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HomeMy WebLinkAboutMiscellaneous - 49 HIGHLAND VIEW AVENUE 4/30/2018 49 HIGHLAND VIEW AVENUE 210/066.0-0013-0000-0 Location �`1' �\� 1� rA K) .i 2 No. Date 2 n gORTM TOWN OF NORTH ANDOVER 3? i_ • 00L SIR f - 9 ` y Certificate of Occupancy $ Building/Frame Permit Fee $ dU k s�c►+U Foundation Permit Fee $ Other Permit Fee $ -a TOTAL $ �� Check # is t 15085 Bufldia9_JnsI566tor TOWN OF NORTH ANDOVER f BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING T BUILDING PERMIT NUMBER: S DATE ISSUED: MMMMMMMMI ji SIGNATURE: Building Commissioner/I for of Buildings Dafe j SECTION 1-SITE INFORMATION 10 j 1.1. Property Address: 1.2 Assessors Map and Parcel Number: sMap Nurrifier Parcel Nutnber 1.3 Zoning Information: 1.4 Properly Dimensions: Conn• Bistrict Proposed Use I 1AA Area"sfr, ii':x;ca ,ii r 1.6 BIJU DING SETBACKS -ft Front Yard Side Yard Rear Yard Required Provide Required Provided Reqiired Provided 1.7 Water Supply M.G LC.40 54) 1.5. Flood Zone Infomration: 1.8 Sewerage Disposal System Public � Private ❑ Zone Outside Flood Zone Municipal On Site Disposal System 0 SECTION 2-PROPERTY OWNERSIDWAUTHORIZED AGENT 2.1 Owner ecord r l 'sCc. f7 ille,a) Name(Print) Address for Service k Signatu e ` Telephone 2.2 wner of Record: Q D` Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 13.1 Licensed Construction Supervisor: Not Applicable ❑ /�6AAI) 5 a Licensed Construction Supervisor: 0 6-3 5 3 -- ///� � Wit/7 gp weo J��i License Number oel Addr/ �J(J 77` 71-p- ry �+rF &:2=z Expiration Date r atu a VIIJ Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address i Expiration Date Signature Telephone I 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 buildin rmit. Signed affidavit Attached Yes....,: No........❑ SECTION 5 Description of Proposed Work check an.a licable New Construction ❑ Existing Building Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: - lfae_ Q� 115 [N` V�A-,- `Irt )C90 P is /F.0 SECTION 6-ESTIN[ATED CONSTRUCTION COSTS ItemEstunated.,Cost(Dollar)to be "F S 'Completed by ppermit ap plicant MN 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing _ _ - Building Permit fee(a)X (b) 4 Mechanical HVAC `r 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 PE C4_s,OJr/Authorized Ag J property Agent of sub'ect ro erty Hereby authorize A Cd .0,/- to act on My behalf,in all matters relative to work auth ed by this building permit application. . Signature of Owner cJ Date SECTION 7b OWNER/AUTHORIZtb AGEN DECLARATION OwnerAuthorized Agent of subject prope Hereby declare that the statements information on the foregoing application are true and accurate,to the best of my knowledge and be i f Print e, Si atWe of Owner/A t Date i no i NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMERS i sr 2 3RD SPAN DRvIENSIONS OF SILLS DEVIENSIONS OF POSTS DE\4ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY I IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE it i NORTH Town of _ - Andover fow 3 No o zsba 0 LA o lover, Mass., �i01T. COCMICM WICK V ADRATED '9S E� BOARD OF HEALTH Food/Kitchen Septic System -002PERMIT BUILDING INSPECTOR R w.rw 9t. A THIS CERTIFIES /on .................. Foundation has permission to erect... ? building .. ..... �� 1�R�At ...�!. ... .✓. Rough 1Ze��1..�r.E R ed to be occupied as a 7 �14i��j/A',,,�tIO�!-,rOlb TO SM, ;Q� Chimney provided that the person accepting this permit shall in every respect,conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST 'TS ELECTRICAL INSPECTOR woo. �' i0 •i.. �� Rough z �t w-s�� ` , , Service ............ . ....................... ............................... BUILDING 9) 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 •�• �4�'� ����� Street No. SEE REVERSE SIDE I Smoke Det. i f I� r x X, {,asaznza u��azt71 a i �sir/tcj el a BOARDOF BUILDING REGULATIONS a License: CONSTRUCTION SUPERVISOR j Number: CS 053532 Birthdate: 05/15/1961 i y Expires:05/15/2003 Tr.no: 11229 Restricted To: 00 RAYMOND D STAMAND _ 21 HOWE ST#17 � J METHUEN, MA 01844 Administrator I X The Commonwealth of Massachusetts I Department of Industrial Accidents ! w Office of investigations w Boston, Mass. 02111 Workers'Compensation Insurance Affidavit r Name Please Print Name: c Location: _ AMC) L°� r*q 7lel"Id C vo V e Phone # �179"73,? c� 9- 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers'compensation for my employees working on this job. f Company name: Address City: . Phone#: Insurance.,Co.. Policy# Company..name: . Address Citv; Phone#: Lnsuranc�e:Co. ._ _ Rolicv# at .re o seC'ure coverage as requireiitinder'Section 25A or:'MGL 452 can lead ko the irtiposition of criminal penalties of, .tine up to 1,5Ub,Up and/or one years-imprisonment-as_well as-ciW,penalties.iniholorm--asi QO ::VVlJt tfS_DikoLk. nd..afin�2_of�$JIlO DIS :clay againstme I understandthat a copy of this statement maybe forwardedto the Office of Investigations of the DIA for C overage verification. /do hereby certify under the pains and penalties of pedury that the information provided above is true and correct. 9 Signature__ Date Print name Phone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept ❑Check if immedia nsp se is regui 0 Licensing Board El Selectman's Office Contact person: .�� l _ t� Z n / _ � rn•ne�: �.�� � E] Health Department Other FORM U .- LOT RELEASE FORM G dxp C""D 4 , vim. t /r INSTRUCTIONS: This form is used to verify that all necessary aW en ffA/d4 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*********************** APPLICANT PHONE LOCATION: Assessor's Map Number :o 4, PARCEL_ SUBDIVISION LOT(S) f S REET ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED • DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS ' I 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 9\97 im North Andover Building Department artment Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with therovision of MGL c 40 S 54 p , a condition of Building Permit Number I is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) I Signature of Permi Applicant d/ Date NOTE: Demolition permit from the Town of North Andover must be obtained for thisroject through p � the Office of the Building Inspector �1 i d No U Date... ...,:.a.'+.. . ... F .......... NORTH TOWN OF NORTH ANDOVER - PERMIT FOR WIRING �,ssACHUS� Thiscertifies that ............................................................................................. n 1 has permission to perform ...... � ....... t t...................................................... 'wiring in the building of......................................A............................................. . at...... . . .:.:. . ...............` North Andover Mass. Fee..........:.......... Lic.No.....'...... ............................................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Rough ' Service Final 014c TOIITII onwraI0 of filaBSSCIItwetu Office Use Only / Department of Public Safety Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy 6 Fee Checked 3/% (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE B�ALL IINFORMA[TIIO�N)! \ / Date City or Town of IV® 7— Iv Uy To the Inspector of Wires) undersigned.applies for a permit to perform the electrical work described below. The g PP , • ` , Location (Street & Number) `tet ( l__ ` ' f+L" `K)V) v vy Owner or Tenant ? j S C I L_j__ ` L Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) D Purpose of Building _'E'SUtility Authorization No. / Volts Overhead ❑ Undgrd ❑ No. of Meters Existing Service Amps New Service Amps / Volts Overhead [IUndgrd ❑ No. of Meters Number of Feeders and Ampacity LScation and Nature of Proposed Electrical Work r_—_Q d V�`T� SNI �'� J I✓ l� TOTAL No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA A ve In - No. of Lighting Fixtures SwimmingPool rnd. ❑ rnd. ❑ Generators KVA No. o Emergency Li ting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones TotalNo. of Detection and No. of Air Conditioners Tons Initiating Devices No. of Ranges g Heat Total Total No.of Sounding Devices. No. of Disposals No. of Pumps Tons KW No. of Seif Contained DetectiorvSounding Devices No. of Dishwasher. Sp ace/Area Heating KW Municipal KW Local❑- Connection [:]Othero. of Dryers Heatin Devices No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. H dro Massae Tubs No. of Motors Total HP OTHER: CLQ _U9 P��i/ t DUB IIA I t=LA INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws 1 have a current Liability Insur rice Policy including Completed Operations Coverage or its substantial equivalent.YES NOD:have submitted valid proof of same to this office. YESU NO U If you have check YES, please indicate the type of coverage by checking the appropriate box. INSURANCE U BOND ❑ OTHER❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work $ Work to Start l — �, -Z00© Inspection Date Requested: Rough Final Signed under the penalties of perjury: _ FIRM NAME W l_l_� 7r—l�G LIC. NO. Z Licensee W(L-U - Signature LIC. NO. Address ( C Bus. Tel. No. Lo Alt. Tel. No. OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent Oease check one) Telephone No. PERMIT FEES (Signature of Owner or Agent) Location �� �'t � � > y�cf✓t No. Date jORT4 TOWN OF NORTH ANDOVER 41m Certificate of Occupancy $ 4 ��'',•°''t�' Building/Frame Permit Fee $ a� CHU5E Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # G `i 3573 Building-IT sector FAMIT NO. 0oj -APPLICATION FOR PERIV11T TO BUILW `�! *NORTH ANDOVER, TVIA. M I,NO. LOT N0. Z. 2. RECORDOFOWNERS1111' DATE BOOK PAGE 1: SIM DIV. LOTNO. I of A I ION, PURPOS1101- BUILDING Sj,4 &-LC- (--A4­J1,LY t4ow/VUr— r/i�r5ft PA M LON i764K(A 1V N( .OF S,IORILs SIZL 11N5:AI'-R'5 V11Rl:Ss49 1-11(,-i4 LAvD \1 L�J 11 A S E,\I ENTO R S LA 13 1R( ilff]Cl"SNANIF SIZE OF FLOOR"fIM It rRs 1 2 3 1)1-1 l,',S N.1 N I E C, Hu"; 5 C-0, I SPAIN MAP DIS LANCE 1,0NI:kilF.S I'BUILDING ✓ D1,111 ENSIONS OF SILLS 1IS I UM I I ROM s HZEFT DIMENSIONS OF I,OS,IS PARCEL. I)ISI-ANCE FROM 1.0,1 1.11NES-SIDES REAR DIMENSIONS 017GIRDERS n1[.A OF LO1' FRONTAGE IIEICIIT OFFOUNDATION Tf I ICKNILSS I litill.hINGNEW SIZE OF FOOTING x I&ILI)IM MATERIAL OF CHIMNEY I.')Will DING ALTERATION )( 16R AfTA(,1+&0 PLAIS BUILDING ON SOLID OR FAILED LAND ASSESSORS 11,1,Mill DING CONFORMTO REOU Ill EM ENTS OF CODE !SsUcu Copy HOMM 01 APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER pRona 01 IS BUILDING CONN ECTEDTO NATURAL GAS LINE HT FlEvamma OLAND COSIiNsn ( . PN EST. BLDG. COST u 00 �t:ii I III-1-oti I,si::u I io,,,,s 1-3 EST.BLDG. COST PER SO. I.A. Es 1'. BLDG, COS I'PER ROONI SEPTIC ITIMI-1 No . I I lVi R1(')I I�I FRSM I IS I'll E.OiN OUTSID LO I NG 1'I'�u I I 1 1)C..vI G ES,)I I IS I'CON VO 11�I TO STATE Fill E It U,t J LA FION S 4. A ITI((I VE - NIU.11"I III I'll VI) AND ATROVED BY111111.11)INGINSPEC1 Olt BUILDING INSPECTOR 1.11 F FILED O\vNEIzS,I-rIJ/ ch srll)�D A7 CONTIUITLN cA -1 b 567-753. D� COWIR.HCA c,55-9-35 HIRE. 01 O\)NI It OR AU'llIORIZEDAGEVI. I I.I.c 0 5 C) I�I It NI I I RAN IT 1) 19 gg r j ✓�e L�'a�nmo�n,.urecr„/�/ Q�.j�a<uac�eutelf ! tPARTNEH _P PUBLIC SAC ET'r rr '.SHSThU ION SUPERVISOR iCEN t.SE Humber: ExDi es: Birthdate: CS 055435 99/23/2009 99/2311955 Restricted To: 00 ,NOREW GI ;MATSES # JO SUTTON ST H ANDOVER. :;A 9185 4f P 36 3 3 z9' 7 0 Z L AyF5r2 �ACoo_ v' AWEG[_ G wc3 G a Z� G ZK-¢-�cam. GLG. •i i I eco r r �/��� IIS 1 RPS VM/l(WA�l/' 0 ' d: �, ,F .�. ;Jti4•i ill • ycl i 1, i •N K !i Ali 1: � A N 1 •h N /4, "Warm,Edge"insulating ;; Finseal wc2thcrstripping glass It Wcldcd sash and 3-1/4- wrided me C'rade 40 rating frame ;; Beveled exterior frame ;; Sashes rile in for east of cleaning ;= Half-screen standard and removal asUual night latches Available in double-hung,two and three lite sliders and picture :: Double Icx-ks(on units Over 28, window styles with all glass and in width) gid options Step AVail2blc in custom sizes sill jamb and 7 degree sl«ped If an opening in your home to fit U Block and tackle balances stem ColOr options:White, Beige and Y Brown Series 1850 Double Hung White, Insulated Glass With Grids, Ready for immediate shipment, revised - --' order this call y size and specify In Stoc stock (Please allow 1 additional week for extension jamb, When mulling units together,please double or trip vinyl Unit unit Grid Call Rough Op�ning Tip to Tip Layout Size Supeiseal Mfg- Frame Size Stocked UI l 2030-V 24" x 36" 231/2" x 351/20 4/4 60 2040-V 24" x 48" 231/2" x 471/2" 4/4 72 2046-V 24" x 54" 231/2" x 531/2" 4/4 78 2050-V 24" x 60" 231/2"x 59112" 4/4 84 2052-V 24" x 62" 231/2" x 611/2" 4/4 n I "" �►1 2�-V 24 x 72" 231/2" x 71 1/2" 616 C� 96 2430-V 28" x36" 271/21, x 351/2" 6/6 64 244L0-+V' 28" x 48" 271/2" x 471/2" 6/6 76 A2` 46-Y 28" x 5, " " Ir ��► t..i� X50- 271/2 z 531/2 6/6 82 28" x 271/2" x 591/2" 6/6 88 1830-V 2" X36" 31 1/2" x 351/2 6/6 68 32" x 48" 311/2" x 471/2- 6/6 80 2846-V 32" x 54" 311/2" x 531/2-I 6 6 2850-V / 86 32" x 60" 311/2" x 59112" 6/6 92 2852-V �* �► " 32 x 62 " " 31 1/2 x 6I 1 /2 6/6 94 t �+ 6o 2860-V *; 32" x 72" 31 1/2" x71 1/2" 9/9 104 r 3030-V 36" x 36" 351/2" x 351/Y' 6/6 72 3040-V 36" x 48" 351/2" x 471/2" 6/6 84 3046-V 36" x 54" 351/2" x 531/2" 6/6 90 3050-V 36"x b0" 351/2" x 591/2- 6/6 96 3052-V 36" x 62" 351/2" x 611/21, 6/6 98 3060-V 36" x 72" 351/2" x 711/2" 919 108 3250-V - • .. �"' x�' 371/2 x591/2" 616 98 3252-V *we 38" x 62" 371/20 x 611/2" 6/6 100 3256-V Too 384 x 66" 371/2" x 651/2" 6/6 104 Picture 5046-V 60" x54" 59112" x 531/2" 241t 114 SOSp-V 60" x 60" 591/2" x 591/2" 28 it 120 Caaett�rnt Rough opating Frame Sue Grid layout U1 'N 235 411/4" x 41 1/4" 40 3/4" x 40 3/4" 64 82.2 ?4 24 41 114" x 481/2" 40 3/41, x 481/4- 6.6 90-2 28530 321/2" x 36" 32" x 351/2 (L or Ry 6 It . 'Meets Massachusetts 68e8� "Meets Rhode Island egress --'Mee, Jambs am aPPBed to the window for both 4 9/16"and 6 9/16" application, 8 Out OE either clear vino nr m..94.-.—a 1 ` NORTH Town ...._ 0 No. ASSESSORS COPY h PERMIT ISSUED Elo LA ® driver, Mass.,- , AS• 'QA COCHICHEwICK\� PERMIT PENDING ❑ RATED PPa BOARD OF HEALTH Im Food/Kitchen Septic System Pr. RM1m[ EW BUILDING°INSPECTOR THIS CERTIFIES THAT.. A!!�1... �u '!2.!` . ... ....... .'..C�....Awb1z.eL of Co...=!`.'�.�................. Foundation has permission to m*M.......9=M9i(L........ buildings on ... 47;�!4l 6...V!..etc?....pi .. Rough to be occupied as..................... 'i N s/ ........ /Q'S��'Yl . . /F4c .......................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS 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. Smoke Det. SEE REVERSE SIDE n Ave MAP !�'Du�2c"5s a TOWTI GL,- PARCEL NORTH ANDOVER IM.c. � .� 13 L D it-7Z BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT ��' """" ��N¢ INSPECTION DATE: UNIT NO.: FLOOR: I�RS�'���T WING: BUILDING NO.: REMARKS: I