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Home My WebLink AboutMiscellaneous - 231 CHESTNUT STREET 4/30/2018 231 CHESTNUT STREET 210/Og�013-0000.0 Location -231 No. Date NORT„ TOWN OF NORTH ANDOVER F � p Certificate of Occupancy $ Building/Frame Permit Fee $ � JACH Building /Frame Permit Fee $ Other Permit Fee $ TOTAL $ � Check # Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING II� BUILDING PERMIT NUMBER: / n / DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: X31 060 c- a v e '3 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: SN Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Rapired Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record ] Name(Print) Address for Service: Q g1 � � ��7 � `7 0 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Istructign6 Supervisor: Not Applicable ❑ - 'j le vam Licensed Construction Supervisor: r �Lc 0 l 6'V il f License Number C" Address ; /x � 5 /� Q 610 0 tT Expiration DateU Signature Telephone 3.2 Re tstered Home I provee t Contractor Not Applicable ❑ a �r icl� mGJ j� o Company Name I M Registration Number Address �� llo Expiration Date ME Signature Telephone r 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 Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: k o rc2 v i ►amu ll hv-'ee vuq// In --21t'1 n 0 611 -e 67(1�f/ SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant I. Building (a) Building Permit Fee -?000- 00 Multi lier 2 Electrical 0 *" (9 (b) Estimated Total Cost of (�U Construction 3 Plumbing Building Permit fee($) X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 G ' Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, aV( 6'd 1"c v as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all iy� relative to work authorized by this building permit application. niq l/ Signature of 6vaiierDate SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 Print Name Signature of Owner/A i ent Date NO. OF STORIES SIZE BASEMENT OR SLAB ST ND RD SIZE OF FLOOR TIMBERS 1 2 3 SPAN DM ENSIONS OF SILLS DIlvIENSIONS OF POSTS D17v1ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE w ©� G REGuLA- \OMS ai,UPE 5OR - � � - - � \\ Em,m> « - - / D,A 1P C2EZ»a 4-18 P:EJc . �un � n Andover Town ofa No. 176 r o dover, Mass., .. COCNICNEwICK RATEO PPa\ BOARD OF HEALTH H Food/Kitchen PERMIT T Septic System �N BUILDING INSPECTOR ^e ..kftla.lOr.r. ............................ .............. ............................... Foundation THIS CERTIFIES THAT....... .................... 'fs,1buildings on �`�1 Ghi{� 5 ............ Rough haspermission to wit...../..1�. ................. bu g ........................... ...................................... to be occupied as.... $0 � ,� JbN � Chimney R�r.pzgo.................................. ................................................................................. 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. M G O � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough CService ......... . . ......... ........................................................... BUILDING INSPEC 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. Smoke Det. SEE REVERSE SIDE N° J .} Date. a .....-�..... ...��........� NORTH TOWN OF NORTH ANDOVER p PERMIT FOR WIRING b�ss�cMUSEt This certifies that � J has permission to perform ......-....1!. .!. ................... ......................................... r` wiring in the building of............ ;......!.. ............................... at .....:::...,.... ...... ....:...:.r .:.:.... ........SE..�........... ,Nogh Andover,Mass. �. Fee.......... Lic.No.. ........ . ,:1.i....-............ ............r• ELECTRICAL INSPECTOR Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer TBE09A 10NWE4LTHOFMAYS4CHUSE7TS Office Use only ••,� DEPARTAfflVT0FPUB1IC&4FE7Y Permit No. BOARDOFFIREPREVEM ONRW ATIOALS527CMR1200 I Occupancy&Fees Checked APPUCATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS aWrRICAL CODE,527 CMR 12:00 !— (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date��//^ D 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) I CA , h[i ` Owner or Tenant Jr e TYIY��r�Y�1YI�Y I■I��I Owner's Address � -4 m P. Is this permit in conjunction with a building permit: Yes GZrNo (Check Appropriate Box) Purpose of Building HIP7 Utility Authorization No. Existing Service Amps/ L /�� Volts Overhead Underground r No.of Meters New Service Amps Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets / No.of Hot Tubs No.of Transformers Total / KVA No.of.bighting Fixtures Swimming Pool Above Below Generators KVA and1:1 ound No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local � Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP I OTHER b hurl =CoKra Pta9J"1Dthetagt=enlsdMassadusftGmaWLaws Iha%ea=atLiabt*hist==PCbcyetdtgCarq�e�xmCmwdWcrtsWsladialaPvaiat YES NO Ihawsubmftdvhdpt0ofbf§MW1D kteOfoe YES U IVU IfjcutmcdmJWYES,pkmi► ttce Wcfo maWbydakiilgt6e bcx M90J'RdA C BOND OH-&R ftmSlteafy) Expiation Ddr ak to Start D l Estirt�d ValuecfF]ecUioal Wait$ W h c im D*Regt>e W Rough )+ural fiU t ()911 SFIRRMMNAME Paral6es=J l—r Leh�L7`rf�� _ uoa>i h 9S 3 7,3,E Lioaweec gy e-S i3o r f e l J-E Sigran _,_ Liomb Bts¢mTel.Na ��9 AIL TelNa OWNER'SMJRANC'EWAIVDR IamawatethattheLioawdpa not tagtmrdbyMaadm&Ck ed Laws aldthatrrryeon8usparnte�tiarwai�tt>i�te�arlat. /� (Please check one) Owner Agent Telephone No. PERMIT FEE t51 v Location l r No. 550 Date 5 TOWN OF NORTH ANDOVER f � F3? • _ _ _,j OR Certificate of Occupancy $ ;SSS CHUs9 '<� Buildin /Frame Permit Fee $ � Nuf. Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1 1 Building Inspector 6 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING IV"SWOON feir Ift"Use M BUILDING PERMIT NUMBER: TDATE ISSUED. SIGNATURE: C � Building Commissioner/I for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 31 6 0 13 '. A Map Number Parcel Number 1,.3 Zoning Information: 1.4 Property Dimensions: ti Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 0 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 El municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHW/AUTHORIZED AGENT M 2.1 caner of Record tre� S� ��ri IVI0 0231S-(- N e(Print) Address for Service Signature Telephone F 2.2 Owner of Record: Name Print Address for Service: Z M Signature ; Telephone 90 SECTION 3-'CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ s Licensed Construction Supervisor: License Number 11 Address D Expiration Date 3 Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name m Registration Number r Address r Z Expiration Date Y Signature Telephone 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 Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: reA iy e J rl &,� � cQ 'firo' cP pc SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building I (a) Building Permit Fee 0 O Multiplier 2 Electrical (b) Estimated Total Cost of 0 L? Construction 3 Plumbing Building Permit fee(a) X (b) owl 4 Mechanical HVAC S 5 Fire Protection 6 Total 1+2+3+4+5 3OL2 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, s� m a C K 0 ,as Owne 'VW r/ uthorized Agent of subject property Hereby authorize to act on My behalf,ip. fs 11 ati elative to work authorized by this building permit application. /, _ ` D �� — T Signature of 0,wner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 knoAedge and belief t Print Name Si ature of Owner/A ent Date 2"MEMM loll NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3PD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE % FORM U LOT RELEASE FORM dap c i9ot-ov-cLK-� <' y- -foroZ Ikd +l- can �'c etiiwf 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 ter' *********************** APPLICANT_ 1C C(M "- jvLV PHONEY7&- `?,'T' ??77 LOCATION: Assessor's Map Number—& a PARCEL SUBDIVISION C' LOT(S) STREET l� ��!> �'L F fi�Lc� J "� ST. NUMBER-�� 31 *****************************************OFFICIAL USE . ONLY*********************************** R OMMENDATIONS OF T WN AGENTS: CONSERVATION ADMI TRATOR DATE APPROV9D DATE REJECTED COMMENTS � r r LOA . � � r, fane TOWN PNANNER DATE APP OVED DATE REJECTED COMMENTS FOOD INSPECTOR=HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ Revised 9\97 jm AO RTG AG E PLOT PLAN EK SURVEY ROYAL STREET, LAWRENCE, MA. 01841 Tel. 508-975-1413 ,+GOR :AMn1 R( IVO 6 ,(VRa<1/�OUK DEED REF. 33` 6 PG. 3 .ESS OF PRINCIPLE BUILDING PLAN REF. 8538 s< <NEs'1—NvrSr; DA'T'E OF INSPECTION _ ocT. iY, 199'& AJ flrUQW6r, 7So ios,clo, s SPA wooly $ o 0 0 A (h N 6o`1'G Gor SEE SCHEDULE ON NEXT PAGE MA091(9602) PROFESSIONAL DOCUMENT SYSTEMS INC.-(603)437-1541 Town of North Andover ;..; T"' Building Department °• "r 27 Charles•Street , ' North Andover, MA. 018456 = ,~ �. D. Robert Nidetta Building Commissioner (978) 688-9545 ..,�978 688=9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE 1� �� — LIZ JOB LOCATION ✓ 1 �l�S� 5+ _ 13 Number Street Address Map/lot "HOMEOWNER F�w SAVA q ( 7 � 7�' 7 �yy Name. Home Phone Work Phone PRESENT MAILING ADDRESS 31 C A�i,,.,� cJT City Town State .Zip Code The current exemption for"homeowners"was extended to include owner-occupied:dwellings of two units or less and to allow such homeowners to engage an indMdual,for hire who does. not possess a license, provided that the owner acts as supervisor. (State Buildng Code Section 108.3:5.1) .DEFINITION OF HOMEWCMWNEIZ: Person(s)who owns a parcel of land on which he/she resides or intends.to reside,on which there is, or is intended to be, a one or two family dwelling,attached or detached structures ac- cessory to such use and/or farm sbuchrm A person who constructs nW"thon one home in a two-year period shall not be considered a homeowner_ The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other Applicable codes, bylaws, rules and regulations, The u "homeowner"ndersigned"homeoer"certifies that h0she understands the Town of No.Andover � Building Department minimum inspection procedures and requirements and that he/she w411 comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL North Andover Building Department Tel: 978-688_954; DEBRIS DISPOSAL FORM 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 Facility) ------------ Signature of Permit Applicant i Date NOTE: Demolition permit from tl�e Town of North Andover must be obtained for this project through the Office of the Building Inspector NORTH `E° � Town of over No. � S - - _ � == '� y_,3o -0700 0�A Co� LA0 dower, Mass., DRATED )"?9- C7 SS H � BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System � BUILDING INSPECTOR THIS CERTIFIES THAT......, .. ~r.................... �O......... .............................................. Foundation has permission to erect..... ...................... buildings on ..Q.43.1/....... ... .... I� �.�...... buildin �� P~��al� f.. � 4�. . ................. Rough to be occupied as. .Pr!!�...D%C�.�....C.Y4+.�+S�n0...�....;E A.I�!!.... .Yr.� ri►.lr...e 0 V Q740#� himney 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 relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. G ;; ; 3 &?So dsomm PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR C Rough .............................. Service • ....... . ... ...... ...............P.JeA( 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.