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HomeMy WebLinkAboutMiscellaneous - 40 BELMONT STREET 4/30/2018 40 BELMONT STREET d 210/018.0-0022-0000.0 J MASSACHUSEI'IS UNIFORM APPLICATON FORPERNU TO DO GAS F rnNG (Type or print) Date , NORTH ANDOVER MASSACHUSETTS Permit# Building Locations r3 Amount$ Owner's Name _�. U frJs New® Renovation ❑ Replacement ®'' Plans Submitted ❑ U a o O 0 N � c� d oWW z o w W F p a > H Gw v, z a w A a a' Z > E» p4 Oa' o 3 a a 0U SUB -BASEM ENT BA SEM ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7 T H . F LOO R S T H . F L O O R � p one: Certificate Installing Company(Print or type) / � Corp.Name V Cff Address c5—b ( IL Partner. BusinessTelephone q9-7 �/_� V,-7 �? ❑-firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check�one- I have a current liability Insurance policy or it's substantial equivalent. Yes IJ No❑ If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity 13Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the ! Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information'I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with ail pertinent provisions of the Massachuse State s Code and Chapter 14;9 of the G Laws. Signature of Lice seGas-Fitter d Plumber Or By. Title [3—Plumberumber 4�3 City/Town [:] um Gas Fitter tcense e 13—m- ter APPROVED(OFFICE USE ONLY) ❑ Journeyman MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN(3 Ste.\ IPrint or Type) fa-- NORTH ANDOVER, , Masa. Date --.11 _11 BuildingS PermN c7 Location - � `Y!m Owner'a A) All Ov-ee' Name New ❑ Renovation ❑ Replacement I�L Plans Submitted: Yes❑ No.❑ PIXTitAE$ « Is _ W • w a s « 4319 s s u s' w o = s a a r w « ( MSM « 16 rs w o s o K w « a s « �' at o� aua—aaahT. SAGRURNT IST FLOOR INDFLOOR 81110 FLOOR 4TH FLOOR aTH FLOOR STH FLOOR. FTN FLOOR eTH 'LOOQ Check one: Certificate Installing Company Name u.,er0 Corp. Address 7 A"'ed /1 ❑Partnership v JOAJ1Y 0,306- 1 (;gFlrm/Co. Business Telephone 66913 — S'r� Name of Licensed Plumber INSURANCE COVERAGE: Check one 1 have a current liability Insurance policy or No substantial equivalent. Yea ❑ No ❑ If you have checked 3M. please Indicate the type coverage by checking the appropriate boar A liability Insurance policy � • Other type of indemnity 13 Bond 11OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the Insurance coverage required by Chapter 112 of the Masa. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owners Mani Owner ❑ Ager>t C] I hereby certlfy that all o1 the detaNs and Information I have submitted W enter .pplicatlon are trw aoaua o the best of my knowledge and that al plumbing work and Installations performed under the pe I for this appllca wit h Nance with aft pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 the(3enerd I"$:. OY Signature olikensod Plumber This Ucense Numbw City/Town Ar"1'fiCNED(OFFICE USE ONLY) Type of Phxnbing Ucense: Maslen 04 Journeym ❑ Date. .-.//-. I NpR7M �<< •° '.'4,, TOWN OF NORTH ANDOVER F O F PERMIT EOR PLUMBING 'SS�ICMUS� r A r �,,/� .F(j] This certifies that . .;! . rr._.r•f. .�. . . . . r'�ac.:�.t� .'-�; . . . . . . . . . . . has permission to perform . . . . �. iry�.y. . . . . . . . . . . . . . . . . . . . . plumbing*in the buildings of . . /.ty/ �a. . . . r( . . . . . . . at. 4,)�r, . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee. J. . . . .Lic. No.. . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR 02/17/94 11:42 15.00 PAID . WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GO'" Date. 8867 TOWN OF N7RTH� ► DOVER 0 PERMIT FORIPLUMBING 'YSACHU This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . .h. .5 . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . ;5� . . . . . . . . . . . . . . . . . . at . . North Andover, Mass. Fee,7 . . . . . .Lie. No..C/A . .. .._"C... . PLUMBING . . . .."C- LUMBING INSPEcrog Check # 3 � MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING Cityrrown`(1. TS 64oVQ! -,MA. Date:24S m _ Permit# Building Location:'I tz, � AN V Cn Qo + Owners Name:\ %Y1 P, J o+�.Ob 5 ' Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential(� New:❑ Alteration:❑ Renovation:❑ Replacement:® Plans Submitted: Yes❑ No 33 ZZ-1 Z FIXTURES z a O Y Z W cp3! UJI V e� cri rA IL cc ZF Y Q Q N Z 7 � z o ? a 9 Z o � d a s �. o o � z rn J o a o ju W Z = IL p� m v > > O O z z W rW - = m In o F- a m m o o i Y g g g vz, SUB BSMT. BASEMENT _ 1 FLOOR K 2 FLOOR 3HO FLOOR ..... ._ 4!"FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR ` � 1 Check One Only Certificate# Installing Company NameGE- Nl: I'A"NU6 .rVN(-9.S 1 enc ®Corporation AddressQ%WhG.' o'sa Q.C� City/Town:V,t%mt A h State: s . ❑piu tnership Business Tel:'6l % Fax: ❑FinnlCompany Name of licensed Plumber: e%-%c,k V-10 ax c INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes No❑ If you have checked Yes•please indicate the type of coverage by checking the appropriate box below. A liability insurance policy JKJ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 1 hereby certft that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my r Knowledge and that all plumbing work and installations performed under the permit Issued for this application will be In compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. BY Type of license: Ti ❑Plumber Signature of Licensed Plumber Gtyrrown ❑❑Journeyman License Number. `G Z.%APPROVED OFFICE USE ONLY) , r. f _ � n T la ; rm 3 r r 1 s a S _ i ar �0 ry rY9.b r. e '. i ivcf i �v5 �_< r t • I ,} CA 1 i lrc._.....,._., t -` ....}�. �:i. _,.. .;:!1 .• .` �;.'�_'�:ii^r l .. u..� � :Ee�;;i t,}jF 1!F.�-f, .. - �.�f � , .`tet I , i.zir}"3k'y i. I � 3r�F•^T ;its. 1 9g$M�`l CERTIFICATE OF USE &.00CUPANCY TOWN OF NORTH ANDOVER Building Permit Number GG Date THIS CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED ASIN ACCORDANCE WITH THE PROVISIONS OF T MASSACHUSETTS STATE BUI ING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. r CERTIFICATE ISSUED TO l� ADDRESS6 to -�-=�✓ // � Building Inspector 0 TP Town of Lover No. 2 ;moo dover, Mass.,—10 ' i 140?ATE D 4rA�L��i^n BOARD OF HEALTH Food/Kitchen r E R" , IT T Septic System THIS CERTIFIES THAT NN N ' BUILDING INSPEC'T'OR �. � . .......... .... ....................................................... .... .... . .... ..... .. .......... Foundation has permission to erect.*%. !� , buildings:on 4 �VIJW* �. a....� ....... .. ....... ............... 000 . .�........... Rough .. to be occupied as. • 1 1�'�• :� j �#00IOw "111 �1el1♦ L R��,wChimnAda� 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 q� 66ildings in the Town of North Andover. W1 PLUMBING INSP CTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. N � �3�� ��o � &VI"Ld�- S EYTERES 1N 6 MON-IHS "� C) U� , :t 1 ' EELECTR INSP ✓ T� Afi ........... . .................. .: .......... .... Service �-- ................................... BUILDING INSPECTOR R- n1"v(a. GAS INSPECTOR Display in a Conspicuous Place on the Premises Rough P ses — Do Not Remove No Lathing t ing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det: Date6:� . .. . . . . NORTH TOWN OF NORTH ANDOVER #'1 PERMIT FOR GAS INSTALLATION �ISSwCHUSEt This certifies that . . .1') <i fig. .`.T . . . . .` . . . has permission for gas installation . . .j . �2: �.` .�J'�! .`. . . . . . . . in the buildings of . . . . . s. . . .. `.`.. . .. . . . . . . . . . . . . . . . . . . . . . . at .?�. . . . . . . . . . :, North Andover, Mass. Fee. . '.-. . .-. Lic. No.z . . .. . . . . . . . . !.` % . . . . . . . . /GAS INSPECTOR Check#- 10)-6 3769 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date 0 W of NORTH ANDOVER,MASSACHUSETTSLl--� _ f Building Locations L {''W �+ >>t< Permit# ✓ t \ Amount$ �^' (�► �1n r1 s v. Owner's Name New❑ Renovation [DIX Replacement ❑ Plans Submitted 0 U U CIO 0 A w d T O a a Z F Wz F Z a H O SUB-BASEMENT y BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) l� J1 one: Certificate Installing Company Name 1/ Corp. Address i% �;l ❑ Pie._ Business Telephone CY)9 H5 4-,L.a!S Firm/Co. Name of Licensed Plumber or Gas Fitter �� c� J) ��n,�� %N-t INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked M,please indicate the type coverage by checking the appropriate box. Liability insurance policy 1r Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusett%§tate Gas Code and Chapter 142 of the General Laws. ( /(X4 '1�)15413IIXC By: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber 3 .� 12)3 S City/Town ❑ Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) Journeyman LABOR FINDERS® PHILADELPHIA,PA -— (215)543-9340 — — — -- — — —t ,_ s € Ol _ 4, tt 'd J!r € I 9 a ! , € I € } , 3 E k 3 I k f I € t Staffing€Solutions For Today's Business € € Date/e--' 4 �aORTM TOWN OF NORTH ANDOVER t PERMIT FOR PLUMBING t. * � .- " • € 9SSACMUS� This certifies that . . �/i .'.' 14e. `. . . . .l .?� F . . . . . . . . . . . . . . . . . has permission to perform . . . . ` . . . . . . . . . . . . . . . . plumbing in the buildings of . . .rte ' fes!. �...... . . . . . . . . . . . . . . . . at. . /I/. . . . . . . !f. . . . . . . . ., North Andover, Mass. . .Q e. /w f . �� � Fee. A ,. . .Lic. NO..? 3. .'.' .- �... . . '��?. . . . . . . LfUMBING INSPECTOR Check # 4973 „_. `f 1 73 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location "I0 br)m C n Owners Name Q'� ► A 1 Z a,v)n j.., Permit# Amount _ Type of Occupancy New Renovation Replacement Plans Submitted Yes No 0 FIXTURES Cn z w x aU Un W F W a CnUH a x a w �, d cc zccCna �a W Ww Q a H A a w w a d H a z H x Q Q a d d Z A A a H Q cra SMER�E R4SEW li' ISE Him r MFLOOR 3MFLOOR —4M H.00R 5MHIM 6MILOOR M ROM (Print or type) 1 D \ Check one: Certificate Installing Company Name 4'�,: t�•.0 \ J _ Corp. Address k Partner. Loveki Business Telephone C,-)y (a 54_ &'�55 Finn/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy E21”, Other type of indemnity 11 Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus State Plumbing Cade and C apter 142 of the General Laws. By: Signature61-Ticensea Plumoer Type of Plumbing License Title -)3 �3 �5 City/Town icense Numuer Master Journeyman APPROVED(OFFICE USE ONLY u Date. /!`��• N° 4216 Oq TOWN OF NORTH ANDOVER �c ° p PERMIT FOR PLUMBING y'sS;r.„s� This certifies that !7 . .P. . . . . ��� . .y has permission to perform . . .P. r 4-x. .6. ��• • j• • • • • . . . . . . • • • plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . North Andover, Mass. � I Fee. -1/�7. `;'Lic. No.. . -PLUMBING INSPECT15R WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 27 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS la �57c� Date / Building Location J O Q�/�0�(-. ST Owners Name WI LLl4Clt"l Permit#_ --4/—A/ - Amount -- Type of Occupancy E:7� S New ® Renovation r . Replacement ® Plans Submitted Yes No - FIXTURES Cnw w z z a a •- w F H In x a w w w cc w a a Cn -- H d Z s F x a STEBM BAg1v1M - ISE FLOQt 2rnRDM 3M RaR a1H FLUB 5M FWCR srfz Fly - FLaR sIIi FilDQ2 (Print or type) Check one: Certificate Installing Company Name 1 ai\// d +-k-( Corp. Address c— � / ❑ Partner. v✓ 1-7 o l e 1-3 Business Telephone E ' Firm/Co. Name of Licensed Plumber 1P 1 C t y(/► �2 0 g�O U►,0'6?FqgV Insurance Coverage: Indicate the type of insurance covarage by checking the appropriate box: Liability insurance policy r=�-- Other type of indemnity ❑ Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance ignature Owner ® Agent I hereby certify that all of the details and informatio ubmitted(or entered)in above application are true and accurate to the ` best of my knowledge and that all plumbing wor and installah s p ormed under Permit Issued for this plication will be in compliance with all pertinent provisions of the assa Plu gd Ch 42 the neral Laws. By: igna o icens um er Type of Plumbing License F Title City/Town icense MumDer Master Journeyman ® . APPROVED(OFFICE USE ONLY NO 2086 Date...... ,/.: .d�.... ,j f NORTH, ° <•``°:• "� TOWN OF NORTH ANDOVER Oc PERMIT FOR WIRING �,sSACMUSE� This certifies that ........... v.t..0 ............. . L ��.�.C.4�..................... has permission to perform �.�^` C� ...... ....... ...... .................................................... wiring in the building of....... ............................................... at..........`.() 2 c�r��v/�1�� /... ......................... �T North Andover, ass. ................ �.. LECTRICALINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer I O:iicc Use.Only The Commonwealth of Massachusetts Perrit No: y - Department of Public Safety = Occupancy b Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All+pork to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date D o City or Town of ,y AA 6 U0-r To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 140 >at m(o,/\+ S Owner or Tenant l II t G crvl Zfa h►1 fY Pt t e Owner's Address Is this permit in conjunction with a building permit: YesF No ❑ (Check Appropriate Box) Purpose of Building/ Utility Authorization NO. w/ Existing Service Amps 1"10 Volts Overhead ] Undgrd❑ No. of Meters New Service L7 Amps 1,?�0 /a Volts OverheadctJ Undgrd❑ No. of Meters Number of Feeders and Ampacity z /6 6 A -1,!f ' Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total INA No. of Lighting Fixtures Swimming Pool Above In- grnd. 1:1grnd. ElGenerators KVA No. of Receptacle Outlets a No. of Oil Burners Ba of Emergency Lighting Batter Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges Total No. of Detection and g No. of Air Cond. tonsInitiating Devices No. of Disposals No. of Heats Total Total No. of Sounding Devices Tons KW No, of Dishwashers S ace/Area Beating KW No. of Self Contained p g Detection/Sounding Devices No. of Dryers / Heating Devices KW Local❑ Municipal ❑Other Connection No. of Water Heaters KW No. of No, of Low Voltage Signs Ballasts Wiring + No. Hydro Massage Tubs No. of Motors Total HP OTHER: PHtw u a 4n lvsrrlytt il 01J u 0"f-10 ,1 !/ oec--, SOpyl rP INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy.including Completed Operations Coverage or its substantial equivalent. YES❑ NO ❑-_I-bave submitted valid proof of same to this office. YES❑ NO ❑ If you have checked YES,,please indicate the type of coverage by checking the appropriate box. INSURANCE F] -BOND ❑ OTHER ❑ (Please Specify) Expiration Date Estimated Value of Electrical Work $ Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: /�C�/ FIRM NAME V r 1C. N0. 7 l Licensee / Signature Address S -T.!S S L w dl C' 1 No. Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ 4 Signature of Owner or Agent is rn Do Not WriteJn.Here CA For Electrical Inspector Only to M M --f Street and No. ............................................. > Name ........................................................... Electrician .................................................... PermitNo. .................................................... Comments .................................................... ...................................................................... Location � '�! yA No. Date !� / • r 1 MORT1y TOWN OF NORTH ANDOVER - F `p Certificate of Occupancy $41 Building/Frame Permit Fee $ 'SSACMusE` Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ _ TOTAL $^ r s Building Inspector 3 4 0 5 lo/12/99 12:21 95.00 PAID Div. Public Works PERMIT NO. APPLICATION FOR PERMIT T BUILD********NORTH ANDOVER, MA NIAP NO. /8 LOTNO. 2. RECORDOR•NERSIIIP DATE BOOK PACE 1 i i k' ZONE SUB DIV. LOTNO. l LOCATION �� g�L s� PURPOSE OF BUILDING �!,_,Jj jSfFl_ (3� l(i �e/I fn Si�la� ►A7TthiDrl A��s OWNER'S NAME / , NO.OF STORIES 6 yL vS'i-d[( PppL4C'p/h.u.oY- SIZE W I-Dw ut,S OWNER'S ADDRESS W L� 1��a/►� .T A ©C BASENIENTORSLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS/ 1 2N 3RD BUILDER'SNANfE SPAN DISTANCE TO NEAREST BUILDING Get DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES R DIMENSIONSOFGIRDERS 16 AL AREA OF LOT FR T HEIGHTOF FOUNDATION THICKNESS IS BUILDING NEW of V SIZE OF FOOTING K IS BUILDING ADDITION MATERIAL OF CHININEY IS BUILDING ALTERATION ��is IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE (GJ ti/1.1 �niC IS BUILDING CONNECTEp TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY f Rd IS BUILDING CONNECTED TO TOWN SEWER �S IS BUILDING CONNECTED.TO NATURAL GAS LINE 1NSTUCT'IONS 3. PROPERTY INFORMATION LAND COST EST.BLDG.COST OO PAGE 1 FILL OU'I SECTIONS 1-3 ` �( '�\� EST.BLDG.COST PER SQ. FT. 1 '[ EST.BLDG.COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERDiFI NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: ,xo PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED r OWNERS TELH Y CONTR.TEL# C��' �S� O.SOpZ�j� SIGNATURE OF-OWNER OR AUTHORIZED AGENT — ,a+ CONTR.LIC# FEE $ PERMIT GRANTED 19 Revised 5/5/99 JN-1 r 1tC`t� Z scv o7 'l'?'d�`1 �J �� �-L�4 },•X 2 .__. � �' 0 C f y -'?J-7- ac 0 � 7 X73 N/�1 ,�cri S tnG� — .-7N,tS17{� v A. . c t -.L-.45 0-1- z _ J J h • Q° �0 LoT 1 LO"r to L Cpc.cQ E i i ! - ` DYJELLtr.IG o� LoT to I J� I �0 2c H ' ��r��I✓ ITS JORN _ LAUSETANI 3431LOGATiON OF STRUCTURE(S) ��� I' BASED ON LINES OF OCCUPATtO;,,ATE : SUt!'�" � WIILLL REQUIRE ANC NSTRUMENT SURVEY. Scale: ° Za S. LAVIETANI A PROFESSIONAL LAND SURVEYOR, DO HEREBY CERTIFY THAT THE AMERICAN SURVEYING COMPANY ABOVE MORTGAGE INSPECTION 1264 Main Street, Waltham, MA 02451 (781) 893-6477 01 ALS urAc. nnr_—m-e. �.... r,Eruv eylt.7 �1r11�nLV rVf1.._....--._ i ATCIhT CONNECTION WlTHANEW MORTGAGE F— Mortgage inspection Pian �. AND IS NOT INTENDED OR REPRE- SENTED TO BE A LAND OR PROPERTY LINE SURVEY. NO CORNERS WERE THE LOCATION OF THE ORIGINAL RECORDED AT X7 COUNTY REGISTRY OF DEEDS SET. IT CANNOT BE USED FOR ES- DWELLING SHOWN HEREON EITHER BOOK qua PAGE 65 L.C. Cert.4 _ TABLISHING FENCE, HEDGE OR WAS IN COMPLIANCE WITH THE LOCAL PLAN REFERENCE: BUILDING LINES.THE LAND AS SHOWN APPLICABLE ZONING BYLAWS IN EF- DRAWN PER TOWN OF ASSESSOR'S HEREON IS BASED ON CLIENT FUR- FECT WHEN CONSTRUCTED WITH RE- MAPS PARCEL 4 DATED NISHED INFORMATION AND MAY BE SPECT TO HORIZONTAL DIMENSIONAL ADDRESS: `+'U Bel-"(2"l T ST SUBJECT TO FURTHER OUT-SALES, REQUIREMENTS ONLY),OR IS EXEMPT 14 MT�4,�aN 7P_ !)! TAKINGS,EASEMENTS AND RIGHTS OF FROM VIOLATION ENFORCEMENT AC- BORROWER•�Nc��! WAY. hQ RESPONSIBILiTY IS EX- TION UNDER MASS.G.L.TITLE VII,CHAP. X TENDED HEREIN TO THE LAND OWNER 40A, SEC. 7, UNLESS OTHERWISE SUBJECT DWELLING LIES IN FLOOD ZONE OR OCCUPANT, IT IS NOT INTENDED NOTED OR SHOWN HEREON. A CON- AS SHOWN ON NATIONAL FLOOD INSU,RRANCE PROGRR FLOOD TO BE RECORDED. FIRMATORY INSTRUMENT SURVEY INSURANCE RATE MAP DATED .1U D.J£ 21193 IS ADVISED WHEN STRUCTURES ARE COMMUNITY_PANEL# DATE 9' SHOWN TO BE V OR LESS FROM CLIENT tkv.¢`S,Pox PROPERTY OR REQUIRED ZONING FIELDED DRAFTED CHECKED CLIENT,Rg.F.x °i 3_7 SETBACK LINES. BY C- A �2 J.O.if ii DATE P-9 q 9,io•99 . j-y P.B. _PGE. - � i f i NORTH F o ONM Of OL dover o - Vo dover, Mass., O ] , lot ADRATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • 1 BUILDING INSPECTOR THIS CERTIFIES THAT.... .t..��..I.l�.� A NN N .............. ...................... ............ .... Foundation has permission to erect. gP%VJ.!k ...... buildings on .....4.10..... .'I.. ..o..N ......S�...` Rough i I'Atol� �� ����� ` Rr w� Chimney tobe occupied as.�........�...K.............* ............)..:..............................................................�................f ......... 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. W 1 N be VA PLUMBING INSPECTOR • VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough t IS PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTI N JTARTS ELECTRICAL INSPECTOR Rough 3 4 O r Service ........... ....... .... .. . .. ................ .. .. ........... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final T No Lathing or Dry Wall 1 o BeDDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Ste, A)A L, L t kZ Location of Facility Signa a of P t Applicant Dilate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector r - i _� a NOHrN Zoning Bylaw Review Form o _ A Town Of North Andover Building Department 27 Charles St. North Andover MA. 01845 psSACHUsgj Phone 978-688-9545 Fax 978-688-9542 .Street:._.. .. .. .N ...._.. _. ,... Ma /Lot: Applicant: o .e //1 /_� !`. Request: // X '2 0 c79:_cis Date: —/_.Cf—o 3 Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning /�- Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage S 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required q e 5 3 Preexisting CBA y S 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height s 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setbacks) y 16 S 1 Coverage exceeds maximum 7 Insufficient Information . 2 Coverage Complies D Watershed 3 Coverage Preexisting y 5 1 Not in Watershed Lt e s 4 Insufficient Information 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking / 1 In District review required 1 More Parking Required 2 Not in district 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parking Rerned for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit_ Setback Variance Access other than Frontage Special Permit Parking Variance. __Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit S ecial Permit Non-Conformin2 Use ZBA Large Estate Condo Special Permit Earth Removal Special— Permit ZBA Planned Development District Special Permit S ecial Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit Special permit for preexisting nonconformin Watershed Special Permit The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new permit application form and begin the permitting process. /Building Department Official Signature Application Received Application Denied Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: �..,s��a�,�r .,,4�...�a �J'S �;7"'k�''�r'�d't�t���F�,�^�� �i ��ti ���'�����n�i�4e � ��"� ��t� +•'+f,�'f�'7�, �,c i���ji �`� P le 1--Yt 6�(ti to e GN-- CU�V�vr�iN S7'i^uC'�� r.e o,v � Z� ti e 1,4('61 i I I i i I i i i Referred To: Fire Police Health Conservation Zonin Board Plannin De artment of Public Works Other Historical Commission Buildin De artment tzlt- cl -� 7� IP fE A-1 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION**q*********l**********"'** APPLICANT_ 0�41U`l --- PHONE_ LOCATION: Assessor's Map Number PARCEL___ SUBDIVISION — _ LOT(S) STREET ST. NUMBER ************************************OFFICIAL USE ONLY******************************** * RECO M DATIONS OF OW AG NTS: CONSERVATION ADMINISTRA DATE APPROVED_ ® ' DATE REJECTED_—_ COMMENTS TOWN PLANNER DATE APPROVED— DATE REJECTED COMMENTS_ _— FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS --__ PUBLIC WORKS-SEWER/WATER CONNECTIONS_ —� DRIVEWAY PERMIT FIRE DEPARTMENT ` RECEIVED BY BUILDING INSPECTOR _—DATE Revised 9197 jm ti 0 _ fir.-. ►� . . _' � _ T7-7-- 7 -7 4 41 co _--;--- a At a JOHN S LAURETANI 344111, -4AhtT0#10F STRUCTURE($) BASED ON U168 OF OCCUPATtQ. '&MORE ACCURATE LQCAPON W1LL fiEt�tlIRE AN INSTRUMENT _, - SURVEY. JILA 'ROFESSIONAL LAND SURVEYOR &, V he Home,F3epot#2685 2 PLEASANT>UALLEY ST,-METHUEN;MA0.1844 378)989-9025 hu Apr 1 T 15:59.II8 2003 - he-materiats b"Tis-project vd -cast$1 t3&-S3 OE BLAND" -)ECK DRAFT 1. i2fi9(l 36cK Dimensions fbr.Deck 1 i 2.4' -De S_ Joist Spacing 46 in. o.c. -Baluster Spacing- =- 3 3/4'• Toe"Sparziig -3 :374" The Commonwealth of Massachusetts State Board of Building Regulations and TOWN OF NORTH ANDOVER Standards BUILDING DEPARTMENT Massachusetts State Building code 780 CMR APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OF OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date SECTION I-SITE INFORMATIO 1.1 Property Address: 1� J 12 Assessors Map and Parcel Number: Q Map Number f C �" ,p (Number 1..3 Zoning Information: IA Property Dimensions: Lot Area(soil Frontage(ft) Zomn District sed Use 1.6 Building Setback ft Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided 107 Water S G I.C.40.4 §54 1.5. Flood Zone Information: 1.8 Sewer a bisWSystem: Public Private Zone Q Outside Flood Zane ® Municipal On Site Disposal System T 2.1 Owner of Record Name(Print) Address: Signature/ Telephone 2.2 Authorized Agent: Name(Print Address Signature Telephone SECTION 3 CONSTRUCTION SERVICES FOR PROJECTS LESS TITAN 35 000 CUBIC FEET OF ENCLOSED SPACE 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor. Not Applicable Company Name Registration Number Address Expiration Date Signature Telephone Revised 1997 JMC SECTION 6-DESCRIPT ON OF PROPOSED WORK check all applicable) New Construction Existing Building Q Repairs E3 Alterations Q 1 Addition Q Accessory Bldg. 13 1 Demolition Q Other Specify Brie escription o opo ed: fo 6-t r ah S SECTION 7-USE GROUP AND CONSTRUCTION TYPE USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly A-1 A-2 A-3 1A Q A-4 A-5 1B Q B Business Q 2A Q E Educational Q 2B Q F Factory Q F-1 F-2 2C Q H High Hazard Q 3A Q I Institutional Q 1-1 1-2 1-3 3B 13 M Mercantile 04 Q R Residential 611-� R-1 R-2 R-3 5A Q S Storage Q S-1 S-2 5B U Utility Q Specify: M Mixed Use Q Specify: S Special Q Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS. ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index(780 CMR 34) Proposed Hazard Index(780 CMR 34) SECTION 8-Building Height and Area BUILDING AREA Existing(if applicable) Proposed Number of Floors or stories include basement levels Floor Area per Floor(sf) Total Area(sf) Total Height(ft) SECTION 9-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes Q No Q SECTION I Oa-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT As Owner of subject property hereby authorize to act on my behalf,in all afters reative tow k authorized by this building permit application. Sign4We of Owner tate revised bldg form/state JMC e SECTION IOb-OWNER/AUTHORIZED AGENT DECLARATION 8 4 1, a i k) ,as Owner/Authorized Agent hereby declare that the statemints and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Si re of Owner/Ag t bate SECTION 11 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to Official Use Only be completed b permit applicant 1. Building (a) Building Permit Fee Multiplier 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee(a)x(b) 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1+2+3+4+5) Check Number The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: C7�. a, Yl Location: CiLA &-d � Phone `45 d— a homeowner performing all work myself. F-1 I am a sole proprietor and have no one working in any capacity EDI am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone#: Insurance Co. Policv# Company name: Address City: Phone#: Insurance Co. Policy# 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 herby certify under a ins and an ti erjury that the information provided above is true and correct. Signature Date Print nam �" ` Phone Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone A ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION