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HomeMy WebLinkAboutMiscellaneous - 225 CARLTON LANE 4/30/2018 225 CARLTON LANE ' / (�G 2101107.A-0209-0000.0 1 :i J _ ) Date. r:.... . . .. . . .... .... NORTR TOWN OF NORTH ANDOVER pf4�.ao ,n1ti0 0 PERMIT FOR GAS INSTALLATION A SSACMUSEt This certifies that . : . . . . . . . . . . . . . . . .: . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . .. . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. North Andover, Mass. Fee. . . . . . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPUCAPERMIT t�0 QASFITTIN�G V Mua eulct� 5 I(Ynt ype`at ooalpanayia- ` DwOMon p Apr nc p MW�: YID o '405 1o a a 4 p wa w a� a s v ewe o w 30 0 sub—OSNT. aASEM8H1 IST FLOOR SND FLOOR 380 FLOOR 4TH RLOOR 1 7 - STUFLOOR dTM FLOOR TTM FLOOR Mo-moms 8TH FLOOR Install,Nw r Comp_w Nuns `f' Chwkohe: CedMcde rr/ rrrrn��rir rr•Ir ri.rr��r�rr��� Address .+mob C i-esCe i t- .St o Oorp"don o Psrbw" ^rte ��WWT G .1oi- 71S' 7 8�""—^-"� • • r.� rrr sr40 FkWC& Name of Licensed Plumber or Gn Flker INSURANCE COVERAGE: have a c w liabWly policy or ks subdartid oq%#Vdot rdidt meets the regtdrerrterds Of MGL Ch. 142. Yes No 0 it you have checked yt& piews kde de the type oonraspe by dw*ft the ap mpd to boot. A IW)Nigr Insurance policy O odd type a kWwd*y 0 Bond o OWNER'S INSURANCE WARM I am swan that the uOMM does not hates ft ina AW=GOV40 a required by Ctapter 142 of tM Mass. Qeneaf tswe„ and!fret MY Signdure an Oft pGMA 2101011 01011W waives M requirement. Check ara: OwnwO Amt o lure of or s I twaby Cerny that aft Of VW ddd8 and k*WAdon 1 haw submigsd for t dW4 h show�p�oo�or� butt&W sw m%b tM bat of my a�vision"i odf tha 1Aaaadaiesw��Map�1�et tla By of LION" of Title_.._ Queft r r....rw►�.. 1 a 0 f+. Date..... ,� � U I > NOR7M °f�"`°:•�"� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ♦°+Ar.° �,SSACNUS� This certifies that ..... ...... ..........�.:..:..+.r.........,,.1.,.,c t... has permission to perform ...k.:..f:......... sr......................................... wiring in the building of......r ...... .................................................. at....... ................ .......... k................... ,North Andover,Mass. G, . f Fee.... 11......... Lic.No. . . 7 ELECTRICAL INSPECTOR s 08/10/99 14:44 40.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer ' Only Use ny The Commonwealth of Massachusetts o((tce G n Permit No. ' Deportment of Public Safety . lf . Occupancy 6 Fee Checked REVENTION REGULATIONS S27 CMR 1200 3/90 (leave blank) RWARD L A I JUN r 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 A-R Aug. 3, 1999 Cit or Town of North Andover Y To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described MAP. 1� 7 Location (Street & Number) 225 Carlton Lane, Owner or Tenant Eisenberg Contractor is Out of Woods Cons ) Owner's Address Same Is• this permit in conjunction with a building permit: Yes Y No ❑ (Check Appropriate Box) Purpose of Building ___single family dwelling � 8 Utility Authorization N0. Existing Service l;�fl Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service same Amps / Volts Overhead ❑ Undgrd❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 11i ra ki trhPn remodel Total No. of Lighting Outlets 3 D No. of Hot Tubs No. of Transformers KVA Lighting Fixtures Above In- No. of Li g g �j 8 Swimming Pool grnd. ❑ grnd. ❑ Generators KVA 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 Total No. of Detection and 8 No. of Air,Cond. tons Initiating Devices No. of Disposals No. of Heats Total Total No. of Sounding Devices Tons KW No: of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection t No. of Water Heaters KW No, nof Ballasts No. of Low Voltage SigWiring No. Hydro Massage Tubs No. of Motors Total HP ' OTHER 6 r INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES® NO I have submitted valid proof of same to this office. YES® NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) Expiration ate Estimated Value of Electrical Work $ Work to Start 8/3/99 Inspection Date Required: Rough will call Final will call Signed under the penalties of perjury: FIRM NAME William F. Fitzmaurice, Inc. LIC. NO. A-8109 Licensee Thomas J. Donovan Signature / LIC. NO. A-8109 Address 6 Mt. Vernon St.. , Arlington, ria. 02476 Bus. el. No. 781- 640-4120 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts Ceneral Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ t1ii Signature of Owner or Agent q��' COV Location o?075 (1/4 1- 0,A Avg No. 3 n ,"7 Date -7z/5/77 A TOWN OF NORTH ANDOVER 0 d A Certificate of Occupancy $ } ; : Building/Frame Permit Fee $ Foundation Permit Fee $ sACNusa Other Permit Fee $ M' Sewer Connection Fee $ _ Water Connection Fee $ _ TOTAL $ Building Inspector Div. Public Works PERMIT NO. 3 APPLICATION FOR PERMIT TO BUILD********N RTI-I ANDOVER, MA LOT NO. 2. RECORD OF O1\'NERSIIIP DATE BOOK PAGE ZONE SUR DIY. LOT NO. I.00;:1IION `�"�1 � Y7) (v 1n \� I'IIRI'OSE OF I}1111.DIY( �lr��a O11 , �}'�°�l� I�•r-�� 1 t7 S X Io�� ' 0WNER'S NANIE j toK_� N0.0F• STOItIES d�K SIZE OWNER'SADDILESS —l�1C �O� f A \ A ,V [1N� �r� BASEMEN-1 OR SLAB ryC_J ��J��C L. LIU ,v Tl / I� :1RCI11TEC'1''S N:1i\IE � SIZE OF FLOOR i1mRERS I 1 2ND 3RD II1111.DER'S NANIE OUT )Af , SPAN TbN31 DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE:FROM STREET DIMENSIONS OF POSTS DISTANCE FROM Lo T LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE IIEIGIIT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING k IS BUILDINGADDITION MATERIAL OF CIIININEY IS BUILDIN ALTERATION 1 1S BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORNI TO REQUIRENIEN"IS OF CODE YES IS BUILDING CONNECTED TO TOWN\VATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TOTOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTUCTIONS 3. PROPERTY INFORMATION ND COST Aj e� EST. BLDC. COST 01 -- TACE I FILL OUT SECTIONS I-3 EST.BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM ELECTRIC NI ETERS MUST BE ON 011TSIDE OF BUILDING SEPTIC PERNIIT NO. 11-I'ACIIED GARAGES MUST CONFORM TO STATE FIRE REGULAI IONS 4. APPROYFD BY: 1'1.:1NS MUS'i'RE FI .F:D:1ND AI'PRO\'".)it '�INGSPECR BUILDING INSPECTOR DATE Fil .D 0WNERSTELit / �17 - 40'�0,517 CONTR.-IELN gJ- y '-- 3 33 D CoN-TR.I.1c# SIGN:1lIIRF. OF OWNER OR:1Ul110121"LED,1GENl' FEE $ ! II.I.CA PERM IT GRANTED 19 Revised S/5/99 JNI FORM U - LOQ' 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT AVN 6- &Lr- a� PHONE ' ct T LOCATION: Assessor's Map Number 0 A- PARCEL a©q SUBDIVISION �' LOT (S) STREET CA 14,�J ST. NUMBER U S RECOMMENDATIONS OF TOWN AGENTS: e X 1a C)PZ(o CONSERVATION ADMINISTRATOR DATE APPROVED r DATE REJECTED- COMMENTS- EJECTEDCOMMENTS �V 4 U`Z1A�1 TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED S0TIC INSPECTOR-HEALTH DATE APPROVED /3 9 DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING !NSPECTCR DATE Revised 9197 jm a o- ✓1 �` BOARD OF BUILDI 9G REGULATIONS ' a.. �, License:�L' • CONSTRUCTION SUPERVISOR Number CS 060310 x j Birthdate: 12/21/1964 - Expires: 12/21/2000 Tr.no: 5990 - i . Restricted To: 00 GREGORY A ANTONIOLI _ 33B RYDER S7 �+ ARLINGTON, MA 02174 Administrator 1 HOME IMPROVEMENT CONTRACTOR, Registration 109038 Type - PRIVATE CORPORATION Expiration 09/01/00 OUT OF THE WOODS CONSTR. & CA ory A. Antonioli ADMINISTRATOR 33 Ryder. St E j Arlington MA 02174 Town of North Andover0 µORTH -1f OFFICE Oi'L 1 «t° 6 Ay O L COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street , North Andover, Massachusetts 01845 ''�SSAC WILLIAM J. SCOTT' HU`- Director (978)688-9531 Fax (978) 688-9542 In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number 30 qis that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant 7/Z6;2/99 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project throug-h the Office of the Building Inspector T! J4 BOP.RD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 :N The Commonwealth of Massachusetts ( Department of Industrial Accidents �'; -� � —• Onlcs o1/nyest/gaUvns 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit name location city hone# I am a homeowner performing all work myself. [1 I am a sole proorie:or and have no one working in any capacity 4 I am an employer providing workers' compensationfor my employees work ing o'gnchis job. comoaryT0U_r C s'E nzn �y •�� �n addr I cittrIzL�iJ�9l ��� in3uranc-cv ©PJ 1 MP tDty Jsl ,6 li Y as 7 o! I am a'sole proprietor, general contractor, or homeowner(circle one) and have hired the coalaactors listed below who have the following workers' compensation polices: r comnan-name• C 03 ( atidrs:a city- phone�A- insurance ro nnli t�i comoanv name: addre-9- ciry phone»' t=rsncc cn. u,);ic-rT - -' Failure to secure coverage as required under Section 25A of:WGL 152 can lead to the imposmon of criminal penalties of a fine up to S1_900.W and/or one years' imprisonment as well as civil penalties in the form of:t STOP WORK ORDER and a fine of 5100.00 a day against Me- I undentsind that a copy of this st2tement may be forwarded to the Office of InvcstigMions of the DIA for coverage verification. do hereby rr fy under the n nd penalties of perjury that the information provided above is trte and corre= 1 Fl Signan:re Date P-inc name U1z`( BSc" fJ 1 i,.. i Phone (?r5/ �o�l J��3e-2 Ccheck ly do not write in this are to be completed by city or town u(Ticirl J� A(" tQy`t �- permiUksrwee.� Building DD [:Licensing B C: mediate response is required [Selectmen'CHeaith Dep n: phone 9: _ - -- _70ther (rrniw i/95 P7.11 nllOmMAGE in1S1tCYiUN BAY STATE SURVEYING ASSOCIATES INC. 100 CUMMINGS CENTER, SUITE#316J, BEVERLY,MA., 01915 LOCATION :..N...� .r.H ANL`O(/FF� /viA NOTES: """'•""""""" "" �"'• ...v 11 This is a mortgage Inspection survey and not an S—Z Instrument survey,therefore this plot plan Is for SCALE : 1" _ 66 DATE ............. L..._.?g.......... mortgage Inspection purposes only. Z)This survey Is basad on survey marks of others. REFERENCE . .. K:.37 4`.f...P3:. y.9......... 3)Bushes,drubs,fences and tree lines do not ... 5 ...^:n.�c S 7........ 4)W eneceerier an offset Is Is 1'�inaa. less,an Instrument ..................................................... survey Is recommended to determine property l C 1 SERV/GAS lines,and any possible ermwi hments. TO:.i 211-4. ... ti)Offests shown are approximate.and an to be The location of the bullding(s)as shown,either used only for the determination of zoning,Not to complied with the local zoning setbacks at the tkna of be used to establish property lines. construction or is exempt from violation enforcement action 0)In my professional opinion the building(s)are not under Mass.G.L Title VII Chapter 40A Section 7 located in the spacial flood hazard zone,as defined by H.U.O.MAPO ZsOd 98' - Z—? 3 1b1,4O Is yJ� Z,wO Uj �J Of T1 ES No 260 �FOISTtLP�� 46,I S3 P CAI:� L-rOA ��, NORTH Town F of L dover No. -7 07 q c � �Q dover, Mass., %ps RATED P, BOARD 1 54 BOARD OF HE TH PERMIT T D Food/Kitche Septic S e cioie. BUILDING INSPECTOR TNIS CERTIFIES TIiAT... N...ak... . ...... �...5. .!{ .. .r... .yy ............................................ Foundation has permission to erect..P �a.�...P10buildings on .... ...... .i4.....,.�.�"0.N...... ti F Rough to be occupied as.....w�..�..�....S.l. rr 4- R �'�!O .�.....K�......G`/ t..Il/................. Chimney .................................................... 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 to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final MAP_ 7 A PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR PARCEL o?O 9► LESS CONSTRUCTION T TS C 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 114 Street SEE REVERSE SIDE Smo e Det.