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HomeMy WebLinkAboutMiscellaneous - 30 MATHEWS WAY 4/30/2018-7m �711 613 1�4 &WJJJ0JJWraJtJ1 of fRagBa(J1Ugtttg Office Use Only Permit No. i0epartinctit of pubuc ezifrtU Occupancy A Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 3190 (leave blank) C�7 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CIAR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town of- NORTH ANDOVER �—? � To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below Location (Street & Numbe-rj­A-3n� Z- 6 4- 2 17-1a4� k ZL,--) S Owner or Tenant Owner's Address Is this permit in conjunction with Et building permit: Purpose of Building Existing Service Amps I __volts New Service Amps Q& 12 Yo -volts Number of Feeders and Ampacity Location and Nature of Proposed I Yes No (Check Appropriate Box) Utility Authorization No. _Z20 OZ OverheadEl Undgmd El No. of Meters Overhead r 1 Undgrnd X No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- El 11 gmd. 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 Detection and No. of Ranges No. of Air Cond. Total tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW Local Municipal Other 1:1 C nnection No. of No. of Low 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 Completed Operations Coverage or its substantial equivalent. YES NO [3 1 have submitted valid proof of same to the Office. YES checking he app opriate box. V NO 0 If you have checked YES, please indicate the type of coverage by INSURANCE W BOND 0 OTHER 0 (Please Specify) Estimated Value of Electrical Work $ (Expiration Date) Work to Start /-/& Inspection Date Requested: Rough 1,U;(( Final Signed under the Penalties of perjury: FIRM NAME to ga, F(�e-<-4-� CaY ci, LIC. NO. Licensee —CA,, -7-5 t7,4- Signature lfo!�- - 44 LIC. NO. Bus. Tel. No. 6- tY� - 6 K14 (-,i Address 1;?%-)- -��,Qs t0 r -,e- 1?_rt . /11A, 0 -4- 4 A Q AAMA Alt. Tel. 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. Owner Agent (Please check one) I (Signature of Owner or Agent) Telephone No. PERMIT FEE $ x-6565 Location LE�e No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Ir Foundation Permit Fee $ CHU Other Permit Fee $ sewer connection Fee $ 1600- 1�70 7 Z water connection Fee $ 10 6 05-7 TOTAL $ uil g in cto 10 N2 9173 DiveuKic Works 100F 4f �-DRA IOAQE� - CA sirmcm T- A A LOT 2 f6 24 3 60 0 1 /0j. a A ,A &/. ,0,9 re - /�'40 7- //V Aloovl-)e Ao.e.4.*--.,v ,came Iwe,eel,wew (0/0 10014let, AVOO,ve',C, PER1117F NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE I MAP 4-40. LOT NO. a I 12 RECORD OF OWNERSHIP IDATE BOOK '.PAGE zo � E 91-a SUB DIV. LOT NO. -- I F - LOCATION M A*W-k,8 LAA& PURPOSE OF BUILDING OWNER'S NAME I NO. OF STORIES SIZE OWNER'S ADDRESS -733 BASEMENT OR SLAB ARCHITECT'S NAME Inn :Z 0 A SIZE OF FLOOR TIMBERS IST,_;, () 2ND 3RD ll�- BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDAIG 60 4- DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET DISTANCE FROM LOT LINES - SIDES GIRDERS C;V AREA OF LOT a.5 -3 Q 6 FRONTAGE Jay 4�* HEIGHT OF FOUNDATION -f. - THICKNESS SIZE OF FOOTING X IS BUILDING NEW ___, - IS BUILDING ADDITi6N AkO MATER:AL OF CHIMNEY IS BUILDING ALTERATION A A!�� IS BUILDING ON SOLID OR FILLED LAND gA WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER m BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWE - R_ ke 4 IS BUILDING CONNECTED TO NATURAL GAS LINE ym 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 A A SIGNATURE OF OWNER OR AUTAOWI;'ED ;�E­N; Vj F E E PERMIT GRANTED 19 NOV - 6 1996 8 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST d EST. BLDG. COST PER 9Q. "112k, EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY suiLimipto imspacrok OWNER TEL. # 6 "- 7� CONTR. TEL. # CONTR. LIC. # H.I.C.# BUILDING RECORD OCCUPANCY 12 �INGLE FAMILY S'ORIES MULTI. FAMILY FICES :l APARTMENTS CONSTRUCTION 2 FOUNDATION CONCRETE 1 CONCRETE BL BRICK OR STONE PIERS 8 INTERIOR 3 PINE —KARDW D PLASTER TRY WALL LINFIN. FINISH 11 2 13 3 BASEMENT AREA FULL FIN. B*M T AREA 1/1 V2 FIN. ATTIC AREA NO BMT FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES 1 3 CONCRETE ARTH ASPHALT SIDI G ASBESTOS SIDING VERT. SIDING HARMU'D COMMON ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR �DEQIJATE NONE 5 R qOO F 10 PLUMBING E HIP Loo� BATH (3 FIX.) GAMj�GABL QEL E L I MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGEs— KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL ILL SHOWER ROLL ROOFING__ MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING IXI HEATING WOOD JOIST I.,," PIPELESS FURNACE —0 FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL SMS. & COLS. LiOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL 2n B'M'T 2 d 3rd 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. PERMIT NO. - APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE I I M A P itO. LOT NO. a 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE . . PU-o-t SUB 0 IV. LOT NO. I F - LOCATION __t+ PURPOSE OF BUILDING OWNER'S NAME 'tot,NO. C OF STORIES __ OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST,-;�, 2ND 3RD BUILDER'S NAME DISTANCE TO NEAREST BUILDIMG 60 SPAN DIMENSIONS OF SILLS X 6 FIT POSTS DISTANCE FROM STREET DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE tt�%t* HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITIC5N 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 SElW 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 I PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIGNATURE OF OWNER OR F E E PERMIT GRANTED 19 AGENT 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 49 EST. BLDG. COST PER SQ. FT"41!r mm I - P660%-- L -WO I rILK KUVM SEPTIC PERMIT NO. 4 APPROVED BY NUILMING INSPKC-MR I OWNER TEL. # CONTR. TEL. # 5A YrLe CONTR. LIC. # H.I.C.# BUILDING RECORD OCf >pANCY 12 SINGLE FAMILY S"ORIES MULTI. FAMILL:::� OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION V 1 8 INTERIOR FINISH CONCRETE ___ PINE a 1 2 13 CONCRETE BL*K. BRICK OR STONE HARDW D PLASTER DRY WALL _�NFIN _A PIERS 3 BASEMENT AREA FULL '14 1/2 FIN. B M -T AOI�ki FIN. ATTIC AREA t!O 8 M T HEAD ROOM FIRE 'PLACES MODERN KITCHEN 4 WALLS *,Or 9 FLOORS CLAPBOARDS 1 2 3 DROP SIDING WOOD SHINGLES C NCRETE EARTH ASPHALT SIDING ASBESTOS SIDI�G VERT. SIDING _�ARDVV D COMIACN �SPH TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME CONC. OR CINDER BLK. ATTIC STRS. & FLOOR WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR ltoe—POOR _�DEQUATE NONE 5 J,40OF 10 PLUMBING GABLE GAMBREL A HIP BATH (3 FIX.) MANSARD TOILET RM. (2 FIX.) FLAT I 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 &.Oof 11 HEATING WOOD JOIST PIPELESS FURNACE i —of FORCED HOT AIR FURN. TIMBER BMS. & COLS. es—TEAM STEEL BMS. & COLS. HOT W-T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF #OMS GAS OIL 2BS 2nd I., ard ELECTRIC FNO 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. 1-14- MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS 0 LAND SURVEYORS 0 PLANNERS 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 e TEL. (5'08) 475-3555, 373-5721 FAX (508) 4 75-1448 September 16, 1996 Town of North Andover BY FAX & MAIL Planning Board Town Hall - 120 Main Street North Andover, MA 0 1845 Attention: Ms. Kathleen Colwell RE: Pin6wood Develppment Salem Street - North Andover Eve�green Mana ement Corp. 9 Dear Ms. CO;lwell: Regarding the subject and the correspondence of Evergreen Management Corp. dated September 12, 1,996, concerning the development oP foundations on lots, 12, 3, 4 and 5, 1 recommend that the' Planning Board consider allowing jnstallation of the found ations concurrent with or prior to the filling and grading of th& lots. Due to the proximity of these lots to the wetlands� and detention areas and the slopes and �activity associated with the lot and foundation construction, and given the excellent job which the site contractor has undertaken to date in controlling all activity on the site, I recommend the contractor's request be granted so as to allow stabilization, before the growing season is over. Please contact me should. you, have que . stions or comments regarding the above. cd cc .Evergreen Management Corp. North Andover Conservation Commission Mr. Curt Young . SERVICES . FORM U - IOT 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 lawl regulations or. requirements. ****************Applicant fills out this section***************** APPLICANT: &-loemi'LA 6,0�,fPhone q LOCATION: Assessor's Map Number Parcel subdivision Lot(s) 2 Street St. Number— 30 ************************Official Use Only************************ RECO NDATI/PNVSO , N AGENTS: 77. If Date Approved - /100� conservation—id—min'lstrator Date Rejected Comments 11 - Date Approved Town Planner Date Rejected Comments A� 7),� W — A rk"LIA F d, /c, Food Inspector -Health Septic Inspector -Health Comments Date Approved Date Rejected Date Approved Date Rejected Public Works - sewer/water connections - driveway permit tt Fire Department Received by Building Inspector Date NOV - 6 1996 Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit (below) Address of Property for Permit (below) Map and Parcel: Purpose qf A ,,�pplication (check below) Phone Number of Applicant: Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. — This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in ex�is�teas of the effective date of this by-law, provided that no additional residential unit is created. I The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. — This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents, where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section "senior" shall mean persons over the age of 55. — This application is a part of a development project which voluntarily agreed to a minimum 40% permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. — This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. — This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knowledge or not,_ji§,�uncls for refusal by the Building Department to issue a Building Permit. ature or—o—wn��o'F_Autqtr ' `d­A__gen_t­w­hq0ned theAttached Building Permit Date form must be attach2t the Buildl#§ Permit upon application for such permit. NOV - a 199,9 r - 'A Date .... ...... -12 689 40RTpl TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING 41 S CHUS This certifies that .... ...... ............ A 11104, Va, V, 'has permission to perform .................... ........... .......... wiring in the building of ... ........................ 36) Zt t Mdover, Mass." V ......... . Nor h Fee..—')O.::77 ....... Lic. No. .......... 'iL'E** C*'T* R**I*C* A**L* 1'4*S* P-L"T, 0"R ­ WHITE: Applicant CANARY: Building Dept. PINK: Treasurer