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HomeMy WebLinkAboutMiscellaneous - 35 PHILLIPS COMMON 4/30/2018r. Date TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING Ss CHUS This certifies that .... r . ........ has permission to perform .................................... plumbing in the buildings of ... koy!'x ....................... North Andover, Mass. at. . Fee.'.�.-?". Lic. No..? P) t).'. . . ........ ........ PLUMBING INSPECTOR Check # / �)— ? 7100 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location �� +fit �l'� ,GAS OOCAP Owners Name Date �7 '' b -� Permit # 710 Amount Type Type of Occupancy �c C. l C6 r) 1�i j New ® Renovation Er Replacement ® Plans Submitted Yes ® No FIXTURES (Print or type) Installing Company Address Check one: ® Corp. ® Partner. ® Firm/Co. Name of Licensed Plumber: ';7MnkL T�V-rry'-X O Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Certificate 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 I hereby certify that all of the details and information I have submitted (or entered) best of my knowledge and that all plumbing work and installations peVrbini compliance with all pertinent provisions of the Massachusetts State PIBy: Igna re o kens Type of Plumbing License Title 3 0 i o 1 City/Town ricense um er Master APPROVED (OFFICE USE ONLY Agent bove application aretrue and accurate to the P a=erl or this application will be in 2 of the General Laws. ® - Journeyman Location 15s- P k 4 } i t tai �'o ► �, ,� . No. Date MGRTh TOWN OF NORTH ANDOVER to Certificate of Occupancy $ S CMOS <� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $"� TOTAL $ Check #19032 � Q� Building Inspector HOPTH ° = A `TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ,Sg�1CHU5E� Permit v0: Date Received: Date I_,sucd:. ImPOR r%NT: Applicant I11Ust complete all items oil this page LOCATION_ 35 - PROPERTY 5PROPERTY O\ NER_ i k i L � 11D { C -u 6'x'1 AIM !Tint , MAP NO.:...__ -- -_-PARCEL: TY'PF. AN>n USF. OF BUILDING 41 Print u ZONING DISTRICT: HISTORIC DISTRICT YES ❑ TYPE OF INIPROV ENIENT 1 PROPOSED USE T Residential Non- Residential - New Building X10ne family -: addition = Two or more family Industrial _ Alteration No. of units: Repair, replacement i - Assessury Bldg _ ;_: Commercial Demolition _ tiloving (relocation) -' Other _ Others: Foundation only DESCRIPTION OF WORK TO BE PRF.FORNIED Identification Please Type or Print Clearly) OWNER: Name: ne: q7 F �Xq j I Signature d :address: Cotomovt 1.I A-Mjouey , 44 01('51 CONTRACTOR iV`anle: --- — — --------i'honc: - -- l i c Address: Supervisor's Construction License: H r ic: In1pro,,cnlcnt Liccitic: kddress: Exp. Date: Exp. 0.,ttc: Photic: !. No. FEE.SC'HEDULE: Bt LD1.\G PER,IHT:.'i10.00 PER 51000.00 OF THE TOT. -0L ESTIMATED COST & ISED OA S125.00 PER S. F. Total Project C'ust : __ /S 0,L0 x10.00 FIiE:,S t -'heck No.:._ —�— — — ----Receipt No.:__ TYPE OF SEA ARGE DISPOSAL I Public Sewer i Well -- Private (septic tank, etc. Tannings vlassa�,;e Body Art i Tobacco Sales i Permanent Dempster on Site SWIninlin" Pools i Food Packaging. Sales MOTE: Percon,v contracting; with cacreg4wererl contructom (Io clot have acce..s to Iltel;nuran�j jnncl Signature ol'A ent,Owner r-[, -�_�. 1{w Signature of Contractor Plans Submitted Plans Waived ! Certified Plot Plan j Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS ` HEALTH COMMENTS DATE REJECTED DATE APPROVED L Vater Shed Special Pen -nit I_l Site Plan Special Permit Other DATE REJECTED DATE APPROVED DATE REJECTED I� lonin.( hoard of ,Appeals: Variance. Petition No: Lonin,, Decision. receipt submitted Nes Phnnin� Board Dcrislon: C )nlllltlltti t;;nscrvaticn ilccision:-- _ --Comments boater s;; Se�icr connection �ivnature &date `I'enlp Dunlpstcr on site ; es _no— Fire Department siJnattu-e date Building, Permit ;approved and Issued by DATE APPROVED Building Setback (ft.) Front Yard j Side Yard Rear Yard Required Provided RC(ILIii-cd Prop -ides Required ProN, ided J DIMENSION Number of Stories: Total square feet of door area. based on Fxtcrior dimensions. Total land area, sq. ft.:_ Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Debris Removal Form Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L.-Licenses Copy of Contract Floor Plan Or Proposed Interior Work Addition Or Decks j Building Pen -nit Application a Form U j �j Surveyed Plot Plan u Debris Removal Form u Workers Comp Affidavit u Photo Copy of H.I.C. And C.S.L. Licenses Q Copy Of Contract u Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) u Mass check Energy Compliance Report ([f Applicable) New Construction (Single and Two Family) j Building Permit Application j Form U j Certified Proposed Plot Plan - j Photo of H.I.C. And C.S.L. Licenses j Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydrae Calculations (If Applicable) :1 Copy of Contract -3 y -lass check Ener(),, Compliance Report to ..all Cases if A ariancc or special Kermit as.is a•!yaaired the Fiera Ovrks ofrie< ;aaaast .,traIII p "I It de:iSion from :he Hoard or :appeals lia.at the 'appeal period is over. The ;applicant Haaist then get this a-ccorded cat Oie Re istry or 9a:cas. one cop% .and pry: 'j recording must be submitted vwith the baidding, .application 'hic: �,'VR\ K ES DEP.\Rr'�I E`.T:BI'P0RNI05 Gerald A. Brown Inspector of Buildings Please print TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION DATE. r3 ( 16 1 d JOB LOCATION: 3 S Telephone (978) 688-9545 Fax (978) 688-9542 Number Street Address Map/Lot HOMEOWNER $l Name. Home Phone Work Phone PRESENT MAILING ADDRESS 3s- J) �. ► (� S C 0 M,ou"v1 A -A c i,oer MA 0 (' 4!T City Town 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. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Raised 10.2005 Forth Homeowners Exemption CA iii m m m m m C2 ` C -0'O O d Z CO O Q w no:m .o vi CD FCL CD CD y0a" m CLO Z m t ' n Ea... =r a ""to m m .-,a m y p H N O•"=: 7 O H m O YYY F� n O Z C2 O y C2 ao.� �y N o =���' o CL =r _ :C o mom nCA c ` M CA o m O y =r. cr 2 .� o W co cn d � ��" •cn N ;0 O CD O O �n Z Z CD � n ax J m O C . + s. Cn n cn 17D C -OA RL to a ro t�1 i C 0 - To cn rW CA C z w � CA d CO) 'v CD Z O y C3�� �' d Pm* CL O y n� CD o p CD o Q O d O PTJ x tz CD CD C . CD y. dv -• o y C S CACD v O 'O Z CD0 CD ` C -0'O O d Z CO O Q w no:m .o vi CD FCL CD CD y0a" m CLO Z m t ' n Ea... =r a ""to m m .-,a m y p H N O•"=: 7 O H m O YYY F� n O Z C2 O y C2 ao.� �y N o =���' o CL =r _ :C o mom nCA c ` M CA o m O y =r. cr 2 .� o W co cn d � ��" •cn N ;0 O CD O O �n Z Z CD � n ax J m O C . + s. Cn n cn 17D C -OA RL to a ro t�1 i C 0 - To cn rW cn oy z w b �' rte'' ro �' o aZi CA n. O d O PTJ x tz 0 W M IN EASEMENT AND COVENANT We, JOSEPH S. WINNING and GAIL A. WINNING, Husband and Wife as tenants by the entirety, both OF North Andover, Essex County, Massachusetts GRANT TO YONG W. NAM. and YOUNGJA HWANG, Husband and Wife as tenants by the entirety, both of 35 Phillips Common, North Andover, Massachusetts IN CONSIDERATION OF an amount less than $100.00 The perpetual right and easement to enter upon that portion of the premises shown and described as, "Proposed Use Easement 730 S.F." (hereinafter the Easement) on a certain plan entitled, "Use Easement Plan of Land in No. Andover, Mass." drawn for Joseph and Gail Winning and Yong Nam and Youngja Hwang dated November, 1994, by Merrimack Engineering Services and recorded herewith (to which plan reference is made for a more detailed description). Said Easement to be used for the purpose of maintaining an ornamental lawn and landscaping', and to seed, cultivate and foliate. The grantees, their successors and assigns, shall also have the continuing right and Easement to enter upon said above described land, from time to time, as may be required, to generally do and perform all of those acts consistent with said uses in light of the �- purposes set forth. above. The provisions of this Easement and Covenant are intended to benefit and bind the heirs, executors, successors and assigns of the Grantors and Grantees. Said easement is to run with the land. For good and valuable consideration Grantors and Grantees covenant that neither they nor their successors or assigns may erect any structures or fences upon the easement and Grantors' right to enter the easement shall be restricted to occasions of absolute necessity. This grant of easement is subject to a declaration of homestead and mortgage of record recorded prior to this instrument. For Grantor's title see deed of Marie Pitocchelli, Trustee of the Phillips Common Realty Trust, dated July 16, 1992, and recorded in Essex County Northern District Registry of Deeds in Book 3505, Page 35. /0 YC) A,.), -,,r -,6 -k,, -day of _A4z',1_4 199 GAIL A. WINNING COMMONWEALTH OF MASSACHUSETTS ss. Date: K4i Then personally appeared the above named JOSEPH S. WINNING and GAIL A. WINNING and acknowledged the foregoing instrument to be their free act and deed, before me. Notary My C s ion expires: at1liteAvinning2emt A Location -3-5 i -q? ! C I J -'.S No. Date "ORTi, TOWN OF NORTH ANDOVER ,,60,0 Op Certificate of Occupancy $ ©' 0 91 PROW iiding/Frame Permit Fee $ oundation Permit Fee `V N- rOther Permit Fee $ LZ � `� 'Sewer. onnection Fee $ oyes?onnection Fee' $ AIL $ f - 00 Building -Inspector, ' y Div. Public Works Location No. F Date~ >� f � F of jo oT ;TOWN OF NORTH ANDOVER Certificate of Occupancy $- �` y Building/Frame Permit Fee $ s o� ,.• a r �SSA�MVSE<�Foundation Permit Fee $ Al 9 OP POP Sewe Correction Fee $ i P' Water Connection Fee $ Building Inspector t i . Div. Public Works i PERIiTiTQ. d APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 —�: MAP d -40.I QONE LOT NO. SUB DIV. L T NO. / ^Y720—I 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE LOCATION /JS�4� .lb ,I PURPOSE OF BUILDING OWNER'S NAME V �� c/a2 _ NO. OF STORIES SIZE / OWNER'S ADDRESS BASEMENT R SLAB ARCHITECT'S NAME/t�t�U� SIZE OF FLOOR TIMBERS IST 2ND ���/ 3RD v BUILDER'S NAME \+" SPAN / �ISTANCE TO NEAREST BUILDING % yyyyyy---- DIMENSIONS OF —SILLS( DISTANCE FROM STREET -20 POSTS Gi r ciSi/'/2 iDISTANCE FROM LOT LINES —SIDES v REAR "]G GIRDERS AREA OF LOT / 2 i Uo f --r- Z -FRONTAGE `cJ V HEIGHT HEIGHT OF FOUNDATION 8 THICKNESS // ' IS BUILDING NEW ,/6 SIZE OF FOOTING Qbx 2 z x .IS BUILDING ADDITION//' �✓ V MATERIAL OF CHIMNEY �� nF IS BUILDING ALTERATION /I IS BUILDING O SOLID OR FILLED LAND IS BUILDING CONNECTED TO TOWN WATER L WILL BUILDING CONFORM TO REQUIREMENTS OF CODE BOARD OF APPEALS ACTION. IF ANY /I/ i2 IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE �[ INSTRUCTIONS �t SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 1 PAGE 2 FILL OUT SECTIONS 1 - 12 071, DATE 61°2,lf SEE PAID boa 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 V —'7 — f 2 - FEE /Z6 97 4'0 PERMIT GR TE Z19�� a PERMIT FOR FRAME/BUILDING DATE: °J' y FEE PAID: //68.' -. OWNER TEL. # 6,::5'77//Zj CONTR. TEL. #t5c�_ 7%/ CONTR. LIC. # aZ 2 BLDG. PERWIT EEE _�� C/v LESS EDA FEF=-.__. !SUE FRAME Pbtir :, , 3 PROPERTY INFORMATION LAND COST ' EST. BLDG. COST EST. BLDG. COST PER SQ. FT. y�o EST. BLDG. COST PER ROOM ,.e SEPTIC PERMIT NO. Jf/ 4 APPROVED BY BOARD OF. HEALTH PLANNING BOARD BOARD OF SELECTMEN BU:LL 14ISPECTOR T OCCUPANCY SINGLE FAMILY S 13rd S OkIES O MULTI. FAMILY OFFICES �_. APARTMENTS CONSTRUCTION 2 FOUNDATION CONCRETE3 CONCRETE BL K. BRICK OR STONE 8 INTERIOR PINE HARDW D PLASTERr_ DRY WALL UNFIN. FINISH t _ 2 I3,, PIERS 3 BASEWIENT- ,\, AREA FULL FIN. B'M'TAREA '/, 1/2 �/, NO B M T HEAD ROOM FIN. ATTIC AREA . FIRE PLACES " MODERN KITCHEN 4 WALLS _ 91 FLOORS CLAPBOARDS tie' CONCRETE EART„� H HARDW Q COMMON ASPH. TILE 1 2 �_ 3 _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRI(.. STUCCO ON FRAME BRICK ON MASONRY.— BRICK ON FRAME. _ '-ATTIC STIRS. & FLOOR _ CONC. OR CINDER BILK. WIRING STONE ON. -MASONRY-, STONE ON FRAME , ­r.,,, SUPERIOR I POOR ADEQUATE NONE 10 PLUMBING BATH 13 FIX.) 5 ROOF GABLE I HIP GAMBREL I MANSARD TOILET RM. 12 FIX.) L 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 8 FRAMING WOOD JOIST 11 HEATING PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS �C AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd ELECTRIC N HEATING _ $WILDING RECO t� 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE .FROM LOT LINES -AND-EXACT ,DIMEIVSlbt4-OF BUItbINGS, WITH' PORCHES, GA- � RAGES, ETC. SUPER IMPOSEC.71 1S REPLACES PLOT -PLAN: 5 �L 0 a Jov R ARA YG D r' !elm, 33 - A 1st S 13rd I O ^.J t 6 10 44 0 i= cc OL CJ J m O CO OOR e! d '~ Q CD CC m V) 0 L CL c L c - A ;. 1~ .a rd� go one = O 0 0 0 O LLI LU D, N to H Z V d W Z Z W WO wald Z Z u ? D!. m m L C J L JCD L V L m Y a W O L C O O m O E 7 E a: _0 LL a: lL ¢ 0 U- ¢ m CO 0 i= cc OL CJ J m O CO OOR e! d '~ Q CD CC m V) 0 L CL c L c - A ;. 1~ .a rd� go one Location 'S I 14 ()/,flew • tq. 2-c y Y Date 644 Z— i NORTN TOWN OF NORTH ANDOVER Certificate of Occupancy $ ilding/Frame Permit Fee $ �� s ^°oundation Permit Fee $ Other Permit Fee $ l7 sewer Connection Fee $ /0-0f) dereConnection Fee $ 0"-0 NO' �na0 TOTAL $ 2000,494) Cie$uilding In§pector �� Div. Public Works 1i i FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM SUBDIVISION/CC/� L_ l/ x/i'9ati/ ASSESSORS MAP SUBDIVISION LOT(S) ,47- ?` PERMANE,T ADDRESS (ASSIGNED BY D.P.W. STREET y�C c i%,J,cr,�la�✓ APPLICANT �� i�l C o .�/�/o.✓ 1���/ C `�� PHONE DATE OF APPLICATION BOARD OF HEALTH HEALTH SANITARIAN `� r DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER'CONNECTIONS FIRE DEPT. }+,,, W'.af-A e,,•.n�, . " eA v .,-A vh/iV 0V 3,11 RECEIVED BY BUILDING INSPECTION DATE DATE APPROVED DATE REJECTED �111rxim This form shall be signed by the agents of the Planning and health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. TOWN USE BELOW THIS LINE PLANNING OARD DATE APPROVEll1'�, V:1 Z TO&�'PLANNET, DATE REJECTED CONSERVATION COMMISSION DATE APPROVED CONSERVATION ADMIN. DATE REJECTED BOARD OF HEALTH HEALTH SANITARIAN `� r DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER'CONNECTIONS FIRE DEPT. }+,,, W'.af-A e,,•.n�, . " eA v .,-A vh/iV 0V 3,11 RECEIVED BY BUILDING INSPECTION DATE DATE APPROVED DATE REJECTED �111rxim This form shall be signed by the agents of the Planning and health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. of /� I�GG.arIE•vT -rTS o/bio A AS 00 O' (A *Arm: V: F a+ y go ■r C F o w CG 'a o U •� u y O .., G. 4/ W F r CJ bad o� o •r dPV4 O MCA; N N , Z c) 6r O� > W O� �X ULLJ C �CL 0 LTJ J ZDo coo W CC 1�— W R r -O W LAW N Q D N p CL Z-4 c W 66� 0 u O Z W • � � � � V m � y IL a m\�v •s V :` ¢° c �o a: V) U- O ° O E AS 00 O' (A *Arm: V: F a+ y go ■r C F o w CG 'a o U •� u y O .., G. 4/ W F r CJ bad o� o •r dPV4 O MCA; N N , Z c) 6r O� > W O� �X ULLJ C �CL 0 LTJ J ZDo coo W CC 1�— W R r -O W LAW N Q D N p CL Z-4 c u O d u a E c a p c u Z D ._ CW, m V 0 to w c cc CL Q• m .J p Z N 1?� :O I~ O 0 U cn 04 .H P4 v 4J O a F-_4 It in 41 y d a t u d w a s W �o n C a u v N CD a V4 14 0 y a J.1 0 u u a • y b w. w d 3 'v d w fa O A+ u • 4+ 0 p3 b .�1 a 1r 0 c d Ni of rn N I C 0 • y 0 a 0 u !N c si w 0 N C V —4 u d o a CLm Z 0 - N °`i }- cm W L n N W �6 —�1 IZ y 75 IL_�� 0 00 w 0 m �� J — z W z }w ¢ = O U H cn g Jo" s M(t a.�r L ° W b IL 0 Q F� v W i - a i dt W 0 I~ O 0 U cn 04 .H P4 v 4J O a F-_4 It in 41 y d a t u d w a s W �o n C a u v N CD a V4 14 0 y a J.1 0 u u a • y b w. w d 3 'v d w fa O A+ u • 4+ 0 p3 b .�1 a 1r 0 c d Ni of rn N I C 0 • y 0 a 0 u !N c si w 0 N C V —4 u d o a CLm O 0 LU u. 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