062 LIC. NO.: 1533C Licensee: John S. Bassett Signatur LIC. NO.: 1333C (If applicable,enter"csempJ"in the license tuumbor line.) Bus. Tel. No.: 7R1-27,q— -.131 Address: / Alt. Tel. No.:603-594-5M resi OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normally ONLY required by law. By mj signature below. I hercb)•waive this requirement. I am the(check one)❑ owner ❑ owner's agent. j Owner/Accnt SignatureTelcohone.No. PERl111T FEE: S S5_00 -' vr.rr %inm ArrU%,Al1UN FUR PEfjM11 1U UU t'LUMtJlrlU NORTH ANDOVER, Mae@, pais Bullding permit Locallon �5, � Owneell- Name j New ®--, Renovation O Replacement O Pians Submitted: Yea❑ No.❑ FIXTURES ..._..... /~- M •~j N O s } J N a• u a M rr M = 44r - t xt s w at X a 06 t: 111 elm a a a 0 t 0 a ..a. .. W sus-11@IIT. •At�M�NT T- i - 111T FLOOR LL 2040 FLOOR i,. 4TH FLOOR _ @'TM FLOOR eTMFLOOR. !TR FLOOR @TM /LOON rr Check one: Certificate Instalilnp Company Name_. _J/ Corp. ;.. Address� �D X old �r-7 13 Partnership fD Y( [Mrm/Co.. Business Telephone -�o 2.(7 _Name of Licensed Plumber J �Sl�e INSURANCE COVERAGE: ec one — I have a current Ilabllty, Insurance 01cy, or Its substantial eciuMalent. Yes 0' No p It you have checked y U. please Indicate the type coverage b checking the ._; ,. ,`,':'.,:-•` 0 Y appropriate box A Ilabllly insurance I�cY ❑ - Other type d Indemnity D Bond Q OWNER'S INSURANCE WANER:1 ani aware-that the licensee does not have the insurance coverage iequlred by Chapter 142 of the Masa. General Laws-and.that my signature on thle permit a IcaUon,.-waives_thla.. ertxai.-- Check one: -- __. _. .. OwnerQ - � ... a urs o ar,a et_s en , : . thereby certify that all of the detaf s and information I have eubtru4ted (or enteted)h Uon&to tcuaandla.tisabet.4ot- � knowled 'a atu nd that aI pmbinp wwk and Initalattona Won-od under the pe rrM 1 t appfcail t wf2 oomp rvilh all pertinen provlalons of the Msuscfwutts Slate Ptumbkp Code end Chapter 112 a+Liwa. TRIO gna cense urn er c CityRown License N"ber Zo M'TKWED(OFFICE USE ONLY) Type of Pftanbino lJcense; Master Journeyman ❑ t. x.:-=r�'1i �!'T^'Y"`''*i;3'^:_-iv' "t'-'*^".:,�,_„u-aFT�-�'al-. .,,..,:.��.y,•�-.•}� ..Date. ., 'F. .9.3 . w "ORT : �o TOWN/OF NORTH ANDOVER Z 'PERMIT FOR PLUMBING .SSAcmus This certifies that . . . . -. . . . . . . . Ex has permission to perform-:- -_ r�-2 . plumbing in the buildings of . :Td? . . . . . . . . . . . . . . at . . . . . . . . . . .. North Andover, Mass. Fee. 7TIr.Lic. No.. . . . . . . . . . . . . . . : . . . . . . . . . . . . PLUMBING INSPECTOR 07/07/97 12:18 30.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer ark 1. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIAIG (Print or Type) t NORTH ANDOVER Mass. Date , o t wilding Location�� ,Qty 1710,12 P__ Permit # 27--0 Owners Name 0 • New Renovation II Replacement Plans Submitted FIXTUR^c .W N N3 0f V z of .N = t— C a or O V m F' ` S N . Cc 4 ?. x �- O F cc ! a m m t„'- w m a o a zi tw Cr0 - 't r in y N a z x U) a, w z a z a °7 w '� °C tom- a t- z us v d 7 W r v ...t F w z Q W e a F' >- ti m o z Uj o us x W p W F x x O O x aL ca U v ¢ y ci a P O SUB(-6S%61T. BASEMENT I ST FLOOR f 2ND FLOOR •3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTK FLOOR 6TH FLOOR (Print or Type) _ Check one: Certificate Installing Company Name _ Q Corp. Address Q /+ ` - IR Partner. 4cx,.,/(�-� �l� O�`�3� � Firm/Co. Business Telephone: �'i Name of Licensed Plumbero Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy M. Other type of indemnity 0 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 0 Agent 1 hereby certify that all of the details and infotmation 1 have submitted (or entered)in above application are true and accurate to the test of my knowledge and that all plumbing work and installations pafomud under Permit isseed for this application will-be in compliance with all perttnent provisions of the Massachusetts State Cas Code and(sapter 14I of tho General Laws. By TYPE LICENSE: Plumber Title Gasfitter- Signature of Licensed City/Town: Master Plum P er or Gasfitter APPROVEDUSE ONLY Journeyman N OFFICE b ( ? License Number r e c aINT 2 Q Date. � L . e r NORTH TOWN,Of NORTH ANDOVER Q o PERMIT FOR GAS INSTA;LLlilON :Y .t r 9SSAC MUSES .or This certifies that . . has permission for gas install tion . . in'the buildings ofz. .! Z% XC?✓ C. ?., North And;over, Mas Ltc No. +v+, 7. G7IS INSPECTOR a WHITE;.Applicant 4 F v CANARY Building Dept PINK Treasurer a^ GOLD FIIe y. } ; \ Office Use Only G �( V t LfUMMVnU>r Uf .4Jagga r4U5tftg Permit No. t +9epartment of Public 3ofetg Occupancy& Fee Checked �4 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with-the Massachusetts Electrical Code, 527 CM"Of (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (M* or Town of NORTH ANDOVER To the In s: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) �� � Owner or Tenant Owner's Address Q Is this permit in conjunction with a b 'Iding permit: Yes Ldp No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing.Service mps '_J Volts Overhead ❑ Undgrnd El No. of Meters New Service _ Amps� 449T volts Overhead ❑ Undgrnd l� No. of Meters l Number of.Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures ISwimming Pool Above In- gnd. grnd. IGenerators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Air Cond. No. of Ranges I tons Initiating Devices Disposals No.of Heat Total Total No. of Dis P Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices 1 Municipal No. of Dryers Heating Devices KW Local ❑ Connection ❑Other No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Mass chusetts general Laws Corn le O erations Coverage or its substantial equivalent. YES O _ I I have a current Liability.Insurance Policy including Co P have submitted valid pr f of same to the Office. YE NO = If you have checked YES, please indicate the type of coverage by checki4.the Appro to box. INSURANCE BOND OTHER (Please Specify) (Expiration Date) Estimated Value of EI rica Work S Work to Start Inspection Date Requested: Rough Final Signed under the I es perjury: FIRM NAME LIC. NO. O Si lure LIC. N . A,Licensee r/ SD� y3� Bus. Tel. Na. � 'rl h Af Address OWNER'S INSURANCE WAIVER: I am aware that the is sAlt. Tel. No.ee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Own Agent (Please check one) Telephone No. PERMIT FEE S cd L&)? (Signature of Owner or Agent) x•5565 Cu.. .=..-'*.-•,d,.,&„(!=„e. ,�.. ,, -mow �..-r.....�-,..,r,}a�-:r•-rv-„�y`y°S:�l'if7t*12`�+A�.--wry:=::sM�'�ir'C'�rxt�.�'q`'y���c e.v.r v.� c s Date. .. /f. x � ! 2965 - 4, NORTH 1 ' °�t� °°"�o TOWN OF NORTH ANDOVER o PERMIT FOR WIRING FA' ,SSACMUSEt - This certifies that <' has.permission to perform ........ ``J ' ..... .. ... wiring in the building of ............ . ......... CL..� '..��.I .�.:: ... ,North Andover,Mass. AJ Fee . ...... ..... Lic.No RICALINSPEC R ' /t907/56 14:47 426.04 PAID GOLD: File WHITE: Applicant ` CANARY. Building Dept. PINK:Treasurer _. ... ,�..aw„„4k�.., ,.- �--...,:.,���-ac cn:-vrwa•.sasnr.*vf?' r`k+"'"c4rn.,.Y-'-- 4 Location I 1 QOSeCYI C A ii - P �i No.. Date 11 NORTH TOWN OF NORTH ANDOVER p Certificate of Occupancy $ * Building/Frame Permit Fee $ =` �:. • e _ cMuSEt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ — uiiaing Inspector =P/21/95li:P9 1.746.00 PAID �! .9346 Div. Public Works 1 Lo+ T7 Location t5 I o�# No. `s Date Il (2_ syr o<2r�eTH TOWN OF NORTH ,AN66 AiAlladim Certificate of Occupancy $ Building/Frame Permit Fee "' �s''�°•''t4'� Foundation Permit Fee S t O© sAGHUSE i �. E Other Permit Fee 9� y Sewer Connection Fee Water Connection Fee 9� TOTAL g S N4;,-A 0� Building Inspector `3'IY 33 150.00 PAID -934-5 .. Div. Public Works- 'Location No ° Date NOR*M TOWN OF NORTH HANDOVER 0 y� Certificate of Occupancy $ ' Building/Frame Permit Fee $ SSACNuSEt Foundation Permit Fee $ �i Other.Permit Fee $ Sewer Connection Fee Water Connection Fee TOTAL $ ,05- t , Bnrldip�Ins or t �? 3 9f� Div..�ubl c.Works ` PE&JLIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP h40. LOT NO. 12 RECORD OF OWNERSHIP -'DATE BOOK -'PAGE SUB DIV. LOT NO. �t4tJu � � F r c LOCATION iQ"3 � m�,�Tv'Q`�� PURPOSE OF BUILDING r � A OWNER'S NAME 4414 / `t,,C.t-a.,e /,n[Aql� •`/1..,n P- NO. OF STORIES SIZE r OWNER'S ADDRESS .31Q2 i 1 me#V 1 .t•- AvN.�(j L .v��/{ � ASEMENT OR SLAB — AR&HITECT'S NAME 76 3jea-r Vjt�.`ry�s /�' me SIZE OF FLOOR TIMBERS IST �1x� 2ND ,'� O 3RD BUILDER'S NAME .ry��� (J s. v.�-S SPAN ,C = DISTANCE TO NEAREST/BUILDING 201 DIMENSIONS OF SILLS ��6 --- DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT � �''C/ G FRONTAGE HEIGHT OF FOUNDATION S( t THICKNESS /O Y IS BUILDING NEW L S SIZE OF FOOTING 1V R X IS BUILDING ADDITION L �w//� MATER:AL OF CHIMNEY 7, `dzo IS BUILDING ALTERATION /q0 IS BUILDING 119 R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �� IS BUILDING CONNECTED TO TOWN WATER Vo.9,ocol BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 5 INSTRUCTIONS 8 PROPERTY INFORMATION LAND COST SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 3 �-- REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST PER SQ. . • - _ EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 DATE 1 FEE PAID SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY v ATTACHED GARAGES MUST CONFORM TOATE FIRE REGULATIONS PLANS MUST BE FILED/AND APP VED BY BUILDING INSPECTOR t BATE FILED LDINO INiPiCTOR • SIGNATURE OW ER OR ATH ZED A ENT FEEif PERMIT FOR FRAME/BUILDING OWNER TEL.# �/�a42� PERMIT GRANTED CONTR.TEL.# b Lim M 19 DATE: � �` FEE PAID' CONTR.LIC.a 66 ;?!U6 NOV + 1995 L,."Ii�.STlr� �ps�artrw H.I.C.A' J BUILDING RECORD ► 1 OCCUPANCY 12 SINGLE FAMILY 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 r' 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HAR—TE ,-,PIERS PIASTER • _ DRY WALL UNFIN. 3 BASEMENT AREA FULL 71 FIN. B M AREA _ 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 HARD\'J'D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME I - BRICK ON,MASONRY ATTIC STRS. 6 FLOOR _ F'. rkL t r• BRICK ON FRAME CONC. OR CINDER BLK. J L j , ; STONE ON MASONRY WIRING STONE ON FRAME ' SUPERIOR POOR _ ADEQUATE NONE } 5 ROOF 10 PLUMBING or r GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT I SHED WATER CLOSET ASPHALT SHINGLES ,LAVATORY - WOOD SHINGES KITCHEN SINK - SLATE NO PLUMBING _ - TAR B GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES or TILE FLOOR TILE DADO }.ar♦ +�;� � �� ct� �H! 744 _µi' _ _ 6 FRAMING 11 HEATING 1 Vii. i .•6....1.. 1 f?'FIs I..I t WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. S COLS. STEAM STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR +..�.+ E .� ;. ,w...� � WOOD RAFTERS AIR CONDITIONING jJ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAL O B'M'T 2nd _ ELECTRIC 1 st S" 13rd I NO HEATING _ °. ".: '.,h-t4i1:f^lt R r • v NORTH Town ofdover 1 O Y. `u--i�'Yi` N.i?. N � d " , 6rdover, Mass., ['WeMSM 6 19'?S" C.OC HIC Mt WICK \ AORATE0 5 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. AStiSR... I!Cnl ......H4KQ...... Q9— ........................................................................... Foundation has permission to erect.0 .... RA ... buildings on .1% ...7P �xT.... � .............1. •Z � Rough to be occupied as.Ss 4� �..... .*� V kO4....4�...3.C��....�41?�4 ,... . �4�l�dtl�4 . . .... -himn y 1� � e arson accepting this 8rmit shall in eve re ect conform to the terms f the application obfil in A provided that the p p g p every P 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR j REGULATED BY PARA. 114.8-S. B.C. VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough i PERMIT EXPIRES IN 6 MONffld _7EE PAID 11=), Final UNLESS CONS C I T b� + ELECTRICAL INSPECTOR Rough Service LDING INSPECTOR Final ; P Occupancy Permit Required to Occupy Building SPECTP M� ous Place on the Premises — Do Not Remove ajA gh Display in a Conspicu �.,�N Fi �QA� No Lathing or Dry Wall To Be Done FIRE DEPARTMENT W Until Inspected and Approved by the Building Inspector. Bucnec )r-A Street No. Smoke Det. ' —C(34 5=�i3 FORM U - IAT RELEASE DORM 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Hiss a 1I Aw &ae Phone 682 LOCATION: Assessor' s Man Number Parcel Subdivision /Rkw"# R WOJ14 - Lot(s) 0?:7- Street /)� St. Number /`l3 Use Only************************ RECOMMENDATI S • F TO AG TS: i Date Annroved / 9S Conservation Administrator Date Rejected Cc=ents CR ( Date Approved Town Planner Date Rejected Comments Date Approved Food Inspe -or- ealth Date Rej ec-ed Date Approved / s �-- - . � Lnspec-or-Health Date Rejected Co=ents Public WorLS - sewer/water connections driveway pe=it Fire Department Y Received by Building Inspector Date I FROM LAND PLHNNING BELL IHGHAP*l PHONE NO. : 508 966 5054 P0? � `' LOT Z 7 0 98 t rc= s8 7 0c, �� L GAR =.584,.00 a 1 S4.A8=.3?,1. 20 In 1 INV /a0,00 Q 3e�c .;78 `N v —.3-7-4 9 AS / / �'� 1�DiaMAAl1 361 ! — 910 s 3Co� 06 00, im cm LOT L 8 9 31W 0. L-O T Z Co / / *oma �/ST��4,���'� 3 o,EG ND . C c-s^mo U-r f=o p .�C W EMS. 4—tN E o - _--s�- tNV Sot . 0241 350.90 U5EIv) c ) 1\ C) F 50' 4,I t-,t o r;r W A.V ) "DYE &L UWW LOCAM" ARE In K rm VOWIED BY IME GRADIIM 81:M PIM IRh OCNIRACTM. CEDAfR SAY G o K & � IDT 27 I�0WIN A1f00= WTAT69 POM AMM NA LAND PLANNMG TOLL am INC. pilss�Nr1} t •VIrRt �e �! f�Irt 1M� '� Wo xAm'!ftRD wsxvX. ssuauaBak W Moro (GM) (soy 0"-6"4 /o-2 a !" - 4d' ,,� t= 2-7. J 1 FROM LAND PLANNING BELLINGHAM .PHONE NO. : 508 966 5054 P01 a - 91.93' 1 N LOT 27 30,755 S.F. 2�2® sem. LOT 31 LOT 25 FOUNDATION ASBUILT TC=385.67 OF ,�cr� 5g.5d t 00.00' � << Q toiNRa sn. o r 11" N N LOT 30 Ecl it I b�j` 1pp4 0 LOT 26 0 r: LOT 28 LOT 29 tt R0,5EMONT DRIVE (50' #7DE APP WAY) 50.00' SETBACKS: F-20' S-0' R-20' (20' beiw_ bldgs.) FOUNDA'T'ION AS BUILT WCATM AT I CERTIFY THAT THE STRUCTURE SHOWN IS LOCATED IAT 27 ON THE LOT AS SHOWN ON THIS PLAN AND THE NORTH ANDOVER ESTATES LOCATION DOES CONFORM WITH THE FRONT, SIDE, NORTH ANDOVER. MA AND REAR SETBACK REQUIREMENTS SET FORTH IN pKW"RM !OA THE TOWN'S ZONING BYLAWS AT THE TIME OF TOLL BROTHERS, INC. CONSTRUCTION. I FURTHER CERTIFY THAT THE 1800 WEST PARK DRIVE STRUCTURE IS NOT LOCATED IN THE SPECIAL WESTBORO, NA 01581 100 YEAR FLOOD HAZARD ZONE. THIS PLAN IS NOT fluEmosplellipL, LAND PLANNING TO BE USED FOR THE ESTABLISHMEN1 OF PROPERTY LINES, ERECTION OF FENCES, OR CONSTRUCTION OF ENGINEERING & SURVFY 2010 ADDITIONAL STRUCTURES ON THE LOT. ier Q5e�v M v Al' (WO) 08a_SO54 MAP NO. 0006C COM NO. 250098 DATE: 8/2/93 I2 14Z95 1---40' 1 NAE-27 NORTH, F own of dover No. 5 7 . fir dover, Mass., C`�emgee_ E 19<q 5" COCr ICME-ICK DRATED 5 BOARD OF HEALTH Food/Kitchen Septic System .PERMIT T BUILDING INSPEC R THIS CERTIFIES THATMA'.54..%,XX!.i1'�. .....� Qom.................. """' """ """"' Foundation has permission to erect. .... (ZA(�?gL.. buildings on .t �..��--� 1b1''x ...... - p g L�'� 6 .:.....' Rough to be occupied as.Ss 6*- 1.VA.-D. l.V kmk....tp... S.eAIS-.--640 .4�....�..b.�Z�l�O�l�./..... .... himney t� in thi�rmit shall in ever rel ect conform to the terms bf thea lication oh fil in A provided that the persoff accept g p y p pp incl 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTO)i REGULATED BY PARA. 114.8-S. B.C. VIOLATION of the Zoning or Building Regulations Voids this Permit. � PERMIT EXPIRES IN 6 MONgt ''L � FEE PAID UNLESS CONS C WLD9G ,� ELECTRI AL�INSPETFERMIT FOR FRAME/BUILDING -- 8 Ro � kl� � c ....................... Service BATE; �+ FEE PAID' I. SPECTOR Fin / Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det i toAll k � .. CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 571 (1995) Date AUGUST 16, 1996 THIS CERTIFIES THAT THE BUILDING LOCATED ON 193 ROSEMONT DRIVE (lot #27) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/3 CAR GARAGE IN ACCORDANCE & GREENHOUSE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Mass, Timited Land Corp. a 231 CoM01h Ave. ADDRESS ''ZACHUS uildcng Inspector