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HomeMy WebLinkAboutMiscellaneous - 196 SUMMER STREET 4/30/2018 r 196 SUMMER STREET 210/038.0-0170-0000.0 Location No. Date HGRTN TOWN OF NORTH ANDOVER 9 ` Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s�cMust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector,, /` TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRIJC`P REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELL INC 'Phis Sm im for(Awial use om BUILDING PERMIT NUMBER. DATE ISSUED: rn 8-�� --o/ - X SIGNATURE: Building Commissioner/InEe2stor JBuildings Date Z SECTION I-SITE INFORMATION 1.1 Property Address: 1.2. Assessors Map and Parcel Number: O I Map Number Parcel Number 1.3 Zoning information: 1.4 Property Dimensions; Zoning District Pr osc I.Ise Lot Areas Fronta e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.5. Flood Zone Information: 1.R Sewerage Disposal System: 1.7 Water Suppt}'M.G_I�:(`:40. cS4) ag� p Public ❑ Private ,f❑ Zone outside Flood Zone 1] Municipal LI On Site Dislx)sal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record ame(� Address for Service. Signature Telephone I 2.2 Owner of Record: Name PrintAddress for Service:• 9O9 I L �� rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 9 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: AAq e5 @ ` License Number / Mn Address y/ / D 2e szry-15-3 7 E xpiratio .Date-Z/eic if Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name -J Z 'Z ``t' rn Registration Number r•. Address r_ _ __------------- --------- Expiration Date Si toe Telephone 0 .f � f 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....Vn No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. w'❑`'4 `' Demolifibn ❑ Other ❑ Specify Brief Description of Proposed Work- All 4'>u s4-7 n!,- !/xav c-�/ vuw 1 q xO<) SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Com leted by erntit applicant 1. Building (a) Building Permit Fee Multi Mier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee tel x (h) 4 Mechanical(I IVAC) 5 Fire Protection 6 Total 1+2+3+4+5 fQS' Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR^CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property hereby authorize ftl L P/j`�—,e.t'c uc. to act on ill:in all itt rs thorized bN•this building pennit application. fi Signature of O\tiner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, L 1-a�Y- as Owner/Authorized Agent of subject property I lereby declare that the statements and infonnation on the foregoing application are true and accurate,to the best of my knowledge and belief 'OX,cL Print Na14 r Si nature of Owner/A,cnt r Date NO. OF SIORIFS SIZE 13ASI:MF.NT Olt SI.A13 SI/.1:OF FLOOR I IM131:RS IST 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DiMFNSIONS OF GIRDF16 I LFIG1 iT Ol,FOUNDATION THICKNESS SIZ11"OF FOOTING X MATF]UA1.OF CI IIMNf;Y IS BUILDING ON SOI,LD OR FILLED I.,AND IS 13Ui1,1)ING CONNECTED TO NATURAL GAS LINE: • : FORM U - LOT RELEASE FORM I 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. i. *****************************APPLICANT FILLS OUT THIS SECTION APPLICANT PHONE LOCATION: Assessor's Map Number `3 PARCEL /7e i SUBDIVISION LOT (S) is STREET ST:NUMBER f { �*� OFFICIAL USE ONLY I �a REAOqqNqATlONS OF TOWN AGENTS: I{ CON, E ATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS 'i FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED i JECT-ED— COMMENTS ABY eedi5 ACS b e' PUBLIC WORKS -SEWERMATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm i Town of North Andover °4 N°pTH qa Office of the Health Department F 4 p Community Development and Services Division 27 Charles StreetI�°°4 4 " O°a�TF° North Andover, Massachusetts 01845 RSSACHUS�t Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 July 18,2001 Mr.Mark Joslow 196 Summer Street North Andover,MA 01845 Re: Application for enlarged deck Dear Mr.Joslow: Your application for a deck at 196 Summer Street has been reviewed by the Health Department. The application was denied on July 18,2001 for the following reasons: 1. GY Missing information 2. ❑ Passing Title 5 inspection of septic system may be required 3. ❑ Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: a. Floor plan of existing and proposed addition b� Certified plot plan showing house,septic system and proposed project in scale If#2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, Sandra Starr,Health Director Cc: Building Department Eric Tetreault File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 cm.=.o,N x = f , The Commonwealth �vl�sSachus tt o � � e �s Department of Indust;ralccrdents —_ _E GFica cf Imiestications Ecston, Mass. 02111 rVcrkerc' ComC(---nsavcn InSur2r-cam i iCCb`i iii ame 1=1C3s� iri j i�l.•me: Lcc=tion: Cis/ chcr.e I am a hcmecwrer pericrninc all wcrk myself. u I am a sole prcpretcr and 'nave no one wcrkine in any coCac:ci I am an e•.mC!cver rrcvidireworkers' ccmpensaticn fcr iTiV ernpicyees',vC.,arc cr a is !Co. C r--Canv name: �� CrA Ser i On Address Igo acs b Inscrarca C c. Ccmcanv name: Address Cihr =hcre =• Insumnce Cc. Police = Failure to sec::re ccverace ss r_curec urcer Sec::on C9.a or MC-L ,5-- cn lege to the:mc,.smcn cr ^m.;rai cen.arties a a rine uc:c 1,5co.CC anc'cr one years' :mcrscrm.en.t:s .ve!!as c:vii cenatties it :he rcrtn c:a 370F /\/CRK CFCE= rc 2�r:e~;51CC.CC) a cry ;airs;me. i uncerstane that a c :,y cr�`is staement may to icr,varcec tc the Cr`•ca cr Invesccaucns -. .he Cir` _c•:erace venric=cn. I cc nerecy cerry under fhe wins and gena/ties of,oerjur/rtar to inrcrrravcn..-rcvrded accve s:' e arc cicnature V ` 'c'`— L v� Print name 4;�Q1.L cre j �� � 535'-1 Cric:al use only co nct ivrtte m this area tc to c.r-ve!ec:;y c:: c, .vn =:c;zi Giv ar i cvn F=rr.:uL:cersrc L' CUl1Grlr;C dew! [C eck,f immediate resccrse;s recurred [ L'c nsirnc LScarr: Ca:ec:mar,'c C�'ica C.:rrac:,:erccn: chcre.- ea/t,7 Oegarrrerr C C titer i ✓fir, f. a � �crrnmraarcueczlll ,,./t°'� ,� J�ll3 BOARD OF BUILDING REGULATIONS .License: CONSTRUCTION SUPERVISOR i Number: CS - 054643.' Birthdate: 11/19/1970 +� iExpires:'11/19/2001 fir.no: 9382 Restricted To: 00 ERIC D TETREAULT 390 AMESBURY LINE RU .4" HAVERHILL, 'MA '01$30 Administrator j p I i � u i a 0 C k 1. ecj(_ ZO RE 3SI� J I 84 ey 41 JJip C�/ST Ek'6\ LANDs��4, A�cz Eng = 43616 SF 0 n 8 r- ---- Ion �oA.!o IGo>,.ISTRU�TI�►.► E�...t``d1�"t�l'r- -- M T Deck Frame 20'-3/4" triple 2x8 beam 2'-0 --- — --- --- 2 x 10 pressure treated joist 14'-0" ledg lag bolted to h u�t Joist hanger Existing house Flashing between house and deck 2x4 pt handrail Existing house - 5/4 x6 PT decking 3`_0" 2x2 balluster @ 5.511 o.c 3 1 - 4x4 pt post bolted to frame 8 pt beam simpson angle hangers 2'_0" Grade post base 4x4 pt post 1/2" anchor bolt .1211sona tube 4, below grade a R R a �v Town ®f forth AndoveraRr N a► ��0��1��06Av F Building Department - 0 27 Charles Street Z. North Andover, Massachusetts 01845 '' (978) 688-9545 Fax_(978) 688-9542 �,coc K. � SSAC"US�� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, anda condition of Building permit.# the debris resulting from the work shall.be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: Facility location Si ature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. NORTH Town of :_ :� 4:. Andover ...r. L' No. o - o dower, Mass. 63h L07 O 0 / COC HICHEWICK AoRATEO P'?a��5 S BOARD OF HEALTH i PERMIT T Food/Kitchen Septic System D .. A A THIS CERTIFIES THAT................/'�A � � d.5...d � BUILDING INSPECTOR . ..................................................................................... � 0 Foundation has permission to erect... y o?.d............ buildings on ...../..ry t`j......5.�..!'k.MOL.e..'.^.........�� 4 ......... Rough C /C l? /0/A C� i'17 a/� 7— Chimney to be occupied as............. .. .......................... ......: ........................................................................................................... y 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. g� ,�d ,S[ d — PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 7' Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS oug .C.. ............ ......... ....... ................ 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. 1�N2 U"� I Date 4, TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SACHU 7 Thiscertifies that ........:............. ............................................................... has permission to perform .. .. ......... . .... % wiring in the building of.... ... ...... ... ...... .............. ... .......... .............. North Andover,Mass. `...Yr.......'...-�::�....... �/)............ -, .............................. Feek.....r7....... Lic.N6 .....' " #— ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer OCT-19-99 TUE 09:48 AM FAX: PAGE 1 Rough Service Final y� Q-114e GammAt111Y 114 of 11asur4us #t$ Office LNe only Department o/Public Safety Perrrut No v BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 04XWpanKy y Fee Checked f`S 2/90 (leave b4n1) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ' All work to be perfornmed in accoraance v.dh the Masvchuwns Elecurcaf Code, 527 CMR 12.00 (PLEASE PRINT IN,tNK OR TYPE All INFORMATION) Date City of Town of l` To the inspector of Wites> The undersigned applies for a permit to perform the electrical work described below. Location 151reei Q Number) !i"l�1 t!/Z Owner or Tenant Owner's Address is this permit in conjunction with a building permit: Yes /No F1 (Check Appropriate Boas) Purpose of Building tJ dity Authorization No. Existing Service ?w Amps 4 0 r .e•/0v0lts Overhead ❑ Undgrd l4" No.of Meters z New Service _ Amps r volts Overhead ❑ Undgtd ❑ No.of Meter Number of Feeder and Ampacrty Location and Nature of Proposed Electrical Work s/ � l4' TOTAL No,of I ighting Outlets No.of Not Tubs No.of Transformers KVA Above I No.of Lighting Fixtures SwimmingPool md. Elrnnd. ❑ Generators KVA No,o *rpm Li ting No.of Recepwie Outlets No. of Oil Burners Battery Units No,of Switch Outlets No. of Gas Burners FIRE ALARMS No.of zones low No.of Detection and No.of Rattles No.of Air Conditioneis Tons . Initiating Devices + eat - No.of Sounding Devices No.of Di Is No.of Pumps Tons KW No,of Self Contained No.of Dishwashers Space/Area Zeatin ipaf KW OetectiorJSoundrng Detests �—y MUn.;,Connection ❑Other No.of Divers HeatingDevices KW tocalt_! No.of No.of low 70,5r— No. o rageNo.of Water Heater KW Sips. Ballasts Wirier No. Hydro Massage Tubs No.of Motors Total HP i OTHER: �l/f ✓�I.P-&F �' �`T' INSURANCE COVERA ; Pursuant to the requirements of Massachusties General laws I have a current liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YES❑NO O t have submitted valid proof L4 same to this office.YES U NO(J If you have Checked YE , please indicate the(M of coverage by checking"appropriate bo ON INSURANCE SO 11OTHER❑ iPlease Specify) ' Estimated Value of Electrical Work S fEapioation WW Work to Start Inspection Date Requested. Rough 11as3 final /%.s 9d- Signed under the penalties of perjury: FIRM NAME +' ° c+ i _ sr JZ) LIC. NO. 4 16 22 Licensee_ � _ ��'� �'� l tS's�- S• Signature - LIC.NO. Address '�E� dt/l/ L// f+t��0,14(xP_t(.� /l�G�r —-- - -- Sus. Tel. No, Alt,Tel.No. OWNER'S INSURANCE WAIVER.I am aware that i}te Licensee does not Rave the insurance coverage or its substar►tial equivalent as required by Massachusetts General laws,and that my signature on this permit application waives this requirement.Owner Agent (Please check one) Telephone No. PERMIT FEE$ (Signauire of Owner or Agent) Location i 1. 6 5 q " 0qf 1l ST. No. �� 7 Date NORTH TOWN OF NORTH ANDOVER n Certificate of Occupancy $ * : Building/Frame Permit Fee $ Jew Foundation Permit Fee $ s+tMust Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL 11 3 0 Building Inspector J 4 0 010/15/99 13:38 65.00 RAI Div. Public Works ;PERMIT NO. �zd� APPLICATION FOR PERMIT TO BUIL/Dxxxx*X"NORTH ANDOVER NIA y MAP NO. Z LOT NO. l 2. RECORD OFOWNEASHIP DATE BOOK PAGE ZONE / SUB DIV. LOT NO. LOCATION t C� S4:2 r PURPOSE OF BF1.I�DING X225\�,e '2 '(z fZb ut.J OWNER'S NAME �,OS'uw NO.OF STORIES . SIZE OWNER'S ADDRESS ;� VY�II/1 BASENIENTORSLAB ARCIiITECI'S NAMESIZE OF FLOOR-TLNIBER.V 1 2ND 3R _ BUILDER'S NAME Lc- ect, - SPAN DISTANCE TO NEAREST BUILDING 1 DIMENSIONS OF SILLS i DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES REAR DINIENSIONS-OF 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 CONNECTEp TO TORN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED.TO NATURAL GAS LINE INSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST. BLDG. COST G () U— PAGE 1 FILL OUT SECTIONS 1-3 EST.BLDG. COST P R SQ. FT. EST. BLDG. COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDLVG SEPTIC PERNITT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: t PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED ... OWNERS TEL# co-7 CONTR.TELiq CONIR.LIC# C)5-glp"'� SIGNATURE OF-OA ER Oil AUTHORIZED AGENT 1 -7 1 FEE PERMITGRANTED IdI7 L/ 19 Revised 5/5/99 JNI If C7 ROME IMPROVEMENT CONTRACTOR Registration 112674 Type - DBA Expiration 04/15/01 E.T. CONSTRUCTION ERIC D. TETREAULT AMESBURY LINE RD ADMINISTRATOR HAVERHILL MA 01830 U J1. t 1ji. A; DEPARTMENT OF PUBLIC SAFETY CONSTRUCTICN,SUPERVISOR LICENSE hiber: E�tpires: Birthdate: est -11/19/1999 11/19/1970 iestri te.d." Do ERIC D. TETREAULT 390 ANESSURY'LINE RD HAYERHILL, NA 01830 .............. .............. -A 'if Wv 7 BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with.the provisions of MGL c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A 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 I i t - i 4 I A0RTfj Town of over No. 471o, AK If o�ACOCHI E doves, Mass., DRATED PPa�.�� S SE BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT.............. ......... ..d�.. �..4,0P............................. ... ............................................................ Foundation has permission to erect �.�...... ....... ildings on ..VOM1110 . ...... .�►. Rough to be occupied as.............................. ........ ........ ..... ..... ..... .�..� ...........�!! ... f'. INr..... Chimney provided that the person accepting this permit shall in ry respect conform to a terms of the applicatio fi Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Const n . Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES O S Final UNLESS CONSTR N S ELECTRICAL INSPECTOR Rough ............... ... ............. Service B Final Occupancy Permit Required to Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE smoke Det.