HomeMy WebLinkAboutMiscellaneous - 280 REA STREET 4/30/2018 (2)OR
Location "-26c IRA 5 �—
N9. Date IJ 02 IF
40RT#1 TOWN OF NORTH ANDOVER
6 6
0.
Certificate of Occupancy $
0�2 'S,
Building/Frame Permit Fee $
Foundation Permit Fee $
CHU Other Permit Fee $
I Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
3,77
04/29/99 14:47 25.00 PAIM Div. Public Works
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No.:
lb
Date
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
uIlding 1,.p..tor
7,7
06/27/%
12.-05 6& 00 PAID
uIlding 1,.p..tor
PERM IT N9. 7- 8 L
A
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER,, MASS.
PAGE I
MAP +40.
LOT NO.
2 RECOR66F OWNERSHIP iDATE
BOOK :PAGE
ZONE
SUB DIV. LOT NO.
LOCATION
190 REA
9f.
PURPOSE OF BUILDING.(Z) _r I tC
OWNER'S NAME LVptj-Ltj,3Al.
NO. OF STORIES SIZE
OWNER*S ADDRESS /Z
BASEMENT OR SLAB
ARQJ;64-�S N�
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME 1<66ti Cori s+rLat+t-40rj
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF BILLS
POSTS
DISTANCE FROM STREET A
DISTANCE FROM LOT LINES - SIDES
REAR
GIRDERS
AREA OF LOT
FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUI
EMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANYJ
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIONS 1 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
C
DATE FILED (M - ?,,,4 1 &
PERMIT GRANTED
4 19
3 PROPERTY INFORMATION
LAND COST
EST. BLDG . COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BUILDING INSPKCTO!t
OWNER TEL. # 91 - 'i 1�
710
CONTR. TEL. # Cl I ' r
CONTR.LIC.#
H.I.C.#
OCCUPANCY
SINGLE FAMILY I STORIES,
MULTI. FAMILY OFFICES
APARTMENTS I
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE a 1 2
CONCRETE 81. K. PINE
PIERS PLASTER
DRY WALL
UNFIN.
BRICK OR STONE HARDW D
3 BASEMENT
AREA FULL FIN. B M T AREA
14 1/2 l/. FIN. ATTIC AREA
NO 6 M T FIRE PLACES
HEAD ROOM MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS -�-ONCRETE B 1 2
DROP SIDING
WOOD SHINGLFS -�ARTH
ASPHALT SIDI�-G -�TARI)11,10
ASBESTOS SIDING COMMCN
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME I
BUILDING RECORD
12
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF. BUILDINGS. WITH -PORCHES. GA -
ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
STONE ON MASONRY 1
STONE ON FRAME 14
11
WIRING
SUPERIOR R
ADEQUATE ON E
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10 PLUMBING
GABLE
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KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
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ILMODERN
FIXTURES
TILE FLOOR
TILE DADO
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TIMBER BMS. & COLS.
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STEAM
STEEL BMS. & COILS.
HOT W'T'R OR VAPOR
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7 NO. OF ROOM$
RADIANT H'T G
HEATERS
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No. 04A--) —
Date
TOTAL
7908
(�L $ 1 g- --
Building Inspector
Div. Public Works
TOWN OF NORTH ANDOVER�
Certificate of Occupancy $
Building/Frame Permit Fee $
Area
Foundation Permit Fee $
CHU
Other Permit Fee-aqoy $
Sewer Connection Fee $
Water Connection Fee $
TOTAL
7908
(�L $ 1 g- --
Building Inspector
Div. Public Works
PI&R1111T NO. Q� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
c
4
PAGE I
MAP 4-40.
LOT NO.
2 RECORD OF OWNERSHIP IIATE
IBOOK :PAGE
ZON E
SUB DIV. LOT NO.
LOCATION (go Ig 6-.4 � r.
PURPOSE 'Wjpj-uo-
OWNER*S NAME I �116)
yoor -L'Rill 0
NO. OF STORIES SIZE
v.
OWNER'S ADDRESS �a 486 JZ drtf S7-
BASEMENT OR SLA13
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND
3RD
BUILDER'S NAME lLee'o
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
DISTANCE FROM LOT LINES SIDES REAR
GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER;AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIONS 1 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED -Z .6
SIGNATUU OF OWNER qp,#U.THQjRIZE0 AGENT
F E E
PERMIT GRANTE
(o l9cfs
3 PROPERTY INFORMATION
LAND COST
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EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
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BUILDING INSPECTOR
OWNER TEL. # 69 Z - Y(IL-7
CONTR. TEL. #
CONTR. LIC. #
H.I.C. #
BUILDING RECORD
OCCUPANCY 12 1
SINGLE FAMILY
S"ORIES I—
MULTI. FAMILY
!�FFICES
APARTMENTS
I
CONSTRUCTION
2 FOUNDATION
CONCRETE
8 INTERIOR
FINISH
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—INE
HARDW D
3
1
2 13
CONCRETE BL K.
BRICK OR STONE
PIERS
PLASTER
RY _11AI L
5INFIN
3 BASEMENT
AREA FULL
FIN. B M T* AREA
/, /,
FIN. ATTIC AREA
�jO 8 M T
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS
9 FLOORS
CLAPBOARDS
B
1
2
3
DROP SIDING
CONCRETE
WOOD SHINGLES
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ASPHALT SIDINE
ASBESTOS SIDING
VERT. SIDING
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ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
ATTIC STIRS. 6
BRICK ON FRAME
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR POOR
�DEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
1� HIP
BATH (3 FIX.)
GAMBREL
_;�ANSARD
TOILET RM. 12 FIX.)
FLAT
I SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
TI E FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER EMS. & COLS.
STEAM
STEEL BMS. & C��L_S
HOT W'T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T d
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ECT�C_
1 ATING
NO �EL
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
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20'-0 1/2'
15'-G'
NEW COL. FOOTING5�
NEW COL. LOCATIONS
4'-G 1/2'
EX15TING COL5. TO BE
REMOVED / RELOCATED
EX15TING COL. TO REMAIN
NEW 13EAM TO REPLACE EXISTING
BEAM; SEE SPECS BELOW.
EX15TING FOUNDATION
ji��U ARC//
A. 1)
N No
o 51
CAMBR
A
0
OF
REPLACE EX15TING BEAM WITH FOUR 1-3/4' X 11-1/4' LVL'5. TWO AT 1G'.
AND TWO AT 20'. GLUE AND NAIL ALL MEMBERS TOGETHER. TWO ROWS
OF lGd NAILS AT 12' O.C. PER LVL.
PROVIDE COMPLETE BEARING AT COLUMN LOCATIONS WITH FRAMING. OR
3/4* X 4' X 8* STEEL PLATE AT LALLY COLUMNS.
PROVIDE NEW FOOTINGS AT NEW COLUMN LOCATIONS. 1'X3'Xl' DEEP AT
THE WALL. AND 2'-4'X3'Xl' DEEP AT THE INTERMEDIATE COLUMN. C 2000
L135 501L BEARING CAPACITY ASSUMED.) ALTERNATIVELY. AT THE WALL END
MODIFY THE EX15TING BEAM POCKET TO PROVIDE 3.5* DEEP MINIMUM
SUPPORT AT BEAM END. AND ELIMINATE THE LALLY COLUMN.
DOWNER / A550CIATE5 JOB NAME JOB No. q421 SHEET NO.
GILLEN RE51DENCE
Home Renovation Architects 280 REA ST.. N. ANDOVER. MA
13 RECENT ST. CAMBRIDGE, MA 'nTLE PLAN BASEMENT BEAM MODIFICATION S-1
(647)491-2519 FAX 491-25,20 —1 DATE 2-2 —
scALE 1/4' l' -O' -q5 REV. #11
KEEN CONSTRUCTION CO.
21 HEWITT AVENUE
NORTH ANDOVER, MA 01845 NARIO
Tel: (508) 691-5201 M E M B E R
Fax: (508) 682-3231
Submitted
To: ... . ...
12� t7i r
I . .. ... ri
PHONE DATE
? Z�
JOB NAME / NO.
We hereby submit specifications and estimates for work to be performed and materials to be used:
PI�L
L, - UP
PROPOSAL
All home improvement contractors and subcontractors
engaged in home improvement contracting, unless
specifically exempt from registration by Provisions of
Chapter 142A of the general laws, must be registered with
the Commonwealth of Massachusetts. Inquiries about
registration and status should be made to the Director,
Home Improvement Contract Registration, One Ashburton
Place, Room 1301, Boston, MA 02108 (617) 727-8598.
Owners who secure their own construction related
permits or deal with unregistered contractors will
be excluded from the Guaranty Fund Provision of
MGL c. 142A.
REGISTRATION NO.
MA. H.I.C. 108383
JOB LOCATION
.................................. ......................... .
01� LH Z Xy, i r) Ir) Irl 6 t7
...... ..... ........... 11 ............................. ......... ............... ... ...... ........ .
`/v L r/L
X _J1 ... . . .... ... _,_v ............ _ "1''. 1. -
.................................. .............
d -tt:
..................... - - 11 111-.1.11111-111 111 �. /---1 ............. ............... - ................. . ..... ... - .............. .
> Construction related permits:
WORK SCHEDULE
Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, unless specified here in writing. Contractor will begin the work on or
about (date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed by (date). The Owner hereby
acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement.
WARRANTY
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of following completion and shall
comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is
discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair, correct, replace, or cause to be remedied,
repaired, or replaced, such damage or such defect in materials or workmanship.The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work.
We Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of :
Payment to be made as follows:
% ($ —) upon signing Contract;
% ($ —) upon completion of
% ($ upon completion of
% ($ shall be made forthwith upon
completion of work under this contract.
dollars($ — 1,5_2 2 -
KENNETH B. KEEN
Name of Contractor/ Designated Registrant
21 HEWITT AVE.
Street Address
NO. ANDOVER, MA 01845
City / State
508-691-5201 508-682-3231
Phone Fax
Notice: No agreement for home improvement contracting work shall require a
> down payment (advance deposit) of more than one-third of the total contract price Name ol�Salesman
or the total amount of all deposits or payments which the contractor must make, in
advance, to order and/or otherwise obtain delivery of special order materials and
equipment, whichever amount is greater. Note: This proposal may be witkawn by us if not accepted within - days.
Acceptance of Proposal - I have read both sides of this document and all attached documents and accept the prices, specifications and conditions stated.
I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above.
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of
this transaction. Cancellation must be done in writing.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
Signature
Date
Signature
Date
IMPORTANT INFORMATION ON BACK
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/-)J r, 27�;-
k-JM
7843
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit FeeT-e�j6y $ 2(0
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ 2(:��-
Building Inspector
Div. Public Works
PERMIT NO. 0�
lk
L
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE I
MAP 4-40.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOO,K ;PAGE
ZONE
SUB DIV. LOT NO.
LOCA
OWNER'S NAME vv%
6; 1
PURPOSE OF BUILDING
.__J_ jZk 0 Li
NO. OF ST RIES SIZE
OWNER'S ADDRESS aCio 9,-r.
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
eTILDER'S NAME t
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES SIDES
REAR
GIRDERS
AREA OF LOT
FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER:AL OF CHIMNEY
411-910-ILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY Ilk 0
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS \,50 oAk I
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIO ISIS 1 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
-ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST 13E FILED AND APPROVED BY BUILDING INSPECTOR
.I ---
DATE FjLErj A A A
SIGNATURE OF �OWNER �®RA �10R.ZEI �AGENT�������
FEE C --%D
PERMIT GRANTED �
OWNER TEL. #__
CONTR. TEL. 4-
CONTR. LIC.
3 PROPERTY INFORMATION
LAND COST
-T-S-T. BLDG. COST c) o in
EST. BLDG. COST PER Be. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
BUILDING RECORD
OCCUPANCY 12
�,INGLE FAMILY I
STORIES
MULTI. FAMILi:::::::]
OFFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION
8 INTERIOR
FINISH
CONCRETE
INE
HARDW D
3
1
2 13
CONCRETE 81. K.
BRICK OR STONE
PIERS
PLASTER
RY WALL
�NFIN
3 BASEMENT
AREA FULL
7, 1/2 1/4
FIN. B M T AREA
FIN. ATTIC AREA
NO B M T
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS
9 FLOORS
CLAPBOARDS
_EONCRETE
B
1
2
3
DROP SIDING
WOOD SHINGLES
EARTH
HARDW D
COMMCN
SPH. TILE
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON WASONRY
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR 00 R
--I � E
�'DEQUATE I NON
5 ROOF
10 PLUMBING
GABLE
I
HIP
BATH 13 FIX.)
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TOILET RM. (2 FIX.1
FLAT
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
I PIPELESS FURNArE
FORCED HOT AIR FURN.
TIMBER EMS. & COLS.
STEAM
STEEL BMS. & COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONIN
RADIANT H'T G
UNIT HEATERS
7 NO. OF ROOMS
�GAS
OIL
B'M'T 2nd
l.t I 3rd I
ELECTRIC
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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41�
Town of North Andover
BUILDING DEPARTMENT
Homeowner License Exemption
(Please print)
DATE
JOB LOC7AT I /,N 'Z3 0 Of45,�f g?or
Number Streef Ajdress
"HOMEO1qNER"W'M._,, G,:[JetA 68��-JY,27
Name Home Phone
PRESENT MAILING ADDRESS Is NAM F_
. I f
Section of town
Work Phone
City/Town State Zip code
The current exemption for "homeowners" was extended to include owner
-occupied dwellings of six 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 109.1.1)
DEFINITION OF HOMEOWNER:
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 to six family dwell-
ing, attached or detached structures accessory 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. Such "homeowner" shall submit
to the Building Official, on a form acceptable to the Bulding Official,
that he/she shall be responsible for all such work performed under the
building permit. (Section 109.1.1)
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
North Andover Building Department minimum inspection procedures and
requirements and that he/she will comply with said procedures and
requirements. . 'If - N 4 1
HONI=�'NEVS SIGNATURE IA,1�
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35,000 cubic feet, or larger, will be
required to comply with State Building Code Section 127.0, Construction
Control.
Cocation
I d Date
A�
6040
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
,�Foundation P rml Fee.�, /$
Ae" $
'Q^9�.her PerrAMW
�UC-) "'s
S '�kConnectinn Pao t
e
Water Connection Fee
TOTAL
16-
Building'Inspector
Div. Public Works
PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
/ PA
GE 1
MAP +40.
LOT NO.
2 RECORD OF OWNERSHIP TDATE
:PAGE
ZONE
SUB DIV.
i
IBOOK
-1 -
LOCATION
PURPOSE OF 13UILDING
OWNER'S NAME '��jjjj +
NO. OF STORIES SIZE
OWNER'S ADDRESS
4L,
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
DISTANCE FROM LOT LINES - SIDES 30 f +90'
REAR 40
GIRDERS
AREA OF LOT
FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIONS 1 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
PERMIT GRANTED OWNER TEL.
CONTR. TEL, #
19 CONTR, LIC. #
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOAR13
BOARD OF GELECTMIEN
NUILDING INSPECTOR
I
OCCUPANCY
SINGLE FAMILY
S-ORIES
MULTI. FAMILY
MODERN FIXTURES
F'FICES
APARTMENTS
FIRE PLACES
HEAD ROOM
CONSTRUCTION
2 FOUNDATION
TI E DADO
8 INTERIOR FINISH
3 1] 2 13
PINE
CONCRETE
CONCRETE BL K.
BRICK OR STONE
FRAMING
CONCRETE
EARTH
HARDW D
1
2
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
PIERS
STUCCO ON FRAME
LASTER
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR
CONC. OR CINDER BLK.
STEEL EMS. & COLS.
WINING
STONE ON MASONRY
-FRY -WALL
AIR CONDITIONING
SUPERIOR ��R
Z -EQUATE ONE
5 ROOF
10 PLUMBING
GABLE
�BRE L
FLAT
I �
3 BASEMENT
AREA FULL
FIN. B M T AREA
1/1 1/1 1/.
MODERN FIXTURES
FIN. ATTIC AREA
NO BMT
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
TI E DADO
------ 71
4 WALLS
9 FLOORS
CLAPBOARDS
FRAMING
CONCRETE
EARTH
8
1
2
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
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COMMON
ASPH. TILE
STUCCO ON FRAME
TIMBER BMS. & COLS.
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR
CONC. OR CINDER BLK.
STEEL EMS. & COLS.
WINING
STONE ON MASONRY
STONE ON FRAME
AIR CONDITIONING
SUPERIOR ��R
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5 ROOF
10 PLUMBING
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A
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MODERN FIXTURES
TILE FLOOR
TI E DADO
FRAMING
HEATING
WOOD JOIST
PIPELESS, FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL EMS. & COLS.
HOT W'T R OR VAPOR
WOOD RAFTERS__
AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
As
3rd NO HEATING
BUILDING RECORD
12
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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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 or requirements.
�)**Appl nt fills out this section*****************
APPLICANT: r 7
akul_ /_1 - 0 Phone //0011
L40CATION: Assessor's Map Number Parcel
Subdivision Lot(s)
Street St. Number 912io—
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
-4.0
Conservation Administrator
Comments
Date Approved
Date Rejected
�ItwtO26np 151, - �6&1��
W�W_ Date Approved L
Town Planner U Date Rejected
Comments
Food Inspector -Health
- - -, - , Al�mlo
Septic Inspector -Health
Date Approved
Date Rejected
Date Approved (--�_X;9!19_3__
Date Rejected
Comments 7De_t76,t' 7—o 11V �5,,9106_
Public Works - sewer/water connections
- driveway permit
Fire Department
Received by Building Inspector Date
A-
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office Use Only
0i 4r LfVMMVnWg# Uf .4fiaSSar4Ug9tt9 Permit No.
13partment af Public lhfktu Occupancy,& Fee Checked
3/90 (leave blank)
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMP,1,2:00
, I *k9
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
(X* or Town of NORTH Nnovu To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number)— 42 ffl2
Owner or Tenant
Owner's Address
Is this permit in conjunction with a� building permit: Yes T5C No 7 (Check Appropriate Box)
Purpose of Building I�U,61-- -_ Utility Authorization No
Existing Service — Amps —Volts Overhead D Undgrnd
New Service Amps —Volts Overhead El Undgmd
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Meters
No. of Meters
Total
No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA
Above In- I
No. of Lighting Fixtures Swimming Pool grnd. E grnd. Ell I Generators KVA
No. of Emergency Lighting
r)il R--- I Battery Units
No.
of Switch Outlets
No. of Gas Surnprs
FIRE ALARMS No. of Zones
No. of Detection and
Total
No.
of Ranges
No. of Air Cond. tons
Wtiatii-,g Davices
No. of Sounding Devices
No. of Self Contained
No. of Disposals
No.of Heat Total Total
Pumps Tons - KW
No.
of Dishwashers
Space-lArep. Heating
KW
Detection/Sounding Devices
Local C., 1,11cIpal Other
Fw3ction
I
Noa' uf Dryers
Healing Devices KW
No. of No. of
Low Voltage
Nz
cf--Water Heaters KW
Signs Spilasts.
No. Hydro Massage Tubs
No. of Motors Total HP
OTHER:
INSURANC COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I I` '>�elnt Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES '�_ NO I
have subri�itted valid proof of same to the Office. YES �_ NO :: If you have checked YES, please indicate the type of coverage by
checking the aArroVriate box.
INSI.k�NCE� 2�_ BOND --- OTHER —_ (Please Specify) (Expiration Date)
Estimated Value of lectriq!IJ Work , Iboo
Work to Start — 7.1 _<�119 1/1 Inspection Date Requested: Rough F I n a I
Signed under 161penal es of perlu- '2,ee1X , .5r- Z9
FIRM NAME X/,�/ — LIC. NO. ZZ-- Z
Licensee Signature _LIC. No
u s. Te No.
A N40A I t. Te N o.
—ress
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does
quired by Massachusetts General Laws. and that my signature on it
(Please check one)
t have the insurance coverage or its substantial equivalent as re-
s permit application waives this requirement. Ow Agent
Telephone No. PERMIT FEE S��
(Signature of Owner or Agent) x-6565
Tq
Date .... (412 . ......
2469
T 4, TOWN OF NORTH ANDOVER
0 PERMIT FOR INSTALLATIOtp..
SACHUS
L7, �
This certifies that ... 70.e .....
has permission for . I
Zi� . ... ....
t0s installation . N
in the buildings of .... C�- ........................
s
at ... *.orth o S.
A) Lic. No.kAgN
Fed�� .... .........
cc(4 it 41�-o lt�p C
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
Ez F; 7� r.1,
01 4t &Mmunwr# of Magoar4usefts
Elepartmtnt of Public %faq
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Office Use On�,,I,
)7 Permit No. 4
Occupancy & Fee Checked
1
3190 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:0q
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
MQ or Town of NOR H ANDOVER To the Inspect& of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) c2n2e
Owner or Tenant
Owner's Address &t/2v_46�
Is this permit in conjunction with a building permit: Yes N�� No F-1 (Check Appropriate Box)
Purpose of Building 1-2 Utility Authorization No. I. — /J
Existing Service Z&C Amos //C/ ellc:ll Volts Overhead Undgrnd [I No. of Meters
IT) Undgrnd Ell No. of Meters
New Service .7W() Amps o6�� 2-0 Volts Overhead
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total
Jow I I KVA
No.
of Lighting Fixtures
Swimming Pool Above
grno. El
In-
grnd.
Generators KVA
No. of Emergency Lighting
No.
of Receptacle Cutlets 0-
No. of Oil Burners
Battery Units
No.
of Switch Outlets
No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
Total
No.
of Ranges
No. of Air Cond.
tons
Initiating Devices
No. of Sounding Devices
No. of Self Contained
No. of Disposals No.of Heat Total Total
Pumps Tons KW
No.
of Dishwashers
Space/Area Heating
KIN
Detection/Sounding Devices
Local municioal El Other
Connection
No. of Dryers
Heating Devices KW
No. of No. of
L w Voltage
No.
of Water Heaters KW
Signs Ballasts
Wiring
No.
Hydro Massage Tubs
No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Comoieted Operations Coverage or its substantial equivalent. YES Z NO —_ I
have submitted valid proof of same to the Office. YES ::: NO :__: If you have checked YES. please indicate the type of coverage by
checking the �ppLqoriate box.
INSURANCE<— BOND 7— OTHER :: (Please Specify)
(Expiration Date)
Estimated Value o2f,ectrXal Work S
Final
Work to Stan Inspection Date Requested: Rough
Signed u
FIRM NA
Licensee
Address
NO. —
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Own� Agent
(Please check one)
Telephone No PERMIT FEE S
(Signature of Owner or Agent) X-6565
0
S2 to 7
0
SACHU
Date..... ................................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ...........
.................................................................................
cn
01
has permission to perform ......... 14 J, t2
........ .....
wiring in the building of . .......................................
at;..,.. ................ ...... �7
. . .. .... ................................... . North Andover, Mass.
- - f J�
Fee.,'�1.,!.rr-!r7 ..... Lic. No.z-..C) )) ............ *Ei�R—I'C* A**L' *1*N—S'P—E' c—r'0—R— .......
wHITE: Applicant CANARY: Buildin g Dept. PINK: Treasurer GOLD: File