Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 353 BOXFORD STREET 4/30/2018 (2)
N � O O �v N om o � 0 '�� { Location No. G r Date TOWN OF NORTH ANDOVER GL Certificate of Occupancy $ s�cNus Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL r Check # i 8331 z� GBuilding Insp efor TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP !Ea2VAM OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: 1-7 / 4 DATE ISSUED: 4,S�- 1 6,/v SIGNATURE: Aw Building Commissionerffng6E or of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number- umberMap Number Parcel Number Map 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: LA Area Fronto it 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided t I 1.7 Water SupplyM.G.I..CAo. sof 13. Need Zone h fxnutim: 1.8 Sevinsge Disposal system: Public ❑ Private ❑ Zone Outside flood Zane ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT , I Ctrl Ct: -No 2.1 Owner of Record llt_ D ( X5-3 ✓ "F Z.!!%/ Name 76'"11 Address for Servi : Si afore Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address p /� 7 o'F— X ' /y9� Signature Telephone Not Applicable License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name I Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 Workers Compensation Insurance affidavit must be completed and subs in the denial of the issuance of the building nermit. / this application. Failure to provide this affidavit will result Signed affidavit Attached Yes .......0 No ....... 0 SECTIONS Description of Froposed Work check as a 6k New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other 9 --Specify j7& -c/(_ Brief Description of Proposed Work: iJl770-N/ eP;-:- V& I RF.VTTnN 6 - RCTTMATR.n VnNCTr?TrrTTnN rnellre Y Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building -4 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing _ -- -- Building Permit fee (a) x teI `- 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) lYT /YTTAIT A. A�iY� Tf Check Number OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Ias Owner/Authorized Agent of subject property Hereby authorize to act on M If n all la ve to work authorized by this building permit application. _ J'' Qs` Si nature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, jl,= Do SG.en,L ,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 N � I - Signature of Owner/Agent ��►a NO. OF STORIES - SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 147 2ND 3RU SPAN DINIENSIONS OF SILLS DIMENSIONS OF POSTS DRvIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHnVNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 0 k 0 , 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 SECTIO LOCATION: Assessors Map Number �(t_ SUBDIVISION STREET ADMINISTRATOR OFFICIAL USE ON- DATE APPROVED DATE REJECTED PHONE-Z%L—, &6 PARCEL— LOT (S) ST. NUMBER c • v TOWN PLANNER DATE APPROVED DATE REJECTED BATE APPROVED DATE REJECTED DATE APPROVED DATE RP_11cMen PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ RGOW rx jm . 0 f HOR7N TOWN OF NORTH ANDOVER 3= :�'..f`t- °oma OFFICE OF o A BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 D. Robert Nicetta, Building Commissioner HOMEOWNER LICENSE EXEMPTION Please print DATE:—±5-/2, C(/Of— Telephone // Of Telephone (978) 688-95454 Fax (978)688-9542 JOB LOCATION: 3S3 10-_)Krs-o ,tp _j�e /alg—c Number Street Address Map/Lot HOMEOWNER D%2(Sc�zL_ 7(f/— 76a - Name Home Phone Work Phone PRESENT MAILING ADDRESS 3-5--3 1 - 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. X___) In �\ HOMEOWNERS SIGNA APPROVAL OF BUILDING OFFICIAL BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 �14'-0'� 12/-0# 2' — 0 "I --- a a x O x 4/_0// n w :3 td tj Q Q rein. (o x C n U) T cn Ln BOXFORD STREET 41' L = 176'-* 57' 59' -Tnaj s avk EXISTING FND. TOF=98.5' w 0 � o LOT 2 A=4.5ACRES FOUNDATION LOCATION PLAN CLIENT.BARRETT CUSTOM HOMES THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. L OCA TION: N0. A NDO VER, MA. SCALE.1 60' DATE.7/25/01 I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANMWEIIANDS,EASEMEMM ORDERS OF CONDITIONS.ETC) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE.EXCEPT WnH THE WRITTEN PERMISSION OF CHRISiUMSEN & SERGI INC. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRISTMNSEN & SERGI INC AND ANY UNAUTHORIZED USE IS PROHIRITED.CHRISILINSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUIHORIZED USE OF THIS DRAWING OR ANY INFOR- MA110N CONTAINED HEREON. —.— PROFESSIONAL CHRISTIANSEN &SERG/ ND URVEOS 160 SUMMER Sr HAVE7PM"NA. 01830 TEL. 978-373-0310 ®1001 BY CHRISTIANSEN & SERGI /NC 1001 o W z O cl z Q m Q I a. 1� M F-- I a. Nt a- I ~ a. z x �0 0Oz O � m � W Oa I- LA W t O O N E LJ a "Ir >, 3 w 0 W O� 0 � c o o � a a O c a C2 a m Omo O w a u w � a°4 � a°4 fi. a°' w rA ° cis cn `NG0��Q• Gee O O t Coc - � CLU " m a cc o► o�paZ o c L O O� CL c : i • c c 3 S O O ~ S O • r0.. ~ t C40 uiW C W wit M�aSWEo O .0 O O_ Co 0 COL CL 40 �M- C* t— z $ aJSm 5 Z �qLll � c cm O•— h go �. hO m m O m � 0 Cc O d CMa O = � c O V10 O c Z s CL ci h c C _ C c y cm LLI N 0 W W 19 W U) c o WC -2 ,om pn, c O O O c C2 a m Omo O _D C Ec `NG0��Q• Gee O O t Coc - � CLU " m a cc o► o�paZ o c L O O� CL c : i • c c 3 S O O ~ S O • r0.. ~ t C40 uiW C W wit M�aSWEo O .0 O O_ Co 0 COL CL 40 �M- C* t— z $ aJSm 5 Z �qLll � c cm O•— h go �. hO m m O m � 0 Cc O d CMa O = � c O V10 O c Z s CL ci h c C _ C c y cm LLI N 0 W W 19 W U) WI M a•nAoa 31V0 VOIDUSNI ONIO'11ne Ae 03AI3O3u iN3WiHVd30 3HId liWH3d AVM3AIa0. -------------- SNO1133NNOO a31VIWa3M3S - smuom Tend a j!-'S1NMWOC ---- �� C13133P3>:I31VO 1` 03AOaddV 31Va 031 arm 31Vt, 03A0»ddV 31V0 =0004 O31O3P3�! 31VO ------------- G3AOMddV 31VO H3NNVld NMOL S.LN3WWO3 • 03103P3m 31VO O3AOaddV 31VO HO1Va1SININOV NOIIVAH3SN00 -SIN30V NMOL d0 SNOIIVON3WW003a 'INO 3sn 1Vo1li0 ---------- E75-7 a3ewnN -ls 133a1S (5) 101 NOISWOens �13021Vd S7 mgLunN deyy sXssmV :NOI1VOOl 3NOHd ) 1NVOIlddV N01133S SIH1 lno Sllw 1NV3llddV**"** s�uawa�inbaa jo algeolldde Aue 411M souslldwoo woo JauMopuel Jo/pue;ueoildde 041 anailaJ IOU Saop x141 -paulejgo uaaq GAe4 uol}oipslmt BUTAe4 s}ueW:pedaa pue spieo8 wOJI S4iwaad/slenadde � jesssoau lle;e4} /4!JSA of pasn si wJOI si41 :SNoiiona1SNl W?IO:l 3SV3l3a ioi - n m0:1 .,,-► pQ� i�51��. U T- - - - --- -- -- T V D OIIVZrdO Mda / 32Il1ZYNDI �� g.Lda ISg110Md PiOI,LDgdDUII MU O,L 2IORId ME[ag SVH gNI 1131'VM MT.T. ,LVH.L alVD TI l ISM •M'd'a alva Xal3w HM - gZdQ NlN NV'Id alvQ ' A OUVAIMSAI00 JAII.Lf10 d AIAIO aSf1 'IVIOI33O �.•4ro a2If1.Ldmois 'SgaOD g'IgdDI'Iddd 'I'IV .L33W .LORI Saoa g2If DfliLLS gFi.L di agJ)IVHD gg -rum S�l'TIOa ('SZ$) gAI3-AZhig u 30 aaa NOLLOgdSIi-gw d 'gwvlu 3NU SIH.L NMUIM (Ig,L3'IdWOD gg .LSaW S,3dO-NDIS a� }RIOM 'I'Id O �f Nouz)gdsNl �03 A(Idgu give i � 1 n �'! ag� isgnagK g1.da j AIOISIAIcEns IIggwntq .LO1 SSg2IQ(rd NOUDMSNa / ADNVdf100O dO 31VL)1MIR33 Hog NOUV:)ITd'dd y�SnH�d�s o.l��b b� * t * Zb56-889 (8L6) XL3 5b56-889 (8L6) 5t,810 suosngaessrw `iaAopud quoN 10911S s4)1-Mq0 LZ °j olr`T juamjjtdaQ gut6lmg r H.LaoN JaAOpUV ql joK i0 UMOJL I Town oNorth Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 APPLICATION FOR CERTIFICATE OF OCCUPANC ADDRESS LOT NUMBERT SUBDIVISION DATE REQUEST (FILED i DATE READY FO INSPECTION %� j FIVE (5) AYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED s ALL WORK AID SIGN-OFF'S MUST BE COMPLETED WITHINS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLHIRS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE IQ 0,&�&&-IQ r OFFICIAL USE ONLY ROUTING ' CONSERVATI N DATE - PLANNING 6 DATE 12- D.P.W. zD.P.W. — WA METER DATE t r D.P.W. MUST IINDICATE THAT THE WATER MET HAS BEEN INSTALLED r PRIOR TO THE lINSPECTION REQUEST DATE. tip IGNATURE / DPW ZTMRIZATTO �� ?— ; Date.... ,No 33� �.....f.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that �'`... �. a 41 n ..... /7 ............... ....... . ............................ .......... has permission to perform ...... / Q / ..4?. S ............................................. wiring in the building of p ..........1. A .. North Andover, a; Fee... :w. Lic. No 5'C.......... ....................... / ELECTRICAL INS�ECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �� THE(,1f116�i'V1UNWLALTHU]4'AL4 .�4CHU3E]IJ Utnce Use !�I,DEPARTMENTOFPUBLICSAFM Permit No. BOARDOFMEPREVF. MONRWUMTIOASS27CMR12:00 V Occupancy &Fees Checked APPUCATTONFOR PERAff TO MFORM ELECTTMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street d Owner or Tenant Owner's Address To the Inspector of Wires: Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building &0�( Prr f/ 0`� Utility Authorization No. I Existing Service Amps Volts Overhead a Underground No. of Meters New Service Amps / Volts Overhead ED Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work S' / er f eq r k No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above M Below Generators KVA ground ground 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 Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipala Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER - htstrarrreCor wtsuatYbthetagtmarte3ttsset�c> Laws Iha%eaamtLdn*h&ratoePU ym6xkgCar# e CotaaWcrits egivalatt YES © NO E] Iha%cwbrnitledva1idptoofofnm1DtheOffm YES U NO �' IfyuhawcttedcedYFS,pl mmdc*theWcfwmagebydnimtgthe bcx INSURANCE [Er BOND OR4R ftmSpm&y) E*-atiar Date Estffn&dak>astart �G �/�%d Vahtec Hmfticalwait W hnpoctionDaleRapeod Rough FM Signed tI P�t16es of FIRMNAME S'rJ / / / �Gn ,Cl • ,P '�/'/�•^�_'-► .�._.� Liar�eNa � q 7-0 Llo� -/ �' V 1%�� S'ipnam ��jfiL� i � � �.�� Liar>SeNo BtlsumTelNa ysG Ates-, it I l Gvr c—i AtTel. Na OWNER'S WSURANCEWAIVFR;I.arnmarethattheLimnse dbes rd theabutialeWhaleritasr WrcdbyNt%mduetCorral Lam atrcith� mysgmttsarnthis petrr>$t�pl�rwaiwsthis � (Please check one) Owner M Agent o �!- Telephone No. PERMIT FEE (/ V I�j� - 6 i Date...`.........�.....�1. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that < has permission to perform..; ...:.:J.... ...................................................... l wiring in the building of .. ' ..:... ' .: `-.� -` '' jJ......................................................... at .. �5... ` -�� � North Andover, Mass. Feea.`.y..... ...... Lic. o:. 'F;4: ........ �/. .,................. „ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer I*Q N THE CVMMUNWL lLIHUl'm4s"(,L-L(JJLT 11N Utttce Use only DEPARTIIf'NTOFPUBLICSAFETY Permit No. BOARD OFFMPREVEMONRWUL TIOAN527CMR 12.07 � a� 1 Occupancy & Fees Checked APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat 1,5 Town of North Andover To the Insp or of Wires: The undersigned applies fora pecmit to perfbm, rqhe electrical work described below. Location (Street & Number) Owner or Tenant A—J) t— (' Ah n, V Al r T-" L Owner's Address Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) Purpose of Building ,<< Ivb L2 L�►,i P. /S L&iVC 1 Utility Authorization No. b`3=7 Existing Service Amps /_ Volts Overhead Underground No. of Meters New Service rk U AmpsJ& Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 1 / VAZ-L i d/ e 0 .,.t/6 I c No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundg1:1round 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 Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER it�u-anoeCo�a-agV Ptasuat�mthetaq�analts�G�ata-alLaws IhawaamatLmbihiyhs==PbhtyaldmgCorr#Aff, ComaWcris egivakrt YES NO IhareahTu&dva6dptoaf6fmne1otheOlfim YES n NO If}uulmedvdwdYES plemmdc*thetyvcfcmbydcddttgthe CEEZ BOND 0HER Q Vcwe) EstimskdVa9tecfEkd ical Walk $ Fttla) i I. J s I�tU and dxtmysigr&wcnftpetmitapplicabori thista4 mianent. (Please check one) Owner Agent Telephone No. PERMIT FEE $ c 5c 1 V Z 4 LL V O 06 w LL a w a�C is LL w V m z V aJR1�nJ1SbUlAtininn aft inud ntuin as neio n -%-►n in aioouqj8c) dsui-98 1� a. iodwal U J O`C ,HSIN13 U w� °O A5)103(1 w� I hd3HU q booaj13 � rVIS ae duan ry)H \ FA N 1 'J hopul/V1 w a rrA Who VaL�7 wH� � a w 0 3W`d2id INno-A Iloo3 i3dSNI suol;oodsul ou Jo --(AO Ad00) 11MOd 4N`d 'SS3WOV 'S2138WnN lol ll`d 1SOd M0138 SW311 Ol (1311WI1 1ON -1SI1)103HO/8310N ONId11n8 l"3N30 nD 7O o1 ri rA r� a, '3 V3; •6! c O � o � v v t' 'o• -o z a qw*46 `—!�� s m V c 0 %*Z.a C2 CD ♦ �' h H = m J N Am i•, z '� N O d E N m mo t o cm o rzO CD O V C3 Z O c v L:on O N O c •c y m •O. m t_ W rr •y &=M v C c Z W •E 0 D cm L3 CD •N O y CL i eyv o O H• �0.. L rs... m > RAW s co 0 E C: z Q CO) CO co co s Q Q v CA Q R .CL CO2 C Q V cc i Q ts co O. CO2 C CD C os Q •C co cc 4 _o U) U) w w W CO ° w oa 44 o a S o G a w/ W G w w z Q w° U) w2 g2 U w cn P4 w CO cn cn '3 V3; •6! c O � o � v v t' 'o• -o z a qw*46 `—!�� s m V c 0 %*Z.a C2 CD ♦ �' h H = m J N Am i•, z '� N O d E N m mo t o cm o rzO CD O V C3 Z O c v L:on O N O c •c y m •O. m t_ W rr •y &=M v C c Z W •E 0 D cm L3 CD •N O y CL i eyv o O H• �0.. L rs... m > RAW s co 0 E C: z Q CO) CO co co s Q Q v CA Q R .CL CO2 C Q V cc i Q ts co O. CO2 C CD C os Q •C co cc 4 _o U) U) w w W CO Date ".O R7 :4e TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING i _ • This certifies that . .?............ . has permission to perform .... .cam....-LG.�., !. ......... plumbing in the buildings of ...r ?/+,�i.-.. .... . ................ at. .�.� ....�l'.4-x.f' �.<t..�............. . North Andover, Mass. Fee Li c. No./0. . ........ P PLUMBING INSPECTOR Check # S ��� � 4985 MASSACHUSETTS UNIFORM APPLICATION FUR PERMIT TO DO PLUMBING (Type or print)NO '1jr Its • %-L —0 MASSAC S"Is Date �- Building Locations i„� �.,�.,..�..� Permit ! 1 Amount 7 .Owner'sName New GK_ Renovation ❑ Replacement ❑ Plans Submitted SQL (Print or type) Check one; Certificate installing Company Name G a i i n s k v LLu M,b i n aj H ga,r._,... Corp. Address P . O .Box 170.1 Partner. iMM-ss Telephone 178 8- 3 7 4--17 4 3j, Firm/Co. Name of Licensed Plumber: Stephen C. G a l i n s k y Insurance Cav_ rages Indicate the type of insurance coverage by checking the appropriate box: Bond Liability insurance policy Usher type of indemnity ❑ jM=02LWjLver. 4 the undersignted, have been made aware that the licensee of this application does not have any one of the above threoInsurance re Owner ❑ 1 hereby certify that all of the details and information I have submitted 0 best of my knowledge and that all plumbing work and installations compliance with all pertinent provisions of the Massachusetts State p I _ _ Type of Plumbing License own tiin�il�1�Mester13 COVED (OFFICE USE ONLY cation are true and accurate to the d for this application will be in 142 of the general Laws. ,journeymen Location No. Date TOWN OF NORTH ANDOVER D d Certificate of Occupancy $ Building/Frame Permit Fee $ s�C 0 r Foundation Permit Fee $ Check # Other Permit Fee $ TOTAL $ Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING � � BUILDING PERMIT NUMBER: DATE ISSUED: �a� (s,*, a�-aQai SIGNATURE: 4J2, 4/ e Buildin Commissioner/InErEtor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 353 (3Dx-,For8 .S - I D5 G I n � o� : 151 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Us Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 13 053' aO Lef+38' d' -�- 1.7 Water Supply M.G.L.C.40. 1.5. Flood Zone Information: Public ❑ Private �/ Zone outside Flood Zone 1.8 Sewerage Disposal System: Municipal ❑ Ou Site Disposal System k""", SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Pa.ylan d Cara �� N Or'isc6l) % 9, 91 PasanA- U1-euj S+ Name —W int Address for Service : ignature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ W'Ilism i5arre-Ak^^a� Licensed Construction Supervisor: CS Q,Ca 9 Ll 1 License Number I -7I 50re5t-:54-- N0. Adopt/ Address loll d D Expiration Date nature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 & 2506) 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 buildinkperrnit, Signed affidavit Attached Yes ....... No ....... 0 SECTION 5 Descriptiolpi of Proposed Work(check all applicable) New Construction Existing Building ❑ Repair(s) ❑ dterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: I C2(1StrUC,-� ibrj It'F Gk. Sir�a IP Fa i v bWelI cA r o. 01 car 6onao P SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed b enmit a licant 'V QknCIAL IISE �1vTLx , , A, ;:. 1. Building (a) Building Permit Fee Multiplier ! ,So So b r op 2 Electrical (b) Estimated Total Cost of Construction �' Cu/ 3 Plumbing Building Permit fee (a) X (b) �( 4 Mechanical HVAC Q 5 Fire Protection 6 Total 1+2+3+4+5 rj Check Number SECTION 7a OWNER AUTHORIZATION O BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Pow 0 I, Pof l S C 6 k\ as Owner/Authorized Agent of subject property Hereby authorize (A)�1 W% Ct ✓ \ 05o'r('C-t to act on 4 al - it 3I .auatters tive to work authorized by this building permit application. s5j le 101 gnats of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 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/Agent Date i plum NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRVIBERS 1 s 9(), 1,) 2 k (f) 3 0 SPAN IH DIN ENSIONS OF SILLS 14)< DIMENSIONS OF POSTS k{)( 1D DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION ' THICKNESS SIZE OF FOOTING 10" l( y X MATERIAL OF CHIMNEY C IS BUILDING ON SOLID OR FILLED LAND i IS BUILDING CONNECTED TO NATURAL GAS LINE Building Value Calculation -for Propertv at..... LOT# 2 Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen 24 16 384.00 65 $ 24,960.00 Brkfstnook - 65 $ - Dining Room 12 12 144.00 65 $ 9,360.00 Family Room 24 24 576.00 65 $ 37,440.00 Study - 65 $ - Living room 28 14 392.00 65 $ 25,480.00 Garage 24 24 576.00 35 $ 20,160.00 Entry 12 12 144.00 65 $ 9,360.00 2nd floor foyer/sitting - 65 $ - Sunroom - 65 $ - mudroom - 65 $ - Walkin closet 12 7 84.00 65 $ 5,460.00 Basement Finished - 65 $ - Deck - 10 $ - Screened Porch - 35 $ - laundry - 65 $ - Bedroom 1 18 14 252.00 65 $ 16,380.00 Bedroom 2 14 16 224.00 65 $ 14,560.00 Bedroom 3 14 16 224.00 65 $ 14,560.00 Bedroom 4 - 65 $ - Bedroom 5 - 65 $ - Bathroom 1 12 9 108.00 65 $ 7,020.00 Bathroom 2 12 8 96.00 65 $ 6,240.00 Bathroom 3 - 65 $ - Bathroom 4 - 65 $ - Bathroom 5 - 65 $ l[{;;�P�1 14 ONINIKVId Ob56-889 HJ,TVdH 0£56-889 NOI.LVMI�SNOD 9b96-889 DKIQME1 SSSIWZUd alll x0 CH2 FTIdSIQ Sg ZSfjW JJW'dSd SIHS, OaHi 1 SH HDIH9 QIZOS Ib96-889 S'Iddddd d0 (FdVO9 S?i�dY132i rt�T''�asxI HH'd o Wdad * Wsa xOI S IV(3 $a :panTa09a uaaq suoTgpTnba.z pup S91ra anpq pup apoo aqq 3o squameaTnbea oq =oguoo aopTdaaT3 10 �aumTgD TTTM 0 -P, ) HI=H 30 SSaNXZ)IHS, X j SHfl'I3 30 SZIS QKV xsaWnx 7,aKKIHO HOIUaIXS 2 HaNWIHO HOIUaINI 2�aX iIHO 30 'IKI'daJV i 6C - °a -,8Lb -,8LaxoHdatas, s, xoSVW a *,c -d sszxQQv s, xosvw dL 2XVx S,xoSVW s awvx s,xaxMo o Avo xOIZVZ)Oi �'Zo # ZIJnRI3d /up alvcl Z1796-889(8L6)xud ate,::. liwaad aNv NonvDIaaav xaNwIHJ Sb810 suasnq ussulN `aanopuy gIJON Iaaals salju40 LZ s:IDin'dHs CWV ivaWa®rlaAHG AiLiNaWWO3 Jo a3Luo .ianopuV gpoN jo uA&o1, I EW889 (8L6) .1o10a.1,IQN� ILODS I vIITM FORM - U _- _LOT RELEASE FORINT q� INSTRUCTIONS: This form is used to verify that all -necessary approval /permits from &cards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements0 0 0 Is a 0 a 0 a a a 0 a a a .......... as noun Reason Manama Mason malsomommom. 0 Samoa was mass me APPLICANT f.0 I I Mann f f C PHONE Q'7$` & g'2► 01.30b ASSESSORS MAP NUMBER ! 0.5a LOTNUMBER 61 SUBDIVISION LOT NUMBER a STREET 60 XT 0r A S ° p STREET NUMBER 357 ........................................................................... OFFICIAL USE ONLY BERBER n ..... m■ soon m o m m o m .. m ■........ o .. m on a ... a m o. a. a. a n a. m .. a. m■ woman ■■ RE ONS OF TOWN AGENTS I. . . . . ■......i■..........■■.m........a......r..m..."miss Wannown DATE APPR O A ADMMSTRATOR DATE REJECTED COMMENTS TOWN FOOD INSPECTOR - HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED (z9 -1201b DATE REJECTED DATE APPROVED DATE REJECTED / DATE APPROVED oZ DATE REJECTED PUBLIC WORKS - SEWER / WATER CONNECTIONS At1 Y PERMIT DATE APPROVED FIRE DEPAR DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR J.VVILLIAM HMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 'to , DRIVEWAY PERMIT Telephone (978) 685-o95G Fax(978)688-9573 DATE MAY / a LOCATION 3 3 BUILDER phone OWNER A Phone THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR. APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. ®rt, 4cAA N --Ft S!C,-VVIAY Ue.�E- - �?it2VS M � -_�- _---__---� 0;-A t'.! , A -z '51�'M,�'# 0 A� A41R R ,.IN AiWQ n't V -5- AAS, .. ....... . 7, z, _�.o Hld3d P� x -&v -lip X. 40 0;-A t'.! , A -z '51�'M,�'# 0 A� A41R R ,.IN AiWQ n't V -5- AAS, .. ....... . 7, z, _�.o GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. W 111 i a n. 8arrt- 353 86x -Cord, S} -. 1056 5 Permit Applicant Property address -Map / Par el Applicant's Phone Number 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 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 dwelling in existence as of the effective date of this bylaw, provided that no additional residential unit is created. V The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of 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 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens 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 part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least tet buildable acres and permanently designated as open space 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 and 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 a building permit ( 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 submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER 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 OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR ZPPt4JTCA ROUNDS R REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. NTS SIGNATURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION The .Commonwealth of Massachusetts Department of Industrial Accidents Otfica of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Location: city Phone # I am a homeowner performing ail work myself. F7I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Companv name: Colontelt i 10.4Geo Corte QtB - — GA/lllarn 60141 -e -f 1%MC5- Address 10 4 4 -rUfn D i tit St' City- /U0 a n doss er- Phone #: t0 g a- a 3 a O Insurance Co. MgLryla.nd. C&Sdoa1fv C10Aga,44 Policv# UJG 9,5$374 97/03 Company name: Address City: Phone #: Insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name GcJt l �IGiM �Jc�rr -H— _Phone # Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensino ❑ Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact perscn: Phone #: ❑ Health Department ❑ Other BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 052241 Birthdate: 10/10/1952 Expires: 10/10/2001 Tr. no: 7876 Restricted To: 00 WILLIAM K BARRETT. _ 1049 TURNPIKE ST r+ 'e,�Y,,tr N ANDOVER, MA 01845 Administrator c Town of North Andover Building Department 127 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 I I DEBRIS DISPOSAL FORM NO R T►1 O t4�o , 'yty o o L 4 o t �. A- ttltwKMw.K• 7 4�44'rep 0RP1y �(5 9SSACHUS�A I In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the 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 /at: Facility location Signature of Applicant itlot Date I I I NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.0 CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 5-18-2001 DATE OF PLANS: TITLE: PROJECT INFORMATION: Driscoll Lot2 Boxford St NORTH ANDOVER, MA 01845 COMPANY INFORMATION: WILLIAM BARRETT HOMES 1049 TURNPIKE ST NORTH ANDOVER, MA 01845 COMPLIANCE: PASSES Required UA = 365 Your Home = 355 Permit # Checked by/Date Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA CEILINGS 990 WALLS: Wood Frame, 16" O.C. 1776 GLAZING: Windows or Doors 276 DOORS 40 FLOORS: Over Unconditioned Space 936 HVAC EFFICIENCY: Furnace, 86.0 AFUE 30.0 3.0 13.0 3.0 19.0 32 127 0.500 138 0.350 14 44 COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR Builder/Designer 1310 fi J4.4. Date fr ., v k • 353 (2)Oxforc[ S4 - 3. 4. 5. 6. 7. REQUIREMENTS FOR BULDING PERMIT SIGNOFFS BY BOARD OF HEALTH To filled out by the applicant and submitted with the Building Permi application What; is the proposed project? Deck pool addition I other I Are plans attached? (For additions and new houses on septic systems, complete floor plans of proposed construction and any existing house must be submitted. For pools and decks, a site plan with location of pool or deck is required. Dimensions of deck are needed.) Is municipal sewer available at this location? If sewer is available and a house already exists, is it tied in to the sewer? Is the Jocation served by private well? If this project is an addition and the house is served by a septic system, has there been a Title 5 inspection done recently on the septic system? If, yesi , is the inspection report on file at the BOH? i Yes No Yes No Yes No Yes No Yes No Yes No ,�-„•.". 'ar nR'�" n t 4 LS r n 1' ,.5 `F ' � � _ Y r . ,4 S i - j1 -� a..•.-:+sr-�S � s t 1 �: r f y F r j, Y � t ss t a L 'i _ - - .� v. :r 4x'i- .r � _ w a �Y��. a tt.' F `-`� ;r • c < R '� .moi. s'�" 't' '1 F `e` -c k� �}f •2 a , a L . } c, . 5 tr t! - i } }, .r1 �. 7• ♦: �. .r .'� {sa � �`� r ys A jS � ...t't N .:��� _ �h' s �.,;Jr r 1- 4! F- .•a x ,; ! Y `..t � .c�- ��, �+`.t ,.<�,�1 ; tt'• p � �zG•c`:� '�,j•r,. a'�(Y±rg!y.�4� ^ Y S .� ,.c .: Pw` 'si.' r .r �` _-'y;'v't ,5'�G• r ��'•'��" _ ">t'`• 4h: r , '!' ..:i;:'�'Y'' 4 !,7. Fi .1.•; 2 : i •t"R:% 1 - y - ,,� r .t f• ...,�:, s'i.. •car tit r.. #.�'r .'�`.' ,,. ..�".•;��g^r-".��.. o-yC._iz `i`•!�,"' Lr f :2 �> -.^1- fir• - 7, ' �yy,,,,,,,�s?7F��n.'y^^ �'x n qr-. <,., :� }- jt�,. .> r X14 . � r - .,i t' Y .t i.' ,� i •s• - � F t : , �i ..t ..T .Y twvY .,t r,:a .J• ' q.. _'y�,. ,:r, �' i. � 4..,/�", ^ i i.- - tr: r .4 ,�1' X.b,. r �:-• a -Z �.�, 'y 't� V :`3 't7.�. i 1 _ - Z.. J, N>.. fi n t ja.,r.•i$t'':Ef"� a+.i si '°� a i�iz ;�? -. � %v��t � f �� ;+�� t 5Y}.Lc r � ,� �,..• s.r,„:'t�i'";'� } . �� ���� ,;t r + � ,t ''- � . � `t ' 1 q..'$'.g�l'r �.tt ). ?," ,rte L' ,'s.'?.�"M{,: �,` `�.&r, .r a -r 't,:'' � _ .. .. 'A:'; :���.i' �V.•�r. _ *+7''' i/ ��. i s 4 , t, �: S„ .�4•.yy++rt 3f,..: i� r i 1 t - L - F., r •Y,•i:X�'.::.ti�:ii -:� ♦ .:2's t': .y,"tl»m,' :� "�'�� r "r.`' y L. t .s.t, {-t 5. .:t:!'Sr ,<• :f.t-.• ., p.� �rj�.� ,�'i .iE,i.fc .i'S..y��. .ta#d`�- • :r Hr .s�'- .t a .- :Y. '7 t:,. t„ 1�:,.�,s�i" arc o iT`.., 1,, r,}• s. ..a,�. t. .F.;.=ty�•.'•.t�-i - :� • '.?' t �. - :. - :r. ` irc. stir } ;'t4»`° ` t„' r i ;t;- � ` , '�k t•�'e • `",3 t � �:':etf"".: -• t 5 ' _ k j �a t : 't• 4 .a, 5. �'S"-f r". 1 ✓^, L'i;,t.C. '?. ,i�� (� .t�.r. }fir ,�I✓ •. •`-Ci. _ r,�Y. � t_ ., �• - :•I +,th t :\ at�:ti '+ -i -r aY..,•�, Y+'�dL•',��'.��'':>� ks � ..ct-_ice ri f�Cy�'� i; c7,�G ;.� F� '' ,'' .it I � -_ ter -: c rri.ra } I _ Y � , �. � `• '�•x � r.. -••t: r,' , cr _ �e } . r - - c i!?�,r �' jlj{ S -i 4 '- t �t fy.. i,; �id � ''•'{ �.."ci'!uh„��'vtai4• ��.�� y 'r V is .-iei' GUARD R p+OLIES ; r14 •� C 4 UTILITY. f F•� k 1 ` ��1 ' �' i � f f »` ty i � r'.. ,, n ., - y.,• a. rr � ,d � su►""'"n 1- L Y ,LR �� ff<-.i Ay,n. Y• , - _ - ' a ,t. �S''�i is �" rs' ._.� .. ,••..- ,dd 0� Y cut. spike sed in : u/p6le#32$1 w1 iQ©.QO', teas � v -t .F�NCE''..�STS RApi cut spike. �AUt�I��T��" s �•Y'S"i �4-a r 3 is va, r.. :�•)r"'t.'1 ;;fz�t `°c: � r ! t.Lt,}'i"`r �e.,� "y it_��.,a1�C° s'� s=,r .. -3 ..i .� - ,_.. �:,y _ < '` «:} ?� �`� n{'L '"F•,}4 p��i .T •�+�+�:.m ,� s 'Yht�, n, n. �,_, a •r , r - � r c . s y ;; •: 5�,, ."';� -) i�". ` .. ih ;`�a'?�;i�•iy+,sif��i4 .3- f L : yt "9T i:. !. Y 'a. a...>i f. ,r""`Y."i.. t '.$i+ 4 t v�il`i►►R � Ste. v { t +,. r t;�, �.�- � i' ! .4• i.. � � -t�•t� � r; 7-:'.. .� • - - 7 Sr ^sb,''"����� 1., . ��� r.+ . >- '.t _ -�.: s . ;'`, 9.. ' '�4�: Vr��4 "<i+i ' +:+', ti ' ''t - - �{ f ::Arr '�r:.rY";'. ;t'f.i rs ?i, r" ,, .ti ''{ .t-^ .a ::i, $ ,t;Yy i,•.:1�• `.; �a•=�'tis..:r :2,e,1 7�..J , ':T ,`I.y,i. '4i yy:-y i -c: ! -,.Y t ' � ' ��'tif.' a yri r•- �l'.r y, . �,^�a•�-'1'•-n i .at�t y it}�L:� ',� ;_ d: y >�`�_ t', " ,Hb �. 3•,Y�; �{s � .z js a % �,}l._ t • :R a ,),��s t.. �'' .•.,e i' tr -5t•� :� r � •;� ± { ''�� T�� ,;3`. f k ry� � � T t •�'♦ ..s :fin c [ � , 1 t � N -,F; Q std `..:-. •�.rp� t .y f � - .; r •d"'sfr<.al.tf i.� � a ,.\� 1 2 +L t^ r`t1j x X.r q fit'@ �• �y ({ \\\ ^' y- ttC,, p -'4 -'. -t r�+ }����?�-:.'.5. {'rV»$�,51`•"O _ `s'�t1t-�'..""..'"'"' h�.L'ri• ,,: 'I .r t � 1 �� _, � "tom •��g�t'/(��.,ry, .• �3 ' s r •��� , t i w-'. a;�mytA i Y r. i'�i z ` I $ <�•t .� �i VIII Ley.. rt +-$ • 1 , ( - a. ',f + r �:.%' .f+y ♦ n _' t__ � a .'.� � ; T -�. 'P. �,�S���r _ "kr }' �< i � .,? t' y 5'. »1::�(.��: P S :r }fl + N� yf Y--;�I t'+ "4'►-��4+:1-•' ,lt-r i.. f 1:. ��� _:�,- f �' ,. t 1 7 h *f'•: Y � k. � i.ek ' .i -� h.`t;r , ;L :{ o l�,p �♦ j: ,.c _f `r t?: + "moi[ :+•�/t=,'Y',»t ':�� *.- arya t r r .i. r`� -t'h r -r .`. �:5 'v� - _ f _ i . �'; '. �c kr,_- T.\� ;Y. ,'4'c-:t:Y, � 7" r• h ,-ha t� _,'A �?.a k t x �. str y .,,.. .9' s far•:: r; "� � -n `( fr � t ''Y 't . Ay:. 1::. :'i • j}��(pj �-. �i i ���. t. � i .r+., 'rri e.•� yl�� fey' � ip 2 t ,.,,; .t O ri �(� t s^:`.'t f•. .. t[I;# :' 50th- ii:�� i S.^ 3 ' _ ti' �:• 'c w '. j, t=}t c..:� - % i; ? rrts--' rr 4-. r Jr ..'R..,.'s rr,Y,1'i. :,� ��� IA�[� ,•t Y r. iy !�:a-, .;. `•�i LS ;z '7 �r } }� L' � i t ; ,�ys t � ' 1 � "..�• C f t� -,� y � ,:V? \ t,.�f ��i, ^''!'I E y.. r..L'_ 'F; S �r r� �'' .3E3� �-.�r j.' J '��� +.)' ;r.+....Y': _�,�t• s� i"ya� , it t •rr` S _ + s v t e- i� ! f 7 �` } � t `�a. �'{ .r r- '' .i ;'�y '.� y.. e i- « , ?: �,��) •} ,8 � Fw'-�• :• ?k1 (,,1°3`t is y-..yg +:v y :r \`•! tJ' ,' %�' �.� A'+v,1 5t J, i+• r,, b-"' 'S,.? {p�,,yty aA_ ■sem■f■ y(�j 1 e�,yR � ;A' # ` x+ t 1 Y ri � M. -'T � f • Y 1r ,�_ ' 1 yr.',.. } i_ !!<�Pr �t7Y:7 �T���. T[ s '� , �, a c ; a'kr 3 a t ;�, t � - 4�� t. � 1 T rim' t^ � i i t„ �' � � ,, •�., . t -C+e6• ,�jl T ssm�-Sh ,s2,. £•. M�r ;r 3r. „�Y �ry��-�_ -0as •t!'�i Ir' _'•� p-`-.,wy (�c +.� •. Y " 1 ;'� .,. },t` �!" +°r'�`''f•S9 - i? t - .n `` _Tl?�3 dTYTti 'A.• .5 :Y -t 4 Y .: '.1'-f ,�J�...+. !'ii t iS t �. C •�4J 5 tea, 1. � �".,.t R 'ti'r r �S � �",ti•� � •TY:• t f • F �'� . J.t #�v� �v"' » :l ` YY � � r. "F - r c"f }; �, r, iG. s�,� 3�t t ~ d Z,'t'n � �wra� ��Wax-`trr ' t` � w• .:4' ,�+ a �' tl -r *; a�.} = r t � 'T-•-" x`�+;. i..�r's SLS R 7^'c. r •t"y Ylt,. � �•�t ti 9r /.r 'f.5.f __ t `'.ts�=,♦i°, ��A t �'s .r:'et,i {� k k7 'N2e, x 7 r -af- } - _ ;'th��'a'•�![;} e► !`�"!' -t. t t -, r�t . ,.'•", 2,.}la�= a..: �..� r. -<.'�:,.'t? -t � ` f s , ., rr yr'' 3•-t t ?c:4f. :sit'u $ r v" ' - _ ?'r.� ; �.,t;••. �j :a . r 1 t .'hs. t- Z` : :i�,:: �' ~`s �,i w .}�+y'' 5 {-, rt � � x.'s " '� . �`' ..y . x �. -fes.: �� , sv,'j';,et h. , y � k t4 �? . J' ♦ t: r,._.t t4.. ti, t T •r�l �.. � . ,�. �. _;-rk�-:. :., i, i4 r -t -a� � t , tavrt, . !' , r - �, 'Y-- .� „�, J r "ti .: 1. t{ - v :.i 1 �'tic��-rn ,ef:. 'f"-` '`:. Ii.:• , ti ..., . �:,t r ) 4,, - 4 qty .�,w,`; -'�? Sis .i -5-. e 4 a:`i°ryy.7�� ary'tK+:r•'-., ? p •a'?!:� 'S- S'o - f r' t��.s`1 > '�` - .jrerr•�-,I:°i, � J�'.�-w•\..'- :.iia' - a - •i + - •P .�:5 dr s y i� rs �': 2 `�` • s- d j` t� j T "i,. 4 •r .. _,Sl t-� �„ x, !: s +...{ � 1 �i-' r'l - nf..,t§ 't u$ t � a3 kr�,�r } `� i �i ?u • s e'; . . Of ti -♦7M .Y ,, g ; t t. ?�. 1 g,e. :.•r c a a %�i k � r' ; ?s r fid., A; y•r?�.. .� a :K t 'F - k' e + � 5 �,.� :`� is �'�` -' .s .a a :.w - 't �>r• t r iS ,Yi--'t i ',i u`.. •t _ 5. 1r _4 S aC�>� t`. : �'".'..�.e�irr'�{•`?�'�.""� mac• $`�,,ry s.' �r k 1 �v ,! Y, � -.sir x ,a' t £ av - ru i"1 t � --�:. .t .r i, ».4` •,.t.!$1y .'4:,.:•�.Y}L:• \ �.. .t� .+p- a 1 y 't� `v.... Pn t t •t `' L Q � . Yt. k.. -:a �t."�+,t � ,f ���� S• iw7i,Qa t '4Yt . t . r-_ ; x w � t .� 5 § ,.�5 t � . •t. �� d x '4_ 'J=' b �. ;.a. 1'. -`ti v: t', _ t ,T^"-+ v5•r, i.✓ �. f, y, s._rss'td ,q. S. i _ ,.j.; ':,�, 5• a. .,; -: t'4. .-, .�,�:-44� a-yz.' .<#`F. •r-„1 'k'''r'..i^.. r} S S;s t � . tS rfe .r,. y�� ; S'�` � `w. r=s t�.; �t .e )� F:'_"•'' 't. �<At -4 .,. ;C hi�.,4 �.: LS -r :y Yr. ..':.'"'..t. -,,, r4 c. _C, a ;� �i I �.µ »- t�'� K� - Jca`- :•L 1 .�:'a.�Snr. d �F'h,. �. a r fd t. - � {. i -,i- •dp •,t_ q.,.. - "t .. .•r�i . .'+ *' .:I -t ''S' Z•r "') ,�+ t' � Ct? - - a. ,1''�L_, a.� . M�' �� ,, r i . , i+. ,.� _`, -. S= •3:. ,x .-rt,�..t r,x' :u,- x. '-� y, 'v"'yi:''1` y4 -r.-r' .,'S .edo`; •.,,„, ». r''t? . � _ � r ,,,,,a, �'. S `., ' ''st•t ,�.; �,la., a1 t •.,�:, E,s' ntj, �t`.i'rsyk ,�-L•�` i ;,i a. _ 4' :t.�{ ;nE ,,'(`•. st,l 'v; ' ur _,Y 're 4.'.. t �. 4, - t, w ji�a �A,:.' r..: t, - s . iY��, k• .2ic.::1` .R3"”' ;y, _�: ". -ti ',., ,rti5:.,. '%=a-����- r- :,;Nt 1i. ,Y'. t- F .Y t: a r^L..'Y., �,."'t �!:� Z::Y: ly {.i+•- il.. ,'rr-;,,c; _Yr.:�,?ij��. i_-�,x ".r ��y .�_,c Ott .t��ckf',. �;� 't'� _.p�!'�. T. �.'�.c .�'. � U'.. ;.J�^. :t �. d_'-d'vii.:. i., <i.'+:' �'y.:�i s t .,��'Y iY r. .!'rr y t' ,.<�.•f ,`;`.;i'�+ L - `s :' y � a _ '�. e�cd -i-. •v;. s„ � ,1_�. ... S, C +.--< §�; _� •�{its _� ,(9'. 4i,- 'tr Y' a`..?:d. �-, .a�a ••��r rr:44•."F L,s.;:: :,pr s f -sem 5 ',tc ,1 ti_ -y'n4 {: ri tn�,"y 'i Y,,. ••� =+:,:vf'� c,�m' r '.r. +,�- �; � t, + �-" 1'•.t t. �',y>'t't,_ r:y a >t "_'j♦e. �...}'.. ,jt) a �. 1 <.�� l -.ti � �` ''ft �tY� K:e. r� �?��s . k.7� F�'r l-•t?.'.'.s : <1•• �;;• �, '�, y'.4,k.,.aai^. � S. +- .Yf .�. �}u'. .v. .t 5.,,. ��•-. r'Z'�7J! „+r. .:t t: .`k' 'r . � -5-.- .�:.,i 't' 1\�. 11 , ,rr. ti.:Y '"i t ir:'� a*✓` v.. t�- x i ..:, -- t 3�� . -_,� ,:� , ...,..;.� d, :5� r•.a t, '�`j -9y, : -ij.l i - , vt .; ss:.;t �' r>..� .�..:. },t •t. .� M..n_-LiC:.. .Ft.tl: Z1I _^'.l •. r-1_..ak'�'.t'`.J� .f' - t•� k�"}',ii%�jlj,..-nR.i• ,. �4 �'!. % '1,."i �'�!'• di c- a,a .•.'}.b,;a'Y' ih•� .Yv {. :.` �•-Ttv -�'• .�,. -•,. .s � ur x'�`.'. r }. ...ti S Lt:, a .� `, y t .�4 •>� W=<=�': •�xr� aaw �a,. ,r �', '..+ ?{.,_.•t y �r. :T `` :�.. :� � � r s cr a t { •,h1::.: .r � L Mc',$' c.-.2:�'�:. t;bY�l:A .t:y�\ r 'iii a "i .,ktt ,4 `tt V. �'r�.�':`r-Ya, .;!"._ .,► }-� ^!,. u(:��-.,c: '•,. ,tt: f t.. t 1 .f•. _f''S � •t' .�..• 6 F.: J,'.-,/ t'.:i v\�: S• ..•,.0 6.' y!.i SA.O 'J.rt, v.t y, :":: > +.��wk -ai ••;� Y» t _.� �v ��. • 'X ,. `�. i .4ii - �' ' f�.- .1 , f_. �'»i �.- 1 -.. ice, -r. 1 �. �';;, v. T.tx"-"�'.• �..•�' s '�' tn.'+�ti•. .rt ''r-4:v:yr�55} �..t °=Str.M e ��a., �� *20 ',:�1y9 Y ^"�.yV'L rH 3,n t�'.f' \l,..•.�.,y. .;„ - {P ,y�'.'�tl,s�k��u,.^. f� .` -s. .:[ i.�''��••�? i. _ _ �.,. J- ',} ' tf -#i �; �-ik:-.� },�f�y4�` y�. 'tl��3a S•r �.r. .;z .r'xc's`'+Z -;.-;t :x , '''4 .J.. ..� t=-3 '< t �i .n:l"� lA� ',a ,y' <�.t i'E�r'S»' e,~ Y'x }f ; ,r >t :R;,,_ - �'. �h�`.'&';-•rx V j.• l - ..i1- - _. :S. •� t :+,` ;;: -'> 4r(•'�'�}t '�i"r^'". r .�. h i r, :,rit ;., -fs ��,.�5(+w, f 3� - 'd. r'/ -(`- 1- ..t •'. ac .r i' ..s, sJl, •t .: •YF": ,y,'` 'rte ✓ -7' 'r I•'M -?i4;Y ' i� I I t• .2 i".;} �7j i`"'gc '� �• « :-t ;,; Fr ,>y • >. .. T t .� < ,� 'a ; ,; t t.(+ .+. .:It. ,}+` ,3 "2 .., s,cx i_r r �.a.: -p. � i ` �f . j'. -i ) i �,,��,.NN .x .�.. �' • = � ,. 2` t iL_. , j[. t } R ;z`- • s S �c}s�# t{ z > ta�, s t _ >� rh: ,.^"'i4`, a - ••ci' L - � { r-. d _y-•-,� 1 y 'e. - ..:. • f �� c.' }a+ Y r v� ..;<. .til v F. 5 r- d . ��}}..aA`� ,i Si... 3"3�. 1 1. 4 �+;a,_ r t.c � ":}k,`- - .� t. - :t: x.."�.° "• '�• rt R •t.,f, s"�r' � i ti - ,� L�;'"•�'" .^Sf. S ^` s "�' 7.. ..a .�'° ' Y _.r ^.:• a .r.s-r �•,'t. .�r a S.'..p. �:a.-i�'•{:.r _ i.�S!. ,,.. a'kkr,) 'iI -',{ t .0 is 'a- r-S.s.:t .;57: t i. ••i•T � �+,'1:.,,. ;,si!.. 1', 'S. ..y_ .,yqr.*t, ."�i?- .r.;s '^tea �" � ..�Kii ,•s '•� �, �. -4 y t rie �-rif? ,•-{•c r •'t r a .r� - �, j ,t<,r e - 7 3 . �ti:.; .ty: <`$ �v: ;F. r ^-yy ce!S..vyr s3 x> - rr:- ..L» "� � �"i k s. ~ 1xs><d "b '1'.a r_+s-�'�r,`f�.,`� �ti• p c .��t' _ti �; v, cy(;-3'�`r'•'. r„'. �° 2 :��.tr .. 4 'S4� s,•�`,t':".J X �.- �:- "4 C � a:x. �-�< r ,� ` .-.S�'.`''�°•,�:a• a w. i r � ♦ _: rr, �- r . 5 i,. r/` 'S� t t; •' e :,,1 �,� .ti 1"::F- +s. "'.r,., '-t4 '4 '� , :'{ �.•c� .< - !�. .. a�.+ .� ``.� _ . S i :f ..•: wt a t���-".� •w C ; ,, ,t ;St 4`• �.c :• .y L i "r"aX[:�''iK '1'A,t�i�' � ` � t ' t•V.r�riFS :Y �s}'��•�'':. '�, r a 1 ; ,�-- � . �'' :.,� �- v '3 �� �,=t -��1 •cy ,� `{.Xr• _Y��",F",�,.a�. -`yb�'i.?&t r,.=`���� _ fi.{„-tr+,'�i ,;` .4,: -'r � ' t . i s'•,�,F.� � > ; -�q£ra �,3w � ik:a`� �c t 5 : ±1� ate ,, •i'' �'A�'ti'Y F -Jr '' s?.:�' ��` . `F`-;� � . t` • , •Y � � c�Xf t�,�aaaY..����';r�na �l� Cj•'e.%.�..� Y{�fp N. �'a}� � � � Y}':� f` t ;• ck�t� � �.� �-i't•: ^=; ��::=�,es.�1.-...:= �t .: �-r-”-� >_ �. #�� tt,7r"(l,¢� ,j� J">•' a• �r c e.+4a t o 1 J 4> � aC � >t � w _ r �« x+.. - c to :4Y. jf>•t�� g � cit �.� ��ir�-,� „.,.tT - a:E ,-� � �- � . L `7s con v c, Z�CX CXum 10 O f�k I u 'D ajc J id -o fo s a q LL aj Ln O oN o uial H c c ,� O 0 0 0 O u e4. ca .� E aI u rn ° o d O c CL LL.a o c u E v x C v _ ° a m a c c a O ° cn O O d = _ c .. W a ° c .o E N ui n a r a9 ul ui o M� o "u ..J L a Ln O L Ln t + Z F- ro s M3 O z F� W4 w O a O c u a cn a O G za 0 Q c o w o U c we a O U a o c � O W a W o O U 2 o c W w Q w v z v o a 01 O y h CLL C O w V CL y 0 COD C O .0 0 a _o ui U) IrW W W Li U) L. S t Location 3S3 ;3vrl';rd 1,�- No. —6-17 `I` Date `{ Z NORTIy TOWN OF NORTH ANDOVER O.`�O ,• 1ti0 9 Certificate of Occupancy $ ' E<� Building/Frame Permit Fee $U s�cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �r Check # i 18,139 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING - i14aac�s+iola •. � 1 _ _ BUILDING PERMIT NUMBER: �-- �—J Lf DATE ISSUED:` C/ SIGNATURE: Building Commissioner/ln for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: LAA Area Fronts 8 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided I ReqWred Provided + 1.7 Water Supply MG.L.C: 0 34) 1.5. Flood Zone Information: Public ❑ Private Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System K SECTION 2 - PROPERTY OWNERSIDP/AUTHORIZED AGENT i �'i:ut tC itch !Ct: Ye'^ P,10 r of Record ,� 2.1 OwnAelt-� � 1SGOL L _ 3 -,3 �XF©�� S% /iV A(Cyywe lq4 Name (Print Address for Service Signature Telephone �2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable t0 License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Telephone 09 M -nal z O 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 .......0 No...... SECTIONS Descri tion of Proposed Work check a8 a bk New Construction ❑ Existing Building R Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: s/fi;Y> )�00-A4 O v7_7)t K✓4%2/- rA, _ I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building J000 O (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x tbl �-- / D 4 Mechanical HVAC pp 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNEK AUTriOKlZA31Ot4 TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, i97/L 1J%�ISGOL�— as Owner/Authorized Agent of subject property Hereby authorize e-19 to act on My if ' all atters rel ip to work authorized by this building permit application. 3�9�SJ Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I,_T&ed-_f &t -S CJZL 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 Nam6A�161 Sianatule�of Owner/ ent ate NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIA+IBF.RS 1 ST 2 ND 3RD SPAN DM ENSIONS OF SILLS DIMENSIONS OF POSTS DM ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FELLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 4 D. Robert Nicetta, Building Commissioner Please print DATE: 3 TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION --)q.p.- Telephone (978) 688-95454 Fax (978)688-9542 JOB LOCATION: 3-5-> Jdx4�(4 5- -ree;;e Y� &dfye� Number Street Address Map/Lot HOMEOWNER rd Q. I -f- Cor 4/061 /) n s 60 1/ I'M- lob (o /Y Name Nome Phone Work Phone PRESENT MAILING ADDRESS 5 - 5 60YI IH S*,eej— d � � MA 11 17 `[ _ 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 a APPROVAL OF BUILDING OFFICIAL ROARD OF AATEALS (;RS -9541 CONSERVATION 698-9530 1If: ALI'll 6RR-9540 PLANNING 688-9535 R�Q FORM U - LOT RELEASE FORM A bow, yam' 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*""'*********�**r►****** APPLICANTA-rZ�fSGdLC_ PHONE ��%��( /yFO LOCATION: Assessors Map NumberS ._ PARCEL SUBDIVISION LOT ($) STREET__ 8zyFoep ST. NUMBER OFFICIAL USE ONL RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED ' DATE REJECTED , COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD I ECTOR-H DATE APPROVED DATE REJECTED TH/ ----DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE RavlaW 9197 Jm 7:�- W Chi Vl)'L� 4U/q"7 C T Y 4 CA m m m m m v r C d 'v O CD Z ca CD O 'v d C') �O CL y �C C3 CD C3 p CD o CL Q ? " CD CD o CD CD O y Cc C I S v y O 'v Z CD � o CD 0 0 tx ems+. oc ►Vy Flo 4C W �10 0 =r -t C C t%N 0 Q H = EL- o y CLCD cm y gd� T CS �Z CL , ,w •�► m y T =rm .-► m ' y m �O m y N� o � �m : m 2 m m _ c O O Zy n: W m y AA it A) C ft r ? :� m m m N m O m CL • �y y =• w y x y ` CL Q .TV Q A y `7 m U=2 ri Cn C,* A y CDQ oa 1 C41CD IA 0 1 a- mCo o CD CD D i dd _� a� 0 A _ m am CD z 0 4 y 0 9 o a w p w w PO 0 x O fDD N Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......... f............... . ......................................... has permission to perform ........ ............ wiring in the building of ....... �*?� At. �. grlp.<. i� ................................ at ........... 3.;!�73 ....$ ?<."Ocazr/� ........ ........... . North Andover, Mass. Y -Z7. 0'r -- - '9e ..f!.-''............ Lic. No.11,41)IF . ............ /I . . .... ... ............ ......... .. . .... 6Vz'4'F1( ELECTRICAL INSPECTOR Check # 5678 11M UULVILVIULY vvr, iUJn Ur XVIOLI7rxt'"U01.1 A0 v � DEPARTAIENTOFPUBIlC7 SVEIY , /h permit No. (/ BOARDOFFIREPREVEMON ONS5r(,1t ]Z -W Occupancy & Fees Checked APPUCA77ONFOR PERMIT TOP ORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSA F HUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3 - I a. - o s— Town of North Andover The undersigned applies for a permit to perform the Location (Street & Number) 3S-3 &Oxr� Owner or Tenant L Owner's Address S <'-3 ,777L Is this permit in conjunction with a building permit: To the Inspector of Wires: work described below. Yes EM No C] (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service AmpsVolts Overhead Unrdrground No. of Meters New Service Amps Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work AyQ770,t Or Dort S iG V 114 -, ✓Y'/L No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above 0 Below Generators KVA round ground No. of Receptacle Outlete 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 Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections � No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP 07-EER- hrstjaloeComr,W AusmiDthetegtmanazdWbsadmsebCt nedLaws IhaNeaamatLwbt7dybaaartaeFb yind&gCenVim CovawortsmbstarMegwmiat YES C3 NO Ihaveskmfadvabdprcofo(sam lDdrOffm YES � YycuhaNedrd®dYES plea9eirtdc&diet peeftx by INSURANCE F-11 BOM O11ER 0 ) D* &Md VAleofDearieal Wade $ Wa kto Stat 73'� g' O Es kgWicnD* Regtlesf.0 L L C' �d Fho _ / _ A LI L- anal IMMNAME rd Sigr=e LioalseNo Bus¢lessTdNa ;u AkTdNo. "'BR'SINSURANCEWAIVER;IartsawaethattheLimwdoesmthavetheinstaa mt mr ForitssubstantialegtuvalattasmgikedbyMasadtusetlsCrafts(Laws aa�'�ttrrrysi rnthis' ' applirdtkitwai�esthisregtmartatt (Plt� se chic o Ow r Agent � � �- Telephone No. �%� -l5�7PERMIT FEE $ Signature of Owner or Agent ) . rt ni . wA—e fer, insp- clec (/�t ars avabiz. CC's '..�� GAS 4d ,_ Location %d a `3o�`rd S 353 � 3-J3 Date 8 ^a~ 1 MORTh TOWN OF NORTH ANDOVER OL F 9 + ; ; Certificate of Occupancy $ �sEt Building/Frame Permit Fee $ S CMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ % -1-3 7 Check # C�? 14 Building Inspector BOXFORD STREET fi v%,MA, 3 kss0�-b L-,;zr), � FOUNDATION LOCATION PLAN CLIENT.•BARRETT CUSTOM HOMES THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. LOCA TION: NO.ANDOVER, MA. SCALE.1 *=60' DATE.7/25/01 s Qv% V��dL �8—a -,: aw l I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMEN73 OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CER71FXA770N DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS.WETLANDS.EASEMENTS. ORDERS OF CONDITIONS.ETC.) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE.EXCEPT W/1H THE WRITTEN PERMISSION OF CHRISTIANSEN & SERGI INC. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROH/BITEMCHRISTIANSEN ! SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR- MATION CONTAINED HEREON. —1— , CHRISTIANSEN & SERGI LAND SURVEYORS ERS 160 SUMMER ST. HAVERHILL.MA. 01830 TEL. 97B-373-0310 l ©2001 BY CHRISTIANSEN B SERGI INC. v M��roudn111�No�AS�WOH ANIS �O d,ueii nA 10 19Z ��o-,i-,�g�i �,-�o� �� sa�o�co� VVVI-HIM Alr;l : avLl �1d�S :111 t1 j)TOM a M 'Agwwva NoudnIll :j-uuln-s S�IWOH ANI-A -jO diAdiimi Z 10/9Z 110-�1-119/1 ��da ���s � ,-;o� 1I�1s cUojco� ,l-,l- ��I�Ib r l Wb I 'I'1 IM 'AIW sNouenAll gals VW :1111111K S-AWOH ANI-A -jO diAdiln 10 9/A1d lIls tl�OA06 � -1—I IAA 1 '11LIJ)TOiVVVI d ill 'Agtwvw Nd'dNoudaNnoj I -Wilms S�IWOH ANI -A -JO diAdllrli;l 10 19Z/ 110-J-119/1:avl I-�o� J1115 a�ojxo� JJ-A�I4w�I WdI -I-I IM . ..z r— —------- —-------------- -- I I I j I I I I I I I I I I 'g" -1 iul I Ir----- --------- I I I I I I I I I I I I I I I I I I (5N m I f I i I I — I I I I I I I I I I I I I vO g I I I I I � I I I I I I I I I I I I I I I I I I I I L- - -- -- -1 L --J r------------------- -- -- is I u 1 � I I I I I I I I I I O m Wid uulis GAVVOH ANI -J -AO clAdlltl�l 10 19Z /C 110-J-119/1 Wjol ;ZU15 JW-sxN V\IVI-1-11/V\ :a1vj :A-vx I :IILLJDTMj L vWoW'WJNIMA QNO)-JS '8 SN w vw :111W16 SAWOH ANI -A AO diAdlln�o Io /gz:av �o- I - �.e I 2 i J01 1�M15 Q Ai�O�XO� ,1-J- ��Idd�l Wd I '1 �1 IM Air, cl �1d�5 �11111�� Odd 1. 70 1'0' 91 at X t I 7 9 17 S1�X'boo0 X[ y 4 AW Is wld%lmW d00d ' Xjv 'Ai NMVW :TUL11116 SAWOH ANI -A -jO d�iailn!o 1019ZI4 2 -jol ;11115MO xo� • I Y f' . . 6. , 1 S . i