Loading...
HomeMy WebLinkAboutMiscellaneous - 25 MOUNT VERNON STREET 4/30/2018N N O � O v z z Q -{ om o � cP z 00 gz o -1 o m m -i Date &ORT#q + TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that JW!71.1!-?--r4 f, . . . . . . . . . . . . . . . . . . has permission to perform ............................ plumbing in the buildings of . ...................... at..-). S.. I.i. \,J. ............ North Andover, Mass. Fee. Lic. No.'�:77- ? .. ..... ..... .......... PLUMBING INSPECTOR Check # 5-C 6678 ryIH55ACH,USETTS UNIFORM APPLICATION FOR.PERMI3 (Print or Type) T TO DO PLUMBING 1 ass.U Date Building Loc tion Perm t # Owner' m Type of Occupancy New ❑ Renovation ❑ Replacements Plans Submitted: Yes ❑ No 0 FIXTURES B.P. # SEWER # 'stalling Company Name 'me of Licensed Plumber or Gas Fitter NSURANCF r flVcowr r. have a current li bllity insurance policy or Its substantial equivalent, which meets the requirements of Yes No. ❑ MGL Ch. 142. f you have checked yes, please Indicate the type of coverage by checking the appropriate box. ' liability Insurance policy Ir Other type of Indemnity ❑ Bond ❑ WNER'S INSURNACE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 42 of the Mass. General Laws, and that my signature on this permit applicatlon waives this requirement. gnat ire of Owner or Owner's Agent Check one: Owner ❑ Agent p eby certify that all of the details and information I have submitted (or entered) In above -application are true and accurate ,nowledge and that all plumbing work and Installations performed u r the permit Issued for thi a ertinent provisions of the Massachusetts State Plumbing Code and h urate to the best of to 42 of e G oral Law Iicatlon will be in compliance with 3y title Signa re of Licensed Plum er Arv/Town tPPROVED (OFFICE USE ONLY) Type of Licenser . FJ�Master OJourneyma:n License Number_l 3 ?j r� I Location-,z- No. ocation ,z -No. 2G � Date Check # —IFO 14005 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ ,r - Foundation Permit Fee $ Other Permit Fee $ TOTAL $ c5 Building'..Wspector IN TOWN OF NORTH ANDOVER BUILDING DEPARTMENT. APPLICATION TO CONSTRUCT REPAIR, RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING `5`ACM' BUILDING PERMIT NUMBER: DATE ISSUED: Ad C SIGNATURE: Building Commissioner/I for of Buildings Date r SECTION 1- SITE INFORMATION 1.1 Property Address: -25 /�7,- V a /j 1.2 Assessors Map and Parcel Number: G 7 4PNumber Map NMap � 1.3 Zoning hiformation: Zoning District Proposed Use 1.4 Property Dimensions: 1 Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private 0 Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record V PA ori home �so-� Yer&a f 1, /J/ Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Si nature Tel hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone V t fu e M O M" r re 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: lyhar-K a�auf�i �(� pec (� cl ryc �� aDecOk' 7`x SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit a licant ' UI+'FiC,USE ONLY' 1. Building / ^ D / (a) Building Permit Fee Multiplier r 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 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 ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T dBERS iST2 ND3 SPAN DIMENSIONS OF SILLS DINIENSIONS OF POSTS DM ENSIONS 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 1 ' Town of North Andover taw r h �? ,.t. .: •. Building Department 27 Charles Street North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax Please print. DATE ` ✓ t/ D (/ JOB LOCATIO HOMEOWNER LICENSE EXEMPTION Y" Number / I Street Address., Map / lot 1-0 r hdY �, .w i �ro "HOMEOWNER lD/01, %% T�y6 e7 O Name Home Phone Work Phone PRESENT MAILING ADDRESS S 4 M e IiS __4150 !✓ E 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 individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which helshe 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 structures. A person who constructs more than 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, by-laws, rules and regulations, The undersigned "homeowner' certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S APPROVAL OF BUILDING OFFICIAL i Town of North Andover o� O RTFt Building Department 1 27 Charles Street North Andover, Massachusetts 01845 C. (978) 688-9545 Fax (978) 688-9542 0� �4- -V rlD DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. f The debris will be disposed of in /at: �- 38 �0 r�J( r- C 1 �K Uq bf Va c I sa h % c? Facility location nim Car// wi s, try o,ce Signature of App nt 30 -6d Date NOTE: A demolition ermit from the Town of North Andover must be obtained for this project through the 0 ce of the Building Inspector. a FORK! U - LOT RELEASE FORM INSTRUCTIONS: 7nis 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. AFFLICANT FILLS OUT THIS SECT ICN - APFLICA ,vT Dc.f =A 7©i l7�-l.Uie�so h P�eNc X 78 6�7 0��� LCCATIGN: Assessors elan Numcer 067,PARC:._0 -00 79-ON6, 0 SUEDIVISICN LCT (S) STREET -v2,5 IM ft er x oAl <.) ST. NUMr--ER �J OFr1CIAL USE.ONLY RECOMMENDA T IONS OF TOWN AGENTS: CONSE:RVATiG ADMINISTRATOR CC MPAENTS DATE APPROVED DATE REJECTED TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH CA7EAPPROVED DATE REJECTED SEFTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUELIC WORKS - Sa=WERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED EY EUILGING iNSPECTCR DATE Revised 9197 im 0 E CL 0 Qn N Ca 0 � CD CD 7 co (D CD CD 5Z N 0 0 o cn c m 0 N m CD t C: CT C3 G Cf> ^ O n� CD _cn a m m O � OL S 87-00-00 E 3 ^� 100.00 � Z 0 i7 m o � cD o O Z o c 2� to W N N D v I �\ Bit Conc Dr. • ; .---moi., ' 26 09 . Z ' on 1 p 0 i� O OCL �;,, O 3 O. Q Cn O O 60 ' 3- v O O O ' N O r, rn 2609 - -- --- _ Bit. Conc. / Dr. i tic h� 100.00 N 87-00-00 w Ca 0 � CD CD 7 co (D CD CD 5Z N 0 0 o cn c m 0 N m CD t C: CT C3 G Cf> ^ O n� CD _cn m m O � OL C7 CD zr 3 o , C �c- � Z 0 i7 m o � cD o O Z o c to W N N D Ca 0 � CD CD 7 co (D CD CD 5Z N 0 0 o cn c m 0 N m CD t C: CT C3 dh A 1 NOW //V 9O0 Elke Kappeler, CRP, CRS, GRI Commitment & Caring Beyond The Sale STYLE: Condex ROOMS: 4 BEDROOMS: 2 BATHS: 1.5 GLA: 1,100 s.f. LOT SIZE: 13,500 s.f.(common MLS #: ####### DIRECTIONS: Rt. 125 to Prescott, 3rd right REMARKS: RE/MAX presents... lovely sunny Condex on dead-end street in great family neighborhood close to downtown and easy access to highways. This home features a private entrance. It is freshly painted and newly carpeted throughout. The eat -in kitchen, with excellent European style cabinet space, has a side entrance and deck overlooking the private backyard. The charming living room features a red brick fireplace. Upstairs are two generous size bedrooms and a full bath. The 2nd bedroom has pull-down stairs to floored attic space. The full basement is ideal for a future playroom. Low maintenance vinyl siding. Condo fee of $32.00 a month for exterior insurance. Room for two car addition. (Check with Listing Broker) STRUCTURE & RODMS APPLIANCES SERV/CES RNANC/AL & EXTERIOR FEATURESLEGAL living Rm: .12 X 16:. ,. , Dishwasher: Yes Fuet O l :: Taxes: $1,194 Color: White kitchen :::.:1a X 12::` : Range: Yes Hedi .:: FIiA : Age: 1984 Foundation: 26 X 40(both sides) living Rm: .12 X 16:. ,. , Dishwasher: Yes Fuet O l :: Taxes: $1,194 Roof: Asphalt/Fiberglass Maser BRi16 X.13 Hot, Water Electric Tax Year: 1996 Ext. Walls: vinyl Bedrm 24. 11 X 12'; Etecfnc;; 220v;100A Assessment: $87,840 Basement: Full laundry. Basement:' Watec : Town:; Zoning: R-4 Windows: Storm Sewage: Town;; Book: 4306 Floors: Vinyl. W!W Schodlsi Krtiredge Page: 59 Fireplaces: One - Owner: Rao Deck: Yes SAC: 2.5 BAC: 2.5 Agency Disclosure Realtor Disclaimer Al =•okers/Salespersons represent the Seller, not the Buyer in All information supplied by Owners. No attempt the morketing, negotiating and sale of property, unless has been made to verify same. Sales offerings othe',vise disclosed. However, the Broker or Salesperson are mode subject to errors, omissions, change hcs on ethical and legal obligation to show honesty and of price, prior sale or withdrawal without notice. foirress to the Buyer in all transactions. All room sizes are approximate. ROM Preferred 451 Andover Street North Andover, Massachusetts 01845 Mss® Direct Line: (508) 725-5360, Fax: (508) 686-9221 Toll Free: (800) 462-7913, E -Mail: Eike@shore.net Each Office Independently Owned and Operated Cl) m M Cl) 0 m CA .p coz co ar .o -o o p co c CCD O O O c= CD COD 'O CD 0 0 y d O CO) 0 COP) CD O CD CD y� CD CO) l J O 2 0 0 I F 50 n O z C cnO O ? 2 O �• CA0 Q N d0 S m .0 Nl =::'"-L 0 m— G7 m�a� m Z O C*, CD S'_ ?-O H0 CD = n a' ?a.-* = m O m y C y N O = m 00 CD � co 0 O n•► O tz oticot o m% i M d n N = 10 p -,-0;�: C C-2 O 0: H (t { 0 d N : v = CA O. d : Q R Q a CO)CL 0 `t0 CDCO) �� :� m cl .0_► H 0 ca CC') 0 , 0 0 JCD VJ co) CD M .Q 2 0 C o 446 Ca o: CD A 0S.. 1 m �o 0- o rD z ° rDCL w wG C7 rA r�o a' Cti F� O Gn w n�� 7 0 d coo 0 �^ 0 r O O �9- 0 c