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HomeMy WebLinkAboutMiscellaneous - 437 JOHNSON STREET 4/30/2018 437 JOHNSON STREET 2101098.A-0035-0000.0 Location No. / "i Date `- 3 NORTiy TOWN OF NORTH ANDOVER ,140 Certificate of Occupancy $ • > ; ' Building/Frame Permit Fee $ =` cNue CHU E<� Foundation Permit Fee $ s� Other Permit Fee $ Sew er Connection Fee $ erConnection Fee $ �rJ Building Inspector Div. Public Works PERMIT NO. / / APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1� LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. LOCATION D n SQ PURPOSE OF BUILDING ° OO /OWNER'S NAME S �, /I NO. OF STORIES SIZE OWNER'S ADDRESS "Y `, lJ'rC� Y' ,J n Q sb g,2/t- BASEMENT OR SLAB - ARCHITECT'S NAME -F' SIZE OF FLOOR TIMBERS IST 2ND 3RD /4UILDER'S NAME �,.� o if / i'n Ls SPAN v m DISTANCE TO NEARESTB/U"IILDI I' / DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY /{s BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND • WILL BUILDING CONFORM TO REQUIREMENTS OF CODELOS IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY /ems IS BUILDING CONNECTED TO TOWN SEWER V /I/ IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST Q©(, PAGE 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. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS V/PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ,4FILED L/ 01 -�/ BOARD OF HEALTH URE OF OWNER OR AUTHORIZED AGENT OWNER TEL.# ` 17 FEE O� ✓`�CONTR.TEL.# - `3Q ✓I,UNTR.LIC.# PLANNING BOARD PERMIT GRANT 3 19 BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 , SINGLE FAMILY STORIES 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 RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY WALL - s UNFIN. 3 BASEMENT AREA FULL FIN. B'MT" AREA _ 1/1 1/2 14 FIN. ATTIC AREA _ N_O B MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ 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 M. 1 = GAMBREL MANSARD TOILET RM. 12 FIX.) SHED ED 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 II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &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 GASOI L LM'T 2nd _ ELECTRIC 1st 13rd NO HEATING at O R rH r Town O - ...,. 6 OL ndover No. o = �. ; F, ;::: rn 177 Y. Q EWAY E=N1 PtY PEFIMIT _. CT_ E er, Mass. 199/ oR ?P SS PERMIT 0 BOARD OF HEALTH MA i THIS CERTIFIES THAT............ .... �....I'!.�... '�.`. .. ........................... Q BUILDING INSPECTOR has permission to 91•...`.`.-�� �.. b�iiliil��5 on .� � � �' Rough i - �� Chimney tobe occupied as..........1!`.�rl:d:!'� i.. ...............�+i�..... .......... .................... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTRU R Service Final ...... .......... . ..... ............. .. ..... BUILDING 1NSPE OR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector Location V,3 7 ' No. �--"�f L Date O NORTF� TOWN OF NORTH ANDOVER � e A t y Certificate of Occupancy $ Building/Frame Permit Fee $ s�cwus Foundation Permit Fee $ Other Permit Fee $ i TOTAL $ } Check # 17726 .___.y Building InspectorT f TO" OF NORTH COVER BUILDING DEPARTMENT 1PPLICATIQN TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A.ONE OR TWO FAMILY DWELLING - 3UILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: Building Commissioner/Inspector of Buildings Date >ECTION. 1-SITE INFORMATION ,,:k 1.1 Property Address: 1.2 Assessors Map and Parcel Number: y37 , Map Number Parcel Number i 1.3 Zoning Information: 1.4 Property Dimensions: : ?onin District G7se. Lot Area Fronts`e ft 1 L6 BUILDING SETBACKS ft Front Yard Side Ydtd Rear Yard Required Provide ReqWied Provided Required Provided 1.7 Water supply M.(xI—C.40. 34) 1.3. Flood Zone Information: 1.8 Sewerage Disposal Sysiem ?ublic ❑ Private ❑ zoee outside Flood Lone 0 Municipal ❑. On site Disposal Sysfem or SECTION 2-PROPERTY°OW'NERSIIP/AUTHORIZED AGENT _ .. 2.1 Owner of rd Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Prin Address for Service: DL�f Signature Tele;hone Q SECTIO .3-CONSTRUCTION SER CES 3.1 Licensed Construction Supervisor. Not Applicable 0 1 Licensed Construction Supervisor: License Number i Addrtss Expiration Date Signature Telephone r` 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name / � p A9 ri ^� n � Address [J Kfi Registration Number /'` 0 Signors e Telephone Expiration Date 1 SMCTIO)i'4-WORKMtS COMPENSATION(MG.L.C I52 § 25t(4) Workers Compensation Insurance affidavit must be completed and submltte with this-application. Fitute to provide this affidavit will result in the denial of the issuance of the buildingpermit. QL Si ned affidavit Attached Yes.....,1p NO....... SECT-ONS'Descri'tWo.6fF vsed Work`ti kall:$ >acable . New Construction 0 Existing Building 0 Repairs) 0 Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition 0 Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTAIATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be Completed by permit a i'cant 1. Building 'Building Permit Fee Multiler 2 Electrical {b) Estimated Total Cost of :Construction 3 Plvrnbtn Building PermitfeeX(b) 4 Mecharncal;...HVAC. 5 Fire Protection 6 Total 1+2+3+4+5 .. .. .... ..: SECTION 72i OWN\TER 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. Si:nature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 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 be�- ANO/ ` Print Name Signature of Oven A en c Date NO. OF STORIESST SIZE , BASEMENT OR SLAB ' SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS.OF SILLS DIlvIENSIONS OF POSTS DtwIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH Town 0f Andover a�10o LA E dover, Mass.,-LAOP/ 9 COCMICKEWICK V ADRATE `S BOARD OF HEALTH Food/Kitchen PERMIJ T - D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. ..... ......................................... . ......... ................................................... Foundation q ... J41..... ... ... - - - has permission to erect........................................ buildings on .. .... Rough blo • to be occupied as Chimney . .......... ...............................ry......p............... .. PP Final provided that the person accepting permit shall in eve respect conform to the terms of thea application on file in this office, and to the provisions o e Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North A over. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION&SFT ELECTRICAL INSPECTOR Rough .......................................................................... 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 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. SPEARSSIDING CONTRACT Maine Lic.No.DD7893 NH Lic.No. SERVICES&MATERIALS PROVIDED BY Massachusetts Lic.No.120456 Vermont Lic.No. Home Services BII-Ray Aluminum Siding Corp. Rhode Island Lic.No.13707 Boston:800-SEARS-31 of Queens, Inc. New York City Department of Consumer Affairs Lic.No.0730686 Hartford Area:800-SEARS-99 A Sears Authorized Contractor Yonkers 1397•Putnam PC934 Providence Area:888-SEARS-51 F.I.D.No.11-2320449 Westchester WC0613-H87 Connecticut Department of New Hampshire:800-829-2375 II ' C� 190 Cedar Hill Road, Marlboro, MA 01752 Consumer Affairs Lic.No.00532774 JOB# 5 gel 2254 Service/Repairs: 1-888-245-7294 NE t SOLD � TO Q' '.CS �/'^ 'l�j �C S�:'L�� DATE G �/tl /I U ADDRESS ( � � To n S h$ CITY /V /7"��""r STATE a ZIP PHONE HOME(f•'Jr `5 0 J woRl<( ) EMAIL JOB SITE ADDRESS(IF DIFFERENT) APPLIED VINYL & ALUMINUM SIDING General Description of Work at Above Address: Approx Start Date Type of House ❑Frame ❑Masonry(requires firring) Approx Completion Date (WEATHER AND MATERIALS PERMITTING) SPECIFICATIONS Sears approved materials will be finished and installed to these specifications: YES NO PLEASE READ CAREFULLY:ONLY ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER. 1. ❑ SOLID VINYL SIDING-c ver only flatwall areas designated foV ding,except those areas designated eI Size Color,, .Pattern Package S,/y6/ ustom corner posts color A, (� 1A.❑ SIDING will be applied to the following areas only: ❑ Front Elevation ❑ Right Elevation ❑ Entire Details: ❑ Rear Elevation ❑ Left ElevationPartial Details: 3-9ther ❑ Other G 2. IV ❑ INSULATION-cover only flatwall areas designated for siding with inch insulation. 3. [9/ [J, Use Sears approved GALVANIZED STEEL STARTER STRIP where co tractor deems necessary. (Not available with Nailde.) 4. ❑ Siding to be applied over existing foundation. 5. & ❑ Use Sears approved PERMA TABS AND FINISH STRIP where contractor deems necessary in same color as siding.(Not available with Nailite.) 6. Gk--❑ WINDOW OPENINGS: ❑Custom wrap with Sears approved vinyl clad aluminum# Color 4,�-ry2 ❑Jump over casings with siding and T channel# Calor ❑Channel existing window only(eg.Andersen type or previously wrapped)# Color Olherdetails 7. (� ❑ CAULK-all sills with rubberized color co-ordinated caulking. 8. Ly ❑ DOORS-custom wrap with SEARS approved VINYL CLAD ALUMINUM. Color #of Doors 9. ❑ Y GARAGE DOOR FRAMES-custom wrap with SEARS approved VINYL CLAD ALUMINUM. Calor ❑Single ❑ Double with Mull ❑Double No Mull / 10.[V Ll FASCIA-custom wrap with SEARS approved VINYL CLAD ALUMINUM.Color. ter Ir- 1 1. r- 11. ❑ SOFFIT(eaves/overhangs)cover with SEARS approved SOLID VINYL SOFFIT SYSTEM.Except area noted below.4fe'OOfftt3tf Golor�tl A. ,,#V-- 12. e12. ❑ ROTTEN WOOD-Will only be repaired or replaced where specified on line item#27 listed below.Any additional areas needing a repair �,/ will be estimated upon their discovery and priced accordingly. (Does not include wood studs,or exterior sheathing.) 13.L] ❑ Reryove existing material exterior of house. Does not include any asbestos removal. gVinyl ❑Aluminum ❑Wood Shingle ❑Wood Siding ❑Other 14.❑ fl�//PORCH CEILINGS-cover with Sears approved SOLID VINYL CEILING MATERIAL in the following areas: 15.❑ BEAMS/COLUMNS-wrap with SEARS approved VINYL CLAD ALUMINUM.(No circular or round columns) Color 16.❑ �'/GUTTERS/LEADERS-remove existing and replace with new custom seamless gutters and leaders. White Brown 17.❑ LI' SHUTTERS-provide and install pair SEARS approved polystyrene shutters. Color 18.❑ 5/ MASTER MOUNTS-provide and install for exterior light fixtures only. Color / 18A.)Lights# 18B.)Water/Elect Outlet# 18C.)Dryer Vent# 19. GABLE VENTS-provide and install vents.Color No circular or triangle vents. 20. / ❑ CLEAN UP-property at completion of work. 21.t�y,,�/ L] INSURANCE-all required WORKMANS COMP.and LIABILITY to be maintained. 22.lJY ❑ WARRANTY-mail to customer after completion and full payment is received. All Discounts Have Been Applied. 23. ❑ PAYMENTS-on NON-FINANCED orders installer is authorized to collect progressive payments. F=Deferred Payment,Interest will Accrue. 24.f�❑ ALL DISCOUNTS APPLIED. A © g egua ioe aid =tand�zrds� One Ashkaton Place - Room 1301 s Boston..Ma�sa phusctts 02108 Home T.pxovell eR , r Registration «. ,:. tf :,1 i -=: ;;•`� Tvpe: ;supplement Call BIL-RAY ALUM. SIDING CORPJDhn O'Neil 40 ELMONT RD ELMONT, NY 11003 "' `" - •� ';�'` Update date Address and return card.N[arlC reason for change. Q Address .[3 Renewal [] Employmot [] LostCar4 9I4ea�wan�eule o�. aoaatxeJa Board OfUlding lllwnlaftw and Btodards License or registration valid for individul use only How i RPVEMeNT CoNmcm;z before the epiration data. if found return to: 6 Board of Building Regulations and Standards One Ashburton Place lam 1301 rte, :--"—•T Boston,Ma 02108 lament Card RAYALUM. it- -- a O'Neil TONT,W 11003 Administrator Not valid without signature w Amp. CERT"IFICA"TE OF LIAS`I�,I`T Vii'' 1� � N� PRODug6R "� F, CSR z8 PATI;(MMlDD/YY} SC>a T.Acy, zac. THIS C'ERTIFIC.TE 1S 14ISLI p A&AMA Eta F IAf✓a IdM09/13104 �',Q• BQa� 220493 ANLY,ANG 40) FE'RS>NORIGHTSUP.ANT}aEC RTIF111#TE ,�,�. fd�°fi�aA �#+�►'P.sli7,l1� Suits 30D MOL,AIR,7'MIS��13TI�IGAT1 Ia0FI3 N.OT 1�Mf3Npr>;XT�ND�R GrOAt Neck NX ,022 D A 9S -TER TF{1 COVIwFlr ptr AFFpRDED BY TH); RthL.ICI>rS 1 `1=6,pW. - INt;tfRSD INSURERS AFFORDING COVERAGE 1NOURERA; American HCsne A814Litln e�I1A� I✓�, INSURER S; 1311 Ray A� um oiding Corp. INSURER 0: 9. out 003 INS Ua;R0, COVF-RAG"rI INZURER.E: THE RRp UIES OF IN&URANOF LIBT(*D 6 kLQW HAVR A6EfV 1!113 11 TO THE III NAME13 ABOVE FOR TME POLIOY PERIOD IND]CJ TIO.NpTW(THSTANDINrr ANY REgUIREMENT,TERM OR=NDITION OF ANY ODNTRACT OR OTHER 130CUMENT WITH RESPf CT TD WHIDH THIS C6RTIFIOATE MAY 6E ISSUED 4R MAY PERTAIN,T11E INSURANPJA AFFORRED DY THE RI7LIOIES RBtSQI<IFD Mt?REIN 18 pU6J&fyr TO All THE T!*RME,I:XI l USIDN3 AND CONDITIONS OF SUCH PDLIt31e5.AGORE4aATE LIMITS SNDWN MAY HAVE 86SN REGUQEp pY PAID OIAIMS, TYIrI<OF INSURANCE PI NUMBER RENEa+A1,1IAAIILITY DATEM l. A p MMMD LIMIT;3 . GpMMER OK QENERAL LIAOILITY EACH OCCURRpNoe 5 CLAIMP MADE OOCUR FIRE DAMAGE(Any one fire) b MED EXP(Any one person) PIERSONAL 6 ADV INJURY S GEN'LA0QREQAT9LIMITAPPIIEgPER; Q9NERALAQGREGATE S POLICY JECT LAG PRODUCTS•COMP/AP AQQ 6 AUTOMOBILE LIA131UYY ANY AUTO COMBINED SINE LIMIT ALL OWNED AUTOS (Eeecddent) $ SCHEDULEDAUTOS BODILY ODI reINJURY 8 HIRED AUTOS NDN-OWNEDAUTOS BODILY INJURY (Per aaCltlen{) S S PROPERTY DAMAGE GARAGE LIA911TY J (Peracddent) 'ANY AUTO AUTO ONLY•EA ACCIDENT S OTHER THAN EA ACC S AUTO ONLY: �- - 6XE�S&JJABILITY _. _._ ..... ACG ; OCCUR C]CLAIMS MADE EACH OCCURRENCE S AQQREGATE A DEDVCnOLE 3 RETENTION i d WORKE0 COMPENSATION AND EMPLOYERS'1101L(TY •� '1�9773515'a. TO YLIMI.t t?R* Q9�,2��D4 09 2$/D�a E-LEACHACCIDENT s10000 E,L DISEASE-EA 6MPLCYEE $ OTHER . E.L.DISEASE-POLICYLIMIT 6SOb0OD 1?E@GRIP(�pN GF OPI RATI0N9ILDGATI(JNS)V yIGIFSIEXC{{JSIpH6 ADOI p BY ENDORSEMENI/SPECIAI.PROVIWONS : RTIFIGATE HOLDER N ADDRIONAL 1+IFUIiEoI INBI1Rl'.R FETTER, CANCELLATION SHOULD ANY OF THE ApOVE oI;BCRisp POLICIES BE 0ANCELLCD BEFpn THE EXPIRATION ' PATE THEREOF,THE ISSUING(N3URE*WILL ENDEAVOR TO MAIL _PAYS WR►TfEN NOTICE TO TNA C€RTIPICATE MOLDER NAMED TO THE LEFT,BUT FAILURE TD DO Sp SHALL IMPOSE NO 01 410ATION OR LIA61L(TY OP ANY KIND UPON THE INSURER R6 ACES oR R€PRII I:NTATIVES. AUTHORIZeA REP H ANTA7IV� CORD.25 S(TJ97) { CAC RD CORPORATION l9a a