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HomeMy WebLinkAboutMiscellaneous - 524 FOREST STREET 4/30/2018 (2) 524 FOREST STREET 210/106.B-0094-0000.0 _� _ Location No. ©9 Date i "ORT11 TOWN OR NORTH ANDOVER f �h O F ONO F # b to , Certificate of Occupancy $ i s' wuSE<�' Building/Frame Permit Fee $ t Foundation Permit Fee $ t Other Permit Fee $ TOTAL $ vy Check # 70 2 14454 Building Inspector T®iV OF NORTH ANDOVER BUILDING DEPAR'TMEN'T APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMg.OLISH A ONE OR TWO FAMILY DWELLING u�#"ks z� .�a .."� � •'.x �: ,,������ ,�+. �-Cx�,>`%'r� � 5 � Y�1!`" � ��<€ £-,3��,D,.�S��,.y G.r 5 �s&� `�� � .„ .�"�;`Cv'� 1� �:;�, BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildin2 Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Say rcoCZE.ST Sl . ap Number Parcel Number !mob• �ra C 1r-,A 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUII-DING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Eeq±ed Provided Re aired Provided 1.7 Water Supply M.G.L.C.40.5 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On.Site Disposal System ❑ SECTION 2-PROPERTY OWNERSIIIPIAUTHORIZED AGENT 2.1 wner of.Record hs Name(Print) Add ess foService: W qz�-40-11 Si re Telephone 2.2 Owner of Record: Name Print Address for Service: S ature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable "t C-)w -- (- _ 6 Licensed Constriction Supervisor: License Number ddjr.essddiess l' Expiration Date S t ature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Stsnature Telephone 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 rmit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition . 4EI-� Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: o,I ardk a&4, 6 c kq SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be � �V"OkUFFICIAL�USE ONI.XM, u x -F ' `t py§i,ra Completed b emit a licant 1. Building (a) Building Permit Fee a Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 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 I, Q ks Caswner/ uthorized Agent of subject property. Hereby authorize to act on My P914.in am�tterrelative to or authorized by this building permit application. AAI , SignattiVe of Outlier Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 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 Si ature of Owner/AQent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIJ IMERS 1 2 3PLD SPAN DD/IENSIONS OF SILLS DIlvIENSIONS OF POSTS Dt1vIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHI1vINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM n / ' l �a3 -AAZ Wo r c -INSTRUCTIONS: This form is used to verify that allnecessary 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. ........................................................................... APPLICANT "S-A L i, Sd S E IF" S PHONE (.Z'z S I ASSESSORS MAP NUMBEROT NUMBER SUBDfWSION LOT NUMBER STREET 2C.I&T STREET NUMBER S ..■...■r.......■r...so..■r..........m...m.m.■..o..........map.....m....m.e■ OFFICIAL USE ONLY =' ►-CA-1- ........................................................................... RECOMMENDATIONS OF TOWN AGENTS a 6�,....... ........................................... ..... ...memo •• DATE APPROVED o CO ERVATION ADMINISTRATOR ATE REJECTED � REJECTED COV1Y1M —4W g �4 �( )I �• `u/ lam/ DATE APPROVED TOWN PLANNER DATE REJECTED COrRvIEN I'S I DATE APPROVED FOOD INSPECT HEALTH DATE REJECTED EP'I S OR TH DATE APPROVED DATE REJECTED COQ I PUBLIC WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENT RECEIVED BY BUILDING INSPECTOR DATE Date. ./.-.... ". ..... Of NORTH q Fi;: TOWN OF NORTH ANDOVER t PERMIT FOR WIRING 1 SSACMUS 'e i This certifies that .......... ? has permission to perform ....... G�/.... .. >.. S c ` �� .! .. 5.. r .. ....... wiring in the building of.............tr` . ..`>.......................................... ,8 C, ....... . North Andover Mass. a ................ ... . .............................. Fee .... Lic.No. �' r� ELECTRICAL NS PE Ciheck # —640- 1. 0439 N Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. IL Occupancy and Fee Checked r BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or TenantfA CC- Telephone No. Owner's Address rz>ArvNc-v . Is this permit in conjunction with a building permit? Yes ❑ No [g' (Check Appropriate Box) Purpose of Building %4 kae^L6 Utility Authorization No. Existing Service ?g j Amps J?_0 /Zgtb Volts Overhead 2-- Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeilSusp.(Paddle)Fans No.of Total : Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA s 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 I No.of Zones of Detection and No.of Switches No.of Gas Burners No. Initiatin Devices No.of Ranges No.of Air Cond. Total Tons g No.of Alerting Devices No.of Waste Disposers Heat Pump T Number Tons KW No.of Self-Contained Totals: ....'""'"'" '""'"""""""............ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Ballasts Signs No.of Devices or Equivalent 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: ®1 V®V i 1 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 ains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: s� •� LIC.NO.: 15 LALp 5 A Licensee: Q-��A/Ld Qa ron 1 A un►e% Signature LIC.NO.: (If applicable,enter "exempt"in the licen a nu bar line) Bus.Tel.No.: Address: r lA GLS 4 W r, Alt.Tel.No.: *Per M.G.L c. 147,s. 57-61,security work requires Department o 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 beloD 1 hereby waive this requirement. I am the(check one) [:]owner El owner's agent. Owner/Age Signature Telephone No 479 07—CY 14 PERMIT FEE: $ ���u � I�'' �, i t. ! )}, (.. ra: Y \Iti, f .,rf 'f i" 1 r h I 1 V" 1 /. 1 •.rc 1 1 .G,:..:,f ! I I y r 1.. 1 rt 1.7: 1 -:I-n l r• ! f f ! �-'„F e !t r Y 5 :.v I "�7 4 ! .:v /✓I..FI� _i'. \ ! r i 8 >.. w f?i s. r 1t.� (.. .,( •¢ yl t .1 i.::,)I r.. 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J I Al / 4,1 F„4.I•i'..,r!u.l,l.x'h -�• '�����" d�� I ( °/� ,r`h;:l4 ./r:S:4a�eir.drzr,�..rri�,t,P IJ,r I R,'� J 1.�ein� 4 xg5.G5 \ a' r9,�.as Q ti 45•fs 4 ` ENS / ,��;✓�` ,i p n U - � �� - •'x Jr �, .� c � x 9 5•'o ,.:c-.• ti a x' � j S iJ Town of North Andover of t10RTH t�f%,YO 16y tiO o Building Department o M 27 Charles Street North Andover, Massachusetts 01845 4 0y (978) 688-9545 F x (978) 688-9542 94 �s °k%T6a ACHU DEBRIS DISPOSAL FORM In accordance with thepro isions of MGL c 40 s 54, and a condition of Building permit# f7 the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: ` Facility location '�)�aa Sig ature of App scant � a.l �loc7 Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. i NORTH �t,w • M ' Town of North Andover Building Department p 27 Charles Street x North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978) 688-9545 I '`(978) 688-9542 Fax I t HOMEOWNER LICENSE EXEMPTION Please print DATE 1 '7lo �, JOB LOCATION aLl IFp2St areeT Number Street Address Map/IoL „HOMEOWNER °►'7 f V as Name Home Phone WorkIli I, Phone PRESENT MAILING ADDRESS i City Town State Zip Code I i The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners 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) DEFINITION OF HOMEWOWNER: Person(s)who owns aparcel 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, i 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 i i APPROVAL OF BUILDING OFFICIAL i 19- atyR d 9 __..._.......___---- l3ax ou /- qg , p L a o� ysv�vya � q ~�'J, Hd3SOti r �bSSbtV 3 /_=xlSt � ND 1 `� ; � _ _ . _ _.�.��a_`•�,d ter_�_�'c'.d�C.S:;���-C_ •�'��--__-_ I r. h { 'f vr- C lYT/F% D FOUNVN i ivI � - `" a LOCATED. /N.:. NO. ANaxvr-&4HA. SCAL E W, Scott L:'Giles R.L.S. s 4 7 50 Deer Meadow Road.: a North Andover,Mass: t �f1C;15 T\0 poSpk' 3 i i dE U* IS S' Wit 199x.. � �`�� � '3 .. AUG .-� g."z _" - r sT --- - / CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE BUIL DING/NSPEC TOR ONL Y SHOWN COMPLY AND SUCH USE/S FOR THE } W/TH THE ZONING DETERM/NA RON OF ZONING j BY LAWS OF CONFORM/T Y.OR NON-CONFORM/TY No.A�tD�c�R,,MA. WHEN CONSTRUCTED. WHEN BUIL T. 8 NORTH TO" . Of And No. CO - LA O dover, Mass., I� COCHICHEWICK ORATED S S BOARD OF HEALTH Food/Kitchen ..... ..... PERMIT T Septic System THIS CERTIFIES THAT TQ.. .N..{.`� � ,..,TOsr �1 BUILDING INSPECTOR F I � Foundation has permission to erect......i a... .............. buildings on ............. ...........FAk....i•.�.... ........b�`.. Rough to be occupied as Fr og "F^ r vn t r S Pe "a 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. m I D & rj aN a S.. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION START C Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Rough Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. i Location SA4- -�a -s i SI,fZ& No IN!1(Cc Date a NOR Of TH TOWN .OF NORTH ANDOVER � Q� .�...o .,1yo Certificate of Occupancy $ �o r 4 . 4 Building/Frame'Permit Fee $ cMu . Foundation Permit Fee $ s� se Other Permit Fee $ Sewer Connection Fee $ _ f1 Water Connection Fee $ TOTAL $ Building Inspector 7 �to •Ott PAID n p Div. Public Works' r✓` PERMIT Nd. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGt 1\ MAP +40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. LOCATION C A M O PURPOSE OF BUILDING a " �nJG IOJC' EyiS"ri,n�j fC ff✓ercaj-)Av, OWNER'S NAME AL b c cp / NO. OF STORIES SIZE OWNER'S ADDRESSXp y Fewes'r I S BASEMENT OR SLAB I _ ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD I BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING / DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS �•y �-! ^ ( . DISTANCE FROM LOT LINES-SID ` REAR GIRDERS AREA OF LOT \ FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING • x goo Cv:n IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION Ye C IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /e IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY YPf IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES i EST. BLDG. COST QjO D®•O O PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM I SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED � r BUILDING INSPECTOR SIGNATURE OF OWN OR AUTHORIZE AGENT 4- 'F E E S E� OWNER TEL.N �.� sb PERMIT GRANTED CONTR.TEL.11 • 19 CONTR.LIC.J/ s��r 'reL. ,I EPARM. NT �� I BUILDING RECORD i 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 —I 8 INTERIOR FINISH CONCRETE B 1 2 13_ CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER - _ DRY WALL _ _ _ UNFIN 3 BASEMENT I AREA FULL FIN. B M AREA FIN. ATTIC AREA _ NO 6 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 HARD"✓'D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME ! BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD $HINGES KITCHEN SINK , SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER \ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO v 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 I NO HEATING Arm I !"m • 1 f Town oj. ;Nl { Andover No. 366 - F3 _ 4,_ T k � LAK o t�' 0 dover, Mass., 3_ CA.4. 19'94 COCHICHEwicn�\�,.t O'Q A T E 1) 1 L BOARD OF HEALTH Food/Kitchen } Septic System w .. `` BUILDING INSPECTOR ................................. ,, THIS CERTIFIES THAT.....................................r ........... Foundation hasp ermission to erect......... 7........... buildings on ..............`� 1 "... !C.C"..... ............................. Rough Rough 16 ob I�.Osf.! F,C� s?;we - SCIZtJ . ........................................ Chimney to be occupied as............. ... ..................................................... .................. /orm ... • provided that the person accepting this permit shall in every respect co 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. �1 e'TL�`. (**L` sam'&&=b^l?•t►ge'"s PLUMBING INSPECTOR r VIOLATION of the Zoningor Building Regulations Voids this Permit. 't, rbc ��"��, � Rough 9 9 t�c'L�''• PERMIT EXPIRES IN 6 MON THS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough .................................... , jt.................. .. ......... .4w............... Service BUILDING INSPECTOR Final F Occupancy Permit Required to Occt cpy Building GAS INSPECTOR J, 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 PLANNING FINAL CONSERVATION FINAL Street No. c91A/FR /%A/ATPP FINAL. �� 5g DRIVEWAY ENTRY PERMIT Smoke Det. Town of North Andover BUILDING DEPARTMENT - .Homeowner License Exemption (Please print) ' 9 DATE - 1%- 9 V JOB LOCATION S amt Number Street Address Section of town "HTONEOWNER" �5Ac K its iE PK S Cg"L (S t & �,;;Lz— t OQ 5 Name Home Phone Work Phone PRESE'IT MAILING ADDRESS isAp-t�, 00 - A�Akvjey 4 IR 14S_ City/Town State Zip code The current exemption for "homeowners" was extended to include owner -occupied dwellinzs of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor . (State Building Code , Section 109 . 1 . 1 ) DEF_NITION OF HOMEOWNER: 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 to six family dwell- ing , attached or detached structures accessory to such use acid/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official , on a form acceptable to the Bulding UfticLal , that he/she shall be responsible for all such work. performed under the building permit . (Section 109 . 1 . 1 ) The undersigned "homeowner" assumes responsibility for compliance with the Stag wilding Code and other applicable codes , by-Laws , rules and regulations . The undersigned "'Homeowner" certifies that he/she understands the Town o� b - Ncrth Andover Building Department minimum inspection procedures and racuirements and that he/she will comply with said procedures and raCuirament.. . AF� ,CST.-.L of BUI7 D7:*G O-7- TCT L t `I0 dwellings 35 , 000 cubic feet , or lame'_ , will be ed �o comply .with State Building Code Section 127 . 0 , Const rue= _Un iV IS 1Mfg a�. �§ +}`.EYtYk r %'4 Y '�'4s 1 ,."�frik r ""4"'-'J fa* .�i r µ; w .�_• '�"d`�, nTL .sa}'4"`'. F 4 .n.;'.tz,�.'t ,4�''f '•F'�'la .�:'� `;;.^SS. ��s a"$� �'• i � 7.�?"k ` '� �j t y{ p.,+�.�'t`�'�."`�'S'g. F�'b� .7a � •.» .✓,�.x ��Z'+" # .�� ��{+�..��`"y� �+,��;. •.Fd'+.i"4+ i. 3,x 5�: R sol �'��3�'' $}`� "�' i"�z '� ,� �:z rK'� p.. +s � •d � ��t F� � r a _ � � t[ , � s ni. � _. - moi. - ♦'Y. Ln ---------- IJ .s IJ a .. s i Ci i r i� �I A i { � 1 ' � �� � .- �� I i � ��- � _ I i . I� � � , lb j I ? ����� � t /( � ! � fi I ,��"� � � f � N I ` f __. i ----- - _. .. .... ., �,ry-`._._-, __�_.r.��_�_....___._�...__. .__.�..._�_._�-.-- 5"i� �,�.;h i �, ,a� �, - a� .. . .. ,�;� _ .., �• � �. ,� _ . . � :. - Location No. Date &ORo TOWN OF NORTH ANDOVER 16. Certificate of Occupancy $ Building/Frame Permit Fee ' 1SS�cNusEth -..—Foundatio Permit Fee $ .-.,Other Pe mit Fee $ Sewer Connection Fee $ Water Connection Fee $ ' jgjQTAL $ t/,1 Building Inspector i � � 6597 Div. Public Works "'+�`•s':-.Y'^''*-�-,,,- c ,:i...�.,.b.in�.....�.�+.ai„y a +r ,�{d� _• w�'.../ ..L '.•� +�-.r .r�i',''�. Location No. A-2 3Date_ t �J h . 0<,40o';�tio TOWN OF NORTH ANDOVER Certificate of Occupancy �, ;; Building/Frame Permit Fee $ �' 'ss�eHuSEt Fps ndation Permit Fee $ ! `b her, Permit Fee $ S6w&1Connection Fee $ -- �� Waver Connection Fee $ TOTAL�% J �, 6uildin� g In ctor `° / 3 Div. Public Works Lbri Location No. Date �' TOWN OF NORTH ANDOVER A Certificate of'Occupancy $ (1.0 Building/Frame,Perrriit,Fee $ �,SSACMUS t� Foundation Permit Fee-i� ,$ 0 t.1- 0 'Ile Othertr it Fee Sewer ConqDction Fee 9$ Water Connecttiio �e $ -- TOTAL r�A�J' �/S "o C) Building Inspector ` ' ,' - 6298 Div. PublickWorks APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �,� Sf3 j, PAGE 1 PES\iIT N '-1 LOT NO. [[•�� - �G ( 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE SUB DIV. LOT NO. LOCATION r�z�/ PURPOSE OF BUILDING J i/ OWNER'S NAME /I _ _/ C O NO. OF STORIES 12 SIZE „ OWNER'S ADDRESS (Z� BASEMENT OR SLAB 62 lop ��� ARCHITECT'S NAME �� G SIZE OF FLOOR TIMBERS IST �+✓� 2ND _ BUILDER'S NAME .+�✓F�i�� //� SPAN DISTANCE TO NEAREST BUILDING /UO l DIMENSIONS OF SILLS '! ` DISTANCE FROM STREETPOST / S i DISTANCE FROM LOT LINES-SIDES REAR �Q� " GIRDERS ! Z AREA OF LOT tel` n� FRONTAGE //�/ HEIGHT OF FOUNDATIONr/ l THICKNESS IS BUILDING,NEW !J CJ SIZE OF FOOTING 0 /i X L 19 BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND 1 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 fv�j IS BUILDING CONNECTED TO NATURAL GAS LINE Gv� INSTRUCTIONS _ .. , , 3 PROPERTY INFORMATION LAND COST /-j 6/' SO/1 SEE BOTH SIDES �R! QG7 / CJ f RMI-F FES /� , EST. BLDG. COST ! PAGE 1 FILL OUT SECTIONS 1 - 3 MIA rce 2,/ Q U ,U Q EST. BLDG. COST PER SQ. FT. r PAGE,P,FILL OUT SECTIONS 1 - 12 r�i[= f Q S /D 7 .�/•6 O EST. BLDG. C08T PER ROOM SEPTIC PERMIT NO. ` /^� +�.0°�`�"�""• a ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING-_ _, �/yi C"v/ 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PJ.ANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE F D `// v BOARD OF HEALTH SIG TURE OF OWNER OR AU,rDRIZED AGENT F E E PERMtT GRANTED ER TEL.! d a 0 C) [� PLANNING BOARD / G Q10.� #� 6 TEL 19 7--5CONTft.LIC.# BOARD OF SELECTMEN JUL .-T- -Ull DING INBPECTOR 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 a 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL (/ FIN. B'M'TAREA _ 1/1 1/2 °% FIN. ATTIC AREA NO B M T FIRE PLACES Z HEAD ROOM MODERN KITCHEN L 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARD"✓'D ASBESTOS SIDING _ COM/dCN _ VERT. SIDING ASPH.TILE _ n STUCCO ON MASONRY ( / r STUCCO ON FRAME V< BRICK ON MASONRY ATTIC STRS. & FLOOR `- BRICK ON FRAME CONC. OR CINDER BILK. a4t STONE ON MASONRY WIRING STONE ON FRAME ]?? $ 'L T i Z•C/' f A SUPERIOR (� NGOE ADEQUATE 5 ROOF 10 PLUMBING Y r GABLE HIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ 1 ASPHALT SHINGLES LAVATORY 11 10 WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING OKU 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. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G /pQ� UNIT HEATERS 7 NO. OF ROOMS GAS j OIL 1B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING t �" 323 FORM U - LOT RELEASE FORM ` r INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction ' have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: ���f /�d'�!�!)r',�CG Phone LOCATION: Assessor's Map Number Parcel J Subdivision Lot(s) f Streeter, St. Number F`Z� ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: i� Date Approved7 ' lq 17i Conservation Administrator Date Rejected Comments Date Approved 34A�B Town Planne Date Rejected Comments 1 I Date Approved FoodI spector-Health Date Rejected Date Approved ' Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permi - Fire Department ��� ` t `' I Received by Building Inspector �(® � _ Date 7 1 w a'` �+.:,¢t s I" G'° - ro�,s Als iw a..'s_ r a " JL„ _yjri... ri' r�i� r!'ri'3 st •�4+}• •4 � 1'Z••yt- : � �.d':.i p f.:®' •r� t 4 l'// ssr� � '.� •ry ..ts�-�r�_r... "X.v. �"'1•riJ �-�v-r7.�2:�. �� t,F-,l;^ i' 'r; Y1 - t�� ,7.id � �_s sr�K �j,� ryY r� ,, f Z,,�� 1' .. � _ � Y,'� ) •. It :, � � i .. - - . fB T` _241 \ i Izzi IL aw \ •X;;'111 R�:1 % •' �,�.' .;, r` f j'. t ...yep .�' .. �. '•Y ; • . _ e 'rte*'` +�`,� •,• ' J d CERTIFIED FOUNDA T/ON PLAN LOCATED /N NO. Ai lXVr-&MA. SCALE: / _ �` DATE: Scott L. Gi/es R.L.S. 50 Deer Meadow Road North Andover,Mass. LOT 1 77 FFowl% 3 �J i it L g a AUG 0 t InEJ3g , c` E � � :CGLD��es PAR a`r��EM' / CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE of ` THE OFFSETS OF THE SU/L DING /NSPEC TOR ONL Y SHOWN COMPLY AND SUCH USE/S FOR THE WITH THE ZONING DETERMINATION OFZONING BY LAWS OF CONFORMITY OR NON-CONFORMITY -N0-ANDER-,HA• WHEN CONSTRUCTED. WHEN BUIL T. g NORTH C E Town ofover � -4*J No. 3 N 7 °� "-000H C q dover, Mass., T40t S� •= 19 Aj °RATED P '�C:) H 4 BOARD.OF HEALTH Food/Kitchen Septic System ' PERMIT T . .D BUILDING INSPECTOR THIS CERTIFIES THAT d � ..+ .................................................. "' Foundation has permission to erec41040 .0W. uildings on .�.2..�/./�'� ,Cl'.�'T . .T .... Rough to be occupied as tfWWA .AW.00..14.. ....Q..�i ��. �. . /� mra if Chimney n tin this permit shall in e�respect conform to the terms of he a lication on file in provided that the person accepting p ry p PP Final , this office; and to the provisions of the Codes and By Laws relating to the Inspecti �r �r � �ct�'��f Buildings in the Town of North Andover. .- /7 Q'Q/r. SATED BY PARA. 114.8-S. B.C. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MOX%44faPA/o_d ,e0 Final PERMIT FOR FRAME/BISS CONSTRUCTION STARTS � U d ELECTRICAL INSPECTOR Rough • FEE PAID:......_._..._. . .......... ................... ....... Service DATE.`_..�_- BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR ugh Final Display in a Conspicuous Place on the Premises — Do Not Remove nal a 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. SFWER./WATER._,__-FINAL � RIVEWAY ENTRY PERMIT i I i NOR AI ANIA.YVE 11011.1)IN(i r.l;ts�:ti lttr,t (1•�Ilti1!; t:ONti ' (V "JI JI\'I:CI(IN(I U PLANNING 1'1,�1.IVN1N(;. i� (;t)nl[►IUNI'1'1' Uli�'1sLOI'nllsN'l' ' I::�I;I:N I I I.P. Nl:l a( )N, i )II(I:(:I OI t CHIMNEY APPLICAHON ANO I'E1 Alff ATE � �! .� I Litrll'r. )CATION Z6 LINER'S NAME: 1I LDER IS NAME: ' ' ' ,kSON I S NAME: kSON'S ADDRESS: .SON I S TELEPHONE: 00 JERIAL OF CHIMNEY: IT"ERIOR CHIMNEY: �� �iYl`�- — EXI LRI OR CHIMNEY: c��'�---- IMBER AND SIZE OF FLUES: IICKNESS OF HEARTH: ' /� �' - --- •--------.'. . . :U civDi1>.ey al. ()i/LepCace con(jaAm to .ilte he.c�u.i�le►ne►l.i:3 u() .tJ(e cucle (Uld [lave :(((ce.3 and :gutatiom been %ecebed: -- .TE: 171 — .GNATURE OF MASON: _RMIT GRANTED: C 'BERT NICETTA JLDING INSPECTOR SPECTEU: MARKS: _ SOLID FLOCK ltl�(�Ulltll) � ��� THIS PERMIT MUST GE UISPLAYCU 014 IIIC PRUH SL CERTIFICATE OF USE & OCCUPANCY Towrt[ ndoven. Building Permit Number Date THIS CERTIFIES THAT THE.BUILDING LOCATED ON MAY BE OCCUPIED AS �-f (�� , Y IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. of ",°"T",9ti CERTIFICATE ISSUED TO s � ADDRESS �1„2 U �,, •,„.••`.� �/.��.L�-C_ << tet_ sJ,CMUSBuilding Inspector z o , NpRTP `. N;;� . . Town of to , Andover COCLA dover, Mass., V l V J � 19 Vo? AIC DRATED BOARD-OF HEALTH Food/Kitchen PER MIT T D Septic System //34/7 BUILDING INSPECTOR THIS CERTIFIES THAT.........�®.0........... . .4.11L.v.................................................... Foundation has permission to erect J00. uildings on . .®2..�y/./ iP. fid .7'.o g ce. 'r-,3 •••• Rou hot, d D to be occupied as�iP#V4 ^0 .� .. � .�. /#kV 41C oa�i r Chtmn y4�t � `�' � e IUCD/ "y provided that the person accepting this permit shall in e.respect conform to the terms of the application on file in Final too? /a P P P 9 this office; and to the provisions of the Codes and By-Laws relating to the Inspecti � r � �c �f Z Buildings in the Town of North Andover. o#w RMMTM BY PARA. 114.8-S. B.C. PL 31 INSPECTOR Voids this Permit. Ro VIOLATION of the Zoning or Building Regulations d g g PERMIT EXPIRES Il'�1 6 MOI - "/ FEE PAID„,62 d i ✓�r� U 6 � ECTO PERMIT FOR FRAME/Bl�01 SS CONSTRUCTION STARTS ELECT PR �� Rough C 1 FEE PAID....,- ...... ....... Service DATE._______ BUILDING INSPECTOR Final Occupancy Permit Rcgttired to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough • P Y P Final No Lathing or Dry Wall To Be Done / v Until Inspected and Approved by the Building Inspector. FIRE DE ARTMENT Burner ID 01��FlStreet No.PLANNING �Q�INAL CONSERVATION U �� 4) V Smoke Det. . Cl SFWFR/WATER Zr _9zT-93 FINAL / a �' (r �,�,DRIVEWAY ENTRY PERMIT