HomeMy WebLinkAboutMiscellaneous - 28 SAWYER ROAD 4/30/2018Location,
No. Date 2
TOWN OF NORTH ANDOVER
,F,-. , - - - . -N
."Midh
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee
TOTAL
Check #
$ 196
C
16 2 L
Building inspect§1
TOWN OF NORTH ANDOVER
BUILDfNG DEPARTMENT
APPLICATIONTO CONSTRUC—T PEPA.IR, RINOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWFLLING
Tids�Secfio44 for (WkW.Use Only
BUFLDING PERJMIT NUMBER
3�5_'�
DATE ISSUED:
72
SIGNATURE �/ (�C� —"q (--Z2 A—
build-inE Commj�5�bner/IEE�ector of Builchngs Date
SECTION L- SITE INFORMATION
I Property Address 1�2 Assessors Map and Parcel Nurnber
M a -p N u m b.,er Paroel Numbei
3 Zonrrig LniomiaLion 1 4 Property Dimensiom
/,xi in 9, Disi-na __ llropo'�d Use Lot Ar (sO Frontage (R)
11.6 BUrLJ)ING SETBACKS �ft)
Front Yard Side Yard ke�ir Yard
Requi red Provide Regwred I Provided Reqwred I Provided
1,7 W�t� t� �M.G,L.0 4�0 - 34) 1 5� Flood 7�onc Lnfmi�(iou: 1.8 Sewcragc Dtsposaf S)sim:
Pubhc 1-1 10 Zoac Oumde Flood Zooe 0 Mmicipal 0 On Sac D�Posaj S�-,(�ril
SECTION 2 - PROPERTY OWNERSfDP/AUTHORIZED AGENT
-.I Owner ot Record
qjql_� C) gz
Name (13nnt) 0 Address for Service
to
�j Telephone
2 2 Owner ot, Record
Name Pnnr Address tbr Service-
Sisznarure Telephone
SECTION 3 - CONSTRUCT10N SERVICES I
3 Licensed Construction Supervisor
Licensed Constniction Si,pervisor
\Udress
Telephone
Rc�_,isfcrcd Home Impro%ement Contr3cior
Not Applicable 0
License Numbcr
Expiration Date
Not Applicable D
Rcv,jstration N1Anfl>cr
Expira(ion Daic
SECTION 4 - WORKERS COMIPENSATION (nG.L C 152 § 25c(6) I
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 ....... 0 No ....... 0
SF,CTTON .5 Deqcrintion nf Pronosed Work (check all annficable I
New Construction 0
Existing Building 0
Repair(s)
0
Alterations(s) 0
Addition 0
Accessory Bldg. 0
Demolition 0
Other
0 Specify
Brief Description of Proposed Work:
ro Lt�
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by perm=it applicant
1. Building
0_�Ove��Ifa�mcl
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit f ee (a) x (b)
4 Mechar6cal (HVAC)
5 Fire Protection
Total (1+2+3+4+5)
Check Number
_6
SECTION 7a OWNER AUTHORIZATION TO BE COMEPLETED WHEN
-OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH�DING PERMIT
1, , 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
SF.CTION 7h OWNFR/AFT140RUTD AGFNT MrLARATION
1, as Owner/Authonzed Agent of subject
properv,
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
Si2ature of Owner/A ent Date
NO. OF STORIES SIZE
LE BASENIENT OR SLAB
IZE OF FLOOR TINMERS I ST 2 No 3 R1)
SS PAN
DDAENSIONS OF SILLS
DlIvfENSIONS OF POSTS
DDAENSIONS OF GIRDERS
HE IG HT OF FOI JNDATION THCKNESS
SIZE OF FOOTING X
MATERIAL OF CHINfNEY
IS BUILDING ON SOLID OR FILLED LAND
IS B UILDENG CONNECTED TO NATURAL GAS LINE
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TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FA-MILY DWELLING
mi� 16r. OW Use �0*
BUILDrNG PERNUT NUNMER:
3�5_cl
DATE ISSUED:
1 / -C� C"q Do 3
SIGNATURE: /P tc� _,4 C–ax—
Building ComtniSsKoner/12�2Etor of Buildings Date
�r_�_ L t%jvq i- ot L r, ijir %jx%iyLA i iuri
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
.21
Map Number Parcel Num6er
, 52, rc
1.3 Zoning Lrd-ormation: 1.4 property Dimensions. -
Zoning District Proposed Use Lot Area (so Frontage (fl)
1.6 BUTLDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide Reqwred Provided
Required Provided
1.7 Water Suppjy;M.G.L.C.4o. 54) 1.5. Flood Zone lvforaution:
Public 0 Privale 0 Zone . Outside Rood Zone 0
1.8 Sewerage Disposal System:
Municipal 0 On Sile Disposal Systern
SECTION 2 - PROPERTY OWNERSFDP/AUTHORIZED AGENT
2.1 Owner of' Record
K O&ed 1,4-A nqq�j 0 QS� juqu 44
Name (Priiit)_ Q Address for Service
':2W&60_AW 0/ 75 -
Signature V Telephone
2.2 Owner of Record
Name Print
Signature
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor.
Licensed Construction Supervisor:
Address
3ignature
;.2 Registered Home Improvement Contractor
,ompany Name
Telephone
�dclress
ignature Telephone
Address for Service:
Not Applicable 0
License Number
Expiration Date
Not Applicable 0
Registration Number
Expiration Date
SECTION 4 - WORKERS COMPENSATION MG. L C 152 § 25c(6) I
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 .... q..0 No ....... 0
SECTION 5 DescriDtion of Proriosed Work (check a aDnficable I
New Cons ction 0
Existing Building 0
Repair(s)
0
Alterations(s) 0
Addition 0
Accessory Bldg. 0
Demolition 0
Other
0 Specify
Brief Description of Proposed Work:
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
1' SAW
a
1. Building
0*ejf�kmj
K-1 09 e) 0
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
AA
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 BUELDING PERMIT
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
I SFCTTON 7h 0WNiwR/AiTT-"nRT7.iw1ri AC-ITNT n1V1-T.ARATTnN I —
1, as Owner/Authorized Agent of subject
propertv
Herebv 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 Owne pent Date
NO. OF STORIES SIZE
BASEMENT OR. SLAB
SIZE OF FLOOR TINMERS I ST 2 ND 3 PD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION TFUCKNESS
SIZE OF FOOTING X
MATERIAL OF CHRvINEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
0
A bo U-0— sf�lvj
16 a,0 W Ck i, Ct
FORM — U — LOT RELEASE FORM I—,f7 — 6
INSTRUCTIONS:. This form is used to verify that all -necessary approval / permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
APPLICANT filO. red ( 4—A YPHoNEq7 � q 7J— S—L-13
ASSESSORS MAP NUMBER LOT NUMBER
SUBDIVISION
LOTNUMBER
STREET C-
�TREET NUMBER
#111111210101 MQN!ni�i 11-0110 0121 NOLAN Won . . . . . . ....... .
OFFICIAL USE ONLY
...........
RECOMMENDATIONS OF TOWN AGENTS
"'a" mom
"Ma'"W"'a M on a''a 0
DATEAPPROVED
RVATION ADMINiSTRATOik
DATE REJECTED
CONB 4ENTS
DATE APPROVED
TOWN PLANNER
DATE REJECTED
CONB4ENTS,
DATE APPROVED
FOOD INSPECTOR - HEALTH
DATE REJECTED
DATEAPPROVED
SEPTIC INSPECTOR - HEALTH
DATE REJECTED
CONRAENTS
PUBLIC WORKS - SEWER WATER CONNECTIONS
DRIVEWAYPERNGT
DATE APPROVED
FIRE DEPARTMENT
DATE REJECTED
CONVAENTS
RECEIVED BY BUILDING INSPECTOR
T)ATP
-777
Tr 77,
77"
OCT 01 2002 2;53pm YORKS
603 744-6890 P.1
A%y*'
ASOFili3* 1C.4-165
MORTGAGE INSPECTION PLAN
f'Or mortgags Pwrploses omy
3
('s f �Z A,�
sv,b.p- PV10 I
*Concallon is hereby mjkd9 to CITY OR TOWNJ�j
tau WI ftm� MA
DATE OF: INSPECTION,
ft' the existing sfrudur0l shown on this plan are
lituated on the foldesign4ted In coMplianog wfth thg
Setback requlrgnlgnls of the aPPlIcable zoning byl4ws SCALL., I inrh
Of the muroopeft. When constructed
Om Violation onforcement OcUon tirl r DEED AND PLAN RM:r-mmit-m.
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Date.... 1-7
.... ............ ........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .....
has permission to perform ....
......................... 66 .........................................
wiring in the building of ........ *. .......................................... 6 ...........
at .......
........................... North Andover, Mass.
Fee."/,.)- /1' '4
.................... Lic. No . ............. ....... ......... '
...............................................
ELECTRICAL INSPECTOR
Check # ','41 ;7P
4 5 67
TBECOAMONIVEALTHOFMASSACHUSETIS Office Use only
DEPAXrMENT0FPUMCS4FE7Y
BOARO 0FFR?EpMVE7VH0NRW
7ULAH Permit No.
ON
S5
27C
MA
72..00 ..... .
I Occupancy & Fees Checked
APPLICATIONFORPERAIRTTOPERFORMELECMCAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION)
io Date 2A,
Town of North Andover
undersigned applies for a permit to perform the electrical workl rest To the spectOr of Wires:
Location (Street & Number)
Owner or Tenant Shmpw 17-J
Owner's Address
Is this permit in conjunction with a building
Purpose of Building t,
Existing Service Amps Volts
New Service Amps Volts
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets
No. of Lighting Fixtures
No. of Receptacle outlets
No. of Switch Outlets
No. of Ranges
No. of Disposals
No. of Dish;Z—shers
_4
No. of Dryers
No 4 of Water Heaters
No. Hydro Massage Tubs
No. of Hot Tubs
No "V (Check Appropriate Box)
Utility Authorization No.
Overhead Underground No. of Meters
Overhead Undergiound No. of Meters
Swimming Pool �Abov
groun
No. of Oil Burners
No. of Gas Burners
No. of Air Cond. Total
No. of Heat
PN'um
No
Space Area Heating
a
of
ce Are
H
e
Hat
in s
eating
i
Heating Devices
.. f
KW No. of
0
S Si
i ns
N 0. of Motors
o. of Motors
No. of Transformers
Generators
NO. of Emergency Lighting Battery Units
Total
KVA
KVA
FIRE ALARMS No. of Zones
tat Total
No. of Detection and
�ns KW
Initiating Devices
KW
No. of Sounding Devices
No. of Self Contained
Detection/Sounding Devices
KW
Local
Municipal
No. of
Connections
Bailasis
Total HP
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J that my signalute on this petmit apphcaaon waives ft reqtfi�
lease check one) Owner M Agent
Signature OF uwi�iei
or Agent
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161
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Telephone No, PERMIT FEE $ 0-0
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.........................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .... 6 r��
. . ....................................................................
r has permission to perform . ....... :na
wiring in the building of ......................... .. ...... :!7 .........
........ .. .......... ..................... . North Andover, Mass.
Fee4b.-..' . ......... ic. No.
.... .... ..... ..... .. ....
��. ELE CrR ICAL INSP EC TOR
Check # 31 -5 -If
5393
7BE COMMONWEALTHOFAIMMCHUSETIS
DEPAMMENTOMMMMY
BOARO OFFDZEPREVEMONREGMHONS527alR]2-00
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Permit No.
ro
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APPLICA77ONFOR PERMU TO PERFORM ELEOWCAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date �S71,10AIq
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) 99 - 6n-wyev
Owner or Tenant ScyiT moxo
Owner's Address
is this permit in conjunction with a building permit: Yes[:] No Ta (Check Appropriate Box)
Purpose of Building S-rvy�tr -C R6, Utility Authorization No.1141�0-3
f
ExistingService /00 Amps IWO 4'10 Volts Overhead Underground No. of Meters
New Service Amps- 'Volts Overhead Undergroundl:3 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
Ili
No. of Lighting Fixtures
Swimming Pool Above
—
1-1
Below
M
Generators
KVA
ground
eround
No. of Receptacle Outlets
I
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
No. of Air Cond. Total
Tons
No. of Detection and
No. of Disposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal
Other
No. of Dryers
Heating Devices KW
I
Connections
No. of Water Heaters KW
No. of No. of
I
Signs
Bailasis
�0. Hydro Massage Tubs I
No. of Motors
Total HP
OpiER-
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Telephone No. PERMIT FEE
signature of Owner or Agent