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Miscellaneous - 340 FOREST STREET 4/30/2018 (2)
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G 3 o r z { W < C LL_ 0 LU ujccW v Z i z O J z O IX 0 a ~ W w 0 U 0 J Z < < Z OJ d < 2 Z Z j 4 o O o m 0 O W m m m J < � m m m; m V - z W < 0 W N � a O 1 o a W Q 0 w W 0 z 0 w < JIL w < W O < W W O 10 4. G ooMo { rel LU ujccW v H � J 3 O o v o U x V - z W < 0 W N � a O 1 o a W Q 0 w W 0 z 0 w < JIL w < W O < W W O 10 4. G +� £(n+1 00 QD^�inT DOOX� C)C) N OOzn nm� gm OnO OOnA xIz rO a � nz nm OOc nm� lNtiO vcm;<zo-m,a D ;T;< Q. mD -M . Oc n=T �D O 0D a AmpZ n o O C) o - ZZ.ZzOOO^N= 0- _o ° O'DN; O O . -7C1 mND D ;=0> 9D 'M z 3 00 00 O OmdCw ZDo �G); NO � ;T 7i Z zD > O s OO z Z N z O < Z 0 T 1 1 1 1 1 1 1 1 1 1 IISI F_ Zmoocm on;X>Z>ZO'OT DxyTT •� :2 z ��m D� Om D y Dnx �0 Dp n pZ !0 �T 0 TT z z coTxv z <D>Z .•a C Ov. mmoDOnZyOD T r T D x O D A _ n x O S x m p T D Oo TNi Z` /� TO ti n D~ Z O; . O N x N O 0 n O Z x 3 Z K A y n 3 T 1 A A r Z O Z m '1 D A O Z N N �x O O O A T<<<0<w- _ x ,, m x O iE P T fl N m 10 Z O �z< p D z pD�_ 1 T ti pp m 7C N �T C 3 m A T Z D m D IIII�6 D x Z z yZm O 0-1 O Ir V I I I n C1 Z n N 2 O J_1J-L1 I N IL IJ I�IN Ll m p I - I x III !I I I IIII1 IIII IJIIII" DOI U) U) Z [m �m1 - nN �0 NZZ �c)C XM (A D 0 10 Nv* mim mx -qz> _xN_f1 NOS �zg mN3 'aOZ �N mW0 NClZfI 0r 00 'ON0 r a ?�z -+ v xv 0 xa 0z x0 mm NIn m 00 3 M m A 0 v W) cz eYa AS A 1 RIN I uFl U r, 0 aw cv 00 C,3 ZW 6 AS A 1 RIN I uFl I U ill C D At K?i SD CD CD 4D 7 -E:5 C) On CD cm ca 0 CL ap LA O cp co czi ca uj C..') cm = CD WD I U ill Pmt I certify that the etruoture stem on this plan is located as shown and when built Qmfozmed to the building and zoning requirements of North Andover. I certify that tine structure shown on this plan does not lie within the flood hazard area as sham on the IM YApe for the Town of North Andover. Community -Panel Number 250098 0010E Eflective'Date Juno 15, 1992 This plan was drawn for conveyancing purposes only and is not to be recorded or construed as an instrument survey. peed Refer"ce: 8M L.C. 89, Page 209. PLOT PLAN OF LAND i N NORTH ANDOVER Ryle: 1" - 100 C OMMOMMTH 16 = PMT ROAD fP'ICE ( 508) 665-5136 May 27, 1992 IZIG1NEER1NC ASSOCIATES INC. EAST WALPOLE, MA. FAX (508) 660-1457 FORM U - VERIFICATION 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. ****************Applicant fills out //this section***************** t/PLzCANT : �'� W1"LO .lti TION: Assessor's Map Number�� Subdivision StreetC�� Phone Parcel b -IS' Lot (s) (� St. Number -tQ ************************Official Use only************************ RECO D TT NS F AGENTS: / Date Approved Conservation ,And`ministratoorp _ Date Rejected Comments V `��� �7�v ` V� (0 01 K Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections - driveway permit Fire Department Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Received by Building Inspector Date -OT DEPARTMENT OF PUBLIC SLIETY CONSTRUCTION SUPERVISOR LTCENSE Hubert. Expires: 3irthdate: CS . 010330 07/19(1997 07/19i!960 Restricted To: 00 WILLIAM C POULOS 92 5 BROADWAY LAWRENCE, KA 01343 HOME IMPROVEMENT CONTRACTOR Registration 118204 Type - PRIVATE CORPORATION Expiration 02/12/99 FAMILY POOLS & PATIOS INC oJ1�Lj IAN C. GIANOPOULOS SS AD . MINISTRAMR BROADWAY N. LAWRENCE MA 01843 .,Qi _ w W ~ Z Eg O NtldJNId001HE)IVd1S awp m w ww arm w 3,0 t ? vi Of ¢Q6. F Q� �' Q� wZnl �Z} w0 Jz >W z w NtldONId00E13NUOOs iavu r p O LL z a0 � F- O mz OLL ZOO Jo 300- BowFW- o W� o wo �`� 3m�pw30 ¢z¢ ¢a-$pa¢F z �tld110981(1N -JjW LLxjEa a 0� �� ° 0 Ow ¢WWZF=F-¢¢ ¢ao OLL�v- a:(nw� - d3llld Ntl103F1J mp� OPLL3 . 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N N coF-Z N �N0 LL OO cn co Ir c N N N a F- CD CD o IT F- F --co \=(D co D 0 CD LLJ zcr a C _ °D w M (V d A N O N cli M m OD tt O V) N - ¢ F- CO CD W N Z Z Z N OO m - V O Q V � � J OD N N U V U W OD� Q � W Z _ a fl- aNaO O H N c N U W 0 d co - o (o )r 2 cr W �- N N Go N F - Q O 3 yv N J N J- G CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number Date THIS CERTIFIES THAT TIME BUILDING LOCATED ON MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO ADDRESS Ul h N 0 o ° ° �-ro l U w � o w w w' cin vii ui a vS O o z -co: � � d a C y LZ �� cv cj _ [t W : C7 �Q,'v O CL - cc ca ' W cl- Jy EE U • © (/\/: 607 Qf J co U v CD C m C' N O C O to E CD o cm rn U a CA mCD C ma m :C3L o` U oc o, c a=p3 N H •O+ y m o m LL 'y l0 A O A •d= C Z V •E Q.= C',Ql O O CO E C co O' m ' O = A y MM7 CL. -W O O tiC co O Z co 0. O y � C cm CD CA m 'E m m CD ow _~ 4+ CD 3� Cl O O=. cmQ ca c CD cc� C.3 ca 0 d O � C C C-3 co O O C CL CO2 is Date. ,11(,15 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACHUS This certifies that has permission to perform ...... plumbing in h buildinp of at. -I ............... North Andover, Mass. Fee Lic. N o.q� �9�,x, 47 PL1,INSPE INSPECTOR Check OR Check 65' U 1 MASSACHUSETTS Y or T pe) Al Mas . Building Loc tion New ❑ Renovation B.P. # Installing Company Name kd (FORM APPLICATION FOR -PERMIT TO DO PLUMBING Date >; 0 permit # / Owner' me I ype of Occupancy �,10j,y r i - Repiacement Plans Submitted: Yes ❑ No ❑ SEWER # FIXTURES SEPTIC # Corporation i 3usiness Telephone_ /Qg2 zff"_3 D, <- l !ter — ❑ Partnership lame of Licensed Plumber or Gas Fitter F 1 1M w L Yl' Firm/Co. •- Iml = %.V V= AUl=: . InIS ve a current liability insurance policy or Its substantial equi ha Yes 1�-� No . ❑ valent, which meets the requirements of MGL Ch. 142. If y, have checked yes, please indicate the type of coverage by checking the appropriate box. ' A liability insurance policy -0".-Other type of indemnity ❑ Bond ❑ OWNER'S INSURNACE WAIVER: I am aware that the licensee does not have the insurance coverage 142 of the Mass. General Laws, and that my signature on this permit application waives thisequiremient by Chapter Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ ereby certify that all of the details and information I have submitted for entered) In above,appilcatlon are true and accurate to the best of knowledge and that all plumbing work and Installations performed u r the permit Issued for thi a plication will be In compliance with pertinent provisions of the Massachusetts State Plumbing Code and h to 42 of e G eral Law . By Title Signa re of Licensed Plum r City/Toi,.1 APPROVED(OFFICE USE ONLY) Type of License: FJ.afs;ter 13Jou rneyma:n License Number_ 1 3 I r O O w IZo O DD w V w O O s s �1 O a 0 e rl C O Z O z P u L.° 846 Date..../... —1..-.... ...7 NORTI♦ TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACHUSf This certifies that ....... ........... ... .. .... .. has permission to perfo ..... .... .......... ....... wiring in the building o �.. �,���,1.�/�.....�--:....... at .....�..... . / .......]�................ . North Andover, Mass. alZ Fee .....J..>..... Lic. No.......�J 3.<........�.vned... gECTRIcnc INSPE R 97 10.55 35.00 PAID 041101 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer The Commonwealth of Massachusetts ()Mce U.e only C11 Pers([ b. Department of Public Safety Occupancy b Fee Q�eetceE BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be periormed in accordance with the Mauachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORHMON) Date 'Y' %' 9-7 City or Town of /VGteTf/ AA1A0J-CA-Z To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) K .3140 Fp(ZF-6T 6-rp--Eel— Owner or Tenant Y, A/.1 L -r :5pj,E 1-. L Nap P_fQ Owner's Address X o5 a E Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization NO. Existing Service IeO Amps 1..76 / Q11,0 volts Overhead SCJ Undgrd ❑ No. of Meters f New Service A=ps / volts Overhead Undgrd Lf No. of Meters Number of Feeders and Ampaciry Location and Nature of Proposed Electrical Work 61/,-6 SO -I fi�l6 6 &21— - &M!S6,-f 49�.cfA No. of Lighting outlets N of Hot Tub No. of Transformers Total RVA No. of Lighting Fixtures Swimming Pool ave In- rnd. ❑ grnd. LCJ Generators RVA No. of Receptacle Outlets No. o it Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. o f Self Detection/Sounding eDevices _ Local 1:1 Connection[] Other Connection No. of Ranges No. of Air Cond. Tots No. of Disposals No. of Heat Total Total Pumps Tons RW No. of Dishwashers Space/Area Heating Kid No. of DryersHeating Devices RW No. of Water Heaters KWNo,of No. of Ballasts tLow Low iriniz No. Hydro Massage Tubs No. of Motors Total HP 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 ❑ I have submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE 0 BOND 0 OTHER F1 (Please Specify) Estimated Value of Electrical Work S46 60 O 0 Work to Start *�-(n-- a -c%1 Inspection Date Requested: Signed under the penalties of perjury: FIRM NAME Licens dA Signature (Exp iration Date Rough a/LL 6,91,1- Final w JLL �IL G - LIC. NO.?%687.�;- LIC. N0. e20R1, 1Z Address // 0/?1<,f1b6,6 SP Ej�. /le�/�.: Bus. Tel. No. OWNER'S INSURANCE WAIVER Alt. Tel. No. s I -am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner d/ Agent (Please check one) �D Te lephone No y `4 z} 0 PERMIT FEE S lft natur•E of Owne�.rge�nt� Date .3-c�f :(--3. 40RT TOWN OF NORTH ANDOVER 0 0 PERMIT FOR PLUMBING '. I . . r... �-/ ............... This certifies that ... '0.( ../f /5.� has permission to perform .... 7 ...................... plumbing in the buildings of ..... .......... at North Andover, Mass. Fee. L i c. No. . .. ...... (fi. ....... I PLUMBING INSP&TOR Check # 5562 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) �l m /q- p t/ 2�Mass. Date Permit=# s s Building Location Q �/i /'Rg7� • owner's Name97 Type of�o cupancy Residential ~y New U Renovation D Replacement Pians Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name Heritage Htg . &Plg . Co. Inc. Check one: Certificate Address_ 35 Pleasant Street LX Corporation 714 Stoneham, Ma 02180 ❑ Partnership Business Telephone 781 A38-7776— F-1 Firm/Co. _ Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No L) If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy IN Other type of indemnity ❑ Bond ❑ 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: Owner ❑ Agent ❑ 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 the permit issu d for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By grI1 e if� p� Si na ure of licensed lumber Title ------- Type of Liconse: Master tX Journeyman ❑ City/Town 8 3 2 2 APPROVE�O�FICE—QSE ONLY) license Number_________._ `W P n Z X f=1 ow lU X J (n n .( h 2 U Z N a Q; u( W �4 ''1•' n O z oa W Uj N !- U W X ¢ a W – a C i' i1 b (d 4 U W Z CC Co N X Cr R N _� O 0 CC LL •_+ x x x K w O O W f- h z a S Q a W 3 (n O X O Z = Q i W N CC J ¢ X a C ~ a ¢ z �_ 0 ¢ a LL 3 X J W S W (n 0 v) O ¢ J ¢ 3 O y ¢ d h (n u. C7 ¢ CL J tz a a C ¢-F� t_ tu i� } i y ), v r� SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR + + 8TH FLOOR Installing Company Name Heritage Htg . &Plg . Co. Inc. Check one: Certificate Address_ 35 Pleasant Street LX Corporation 714 Stoneham, Ma 02180 ❑ Partnership Business Telephone 781 A38-7776— F-1 Firm/Co. _ Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No L) If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy IN Other type of indemnity ❑ Bond ❑ 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: Owner ❑ Agent ❑ 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 the permit issu d for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By grI1 e if� p� Si na ure of licensed lumber Title ------- Type of Liconse: Master tX Journeyman ❑ City/Town 8 3 2 2 APPROVE�O�FICE—QSE ONLY) license Number_________._ T J z O W N w V LL LL O Ix O LL 3 O —1 LU N N z O N U w CL N z N N w a c7 O a a w U3 LL 0 z V z m i J CL O O 0 r r w a 0 LL z O r Q U J a CL Q as W a z a W N cc 0 iF V W 0. N z_ 0 z m J IL rl Location j F ct DS! oAjc No. // � Date 4/ / b /,sP Z TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Ss+cMusE Pp,�E,NTOther Permit Fee Sewer Connection Fee $ b 19 Water Connection Fee $ TOTAL $ /� O N®. p,naaer Building Inspector 5101 Div. Public Works PEWMITINO` v APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK PAGE ZONE' SUB DIV. LOT NO. LOCATION '7 /� ! /�%O ! C:. �13 PURPOSE OF BUILDING OWNER'S NAME `* _ o o., r6 NO. OF STORIES SIZE OWNER'S ADDRESS A 1• U BASEMENT OR SLAB ARCHITECT'S NAME R SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME] % 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 MATERIAL OF CHIMNEY IS BUILDING ALTERATION % 1 S. IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO EQUIREMENTS OF CODE t��,�Jr 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 1 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 / % �h / SIGNATURE OF OWNER OR AUTHORIZED AGENT_ F/ E E PER c 9 J APR 1 5 1992 CONTR. TEL. #1' CONTR. LIC. #Oda 9.,A 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST ,67 o d EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY Y BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN t, I OCCUPANCY SINGLE FAMILY S�ORIE$ MULTI. FAMILY nFFlrl Ft CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE PINE B 2 CONCRETE BL'K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL _ _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA 1/1 1/2 1/ FIN, ATTIC AREA NO B M'T HEAD ROOM FIRE PLACES MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS 8 1 2 _ _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING HARDVl D COMMCN ASP.. TILE VERT. SIDING 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. 3C7 u STUCCO ON MASONRY STUCCO ON FRAME Q/✓� � �'` �i BRICK ON MASONRY ATTIC STIRS. &FLOOR BRICK ON FRAME CONC. OR CINDER BLK. Q STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING cad�,I✓f GAMBREL MIANSARD BATH TOILET FIX.) GABLE SHED WATER CLOSET FLAT ASPHALT SHINGLES LAVATORY _ WOOD $HINGES KITCHEN SINK SLATE NO PLUMBING _ ,,,+++��� �!/J� •- C,��''^� � � TAR 8 GRAVEL STALL SHOWER / /— ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELE55 FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 8 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st ( 3rd JI NO HEATING ] w W z O LL Q H q O► y z w r, d Z w U uj OC a0 O► yIr Q P O LL w m a w z z CL W U W V ¢ m ¢ a a 04 wr u W O LL M > O z Z w W .- j'i. r4 .> O 'J U w w a ¢ ¢ � LU �, W O • p a r _ U ZLL ¢O W W Inc z = W W z H a z U N p t° t •, Lu W � FOLD MONO LM M m w N O Y q o o O O O, M S n ¢ o tl U O r <$ _ c� V W� tow:r '' W La z z y ' J Za. 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EL ao 3 C, 0 0 00 V � c m a c In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number /1(0 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL e 111, S 150A. The debris will be disposed of in: (Location of Facility) Signature of anti[ Applicant V- /s -9d, Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. OF Non iH OFFICES OF: �? °m Town Of 120 Main Strcet A1313EALS ' ;_ : NORTH ANDOVER Nortl) Andover, BLIIIA-)ING •�,'^:i ; : `0� M<)sti )r.hti�;clt5 O I >S CONSl:1tVA"I'tON ,rs,c"u`r t)IVINION OF r 5 ((i I �) (itis 477.E HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.F. NELSON, DIREC"I-OR In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number /1(0 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL e 111, S 150A. The debris will be disposed of in: (Location of Facility) Signature of anti[ Applicant V- /s -9d, Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. N2 1923 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................. ........................................ has permission to perform._-..,-," ...... ................... wiring in the building of ... ......................... at ............................. . North Andover, Mass. Fee ................ L i c. N ........... jf ELECTRICAL C*'TRICAL INSPECTOR 10/15/99 13:36 35- 00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer • Office Use Only a' 4e (10t11I onwealt Df maga[hllgeffs Permit No. 192-3 Separtmrat of Public $afttg Occupancy ,& Fee Checked-ks- BOARD OF FIRS PREVENTION REGULATIONS 527 CMR 12'. 9190 heave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 10/1/99 City or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrlcai work described below. Location (Street 3 Number) ALICE SCHELLHORN Owner or Tenant 340 FOREST STREET (978) 686-9005 Owner's Address Is this permit in conjunction with at building permit: Yes ❑ No (Check Appropriate Boz) Purpose of Building -- Utifity Authorization No. Existing Service . Amps _! Volts Overhead ❑ Undgrnd ❑ No. of Meters Now Ser_Ace Amps _! Wits Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hol Ribs TOISI No. of lhanslottaws KVA No. of Lighting Fixtures Swimming pool Above in- grnd. ❑ grad. ❑ Generators . KV/► No. of Emergency Lighting No. of Receptacle Outlets No. of 00 Sumem Battery Units No. of Switch Outlets No. of Gas eumers FIRE ALARMS No. of Zones No. of Detecdon and No. of Ranges No. o! Air Pond.lbtal tons Initiating Devices No. of Disposals, Heat Total No.of Pumps Tons Total KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Hoo tag KW DetectionMounding Devices No. of Dryers Heating Devkea KIN Local ❑ f"I�n ❑Other No. of No. of LOW Volt -age No. of Water Heaters KW Signor Ballasts Wiring BURGLAR ALARM DEVICES No. Hydro Massage Ribs No. of Motors 'total HP OTHER: TWO (2) SMOKE DETECTORS INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Llabllity Insurutee Policy Including Completed Operations Coverage or Its substantial equivalent YES G NO O 1 have submitted valid proof of sante to the Office. YES O NO O It you have checked YES. please Indicate the type of coverage by checking the appropriate boot. INSURANCE O BOND. O OTHER O (Please Specify) (Expiration Date) Estimated Value of Electrical Work i 689 nn Work to Start 9/25/99 Inspection Date Requested: Rough Final 9/28/99 Signed under the Penalties of pedury: FIRM NAME LIC. NO. 7 1 Licensee nnnal d A Arnnka_ Signature -LIC. NO.. 1231--- Bus. Tel. No. (2'03) '741-4008 Address 111 Morse Street, Norwood, Alt. Tel. No. l71t11 77�h_1 t Z1 OWNER'S INSURANCE WAIVER: I am swore that the Licensee dose not have the Insurance coverage or Its substantial equivalent as ro. qulred by Massachusetts General Laws. and that my signature on this permit epplicabon walves this requirement. Owner Agent (Please check one) ... Telephone No. PERMIT FEES .3-5. 00 fSktnalure of Ownor or Agonq I ■.bsrls Con nor onw alth of Massachusetts Massachusetts stem Purning Record System Owner I ' c�eu kom System Location 3 4n-f2)ce4g4- sa. Date of Pumping: ��—C � -P� Quantity Pumped: ���llons Cesspool: No [`T Yes U Septic Tank: No U Yes �T System Pumped by: Felrejort 5,rt&e7,44ae4 License # Contents transferrred to : Greater Lawrence Sanitary District Date: Inspector: 47 Location 3 of 0 TC)a,- Z �� No. `� Date o, M';T �,ti TOWN OF NORTH ANDOV RX p Certificate of Occupancy $ d Building/Frame Permit Fee $ 7654 Foundation Permit Fee $ Other Permit Fees]-tc) $ S� Sewer Connection Fee $ Water Connection Fee $ S�v TOTAL wilding Inspector Div. Public Works PER -MIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. -f✓ V L V PAGE 1 MAP h40. LOT NO. I 2 RECORD OF OWNERSHIP (DATE BOOK ;PAGE ZONE SUB DIV. LOT NO. LOCATION '340 O 5,7-j5 0 L+ PURPOSE pC»a•ar—� tWNER'S NAME V�G�N p- qal. f t \LL 2 IJ VV M NO. OF STORIES ( IZE _l /. JC Ja'CVNER'S ADDRESS y) BASEMENT OR SLAB - ARCHITECT'S NAME -- SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SNS SPAN -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS DIST NCE FROM STREET DISTANCE FROM LOT LINES — SIDES D 1 REAR �0 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 SEE BOTH SIDES PAGE 1 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 P NS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR _4-gL.( TURB'OF OWNER OR AUTHORIZED AGENT FEE PERMIT GRANTED 19_ t Y. 3 PROPERTY INFORMATION LAND COST LDG. COST n EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY INSPECTOR OWNERTEL4 CONTR. TEL. # BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION CONCRETE —I 8 INTERIOR FINISH PINE B 1 2 I3 _ _ CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN. _ 3 BASEMENT AREA FULL FIN. BM'TAREA V, 1/1 '/, FIN. ATTIC AREA _ MO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 —{I_ 3 _ _ _ DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDVJ D ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I I POOR ADEQUATE 1 NONE rj ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBRELFLAT -MANSARD TOILET RM. 12 FIX.) _ 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 I 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 T 2 d I ELECTRIC 11 B'M' � _ lit 3�d 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. ,I1'5VR --a �U V S�E ON r-4 x x o aG e N OU z z o SOD ' E is O c� �' SOD � ii O W 0.4 Z u U "a W man U o H w DD W w A W C 6 y u o v ee o A r LQ c c D :H WJ C V z m � o LL z O V V � i .ate 4. nc C cv ea � ! m c O :s o 4. Q m V> c/ >- - E a CD CMw C LJJ k i • m O •� j � r ca •� mm En z w > H `O w L_ oC..') a o= t+ O O Ca C„ �+ O) CDe : H R m m L m 3 3 O y cm m C C � _ m �iCL C.0 ca CO N CJ CD E� CJ -j -C a z �! v l y m m Co Z LL U :rya C Z LL V a C C C. O Lcl3 C •+ O COD M LLA O = V2 •GO M Cc A C H u �E CL= �- m' v�vcm cm F -- CO) CODC' = W v y'� H Z w C., m r LQ .-...- .C. � �.x- r, ?. r, ry-a;?-`'E-; <. ti-' Tc;. �,Tqv.. T-• r r�'p �t ,. _ _ .. ... .._. .. _. � _. - .. . .- .,.... .,.... ... _ -..- .. T :H WJ O z � o E LL z co i O C LU ! Z Q V> >- - CD CMw k i � O •� j � r ca •� mm En z w > `O w L_ oC..') a t+ O �iCL C.0 ca CJ CJ -j -C a z v l Co Z LL U C V C Z LL C c O = W CL cm F -- CO) Z Z � LU � W ` U) .-...- .C. � �.x- r, ?. r, ry-a;?-`'E-; <. ti-' Tc;. �,Tqv.. T-• r r�'p �t ,. _ _ .. ... .._. .. _. � _. - .. . .- .,.... .,.... ... _ -..- .. T Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE !V CSU q, 1 9 JOB LOCATION 340 Number Street Address Section of town "HOMEOWNER" N Name Home Phone Work /Phone PRESENT MAILING ADDRESS ��}C� S! _)" S-.7 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. I A In HOc1='iNER' S SIGNATURE _=.PPROVAL 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.