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HomeMy WebLinkAboutMiscellaneous - 40 ASHLAND STREET 4/30/2018 / 40 ASHLAND STREET 1 2101017.0-0004-0000.0 4 i .� Location�1-Ile d No. # Date- TOWN ateTOWN OF NORTH ANDOVER 3? i • O N 9 Certificate of Occupancy $ Building/Frame Permit Fee $ ACMUS Foundation Permit Fee $ Other Permit Fee $ ' TOTAL $ Check # "t - ,J 7 6 6c " / Building Inspector D. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .ftT�U sedim1011116 BUQ.DING PERMIT NUMBER: DATE ISSUED: � .D M ic a SIGNATURE: C.-•" Building Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O a/ 7 _Dace Map Number Parcel Numiler 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Rapired Provided '� 1.5. Flood Zone Information: 1.8 Sew 1 System: 0 1.7 Water Supply M.G L.C:4 . 54) ! enge Dispose ys Public ❑ Private ❑ u " ' '� Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT lttLot !'es rn 2.1 Owner 7(j.,ST-P rd Name(Pri Address for Service Signature Telephone 2.2 Owner of Record: Name PrintAddress for Service: O Signature Telephone SECTION 3-CONSTRUCTION SERVICES 9 3.1 Licen nstruction Supervisor: Not Applicable ❑-- � Cn,-4z6 .� Licensed Construction Supervisor: 6`7 gcj3d Address V License Number > �D(1 �(f�'� y`/G�' Expiration Date ic Signature Telephone r;aa 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company Name 166&1 3 m Registration Number r Address r Expiration Date ^ Si nature Tel hone V 1 A 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 b ildin it. Signed affidavit Attached Yes...... o.......El SECTION 5 Description of Proposed Work check allpl&lcable New Construction ❑ t Exiting Building Repairs) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specifys '•;. Brief Description of Pr sed Work: 1 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL.USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of //ll Construction 9&-o' QV 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical(HVAC) 111P 5 Fire Protection • 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION7bOWNER/AUTHORIZED AGENT DECLARATION I, la(r /,zD 0 0 as Own Authorized Agent subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and 7' t 7 Print Ne 9z:2/ate Si at a ofer/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST2 ND 3Fw SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE II (603)898-4468 ' CONTRACT No. (800) 458-4468 A.J. WOOD CONSTRUCTION, INC. 5-7 Delaware Drive,Unit 3 Salem,New Hampshire 03079 Email: info@ajwoodconstruction.net Website:www.ajwoodconstruction.net ROOFING•SIDING•VINYL REPLACEMENT WINDOWS•DECKS Workmen's Compensation and Public Liability Carried on All Work Date-9/-7/ 2004 I (we), the undersigned, hereby accept your proposal to furnish Labor and Materials to perform the following work on premises located at the following address: No. -�o �S HLA AD s f /LAGS A 6A-,&( r 114ol- (Street) (City) (State) (Zippcoode) Owner's Name (.esc- pC40-(L Tel. QW AddressGaAJLjr7L, df In accordance with specifications given below: SPECIFICATIONS OF CONTRACT RECOVER THE FOLLOWING AREA ONLY: Strip of all existing roofing material. Install ice and water shield on all roof edges,valleys and roofing protrusions. Install GAF Shinglemate roofing underlayment with 8"aluminum drip edge. Install 30 year roofing shingles with a Cobra ridge vent on peak. All permits and debris removal included. For the sum of$ d� , Additional work at Deposit$ The undersigned property howner agrees upon completion of said work,to pay cash(if any)$ and execute a promissory note for the balance of$ PLUS TIME DIFFERENTIAL OF Payable in equal monthly installments of$ Owner agrees that the title or equity in this property is his and is security for this contract. IN WITNESS WHEREOF the undersigned has(have)hereunto set his(their)hand(s)the day and year first above written. Buyer(s)Acknowledge Receiving a Completed Legible Copy of This Contract. This contract may be voided by the Owners giving written notice a Contractor by ordinary mail within three full business days following the date hereof. d L.S. (L al owner o property to be improved) • By L.S. (Husband or wife of legal owner) • i I North Andover Building Department i i Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. Thed1, ; s will be disposedn: �(� LU OA k (Loca ' of Facility) ignature of Permit Applicant r, 7 /lJ U Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i . � J�7�9YYIld/E!!!E�(.lIL O�✓vG(747CG�LCIOGG[p ��' _ BOARD OF BUILDING REGULATIONS License. CONSTRUCTION SUPERVISOR } Number.ZS 070862 Fi lu 'Birthdate 07/28/]956 ;s Exp'ir'es 07/28/2005 Tr.no: 1474 Resbicte_'d: 00 RICHARD J SMITH _ 5-7 DELAWARE DR SALEM, NH 03079 Administrator Commonwealth of Massachusetts Division of Occupational Safety Robert J Prezioso,Commissioner Deieader-Contractor RICHARD S.SMITH Eff.Date 06/30/04 Exp.Date 0629/05 i DC001721 Memberd GO.N.E.S.T. w 80 np®®'I' ppnp ppppp -BOSTON.RENE -comwWwwea" 0Board of Building Regula ions and Standards One Ashburton Place Room 1301 Boston. Massachusetts 02108 Home Improvement:Contractor Registration Registration: 106603 Type: Ltd Liability Corporation - Expiration: 7/24/2006 AJ WOOD CONSTRUCTION, INC Richard Smith 5-7 DELAWARE DR _ --- SALEM, NH 03079 ' --- t;; Update Address and return card.Mark reason for change. Cal r;. 50on-0u04-G101216 Address 0 Renewal (-"Employment C Lost Card Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 106603,jW—) One Ashburton Place Rm 1301 Expiratioin: 7/24!2006 Rncfnn Ma mtnR l 02/23/2004 KO` 14:10 FAX 1818299035 ROBERTS & ASSOC. 01.001 xc t *Avg vA%t~vj ^.1, s e.:r:r:e.•P.^";'?.: _n Tei.:.:F!3. :'.t?:Wt'CS~ �.:i w•,..v,1'"' ...... NI- I 0Z Z3/ 0♦ ,.CERTIFICATE ISSUED A UAirKR OV 10iFOR8f1ATI ROBERTS & ASSOC INS AGCY INC ONLY 'gyp COMMIFIS NO RIGHTS UPON MCIATMOA72 HOLDER M4 CFATIPICA?E DOE$ NOT AMEND, KIMID OR 51 MILL ST UNIT 7 ALTM TUB 60VERA1312 ACCORDED iY THE POLICIES BELOW. P O BOX 702 COMPANIES APVORDING COVERAGR IIANOVER HA 02339 _A HOLYOKE MUTUAL_INSURANCE CO cNAi!!E9 } COMPANY RICHARD SMITH D/B/A a LIBERTY MUTUAL INS CO A J WOOD CONSTRUCTION COMPANY 86 SHORE RD c SALEM NH 03079 COMPANY D .•.;ray :r+l}r -`nn:=t�tst tt� ":`-tm_"�X`! i .t R� '�' r�n �^ S die✓ .e seri r�` . •>,ttY.e. ..w. arv. ,,Wt< K 11}fYF.4:b:xP hLF3k�l�._('IPd �.!Rq;t�r:.xwn i.:ruKswu.+.iu Ix rtIl'A. THIS IS�TO CE•RTW THAT THE POLICIQS OF Mt>lURANOL LISTED BELOW 1 AVE Wft ISSUED TO TIE INSURED NAMW ABOVE FOR THE POLICY P"M0 WOMAT60.N0TWNIVH3YAND1NG ANY REOUIRCMENT.TERM ON CONDITION OF ANY CMJTAACt'OP OYNrMI DGCNMEHT WON i1B80111CT TO WMlCM TNIX CERTIFICATE WAY BE t"UEb OR MAY PERRT'AIK THE INSURANCE AfWORCWD BY TME POLICIES DESCRIBED WNERE.IN 16 SUWECT TO AtL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUON VWC_IES.t1NeM ZM WN MAY"AVE SEEN REDUCED BY PAID CLOUMS. CO 'pOUCY 91•i'r1%TNE PDYCV 9><wRAT70aI ..-«.., {Lva Tvoi-OP OIWNANCfc ; W701,ICY j DATE J40MVern DATE.OANMWVI , iIM1�11 1 004CRAL UAPUM B01717 7 61 5/2,5103 3/a&/O4evmwL Ao*Rc"T9. _ S2,000,000. )( CommmCIAL OFMCFAL UADRIY PRoouctae•cofivieP aoa!62 000 000 ctjws MAme("x I CtxUR! I sE11S016AL,A0V 01JW1Y 51 QQ0 000 OWImR S A CONYRAOTOWS PROP i I EACH OCCURRENCE .' s1,000,000 i {, Pa►B Da►tACcr Ona ra+► a 0 000 I 'ncco¢m la"Y Ona it 51000 AH1eMeS11L UADILIT! j uw AUTO 1 1 I OOMM915 61u4LG IWMI s AIL OW"Wt0 AVY09 ! DOOILY IIVivw >f .SCHEDULED"tos j iPN pnwnf MIOCD AWTOS 900ILY INJURY I} ,NON-OWNEE)AUTOS Ntlar aetidM+9 i PIu�rWlnrr aA•+•la6 �s eauaua>E tAAWantte _. ___ RUTo Y.KA A a - Aw AUTO _ ! 0?11E11 1"MI AWO 01"invi1H ....�s�c: FJ40N ACO10 ,i1 ! AGGREGATE W xc"9 Umm"y EACH s UMBRELLA PORM � A"REGATS 8 .�..._. ... IOT}IO THAN YMBREUA PORM ! .. w+>fIRaa9 eaevtznaJlTftstt Am WC 3 7 6 9 3 319 f10 � 2/21/04 2 21jCt3 }f I TV0,Up uLu' �.�• vpwvmw nnIrtv � , 100,000 S t+1c PROPPIS 11 ;�,I N. 4 500,000 PARTTt[RW!lYiCNT'IVE I VL DWJIAAt-QA OMPIUVM s 100 000 DFPIOBiB ARE DIIOL �� OT71EA W7l980A*'v10N O*Wssa�A4+oewraoeei+DN9Areeeecs�a,sPmeou.nsea� . :...... ......... a ; -acF ammuP AHY OF"a AGOv6 amcomm POLI=DQ CAneet=601:r tN 111'1 Q%PIRAlfDO/W6TII TG�iR01/i MR�BDYMC COaWP11NY WRL 9109AYQR TO MAIL .Z.Q_.DAV@ WpWM"NOTitR TQ V-etR7MAI R e>oLaca tKmalCp YO THE L6". sot VAIAff!Tm M&tL BUC"00anCC bora.a",*"no OeU'&*"W"MOL" OF A"%fIG!!Z '!SI'Q41I 'ff7D G4IaPANY, Itl1 A09tas WI R6M1tGH1J►At1YBL. I K,y Clayton K Roberts CIC,L2A CR A ' -ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 05/05/2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A (NATTER OF INFORMATION OBREY INSURANCE AIOENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 20 BIRCH 3T ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE DERRY NH 03038- INSURED INSURER A:HANOVER A.J. WOOD CONSTRUCTION INSURER B: 5-7 DELAVOM DRIVE INSURER C: INSURER D: SALEM NH 03079— INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE DATE MMIODIYY A GENERAL LIABILITY PENDING ISSUE 05/05/2004 05/05/2005 EACHOCCURRENCE $ 1,000,000 X COMMERCL4L GENERAL LIABILITY / FIRE DAMAGE(Any one Bre $ 50,000 CLAIMS MADE Q OCCUR / / / / MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PP.ODUCTS-COMP/OP AGG $ 2,000,000 POLICY �£CT M LOC A AUTOMOBILE LIABILITY ADV7164031 02/08/2004 02/08/2004 COMBINED SINGLELIMfT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNEDAUTOS / / / / BODILY INJURY X SCHEDULEDAUTOS (Perperson) $ X HIREDAUTOS / / / / BODILY INJURY X NON-OMEDAUTOS (Pera=dant) $ PROPERTY DAMAGE (Peracciderd) $ GARAGE LtAENLfTY AUTO ONLY-EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY / / / / EACH OCCURRENCE 3 OCCUR CLAIMS MADE AGGREGATE 3 $ DEDUCTIBLE / / / / $ RETENTION $ '$ WORKERS COMPENSATION AND I I / / TO Y LBdI S ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOY $ E.L.DISEASE-POLICY LIMIT $ i OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEMCLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATEHOLDER ADDmONALINSURED-INSURERLETTER:_ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAR DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORO 25-S 1[110 j 9)ACORD CORPORATION 1988 �r,-INS025S(9910).07 ELECTRONICLASER FORMS.INC.-(800)327.0545 Page 1 of 2 N IRTH Town 'of _ 4AndoverNo. % == dover, Mass., D LA COC H IC MEwICK y1. x,95 RAT E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR .... ...116 . ..... •• � .. Found ationTHIS CERTIFIES THAT "I.-R..."...... .. . . . has permission to erect................. buildings on .d—.q0.......Q* ---4'-* . . ....�..... Rough to be occupied a .. ........ chimney .... .................................................................................................................................. provided that the person acce Ing this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS - .li'4 ... Rough Service 1 ................................................. DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. I� Locatio r - 19 ) No. ' Date i NpR. TOWN OF NORTH ANDOVE11 p Certificate of Occupancy $ + i ; Building/Frame Permit Fee $ -6z!; Foundation Permit Fee $ s�cwus Other Permit Fee $ Sewer Connection Fee $ � Water Connection Fee $ cc A' TOTAL $ Building Inspector t ,= 10974 Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE MAP LOT AFyod 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE :1 ZONPI&IW , SB-DIV_ NO. I — LOC ION PURPOSE OF BUILDING .. ... `.. OWNER'S NAME ....:_...:. : U NO OF STORIES /_) SIZE '- OWNER'S ADDRESS BASEMENT OR SLAB- - V � ARCHITECT'S NAME SIZE dF FLOOR TIMBERS IST• 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST B'.FILDING `JI DIMENSIONS OF SILLS DISTANCE FROM STREET - - POSTS -.--_ -- DISTANCE FROM LOT LINES – SIDES REAR GIRDERS AREA OF LOT FRONTAGE —�_ HEIGHT OF FOUNDATION THICKNESS IS BUILDIyG NEW SIZE OF FOOTING x IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERAT!ON 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 IB BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST ' .. SEE BOTH SIDES EST. SLDG. COST PAGE 1 FILL OUTSECTIONS 1 - 3 EST. BLDG. COST PER S PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM : SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY 5 ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED ■UILDINO INSPLCT'O/ • SIGNATURE O; OWNER DR AUTHORIZED A ENT -5� FEE OWNER TEL.N CIV PERMIT GRANTED G CONTR.TEL.N 6o zo V CONTR.LIC.N �q7 ' - H.Lc.1 U o (0d 3 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S.,Ok ES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY' OFFICES LOT LIN�S AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- ' .. APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION I 8 INTERIOR FINISH CONCRETE CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ `• UNFIN. 3 BASEMENT AREA FULL FIN. B'M T' AREA 1/1 1/1 l/. FIN. ATTIC:AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS 5. CLAPBOARDS B 1 I 3 DROP SIDING CONCRETE _ WOOD SHINGLES EARTH ASPHALT SIDING HARDWD ASBESTOS SIDING _ COMI.IGN _ r VERT. SIDING fASPH. IIIE STUCCO ON MASONRY STUCCO ON FRAME . .. BRICK ON M ATTIC STRS, 6 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME , SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.1 _ GAMBRELMANSARD TOILET RM. 17 FIX.) FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING — TAR 6 GRAVEL STALL SHOWER _ n ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO g FRAMING 11 HEATING WOOD JOIN PIPELESS FURNACE FORCED HOT AIR TURN. TIMBER BMS. & COLS. STEAM STEEL BMS. 6 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T G UNIT HEATERS - GAS = 7 NO. Of ROOMS _ OIL B-M'T 2nd _ ELECTRIC 1f1 13rd I NO HEATING NORTH Town of _ - over No. 2-88 m * Z-- -- -- -� " * g � / � # dover, Mass., ' 199 w O'9 COCNLAKE ICMEMICK iV 7A S E BOARD OF HEALTH Food/Kitchen PERMIT T Septic System ©© BUILDING INSPECTOR THIS CERTIFIES THAT............................................ /.......Yee.�. r....N. ..................... ................. dd Foundation � has permission to 8 .....A.�T. !�. ...... buildings on.........z..&—..—0......./.x:5.'/'l4h.!JD Rough to be occupied as 0elin N p . A ................��.��e��........................................... Chimney ' e provided that the person accepting this permit s avery respect conform to the terms of the application on file in Final . this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTH UNLESS CONSTRUCTION T* T ELECTRICAL INSPECTOR Rough ...... ....................................................... Service ... . ... . .. ... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. ` Burner Street No. Smoke Det. Location " No. Date NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ Q Building/Frame Permit Fee $ <.4z, ,. « �'�s'•^ t<� Foundation Permit Fee $ g •+crus _ �, Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works Muir NO. APPLICATION FOR PERMIT TO BUILD -- NORTH ANDOVER, MASS. PAGE ] MAP KBO. '"� LOT NO. Li 2 RECORD OF OWNERSHIP 113ATE BOOK :PAGE ZONE I SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING . � 0 PiSHl./41�.1 t7 OWNER'S NAME �U�C 1,1�'rD'/' LI NO. OF STORIES SIZE OWNER'S ADDRESS $��A�WRQ L���p� tTl MA .� BASEMENT OR SLAB ARCHITECT'S NAME QJONE V`+ ! f` v 1`f - SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME pE-�- � W �( SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS s _2� V^ct-w I_vc� c DISTANCE FROM STREET Sec �r�-�- POSTS «c j DISTANCE FROM LOT LINES--SIDES `` REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW{ - o SIZE OF FOOTING X IV 19 BUILDING ADDITION No Vtl.� CX\SnW(:,WCyS MATERIAL OF CHIMNEY IS BUILDING ALTERATION 1st IS BUILDING ON SOLID OR FILLED LAND 4 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE i W IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE .. INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST QTy ! SEE BOTH SIDES - �'7 EST. BLDG. COST ^ C/Qc` CD<z\ ,!'AGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. { PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 1 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ` 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED ANDAPPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INSPECTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E OWNER TEL# {��7\j PERMIT GRANTED CONTR.TEL# ,m//'wV✓%9 C6"P 339 7 19 CONTR.LIC.# p-- H.I.C.# MAY 1 4 1997 1 `� BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILYI SfOkIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I _RAGES. ETC. SUPERIMPOSED. TH/S REPLACES PLOT PLAN. CONSTRUCTION elc�-v's 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE _ 3 1 3 13 CONCRETE PINE BRICK OR STONE HARDw 0 PIERS PLASTER _ _ DRY WAIL UNFIN. 3 BASEMENT I AREA FULL FIN. B'M'T' AREA _ 1/ 1/2 FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN i 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D ASBESTOS SIDING COMMON _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME Y ATTIC STRS. & FLOOR _ BRICK ON FRAME CONIC.OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH Q FIX.) _ GAMBREL MANSARD TOILETRM. (2 FIX.) 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 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS.3 COLS. STEAM STEEL BMS. &COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT.HEATERS 7 NO. OF ROOMS GAS OIL B'M'T2nd _ ELECTRIC 1�1 13rd 11 NO HEATING RE?UKCCtA6N-r 65D 3$-40 AsttLA)-,.ND ST, MNP 1-7 rlousE MAY\1 4 1997 _.1 ail. E PEEK B01AE5 L-PIG6 D a �� Df�GK{NGi GFkLVFiR.167.FiD AS.! t.U1�3�R w 11 M 0,N 6 E 125 14�6`I � t3ox H 1'x i i o POSTS lD NOTCIACO Az ©F�cK Bans. j. 10" TgEAD . 3611 w 1 FTi'1 ST94N6 9.5 a,'laal' 13.AL'1.usre'R5 ` ALL ?OSIS 6" ori c6 NT�R ►rl ��� � ` .� .. T � � •NEW 8 'RAIL ,36 STRVc-ruRES 1 ';� CoNcl?TE Su"K FAILI,1 1 44 I { ---- ' N u . r y 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: (�,� A/ Phone LOCATION: Assessor's Map Number Parcel Subdivision `f Lot(s) Street /¢/V� St. Number iA Official Use Only************************ ' /RECO NDATI AGENTS: V Date Approved Conservation Administrator Date Rejected Comments � WM Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments 'Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date y . 0. ton . � „ a mvn 1 VNVG r LU I rL AN 40-42 / 44-46 / 48-50 ASHLAND STREET NORTH ANDOVER, MASSACHUSETTS SCALE: 1" = 40' BUYER: RUSSELL HERTRICH , MARCH 20, 1984 �r Vol- CYV O j P * ,,, u► 04 NOTE: THIS IS NOT A SURVEY AND IS TO BE USED FOR MORTGAGE PURPOSES ONLY. N.B.- DO NOT USE OFFSETS FOR ESTABLISHING LOT LINES FOR THE ERECTION OF FENCES, WALLS, HEDGES, ETC. I HEREBY CERTIFY THAT THE BUILDINGS ON THIS PROPERTY ARE LOCATED AS SHOWN ON PLAN AND COMPLIED WITH THE LOCAL ZONING SET BACK REQUIREMENTS WHEN CONSTRUCTED. "NOTE: SIDE YARD REQUIREMENT FOR SHED IS TWENTY FEET. CYR ENGINEERING SERVICES, MIC' I FURTHER CERTIFY THAT THE ABOVE DWELLINGS ARE NOT 300 CANAL STREET LOCATED IN A FLOOD HAZARD ZONE. LAWRENCE, (MASSACHUSETTS NORThI � - o Of - over No. �Q LAX dower! Mass., 19 Ccc ICH EWICK ~V'�• . X4-4 E S` U BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .�C..,4�.S..S..........ItL .1 ./..C�,. ............................................... Foundation has permission to erect...........4. .,.0.............. buildings on ....X8".�.0..........�$•%�,�1(..�.14�.,�............. Rough to be occupied as A.. � chlcg............................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST S ELECTRICAL INSPECTOR Rough .................................. Service .... ....... .. . ... .............................. BUILD INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Fi ugh Fnal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. . Burner Street No. -Smoke Det. t"' r 1 ,