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HomeMy WebLinkAboutMiscellaneous - 544 FOSTER STREET 4/30/2018 (2) 544 FOSTER STREET 210/104.B-0004-0000.0 i Date.. . NORTH °� f� TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SSACHUSEt This certifies that . . ..�.`J� . R'`. . . . ..... .that . . . . . . . . has permission for gas installation . �!!` �' lA A._ i n? Se r in the buildings of 1�£ £c . �.?S ' S�at r . . . . . . . . . . . .�.—. . . . .. North Andover, Mass. Fee. .a.S . . Lic. No.�? .l a 10 S .'!>10 z? I M. .j U C (--%tj i v`� GAS INSPECTOR Check# 7 a I 4626 –',C-, ,U SETT---:z LIN IF OF N1 A FPLIC A ION F C-'R, PERIM IT TO DOG A SF!T—iiNc- (Print a, yce) 17, - �0I R e=z4—c F=71 -5 F' sT. i c;t L::c_=:1;c,1 0 Po(, L o' tz e o re J ---------- Jew Fienavalicn Z, Fianssuinmirre-_4: YeZ Na Lz ul cn .3 ul C= tn CZ LU C a V3 W MW > (z) Lu tu W > 1 10 1 U_ 1 13: 1a 1 B—B 3 MT- S 7 FLaa R I 1 I I 1 I I 777F i 11 2 N 0 F:LOO R 1 R C1 F LC20 R 4 7rq FLOG R E7H- FLOOR 67H- FLOO-R,i 1 1: 77H F:-LC3a.Fi 1.. E 1 1 1 1 1 -1 87-H FLaa R I I I I I I 1 171-7 1 In =11nq Czmmznv Name ESS T= P R0 F-A-N—.r G 01L, IITC. Cheek ane: Czrd ctsz AddL 31 VALTER. ST DiL=RS � 01923 Rusin—T eiechone 800-322-66.2.8 a. FrM I aa. Name at Ur--Mzeci Plumi:er arCln Ftw - INSURANCE=VERAGE. I have a au"iaaility insuranca policy or ifs Sutmt-aft7d scuivalent whichmeetE the requiremeriM at MGL Ch. 14L Yes U No C1 if you have c.tec!ced 111MIS• pie indi=e the'type=veraige by ahedting'the appropriate b=. A liability inzurzn=pi anter ripa at Indemnity C, Sand (Z CWNER'!E INEURANCZ WAIVER: I am aware that the licensee does not haLthe insurance=ver2cia required by Chapter 142 at the Mass. General Laws, and the My signature an this PBrMiT application Waives this r-equirament. Owner Q. AgantfZ I hereby caraty mat ail of the details and information I have submima(or enmradl in above a#i=ttin are true and - the best of my knowiedce-and triat ail pium bing warx and in=ailaricns perrormea underThe Perrnirizzued forfts aupfi nw Nein pfianca wv:n ail peran ent Provisions a r the Maszzzluselm Slate C---z Cade an a C;anter 142 or ins G By -iypeaLicense: F_! Plumoer Sion. awrear UcAnsecP1ui6odtar Gas Fictar fide Master r Ii—rtseNumnery/ ,C:'.'tv/7uwn '..'QuMeyman APT3qCVEM CF=Cc UScCNLY) BELMYV roll orrloE USE MILT IAL IFISI a"Liu II SKETC IIE3 PnOGRESS INSPECTION rEE � 110. y APPLICATIDII run1PEIIMIT To po UASPITTINU NAME A TYPE Or OULID111a LOCATIOII Or BULIUIIIU PLUMBEII OR UABFIT fEI LIC. NO. rEIMIT UIIAIITEb DATE sn GASINSPECTON 561351 q�(yo 9 9, 7110 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(constructed; ( )repaired; by L TC_C 6 re__e_ ✓ located at �7 / r-OS7<4t- 5'T CY /-�/G ✓� 4-- was was installed in conformance with the North Andover Board of Health approved plan, System Design Permit# , dated k['1101 AC-154d y` Ia , with an approved design flow of 'Ho gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the.As-built which has been submitted to the Board of Health. ' Bed inspection date: p - �, Engineer R rese tat' e Final inspection date: 6 /2 S'`o z, ngineer Representative Installer: P�'�C^/ �� Qom✓ Lic.#: Date: 7 04//-:2 ;7 /,, Design Engineer: Date: 1 ® MAPFRE The Commerce Insurance Companysm Citation Insurance Companyw Commerce " Gore Road,Webster,Massachusetts 01570 INSURANCE- 508.949.1500 www.commerceinsurance.com May 13, 2015 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: KAREN E HERMAN Property Address: 544 FOSTER ST Policy#: BCZDCT Date of Loss: 02/14/2015 File#: JYNT83-HRAYW7 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. DONNA KIMBALL Telephone: (508)949-1500 Ext: 11527 CLAIM CONSULTANT Toll Free: 1-800-221-1605,Ext:11527 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above, by first class mail. May 13, 2015 CIC 254 (Rev.4/95) MAIL. I74 -- -, ' Location No. �� Date NORT" TOWN OF NORTH ANDOVER F � 9 i Certificate of Occupancy $ i i # ''�s'•° E<�' Building/Frame Permit Fee $ s^tHUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # = r4 1 l� L Building Inspector G TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. �G( DATE ISSUED: © S ic SIGNATURE: /P W r4 Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: �JD'Alt—AQ U"e.�-- M Y9- i$�/ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: (` Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R red Provide R red Provided Required Provided v 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public X Private ❑ Zone Outside Flood Zone Municipal ❑ On Site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic is rict: Yes No rn 2.1 Owner of Record 90 H Io y-\ A, �1 , �` 5--1 q 7FC)S5�e Niane(Print) Address for Service: � S Sri q SignaWff Telephone O 2.2 Owner of Record: Name Print Address for Service: O z M Signature Telephone go SECTION 3-CONSTRUCTION SERVICES 3.� Licensed Construction Supervisor: Not Applicable ❑ �0 -� �`MOYI es� �� ` ' O Licensed Cons� �n Supervisor: C c License Number' a• ��� �1 Address , S\( AJ1Prt-PAA Expiration Dat a Telephone r.. 3.2 Registered Home Improvement Contractor Not Applicable ❑ v 1 wno P t 0 Q Company Name 1 ,U �� m Registration Number r t� UY� r. A dress r o n ��21 /Z00S Z D / �59 Expiration Date /� la Telephone 1� 7 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 buildi2g permit. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Description of Proposed Work check au applicable) New Construction 0 Existing Building 11 Repair(s) ❑ Alterations(s) IKAddition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Ln a C�V�it t7 11 c A � W , SC eh 10PV1r' CSC. ec SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFPICIALUSE ONLY Completed by permit applicant 1. Building t� (a) Building Permit Fee /o do Multiplier 2 Electrical (b) Estimated Total Cost of /1/ Construction 3 Plumbing Building Permit fee(a) x(b) 4 Mechanical(HVAC) /) 5 Fire Protection AJv 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 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. 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 1 '1 9 + Si a e of Owner/Agent Date Inc" NO. OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TINIBERS 1 2 3 SPAN DIIv1ENSIONS OF SILLS DIMENSIONS OF POSTS DINIENSIONS 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 J�C-C Ic c'`E -�-e V S r Lp a '70o F a Sc ^ee'" Dee IC FORM U — LOT RELEASE FORM 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT a !a. CP �✓1 c� �" 1�P.( �J r �'�"`�-`�.. PHONE e5l TZ 8'—1 2\O—\0y LOCATION: Assessor's Map dumber PARCELQLJ. --L.� SUBDIVISION (1 LOT (S) STREET V- S4- f__ ST. NUMBER ��LK4 USE ONLY*********************************** REC MENDATIONS OF TOWN AGENTS: -ZC� CONSERVATION ADMIN TRATOR D T ROVED A15-ATE REJEC w 0 (71 COMMENTS �I Te,- e 1►ea Yio7" a /�o� er cn��K ,A , S-0/", IV TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED 001, DATE REJECTED -SSE TI P TOR-HE TH DATE APPROVED DATE REJECTED COMMENTS Gc fC Ao n,t !_t,,., a -!S- PUBLIC PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm The Commonwealth of Massachusetts Department of Industrial Accidents a � d Office of Investigations w� Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print �,aten 1Name• t�' oi11 it Ke g { Location: 57 L4q Po s-'C r- City h)o,A V\80lrP r M/It- O 1--RyS- Phone # q i� ? 0 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer pr►orv�i�ding workers' compensation for my employees working on this job. ompany name: ��1 ► �(r��lJ1 �D��� )t��� ���i'1 Address l `I� ^ l City )h V°�C- �CY! Phone# Insurance Co. O Policv# AJ )Ai Company name: Address City Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment-as_well as_civil..penalties in she form ofa_STOP WORKORDER..and_a fine of_(.$1.0.0..00)-a day-against.me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. signature Date Print name O Phone#91�� _973 2-35 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 immediate response is required I] Licensing Board ❑ Selectman's Office Contact person: Phone A i-1 Health Department F-1 Other North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision 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 c11, S150A. The debris will be disposed of in: (Location of Facility) ASignature of Perm' Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector CS 4L e, yr re ov c re s r. h *%x r ,r�- Nx-ttl�11-tL) 00 39Vd 32101S Sdn 3Hi t58E-V99-8L6 ET:91 tPOQZ/VZ/-qg CD IV it-CA ;1 ) "Y- 10, OD cn be OVA W, I h4 v OVC)- I r-I CAC 4, No aJl t' (J K `t'& 1 r-c- k C-ot.% )r u e-rc- m CD C.1r,�,e m �n N A N CS) CSD N CJI 1 • t CD t A E vt c:ll`C.sr :�In G I I•S±. CI y' �, ' � w fC� it.t„\ s N to i 0 E m HT I.. "I I'T[-]�F t .l .TH. D CED w SCHEDULE OF ELEVATIONS WF 3 _ --- 193 t LOCATION ELEVATION ZN SHED OGE CF- --y - WF6 t F2 EXISTING SILL (TOP OF FOUNDATION) 130.3± WFt IN r X� EXISTING CELLAR FLOOR 123.5± rn WFO PETER BREEN +' INVERT OF BLDG. SEWER AT FOUNDATION 127.55 �J 770 BOXFORD STREET i REFERENCE POINT "A" NORTH ANDOVER, MA 01845 ' INVERT AT TREATMENT TANK INLET 127.30 OFFICE TEL. 978-687-7774 WFi I INVERT AT TREATMENT TANK OUTLET 127.05 CELL. TEL. 978-265-7580 BENCHMARK FOR CONSTRUCTION: CONCRETE STEPS AT HOUSE, DECK If INVERT AT PUMP CHAMBER INLET 127.02 ELEVATION = 131.00 (ASSUMED) WFS / HIGH WATER ALARM SET POINT* 125.3± / EXISTING DWELLING / MAP 104B. LOT 4 / PUMP ON SET POINT* 125.1± WASHINGTON MUTUAL BANK, F.A. l f Y PUMP OFF SETPOINT* 123.3± 1,500 GALLON TANK 544 FOSTER STREET / ! p WITH MICRO FAST 0.5 / m/ FLOOR OF PUMP CHAMBER 122.7± TREATMENT UNIT tL-0 v I�(� DECK ? SER' +CE INVERT AT PUMP CHAMBER OUTLET (3") 126.73 J / o / r INVERT OF 3" MANIFOLD 126.95 l 'l / I INV. 1" PRESSURE DIST. PIPES LEVEL) 127.59 O` RHE_AD ELE^1"SIG _ ._ AREA = 30,300± S.F. G to II/ BOTTOM OF LEACHING FIELD STONE 127.09 WF9: (� o / ' TO BE ADJUSTED BY CONTRACTOR 40 HIGH WATER ALARM (LIGHT AND BEEPER) "r MOUNTED ON INSIDE CELLAR WALL. SCHEDULE OF FIELD TIES feet F / REFERENCE POINT "B" //r I I LOCATION REFERENCE POINT REFERENCE POINT AIR BLOWER i/ "A" "B" / f SEPTIC TANK INLET MANHOLE 30.2 14.8 ELECTRIC (ESTIMATED LOCATION) / / J SEPTIC TANK OUTLET MANHOLE 34.6 13.5 1,000 GALLON PUMP CHAMBER 7/ WITH 1 HORSEPOWER PUMP 7 /3� TREATMENT TANK INLET MANHOLE 43.6 16.3 _ (HYDROMATIC MODEL SKIOOM2) a D 2" PVC VENT (TYP FOR TWO) / �� TREATMENT TANK OBSERVATION PORT 49.2 20.3 FORCE MAIN/MANIFOLD CONNECTION 54.8 38.9 o PRESSURE DISTRIBUTION FIELD: END LEACHING PIPE, D 62.7 34.8 E 36' WIDE x 41' LONG x 0.5' DEEP �o END LEACHING PIPE, E 79.7 59,7 END LEACHING PIPE, F 57.5 55.7 7/ PSN ppSgc END LEACHING PIPE, G 30.0 28.0 \IFyt o`' DAVID yG 'x\ / ° / A. AS BUILT PLAN X1.. /�(1 Gyp` OBERLANDER No. 36479 SUBSURFACE DISPOSAL SYSTEM V, / v PQ�O� Q CIVIL �' �G/s7E1 a�� AT X�� 544 FOSTER STREET, NORTH ANDOVER, MA HEREBY CERTIFY THAT TO THE BEST OF MY PROFESSIONAL KNOWLEDGE, MAY 22, 2002 (REV. 06/07/02 DRIVEWAY) INFORMATION, AND BELIEF THAT THE SUBSURFACE DISPOSAL SYSTEM AS ` CONSTRUCTED IS IN SUBSTANTIAL COMPLIANCE WITH THE DESIGN SHOWN ON PREPARED FOR: WASHINGTON MUTUAL BANK F.A. NOTE: THIS PLAN IS FOR SEPTIC SYSTEM CONSTRUCTION ONLY. IT THE PLAN DATED FEBRUARY 14, 2001 (REVISED JUNE 28, 2001) AND c/o MR. MICHAEL OLSON ` IS NOT A CERTIFIED PROPERTY LINE PLAN. REFERENCE PLAN FOR APPROVED BY THE TOWN OF NORTH ANDOVER AND THE MASSACHUSETTS HOMEOWNER'S ADVANTAGE PROPERTY LINE AND HOUSE LOCATION IS "PLAN OF LAND IN NORTH DE ENT OF ENVI NME AL PROTECTION. 11-15 BIRD ST., FOXBORO, MA • ANDOVER, MA". SUBDIVIDED FOR WALENTY PAS, DATED AUGUST 27, `� 1947, PREPARED BY RALPH BRASSEUR, RLS. ,s" PREPARED BY: David Oberlonder, P.E. ENGINEERING BOO Engineering 47A Wilson Place ' SCALE: 1" = 20' ENGINM DATE Mansfield, MA 02048 508-339-0806 TH TONNM of Andover No. INEW -7 (0 LA dover, Mass., COC HICHEWIC kv C7. 0'0��ATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.....PA.tol.4....X r t 0 6 BUILDING INSPECTOR ... . .... .... ............ . ............... .. .... ... has permission to erect.... K. buildings. .on......S ..............d.ro i........S.f................................ Foundation ... y ... Rough jr r 4# to be Occupied as.. I%*44 1 5VA0" 03 Chimney provided that the person accepting this'permit-shall,in every-respect conform to the terms of the application*'o"n,*file in Final this office, and to the provisions of the Codes and By-Laws relatingt the Inspection, Alteration and Construction of Buildings In the Town of North Andover. A 0 V 8*4 Y PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCT19ON JTAIJTS ELECTRICAL INSPECTOR Rough . . .......................... Service BUIL6* G 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. • SEE REVERSE SIDE Smoke Det. a 370 Date.. ........................... NORT!{ °tt"`°:•�"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACH a This certifies that ....................... . `.. '........................... ' .. Q .. 't"t .. ...................................... has permission to perform .......................................< -�-t � ~ wiring in the building of ° .........:........................:............................................... ............ y .. .....'�`............ ...................... at '` ,North Andover,Mass. ........... .. .. .. .. J Fee..................... C' ELECTRICAL INSPECTOR Check # �= G Commoncvea&0/V7 as4achuaelfjF�,t�N� Official Use Only ..UeRarlmenl o�,}ire �ervices BOARD OF FIRE PREVENTION REGULATIONS and Fee Checked [ ev. I /99J (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cod (MEC),527 ChIR 12.00 (PLEASE PRINT IN INK OR TYPL• ALL INFOR,b1,17•ION) Date: City or "Town of: A0A j weVt � l� To 1/te Lrspector of FY'it es: By this application the undersigned gives notice orhis or her intention to perform the electrical work described below. Location (Street & Number) 4:1 $°T� Owner or Teinatit li/�/� /� G Telephone No. Owner's Address Is this permit in conjunctioci with a building permit? yes ❑ No ff�' (Check Appropriate Box) 1'urlfose of Building_ [�,t/�t (l(tt w Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undt, ❑ No.of ilIeters New Service Anips / Volts Overhead ❑ Undgrd ❑ No. of Aleters. Number of Feeders and Ampacily Location and Nature of Proposed Electrical Work: 6J I Q L S"��� L' fu C4 - � .. Completion of die follow,s¢table may be waived by the his ector of I hires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No,of Lighting Outlets No.of Hot Tubs Generators I%VA No.of Lighting Fixtures Sivimming Pool Above ❑ !ti- ❑ t o.o mergency Liatitin b artid. rad. Battery Units No.of Receptacle Outlets No.of Oil BurnersFIRE ALAILNIS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges TonTots No.of Alerting Devices b No.of Air Cored. No.of Waste Disposers Heat PumpNumber 'Tons 1C1V __ No.of Seli=ConI ined Totals: Detectioti/Alertino Devices No. of Dishi'vashers Space/Area Heating KtiVLocal INlunicipal ❑ Connection ❑ Other No.of Dryers Heating Appliances x1v Security Systems: No.of Water No.of No.01' No.of Devices or Equivalent Heaters. KW � Datn Wiring:Si ns Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total UP Telecommunications Wiring: No.of Devices or E uivalent OTHER: �litach additional detail if desired,or as required by the Inspector of Wires. 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 Er BOND ❑ 91-HER ❑ (Specify:) (Expiration Date) 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. I certify, hinder the pairs and penalties of perjure,that they information on this application is true acrd contplete. FIRININAIME: Buddy Electric Inc LIC.NO.: 12017__.A Licensee: Vincent B. I,a:nders JR Signature � 68q E (If applicable, enter •'exempt"in the license number line.) Bus.Tel.No.L1C.N0:.•975-4455 23 3 Address: ,24 Co1ETa.te lir yj,AndnVpr Ma t71R45 9 Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am a%varc that the License-.does not have the liability insurance coverage normally required by law. By my signature below,1 hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's ac ent. Owner/Agent Signature I'clepliotie No. [P.i:R:IIIT TE.E: S `SHEEHAN ELECTRICAL SERVICE Service is Our#1 Priority•16 Years of Experience Residential•Commercial•Industrial Master Paul J.Sheehan Lic.#12555 Owner Tel: (508)251-2266 96 Richardson Rd.,Unit 18A 800-613-1955 N.Chelmsford,MA 01863 FULLY INSURED-24 HOUR SERVICE v Office Use Onl !l gtl 3 .6 0111` Lfvm unwratt� of �tt0sar4ulUtts Permit No. V �tJ i) _= a i3epaTtmient Uf Public 5'aafetU Occupancy& Fee Checked c 3190 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All '.vork to be performed in accordance with the Massachusetts Electrical Code, 527 CMR,1 -00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date y� (X)� or Town of NORTH ANDOVER To the Inspector of Wires: The ueersigned applies for a pe'frmit to perform the electrical work described below. Location (Street & Number) �`1� 1'0 Owner or Tenants Owners Address ( --t �� LWN o L\ Is :his permit .n conjunction with a. building permit: Yes r No (Check AppropriateBox) Purzcse or Buiicina Utility Authorization No. Exisrina Service 100 _ Amos 9!9�/ Volts Overhead Undgrnd No. of Meters New Eerrnce \00 Amps taEgj volts Overhead Undgrnd No. of Meters Numcer of Feecers and Ampacity Lccatien ane stature of Proposed Electrical Work ""- F�e�s � Total i_ No. c L.cn:nc Cut:ets No. of Hot Tubs I No. of Transformers KVA J Above— 'JNo cnrnd rxtures �(�, Swimming Pooi grno. ' grnd _ Generators KVA (� D No. of Emergency Lighting lJ No. cf Receo,,ac:e Cutlets No. of Oil Burners j Battery Units No. cf S:•J:tch Outlets b No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No of FanciesI i No. of Air Cond. tons :::I Initiating Devices No.of No. cf D scosais Heat Total TotalPumos Tons KW No. of Sounding Devices No. of Self Contained No. c D sm.vasners i SoaceiArea Heating KW Detection/Sounding Devices — Mun cloal No. cf Or;ers Heating Devices KW Connection 'Other Local No. of No. of Low Voltace ^!o. a Nater Rea:ers KW I Signs Bailasts Wiring No. "vcro `.tassace Tubs I No. of Motors Total HP OTHEP.. NSURArJCE Z DVEF,AGE. Pursuant to the recu rements of Massacnusetis denerai Laws _ _ i ha.e a current L.aoiitty Insurance Policy including Comore d Operations Coverage or its substantial eauivaient. YES _ NO — I -ave suom,ttee vaiid proof of same to the Office. YES ±� NO - If you have checKed YES. please indicate the type of coverage oy cnecK nD the ao1^ro date Dox. � � 1NS'uRANCE L BOND - OTHER - (Please Soeaty) (Ex ration Date) Esnmaieo 'value of Ei ctn i `Nork S��B��-� r�\ 'NorK :o Start Insoect;on Date Recuestee: Rough Final Sicneo ,:ncer ;ne Pen ti s of perlu LIC. PinM NAME ��/ � NC..� —5J Signature LIC. NO — -- _!censee i_b' >�/3 �►I r�1 l\` Qv'N'. l Bus. Z. No. ACdresstk7\\a450�k , &���'�� VA C)IS(� Alt. Tel. ^Jo OWNER'S INSURANCE 'NAIVER: I am aware that the Licensee coes not have the insurance coverage or its substantial eourvatent as re- ouireD bny Massachusetts General Laws. and that my signature o7ths aopiicatlon waives this reourement. O r r Agent Please cnecK ones TelephoneNo. PERMIT FEE � CCCJJJ v ;Signature of Owner or Aoentl �0 C1�; -c15�t3 07�== 0 Date...... Vk0RT#j 6 TOWN OF NORTH ANDOVER 0 f PERMIT FOR WIRING SACHU This certifies that ......... ...... ........1. .......................... C10 has permission to perform ........ ............ ...... ..................................... wiring in the building of..................... ............................................................. ........... at......A....... ................. ................................... ,North Andover,Mass. Feeh'Z'�-.00... Lic.No. .L............................................................................. ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Date. J. --- . .Y. : TOWN OF NORTH ANDOVER o',, .o ' 0 ° PERMIT FOR PLUMBING SSS c HUS 1 MThis certifies that . . . . . . • • • . . . . . . . . . . . has permission to perform . . . . . .!�. . L:�. . . . . . . r:. . . . . .. . . . . . . plumbing in the buildings of . . . .�. r .'.� . . !�l' . . . . . . . . . . . . . . . at. . .4 .4. . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. ?. . . . . . .Lic. No.. . . . . . . . . . . . . . L. . L.-i �. . . . . . PLUMBING INSPECTOR Check # 52. 50 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) = Z��Mass. Date 4 Y Permit # r• FINAL INSPECTION SKETCHES BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS r FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED Date 19 U.G. Insp. Rough Insp. Final Insp. Plumbing Inspector Location S"'f`� J=`�r�T 2 ST/1c�l No. Date Q of N�;r:.,� TOWN OF NORTH ANDOVERpp �: • OO9 G Certificate of Occupancy $ ° + Building/Frame Permit Fee $ Foundation Permit Fee $ S^ MUSE Other Permit Fee $ aS Sewer Connection Fee $ Water Connection Fee $ TOTAL $ �2- 4 Buildin Spector c k rp M.5 Div. Public Works I.ocation o Date OMaRTM TOWN OF NORTH ANDOVER t.ao � '�'{• G? •...' • ods Certificate of Occupancy $ * sBuilding/Frame Permit Fee $ C } Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ .Building Inspector ' Div. Public Works PER111T NO. `Tv/ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP id0. LOT NO. 12 RECORD OF OWNERSHIP IDATE BOOK i PAGE ZONi I SUB DIV. LOT NO. F- OCATION PL/LTi >> O _ PURPOSE OF BUILDING & 4 e- /, WNER'S NAM E _7 � O `h �, M , v u NO. OF STORIES !/✓�,�P SIZE IWNER'S ADDRESS BASEMENT OR SLAB C X 16A ARCHIT'ECT'S NAME Si7 1'�.-,_6 �,�-yl L SIZE OF FLOOR TIMBERS IST�xl7 2ND j x ,� 3RD BUILDER'S NAME 400 (s r. 1p o i SPAN / DISTANCE TO NEAREST BUILDING /�.S`0 DIMENSIONS OF SILLS --- DISTANCE FROM STREET t+� / POSTS 7_�J•f/�.L " DISTANCE FROM LOT LINES—SIDES JY REAR j> GIRDERS AREA OF LOT /'� s FRONTAGE HEIGHT OF FOUNDATION I THICKNESS r IS BUILDING NEW /y SIZE OF FOOTING % IS BUILDING ADDITION /Yv MATERIAL OF CHIMNEY y IS BUILDING ALTERATION Y�;�� — �C �h,`� IS BUILDING ON SOLID OR FILLED LAND b/� WILL BUILDING CONFORM TO REQUIREMENTS OF CODE XAx IS BUILDING CONNECTED TO TOWN WATER, BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IY6 IS BUILDING CONNECTED TO NATURAL GAS LINE 1k6 INSTRUCTIONS . 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST go O QD PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER 8 . 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 FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED S�/�T D /99y , SUILDINO INSPRCTOR SIGNATURE OF OW OR AUTHORIZED AG NT F JE E ,5�t- OWNER TEL.# 9 ;7 S' S'Y t PERMIT GRANTED CONTR.TEL.# Sc ( , l� is CONTR.LIC./1 l H.I.C.a / 0/ 1? 2 3 379. !57- BUILDING RECORD t i OCCUPANCY 12 SINGLE FAMILYSiOkIES THIS SECTION MUST SHOW.EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY QFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- ` APARTMENTSRAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION ` 2 FOUNDATION $ INTERIOR FINISH CONCRETE (i 3 1 2 I3 � CONCRETE Bl.K. PINE BRICK OR STONE HARDW"D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B"M'T" AREA _ '/. 1/1 FIN. ATTIC AREA NO BMT FIRE PLACES HEAD ROOM _ MODERN KITCHEN _ '� •l 4 WALLS I 9 FLOORS CLAPBOARDS B 7 2 3 DROP SIDING CONCRETE V ✓9`-LJ/./�/ r,�/ J' C!�C,'��G �". WOOD SHINGLES EARTH ASPHALT SIDING HARD"✓'D ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME I �/ BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME �� .. ` CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I-I POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3ATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET I ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROTI ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING r• WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. OPT 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 tst 6 13rd I NO HEATING TO'" of Norih Andover P00 409 I North 'Andover, Mass., 1 1 " t BOARD OF HEALTH Food/Kitchen PERMIT To BUILD Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....................`17 66 ll S, ........I�.t�'N!1 Int l ................................................................... Foundation has permission to V=....R4��............. buildings on ..... -�� ... .....�� ...... Rough to be occupied as.. -rRAAP xu.2�C ..�e'v4c 4 s .�S...P�a.7. �{. .....boewwo/N.Qs3..... 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 j Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final I FIS `,r s C r- ^ � ELECTRICAL INSPECTOR Rough .......................... .................................. ............................................... Service BUILDING INSPECTOR Final s [31 11"1g GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done j FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL. street N ' Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT t J t `• _ FORM U - LOT RELEASE FORM < 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***************** �PLICANT: S Ll A�1J Phone V5 05 fl LOCATION: Assessor' s Map Number Parcel Subdivision Lot (s) treetSt. Number ************************Official Use Only************************ REC0MMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved 7 Septic Inspector-Health Date Rejected Comments -P&,ubAO onj e)/G ice, ege_6 1,016U _E& 7-Y/A26 i n> To i o evN WQTE-',- V/Public Works - sewer/water connections dr ' eway permit Fire Department 'C'"'�`�_ ��`�C �" Received by uilding Inspector Date COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY J6 • v { OF ONE ASHBORTON PLACE a FaNanbposssssaenrreat MASSACHUSETTS 8"r W4,MA 02108 +�alaaabYl/ttsStateStliMlAt1 � 1 Code IlCmHt3}�at'i6m riftA' ' L I C E N S E oitAtstAel���TION Ffl! _ EXPIRATION DATE CUNSTR. SUPERVISOR 1C/23/1995 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB ." NONE 06/30/1 4 93 t)J b 1 1 Q PRINT IN APPROPRIATE �r BOX ON LICENSE. LOUISJ SIROIS ' 51 JULI E T T E BLASTING OPERATORS i SS 111 025-22-2116 AP DOVER t1A t 1 '31 C MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) "- Ffb-,C C 02. ��/• {,'_,, ,j . NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY r 2 HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER 2, ' DOB: 12 10/23/1930 I , THIS DOCUMENT MUST BE = '' SIGN NAME IN FULL ABOVE SIGNATURE LINE � CARRIED ON THE PERSON OF GNATURE OF ICENSEE THE HOLDER WHEN EN- OTHERS N- ' r `;•-!�," OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. t �t I ISSIONF" ff _ - JAE FwtHlAOniReallR o�v�aataNrtck(�b 44. � �� Panr�naiawea/.!/e o�✓�arzc�uard4 4 . _ DRIVER'S LICENSE HOME IMPROVEMENT NENT CO NT RACTO R Registration 101823 ® Type - INDIVIDUAL I@-zs-3m `-ec Expiration 06/29/96 3 � Louis J. Sirois " TMM I LOUIS J 51 Juliette Street -„--� 51 JULIFIIE ST &1#9#o ver ver NA 01810 ANDOVER MA "" !� `ter•--�/- C7__t� L'.'� OfAt0-1304 R, ADMINISTRATOR • e 014G e S e D COMPUTER AIDED DESIGN ` ARCHITECTURE ASSOCIATES PLANNING INTERIORS j DEVELOPMENT CONSULTING Building Inspection Department Town of North Andover Main Street North Andover, Massachusetts 01845 i RE: LEMIEUX RESIDENCE 544 FOSTER STREET NORTH ANDOVER, MASSACHUSETTS GSD Associates has prepared drawings and specifications for the structural renovation and structural repair of an existing single family residential building for structural code compliance. We have inspected the property listed above on a number of occasions for compliance with the documents approved for the building permit. Upon our last visit on 8-09-95 we have found all structural items indicated on the drawings to have been completed. Plumbing, finishes, and electrical systems were not completed at this time. In compliance with Paragraphs 127.2.2 and 127.2.3 of the Commonwealth of Massachusetts State Building Code - Fifth Edition, I hereby certify to the best of my knowledge that the structural renovations to those portions of the residence at the above stated address have been constructed in accordance with the drawings and specifications dated 5-21-94, and supplemental sketch revisions issued during construction. Upon completion of the plumbing, wall finishes, and electrical systems, designed by others, the residence should be ready for occupancy. DA �V Q4tY P. IFC GSD Associates ���NQ: 688��sf 855 Turnpike Street North Andover, Massachusetts 01845 LDNDDNDERRY. oy�Fq�lH OF MASS���J Gregory P. mith Massachusetts Architectural Registration No. 8688 Date: 08-09-95 AUG 1 01995 TEL:(508)688-5422 FAX:(508)975-1033 855 TURNPIKE STREET N.ANDOVER,MA 01845