HomeMy WebLinkAboutMiscellaneous - 221 FARNUM STREET 4/30/2018 (2) / 221 FARNUM STREET
210/107.A_0053'0000.0
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9757
Date...... ........................
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TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
AT D
Thiscertifies that ................ ......................................................
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has permission to perform ...... ....!;/ .....................
wiring in the building of.......... .0.G��'5�............................................
........ .....
Fee..4/�O�*.. Lic.No..4q—'/.. .........
' North Andover,Mass.
LECT 1C;AiNS E TOI;;
Cheek #
c� cc.77 C� Permit No. q -1 .'7
_ 1JaParfrnanf o�,J`ira JarvicaJ '�
Occupancy and Fee Checked
NW BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/071 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527CMR12.00
(PLEASE PRINT IN INK OR TYPE ALLI FORMA ION) Date•;
City or Town of: - 6(e,' To the Inspector of Wires:
intention to perform the electrical work described below.
i or her n
By this application the undersigned gives notice of his `ff p
Location (Street&Number) gal 6"ug#-L J+,
Owner'or Tenant M,%& .et 0 0L,\ Telephone No.
Owner's Address .19Fo-ou wtM
Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
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: ` or-:
Completion o the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Celt.-Su Fo.of otalA
sP•(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Arnbov.e n- ❑
Iva-.-OT, cy Lighting
No,of Luminaires SwimmingPool nd. BatteryUnits
No.of Receptacle Outlets No.of Oil Burners. •_ _. FIRE ALARMS
No.of Zones
No.of*Switches No.of Gas Burners o.o Initian ettingon and
Devices
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers eat Pump umber ons o,of elf Contained
p Totals: Detection/Alertin Devices
Municipal
No.of Dishwashers Space/Area Heating KW Local❑ Connection El Other
No.of Dryers Heating Appliances KW ecurity Systems:*
ry No,of Devices or Equivalent
No.of Water KW o.o o.o Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
delecommunications irin
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
-
\� OTHER: a SaZ
�j�Q00 Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: J (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE 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: INSURANCE (O BOND ❑ OTHER ❑ (Specify:)
I cert, under thepairs andpenalties.ofperjury,that the information.on this application is true and complete.
FIRM NAME: ,S r-_C U r' I Ge' LIC.NO.:
Licensee: r.411 c1' Tr Signature LIC.NO.: /Cc
Qfapplicable,enter,"exempt"in the license numb Bas.Tel.No.:J� �e
Address: f (� .G-I n7 6n h�/�j" � �- AIL Tel.No.:
*Per M.G.L.e. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent PERMYT FEE, $ 'K,00
Signature Telephone No.
_ 6
Department of Pafe
ekfic-s
y
One-Ashburton Place, -lam 1301
Boston, ala 021'08-1618
License: Ceddicate of Clearance
Number:SS CC 002577 Expires:12123/2011 Restricted To: 00
WILLIAM M TAYLOR JR
18 CLINTON DR
MOLLIS, NH 03049 -
Tr,no: 1420_0
r Keep top"for.receipt and change of address notification.
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✓�s'ZOprvsa�saorra��s a�.�rewa�J�trdeQac 1
• DEPARTMENT OF PUSUC SAFETY
Certificate of Ckaaance
Number. SS CC 002577
Expires:12723!2011 Tr.no: 7420.73
S-License: ADT SECURITY SERVICES
,MLLIAMt M TAYLOR JR Ell
18 CUNTON DR
4OLUS. NH 030x9 P A
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Location
No. Date
NORTH TOWN OF NORTH ANDOVER
Certificate of Occupancy $
' Building/Frame Permit Fee $ '
Foundation Permit Fee $
s�cHust
tierI Ge `rGe $
Sewer Connection Fee $
M' 2
Wa;r' 0" $rtnection Fee $
"�• A d!TOTAL- I'j .A , $
Building Inspector
Div. Public Works
II
Location
No. Date
N°RrM TOWN OF NORTH ANDOVER
p Certificate of Occupancy $ 1
# Building/Frame Permit Fee $
Foundation Permit Fee $ /e,c G v
,SJA
EIVEI) Iff Fee $
1
Sewer Connection Fee $
MAY I Wggrronnection Fee , $
No,Andoverroifector ,$, s� v
Building Inspector /
J
Div. Public Works "
Location
No. Z/, Date 5h319 �-
�oR.„ TOWN OF NORTH ANDOVER
A Certificate of Occupancy $
41 Building/Frame Permit Fee $
Foundation Permit Fee $
(AII*k6irTit Fee $
MAS sewer Connection Fee $
NO.417 -#14-Water Connection Fee $R V
Ver
ONctor
^'Buildintgn'spector
Div. Public Works
PER30-IT NJ. N
l6 7 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. f/
_ _ ,l/�„�X26 PAGE 1
MAPKi0.�,1 7�t I r (C 2 RECORD OF OWNERSHIP IDAT�IBOOK PAGE —
ar.OiVE SUB DIV. O NOiii 1—
LOCATION 1514 I,)L)(A inn � ��� ,#L'Zl PURPOSE OF BUILDING
OWNER'S NAME A p ,e-S5'Aji+ DG},�f' __,� Nw C -�.� NO. OF STORIES ZZ L/GCJCSIZE
OWNER'S ADDRESS �v gr U t 1,tl ' Cr `-V� I,A /` - BASEMENT OR SLAB rlC Ij�iv IV / R
ARCHITECT'S NAME J t�tJ 'V ``� !`� SIZE OF FLOOR TIMBERS 1STa_JICA�.>/!o 2ND 3RD
BUILDER'S NAME i (3{ � A(f5,57AJ4 SPAN / 311 3 � /CJ
DISTANCE TO NEAREST BUILDING /`f,4. [ DIMEN'SI`ONS!OF SILLS � x
DISTANCE FROM STREET �_ POSTS
DISTANCE FROM LOT LINES-SIDES REAR "d� GIRDERS x ,�
AREA OF LOT /12 /1 FRONTAGE ,f C® ! HEIGHT OF FOUNDATION57
THICKNESS 16/4
IS BUILDING,NEW �.�C�s ! J SIZE OF FOOTING /� X Gf
IS BUILDING ADDITION //'l V�/s) MATERIAL OF CHIMNEY 4ze/c� - /'-�J C&
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND oj0
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �� IS BUILDING CONNECTED TO TOWN WATER yes
BOARD OF APPEALS ACTION. IF ANY / ��01 IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE eS
s PROPERTY INFORMATION
INSTRUCTIONS
` PERMIT FOR FOUNDATION ONLY LAND COST
:AGE
EE BOTH SIDESREGULATEDBY PARA. 114.8-S. B.C. EST' BLDG. `OB z`�� 171,DOLT.1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT. 5-
PAGE 2 FILL OUT SECTIONS I - 12EST. BLDG. COST PER ROOM /
DATE-51' 1419'FEE PAID X00 SEPTIC PERMIT NO. � V
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR OWNER TEL.N. 6 SS—5.7S--,c-
CONTR.TEL.# S' j3 c—
�ED
� CONTR.LIC.# BOARD OF HEALTH
MGNATURE OF OWNER OR AUTHORIZED AGENT
i
FEE 1112—. oO
p��//t� F //12-r 0
0 PLANNING BOARD
PERMIT GR 67Wf,7. PERMIT FI*�
t9 LM FDA FE ", 00
DUE FRAME PERMIT$A01-2, o
BOARD OF SELECTMEN
PERMIT FOR FRAME/BUILDING
DATE: Z42 6 z FEE PAID:/—/ 2-'c"7J
BUILD t NSPEC;S;sit
WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer
-L5 210
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA-
APARTMENTS I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
G
2 FOUNDATION I 8 INTERIOR FINISH
CONCRETE B 11 12 13 j
CONCRETE BL K. PINE
BRICK OR STONE HARDW D _
PIERS PLASTER _
_' DRY WALL _
UNPIN.
3 BASEMENT 11
AREA FULLFIN. 8'M"T" AREA
'/ 1/1 �/ FIN. ATTIC AREA
NO BMT B M'T FIRE PLACES
HEAD ROOM _ MODERN KITCHEN _
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING HARDWD
ASBESTOS SIDING _ COMInCN _
VERT. SIDING, ASPH. TILE u' ^/� t+t S�"�A,+ xY` R03
'�"M1t
STUCCO ON MASONRY L. g �S�RI` fit' v1� ! t ^
STUCCO ON FRAME tt NIL" IN
BRICK ON MASONRY ATTIC STRS. & FLOOR
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING ♦ir•{k -11
"+ T T
`"
STONE ON FRAME - ------- _--- -� i
SUPERIOR I� POOR
ADEQUATE NONE 1
5 ROOF 10 PLUMBING 1
GABLE c HIP BATH 13 FIX.)
GAMBRELMANSARD TOILET RM. (2 FIX.) ,,,,M.,,,,.w.......+� *--°�'•^ `
FLAT SHED WATER CLOSET _ - _}'• '�T � _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING
TAR & GRAVEL STALL SHOWER `
ROLL ROOFING MODERN FIXTURES -
TILE FLOOR +
TILE DADO
6 FRAMING II 11 HEATING
WOOD JOIST PIPELESS FURNACE
_ FORCED HOT AIR FURN. T "i�;�„'^i�";
TIMBER BMS. & COLS. STEAM - """"•' '" """"' Yes y"�"
STEEL BMS. & COLS. HOT W'T'R OR VAPOR11e,A'Q1
WOOD RAFTERS _ AIR CONDITIONING `' I ' �
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS >k ,
OIL
B'M'T 2nd _ ELECTRIC i
1st 13rd I NO HEATING
I
FORM U
4
TOWN OF NORTH ANDOVER
LOT RELEASE-FORM
SUBDIVISION
ASSESSORS MAP 107,4
SUBDIVISION LOT(S)
PERMANENT ADDRESS ASSIGNED BY D.P.W.
STREET -e
APPLICANT .MeSS/,gj, C PHONE
DATE OF APPLICATION
TOWN USE BELOW THIS LINE j
PLA NN NG BO RD
DATE APPROVED '
TON PLANE rr-� A,,-oval._. DATE REJECTED
CONSERVATION COMMISSION
DATE APPROVED
C NSERVATION ADMIN. DATE REJECTED
BOARD OF HEALTH
DATE• APPROVE?D
HEALTH SANITARIAN DATE REJECTED
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
Z944-E*/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning and Health Beards,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
I
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lQOHt y� . '
W&4ta,L.t istt..T
DONSERVATi 01i Ow �
MfiNG FINAL
�/JnFIWAL SEWLE) WL INAL PLAV _UJL -
b 1-7 1-7
Town of 6 n over
No. 169
;4-L,
IDRIV RIVE-WAY ENTRY PERMI - -1 @Fjjj-7 1972
- J4.1A, a" ower Mass a
I': H E III C K
AIRF P�
BOARD OF HEALTH
PERMI I LD
THIS CERTIFIES THAT..Y*.WW./i#0........DO .0-Pp"OV-7b BUILI?ING INSPE.CT
a W g h
has permission to er#f)*#.P. W.W.Juildingsonz.&I...x0em ..47 .....4�344 Rou
to be occupied as .................. Chimney/
.(y
Final
provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in et Oyl—(I —
PLUAABING 1t4SPECTqR-,\
/ 'P
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of (9ta 17/ or
Buildings in the Town of North Andover. FMff FOR FOUNDATION ONLY Fi
VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. I
PERMIT EXPIRES IS ELEC CAL�SCITQQR
N 6 MONTHS
FEE MID 1pt)' — Rough 01A
LJNLESS CONST C STARTS Service
PERMIT FOR FRAMUBUILDING STARTS Final A
-7—
'Wo 10
DAT /2,662- FEE PAID' 4-012 , OV BUTD—ING INSPECTO G
f # - _tS INSPCTOR
Occupancy Permit Required to Occupy Build. M //1z_ ' 00 Rog 11619
POW
00. 0 0 rin)
Display in a Conspicuous Place on the PrMOREPERMIT$ 12'44-00 -
Fl9E DEPT.
Do Not Remove Burner
No Lathing to Be Done Until Inspected and Approved by
Smoke Det.
9 IN'
g p
BuildinInsector I/
CERTIFICATE OF USE OCCUPANCY
Building Permit Number 1 6 9 Date A u g u b t 19 , 1 9 9 2
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 2 2 1 F A R N U M STREET ( Laz 3A)
MAY BE OCCUPIED AS SINGLE F A M I L Y D W E L L I N G IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY.
f NORTH
O H
CERTIFICATE ISSUED TO M e z z i n a D e v e t o m e n.t
805 winte4 Stneet
ADDRESS
9SSACHUSEj
BuiWing Inspector
8