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HomeMy WebLinkAboutMiscellaneous - 224 HICKORY HILL ROAD 4/30/2018 (3) 1 �� ' �f e �.' , � r ,, '�- --I__ � Location 41 1(0/, 41170 f�r� V ' Al No. Date ^I_ NORT1y TOWN OF NORTH ANDOVER . Certificate ofccupancy $ ; . CMU6 Building/Frame Permit Fee $ � S� S Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 15405 ✓ Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING s Section for Official Ust®nl BUILDING PERMIT NUMBER: / DATE ISSUED: z � o SIGNATURE: - Buildin.&Commissioner/I or of Buildings Date _ >�"` 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Z Z N If I C'eww (ZOADI 6 Map Number Parcel Number U� AA 1.3 Zoning Information: 1.4 Property Dimensions: v R1 s� P. � � �So s� ��� � + v ZoningDistrict Proposed Use Lot Area 1Frontage(ft) 1.6 BUBL DING SETBACKS(ft) M Front Yard Side Yard Rear Yard Required Provide R ed Provided Re red Provided NIN zz') ®' zo' 1 47 '' I r) 1.7 Water Supply M.GL.C.4t1. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Pm ate ❑ Zone Outside Flood Zone ipal On Site Disposal System ❑ . 2.1 Owner of Record b dr lei U cc. �i e,c'MAS✓1 NUPn' ) Address for Service: -7 re Telephone 2.2 Authorized Agent Name Print Address for Service: Z 6T- 7_ 6S' o Si Telephone Z z A �i' `' q y _ µqv 1� t90 3.1 Licensed Construction Supervisor Not Applicable ❑ FS #/ 1l J-), A r Q S"Sef/7 Address License Number o X-0 znLicensed Constructio pervisor. d� Eviration Date afore Telephone .2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name,• Registration Number M /<ys- G G i�1 � r Address F5 Jr�Z r g 7 p _1 k�� � Expiration Date ^Z Sign Telephone D Y, 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. Si ned affidavit Attached Yea...... No.......❑ s>�crrol+l sxo> Mar.A .��src� �ONSTRt1C Il1tAN t3 ©L '[ W TC)r 7 8 1 1 ( i C'A Tf € I7t 35,i1 t C T +t?�J Ti 15)E�D 'AC 5.1 Registered Architect: I Name: Address Signature Telephone M Ml ----,—essiitia F y } Area of-Responsibility Name: 1 Registration Number Address: _ ` s Expiration Date Signature Total _ Not applicable ❑ Name: , Registration Number 1 Address — Signature Telephone Expiration Date c . . Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name ' - Area of Responsibility j Address Registration Number Signature Telephone Expiration Date rt Not Applicable ❑ Company Name: Responsible in Charge of Construction New Construction 14 Existing Building ❑ Repair(s) ❑ � '� r �� Alteiations(s) ❑ Addition- Accessory dditionAccessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 2 x2�� Po!w 1 LJ r� ,_DJ T "u I Z'))6ZPC ({ WoR USE GROUP Clieck as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑ A4 -❑ A-5 ❑ - •113 ❑ B Business ❑ 2A ❑ C Educational ❑ 2B ❑ F Factory ❑ F-I ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A- ❑ IInstitutional ❑ I-1 ❑ I-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-I ❑ R-2 ❑ R-3 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floors Total Areas g > Total Hei t ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subjectproperty ' J Hereby authorize ��i/X14 DlS .-zo,KA Yes)6{d to act on My behalf, in all matters relative two work authorized by this building permit application ' - 31 q1 Si o er Date i I, / /'✓/(D"�cS Z"t ho n4- ( 0 as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury �EkS �t Print Name Signa er/Agent Date i > ,, Item Estimated Cost(Dollars)to be 04. w Completed by permit applicant I. Building (a) Building Permit Fee K Multiplier 2 Electrical (b) Estimated Total Cost of d Construction from(6) 3 Plumbing Building Permit fee (a)x(b) 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) i1� O� Check Number NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1S X lt� 2ND 3RD SPAN Z/ DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION / THICKNESS J r SIZE OF FOOTING i X >� MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE - - - ✓die �anvnzoiuvea� a�../�,Cro;tcee/uioelta BOARD OF BUILDING REGULATIONS * ' License: CONSTRUCTION SUPERVISOR Y' Al Number CS 055417 f Birthdate. 04/0511960 ` Expires04105/2002 Tr,no: 21877 Restricted To <OQ THOMAS D ZAHORUIk6; { 185 HICKORY HILLARD``= N ANDOVER, MA 01845 Administrator i I � ✓le -�om�r�.o�u..ea/,C.! o�'../f/laaaactu�aelta Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 107679 Board of Building Regulations and Standards Expiration: 8/5/02 One Ashburton Place Rut 1301 Type: INDIVIDUAL Boston Ma.02108 THOMAS DAVID ZAHORUIKO Thomas Zahoruiko 185 Hickory Hill Road µ p North Andover,MA 01845 -- - ----- __ Administrator Not valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents } Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: U S ®rC�), U Location: L //I J� Ci tv NSC' /d/l �T ©1�y� Phone , am a homeowner perforating all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for employees workin on this myab. 0g ! Company name: .Address City: Phone Insurance Co. _ Policv# Compane name: . Address City: Phone# -Insurance Co. Policv# Failure to secure coverage as required under Section 25A 152 ca lead to the ition of criminal and/or one ars'i penalties.of a fine up to$1,500.00 ye imprisonment as well as civil penalties' the atm of a STOP WORK ORDER and a:fine of($100:00)a day against me. t understand that a copy of this statement may be f to he Office of Ines of the DIA for Investigations coverage verification. /do herby certify under the pai nd penalties of at the information provided above is true and correct Signature Date �IY4 Z, Print name S /jd 2/ (j Phone# Official use only do not write in this area to be completed by city or town official' El Building Dept (]Check if immediate res onse is required;r::d Buildin D e 9 pt [] Llcensmg Boarr! ❑ Selectman's twee Contact person: Phone#. ❑ Health Department Other VORKMA.k'S COMPENSATION PROPOSES SITE PLAN 22.H 41cKoRY WLL K0AD (PR'b) 24`t 20 FAMILY Koo1A + Zo'j( )2/ DEc K D \ G� v. 1 4 � , 0 U -4e-? Y J.71 . "s .f/E�PEBY CE,errFy ra T,yE rir�E-/,ersueo,�,Qvo �'L O T �G.4oV TO TNE'BAN,t' T.yg7' TNEO�►'ELG/.cam /S COC'ATEO O.V TiS/E GOT qS S.sGA✓.v A.VO Ti�G4T/T Oafs CO,t/FGtP.y� /N 1Y/TiS� >.t/E"T�w✓O/�'N�.voo�E2 zON/NG ,�Ed!/LAT,t2t/S .fL�6I.P0/.�f"r JETS.IC.t'S F•POM.ST.eEETS < LOT L/.✓ES. "' /�,��? /`��L-� ',l' .'_ "�" /�), �. 1" F!/,�YiYE.!' GE.CT/FY T•S�i/T TiV/.S GLA•Zr(L/iy6 /S NOT L / LnLgTEO /,ir T.YE FdAE.t.*G f,Caop y.9ZA.�0 A.PE,4, O.PA/✓/V FO.P / SvyAivN O/t/f� O MtiN/Ty P,-fitlG� '«�Oo%_4 $� PIN-SKI F� ,Iriov ry � _ + a.ve j'iti.�o,P�s- �E.P.P/�t1.4Gt' E.t/acdEE,Piv6 SE.P/�/lEs 'T/tic eEcct�os. 66 /�-4•P,{� S'T.rEET •y� ��y3�--,- A.VOOYE,�, �f1ASS,oc�,wSETTS O/B/O W GKORY )Ak4- ko D - 'LlIEKMANA1 KD,D mt0tJ i- -- IL KEAR ELEVATioN rTTT - -- : ung " coo I PLAN "f i I 9 (3)Aw51 - i / v ATE 3 /ze loz 12� , { FORM U.- LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary a ���� Boards and Departments having jurisdiction have been obtained. Th s does not'releeonVe the applicant and/or landowner from compliance with any applicable or requirements. ******************APPLICANT FILLS OUT THIS SECTION APPLICANT l U ( L- C PHONE q 78`68'7—? 6 3s' LOCATION: Assessor's Map Number___L /�(� PARCEL 13 S- SUBDIVISION //'"C LOT(S) STREET 2-Zy ST. NUMBER y ONLY ��*''OFFICIAL USE RECOMMEND N OF TO AGENTS: CONSERV ! ADMINI. R TOR, DATE 'R COMMENTS WN PLA R DATE APPROVED ` DATE REJECTED COMMENTS ---------------- FOO IN P C OR-HEALTH DATE APPROVED DATEREJECTED SE INSPECTOR-HEALTH DATE APPROVED 2 �!2 DATE REJECTED COMMENTS 0AJ PUBLIC WORKS-SEWER/WATER CONNECTION'S NI . DRIVEWAY PERMIT /t1 ` FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm -- CONSI_RuC,71�N r I 'R sr DE t`k, cur/ oU.w�RT1 atJ To E-�(IS[IOG u100) it I I � ( J • � Xl�lb'oc r . 44, I ! I r i I t _ — - - - — —_ — — — J I RJ ..._...-. -- - -D' ril IV60 RRU.cAP I 24 - L-L-- Pr G P4 tshl.. '111111 ""if RI p6 2 ' Y6 --- - -><Io syP P'r=- 2x►o ,yP-pr -----?.A(ato 12 •%Vsy slc 4o P.C_SA.AQ l� I - - - j j I Q+IGGEVEP � I T AIL - I 3000 Pil - 1 i RNC T I � S - tbft � I I FEI_T b�kl k IN� sm tt V. jpo0 11 Z 11 i S' GgIV. i I I 1 i i I I 10 I1u x1' j. � y i K Yw Ay --J--_--�---- Permit Number MECcheck Compliance Report Checked By/Date 1995 MEC MECcheck Software Version 3.3 Release lb Data filename: C:\Program Files\Check\MECcheck\Biennann Addition.cck TITLE:Biennann Family Room Addition CITY:North Andover STATE:Massachusetts HDD: 6322 CONSTRUCTION TYPE: Single Family DATE: 03/29/02 DATE OF PLANS: 3/28/02 PROJECT INFORMATION: 224 Hickory Hill Road COMPANY INFORMATION: Tara Leigh Development LLC COMPLIANCE:Passes Maximum UA= 144 Your Home= 134 6.9%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Cathedral Ceiling(no attic) 512 0.0 30.0 16 Wall 1: Wood Frame, 16"o.c. 888 0.0 19.0 66 Window 1: Wood Frame,Double Pane with Low-E 91 0.340 31 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 480 0.0 19.0 21 Boiler 1: Other(Exept Gas-Fired Steam), 80 AFUE COMPLIANCE STATEMENT: The proposed building de described here is consistent with the building plans,specifications,and other calculations submitted wi th permit application. The proposed building has been designed to meet the 1995 MEC requirements in C eck Version 3.3 Release Ib and to comply with the mandatory requirements listed�theheck In Checklist. Builder/Designer Date_ / (UZ_ F MECcheck Inspection Checklist 1995 MEC MECcheck Software Version 3.3 Release lb DATE: 03/29/02 TITLE:Biermann Family Room Addition Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1: Cathedral Ceiling(no attic),R-30.0 continuous insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 continuous insulation Comments: Windows: 1. Window 1: Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: I Floors: [ ] I 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 continuous insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Boiler 1: Other(Exept Gas-Fired Steam), 80 AFUE or higher Make and Model Number Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I Recessed lights must be Type IC rated and installed with no penetrations,or Type IC or non-IC rated installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials and 3"clearance from insulation. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I ' Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment:and service water heating equipment must be provided. [ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. I Duct Construction: [ ] I All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120°F or chilled fluids below 55°F must be:insulated to the levels in Table 2. I Table I: .Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Uy to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for RVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) i i I NvR � M own of And No. �_oa Z- L A o dover, Mass., COCHICMEWICK ORATED P �C, S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �/ / j� BUILDING INSPECTOR THIS CERTIFIES THAT..........:[.6�v......... ..... ...��!i4�lJ................................................................... Foundation has permission to erect...P VII �.../... buildings on ....c, ..y..1 �c.��or . �.... .. ... Rough to be occupied as... ! �'?!e� ��� �`�� °� ��X�o?� �Pf� C Chimne ............................. ...................... .......................... ..... y ......................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating tq the Inspection,Alteration and Construction of Buildings in the Town of North Andover. G 37 oZ 9 9' PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHSFinal UNLESS CONSTRUCTIONLSAIR S ELECTRICAL INSPECTOR Rough ................ ..... Service ...... . .. .... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. Location .02 r f . No. Date N°RTM TOWN OF NORTH ANDOVER . - p Certificate of Occupancy $ `+ Building/Frame Permit Fee $ U -w Foundation Permit Fee $ - 1711 s�cHus , .� Other Permit Fee $ Sewer Connection Fee $ nom Water Connection Fee TOTAL $ (, '!"i _ Building Inspector 7464 Div. Public Works �' ..-a,�•r ::..... .,,��i.%.s ...ri`rc .n^y.arc. .. C�ocation r No. C/ Date „aR,„ TOWN OF NORTH ANDOVER F ; Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ l- 0 swCNUSE Other Permit Fee $ Sewer Connection Fee $ i Water Connection Fee $ TOTAL t /J $ Z'Stw Building Inspector a: 727`7 '�,'" Div. Public Works- Location Z7.cd- r'j�iG�/Gl. '(f - 40¢ ' No. ZV Date A 40RT" TOWN OF NORTH .ANDOVER .• OOL C Certificate of Occupancy $ s ' Building/Frame/Frame Permit Fee $ •" sib ;, 9 cNuEta Foundation Permit Fee $ s+ s Other Permit Fee $ _ 637 Sewer Connection Fee $ /a2p"" x �3 ,6 33/ water Connection Fee $ /429 TOTAL $ Buildir)g Inspector 1 6934 DivoOubfic works — i>, ilTi NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAPKJO. �� LOT NO. RECORD OF OWNERSHIP (DATE BOOK PAGE 2 ZONE I SUB DIV. LOT NO. a� Q �L LOCATIG_ PURPOSE OFBUILDNGI • S1 i vV w✓ OWNER'S NAME �• I Jl�lr ,,,� NO. OF STORIES , Re OWNER'S ADDRESS - ..t. l_/.C� BASEMENT OR SLAB �l,6CJs/'�td a ARCHITECT'S NAME O SIZE OF FLOOR TIMBERS IST y1/) 2ND BUILDER'S NAME j r �S }1, a 'sem /, SPAN DISTANCE TO NEAREST BUILDING ✓/l/e[!J� V DIMENSIONS OF SIILLLSSS` � j+ DISTANCE FROM STREET / •' POSTS 3JJ�`�11// �•� I�,Q� DISTANCE FROM LOT LINES—SIDES ��,/� REAR p�^y� '�" •' GIRDERS/j�� AREA OF LOT '7r'�{7� �� FRONTAGE )V/yam' HEIGHT OF FOUNDATION( _l C/�C l THICKNESS w''J IS BUILDING NEW( X�5 ( C•�' SIZE OF FOOTING 7 �/ X fd� t- I.S BUILDING ADDITION )`:® MATERIAL OF CHIMNEY IS BUILDING ALTERATION /k o IS BUILDING ON SOLID OR FILLED LAND �r/7 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER G%cxx BOARD OF APPEALS ACTION, IF ANY A ! /A IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROP F' Y INFORMATION INSTRUCTIONS / LAND COST 4a.) 7S // SEE BOTH SIDES EST. BLDG. COST rd —�;apt d� PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT._ CFi PAGE 2 FILL OUT SECTIONS 1 - 12 MW KRMR , U EST. BLDG. COST PER ROOM r? SEPTIC PERMIT NO. ` / .A ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILEDJAND,APPROVED BY BUILDING INSPECTO DATE FILED BOARD OF HEALTH i SIG F OWNER OR AUT IZED AGENT 4 yyyy FEE GR D PLANNING BOARD PERMIT ' c IL� lc DOWNER TEL. BOARD OF SELECTMEN / ` MAY 2 1 CONTR.TEL.# � 90CONTR.LIC.# s ee d'C i R 1I_ BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 - I SINGLE FAMILY SiORIEs 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 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT,PLAN. CONSTRUCTION 2 FOUNDATION I 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDw D PIERS PLASTER DRY VJAIt _ UNFIN. 3 BASEMENT AREA FULL - ej FIN. B M'T AREA I 'G '/t °/. FIN. ATTIC AREA NO BMT FIRE PLACES HEAD ROOM _ MODERN KITCHEN j 4 WALLS I '9 FLOORS CLAPBOARDS B 1 2 3 LE ,x � DROP SIDING CONCRETE _ 4 WOOD SHINGS EARTH _ ASPHALT SIDING HARDw D ASBESTOS SIDING _ COMMONI _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME � � BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON,FRAME (s,,, (^w•;�J CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ . SUPERIOR POOR _ ADEQUATE I--1 NONE 5 ROOF 10 PLUMBING - GABLE HIV BATH 13 FIX.) -}- GAMBREL MANSARD TOILET RM. 12 FIX.) / FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK o, SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES �_ f TILE FLOOR A TILE DADO i+ 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIME BM &COLS. STEAM STEEL BMS. HOT W'T'R OR VAPOR - WOOD 'ITE _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS -' 7 NO. OF ROOMS GOAL »" B'M'T 2nd ELECTRIC lsr 13rd NO HEATING S 1 JUt: n r CERTIFIED FOUNDA TION PL AN LOCATED /N NO, AND O VER, MA. SCALE: /"= 40DATE: 7//9/94 Scott L. Gi/es R.L.S. 50 Deer Meadow Rood North Andover,Moss. r i QC LOT 39_ 2 11880 S.F N � N / , m U� 49, "Flo, ST L O T 38 �� 44 LOT 40 L*9.0. 04 0,40 / CERT/FY THAT OFFSETS SHOWN ARE FOR .THE USE THE OFFSETS OF THE SU/L DING/NSPEC TOR ONL Y SHOWN COMPLY AND SUCH USE/S FOR THE s� WITH THE ZONING DETERM/NATION OF ZONING ' es SY LAWS OF CONFORM/T Y OR NDN-CONFORM/TY , 1 72� y 0 . ANDO VE& WHEN CONSTRUCTED. tm WHEN BU/L T. 7110194 i Tovvn of or over No. 189 g° � �, ` ?w^Abort dover, Mass., 19L. . ACOCHIC H-WICK .9 V '-1 BOARD OF HEALTH PERMIT TO D Food/Kitchen �. tic System ��� BUILDING INSPECTOR THIS CERTIFIES THAT.....row- .;.....An . ....4..1"14.... .•...It.. . . and ation has permission to ere .. ... 0s on ��. ough A AP . to be dccupied as as..P.M.. .... IM: IV�. imney Chprovided that the person accepting this permit shall in every respect rm to the terms of thea plication on file in this office, and to the provisions of the Cod and By-Laws relating to the Ins pecttiffifrfVIANOIUMdtNhYof Final Buildings in the Town of North Andover. a TED BY PARA. 114.8-S. B.C. ow PLUMBING INSPECTOR t I VIOLATION of the Zoning or Buil ' Re ti1b16;Werrnit. Rough j DATE FEE PAID 0- Final PERMI r ESP S IN 6 MONTHS .00 ELECTRICAL INSPECTOR I PERMIT FOR FRAME/BbILIHZISS CONSTRUCTI(DT\1 'S. S 'A Aw�ffildmk Rough FEE PAID'-- .............. .. ........ .... ............... Service `BATE — B DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rou Display in a Conspicuous Place on the Premises — Do Not Remove Finagh No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner I PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT 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 gu ns or requirements. � ****************Applicant fills out this section***************** APP LI / /. CANT: //d e S 1 ` O � (�(� �/'t Mt �-� � t Phone olff LOCATION: Assessor's Map Numbers Parcel Subdivision ( c1, i� Lots) Street St. Number -Zzel— ************************Official Use Only************************ RECO DATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved q Town Planner Date Rejected Comments Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector .. m Date MAY 2 4 7 4C PROPosED S ITE PLAM t07 q t+ ICKOZY HILL NPAD I " = 4o' y � 14 ,a 00 o �a r r . 70- LOT LOT 39 - `V 03�}- 2 1,8 8o S.F. ftp. A6' Farj% .2 �'3i S 25 24 X2.21 Jp "y\oNO N�F I I 205� mt(. L t1�1a\�,L��i �ravjy An T0VM �C JUL _ { No lag �� �► �` -fort � dover, Mass. 19 '- Ll �• 1 �J 9V GOCHICA E HEWICK BOARD Ot HEALTH �mt Foo /I HE en s. RMITTal9�gy 8� System ; I D BUILDING INSPECTOR ' r404-1114........ ...-THIS CERTIFIES THAT..... 4undation DIE r"r v: ► r o q-�L - Iiaermissloh to erec .. ... i son ough 10,;t b be�iccupied as ..�. .... .� .. �..�....* Chimney o� rovided that the person accepting this permit shall in every respect c orm to the terms of the ap��ppI�cation on file in Final oK this office, and to the provisions of the Cod and By relating to the InspectiBftlrll� dM rF�I10A]i�Ai®NhYof x,. . buildings in the Town of North Andover. � a TED BY PARA. 11 .8-S. B.C. PL BI I PECTOR VIOLATION of the Zoning or Buil ' Re ti V ' ermit. ug .DATE -5" FEE PAID/ • ° 0 n PERMI r h S 16oNTxs � � �. o T( 1 i ELECTRICAL INSPEC. PERMIT FOR FRAME/B�tl164,4 ISS CONSTRUCT, �� STA."a"" ) Roug F U eo.................... ervi !s/Q V FEE PAID: B DING INSPECTOR Final Occupancy PCrmit Rcqub-cd to OcclKtyN, Bulling G S7 F7TOR Display in a Conspicuous Place on the Premises — Do Not Remove 6 Q No Lathing or Dry Wall To Be Done FIR DEPA T Until Inspected and Approved by the Building Inspector. c Burner �' PLANNING �k2at F NAL CONSERVATI /' f' F N \ Street No. �n �ySmoke Det. g CFINFR /IIUATFR O FINAI . DRIVEWAY ENTRY PER U CERTIFICATE OF USE: &_ OCCUPANCY Town of North Andover Building Permit Number 189 Date S .PTF.MRFR 30, 1994 THIS CERTIFIES THAT THE BUILDING LOCATED ON 224 HICKORY HILL ROAD LOT 39 MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/2 CAR GARAGE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. _ CERTIFICATE ISSUED TO Tara Leigh Dev. Corp, _ 185 Hickory Hill Rd. ADDRESS North Andover, MA Building Inspector