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HomeMy WebLinkAboutMiscellaneous - 32 PARK STREET 4/30/2018 (2) 32 PARK STREET 210/071.=000.0 -� } i I� cq 6Z p4R.r. T _ F- 14 VC4-1 PPST 14 62 TO e-u�. A.) / t CS 1t_1R1Ca r t`AN 667AT Lo b �•�, Pps.r o - _I B I w 4 ,157-9•ro Lug t�p�y$, C4sCI*pl, VEFIEBUL SA15 aNG 19e-� EST f\4W ST I j 3 -Zm 1ZS CZEUp-G-r-To wtv MA, 01033 ( I I 976 35Z Sats P !„ cerl 97e soz 59e E 2 o 0 0 A �P4V OF,yips, 6X1 E o I-V�. ; -,� N v��-�� _ LAWRENCE cy � �r � \ oLD A o1/3/u� -- y p0% I �F 65 0 Por IrS ' 1 S NAL VA \ �' WOMEN '006'-O" UPPER LEv�L FLOOR PLAN — NEW W( SCALE. 1/4".-P-O° 1.. UL MEr*%8EP-S TO BE INSTAL SO Al' PPrOk Bre'L-� � �!a 5 a T4E 6 1 �4Rta()E tvF- "J rAur uc'u5e .:.u:.' iwSw..7y.. cyi ',,w1dW�l3.C`'3'Kkflo-r�'i3�n; 3ttfii.:i7 ar.:nr.kW:J+...ii,imhJ1T.,'„alihrt}.s`' .�. 3i9 �f1 r EXISTING Iv�WAY EXISTING POOH 1'O NF-MAI N 101-011 LANDING EXISTING S�RVIC�S Z PNOVIDF- GUT1F-N AT Nr_W DOOMS, ROOT Al?�A5 DRAINING 5�� FLOOR PLAN ONTO RAMP ACTIVE DOOR cxh fan 21 -011 �XTI;NP RAMP TO MEET F-X15TING FIN151-1 ---- PAVING GNADr� �. . . . . . . . - DOWN �. . . . LANDING FULL 51Dr� DOOR CLrAF.ANC1�S. 5' -O" RAMP 1:12 MAX,SLOP� (TYPICAL) Nit%, 521 CAN 26.6,3 .'LW5 FGK VFW Dost 2104 Hall RrMOV{% STAINS AND LANDING.. 32 FAFK :f':�ff FIP,\5f ��00(\ ���� PNOVID� NSW STAINS AND LANDING,NOr:�M AWOV�p, MA 1'O Fr MAI N�K MAX, 7" RISER, II" Tl?�AD GUTTr_I? GU1'TY12 GU1 Tit? pAILING � ` i F:IN15H 151" F1-0012 1111 11 114 FINISH GRADE f L LJ LJ LJ IIA. 'OU?EP CONCpFT� PIP-P,.:, 6ALVANZ�J 'OSt ANCNO? FP\,ONf � MIN. 4' FI2O5T COV�f? 4 X 4 TPr;ATF-f2 WOOF I'O5T ?LAW,FCR VVI;ATN�12 12 5151 AN1 VFW Post 2104 Hall 32 PNT\5TMf N01;11N ANPOV�,p, MA I/i"-I'-0" QA'f:10120107 P1 A,6 FOR VFW post 2104 Nall 32 PAPK 5rnEfr NOI?1"N ANPOV�p, MA 5,r.I/41,-1'.0" DAIS:10/20/07 I:AIL ING GIS IIGI�! IG-I� GI /l/�I� II VI/1 I I/I f Ll/l./I\ -I- - � FIN15N G�PI7E L _ I � L �VATION IIA. CONC1 'E: 6ALVANIZE:12 '05T ANCHOP�MIN. 4' N1 051"COVE;I? 4 X 4 TRE�ATEV WOOD P051' :::7-Lj TYpICAL CF\,055 SECTION 13 � 13 � roupl,_� p CONCp� 1� ?5J000 p51 Alp F, NTP-,,AWF, n �I?OOM � INISN 13 / B " IIIA , ST� � L � I�G� � plp� pAI � WG I� pOTt�, CrION � I / �� INISN GpAI�� C P-,U 5H STONE 13A � P / co �/ VVF-,ATNF., p 515-rAN-r JACKING I � fYFICAL doss 5�CVON A - a , ?�Ar� e w oo p FPAMN68 ' 41 -011 IIIA , 5T � FL � I' Ip� I?AI � ING i 6AL, VANIZF, P p051" ANCNOI?5co '� �� INISN GpAn� i a 12 ' ' IIIA POUP -, P � j cONCp� 1� �plp5,, 6. VFW Fo5t 2104 Hall a NOM � ; :,a IIS Date. . . . . . .. ../. NpRTIy 0 TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION y9SSAcHU This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .rr . . . . . a Nor$h Andover, Mass. Fee. Lic. NeG35-Y'9. . . . . . . . . . . . . OR Check# Sy 4855 1VIASSACMSETTS UNIFORM AMUCATO FOR PERM TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations Permit# Amount$ Owner's Name New❑ Renovation Replacement Plans Submitted y U � Z0 0 ] C x w a40 3 A c�h °x A a H U 0 SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or type) R/yllc Chec one: Certificate Installing Company Name / Corp. Address 64elk__ Partner. SBusiness Telephone — Q Firm/Co. �r Name of Licensed Plumber or Gas Fitter =-A) INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0c Noo If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy ( Other type of indemnity 13 Bond 1 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 13 Agent 0 I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the j best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in i compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. 'f Signature of Licensed P1 e r G x Title By. ID Plumber City/Town ® Gas Fitter License Numb& Lai Master APPROVED(OFFICE USE ONLY) � Journeyman Location �� R No. �I Date ,O~ b ^ 3 NORT1y TOWN OF NORTH ANDOVER Of •. o ,��ti.0 F' A Certificate of Occupancy $ Building/Frame Permit Fee $ 30 _ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3 C) f Check # C 4 S i 16782 ti Building Inspector i i a TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. � �( DATE ISSUED: SIGNATURE: ic Building Commissionei/I for of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 PropertAddress: 1.2 Assessors Map and Parcel Number: 30 e6k r I y � Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReTfired Provided R red Provided 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 ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes NO iT1 2.1 Owner of Record Name(Print) Ad ress for Service � U-11k 1 SignatureV Telephone C W 2.2 Owner of Record: Name Print Address for Service: 9® z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Compan Name Registration Number r Address r z ) Expiration Date / 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 Workcheck all a kable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OF)F'ICIA .>USE Completed by permit a licant rte, 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X tbl 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 F 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 EERS 1 2ND 3 SPAN DEVIENSIONS OF SILLS DEVIENSIONS OF POSTS DRyIENSIONS OF GUZDERS 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 cn�r�n��nLn�r��r1MPORTANT DOCUMENT�'`r'`r'J��'��u��' 5 Certificate of 'Flame .i?es%stapee 5 5 5 REGISTRATION ISSUED BY Date of.4tMacture S r 5 APPLICATION CM® ® S NUMBER iH usTaies iN . 5 EVANSVILLE, INDIANA 47725 Order Number S 5 v 368377 F140.1 MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN S This is to certify that the materials described have been flame-retardant treated 5 S (or are inherently noninflammable) and were supplied to: S a S 657150 S PETERSON PARTY CENTER ING 'D w S 139 SWANSON ST v WINCHESTER MA 01890 S S S5 Certification is hereby made than 5 The articles described on this Certificate have been treated with a fiame-retardant approved Schemical and that the application of said chemical was done in conformance with California S a S Fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. S The method of the FR chemical application is: S S Serial# L Go S 6108975(2) S Description of Item certified: 5 w tO CENT MATE EXP MID 40W X 20 SW Flame Retardant Process Used Will Not Be Removed By Q 5 Washing And Is Effective For The Life Of The Fabric S N c WYMg MFG NM PHH AI MfflA.ox Signed: o S TENT DEPARTMENT-ANCHOR INDUSTRIES INC. S a cn rn�� cnzn cP�P r�r�r� cP rJ�cPrJ'SP1:.fr�r�cPcPcPcPr.PrJ�J-rJ�I:P r�r.Pcl�cPctr1"3�.n�ntn� ��-r'�'c.n c1�cJ�clJcl� ° 10/06%2003 11:56 FAX 781 729 4999 PETERSON PARTY CENTER &01 i 139 Swanton Street Fax Cover Sheet . Winchester,MA,01890 www.ppcmc.com ---�- --- partycenter RMMMINPFKE K Special Event Equipment and Tent Rental DATE: October 6, 2003 TIME: 11:55 AM Number of pages including cover sheet: 3 TO:N.Andover Building Dept PHONE: FAX: 978-688-9542 FROM:.Jayne Diamont PHONE: 781-729-4000 FAX: 781-729-4999 Text Message: We are setting a tent at the N.Andover VFW on Wednesday. I understand that the building and fire permit applications have been submitted by the VFW. Attached are the flame retardant certificates. Should you require additional information,please don't hesitate to call Thank you NORTH Town of E Andover .14 i - h � ^ n O L A ,J dover, Mass., C O C M I C yyy���7771 7� ADRA T E D J"? C7 S H BOARD OF HEALTH Food/Kitchen ERMITL T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... ....... ........ V � W........C..��.... ............................... .................................... Foundation ............. has permission to erect........................................ buildings on .......7. ............ '... .. ......... ................... Rough to be occupied as.........1 :. .y 0......�.y'f '..�i �.. ............�. 1� � 43 Chimney 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 I spection, Alteration and Construction of Buildings in the Town of North Andover. t J qj 23 0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT 1 EX I ES IN 6 MO V T17iS Final UNLESS CONSTRUCTION STARTR T S ELECTRICAL INSPECTOR Rough A..�®�. ................... BUILDING INSPECTOR Service 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' , . location ('IN 0. r Date pORTM TOWN OF NORTH ANDOVER O�,,,So ",1C ? •.... `p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee_ _ _ .$ - T -- ,q '"Otoer Permit Fee ✓ 'Sewer Connection Fee $ 1141? ` , Water Connection Fee $ - ^Z TOTAL $ 6, Building Inspector { Div. Public Works r P.al%tiT,!i0. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP h40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE (BOOK 'PAGE - ZONE SUB DIV. LOT NO. �y LOCATION 17, -q J //f CT / . / PURPOSE OF BUILDING / OWNER'S NAME r/f/ J f��'!/T #iav or.-szoR1'ESa SIZ OWNER'S ADDRESS V o ¢�a+•� a�-� CJ ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST 2ND 3RD P L g f / BUILDER'S NAME ` f LL �' � 9PMw � 51//2//t/ `� DISTANCE TO NEARE T BUILDING DIME ONS 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 MATERIAL 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 3 PROPERTY INFORMATION /f-,�/�/LA LAND COST SEE BOTH SIDES / `/���4 �'/ EBT. BLDG. COS JS- O U PAGE I FILL OUT SECTIONS i - 3 ��Td EBT. BLDG. COST PER 6Q. FT. / i PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. {,4 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING j '/7I/� 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS V ` T PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR i DATE FILED BOARD OF HEALTH SI ATURO NER ORA HO AGENT FEE a ' PLANNING BOARD PERMIT GRANTED OWNER TEL.#,62 �� 19 CONTR.TEL.# CONTR.LIC.#._� BOARD OF SELECTMEN f S13 BUILDiN INSPECTOR 'BUILDING DEPAR E EDEN' f BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ S ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH •� CONCRETE 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D — PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 1/7 1/1 FIN. ATTIC AREA - NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I J FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDIV D _ ASBESTOS SIDING _ COMMCN _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR_I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR _ADEQUATE _ ADEQUATE NONE 5 ROOF 1O PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) 1 FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR S GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ 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 2nd _ ELECTRIC +, 1st 13rd I NO HEATING a I , Y � NORTH � � E TONNM Of over No05 o� =�o�H dower, Mass.,two /Z 19 AORATED ;P.? L '9S H E� BOARD OF HEALTH PERM IT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT tf..o......... ... ..� .... .... .......................................................... Foundation has permission to erect...S./JOYAAA ........... buildings on .......... k.�..:.ts..*7..............................• Rough t0 be OCCU led aS Chimney 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTSELECTRICAL.INSPECTOR Rough .... .. Service BUILDING INSPECTOR Final Occupancy Permit Required to- Occupy Building GAS INSPECTOR, Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. OC-Mr-17) /MATCD PKIAI r n nRivF\A/AY ENTRY PERMIT PE&IiIT NO. MAP {JO.. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MA S. PAGE 1 t v/ 1I LOT NO. Ejo,!3 2 RECORD OF OWNERSHIP DATE BOOK PAGE ZONE SUB DIV. I LOCATION /� ` ' Q I •�� 'KPURPOSE OF BUILDI C �E �f � �t�JI"I CN�' JCC OWNER'S NAME VQ_1 I�1 hJl NO OF STORIES I /A OWNER'S ADDRESS TT A t�_ T r, ,r..,K, �,TYI.��-• BASEMENT OR SLAB C•• W ARCHITECTS NAME { � _ �9C, SIZE OF FLOOR TIMBERS IST SRO b BUILDER'S NAME L.,, f!V II..gEQSIrl L SPAN DISTANCE TO NEAREST BUILDIN 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 18 BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION �cS 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 1JuNC IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS , PROPERTY INFORMATION SEE BOTH SIDES LAND COST EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 I O[)h EST. BLDG. COST PER SQ. FT. PAGE FILL OUT SECTIONS 1 - 12 E8T. BLDG. COST PER ROOM _ ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ' DATE FILED if ------------- SI;.NATURE OF OWNER OR AUTHORIZED AGENT SUILDINO INSPECTOII - - F E EAV 325- OWNER TEL r _ PERMIT •GRANT D CONTR. �P�S •' CONTFL UC.l S .2 _ ' H.I.C.t i t s . Y;;. -• :. ..;:--- 'r.. ..c - r �;. 13c.�^ .r'S _ ,,.H.i a .-•N.:^: lir F fi." c10RT G Ex" .. moi: �- y o o 4 * over No: dover, Mass., 199_ LAKE T CO CNICMEWICK 1"Y'�• ' rEo BOARD OF HEALTH Food/Kitchen i Septic SystemPERMIT T t • BUILDING INSPECTOR THIS CERTIFIES THAT ... . . ..�.V1�L. x7N.qW ............................ Foundation has permission to dw......K%.''t4.T4w.......... buildings on ...........:3..2...?jit*4f ......5`T" .............. Rough t0 be Occupied aS �tr!!�!��r. f- ,erw..AA.!. / �`i' /l��`r��....l�G...�QSIN. ......:... Chimney provided that the person accepting this permit shall in every respect cort'{orm 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough .r PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S S. Rough ............................ .. .... .... .. .. .. ��,r Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE Until Inspected and Approved by the Building Inspector. DEPARTMENT Burner Street No. Smoke Det. 2 PA (L - Location 30 - No. 4 Date 3- = NORTh 1 TOWN OF NORTH ANDOVER O� ,So w _ 9 } " Certificate of Occupancy $ Nus Building/Frame Permit Fee $ 3 C Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # i 8367 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING M OTHER THAN A ONE OR TWO FAMILY DWELLING Section for Official Usc Onl BUILDING PERMIT NUMBER: 6 DATE ISSUED: 7 �-- P.dam — SIGNATURE: Buildin Colnmissioner/I or of Buildings Date 1.1~5 Property Address: 1.2 Assessors Map and Paroel Number: 32 s� ?/ 6� nD 0 /B n Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Pr osed Use Lot Area Frontage ft '- 1.6 BUR DING SETBACKS(ft) M Front Yard Side Yard Rear Yard Required Provide R ed Provided R red Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ pn� 3 I�fJiVIic L11J1 iCt. 2.1 Owner of Record Name(Print) Address for Service Signature Telephone M 2.2 Authorized Agent Name Print Address for Service: Z O Signature Telephone Z M x 90 3.1 Licensed Construction Supervisor Not Applicable ❑ M*1 ,(4d #1Ck U10fre Address License Number O Pi 4L I��( on Licenged ConstructionSupemsor. `` S Q �� 3 J Goa (9 Expiration Date _ Signature (� Telephone 6 r 3.2 Registered Home Improvement Contractor Not Applicalife ❑ Company Name Registration Number Address r Expiration Date ^ Signature Telephone G e I, as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. , Signed under the pains and penalties of perjury Print Name Signature of Owner/Agent Date Item Estimated Cost(Dollars)to be �� 4 Completed Inlrta applicant P y Pe PP 1. Building (a) Building Permit Fee C� Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit fee (a)x(b) 4 Mechanical(HVAC) 5 Fire Protection \ 6 Total (1+2+3+4+5) Check Number 4f y7-tett T 7a , Ya W 1 b;s y 1GY!.l� •!.4 Yf Yf� rtfJ� tt, 1 �,t SY..i2.Y�� 3f ?:c•."-0 4�IE tµ aG•+t'i .G.�.. ,�' Sk�.}fiF` g'X+'k4 :�,.� �� `JAS. MI + ^}' oc.. ^tk' .,i .�< t ,.......�/ ,�,t..:. Yt.�tk ". e + ,?s„ Y�.r4�4r'r4•„n.. € t rh,r..,� ,: w:,;l' ut ru •x ., �,,,,tl,-r•'�•u'S axTt.k;t ,-.. S;u,7s.f.�'�'#,,F. -,t�.�t.< sk nr:, ��..�� �.:Y�, ..,�;z<+ C YLr # ..�'� r�.,.� Ii • R3 af.�..e,•�^!/c '�/, 't.., v1�'h ,n .fs '''�•,•. St ;k+a 1 v, :�4, 4U .a. ta.Y 1 ,,.i % t. ,»...�u ktz:?� ; , ;Y .v�,;:.a +�tr.,,;a't,., ,� .�7rt, t..�:..:,a �s��� �,�.,;�,t,�`�€�.a �'a�,.,,r��.w��+��;?~r � � •r��"�';'��,�` ,7 � r +r 3,, %4.Itkt>R. 'S6 airs Sw ; �y NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS OT 2 ND 312D SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DWENSIONS 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 sff+ fuA ':i:�*^ K x sra'3 sv,T. .�``� '•`iz - - fr �' .,.. rS.w �' ,�q� �y� s:.,. cox ate ° 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 Yea.......❑ No.......❑ 'SECITUN 5-.1PR4)f +©i+ M M COM V Ri'>tri S,i 31 1� 1D St 'ft3it 5 5 3 T T1t3 5.1 Registered Architect: Name: Address Signature Telephone Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: Registration Number Address Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number j Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Liwf �I�+[F 1j/1�r�i.ik Not Applicable ❑ Company Name: n/ Responsible in Charge of Construction a , New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: I I a q u er vr✓t ?o» Ion 4nGe USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 ❑ A-2 ❑ A-3 ❑ ]A ❑ A4 ❑ A-5 ❑ 113 0 B Business 0 2A ❑ C Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 0 2C ❑ H High Hazard ❑ 3A 0 IInstitutional 0 I-1 ❑ I-2 ❑ I-3 ❑ 3B 0 M Mercantile ❑ 4 ❑ R residential ❑ R-1 0 R-2 0 R-3 0 5A 0 S Storage 0 S-1 0 S-2 ❑ 5B 0 U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft Independent Structural Engineering Structural Peer Review Rapred Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,as Owner of the subject property Hereby authorize to act on My behalf,m all matters relative two work authorized by this building permit application Signature of Owner Date L./ Jew i � - f es S40 + � .. top,e TO ir"TWVO 5a rFWbs:1- g:/ y l �7 J . Sl ' VF-W a/0 �s �4 I� A� r. 2 � ,_v m fif I of REGISTEFEu �"` a"® ��♦ A?Del i Dcste W.)rKYyyUpf , Ft tttfll Q _ ' UED BY .�. M GLEN RAVE ' I�.� �NG. � 1631 N PARK AVE.. GLEN RAVEN NC 27211- H# 19 9 f# t� i5 r a3 "` 1'Y0t the l,oterta!g tit��'a_�.:!'tJ�'�{��?� #�•..Z r - � `have been tt arne- 4� FOR_ .._. ASTRtsp COMPANAT Y 2937 WEST 25th STREET CITY CLEVELAND STAT 0H1O.. Certification is hereby mode it t t',D`, cEr "Cj" Or �- K, The articles described on the reverse 'ids, f this Certificate have been treated with a flame- ----- retardrant chemical proved grad req stared by the State Fire Marshal and that the application of said cfae- tical v as,done in carafar a cep with the. 1OWS of the State of California and the Rulesand Regulations of the State Eire cars�aa1. Name of chemical "'l �• _'._...__.._._ _.__-------- �.�e . Re Na. Method of application (b) They articles described an the reverse side hereof are made from ca flame-resistant fabric or material registered and approved by the State Fire Marshal far such use, Trade :"4om. +e a?� C'Sk ant ; 1�i.?_: Y' R'4� .Ts z FR M"t' � .. c F :? � Fh Retardant Process Use _ _ _.._..____t._._. Be Removed y Was. It W;11 01 W:flnot)s� GLEN P l E'N M I S, TF NC STEVEN t:... E L T Nfi TQN# GEN 111GR. By- �i"Ir,,,;�tm +w# airiF i e lWereb�ceatafyt this to b true " ceapof thisl" issued to us,copy" nf Which fens een RleWith t California State fire marshal. The ASTRUP COWAN NORTH ooT .,, Andover lwm f No. 70 -1K .7 C, 0 �- L A r over, Mass., OC — HJCHriv�iCK 79 ORATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT........IV..11110C AW.........Rpst........ale BUILDING INSPECTOR ....... ...... ...... Foundation ;Z..0, &A v has permission to erect.. ........... buildings on ...... ........ . . ................................ Rough CAA0.9..0%.f 00 V Oft f4& w::0-4 Chimney to be Occupied as............................. .... ..... . ..................................... ...................... .............. Provided that the person accepting this permit shall In every respect conform to the terms of the app icat o 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. 71 YJ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ...14.. . ............................... ...... Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough 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. �,�� �.+c•x= r���`. \ ld f.fi''*..A�G,er. "l•.4`*"'�t'.. »�!^' .,).� a I f �� � k l - � r •F ' •� is ��1,�� , �� :, ' ...,��f � r� -•: - ?.yam "t � _' i �' _T ,�>�i L.f3�A/' J�.�..•�.�wi%�f. V.�-t :A'yY�R'a'M1 • > jag 1 onvr'c �(�, •rV SOCIRYY 0,' AMERICAN W Ik�' I WOOD %RESERVERS ` ,.''h • 1501 Wikan Boulevard,Arlington,Vkiia 22209 TO WHOM IP'MAY CONCORM t *. This is to certify that the lumbar in this invoice No. /� - t ' ,i•� .� - � Y �s._=_�..,Lhos been pressure treetvd in occordanco with conditions i W ti Specification C-20-0,Par 2.2 Performance Rating, 'N -t>, .v sr,all have no greater flame _t y` spread than 25 when ested in accordance with ASI, E84 and in !ests extended to 30- ! /, ;.•'_. �','- minute duration it shall hove no reutnr fi (, g n• q spread •- egviviic'it of 25 and no ' �vicloncu of sign 'scant progrt 3m0w-t The fire retardant u-., ,n this treotme Sold to4,1.Z1 1121, Shippod tom Contents_ The above is a true and valid statomeni. Signed LOCATION }t ..r•i Via' � �� �• � 1 , Sworn to and subscribed before me _ i �-- - PGANT OPERATO o this day o _19__>,n the City of k• L No y Public Cry\ ' ;fit;'Rte�l�;'t��'st ti'• `fFt; tt��:'j:':€•,- �_ ,� • : , -��,�,Ca 77dpA