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Home My WebLink AboutMiscellaneous - 40 PATRIOT STREET 4/30/2018 40 PATRIOT STREET 210/013.0-0023-0000.0 1 7 Pair10S Location 2 'No. 106 Date Lt , NORTH TOWN OF NORTH ANDOVER ' �? - • `a Certificate of Occupancy $ .--- ` Building/Frame Permit Fee $ ts CH'S Foundation Permit Fee $ �s�cMut Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ _ TOTAL Building Inspector 13 L04524ir99 14:43 585.00 PAID Div. Public Works I'Ell M IT NO. APPLICATION FOIZ I)E[ZMIT TO IIUILI) AI(P ND. � �� NORTI1 A nOVCR, �MA lUhE Ll r�C Z' Hf(.ORUOF'gN'NlKSIIII' SUB I)11'. LO''NO. � ISS- /�, �( .-�7'E ROOK � I.Dc:'AtION L.%i1 �.`� '�,Q.t_� PACE � C V �' OWNER'S NAhIE f 1'IIRF 06F(7F B1111 DING � . OWNER'S ADDRESS I NO.of:S (N 'r21ES ARCI III E(-r'S NAME BASI:MEFrr OR SLAB SIZE, 61I11 DER'S NAME SIZE OF 1:I(XN2 1 IM9ERS CL�. (J I 2 DIS'TANCFTONEAKES7 HUIL1)ING C� SPAN 3 DIS 1'ANCE I ROhi S'I'REE r DIh1ENSl(NJS( SILLS DISTANCE FROM I.OT LINES-SIDESREAx DIMENSIONS Of:IX)S I S ARFA OF LOT DIMENSI(NJS OF GIRDExS FR(NJ1 AGE IS BOILDING NEW I IEIGI rr l N'FCXINDATI(NJ IS BUILDING ADDI 11(NJ SIZE OF lwrl ING THICKNESS IS BUILDING ALTERATION MATERIAL OF CHIMNEY X Wil I.BUILDING CONFORM TO RFQ(IIREMEN'I'S OF CODE IS BUILDING ON SOLID ORT-II-LED LAND • BOARD OF APPEALS ACTION, IF ANY _IS BUILDING CONNECTED TO TOWN WATER C� IS BUILDING CCNJNECI'ED TOI-OWN SEWER .INS1'll('T'IONS 3. PHOPER[-I'INFO RAIATION IS BUILDING CONNECITDTONATURAL GAS LINE PAGE I PILI.(X rr SECrlONS 1-3 _ LANU COSI' oEST,.dI_.[Xi.COST EST. BLDG- COLS"r PER SQ. FT. EI E(TkIC h1E"PERS MUST BE ON OUTSIDE OF BUILDING EST, d1.IXi.('l�f 1'FK x(X)e1 A 1-I ACI JEJ)GARA(;ES M(1ST CONFORM TO SrATE FIRE RE(il)I.A"I-IONS SEPTIC PEKh11T'NO. PLANS MUST BE FILED AND APPROVED BYBI)ILDINGINSPECr(N2 4'. �PPRAI'EDlil'; i BIIII.DING INSPECTOR DA If:FILI:I> j -C tT • Cs� 7 OWN ERS TEI a �l0 - L.J a CONTRA El t� Lf NIiR OK Al" I.I.C.b t •» p l'I'RhI1T(1RANTF ' D J i• ,L g3't!\,y Is t------------------ �t.e� 1 ly -------------�.—�_i�� 64 �_. 1 ea0R`T'M Town ofover. Y 1- t , Y"o dover, Mass., BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT.............. ...///9 t4 NIS C BUILDING INSPECTOR �r :� � Foundation has permission to erect. I. ISN..... buildings on ................................. ................................................. ..... . Rough W t0 be occupied as... ........ .. ...r........... �............................ Chimney y.. ......I ... ... provided that the person acc 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 I? WC, JLDEI-�Mll- EXPIRES IN Final UNLESS CONS'rRUC-I ELECTRICAL INSPECTOR 3 Rough ....... ...... ... ...... .... .... ............ ....... Service BUILDING INSPECTOR Final OCCLI?anCy :Dennit lRequired to Ocaipy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE:1"=20' DATE.4/1/99 Scott L. Giles R.P.L.S. Frank. S. Giles 50 Deer Meadow Road ASSUMED North Andover, Mass. 100.00, LOT V PLAN#4509 N.E.R.D. n 10,000 S.F. W o 0 0 0 0 0 0 0 1 STY. W.F. DWELLING W m J 42' #40 15.5' �1 OPEN F 100.00, PATRIOT STREET I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE �ZH Of THE OFFSETS OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY AND SUCH USE IS FOR THE G L WITH THE ZONING DETERMINATION OF ZONING N 3972 0 CISiE�� BYLAWS OF CONFORMITY OR NON-CONFORMITY f 0 , NORTH ANDOVER NSE IAND s� WHEN BUILT WHEN CONSTRUCTED. � � 9 Town of North Andover NO 0 f 1 OFFICE OF Q�Oett`` /e•�OL COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover,Massachusetts 01845ty WILLIAM J. SCOTT 9SSACHUSE� Director (978)688-9531 Fax(978)688-9542 In accordance with the provisions 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 c 11, S 150 A. The debris will be disposed of in: o- -Location of Facility) Signature of Permit Applicant f- 13 - F - Date NOTE: DemolitionP ermit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector I BOARD OF APPEALS 688-9541 BLJILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 N° 1732 Date.... / ,%ORTN, : °-;•�"�,� TOWN OF NORTH ANDOVER o PERMIT FOR WIRING -TS US This certifies that ....... ......R..4..d P...�G4.�t Q f�Z--........................... has permission to perform ............................................. wrongto the building of.... -........................................................ at............. ......[`!. .!?.f.. .... �....................,Nort9pdover,Mass. Fee... .... . .. .................... ELECTRICAL INSPECTOR 06/23/99 14:03 135.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer LOffice Use onLy MAP DEPARTALEAT0FPUBLICSAFE7Y Permit No. l NS527 OFF7REPREY=0NREG TI ULA O CtiIR 12-00 r� 0/�/3.0—O�a3 Occupancy&Fees Checked PAR L Qua o PE ?Aff TO PERFORMEL,ECMCAL, 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 ofNortli Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work dQscribed below. Location(Street&Number) Owner or Tenant a ,? Owner's Address Is this permit in conjunction with a bgildingg/permit: Yes FC-71—NoF-1 (Check Appropriate Box) Purpose of Building -4:4;e/ 17 C Utility Authorization No. Existing Service f6 b Amps a" /af<a Volts Overhead Underground No.of Meters i New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 41/« ax.11, /ude /fit No.of Lighting outlets No.of Hot Tubs No.of Transformers Total i KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground M ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumos Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Locala Municipal Other Connections No.of Water Resters KW No.of No.of Sins Bailasis No.Hydro Massage Tubs No.of Motors Total HP 1 OTIR kmrarxe Co eras Ptasuae s�die rec ar oftvtassadas Z Galeal Laws I have a asters Lobiity ktstrs=pchcy rrdldg Carte co a cr its su l g YES E�a— NO lha-�eabrrtittedvandMdofsamelotrOf m YES [EINO F'-J If}cuhmede:kedYES,p6seTdrzt--theNmcfctl�bydrckirlgthe INSURANCE BONDF-1 OTHER (P+ se Spey) 9-f'f Exp¢-�n Dam ( _f,Est VahredFk2ctriml Wait S aic� WStmt _ ��9,f k>sp atDaseRe�ted Rath Final S urrx-&Penalties . FIRM NAME L=seNo. 7,F 5/C�- Lrarsee Sista = _ L0=1116 Busiress Tel.Na /'7,,F—"w r" 0_37 6, AIL TaNa OWNEZ S INSURANCE WAIVER,I am aware tltattheLcarse dOes tart the nmrare t�st�mr>tial —� aadfatmvs cn4%pemalpfrAatwai es this 61 (Please check one) Owner Agent Telephone No. PERMIT FEES J Date.: T 4056 "0 R7:1�o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� This certifies that . . . 0 ! . .4-f z.. . . . . {. . .4`.. .. . . . . . . . . has permission to perform . . . �. ! . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . at. .41 h . . .�?,o.1 . . . . . . . . . . . . . . . North Andover, Mass. Fee. Lt Lic. No..). k . . . . . . . . . . . . . . . P MBING INSPECTOR 06/23/99 14:02 45.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MAP 3 MASSAC SETTS U �LICATION OR PERMIT TO DO PLUMBING PARCEL �D L 3 ( e or Tint NORTH ANDOVER,MA CHUSETTS Date Building Locatio _ Owners Name Permit Amount —L( Type of Occupancy New Renovation Replacement 13 Plans Submitted Yes El No FIXTURES z Cn W d a x 0 z H C W F W F a z a a a a s H W a zW � x Y Q Hz d z W Q H W; d �.1 A A raid A d Q! SLRES4 C BASEVENF IST:FLUB M ROM 3M RUR 4IH ROQ2 51H FLOCK 6IH HA" 7IH FLOOR SIH FLO(R (Print or type) Cheqk one: Certificate Installing Company Name -- Corp. Ad Partner. Business Terephohe Firm/Co. Name of Licensed Plumber: Insurance Coverage: to th a of insurance coverage by checking the appropriate box: Liability insurance policy 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 Signature Owner Agent I hereby certify that all of the details and information I have subm' qd(or entered wove application are true and accurate to the best of my knowledge and that all plumbing work d installa' e under Permit Issu or thi is ion will be in compliance with all pertinent provision sachus to Plumbing Code and C r 14 neral Laws By: ijicepineTnurriber Type of Pjambing License Title 1-:�l /jCity/Townicense i um er Master ❑ Journeyman APPROVED(OFFICE USE ONLY MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING - (Print or Type) n ' 0,_-rf4 AfJDI LQ, Mass. Date C 19�� Permit kliBuilding Location loll Te 10 T St Owner's Name XZ.T N(�f CA,e Tc /%P—'7 7 4 4,v 17Df Ic/ t 44 (A Type of Occupancy_ FR 1 DCN T i New ❑ Renovation ❑ Replacement Re," Plans Submitted: Yes❑ No ❑ V) y Q SG W y 2 Q fn y y V y Q y = O y = W UA J y W F L.1 m !: _ y 0 cc � = Z o t- CC = o W < c c = t- r0 W 6 W W 10- 4f d C a '( _ y t7 W = Z O W W W C1 W Z < _ _ = W = W W t = H Z ¢ (7 t- J H Z f, W W O -O > W rW J Z < to < C f' y m Z O Z = O #A = < W > rt W Z. < Q < < O O W O W t- '= O O Z W 3 c 0 J 0 ¢ > o a F- O SUB-8SMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR _ 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name 'f Cji;e ZTA . :elm MA T v.)r20 Check one: Certificate Address 3 i_, ODA C H/h,? ry `Nf,. ❑ Corporation �1 E 7 H U E fJ 01 rl U ( k ❑ Partnership Business Telephone —9 9"7 f f3�Irm/Co. Name of Licensed Plumber or Gas Fitter -1 o A F_f'T A- 5 A M M H 7A SC D INSURANCE COVERAGE: I have a current 1' bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes [p No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box A liability insurance policy 01", , Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent Q _ Signature of Owner or Owner's Agent _. I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work--and installations performed under the pe ' i ed foLr this application ' be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ner Laws. BY T oLicense: C� A.'; mber n ure of cen u or Fitter Title r er License Number City/Town O IC NL neyman I� BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING r NAME A TYPE OF BUILDING LOCATION OF BUILDING ' PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 1 9- GAS INSPECTOR � I r } 627 Date.` •••••• A a HORTM TOWN OF NORTH ANDOVER a. 't'O PERMIT FOR GAS INSTALLATION F p a • 1SSACHUgEt M n� .~r This certifies that . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . .. . in the buildings of . . l.� . . . . . . . . . . . . . . . . . . . . . . ... . . at . .�(� . .��f?. 1�!.�. . �.�. . . . . . . . . North Andover, Mass. Fee. .. . . Lic. No..4.: .3I . AS INSPECTOR" WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ou 0 Mass. Date 19 Permit # 2X03 Building Location C? F' (`i ci Owner's Name Type of Occupancy New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No� z N W ui Y z vi N W U CC N cc N ¢ O 0 _ W J N W O U m S n (� x r Z z O r Cr O W a ¢ x o D O x H s m W < .u . W O0 a c R N OC N OU W N < cc O In W W W (A W. Z < x 2 cc CW7 CC W ~ W U cc .I F- W C7 t- 2 J Z F W O > W t- J Y Q W < x Y W N m Z O 2 O N x Q W > x W M Z. < = < a a O O W O W t- rc 'x 010 x U. O 3 CIO j U y G 0. F- O SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR , 3RD FLOOR 4THFLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR , / Installing Company Name i r e ' � I Check one: Certificate Address ��G ( � g QCe_ 0'Corporation -:7--Ia7S -�rc�r�, aa of cn ❑ Partnership Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter (�lTVr INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes--2r- No ❑ If you have checkedrtes, please indicate the type coverage by checking the appropriate box. A liability insurance policyE�' 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 El 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 andthatall plumbing work and installations performed under the permit issued for this application will be i compliance with all pertinent provisionsl_bf.the Massachusetts State Gas Code and Chapter 142 of the Ggneral Laws. BY T e of License: �_. ' . MAY 1 X995 Plumber /Signature6j 'cense tuber or as ' 'r Title Ger aster License Number Zoo City/Town Journeyman APPROVED(OFFICE USE ONLY) i s BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES CC) PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING lvwcy LOCATION OF BUILDING 6 PLUMBER fir PERMIT GRANTED DATE 99 PLUMBING INSPECTOR r .- a xn 220 3 Date.. .-. . .. . .. . ca NORTH TOWN OF NORTH ANDOVER 3� y� • O PERMIT FOR GAS INSTALLATION m 9 r SA US This certifies that . &,qFf:.:!. . . .P. . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . in the buildings of . . .J A??!�f. . . . . . . . . . . . . . . . . . . at . . .`�'4? . 1 !91?!�.�. . . f L. . . . . . . . .. North Andover, Mass. Fee?�!. . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING z�r (Print or Type) AID PTS fiv`1MA4,Mass. Date 19 9 1 Permit S - Building Location go en T41 oT s r Owner's Name Int OS Wie,?roJ A Ut+ A-A.2znu/P3-e , MA Type of Occupancy�t 5+ �E N tl A L_ New ❑ Renovation ❑ Replacement l!d' Plans Submitted: Yes ❑ No ❑ FIXTURES N h N N N O Z > USH W Y J N Q V N O O N -Z N Q ¢ ¢ = N Z O Z O W !� W y i (� a H W Z ` f- J N y O S W N Y 4 a 3 X V Z O O ¢ H W Q: S 6 W p < N Z .= a x 0 W W W < to N x J p p W = Q = 3 0 Z = 3r Y d C H a Y a W U. Y W < F- f- O y N O N f' Z O o N Z Z W O U 2 < Q S a a O Q J J a ¢ oc a 0 Q I- 3 Y J m N G C J 3 x H N W O O a S LL Q! O SUB-BSMT. BASEMENT i 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR � Installing Company Name /P10tme'T Q - --cjr4mMA'TrQe0 Check one: Certificate Address ?v-` CoRCHmt4k) ❑ Corporation 17) E%N r 'F_ A YO A U 1 VL/ ❑ Partnership Business Telephone I?-iL77 1 2'0irm/Co. Name of Licensed Plumber � (�r3 r,/'T �i� SA ivirvl r9 req,0c ., INSURANCE COVERAGE: I have ayes currentflability insura❑ ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. L�r NoIf you have checked Vis, please indicate the type coverage by checking the appropriate box. A liability insurance policy ld Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ — Signature of Owner or Owner's Agent I hereby certify that all of the details and'information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum • g Oode and apter of the eral Laws. Title re of licensed Plum -r! Type of License: Master Journeyman ❑ City/Town APPROVED OFFIC U ONL License Number q33 5 I BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES 1 PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED i DATE 19 PLUMBING INSPECTOR �I i < Location No. Date &-,S 0.3 MaRTM TOWN OF NORTH ANDOVER Of � • : 1h �? • SOL f D Certificate of Occupancy $ 'ss�cMusE< Building/Frame Permit Fee $ X/5 Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # ��n f / 16347 ,� Building Inspect0 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Tlfils;Sectro�:#oir fi;►ft'>tcial'Use'UaI BUILDING PERMIT NUMBER: �'5-1 0 DATE ISSUED: 02 �`D� y SIGNATURE: � Building Commissioner/Inspector of Buildings Date SECTION I-SITE INFORMATION 1.1 Property.Address: 1.2 Assessors Map and Parcel Number' O 3 l3 Ate Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage 11) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Reqwred Provided Requi red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner ol" Record ., tfiAM&s j— C Name(Punt) / Address for Service nature Telephone 2.2 Owner of Record: Name Print Address for Service: O z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensbd Construction Supervisor: Not Applicable 0 Licensed Caonstruction Supervisor: O License Number Address D Expiration Date Signature Telephone r 1.2 Registered Home Improvement Contractor Not Applicable ❑ .ompany Name I ,1 Registration Number r Adress 7r � Expiration Date iQnature Telephone SECTION 4-WORKERS COMPENSATION(RG.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....:..[J No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition ❑ Other 0 Specify Brief Description of Proposed Work: 460 o re PlF-Lc.C�✓C,.✓G �'izr7� ��t/� %/)�G LwU� 41'(a SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost Dollar to be Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction t3 Plumbin Building Permit fee ta)x (b) 4 Mechanical(HVAC) �D 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 as Owner/Authorized Agent of subject property Hereb) uthorize to act on My b alf, in all matters elative to work authorized by this building permit application. Si eure of Otis r Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject properly 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 Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2NO3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DtTENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CFIBvvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE -P®oH - Ike -d3 FORM - U - LOQ' RELEASE FORM INSTRUCTIONS: .This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from comSEEN NEENSWORpliance with any applicable requirements. so EN (10 APPLICANT cT/��"r�"5 tj�w�2 /`7�Y WHONE 69 —Y-'3 ASSESSORS MAP NUMBER 3 LOT NUMBER 2 3 SUBDIVISION LOT NUMBER P)4 ni l O 1 �p STREET................:s%207r'� ....... ( STREET�NUMBER........�..... OFFICIAL USE ONLY REC M1V>ENDATIONS OF TOWN AGENTS �- AK M70 0,0 0 0 0 W 0 0 W 0 0 0 0 W 0 DATE APPROVED 0 OVO 0 oZ S ' CONSERVATION ADMINISTRAT DATE REJECTED CON9VIENIS DATE APPROVED TOWN PLANNER DATE REJECTED CONEVIENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS i PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTNIENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE MORTGAGE PLOT PLAN EK SURVEY INC. MORTGAGOR 14.1716 C'Ver/rU DEED REF. 2v6'S P(;. z77 ADDRESS OF PRINCIPLE BUILDING PLAN REF. _ 415v9 vo P,4irWr Or DATE OF INSPECTION jgPgc ?4g19I? AJC 44)nyix, mr4 /":30' I acro,p' o` � fri INN r Flo Of.LK o S5 g o v w V` NOTE: This mortgage inspection was praparod �`? I FURTHER SATE THAT IN MY PROCESSIONAL epe,dfkdly for mortgage Purpomw end b not to T•. � OPINION the Pcfnctpl.e structure/s and accessory be, tailed upon as a survay< 0( -ZjXVVY occepty RUDEI outbuildings. no responslbltty for damages No 36W `^ with the setback rocluHments of b-le local rallancd by anyone other than the, sold mortgage« zoning ordlnonoes„ and that ho snohroacflmenb and <ts usa! In connection rtth Its °� P mortgage Mancing to sold mortgagor. �JS�oFCIS1E0.�sJ�� props tyy Imes wmet a e,ltltiet way ootross CERWICAT10N k� u,Ku rxcept ae, slam, T'Q; AA)&r62 34A-( ®T. Property is not In a Flood Hazard Arva. Thla caftllicatlon to basad on the locn}lon of sNriy morkers 13Z Property b In 4 Stood Hazard ksc. of athero, and docs not rcprea.nt d proper{y autvoy, thornfora El 3. tAfatmatlon is !nzufdclbnt to A*Mln• Flood Hazard, Flood Haznrd datattnlned 11ocn 2lN icd s{ Fedord flood offsets shorn aro not to ba Ubod for the, astablIvhment of propstty Ithea. Insurance Rate Map Ponai f NORTH Town of Aindover 0 .1 No. c67io 0 toc LA * dover, Mass., y•� �'�.2 n03 A0RATEO P'?�L C� S H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ ............ ..v^. .14' .......................... ......._............................... ... Foundation ♦ I has permission to erect....�✓r. ...$45.3......... buildings on .........� .........A.�.�.��..�...........S�......... � Rough � to be occupied as......Ab.Q..a.f..... . "d......�..(.....% ...... Q.t ........G ya i!!+ � *.*.#............. Chimney provided that the person accepting thiij�r'mit 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 Ins action, Alteration and Construction of Buildings in the Town of North Andover. /;3/41 1 - �oA PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR 0i*mot A C co..�� Rough .................................. .............................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFina, 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. Date::// `_V 3464 / "ORT" 4, 0 TOWN OF NORTH ANDOVER �I 0 G 9 PERMIT FOR PLUMBING SSACHO f� This certifies that 14, . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . .v. !?*.' !. . . . . . . . . . . . . . . . . . . . . at. . u. .j? 7'l9/. -. . S-�.. . . . North Andover, Mass. Feea?)... .. . .Lic. No..C� ?P. . . . . � . . . .o .. . . PLUMBING INSPECTOR 09/04/97 11:23 M.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer f Date.... ....................... d ,10RTM TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSACMUS� l This certifies that ,-s........................ ................... ..........................,.. ' ..... has permission to perform ........-- L —L':.................................................. wiring in the building of.....!..;.:,..F.1.11 1— ................................................ ( �', .........:�. ,North Andover,Mass. at....`.......`............................ :-� �`............ Fee.. .............. Lic.No° �.�,?y.........................................................LI .,,_••. ELECTRICAL INSPECTpIt Check # 46 'j 7 T IE C0MV0AWE4LTH0FARMCflUSE17S Office Use only DEPARTALEATOFPUBLICS9FETY Permit No. / l BOARDOFFIREPREVEN170NRWU 4TIONSS27ClfR12:1X1 Occupancy&Fees Checked rr� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL 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 To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 0 le+ Owner or Tenant u• r Owner's Address 1q...( � Is this permit in conjunction with a building permit: Yes MZNo (Check Appropriate Box) �— Purpose of Building Utility Authorization No. _ Existing Service Amps Its Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters �r..r Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work W t t/ r- pay •y.- �' C— }� No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total No.of Lighting Fixtures Swimming Pool Above Below Generators KVAKVA and � round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices Nu.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices N4 oFDrycrs4Heating Devices KW Local MunicipalOther No.of Water Heaters KW No.of No.of Connections Si s Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• Ir>SruarroeCaaa�Ptastz�tothetagtmai� t�llsGa�aalLaws Iha%eaaatartLiblityhmratrePbVcyirrhdgCar>ple>e ('oreagecrilsst>bsfm>bafegtrivalant YES NO Ihav ya6mJttedvatidp=fofsameiotheOffm YES F1 NO F-1 IfjwhawdrackedYES,pltmirx5caietheiyWofamraQebydxdongthe mxwi*bcDL Ir�SCrRANCE BOND r-1 GMER r-1 ft=Spmdy) f Q k f AJ E` ilafimD* `"� ' Est m&d VakxdF mh:al Wolk$ Emal b -t •.SgnadundaTieamitimdpay FIRMNAME i •• ----...r mo Li WNTIa Iimnsee �,i� jBtsirl�s Td Na OWNER'SINSURANCEWAIVER,Iama mfttheIi=wdomnnttlnwethein']-a mvmg ritsa iegrAdatasraLaadbyNb%ads>sEmGaoWLavvs andfmy rnont spem>$t ionwai m#ism m hent (Please check one) Owner M Agent Q Telephone No. —PERMIT FEE$