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Home My WebLink AboutMiscellaneous - 20 MILL ROAD 4/30/2018i 'F 1 Location ZU �' i ►l -t, �c,i0 i� No, t q I Date TOWN OF NORTH ANDOVER A Q - 3?0 (,,Go ,�00 ' L O p Certificate of Occupancy $ �2 "" Building/Frame Permit Fee $'Area O A Foundation Permit Fee $ Other Permit Fee $ N Sewer Connection Fee $ T Water Connection Fee $ LO TOTAL $ U i 130-- 1 Building Inspector �p Div. Public Works lqjPER.1fIT NO. I APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP K -4O. I LOT NO.— to 2 RECORD OF OWNERSHIP (DATE BOOK 'PAGE ZONE SUB DIV. LOT NO. — LOCATION RL l b— PURPOSE OF BUILDING (W.�CA,' Rod e"7 OWNER'S NAME t%is j oa 1 t it rl (,XP1 NO. OF STORIES SIZE / y x' I Z OWNER'S ADDRESS Ig o 1 111 & 4 I � &-,4� d.la BASEMENT OR SLAB ARCHITECT'S NAME d -a )_/A) �+� 1/� -- SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME -.}+0) _ , `e..j"+��jfl i` f_ 4 y �N - SPAN DISTANCE TO NEAREST BUILDING -- DIMENSIONS OF SILLS DISTANCE FROM STREET 'Roe) % --- POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATER:AL 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 7-ea2 aCvA-1 exrst'/-r SEE BOTH SIDES / tf7t 11 JaQ nc� Civ PAGE 1 FILL OUT SECTIONS 1 - 3 �Jtott C, SC�1S�s�+ ROO„► 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 FI BY BUILDING INSPECTOR DATE FILED SIGNATURt OF OWNER OR AUTHORIZED AGENT FEE 11 PERMIT GRANTED 61 I c 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 2-0 f7t7d EST. BLDG. COST PER SQ. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPRCTOR OWNER TEL. J/ (O 72 "OCo i0 60 CONTR.TEL.JJ 400-02-(0-1"S' CONTR. LIC. JI H.I.C.# t 12— (p'? c- , —. Ic*&c q BUILDING RECORD 1 OCCUPANCY 12 'r SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH d 1 2 13 PINE CONCRETE CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL '/, 1/2 % FIN. B'M'T' AREA FIN. ATTIC AREA _ _ NO 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 �_ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ CONCRETE EARTH HARD\N'0 COMfACN MPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I�POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I I HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES_J_ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD•JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 8 COLS. STEAM STEEL BMS. 8 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 12nd I _ ELECTRIC 1st 3rd 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. A t T z a V' C7 O z Cf) m D 0 z T z D 3 co) d C � d CO) C) CD n Z y CL O n� r MM C � O C. �• CO) a� -v O v CD CCD CL O c CD CD O CD mw P C CD y. O. v H O tG O CD v CA O 10 Z CD o CD 0 CD z V J l ' CC E�O d S CA ad0 C m 'O y 4 = mo m m O yc�a� 3 m Z •� cr-O H O .d.. m y -7 =r CL CL 0= m OO Cl) y O y o Poor. o i =CD m : m = coo CD -4 o = 01 C y' n W :3.O m C � C, V E. no=� c. = w t0 C � W O m N SO n� C d m O m jeH O *15: CL :c N 17 r O ..► :e y N H � m � m d N Fw to c 0c1 � o � 3f1 moo. CD ► co ED D n cc,, !! m • o C co M3 C .=• cam T CA = CD --I CD omq 0 p a z Oil 0 0 UQ coCA 0 o UQ n 0 0 GQ r z o GQ '11 o. C a C CA o ?� Gd e y � v rp 10 9F -,l 0171 n rn — - 3 m v N rA ° x m o N o G i 7p� D g Q° c Z � - o _ o c K m O 31 n O 3 m 0 7 Z -5 O R1 am Z o o 00C 0 W = =Zw a w.cn�, n ami � O m 0 Q m k♦t t 5 y. '\kij O ? _ z z O m I Z CL 0 C 9F -,l 0171 n rn — - 3 m v N rA ° x m o N o G i 7p� D g Q° c Z � - o _ o c K m O 31 n O 3 m 0 7 Z -5 I� m GIOJ Jar j M-40 N :3wx tc z w mrN No -4 NO 3 0 W > cn;o -4M 0 r N r O w a r v► w %0 00 r r 3NI-1 ONO.!' 0103 O Z m O R1 am Z o o 00C 0 W = =Zw a w.cn�, n ami � O m 0 Q m O W z o C W O ? _ z z O m I Z CL 0 C M n r I� m GIOJ Jar j M-40 N :3wx tc z w mrN No -4 NO 3 0 W > cn;o -4M 0 r N r O w a r v► w %0 00 r r 3NI-1 ONO.!' 0103 O Z m --+ m �W AMM �� Z'Imo -�� 0 -00 ZZ OZCm Z -0 0T r)M 0 mm mo=Z _U)aJ-j G) 00 mD=D OU) MKZ W i -� O —{ S N.�. CD m m cn w.cn�, n ami � = m 3 � O W o O ? _ I Z CL 0 C M n r CD 0 -C CD N = CDD N c Z 'n w c. �C T1 r D --+ m �W AMM �� Z'Imo -�� 0 -00 ZZ OZCm Z -0 0T r)M 0 mm mo=Z _U)aJ-j G) 00 mD=D OU) MKZ W i -� O n m n 0 wOO 0zm n -4na W CA -4 O ? _ w 1r � DOZ C O mcry -C CD N c Z 'n :3Cm O rnN �C =r r ;)am n M (D n m (D CL O ODn a O 0 m O --+ m �W AMM �� Z'Imo -�� 0 -00 ZZ OZCm Z -0 0T r)M 0 mm mo=Z _U)aJ-j G) 00 mD=D OU) MKZ W i -� O n �f7 =3 W w n CD D A m = a (�D p' a O 9 ` 0 i = (D CL a' ~ a =r (D 0 O 0 .w O O CL a N N � �J L• O c cil. m O (Q r ...L 0 O 0) V O W 4 N co O' Aj Y FOR?( U - IAT 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLI CANT : lyw a io 4- CA.) L c 4 Pt p 4 �, LOCATION: Assessor's Map Number L,D`f- 2 - Subdivision Subdivision Street Qo ill /// 6 r ************************Official RECO DAT NS OrAtWN A S: Conservation Administrator Comments Town Planner Comments Food Inspeector-Health Septic Inspector -Health Comments Phone . W-,�'87 - 066C Parcel Lots) St. Number Use Only******************** *** It Date Approved Ir Date Rejected Public Works - sewer/water connections - driveway permit Fire Department Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Received by Building Inspector Date r b9D °N �, O11V9�f82�� 3 Hd3S0( ti Jyssbw j0 Hl e "i I' O i Z � �m ?!L `A U • ao i'' Cu �o "i I' • COMM rn 12 X 7L I" P5,3 x COMM rn OFFICES OF: d :> , : Y ToWn Of '� �` t 20 Malnn Streef APPEALS - : North Adover. NORTH ANDOVER Massachusetts o 1845 BUILDING CONSERVATFON DIVISION OF HEALTH 171-? NNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON. DIRECTOR In accordanceaviLh the provisions of MCI.. 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 lice ased solid waste disposal facility as dcflned by MGL c 111, S 150A. The debris will be disposed of in: (Location of Facility) Si cure 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. 1.-1 .1 1 1 1 1 1, 1\ 4 i' I I I) I. of It location r L No. Date .,17—'Iah/ TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee ,kdation Permit Fee s�+aaus Othererm�t Fee ��. Seweron Cn tee 44%° o Water cbrnnectlon See d TOTAL $ � "tot Building Inspector Div. Public Works PE&'s11T NO. -I-23 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. cl PAGE 1 MAP iqO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE vI SUB DIV. LOT NO. �- r- LOCATION %A ^LL . PURPOSE OF BUILDING rl41� Ox/ Y cSIZECyel'XL � OWNER'S NAME j C ,` �, V NO. OF STORIES 0S� OI�/JCO16 OWNER'S ADDRESS jj O' BASEMENT OR SLAB c��{o^1 4l0 PS ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME p� /r 1 `BUILDING SPAN DISTANCE TO NEAREST //l. v DIMENSIONS OF SILLS DISTANCE FROM STREET /Ai /� ,+' " POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION , I / MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE cJ 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�`d?�7C- / e ,0�2,,9C �� V � [��•[ /^� PAGE 1 FILL OUT SECTIONS 1 - 3 0' • �/ >r� U �o`C✓ PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING / - !�✓ /`/ ✓ �8 ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLAYS MUST BE FILED AND /APPROVED BY BUILDING INSPECTOR ° DATE FILED C•4'` 1!7—f I rAe SISUATURE OF AWNF lOR AUTHOJIIZED AGENT FEE PERMIT GRANTED Q� � //'"%Z% � U 19 on OWNER TEL. # CONTR. TEL. CONTR. LIC. # 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 0 O EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN IS 'NV1d 101d S30V1d3H SIHl 'a3SOdWi2l3df1S '013 'S30VU -VIJ 'S3H0210d H11M 'S9NIa-nne d0 SNOISN3Wia 10VX3 aNV S3NM 101 WOU.4 3ONV1SIa aNV lO1dOSNOISN3Wla 10VX3 MOHS1Sf1W N01103S SIHl ZL 010013b JNIa11n8 d `JNIIV3H ON _I PIC I +tl JIb1J313 P"L 1.W.9 110 SWOOM 10 'ON L 0NIMH LL 11 DNIWVMd 9 J)A.H 1NVICIVd ONINOUMNOJ bIV — S8313Vb 400M Nood bOlb3dns SOdVA b0 8.1.M lOH SNIMIM 'S10J 'B 'SW9 13315 3WVb3 NO 71NOIS MRS _ 'S10:) 'B 'SW9 b39W11 _ 'Nb(13 M 1OH 43JMOd JNIdOOS 110b 3WVb3 NP 150 3JVNbfl3 SS313d1d lsl0f doom 0NIMH LL 11 DNIWVMd 9 ON19Wf11d OL II doom 9 3 �I Nood bOlb3dns OOVO 3111 SNIMIM 3WVb3 NO 71NOIS b0013 3111 AMSVW NO 3NO1S _ S3sn1XI3 Nb300W JNIdOOS 110b 3WVb3 NP 150 b3MOHS 11V1S 13AVb0 8 "1 `JNI9WIlld ON 31V1S — E I XNIS N3HJ11X l S30NIHS DOOM _ AbO1VAV1 3WVb3 NO OomniskbNOSVW NOomnis `JNIOIS 'Id3A1b3A `JNIQIS SO1S39SV `JNIQIS 11VHdSV S310NIHS 11VHdSV H1MV3 13SO1J b31VM 313JJNOJ 03HS 1V1d 1'X13 L) 'Wb 131101 II s11yM y ObMSNVW 1369WMO N3HJ11X Nb300W 'X13 EI H1V9 S3JVld 3813 dIH I I 319VO ON19Wf11d OL II doom 9 3 �I Nood bOlb3dns SNIMIM 3WVb3 NO 71NOIS AMSVW NO 3NO1S 'X19 b34NIJ bO 'JNOJ 3WVb3 NP 150 _I bool3 S Shcs JI11M AZINOSVW NO XJib9 — E I L l 9 'HdSV NOWWOJ — 3WVb3 NO OomniskbNOSVW NOomnis `JNIOIS 'Id3A1b3A `JNIQIS SO1S39SV `JNIQIS 11VHdSV (1M(JbVH H1MV3 S310NIHS DOOM 313JJNOJ ONIOISORSO"Ogd Mold 6 II s11yM y N3HJ11X Nb300W W008 OV3H S3JVld 3813 1.W.9 ON V3bV JI11V 'N11 . '/c tQ 1/1 V38V .1.W.9 'N13 11(13 V3bV II 1N3W35V9 £ balla _ CI3NO1S 210 XJIb9 3NId 'X.19 313bJNOJ L 9 313dDNO5 HSINId 801M31NI 9 NOUVONnod Z NOuoin ISN00 _ S1N3WISV S3JI330 kIIWV3 Ill( 53180!S AlIWV3 31°JP AON Vd (1000 l Z O ucr SR z r m Zy O z .0.. ca n !A m ? T n m _v�• POO O `• � ?Cc v � O T O m � AS �• O O C c v n n c o � rt T In a. N � 3 .� Vf• H � z OD Z o CL ucr SR z r m Zy O z .0.. ca n !A m 31 T n m � ?Cc T m � mC � c v n n c o In N n z Z o c (A O _� Z Z T m ^ H H M •a T rn r.. O 0 _ 0 rn m z 7 O 6 a. , Town of North Andover !.' BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE Cj / JOB LOCATION C) r -h I ) Number '"HOMEOWNER" Name PRESENT MAILING ADDRESS tree( Address Home Phone ection of town ork Phone City Town State Zip code 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, that the owner acts as supervisor. (State BuildingCode Sprovided `.'...'DEFINITION OF HOMEOWNER: Section 109.1.1) Person(s) who owns a parcel of land on which he/she reside :reside, on which there is, or is intended to be, a one t s or intends to ing, attached or detached structures accessory to such usesand/or ix lfa dwell - ,—''structures. A person who constructs more than one home in a two_ rm period shall not be considered a 11 �� year homeowner. .to t r Such he Building Official, on a form acceptable to the ��Bulding Official r" shall b�nit :.that he/she shall be responsible for all such work performed under the building permit. ' (Section 109.1.1) . The undersigned "homeowner" assumes responsibilityfor compliance State Building Code and other applicable codes, b -laws ruleswith the regulations. and The undersigned "homeowner" certifies that lie/she understands tl North Andover Building Department minimum inspection procedures ie Town of '''requirements and that he/she will comply with said procedures andnd requirements. '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 C Control. ole Section 127.0, Construction Office Use Only . Permit No. j 3 Yn Fee- 3/90 ee 3/90 (leave Blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be pakrmed In accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INR OR TYPE ALL INFORMATION) Date City or Town of Ah F //- To the Inspector of Wires: The undersigned Applies for a permit to perform the electrical work described below. Location (Street & Number) 0? M I L L R1 0/9 0 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes &' No ❑ (Check Appropriate Box) 'Purpose of Building Utility Authorization N0. 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 J ovTk--CJTS 1 p? 0 VTS t 0 Q No. of Lighting Outlets 3 No. of Hot Tubs No. of Transformers Total RVA No. of Lighting FixturesSwimmin 3 Pool Above In - g grnd. ❑ grnd. ❑ Generators INA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No: of Zones No. of Detection and . DevicesNo. No. No. of SoundingDevices No. of Self Contained Detection/Sounding Devices Local ❑ Municipal ❑ Other Connection Ranges No. of Ran 8 Total No. of Air Cond. tonsInitiating of Disposals No. of Pumps Total Total Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW Sig sf No. of Ballasts Low Wirineltage No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YESEF- NO I have submitted valid proof of same to this office. YES Q— NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) E (Expiration --Nae st ated Value of Electrical Work S Work to Start 6- /5-- 2S— Inspection Date Requested: Signed under the penalties of perjury: FIRM NAME GO.I k O �7_ 4f` C_ i R I L Licensee -4 O S CG A c- L a Signature_ __� Rough Final LIC. NO. A /C 1 d k 1 \`v� 0t g --C/ . NO.�/0 /o Ic3 Address q Q)C0^rioy " Si I �oCK�n^D MAL2B \+(�,rBus. Tel. No.(&8?&07 —Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and at my signature on this permit application waives tth his requirement. Owner Agent (Please check one) �� Telephone No. PERMIT FEE S Signature of Owner or Agent 82f=U Date.................................. Ot NORT1� �� 3� �� eO •�'e �o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING SAC US This certifies that f .......... :............ has permission to perform ..... f........................................................................ wiring in the building of .........:'............ at .................. :.' ............................... ............................. , North Andover, Mass. Fee...................... Lic. No............................................................................. ELECTRICAL INSPECTOR WHITE: Applicant GtVIAAj ,6gi1A1% Dept. 15'P1NK: Tfea�surer GOLD: File