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HomeMy WebLinkAboutMiscellaneous - 33 STONINGTON STREET 4/30/2018A � Q Location S40�A'lffly l No. �� `� u Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL A Check # /a 18 36 Building Inspector �u''e `ut•�1 �=p "9-1-- 06— • TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING e t 7•. .nn _ BLUDING PERMIT NUMBER: (5/7 DATE ISSUED: SIGNATURE: zo A Building Commissioner/In for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: -39 5-"6tiW Er-aIV S% 1.2 Assessors Map and Parcel Number: 0 l Q o q y Map Number Parcel Number n o / �� . 1 Q y:5 Al- '4 n `&� O 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public 0 Private 0 Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT "''' {% �iStr! ^t: ' r l r.0 2.1 Owner of Record .kV L L -UC IA JO 33 — 35 SfiV M /J 57, M, IWO6 (t6f, Name (Print) Address for Service : 4 -fl A0 4JZZ,�� ?iB6- qj 0 0 b Si nature Telephone 2.2 Owner of Record: '::-��I,, a CO- kat () C Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Z-111'(IL� fzcz/il / V / (� Licensed Construction Supervisor: 53 5 71 /y �/� / � ^ / Address l V (� /�/ G + " ✓ D� �%1� Sign a Telephone O Not Applicable Iff License Number Expiration Date 3e Registered Ho Improvement Contractor Not Applicable V Company Name Registration Number Address Expiration Date Signature_ Telephone 00 M z O M 3 I 4 z M 90 0 r r aur. SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) I Workers Compensation Insurance affidavit must be completed and submitted with this application. in the denial of the issuance of the building permit. Signed affidavit Attached Yes ....... bt No ....... ❑ SECTION 5 Description of Proposed Work (check an annlicable ) New Construction 0 Existing Building 14 Repair(s) 0 Alterations(s) Accessory Bldg. ❑ Demolition Other ❑ Specify 1 Brief Description of Proposed Work: Failure to provide this affidavit will result Addition ❑ I SECTION 6 - F.STIMATRD CONSTRUCTION rncT.Q 1 Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building 0 0 0 , a 6 / (a) Building Permit Fee Multiplier 2 Electrical 000, 00 (b) Estimated Total Cost of Construction y 000 3 Plumbing 000. 6 0 Building Permit fee (a) x tbl all © -- 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 . / d O'D Check Number JELHUN /a UWNER AU MUKILAHUN TU BE UUMPLETED 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 t, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are Lrue and accurate, to the best of my knowledge and belief Print Name of Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1' 2' a 31W p7 u SPAN .� DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIlVIENSIONS OF GIRDERS HEIGHT OF FOUNDATION _ THICKNESS SIZE OF FOOTINGX MATERIAL OF CHDANEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number ' _ is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Locati n of Facility) ' Sigp tura of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector A f 14ORTII TOWN OF NORTH ANDOVER e•'�``� �' e"°� OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 D. Robert Nicetta, Building Commissioner HOMEOWNER LICENSE EXEMPTION Please vrrint DATE: Telephone (978) 688-95454 Fax (978) 688-9542 JOB LOCATION: .3-3 5 7`� N/4V (; F� A.1 S7` Number Street Address Map/Lot HOMEOWNER 5 AnlJ _I Name Home Phone Work Phone PRESENT MAILING ADDRESS SA?%i E / , 0 or -R City Town aiBC/S State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to 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 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 or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances 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. 4 — A HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL BOARD OF APPALS 688-9541 CONST RVATION 688-9530 11F.ALT1I 68R-9540 PLANNING 689-9535 2y X S b - r4scm rqR e bd r4 2/4, =6,oidl LD SoGtic'n, ,zv 10 . ra-�t�rS (W"O-C-) Q0 p Roof COdS 1p, �l ti �. kil"t ell Lvt4dc- ra W4 e cj -L i-- f q'i 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 or requirements. *"" APPLICANT FILLS OUT THIS SECTION **** APPLICANT " f,y(' LSO PHONkq7J6f �g3� LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET__ f ST. NUMBER, OFFICIAL USE ONL RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 lm -S To �tiiti G row/ ` I HEREBY CERTIFY TO THE TITLE INSUROR AND TO THE BANK THAT TIM DOLLING IS LOCATED ON THE LOT AS SHOWN AND rllAr IT DOES CONFORM WITH THE-we--OFN,4,,-00 � E 2 ZONING REGULATIONS RECAP -DING SETBACKS FROM STREETS k LOT LINES.` I FURTHER CERT"rM0UELLIIS NOT LOCATED IN THE FAREA AS SHOWN ON FEMA +i STEPHEN E. DATE THIS PLAN FOR MORTGAGE- PURPOSES ,— Nor FOR BOUNDARY DETERMINATION. EOUNDd.RY MFORYAr10N TAKEN FROM EXISTING RECORDS. /W./ 7 PL 0 T PLAN IN i DRAWN FOR Z-vci'-:�?�c� l MERRMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, WSACHUSETTS 01810 IL- NO IMPONSEXI, The Commonwealth of Massachusetts Department of Industrial Accidents Office of tnvwdgdkna Boston, Mass. 02111 waiters' CompeMdW Insurance Afirdevlt O I am a homeowner pedodNng all work myself. Ez F] I am a sole proprietor and have no one working in any c�padty I am an employer pmvidng workers' compensation for my employees wonting on this job. CompM trema: Address City: Plant Ins�narxat. Co. Potisv S Cornmw name: Addness City: Phone t Irmuranas Co. POIM ! Falun to samm coverage m required under Sec&m 26A or MOL 152 con lead to" kR=vjon dab, Pw l a d,a Ane up to (1,300.00 "or one yearn' ImprlsarneerltU.m.wd.=AM4mmEnJotAfmmdAZrCP.VAOM.ORDERmdAfkw d.(j1W."AAW mgWWma I urbentmd that a copy of this stdonod maybe forwarded to the Off= of Inveed9oft M d the DIA for coverape verirlcabon. Y I do henby certrl�► miar ft Pain and psnelrke of psdwy that the W metlon provided above Is true and ccrlect P�� L�J��Print name phow # `$ 6063 36 a-.- Offkw use any do not write in this area to be campklted by city or town offldM' CRY or Town Psrmk�Jcensinp 11 BuilaVng Dept . ❑Check Ximmediate response /a nequied ❑ L.�CWWkQ 8061d ❑ Selectman's Ofte Canted pe►son: Phone At ❑ Health Department ❑ Other FLOORPLAN Borrower: PAUL LUCIANO File No.: 1118BH04 Property Address: 33-35 STONINGTON STREET Case No.: City: NORTH ANDOVER State: MA Zip: 01845 Lender: METHUEN CO-OPERATIVE BANK 26.0' 26.0' Kitchen Bedroom Bedroom Kitchen 26.0' 26.0' 44.0 Family 51.0' LM Bedroom 13.0' 13.0' Living Room Bedroom Living Room 14.0' Den 12.0' 14.0' O z ui Om 50 m c a LZ :�• p N a c cc cc c �. L h gym' CF0 2 "•' 2 a; . 0 c.� ` N 4t o� o _o -=E cc d cc � • `m a 2: ozy H CD ca i A •� —m C o_ E m � L� ♦ CLU p cm L m = Z p Qf cA p C : • `:S C4 _ o c • ' c m� Joao co C o `mc •o = m a- 03 N COD N 0.2 _ C 4: S= �.. O 16C H •y CLC- ev c Z W-0 v -0 cma •N OO Vi a• m:e O� J = A O N O F- t a wm a p O U O O cc Z Q CA -e O LA O •E O L- 4) a v = B. o G3 Q � cc .I.., CL H a � CL 0 4Z. CO) C O cv •C CA Q o Z O Q CO2 C CO QM C .0 co O •— Q •fl m m 0 CD O � 3� CD Q o L O C' Q. �a ca a) Z ts a CO2 C 0 Y/ LLI U) W cz W U) 94 O C4 O w w A w E•� W H U a aa U a O a ` W o w N CO a a w a u co x o rs' G w" w o rs: �� ch � iL o w —co w" w 44 W cn cn ui Om 50 m c a LZ :�• p N a c cc cc c �. L h gym' CF0 2 "•' 2 a; . 0 c.� ` N 4t o� o _o -=E cc d cc � • `m a 2: ozy H CD ca i A •� —m C o_ E m � L� ♦ CLU p cm L m = Z p Qf cA p C : • `:S C4 _ o c • ' c m� Joao co C o `mc •o = m a- 03 N COD N 0.2 _ C 4: S= �.. O 16C H •y CLC- ev c Z W-0 v -0 cma •N OO Vi a• m:e O� J = A O N O F- t a wm a p O U O O cc Z Q CA -e O LA O •E O L- 4) a v = B. o G3 Q � cc .I.., CL H a � CL 0 4Z. CO) C O cv •C CA Q o Z O Q CO2 C CO QM C .0 co O •— Q •fl m m 0 CD O � 3� CD Q o L O C' Q. �a ca a) Z ts a CO2 C 0 Y/ LLI U) W cz W U) ,I i 40R #4 0 Date. .�...//o.— TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING o This certifies that ..`.... .. ... ........- has permission to perform ... .`.3?C1 r�'... plumbing in the buildings of .. ................. . 3.3-`..-54.,... �... , North Andover, at .... .-3�... ....... Mass. Fee.. �3 c. No.. J.338 .�' �tC)-,? #, Utvw- ...... .... .. . h PLUMBING &SPECTOR Check # 6432 . MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING 1 (Type or print) NORTH ANDOVER, MASSACHUSETTS Sl Building Location 3 2 - 3J- ] brew Type of Name %V, 4/C /10�'^V U New RenovationEr Replacement 0 FIXTURES Date / Q 6 �w Permit # Amount Plans Submitted YesNo (Print or type)�� � � � � Check one: Certificate Installing Company Name f ❑ Corp. Address IfoG c Partner. B me^ lTe ep one a7H / - FErFirm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the t of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver: I, the - undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner 11 Agent 11 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas sac is State lumbi e a Chapter 142 of the General Laws. By: Signalure o kens um er Type of Plumbin License '_ Title -3 8 City/Town -cense um er Master Journeyman ❑ APPROVED (OFFICE USE ONLY Date...(, ......�...�� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that �.......... `:`.:..:....... f ............................................................. bias permission to perform:., ....................... — siring in the building of . ............................................................................ at'.-� _..... .....:.............. ''�.. , North Andover, Mass. . pper�.. or Fee ..lam?......... Lic. Nxm 4 ...� � �:?:.��sa .......... �J f Cii'CTRICAL INSPECTOR Check # :.;j e5 (/ U 5&3 I JW tLUlMVJUty VTrafU J n Ur 1VVUM L K1V.wi AL3 �•••-- fJ DEDUUM ffMPUBl1MMY Permit No. �� U BOARD OF FIREPREVII1tITONRF "Z110,Sl7(� lzlw ,Q Occupancy & Fees Checked■�� r APPLICARTONFOR PERMTTTO PERFELECMCAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WrrH THE MASSAC STS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat (� Town of North Andover ` To the Inspector of Wires: The undersigned applies for a permit to perform the electrical wort descritd below. Location (Street & Number) ? - ?; j Owner or Tenant Owner's Address Lai �c sti:;�� �t-j S� Is this permit in conjunction with a building permit: Yes M No [3 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps�Volts Overhead] OverheadUnderground � No. of Meters New Service Amps Volts Overhead Q Underground Q No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs w No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above C> ground ci Below ground 0 Generators KVA No. of Receptacle Outlets eJ /' 0 No. of Oil Burners 1 / No. of Emergency Lighting Battery Units No. of Switch Outlets O No. of Gu Burner: STY 1b as FIRE ALARMS No. of Detection and No. of Zones No. of Ranges No. of Air Cond. TTtal ons No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Self Contained No. of Dishwashers Space Area Heating KW Detection/Sounding Devices Local Municipal Other No. of Dryer Heating Devices KW Connections No. of Water Heaters KW No. of No. of Si Bailasis No. Hydro Massage Tubs No. of Motors Total HP t %P (") Q- , f V 'M C () 0,e- Ot— In�trmaeGo�a'�. Al�tYbQleteq�ner�aLsafMa�d�er�GeteralLaws IhmaatnertL,;dzttyltxiz=Fb6cyinditCar#* orlts rialeq Vdat YRS NO 1haresufa dWdvAdptoafafsatnebte0®ce YES ryauhmdwd®dY);'S,pldr ofa drdftt apptt Batt BM[n amm 0 (F�** 16 G i WakbSrat s_ kq%dmD& Sigtledunder efp�y�%�/� �e F!<tMNAME upoma Eft tadVakteofDacbicdWade$ Rao fe- fkw LimwNo. P 46 5- Limme ", /!�IpYkC17 1 qgMM(/mss— — ---, IloaeeNo �.^ BttsiriessTd.Na 7 �- 8�, ) adAM G/.� � � . ®!6 /—i'u %1'I.� URAAkTdNa OWI,WSIIVS4MWANFR;Iatnawa duthelioanedDesmthontheir�aloeco�*critssubaatrialgivalnasn�gtm�byMa�(=WIam a dd atnTyVviwcnd ispe mkffkabmwaimsthi mwk nat (Please check one) Owner Agent rl'� Telephone No. PERMIT FEES �� signature Owner im l,tlmmuiv r zn"n yr DF.PARMMTQFPEXxS4FRY mo. BOADOFFMPREVEVIMREGUl4MVS5VGRIZ�ccy U , do Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WODIV ` ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00/' ----'(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Da ('� J 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) S� 7j G, `f 1 1 N i W G --M t\i Owner or Tenant P 0(— Ue, 11 P, lQ 0 Owner's Address S W %"NJS +btj s� Is this permit in conjunction with a building permit: Yes [M No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps ells Overhead Underground No. of Meters New Service Ampa...�L.V olts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets O No. of Hot Tubs of Transformers Total cz�No. KVA No. of Lighting Fixtures Swimming Poot Above Aj V ground Below ground Generators KVA No. of Receptacle Outlets / �} (�J tJ No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets 3 0 No. of On gamer. O str6w FIRE ALARMS No. of Detection and 'r J � No. of Zones No. of RangesNo. of Air Cond. Total No. of Disposals No. of Had Total TOW Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Ara Heating KW No. of Self Contained DetectionlSounding Devices Local Municipal _ Other No. of Dryers Heating Devices KW ci Connections ED No. of Water Heaters KW � o. of ens B�oil�of No. Hydro Massage Tuba No. of Motors Total HP r 2er� - ,` f coae w c� �, qhs N e, <S'r►-,o, e9Lidx1kyi&=oeFb1c—j' �dr9CMVM or�sutaiaridaquivalmt YES NO i&dvaidpmc(ofstrneioiteO� YM]f}auhaveclredajdYBS,plr�eirtdira Qte ofcoaetageby � ,, �b,oc BOND rl a mt Q CG G r7 litrpa�rnDaRgzwd Ra* G EstirnabdVatteafDacnicalWadcS E EFhvAsofPeJoY/�- l�r � � A>cTE.Na %�'�.� BusirDr�'Ii�1 No, 9 7 6 Y�.3 i63 c- � ( WTWSPWRANCEWAIVER.Iamc �- awa�ethettr is wdmnot �ethein�neo�e,geor��b lagtivala�tasa�c}itodbyMas�daD�(3aletallawa —,,,O ' arddetnTi4ancriNspeantlhiaMj*MW1 (Please check one) Owner 1:3 Agent Telephone No. PERMIT FEES signature Zw0 C7,!-