HomeMy WebLinkAboutMiscellaneous - 47 MILTON STREET 4/30/2018 -07 MILTON STREET f 7_ ( �
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NOR7F�,
3:°•_';�`":•;.+ TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
,SSACMUS�
This certifies that / '
has permission to perform ............51..&e;�
wiring in the building of......XX
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at.... �?. /.. .. � .................. ...... .North Andover,Mass.
'Fee.... ...... Lic.No.13,Y ...... .. ...... ..... ...... ..... ....
ELECTRICAL INSP R
-��Check #
794.9
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1
Commonwealth of Massachusetts Official Use Only
Department of Fire Services Permit No. :22•L/
Oupakip BOARD OF FIRE PREVENTION REGULATIONS [Rev1/07]y and Fee Checked
(leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: .- 8^Cn
City or Town of: NORTH ANDOVER To the Inspector of Wires:
By this application the undersigned give notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 95St
Owner or Tenant i�t�1 Telephone No. Vfl tl y 9 303
Owner's Address ` .1Hcz
Is this permit in conjunction with a building permit? Yes ❑ No � (Check Appropriate Box)
Purpose of Building Z Utility Authorization No.
Existing Service Z66 Amps /2& / Z Volts Overhead lam" Undgrd❑ No.of Meters 2.
New Service Ve' Amps %2G' l "L/0 Volts Overhead Undgrd ❑ No.of Meters 2
Number of Feeders and Ampacity 3- Jr•2� 2� �,� jV 4�..,r
ti
Location and Nature of Proposed Electrical Work: ��1�,�,Z �-`hL,e-C
Completion ofthefollowiniztable maybe waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No•of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o mergency Lighting
rnd. rnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals. Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal El other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
Ball
• No.of WaterNo.KW No.of al of Data Wiring:
Sips Ballasts No.of Devices or E uivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains andpenalties of perjury, that the information on this application is true and complete.
FIRM NAME: ✓ CGj/�e r���' 62—C-4-81 C',)/L LIC.NO.: /S!W -
Licensee: i- )raj( Signature '
LIC.NO.: %3A1(1c-'/1
(If applicable, enter"exempt"in the license mber line.) �f �Bus.Tel.No.: ���' C,0 J
Address: lh/ E- /' $� '/ G . C.2
*Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
_1
The Commonwealth of Massachusetts
�, ! Department of Industria!Accidents
Office of Investigations
11ii
r.
600 Washington Street
�lI ��
ti ai Boston, MA 02111
www.mass.gov/dia .
Workers' Compensation Insurance Affidavit: Builders/Contractors/Eiectricians/Plambers
Applicant Information Please Print Leaibl
Name (Business/Organization/Individual); �%l� s?9Sr`�r}.,�- /Cliiti ►{S..tJ
Address: ( w �
City/State/Zip: Phone#: . 0
Are you an employer?Check the appropriate box: Type of project(required):
1.111 am a employer with 4. ❑ 1 am a general contract7and 6 New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑.gym a.sole proprietor or partner- listed on the attached sheet.t 7• ❑ Remodeling
ship and have no employees These sub-contractors have 8. Demolition
working for mein any capacity. workers' comp. insurance. 9, ,Building addition
[No workers'comp.insurance 5. ❑ We are a corporation and its 10 ❑ Electrical repairs or additions
required.] officers have exercised their eP
3.❑ I am a homeowner doing all work right of exemption per MGL I L[3 Plumbing repairs or additions
myself.[No-workers'comp. c. 1.52, §1(4),and we have no 121-1 Roof repairs
insurance required.]t .employees. [No workers'
comp. insurance required..] 13.❑Other
*Any applicant that checks bo)t#l must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
#Contractors that check this box mustattached an additional sheetshowing the name of the sub-contractors and their workers'comp.policy information.
I ant an employer that is providing workers'compensation insurance for my employees: Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lie.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify tc r theIns'y nalties of perjury that the information provided above is true and correct
Signature: 6/
`7ri 1 Date: / G%
Phone#: Q
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
L6.
. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical inspector 5. Plumbing Inspector
Otherontact Person: Phone#:
4
Informat' n
�o and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the'foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. 'However the
owner'-of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance'coverage required."
Additionally, MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not-the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
Self-insurance license number on the appropriate line,
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the '
applicant as proof that a valid affidavit is on file for fdbze permits or licenses. Anew affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture ,
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 42111
Tel. #617-7274900 ext 406 or 1-8.77-MASSAFE
Revised 5-26-05 Fax#617-727-7744
www.mass.gov/dia
7 �7F? ��--77 QQ i
/ � Date. . . {.'.�2 .!. �.�... .
NORTH
o? TOWN OF NORTH ANDOVER #
I .� 9
• - PERMIT FOR GAS INSTALLATION
�,SSACHU$
This certifies that . . . .c.0i. U✓.wp�.�. . �"� . . . .C.v . . . .
has permission for gas installation t ' R?4 w. . . !...
in the buildings of . . . • • • • • • • • • • • •
at M! L.i.v!` .�.�. . . . . North Andover Mass.
Fee! Q: Lic.
GAS INSPECTOR
Check# 6
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
` NOUN AAIDOVER , Mass. Date� W1Permit #
Building Location 47-49 m IL"f0m I , Owner's Name DAV 110 CIARP-11 EL
"" .•��. - KOCT8 M 004ER. IrIA Type of Occupancy(ZESIOEAITIAL•2 FAHIi.�I
New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes[] No ❑
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SUB—BSMT.
BASEMENT Q
1ST FLOOR
2ND FLOOR I
3RD FLOOR
4TH FLOOR
STH FLOOR
Ct- 6TH FLOOR
7TH FLOOR
STH FLOOR
Installing Company Name COLUMBIA GAS GF MASSACHUSETTS Check one: Certificate # r
Address 55 MARSTON STREET �O Corporation 1862
LAWRENCE, MA 018 41 - 2312- ❑ Partnership
Business Telephone q 7 b-691" 640 6
❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter Francis X. Corkery
INSURANCE COVERAGE:
I have acu rent liability insuran
El
policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
If you have checked Yes, please Indicate the type coverage by checking the appropriate box.
A liability insurance policy D< 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 ❑
1 hereby certify that all of the details and information I have submitted(or entered)in abo pplication are true and accuWe to the best of my
knowledge and that all plumbing work and installations performed under the permit iss f r this application will n mpliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. �j
T e of License:
Title Plumber Signature of License Plumber or Gas
Gasfitter
City/Town Master License Number_Z74.5
APPFIOVED 0 FICE USE ONLYI Journeyman
it
I _ -
BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKETCHES PROGRESS INSPECTION
I
FEE
N0.
' APPLICATION FOR PERMIT TO+DO GASFITTING
NAME TYPE OF BUILDING
r
LOCATION OF BUILDING
PLUMBER OR GASFITTER
LIC. NO.
I,
PERMIT GRANTED
DATE _,19
GAS INSPECTOR
N° 2 3 C 0 Date.....�...:�.....:7.?.....
b NORTp
°f�"`°:•1"° TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
SSACMUSE�
This certifies that ............. ........................................c�4 ..�.....
has permission to performY--�"-•--��
...............................................................................
wiring in the building of............. �..�.�...: :..-.. ..J............................................
ai..4 .:2..... 2Z:....... ..................... .North Andover,Mass.
Fee::!r ..... ..... Lic.No..'.r>. J:?. .....� �:Ac.� ..... ..... .......
ELECTRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
THECOAMONWEALTHOFARMC HUSMS Office Use only
DEP19RTAfiVT0FPUB0CS9F= 690
Permit No.
BOARDOFFMPRLVEN'170NREG JM770NN527C3i1Z-OO 0�
Occupancy&Fees Checked
APPLICATTONFOR PEPtA�flT TOPERFORMELEC'.I7ZICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 6_ -S
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date w
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below. PARCEL
Location(Street&Number) 141 I"f
Owner or Tenant F—ky2 t
Owner's Address C My I
Is this permit in conjunction with a building permit: Yesm No (Check Appropriate Box)
Purpose of Building p2 ;"^, I t Utility Authorization No.
Existing Service Amps / Volts Overhead Underground No.of Meters
New Service Amps / Volts Overhead Underground No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work UJ I c i n QA 7 -T74. 77 7777,
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures /' Swimming Pool Above Below Generators KVA
and and
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
jtlo.of Switch Outlets
No.of Gas Burncm
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
No.of Dishwashers Space Area Heating KW No.of Sounding Devices
No.of Self Contained
Detection/Sounding Devices
No.of Dryers Heating Devices KW Local Municipal Other
Connections
No.of Water Heaters KW No.of No.of
Signs Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
3
OTHER-
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Ihaw wlidproofofsarmtotheOffim YES M
NO If}wlawdrd<edYFS pl mmkaletbot lmofwvaaWlydukmgthe
apptopriatebox
INSURANCE BOND F-1 OTHER D (Fuse Sp*)
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Limme C ��t Sigcrahae
j` p n Busule�TelNo. C5G
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OWNER'S INSURANCEWAIVE;Z IamawðatThe Imme&w-q not mar&=wvmaWcr&akswrtdeqrmiatasTogxedbyNIasmdmg&CxnaaiLaws
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(Please check one) Owner M Agent r7
Telephone No. PERMIT FEE$ C�, ✓
�iignature ot Uwner or Age=n
Location T /0,P0 y S
No. Date G
MORTq TOWN OF NORTH ANDOVER
O:O•`tom.° '•,�O s .ice
Certificate of Occupancy $
a ; ; Building/Frame Permit Fee $ •
Foundation Permit Fee $
AcMus
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $ _
TOTAL fe-$ °� �'
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l� Building Inspector
1 20/ 30S/04/99 11:31 25.00 PAID
Div. Public Works
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ISBI)ILDINGNLW SI/1i CA I1 ()IING X
IS BUILDING ALTERATION IS BUILDING ON SC)Llf)OR FII t E1)LAND —— —
WIt L BUILDING CONFORM TO R176IIREMENISCA:CODE �S IS lit III DING CONNECltii)101OWN WAIER YE --- _—_
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dover, Mass., )a 19 C/8
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1_COCHIC HE W ICK
�A�T
ED
BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT TI
BUILDING INSPECTOR
THIS CERTIFIES THAT.... .v ..Ttr.�/ ......... ,...a.b �./�./.
d .1........... ........... Foundation
0
,4 �-t�£12 �� .. .......... .. .�. ...............`.5.........
has permission to�erect..........4. .................'... buildings n ......... _r .......... Rough
1 �.. &.r- '� /j�� A r 1 �1 ��......L I V� Chimney
tobe occupied as..5...................... ....................�?................................................�......... `1�LZ.. ................
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
r Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. - Rough
{ 4* Final
�� PERMIT EXPIRES IN 6 MONTHS
/ 3 ELE
CTRICAL INSPECTOR
UNLESS CONSTRU SRough
............ ............................................ 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 Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
Street No.
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MacDonald&Evans Printers, 1 Rex Drive, Braintree, Massachusetts chusetts 02184, Telephone (617)848-9090, Fax
(617)843-5540
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MacDonald &Evans Printers, 1 Rex Drive, Braintree,,Massachusetts 02184, Telephone (617)848-9090, Fax (617)843-5540
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COLLOPY ENGINEERING CONSULTANTS
65 AYER STREET METHUEN, MA 01844
FRANCIS H. COLLOPY
REG.PROFESSIONAL ENGINEER .. Residence:(508)685.7969
Office:(508)685-8069
CIVIL
STRUCTURAL.
DYNAMICS
May 17, 1999
Building Inspector
Town of North Andover
North Andover Municipal Building
No Andover, MA 01845
Dear Building Inspector,
I am writing in regards to the proposed installation of a
bathroom on the third floor of the Gabriel residence at 47 Milton
Street in North Andover, MA. I visited and inspected the site on
May 26, 1999 . This bathroom will be located adjacent to the
master bedroom. Presently, the area of the proposed bathroom is
framed with full 2 x 6 doug fir joists (1 7/8 x 5 3/4) which span
11 ' -9" between bearing walls, and which are spaced at 24" on
center. I have reviewed the technical specifications relative to
the small jacuzzi type tub unit which weighs 94 pounds empty and
has a full capacity of 57 gallons of water. This type of loading
is actually less than a heavy porcelain tub unit which was
formerly used in older residences . I have analyzed the loading of
40 psf live load on the entire bathroom floor area and have
concluded that the addition of two additional 2 x 6 ' s to each
additional doug fir joist is sufficient to adequately support the
new floor load. I have provided herein an engineering design
sketch which shows the location of the tub and the framing
details .
If you have any questions concerning this matter, please do not
hesitate to call this office.
Sincerely,
COLLOPY ENGINEERING CONSULTANTS
�- y 6-a�v
Francis H. Collopy, P.E.
Structural Engineer
Attachment
6-482lz /Zf-6,(P,c/V c
COLLOPY JOB 47 /'M 1 7-0 Ai 5 7-j AIC,), Acv D-VF-12
ENGI N EERI NIG'CONSU LTANTS SHEET NO. OF
65 Ayer Street CALCULATED BY DATE
METHUEN, MASSACHUSETTS 01844
TEL/FAX (978) 685-8069 - CHECKED BY DATE
SCALE
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PRODUCT 2D4-1(SN9.W4)3Fl(PWd.4
Location
CCL�ECTCR Date
NORTq TOWN OF NORTH ANDOVER
p A89tif a o upancy $ I
# : : Building/Frame Permit Fee $
Foundation Permit Fee. $ �y
s�cHust , _ _
Other Permit Fee ~'� $ U
_ I
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ '
• s j ! Building Inspector
') U
Div. Public Works
PERlfr, i*'- R/� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. t' PAGE 1
MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP jDATE BOOK 'PAGE
ZONE SUB DIV. LOT NO. 1 JJ
LOCATION "- ` PURPOSE OF BUILDING 0 'A ��
OWNER'S NAME NO. OF STORIES SIZE
OWNER'S ADDRESS BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAMEd SPAN
---
DISTANCE TO NEAREST BUILDING 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
IS BUILDING ALTERATION 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
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES EST. BLDG. COST
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT.
¢
1 PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
Z
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
D&JE FILED
BOARD OF HEALTH
916MATURE OF OWNER OR AUTHORIZED AGENT
FEE G
PERMIT GRANTED OWNER TEL.# PLANNING BOARD
CONTR.TEL.#� G 6i
o� 19 % CONTR.LIC.
BOARD OF SELECTMEN
BUILDI Q INSPECTOR
1
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 S INTERIOR FINISH
CONCRETE 3 2 13
CONCRETE BL'K. ---111 PINE
BRICK OR STONE HARDw D
PIERS PLASTER
_ DRY WALL
UNFIN.
3 EASEMENT 11
AREA FULL FIN. B M T AREA _
'/. 1/1 14 FIN. ATTIC AREA _
NO BMT FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 f 3
DROP SIDING CONCRETE I_
WOOD SHINGLES EARTH
ASPHALT SIDING HARDW D
ASBESTOS SIDING _ COMMGN
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 II POOR
ADEQUATE NONE
5 ROOF 10 PLUMBING r
GABLEHIP BATH Q FIX.)
GAMBREL MANSARD TOILET RM. (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. S 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'T 2nd _ ELECTRIC
lit ( 3rd NO HEATING
i—'
OF NORT,,
N
OFFICES OF: a`r_ �°9 Town Of 120 Main Street
APPEALS NORTH ANDOVER North Andover,
BUILDING Massachusetts O 1845
CONSERVATION �g@`""5�t DIVISION OF (617)685-4775
D
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
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 111, S
150A.
The debris will be disposed of in:
(Location of acility)
Ccs% �P
Signature of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
NORTH
� a I/
own of 14Andover
0 TIN
4 .
No. 091 � -� - � r= �
o 't- LA dover, Mass.,A'dfAe1L � 019
COCHIC
PT
AORATE1)
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BU INSPECTOR
SPECTOR
THIS CERTIFIES THAT.. ,�� � •• ���� t ol�, '✓
••
•• Foundation
��yy
has permission to erect.. .�1..0.. ............... buildings on ....4*/#1 './ 4fA.r40APW .t r Rough
to be occupied as.......trAV10... �.. ... .... .. .� � • Chimney
' e
provided that the person accepting this permit shall in every respect conform to the terms of the pplication 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 STARTS ELECTRICAL INSPECTOR
. .....,A) _ Rough
.. ..... .... .. Service
BUIL4
DING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
gh
Display in a Conspicuous Place on the Premises — Do Not Remove F nal
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
` Burner
PLANNING FINAL / CONSERVATION FINAL Street No.
Smoke Det.
cGAA►C:R /IAIATFR FIKIAI �� DRIVEWAY ENTRY PERMIT
Location
No. 1 �6 Date 5
r�.
Np"T" TOWN OF NORTH ANDOVER
pt t�ao ,•.,�0
p Certificate of Occupancy $ % G'
Building/Frame Permit Fee $ / .S
,SSACNUSE�A' Foundation.Permit-Fe $
Other,PetMit-f�e`��' $
Sewer 66"
nection Fee $
Water Connection Fe X99 ,
TOTALN1P' - ?iJArf f'. f }
f
h313 Building Inspector
6101 Div. Public Works
Y>cW:.Att:-No. /"o APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP i4O. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE
Z NE SUB DIV. LOT NO. I
L CATION 1- ;I f-6 n 5T Y PURPOSE OF BUILDING ol q ATft/r� 5 �1 pA JTjZ/.5 4 ST4Zy1v
OWjlER'S NAMEI Davi�� �'vdi h Ga �Yle.� NO. OF STORIES k/ �10.NSIIZE oL 1 .iTI`� f -FF66O0,
OWNER'S ADDRESS / ',yl i�y� Cann-{,. BASEMENT OR SLAB _
CHITECT'S NAME �1 SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING 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
IS BUILDING ALTERATION 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
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES /
EST. BLDG. COST d` !)QOO
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
LATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
/rLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
�T4ATURE
� 6
WARD OF HEALTH
SI OF E RAUTHORIZED GENT
D t7ER TEL. PLANNING WARD
WN
PERMIT GRANTED CONTR. TEL.
a G 19 CONTR.LIC.
WARD OF SELECTMEN
s
�UILDiNa INSPECTOR
I;
.cp.
BUILDING RECORD
1 OCCUPANCY 12 `
SINGLE FAMILY i—ISIORIES 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 3 I 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY WALL
UNFIN
3 BASEMENT
AREA FULL FIN. B M AREA _
'/, 1/7 1/ FIN, ATTIC AREA _
N_O B M T 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 _ COMMON
VERT. SIDING ASPH. TILE —{I_
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STIRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR I� POOR _
ADEQUATE NONE
5 ROOF 10 PLUMBING U
GABLE HIP BATH 13 FIX.)
GAMBREL MANSARD TOILET RM. (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 I 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 GAS
OIL
B'M'T 2nd _ ELECTRIC
1st 13rd NO HEATING
r
i
FORTH
Town ofAndover
o M..:
No. iC*0 C H I-C-NQ AM I
LA
rt dover, Mass., 014 19
' 0RATEO i.PG,`��
H 4 BOARD OF HEALTH
Food/Kitchen
PERMIT TD Septic System
s -
BUILDING INSPECTOR
THIS CERTIFIES THAT.......... r�. ... + ' �► T...n....��W W . ..z
•
Foundation
.r.
has permission to eMt..,#A*#*0 ... buildings on 4j.� . ...... . .!40.4 4.�.�..jr*.......
Rough
to be occupied as........... .....� .�.. .. � . . ..................* imn y
e
provided that the person accepting this permit sliall 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 STARTS ELECTRICAL INSPECTOR
Rough
T...... Service
BUILDING SPEC OR
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 Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
CFUUFR iWATFP FINAL /' s DRIVEWAY ENTRY PERMIT
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number 180 (1993) Date FEBRUARY 1, 1994
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 47-49 MILTON STREET
MAY BE OCCUPIED AS RENOVATIONS TO 2 BATHROOMS & 2 PANTRIEZN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
of
MONTH CERTIFICATE ISSUED TO David & Judi th Gahri P1
,♦�y0
3? '
o ` 47 Milton St.
ADDRESS Nnrth Andnvar, MA
a r
s i
�3ACj4U5� Building nspector
o o o
- over
•: .". . .qtr,
No.
i ,M „`;; North 'Andover, Mass.,P ERM
19 .�
BU
BOARD OF HEALTH TO I
Food/Kitchen IT
LD Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.......... ......... ........... .... !r. .... I. ......................................... Foundation
A
• • ��....... Rough d4 lJ e
has permission to eact.1100I�.rr�� ... buildings on ....4 ..7....... ..�... ..J g
to be occupied as.... imney
provided that the person accepting t p every
his ermit shall in eve respect conform to the terms of the application on file in Final
this pffice, 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 c 3
a 1 'I I ;?•" il I ! "'; I 'li' i ` ; il' ( (, I'eIt :j ,l. l .j I,; ? . �, ,
' ELECTR AL INSPECTOR
Rough
Service
ZBUILDING SPECTOR
.- ,� Final
�i GAS IN PECTOR
'a Rough li
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
PLANNING FINAL CONSERVATION FINAL Street No.
.� - Smoke Det.
'rSEWER/WATER FINAL DRIVEWAY ENTRY PERMIT
Dated
x4 4120
HORT: a TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
44
,SSACNUS� /
This certifies that . .130.<. F.� /.? . . . .�.�. . . . . . . . . . . . . . . . . . .
has permission to perform
plumbing in the buildings of . . . . . . . . . . . . . . . . .
i . . . .. . . . . . . . . .r). . . .T
rth Andover, Mass.
v
PLUMBING INSPECTOR
08/26/99 12:25
)50 PAID
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
MAP f3 3
PARCELppm Z USE TS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type o.
NORTH-ANDOVER,MASSACHU S--
`7 Ik i l on �� Cj Date
Building Location tOwners Name a-� r 1 � Permit# L&.Z O
Amount
Type of Occupancy . 5
New Renovation Replacement El Plans Submitted Yes No
FIXTURES
ECn� in a 0 ^f" w W
00
Cn pro
pro
Cr
Cr
-- - -
w
CA _ - CG _
S[B •
MH(yam ,. ,
3M HA"
4ffl HAXR
51H H_" .
�»
—MFLOOR
t — —
(Print or type) n t ) Check one: Certificate
Installing Company Name^1212J'G�e_ f �l b Q1 • (� Corp.
[�
Address Li "e r �- Partner.
01,-
0 r 1
Business Te pho .. 977a- 647-402-7 �...... zn/Co. - �-
Name of Licensed Plumber:
Insurance Coverage: Indicate the .. e.of insurance coverage by checking'the app prate boy Y
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.submitted(orr entered).in above.application,are true and accurate to the, _
best of my knowledge and that.all plumbing work and installations perf6rmed,un4S&Pei:mit:Issued.for this applicatiori.will.be in.
compliance with all pertinent provisions of the Massachusetts te.Pl bizQQiWil,Chapter 142 of the General.Laws.
By: igna ure or LiceWaPiumoer -
Type of Plumbing License
Title
City/Town cerxsse,_um eMaster' Jotiun
APPRI&V`�ED�oFicE USE ONLY —
c� ORTh
"° Zoning
6Ye
Bylaw Review Form
„� QG
Town. Of North Andover Building Department
27 Charles St. North Andover, MA. 01845
�SHCilUSti'�
Phone 978-688-9545 Fax 978-688-9542
Street•
Map/Lot: c3
Applicant: �u S U a2�-1 z e.
Request: S; )G n e h Te Ccs�SA iwc-j[ti
Date: 6
Please be advised that after review of your Application and Plans your Application is
4 /DENIED for the following Zoning Bylaw reasons:
Zoning
Item Notes
A Lot Area Item Notes
F Frontage
1 Lot area Insufficient 1 Frontage Insufficient `1 S
2 Lot Area Preexisting �e 2 Frontage Complies
3 Lot Area Complies 3 Preexisting frontage
4 Insufficient Information 4 Insufficient Information
B Use 5 No access over Frontage
1 Allowed G Contiguous Building Area ,v
2 Not Allowed 1 Insufficient Area
3 Use Preexisting 2 Complies
4 Special Permit Required . 3 Preexisting CBA
5 Insufficient Information 4 Insufficient Information
C Setback H Building Height
1 All setbacks comply 1 Height Exceeds Maximum
2 Front Insufficient �e S 2 Complies
3 Left Side Insufficient 3 Preexisting Height f S
4 Right Side Insufficient e-G 4 Insufficient Information
5 Rear Insufficient '(e S I Building Coverage h a
6 Preexisting setbacke s) 5 S 1 Coverage exceeds maximum
7 Insufficient Information 2 Coverage Complies
D_ Watershed 3 Coverage Preexisting
2 Not in Watershed �e S 4 Insufficient Information
2 In Watershed i Sign
3 Lot prior to 10/24194 1 Sign not allowed �
4 Zone to be Determined 2 Sign Complies
5 Insufficient information
3 Insufficient Information
E Historic District I( Parking
1 In District review required
2 Not in district1 More Parking Required
2 Parking Com lies
3 Insufficient Information
Remedy for the above is checked below.
Item # special Permits Planning Board. Item # Variance
Site Plan Review S eciai Permit
Access other than Fronta e S eciai Permit C I Setback Variance
Fronta a Exce tion Lot Special Permit Parkin Variance
Common Driveway S ecial Permit Lot Area Variance
Con re ate hlousin .S eciai Permit Hei ht Variance
Continuing Care Retirement Special Permit Variance for$Mn
Inde endent Elderl Housin S eciai Permit S eciai Permits Zonin Board
Lar a Estate Condo S ecia!Permit S eciai Pemtit Non-Conformity Use ZBA
Planned Development.District S ecial.Permit Earth Removal S eciai Permit ZBA
Planned Residential S ecia! Permit S ecia)PeFmit Use not Listed but Similar
R-6 Densi 'S print Permit S eciai Permit for Si n
Watershed Special Per Other P--c ,a i �,�,,,«.
Su f—Add j;i l i ormatfon
The above review and attached explanation of such is based on the plans,request for or 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 this action. 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°Plat'Review Narrative"shall be attached hereto and incorporated
herein by referen The building depa ent will retainall.plans and documentation for the above file.
�� C -P- _ of
_
ilding Department Official Signature 'st
Denial Sent
Application Received Application Denied
If Faxed Phone Number/Date:
Plan Review Narrative
The following narrative is provided to further explain the reasons for the action on the pro
indicated on the reverse side: property
4 h�:of ;v � �2�"� �� ' ` ;r 'M1A,t Ni�r+, �.�xek,s s y Ut � ,y,•t
��w F` 1 ��• t '�y r �rj�r��A���fS',If�' �r"���r'r' SY'.'>fo,yg�i r s a
CUn)
Referred To:
Fire
Police Health
Conservation Zonm Board
Plannin �e atm; of Public Works
Other Historical Commission
ZOningBylawDeniW2000 BUILDING DEPT
FORM - U - LOT 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 compliance with any applicable requirements.
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APPLICANT y/0 �u ► 6 d�/�c PHONE lob F
ASSESSORS MAP NUMBER 3 I LOT NUMBER
SUBDIVISION LOT NUMBER
STREET M I It 6-n STREET NUMBER_
......... ...............OFFICIALUSE ONLY.......r............ .....r
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RECOMMENDATIONS OF TOWN AGENTS
,..sea......man mug wows...........Mason mammon.■■..rrr.�........'..madwoman man r
DATE APPROVED •
CONSERVATION ADMINISTRATOR
DATE REJECTED
CONflVIENTS
TOWN PLANNER DATE APPROVED
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
DATE APPROVED
FIRE DEPARTMENT
DATE REJECTED
COMMENTS
RECEIVED BY BUIIDING INSPECTOR DATE
>q
i
• TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: DATE ISSUED. M
ic
SIGNATURE:
Building Commissioner/I for of Buildings Date Z
SECTION 1-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
d y , ✓I Map Number Parc N
1.3 Zoning Information: u / 1.4 Property Dimensions:
Zoning District Proposed Use Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Required Provided
1.7 Vater Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M
2.1 Owner of Record
1 David + -3-y J 11' ( rI Jrn� lt"ova S T�
an e`(Print) Address for Service:
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service: O
z
M
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor:
License Number
OTI
Address
Expiration Date
Signature Telephone r
3.2 Registered Home Improvement Contractor Not Applicable ❑
Company Name
Registration Number
Address rM
Expiration Date ^z
Signature Telephone G)
SECTION 4-WORKERS COMPENSATION(NLG.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.......❑ No.......❑
SECTION 5 Descri tion of Proposed Work check ali a Hcabte
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
Id e X l- n �-
S r)2 DA 0�i�.
rv�`1. Po R c 11 / X�S
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'51 Cpl-C.. ?(1 nC_ G g 1X l I-a r
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OMC qSE(}� '5
Com leted b ermit a licant " s , kr �
1. Building De(ks 4-ra jhr�, 0000 (a) Building Permit Fee
Ru bb.&- roof i / (o O 0 Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing — Building Permit fee(e)X (b)
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5 e2 a,OO Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, as Owner/Authorized Agent of subject property
Hereby authorize to act on
My be in al Matte s relative o Nyork uthorized by this building permit application. /
Si a e of Owner DateS / f
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1, as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
Print Name
Signature of Owner/A i
ent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TEVIBERS OT 2ND 3
SPAN
DIMENSIONS OF SILLS
DINIENSIONS OF POSTS
DM ENSIONS 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
t t4UKT{1
Town of North Andover �°,.«•. ..-1
Building Department
27 Charles Street
North Andover, MA. 01845 �-►s
D. Robert Nicetta SACHUSE
Building Commissioner
(978) 688-9545
.,.,`(978) 688-9542 Fax
HOMEOWNER //CENSE EXEMPTION
Please print
DATE S'-A// _6 J
JOB LOCATION .3 Qd 3 Z
Number Street Address Map lot
"HOMEOWNER V( V {
Name Home Phone Work Phone
PRESENT MAILING ADDRESS_ S /yy�Q
City Town State
Zip Code
The current exemption for"homeowners"was extended to include owner-occupied dwellings
m
of two units or less and to allow such hoeQwners to engage an individual for hire who does.
not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1 j
DEFINITION OF HOMEWOWNER:
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which
there is, or is intended to be, a one or two family dwelling, attached or detached structures ac-
cessory to such use and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner.
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
Applicable codes, by-laws, rules and regulations,
The undersigned"homeowner"certifies that he/she understands the Town of No.Andover
Building Department minimum inspection procedures and requirements and that he/she will
comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
S d oo
CJY1 P US C a b 6,,&r- co ov e-s
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t MORTGAGE INSPECTION PLAN
. a .
BOSTON
98-07796
SURVEY, INC.
P.O. Box 220 Charlestown, MA 02129
(617)242-1313 MAIN (617)242-1616 FAX
APPLICANT., GABRIEL
LOCATION: 47 MILTON STREET DEED/CERT: 3711-160
CITY, STATE: NORTH ANDOVER, MA PLAN REF: 261
91.41
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MILTON STREET
1994(c)Boston Survey Software
PREPARED: 06-15-1998
SCALE. 1 inch = 20 feet
CERTIFIED TO: COUNTRYWIDE HOME LOANS, INC
The permanent structures area �INOFA�gS�
p approximately located on the "4 According to Federal Emergency Management Agency
ground as shown. They either conformed to the setback ��� ,JOHN �G maps, the major improvements on this property fall in an
requirements of the local zoning ordinances in effect at OJ' area designated U' g X YtrU "�C'
the time of construction, or are exempt from violation en- r" as Zone
forcement action under M.G.L. Title VII, Chapter 40 A, J RUSSELL Ch Community Panel No: 25c1098 '0003C
Section 7, and that there are no encroachments of major #3 17 /
improvements either way across property lines except as R tEffective Date: P/2/9_4
shown and noted hereon. !qN E ,I NO'fE: Zone C is areas of minimal flooding(no shading).This
S designation is not based on an elevation certificate.
NOTE:This is not a boundary or title insurance survey.This plan was prepared in accordance to procedural and technical standards for Mortgage Loan Inspections as adopted
by the Massachusetts Board of Registration of professional engineers and land surveyors,250 CMR 6.05,and use for any other purpose is prohibited.This plan is not to be
used for recording,preparing deed descriptions,or construction.
/-
NORTH
Of ..so ,°1ti0
O 0TOWN OF NORTH ANDOVER
A
• PERMIT FOR GAS INSTALLATION
SAC HUSEt h
This certifies that . . . . . . . . . . . . . . . . . .
has permission for gas installation . ./. . . . . . . . . . . . . . . . . . . . . . . . .
in the buildings of . ) . . .. :. :.: . . . . . . . . . . . . . . . . . . . . . . . .
at . .l.! . ,/.7 r f:r. . .5 . .. . . . . . . . . . .. North Andover, Mass.
Fee. ! . .: . . Lic. No..`?. . .... . . . . . . . . . .. . . . . . �.-�. . . . . . . .
GASINSPECTOR
Check#
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