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HomeMy WebLinkAboutMiscellaneous - 53 SECOND STREET 4/30/2018 53 SECOND STREET 210/019.0-0004-0000.0 Location 3_ 5 S S No. Date -Z/h-Z/hZ d �aRT� TOWN OF NORTH ANDOVER f � F? ` • Op Certificate of Occupancy $ s i � cHustBuilding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ Check # /v 9 Building Inspector t TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 49, BUILDING PERMIT NUMBER: DATE ISSUED: ` h ic SIGNATURE: 'c Buildin Commissioner,q for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 53 -55 cf Map Number Parcel Number f X1.33 Zoning Information: 1.4 Property Dimensions: pp—`f- l.> tj C;— 5, C00 Zoning District Proposed Use Lot Areas frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R uired Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposall System: Public Private p Zone Outside Flood Zone Municipal On Site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT I M 2.1 Owner of Record N txvs 5 Lk ( l (-i l�,c� S 3 - 5 off' Name(( rint' ) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Z Si nature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ incensed Construction Supervisor: O License Number mn ,Address Expiration Date ic Signature Telephone 1. 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r Address r s Expiration Date ^z Signature Telephone v• SECTION 4-WORKERS COMPENSATION(M.G.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 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify 4 d O CNMPnf Lu 0cucwS Brief Description of Proposed Work: ,b �A-c'e-� "- + liVt N CQm OwS SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIALUSE ONLY Completed by permit applicant 1. Building n (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of , L4 l 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 PERMIT I, In. ,as Owner/Authorized Agent of subject property Hereby authorize to act on behalf,in all tter tive to o k authorized by this building permit application. signature of Owner 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 • Signature of Owner/A ent Date NO.OF STORIES SIZE !P BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DMIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE >< NORTH .q Town of And 0 /J ) A o dover, Mass., COCMICMEWICK �� ADRATE D S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ���� BUILDING INSPECTOR THIS CERTIFIES THAT....)N*4. .. ... ...1............... ......................................... ............................ ............... Foundation 4 has permission to erecN� .... !... buildings on ... ` Rough 40400 Chimney to be occupied as........ ... ... .. ...... .....re .. .................................. .�N.. .. ...s........... provided that the person accept ng 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 . $ SOW Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST Rough ..................... ..................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location P + N2. —,:2,S70 Date g ` 1 t Of NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ 41 qL r Building/Frame Permit Fee $ �Z 'Ss�►c14U Foundation Permit Fee $ C Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ i TOTAL $ G5 Building 'ns pector '- G953 Div. Public Works z>. MIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE MAP 4-40. ` -1 LOT N0. 0004 2 RECORD OF OWNERSHIP JDATE BOOK iPAGE ZONE I SUB DIV. LOT NO. ( 7 I — j I LOCATION Y3 Seco l _1 S"1- PURPOSE OF BUILDINGI'!�`_� e2 OWNER'S NAMEFero q i�_ �iJ� 1 leg , NO. OF STORIES SIZE Same e OWNER'S ADDRESS 1 BASEMENT OR SLAB ARCHITECT'S NAME none SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME ,-5'e I [f SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF BILLS DISTANCE FROM STREET ' POSTS DISTANCE FROM LOT LINES-SIDES REAR ' GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW O SIZE OF FOOTING X IS BUILDING ADDITION 11 MATERIAL OF CHIMNEY - IS BUILDING ALTERATION �� IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 18 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 EBT. BLDG. COST 1 okkiliftmo 2-Coo PAGE 1 FILL OUT SEC'PIONS I - 3 EST. BLDG. COST PER SQ. FT ` EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 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 FI/LED AND APPROVED BY BUILDING INSPECTOR ` l DATE FILE I �/ © q _ BUILDING INSPECTOR SIGNATURE OF OWNS R AUTHORIZED AGENT 49 F E E ��.Oy OWNERTEL PERMIT GRANTED CONTR.TEL/ 4 iS CONTR.LIC. b H.I.C. 4 _-- BUILDING RECORD i OCCUPANCY 12 SINGLEAMILY 7PLASTER MULTI. FAMILY THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM APARTMENTS — LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONST 2 FOUNDATION _ FINISH CONCRETE 1 7CONCRETE BL'K.BRICK OR STONEPIERS _ DRY WALL _ UNFIN. 3 BASEMENT NE A FULL FIN. 8'M'T' AREA _ rFIN. ATTIC AREAB MTfIRE PLACESO ROOM MODERN KITCHEN _ 4 WAILS ( 9 FLOORS CLAPBOARDS 8 I 1 7 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW'O — ` ASBESTOS SIDING COMMON _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON ATTIC SIRS. & FLOOR BRICK ON FRAME I— CONC.OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME � SUPERIOR -- f POOR ADEQUATE I NONE f S ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.1 _ GAMBREL MANSARD _TOILET RM. 12 FIX.1 FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES _KITCHEN SINK$LATE NO PLUMBING _ TAR 3 GRAVEL STALL SHOWER ROI, ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. b COTS. STEAM STEEL BMS. &COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'i G d UNIT-HEATERS 7 NO. OF ROOMS GAS 011 B'M"T 2nd _ ELECTRIC ISI ( 3rd NO HEATING tAOR Town of _ - Andover No. 0 . 011119111h z 2, dover, Mass., *A6,w 94= —1 99A 0 LAKE "�:C 0 C HICMEW I C K A- 0 'rED WARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT.......................7Cq"'.xW.A ............................................................................. Foundation has permission to ery..... ........... buildipgs on ................ Rough to be occupied ��ej- Chimney ... . ....... provided that the person accepting this permit shall in every respe�&c-!n-iorth to the terms of the application on fith 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 CONSTRUCnO TART ELECTRICAL INSPECTOR Rough ................ X4.................................................................... ..... 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. MORTGAGE INSPECT/ON PLAN AT 53-55 SEC OND S TREET NOR TH - ANDOVER, MA. NO. ESSEX REGISTRY OF DEEDS.'8K.. 2458 PG. /47 CERTIFIED TO.'F/RST EASTERN MORTGAGE CORPORATION SCAL E.' I"= 30' DA TE.' SEPTEMBER 2/, /994 50, CGj //.. S✓r 7 PORCH " 2k2 STORY 1"ry d v O woo0 0 FRAME WELL/NG ---i r--- PAVED > DRIVEWAY DRIVEWAY)I PGWC I I I -I 50 ' R.R. SPK. FND. SECOND STREET NOTES.' (N of /) DO NOT USE OFFSETS TO ESTABLISH PROPERTY L/NES J OR TO ERECT ANY STRUCTURE. 2)PROPERTY LINES ARE DETERMINED FROM COMP/LED # 3„ INFORMATION TO BE USED FOR MORTGAGE PURPOSES ONLY. Ssl CERT/F/CAT/ONS. BASED ON MY KNOWLEDGE, INFORMATION AND BELIEF, / HEREBY CERTIFY THAT THE PERMANENT STRUCTURES INDICATED ARE LOCATED ON THE GRCUND APPROXIMATELY AS SHOWN AND ARE CONFORMING TO THE ZONING SETBACK REQUIREMENTS OF THE TOWN OF NO. ANDOVER WHEN CONSTRUCTED AND THAT THE STRUCTURE SHOWN/S NOT LOCATED /N A FLOOD HAZARD ZONE AS PER FEMA. MAP, COMMUNITY NO. 25CO98 EFFECTIVE DATE.' 06-02- 93 ZONE.' X ✓OHN ABAGIS B ASSOCIATES, PROFESSIONAL LAND SURVEYORS 9 137 CHANDLER ROAD, A NDOVER, MA. (508) 688-4699 APPLICANT.' KILL EA NO. P 2120 Date. ........ . . .... .... NORTp TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION K • ,SSACMUSEt This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . . . . . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ... . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer C1 1 a MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GASFITTING ype or print) Date t-!�3 19 NORTH ANDOVER, MASSACHUSETTS Building Locations v '� U Permit# / Amount S Owner's Name New❑ Renovation ❑ Replacement ❑ Plans Submitted ❑ v� w w � w u _ ❑ m z C z z c w z mcan z C z C in z '� C -t C C w C w 1 = u C: i C a C St! B A SEN1 E NT' PRA SEM ENT IST. FLOOR 2N D . FLOG R RD . FLOOR 4 T H . F L O G R 5T H . F L O O R 6TH . FLOOR 7T If FLOOR ST FI FLOG R (Print or type) Check one: Certificate Installing Company Name .1. S 4/2" ❑ Corp. Address ry "� 1 T ❑ Partner. `vt J Ait/.L 7 Business Telephone & r6-0 $L Firm/Co. Name of Licensed Plumber or Gas Fittery s�4e-1-L,,--It-.- INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance pohcv Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Siznature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuse tate G Code and /hapte1116 of t eneral Laws. By: Signature of Licens Plumber Or Gas Fitter Title Q--Plumber . City/Town ❑ Gas Fitter icense ( umber ❑—Master APPROVED(OFFICE USE ONLY) ❑ Journeyman � P �IItttIIIII1t11tQt�f F1� ttSFICIYl3g�t$ Office Use Only Department or Public Safety Permit No. �.� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 !!` Occupancy & Fee Checked 6 D 3/90 (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 s� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Cf City or Town of OfLT 0 U E 2 To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. y Location (Street & Number) S j/5 5 _ �- S/ /LEE ( Owner or Tenant ,1Z/I AJ K + _iU/U t T (Sc r C /Z (-4,f 8 9 y� Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building _ ---Utility Authorization No. ,—o / � Existing Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters New Service t) Amps l / �"`t�y Volts Overhead V Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work C 2 C ft S c-- C-`C CQT 2 /CAL TOTAL No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Above In- No. of Lighting Fixtures Swimming Pool gmd. ❑ rnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Conditioners Tons Initiating Devices I lent lotal Iota No. of Sounding Devices. No. of Disposals No. of Pum n Tons KW No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Municipal No. of Dryers Heating Devices KW Local[:]* Connection ❑Other No. o No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YES❑ NO❑ ! have submitted valid proof of same to this office YES rl NO ❑ If you have check(,,(] YES, please indi(ale the type of coverage by cc heking the appropriate hox. ] INSURANCE [J BOND ❑ OTHER❑ (Please Specify) Estimated Value of Electric I Work (Expiration Date) Work to Start Inspection Date Requested: Rough 6A�(.d Final Signed under the pe (ties of erjury: FIRM NAME Am 6 JLC t7 CE -I"/L( C C LIC. NO. .Licensee_/g'� 1`*0 RJ y />C/LL 0�L E- __Signatur 44� LIC. NO. 1�7-/U 7`� 3 Address G5- �(C 0 !� p Al JT- F ff#u /c-((( L� _ p /�3 S Bus. Tel. No. 5-0,?-37d -S 7 7 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 (Please check one) Telephone No._ _ PERMIT FEE $ (Signature of Owner or Agent) sY Date....... .......................... q HORTM 3?��•;``�..°14,oL TOWN OF NORTH ANDOVER 1. ` PERMIT FOR WIRING ,SSACMUSES Thiscertifies that .............................::..................`............................................ has permission to perform ..............:....................:..,r:..........:................-........ wiring in the building of.......t.'........:. at............................................................I.................. ,North Andover,Mass. Fee.... .. ........... Lic.No............7.t .............................................................. ELECTRICAL INSPECTOR 07/21/95-12.37' 35.00 pqi� WHITE: Applicant CANARY: Building Dept. PINK: reasurer GOLD: File 1