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HomeMy WebLinkAboutMiscellaneous - 21 FAULKNER ROAD 4/30/2018P" ti 3 6 3 Date 0. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ ......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............ has permission to perform ............................................................................... 4 wiring in the building of . ....... ............................................. at..................... . North Andover, Mass. Fee ... Lic. No ................ I-el"..4z'> . . ................... �? Z:? - -�/ ' ELECTRICAL INSPECTOR Check # TBE COM IONWEALTHOFMAMCHU,SE77S Office Use only _ DAPARTANWOFP MCSAFM Permit No. {, BOARDOFFMPREVFVl70NREG'UL4HOAiYD70912-W Occupancy & Fees Checked Z/ APPLICATION FOR PERMIT 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) Date _�- Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street 4 Owner or Tenant Owner's Address To the Inspector of Wires: Is this permit in conjunction with a building permit: Purpose of Building Existing Service Amps Volts New Service c5w AmpsXq / 0 Volts Number of Feeders and Ampaeity Location and Nature of Proposed Electrical Work Yes Q No Uj (Check Appropriate Box) Overhead Overhead Utility Authorizat?l No. Underground No. of M//eters I Underground Im No. of Meters No. of Lighting Outlets d No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA andg1:1round 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 Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total P s Tots KW Initiating Devices No. of Sounding Devices No. of Dishwashers / Space Area Heating KW No. of Self Contained Detection/Sounding Devices LocalMunicipal Other rlo. of Dryers / Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER) S Re &-& 0� e —�&- — IrW=CMW- Altstt IDiheteg motsofNlmdusdis 3a't W aws Iha%eaame tLiabtTtyl um=PdWir]lui+ngCmVlele Co uwcrilsmhbn a{ecf"iat YES NO Ih&ewhntad%aWpwdc(§3wiD of= YES Ifjwhmet w*WYES,pleaser im*t ctypeafao=Wbydtedmgthe �P�tafebat: �1 INSURANCE BOND GIRR M VkweSpa* F*atimD* B t rgkd VAxdHec" Wait $ '; Votk1DSlat 11l �=— kg3m mD*RaWe*d Rc* Frtat - � 9 -L' :::1 C r7'7LL L;oatseT% 1I /11V 1� S -At Ora Sgn&n Lioa>serlo BtsirmTel.Na 5?JY-e�0 Armor �l�t� PL L S% Ate -AtP%r ,,Kj e�dril5� A1tTe1Na -1` W e9' 156 4 OWMRSMURAAICF-WAiVMlamawaethat#rLioewdoey_,,,_ noNm+etttet�stsa>nano►aageortss egti Itutet�i�aclbyM�adx>s (3a>eralL aodftmyWmMmmlhspmstappE:Mmwaivmftmw'm tart (Please check one) Owner M Agent Telephone No. PERMIT FEE $ I HEREBY CRRTIFY To MJr TIMV IXSUROR AND TO TBE BANK THAr rB8 D"LUMC IS LOCATED ON THE LOT AS SHOWN AND THAT IT DOES CONFORM WITH VHS.'-,O-A" SoN1ANC RRCULATIONS RRGdRDINO SETBACKS F140M STRRRVS & Lor LINES.' I FURTHER CERTIFY THAr THIS DUELLING IS Nor LOCATED INV Pip FLOOD HAZARD AREA AS SHO WN ON F ITY PANEL / Zsoo 9B oar sc STEPXSIV P.L,S, DATE THIS PLAN FOR MORIM&T PURAOSES - NOr FoR BOUNDARY DETERMINATION, BOUNLI/RY INFORMATION TAKEN FROM E%ISTINC RECORDS. 11-7""s'a9S PLOT PLAN IN DRAWN FOR / zo �vG Zoa J YERNMACK ENCINEENAVO SERVICES es PARK STREET ANDOVER, yASSACHUSEVTS 01,910 M10 SJ -ySflHOYSSVIf ',YYAovNY iSNNJS ZYM 99 SNOIANSS ONIUSINIMIN Yoyjr=ffiy i .S,b�cUoyl ?Ivd NAVM(I NI NV 7d L old Q O}� Ja'N� I Al e4 �Z!�4 'Sawsm OngarB ROildt N3Dy Yj NOIJYMOdfNI Ab<Yf MOB NOIJYNIIRISUff AUMNnOQ UOdt JON - SZSOdNnd 8ayo1�I0)l' broth NY7d SIM SJYii S'Ttl S 1, ►i�' -' , 9crus a ; 7 s oov �6 0052 ij 7-TNyd di NO NIIOHS SY Y3w f1wim 0007th - J NI asiYO07 JON SI ON1773rAcr SIBJ JYHJ Adfl.&M bi3rHJiTM I . Sgm'7 407 .7 5431wis moudf SAJYBJ3IS ONIlRIi su SNOIJrMOSU ONINOS HMA )Wod xw S3fOQ jr JYIIJ UNY mAomS SY J07 31114 NO QJJFD07 SI ON1773iIQ smi JYHJ mm wi OJ QNY 9'OUnSKI J17JIJ MIU Obi U1.9933 3 d83ib1.TR I . )�vr,v Morph C, ,2pd C %Oor 4J,.1(a-) m,J FaL)( Vuer C �0 ( d U-) -e- DI rpwIN uS 9 t S 0 Sl�ou� � A.C- IANNAZZI ELECTRICAL CONTRACTORS & CONSULTANTS 27 CHARLES STREET • NORTH ANDOVER, MA 01845 508-686-7300 • FAX 508-725-4791 Emergency Pager: (508) 396-7399 .1 E Location - No. % i Date // S NORTH TOWN OF NORTH ANDOVER OL S Certificate of Occupancy $ '�s'•"°' Eta' Building/Frame Permit Fee $ �5 s�cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ fir? Check # �J + V v Building InspeaZr I< TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING This for ii#ficial vie, 00-Y BUILDING PERMIT NUMBER: ©� DATE ISSUED: > D j 0 —0-3 D3 SIGNATURE: AA.1V�C Building Commissio'der/11 for of BuildingsDate /6) —30 — 0 3 SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BIJU DING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided . 3� 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record N nnt) Address for Service t 't t3 - 21 gnaure kTelepfione 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3) Licensed Construction Supervisor: Not Applicable ❑ licensed Construction Supervi r: 0 3 V License Number 4.�� �� SA-- 1\ l da — 5773!T- Expiration Date Sig lure Telephone 3.2 Registered Home I,mmprovemnent Contract/\orrr Not Applicable ❑ I fe I U t' Company Name Registration Number L j Z-9 1 D dress Expiration Date Si nature Telephone T M Z O v M W O a ((Q�� y1 O Z M 90 O n r v M r r_ Z ^ Q 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 ..... No ....... ❑ SECTION 5 Description of Pro osed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s)11 Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Descripptio�n of Proposed Worrk:: � �. XV SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building 5D t o v D (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) ✓�D / 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 0 11D 1Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIIEES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property ��� %-�...,�-�f to act on Hereby aoVia halt; inrrselative to work autho e y this building permit application. Y �Z 03 Si iariire of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I> �<�-�N 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 Prim N v_3 Signature of Owner/A ent Date NO. OF STORIES 2 SIZEYO-C BASEMENT OR SLAB SIZE OF FLOOR TIMBERS is 2 ND3 SPAN ^L t DIMENSIONS OF SILLS DIMENSIONS OF POSTS :RL11", D17MENSIONS OF GIRDERS 61'-L DIGHT OF FOUNDATION - " THICKNESS dt SIZE OF FOOTING ` X Z� 1 MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND U IS BUILDING CONNECTED TO NATURAL GAS LINE The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print r..t Location: City Phone # L6k, -53 35' P I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. nI v U Address ok— Ski S't-- City, Phone # I fi5 533' C-0- Policy # NV le-- L. 0 6 Company name: Address CRY: Phone #: Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to $1,5oo.00 and/or one years' imprisonment_as_weU_as.cival.penattiesinlhe%un-fa-STOP WORK ORDER.and_afine-t($11100)-ajdW against_me, I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby under / d penalties of perjury that the information provided above is true and correct Signature Date 1-(. ( Z,3 i Print name `�-e.-Phone-#11,10 669-S33155 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept r-lCheck if immediate response is required [] licensing Board E] Selectman's Office Contact person: Phone A- n Health Department Ei Other a + North Andover Building Department DEBRIS DISPOSAL FORM Tel: 978-688-9545 In accordance with the provision of MGL 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 licensed solid waste disposal facility as defined by MGL c11,S150A.. The debris will be disposed of in: (Location of °f=acility) Signatur o itApplicant x(10(0 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector f 1 � �� � I P � 4 -� � � � �� �., � I �� �' 1 T E 4 .. a 11 tet" V Qi ri m J I W J �w e, 1 �? A Cts �' M � a T v v l• � ee cN T e, 1 �? A Cts �' 3F GL- May 12, 2003 Mr. D. Robert Nicetta Building Commissioner 27 Charles Street North Andover, Ma. 01845 Dear Mr. Nicetta, I have hired Kevin Murphy as a contractor to put a second floor addition on my house located at 21 Faulkner Road. My existing house is a Cape with a complete set of stairs that leads to the second floor. I wish to remove the existing roof structure, and make this Cape into a Colonial Style home. On completion of this new second floor, the new height should not exceed the existing height by a significant amount. There are numerous Colonials and Capes on my street and in the neighborhood. Please see attached letter signed by my neighbors. Sincerely, Tom Melvin May 12, 2003 Mr. D. Robert Nicetta Building Commissioner 27 Charles Street North Andover, Ma. 01845 Dear Mr. Nicetta, I have contacted my neighbors and informed them of my plans to complete a second story addition to my house located at 21 Faulkner Road. Name Address Signature Mrs. Ruth Bingham 16 FaulknerZak ��L�c Mrs. Lillian McDonald 30 Faulkner r Bob & Heidi Kilcoyne_ 29 Faulkner r� Michele Cranston 17 Faulkner . Dave & Tracy SiMis 11 Faulkner ✓J J Mr. D. Robert Nicetta Building Commissioner 27 Charles Street North Andover, Ma. 01845 Dear Mr. Nicetta, I have hired Kevin Murphy as a contractor to put a second floor addition on my house located at 21 Faulkner Road. My existing house is a Cape with a complete set of stairs that leads to the second floor. I wish to remove the existing roof structure, and make this Cape into a Colonial Style home. On completion of this new second floor, the new height should not exceed the existing height by a significant amount. There are numerous Colonials and Capes on my street and in the neighborhood. Please see attached letter signed by my neighbors. Sincerely, Tom Melvin t— wQ" %ox &'93 — r7a 4 G / Mr. D. Robert Nicetta Building Commissioner 27 Charles Street North Andover, Ma. 01845 Dear Mr. Nicetta, I have contacted my neighbors and informed them of my plans to complete a second story addition to my house located at 21 Faulkner Road. Name Address Mrs. Ruth Bingham 16 Faulkner Mrs. Lillian McDonald 30 Faulkner Bob & Heidi Kilcoyne., 29 Faulkner Michele Cranston 17 Faulkner Dave & Tracy S&/p j S 11 Faulkner Signature Lill -Aft gait, dw. � ` lk I oil I amp "I r -iolr '�w lye / � w•._ .tG '�' i '�.i �.+ /' y+'�,�/•+y.,'? � w�` / . ;r.' : ✓„% ':.��v4'�,q ter.+ ' _4. ice• 1 � J n . IF ice• 1 � J i I IY': r• j . IF t� A �} q O�4 0 S s Z JO Q C, O w cn A as o � w° v U w a O Cd w a O w 'd w x w ° CE o z cn cn D J A O.L * 31� * 42;Ei �* O of � H � m uml z CL ;m o ts C ` • H O C V V •C• C �cc Lv m c :r * Ca y0,. C s a E16. c� 0 0 v .. d� : CD ei C c • mm�a G 16, _O �y g am fto: m�� c o • -m=> A O Em *::5:5.00 OI O: \ice o m CCa) 'y o 0 •�Z o Z`a o .� CD c o c H m N 0 =3.. �C a m 3 cc N _ C. +- o r w co C .ce a r 5 Z oc EC3 cm CDCD H o COO CL 0-0 *9 0:8 r sC.rCIO 1 171 ,am _o U) U) w W crW Date... :44d/........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...t>.....lD .......... .............................. ...... .... .���......... has permission to perform .......:r .ED ........................................................ wiring in the building of ... � .. �.:. ... 2:'!. .4...... :.::............................. at ....�1. ?��� �'......... , North Andover, Mass. Fee.....?..I.:.... Lic. No. j�.......... 7 ELECTRICAL INSPECTOR Check # __� 7 I (_ommonwea11fL of Maeiachuielf3 2,p.r1men/ o/Jire Services BOARD OF FIRE PREVENTION REGM Official Usc Un Permit No. �� Occupancy and Fee Checked TIONS [Rev. 11/99] ' (leave blank) APPLICIATIONvork to �N FOR rmcd tPERMIn accordancc T O"PERFORM ELECTRICAL WORK ith the s C corical Calc (MEC), 527 CMR 12.00 (PLEASE- PRItVT IiV INK OR TYPE -ALL iNFORiLL 11I N) Date:t_ alu�lo I City or "Town of: nn `�h A nc)ov-e(' To the Inspector of wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street cC Number) Owner or Tenant —10yy� �iZty j Telephone No. q�t7a`f G Owner's Address �� Is this permit in conjunction with n building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of IluiWing S1 2 ire\ Dwe(�l n Utility Authorization No. Existing Service Amps / Volls Overhead ❑ New Service. Amps ! Volts Overhead ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical .York: ZU h , n;S t)t? SrncoKe Coe!, lo,;,,., Undgrd ❑ No. of Meters Undgrd U No. of.Meters: Levi, No. of Recessed Fixtures ,. ,,..,,.. "1 No. of Ceii.-Susp. (Paddle) Fans noy file incctor of t'ires. to. oTotal Transformers KV�� No. of Lighting Outlets No. of }lot Tubs Generators KNIA No. of Lighting Fixtures _ Swimmiuo Pool Above ❑ In- ❑ b grad. rnd. o. o tnergency to sting Baste Units No, of Receptacle Outlets. No. of Oil Burners FIRE ALARIYIS of Zones No. of SwitchesNo. (� of Gas Burners Ivo- of lletection and Initiation Devices No. of Ranoes b No. of Air Cond. TonsTota No. of Alerting Devices NooClVaste Disposers Heat Pump Totals: i`lumber 'Tons KAY No. of Self -Contained Detection./Alerting Devices _ _ _ No. of Disl»washers Space/Area Heating KW Local ❑ "ti Uuicipal ❑ Other Connection No. of Dryers No. of !Vater , «, Heaters AC WY Heating Appliances KNY No. of n1'o. of Signs Ballasts Security Svstenns: No. of Devices or Equivalent Data Wirine• No. of Devices or Equivalent No. Hydronnassage Bathtubs �' No. of Motors Total IIP 'Telecommunications Wiring: No. oCDevices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. I\SUPA.NCE COVERAGE: Unless waived by the owner, no permit for the 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: INS Rj%N(!E't4 BOND ❑ O"1'l-IER ❑ (Specify:) S f!I) ttBl (G ��l Jl-iG (Expiration Datc) Estimated aloe of Electrical Work: ;nen required by municipal policy.) Work to Start: inspections to be requested in accordance .with MEC Rule 10, and upon completion. 1 certifj•, ander the paints nitrl penalties of petjttrj•, that the in./or Cation on this al,plication is true and complete. FIILII NA11tE: LI C. iN 0.: Licensee: 'e.K Signature &�tA -�s IC. NO.: aan (1/'applicableint "zBus. Tel. iNo.. a y� Address: ]V1� {�V �U� l� G �� Alt. Tel. \o.: OWNER'S INSURANCE WAIVER. I am a�tiare Cha the Licensee does not have the liability insurance cox era e nornlally required by law. By my signature below, I hereby waive this requirement Owner/Anent Signature _ Telephone No. I all, the (check onc) ❑ owner ❑ owners at_,ent. 1_pj:RMITF-E-E: S �. a ti Date. 01 <<%O R' :14, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .......................................... . has permission to perform ... ..-......"..................... . plumbing inthebuildings of .:7-7'�... .................... . J� North Andover, Mass. �J Fee. �' ... Lic. No.... f `... ../ ............ PLUMBI'e v e;fPECT0R Check 5:U5 Pr' MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS ! 0 < / / J Date ll Building Location l / �u I l �iZ C !-' Owners Name 4Permit # Amount�7 �'; � Type of Occupancy New� Renovation � Replacement Plans Submitted Yes 1 No 0 (Print or type) yJ� / Check one: Certificate j Installing Company Name / l eGn ��L�/ ❑ Corp. Address L.,<- n4'4'K < Partner. r r'S 70 4.6 G Business Te ep one Firm/Co. Name of Licensed Plumber: /-( r'6 -K4 /( C,l/Gnk Pel— Insurance Coverage: Indicate the t pe of insurance coverage by checking the appropriate box: Liability insurance policy 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 Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass use St a umbin nd a ter 142 of the General Laws. By 1 a ure o Ic �ens-ecl FlumDer Type Plumbing License Title d 7% City/Town icense Num5er Master ❑ Journeyman APPROVED (OFFICE USE ONLY LJ / • 1I =12��' -----------------------. (Print or type) yJ� / Check one: Certificate j Installing Company Name / l eGn ��L�/ ❑ Corp. Address L.,<- n4'4'K < Partner. r r'S 70 4.6 G Business Te ep one Firm/Co. Name of Licensed Plumber: /-( r'6 -K4 /( C,l/Gnk Pel— Insurance Coverage: Indicate the t pe of insurance coverage by checking the appropriate box: Liability insurance policy 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 Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass use St a umbin nd a ter 142 of the General Laws. By 1 a ure o Ic �ens-ecl FlumDer Type Plumbing License Title d 7% City/Town icense Num5er Master ❑ Journeyman APPROVED (OFFICE USE ONLY LJ u cR 0 75 O�� o i5 C Fi- I C'CC .Q u ON O 75 --� 75o I it • : � `f�-' �'� . w �' : ' � ' �++-'4 W L rt•s.. ��•�a�: .•C�y.-�.. :1��•9 s. - - N n 7 773 kp u Na��cn�X� U,Z Zc- 715z E-1 1 -71 I I K1 IN 73 O R n �N zz� adz I I K1 IN 73 O R w L— �KIStiNG FROP05W MEMO MENNEN NONE ti —R 75 O z O z I