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HomeMy WebLinkAboutMiscellaneous - 207 BOXFORD STREET 4/30/2018I OEM The Commonwealth of Massachusetts °r"rr Use Only �^ Deportment of Public SoIc'ty r"r"'` `o / r BOARD OF FIRE PREVENTION REGULATIONS S27 CMR I=Oualunot s roe chocked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL W Nl vmrk to bs periormed In accordsace %Wlh the Mawchuacru Fjeerr)eal Code. 527 MR 1 ;00 WORK (PLEASE PRINT IN INN OR =E INFORM XION)Date Z City or Town of U U 7 The undersigned applies fora permit to To the Inspector of Wirest P perform the electrical work described below. Location (Street b Number) ZQ Owner or Tenant ' h Q Owner's Address •► 0 .. Is this permit in conjunction.. with a buildin permit Yes No ❑ (Check Appropriate Box) Purpose of Building S Utility Authorization NO. Existing Service —_.Amps / Volt Overhead ❑ Undgrd ❑ No. of Meters . New Service Ps / Volts Overhead ❑ Undgrd ❑ No. of Motors Numb -or of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets 2 No. of Hot tubs No. of Lighting FixturesAbove Swlm�aing Pool rnd. C No, of Receptacle Outlets !�) I No. of Oil Burnes No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of Water Heaters No. Hydro Massage Tubs OTHER: No. of Cas Burners No. of Air Cond. No. of Heat Total P=v s Tons Space/Area Heating Heating Devices KW No, of o. o Signs Ballas E=c-►�11/1j Rc a/,rr l hA6e Un� s No. of Transformers Total KVA t- nd. ❑Generators KVA allo. of Emergency Lighting FIR>; ALARMS No. of Zones tai No. of Detection and Ana Initiating Devices Total KW No. of Sounding Devices KW No. of Self Contained Detection/Sounding Devices Municipal KW Local ❑ C ❑ Other onnection Low Voltage No. of Motors Total HP I I INSURANCE CpVEUCE; Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operatiops,Coverage or Lts substantial equivalent. YES Q 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 the kin /- g the appropriate Dox. INSURANCE t BOND ❑ OliIER (P (Please Specify) Estimated Value of Electrical Work S 'te_ cJ • pl tion ate Work to Start 1 Inspection Date Requested: Rou Signed under the enalties of perjury; Final FIRM NAME � ll -)1,7 _A— C 7 Licensee ���� ��2L LIC. NO. .S933 s ure Address �1 NQ LIC: N0. S" � us. Tei. No. l� OWNER'S INSURANCE WAIVER: I Alt. Tel. No. stantial equivalent as requir d byaMassachusettsiCeneralcensee doeVs;�h�EaChmylsignaturecoverage or is su - application waives this requirement. Owner Agent (Please check one) Pe is Signature of Owner or A Telephone No.. PERMIT FEE d gent Date.... a.11-7177 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... J.X-VA ........ v has permission to perform ..... /Y ... �441./ f .......... wiring in the building of ...... ...... .................................. at ...... t-.0.1 ........ 60.yroyd ..... ��7.`.•................... . North Andover, Mass. FeeA .I... Lic. No. AMI ............................... lECTR1CAL............................... i N*'S* P**E"C**T*O'* R** * * — * ... --- C 147)/1/97 12:09 40.00 PAID 06 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer :� Location No. ' Date s NORrh TOWN OF NORTH ANDOVER Certificate of Occupancy $ • Building/Frame Permit Fee $ JACHUs Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $, 15�?j �z DU I ya Build n Inspect8r 10 503/47 13:01 284.00 PAID � PERMIT. NO. 3 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE I MAP KBO. LOT NO. I 2 RECORD OF OWNERSHIP DATE BOOK :PAGE ZONET SUB DIV. LOT NO. �- I SLOCATION c�� `� � n PURPOSE OF BUILDING U OWNER'S NAMEC�V160o�jjJ../ NO. OF STORIES SIZE ,. OWNER'S ADDRESS /i _ Tt'Wl.. BASEMENT OR SLAB,Q� 1 T�IST ARCHITECT'S NAME SIZE OF FLOOR TIMBERS �/�U 2ND .L� /v 3RD 12 - BUILDER'S BUILDER'S NAME 7Z7—Q 6W- /� f��_.,L r l SPAN ) DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS 7��--- POSTS DISTANCE FROM STREET -0©4 -t- DISTANCE FROM LOT LINES - SIDES c� d..,� REAR GIRDERS AREA OF LOTr7 /r, 1.,© FRONTAGE HEIGHT OF FOUNDATION f THICKNESS IS BUILDING NEW . 1/il SIZE OF FOOTING O X G� IS BUILDING ADDITION MATERIAL OF CHIMNEY ,I { o Ai a- IS BUILDING ALTERATION /- IS BUILDING ON SOLID OR FILLED LAND QL J f� WILL BUILDING CONFORM TO REQUIREMENTS OF CODE J IS BUILDING CONNECTED TO TOWN WATER,J y /� /Vz) BOARD OF APPEALS ACTION. IF ANY ,U©/ j&f IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 01 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 FILE�Dj7ANAPPROVSyD BY BUILDING INSPECTOR R DATE FILER7, , a��u�T�tnr �r �W urn �e �Nt Wn��rw PERMIT GRANTED 19� MAR 2 4X997 1 3 PROPERTY INFORMATION -� LAND COST - - - v y BUILDING INGPECTOR OWNERTEL.k 6�� 77 7 y CONTR. TEL. U 9 7 S 31 CONTR. LIC. N O /® H.I.C.>ti�LG 76 �. BUILDING RECORD . 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION CONCRETE CONCRETE BL'K. BRICK OR STONE PIERS _ 8 INTERIOR _ 3 PINE HARDW D PLASTER DRY VJALL UNFIN. FINISH Iw 12 T, i 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '14 '/t 1/. FIN. ATTIC AREA _ N_O B M'T HEAD ROOM FIRE PLACES MODERN KITCHEN _ 4 WALLS Y' FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES CONCRETE EARTH B t 2 �_ 3 _ ASPHALT SIDING ASBESTOS SIDING HARDVJ'D COMfdCN VERT. SIDING STUCCO ON MASONRY _ PH. TJU = STUCCO ON FRAME BRI N MASONRY BRICK ON FRAME ATTIC STRS. 6 FLOOR (_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR(� POOR _ ADEQUATE NONE 5 R F 10 PLUMBING GABLE I HIP BATH Q FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES WOOD SHINGES LAVATORY KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING WOOD JOIST 1 HEATING PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. d COLS. STEAM STEEL BMS. 6 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 _y rd I 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. 6Oo--f A - -.-I Av 1st 3 PE) -Urr. NO. /-_A APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP h40. /Dir,� LOT NO. Z_:575' , 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE SUB DIV. LOT NO. LOCATION��►_ n� f6C3sC/✓ JJJ PURPOSE OF BUILDING CJ OWNER'S NAME JA NO. OF STORIES SIZE OWNER'S ADDRESS _/I _ TTWI BASEMENT OR SLAB '� U d ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST .L �/�v 2ND.L�/0 3RD J BUILDER'S NAMESPAN ,yr.�oCA r 1 �v' DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET 4;2,0� ..� DISTANCE FROM LOT LINES - SIDES d „+, REAR GIRDERS ou6-- AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION f THICKNESS IS BUILDING NEW i/i'l �•/ SIZE OF FOOTING O X 7 '� G� IS BUILDING ADDITION �/gs MATER:AL OF CHIMNEY �/ r� ou 4;1�, IS BUILDING ALTERATION /- IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER y /� BOARD OF APPEALS ACTION, IF ANY ,pU©/jej- IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 01 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 FILEDAN��jjAPPjPROV D BY BUILDING INSPECTOR DATE FILED--\ !fit 3 PERMIT GRANTED 19 V,ZlA0MT MAR 2 41997 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST `?. EST. BLDG. COST PE SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNERTEL.# bke - 774/0 V CONTR. TEL. # 97 4-�' L3I CONTR. LIC. # o H.I.C. # zca 3 Z - BUILDING RECORD - I OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION $ INTERIOR FINISH CONCRETE �1 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/1 V? % FIN. ATTIC AREA _ N_O B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS FLOORS CLAPBOARDS B CONCRETE EARTH _ HARDW'D COMMON A PH. TJU I 2 3 _ _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STIRS. & FLOOR I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 P2F GABLE HIP 10 PLUMBING BATH 13 FIX.): IX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES WOOD SHINGES LAVATORY KITCHEN SINK 4j Ll _ SLATE IN PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING 1 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & 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 OI l ELECTRIC B'M'T 12ndI Z 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. y �r FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary j 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: �- S4 -fi J "1'Vl �S V) l W S LL to phone / 4 v LOCATION: Assessor's Map Number ( 0rcel o 1 U Subdivision�j -Lot(s) Street/ ��X/L/�J j ,---St. Number C>�0 Use Only************************ onservatio Comments �� r✓ �il i—� A � 1 n ., i5 Town Planner Comments Ls-tr&tor Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date Approved Date Rejected Date Approv6d Date Rejected Date Approved Date Rejected Date Approved <-3/:23),77 Date Rejected Date r r 1 9661 n � Y "UII -b �_ �. �, A 11 Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit (below) Address of Property for Permit (below) ay 1C a -Z o7 - fiC /Pim l.� Map and Parcel: Purpose of Application (check below) Phon un ' mber of A�Dlicant: �/ Single Family _ Two Family �7. r`z I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further 1 understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above ot, in the building permit application and associated attachments, complies with one or more of the foll in sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents, where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section "senior" shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40% permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Bu ilding rmit. ignature of Owner or Authorized Agent who signed the Attached Building Permit his form must be attached to the Building Permit upon application for such permit. W2AWT I JSrnI g. �•N (� V� ln'�C L >�� 1 � C R� rr y a� III I � �� L� F ��'•.. K .5 h w Z� L I 6 ? 1 ,t 0 K .q A k JSrnI g. �•N (� V� ln'�C L >�� ° s y v k (� ✓dee L�arx��aea�C o�✓iiaaoar/u�aeCia �\ HOME IMPROVEMENT CONTRACTOR Registration 123652 Type - INDIVIDUAL Expiration 03/24/99 Donald Kelloway Donald L. Kelloway ZWe Tedesco Rd ADMINISTRATOR Methuen MA 01844 MAR 2 4 1997 1 w i1� Ngo- Lit m T ...V -�AC� m mL� P IIID � L• - E m-NNrn 3 III ISI F S o 3N iU D .0=-I v M 2 T 5v, ma ,A Z• . m n o M' z D < m '� C T b o � O AMMCA �. N F-) N O . m Z x T N. nOn OD s3 n V � �i � 'C • I� A � cn �`f^�C � � r m siias �4� rn c < D ^ o N "A £ L vo as o 1 v s °o � y uttice use only •\ j THEODMMONWEAG7HOFAYA.KMC�YLZYJ7.Z' DEPAR7X MT OFPUBLICSAFETY Permit No. r BOARD OFFIREPREVEN770NREGULATIONS527CMR 12. 0 Occupancy & Fees Checked APPLICATION FOR PERIVIIT TO PERFORM ELECTRICAL 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�'Illldllw 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) Owner or Tenant Owner's Address.? .c Is this permit in conjunction with a Purpose of Building (Check Appropriate Box) Existing Service l fD Amps /coo / C>Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ._4/.7 - No. T Overhead a Overhead Underground Underground Utility Authorization No. V� No. of Meters No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool AboveBelow Generators KVA andground No. of Receptacle Outlets C) 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 Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals Q No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers 1 Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW 0 Connections No.'of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP a OTHER lnst.mveCaulaga Ptrsuatttbtheta4menientsc tseltsG=allaws [ha%ea=utLmbild'yh ua=PcbLynixhgCagi* CaaaWcritssl glil lart YES ED NO E] Ihmesubmiffadvalidp adofsamelotheOHfiat✓ YES M NO r If}cuha<edudWYES plemm&*thetypecfwmaprbydxckirgthe IlVSIJRA ICE EE] BOND � (iII�R � (Pl mSpaafy) EViWmDale + Es<¢ns6ed VakiecfUm tial Wodc $ Wotkbslatt 7— 9-Q( hgxc imD*Ra Pswd Rough _ 1) Elnal siund�ieP�altiaof FIRMNAME LiM nsae r' v % Sigr>ahne ' LioaseNo t" OWNMSMJRANMWAIV ;IamawatethattheLioasedoesnat GalaalIaws andthatmyssgl>�tueo;Ithispe�app5rabatwaitesd�s tecgmartat. (Please check one) Owner o Agent Telephone No. PERMIT FEE $ �� r N° 3 f / 2 Date.. .........v .............. s TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that -' has permission to perform .... ........ -' 7� �' .` ..................................:.......................... i wiring in the building of.. � ............� .................................. . North Andover, Mass. c-� f Fee.. 0 .:........... LIc. No...(..... ...........Z.: .1.:.... ....,.......................... 1 ELECTRICAL INSPECTOR Check # / /�' WHITE: Applicant CANARY: Building Dept. PINK: Treasurer