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HomeMy WebLinkAboutMiscellaneous - 20 NADINE LANE 4/30/2018t Location ex NI (u g t1y <— No. c.2 5 U Date TOWN OF NORTH ANDOVER -0 n Certificate of Occupancy $ a'7b'••° •'<�' 9 Buildin /Frame Permit Fee $ 5 �ss._....�e Foundation Permit Fee $ Other Permit Fee $ s TOTAL $ Check # 15139 % 60ding Inspector a\ b� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT PPLdCATION.TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING - .. U7LDING PERMIT NUMBER: C DATE ISSUED: ".GNATURE: Building Commissioner/Inspector of Buildings Date :CTION 1- SITE INFORMATION I 1.1 Property Address: d�he Ln 1.2 . Assessors Map and Parcel Map Number Number: is Parcel Number � r Al A Walt � 01 a 1.3 Zoning Information: ning District Proposed Use 1.4 Property Dimensions: Lot Area Frontage it i BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Recluired Provided Water Supply M G LC.Q. 54) -tic ❑ Private 0 Zone 1.5. Flood Zone Information: Outside Flood Zone 0 1.8 Municipal Sewerage Disposal System: 0 On Site Disposal System 0 ;CTION 2 - PROPERTY OWNERSIIIP/AUTHORIZED AGENT Owner of Record me (Print) �— �-70693- Address for Service 5a6 nature Te &phone Owner of Record: ame Print Address for Service: iature Telephone CTION 3 - CONSTRUCTION SERVICES I Licensed Construction Supervisor: �/, ku 0 �A . ZH A onsed Construction Supervisor: V � S 1 .. r h&Cq STF ft D iyf ress 039 ature Telephone 2egistered Home Improvement Contractor pany Name -ess iture Not Applicable ❑ L,- 13 a 376 License Number OL c�Da'�P%�oc�� Expiration Date Not Applicable ❑ Registration Number Expiration Date Y 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 .......0 No ....... 0 SECTION 5 Descriptioh of Proposed Work (check all aonlicable ) New Construction ❑ I Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ I Demolition 0 1 Other ❑ Specify Brief Description of Proposed Work: 02 iAJ fN-;�'6 C9 1 SECTION 6 - F.STY MATRD VnNCTUTrrTTnv rncmc Item Estimated Cost (Dollar) to be Completed by permit applicant •"' Y� (a) Building Permit Fee k , �, F g. 1. Building O� Q Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical AC�- 5 Fire Protection 6 Total 1+2+3+4+5 Check Number CL'.!'TiAI►7 R.. �aa Tl�TTil ava.. •.+ ■avis 1 V DL` %-%'1TLrJUr JLr" W rMA I OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property I s - Hereby authorize Y , 7, (j to act on My behalf, i . all malsrs relative to work authorized by this building permit application. Si nature r Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION .1 ,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 Of X7r1 nr o-r�T�mn Date BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2 3 RD SPAN DIMENSIONS OF SILLS DEv1ENSIONS OF POSTS DEvlENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CIEMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE " , 14 1 -U O - 4. ;•mac X-x+c,�,,�ry j: w;. a:,J •� o � `Rl •N w .� 1 I., m DO M) C/) 0 m 1* CA CD.0 0 Z CD O ar d � -00 -v �v CL Q 03 CD O -- -- a v �CD CO) CD O _v, y d d O CO) C)� 0 y 0 CD CDa y. CD 0 O CCD O CD p _ O �• (a O Q N GO k.m = y :* o m c) �Od O -9 . m co) m r« G 70 z =r -o H a °: o NCL =r m n=d O y CD -40 m 00 G O .-a CD 11 O OCDCD N m CD � �. G O . O 1 OZ y� n �:�� R a CD C 0E: 6 �o Amy; 0 CD n CD a O p� Y, ca: ® y d ZCLCA CD — 0 /^=rm :i/' O (� C° CD m o z Go N oQ :a CD cCD d • a'o G? : c. � o n 0' roC/) "M� w c� w w- oGa ~ w� o• 0' p- \ q ro dd 90 O rij 0 Q 0 omq 0 �l �jA_ � W �ommonWt# of .4Jttooar4uol:##o _ Mepartment of Public 216afrtu BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only S� Permit No. Occupancy & Fee Checked 3190 (leave blank)�37U APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3" (X* or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described Location (Street & Numb/er)� 'T of Lighting Fixtures f r I Swimming Pool Above 7L_ grad In- In- ❑ I \C _/ Owner or Tenant\ No. of Emergency Lighting No. of Receptacle Outlets I f �- Zvel L Battery Units 97S 13-4— 3-4—Is Owner's Address No. of Gas Burners Total FIRE ALARMS No. of Zones No. of Detection and Is this permit in conjunction with a but ding permit: Yes No ❑ (Check Appropriate Box) Purpose of Building �e_-✓ Utility Authorization No. &D Initiating Devices No. of Sounding Devices Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service /00 Amps _L01_Q_J &46 Volts Overhead ❑ Undgrnd No. of Meters C Number of Feeders and Ampacity No. of Dishwashers I Space/Area Heating Location and Nature of Proposed Electrical Work Total No. of Transformers No. of Lighting Outlets � /j I No. of Hot Tubs KVA No. of Lighting Fixtures f r I Swimming Pool Above 7L_ grad In- In- ❑ I Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners I Battery Units No. of Switch Outlets No. of Gas Burners Total FIRE ALARMS No. of Zones No. of Detection and No. of Ranges I No. of Air Cond. tons Initiating Devices No. of Sounding Devices No. of Disposals l No.of Heat Total Total Pumps Tons KW No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices Local Municipal ElOther ❑ Connection I No. of Dryers Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including CcMp ed Operations Coverage or its substantial equivalent. YES _ NO I have submitted valid proof of same to the Office. YES _ NO —n If you have checked YES, please indicate the type of coverage by checking the app priate box. f_\<� INSURANCE BOND __ OTHER _ (Please Specify) (� CCC (Expiration Date) Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under theenarl�ties of periury: .S / FIRM NAME RLIC. NO. Licensee ` gnIAIt. 0- LIC. NO. us. Tel. No. Address 6 d' Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee 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. Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) x•6565 j�' t ''y""'"R .. -a.-il�ar�.-T'-+►'.'��a-i.�'° - r.-.{...�+�--...:y-.:i:.�-f;,;Js,.c*«-.�ar�.��i;--�:e-�^-._/..r+..'�-� „' Date ..J.... ?..7........9 ? 2945 NORTH 3?0eta`` o� TOWN OF NORTH ANDOVER �. PERMIT FOR WIRING _ 4 .. � OSA O ♦�`y� ,sS�CHUSEt 1 This certifies that ......:!..1+!1.............. F... ....... . has permission to perform . wiring in the building of ...!./ t! /: ..tee-.......... ....... 1 f at . ..��... ,l7 :....:. ..�J .... North Andover, Mass. LO � :..:.. Lic. No o&.: ' q_ of Fee .. ..,.............................:................................. -- ELECTRICALINSPECTOR `' WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File Location Zdk eye `Or No. Z Date i `N TOWN OF NORTH ANDOVER A Certificate of Occupancy $ Building/Frame Permit Fee $ us Foundation Permit Fee $ Other Permit Fee $ ro, Sewer Connection Fee $ //909.41P Water Connection Fee $ LOW, TOTAL $ Z017. 1 BuiBui 0in Insp for , 8923 Div. 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N : O rA '?7cpiJ (n re 91 O c� �Ond C x O N c> z rz Cn a7 O rA '?7cpiJ (n re 91 O 0 0 C x O dz�� z rz Oil rz C) rz r9- O 0O z omq 0 9 0 c CD 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT:. �� Phone 3? -003 LOCATION: Assessor's Map Number �s Parcel 7_2 Subdivision IY�ly� L%i-�ec Lots) Street /Uf�?�!/� �-i�J�— St. Number ************************Official Use Only************************ REC IONS OF TOWN AGENTS: 7 Date Approved zz Co se ation Administrator Date Rejected Comments ILS (xUtip'-w Town Planner Comments Date Approved Date Rejected Date Approved Food Inspector -Health Date Rejected Date approved Septic Inspector -Health Date Rejected Comments Public Works - sewer/water connections � Gr) - driveway permit- Fire ermit FFire Department %C>cTy2r�f`jJ 6 a161 -5 6? P11WAM Received by Building {Inspector (ALJ_ Date A*— 3, 5 LOT 6 � 28'�o -n U� C o 5.5' 0 1 Z Z J C7 25,5 �°b FOUNDATION LOCA TION PLAN CLIENT: SCOTT CONSTR. THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. LOCATION: LOT 6 — NADINE LN.—NO.ANDOVER,MA. SCALE. • 1"=20' DATE: 9/18/95 CHRISTIANSEN ,SERGI PROFENGINEERS ND SURVE 160 SUMMER Sr. HAVERHILL.MA. 01830 TEL 508-373-0310 ©1995 BY CHRIS71ANSEN & SERGI INC. LOT 7 I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPUC40LE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESMIC71ONS SUCH AS COVENANTS, WETLANDS.EASEMENTS, ORDERS OF CONDITIONS.ETC.) THIS DRAWING SHALL NOT• BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOV£,EXC£PT WITH TN£ WRITTEN PERMISSION OF CHRISTIANSEN & SERGI INC. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRIS77ANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHIRITED.CHRISTUNSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR- MATION CONTAINED HEREON. 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"Q N =:o _ J 1 1 04e Cgommonwado of thoonc4uoef#o i9etrartmettt of Public f�ttfttg BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only G) 7Y 3 Permit No. O( d b � Occupancy & Fee Checked � 3/90 (leave blank) Ward Area APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK PR ,TpYPE LL nFORMATI� Date 1a City or Town of L)f t J �Q U To the Inspector of Wires: The undersigned applies for a permit to pertQrm►�the � /electrical /work .. odescribed below. Location (Street & Number) A � 41211 ) %(� `� e `V 5 Owner or Tenant AC:,Al -rU R AER Owner's Address StIME PEG 2 Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Existing Service _ New Service Amps _/ Volts Amps _I Volts Number of Feeders and Ampacity Utility Authorization No. Overhead ❑ Undgrnd ❑ Overhead ❑ Undgrnd ❑ No. of Meters No. of Meters Location and Nature of Proposed Electrical Work Installation o f alarm s y s t e m No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- gmd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges No. of Air Cond. tons Initiating Devices No. of Sounding Devices No. of Self Contained No. of Disposals No. of Heat Total Total Pumps Tons KW No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices LocalMunicipal EJ Other ❑ Connection No. of Dryers Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP L OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy includ- ing Completed Operations Coverage or its substantial equivalent. YES O NO O 1 have submitted valid proof of same to the Office. YES O NO O if you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE n BOND O OTHER O (Please Specify) /� (Expiration Date) 5/ Estimated Value of Electrical Work $ r 6o Work to Start la?-/r?-�h� Inspection Date Requested: Rough Final7� Signed under the Penalties of Perjury: FIRM NAME A,DT SeCLri ty Systimmc . Tnr- LIC. NO. 12310 Licensee Signature LIC. NO. Bus. Tel. No.617-431-5800 Address 60 William St./Wellesley, MA 02181 __ Alt. Tel. No. - -5t3 �7 OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee 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. Owner Agent (Please check one) Telephone No. PERMIT FEE $.-3-,5, of (Signature of Owner or Agent) Notify Inspector for rough and/or final inspection. Permit must be obtained before commencing any, and all work in compliance with G.L.C. 141 & all applica ble laws & ordinances is required and understood. .' X-6796 C) O 0 I z co a M n O C-) O v Date ........... �l S�- 2788 ° e °oA TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... ka.r....... ...G. �?.:. `�....... C f `.1.:... :�.... has permission to perform .......%� 4. a' < �� wiring in the building of ........ P--..P.o...... ................................. tt at..9 ......`�1.............................. . North Andover, Mass. Fee ...�. [� �?.. Lic. No.. f �%.�1( ............... .[CA ...CTO................. ELECTRICAL INSPECTOR /614/18/95 11AR P5°� PAI WHITE: Applicant CANARY: Building ep . NK: Treasurer GOLD: File