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HomeMy WebLinkAboutMiscellaneous - 549 PLEASANT STREET 4/30/2018 549 PLEASANT STREET 210/037,C-0030-0000.0 1 M i a U+53 yq �/ems C OL,// 1. THE PURPOSE OF THIS PLAN IS TO SHOW A PROPOSED *6404 ` DECK F'4Sq 2. ZONING DISTRICT: R2 Nr s rRFFr 3. REFERENCES USED: A' - Assessor's ID # 210037CO03000000 qR?geLF - Deed: See Land Court Certificate No. 16856 - Plan: See Land ourt Plan No. 33537C (Lot# 12) y, (Recorded at the CEssex County N. District Registry of Deeds) LOT 13 4. NO NEW GRADES ARE BEING PROPOSED. LOT 2 .6 S.S.F. 3)S p p0"e 5. THIS PLAN IS BASED ON AN " ON GROUND" SURVEY. ti 49� EXISTING - LOT AREA: 25,123.60 S.F. EXISTING DWELLING FOOTPRINT: 1,463.50 S.F. EXISTING BUILDING LOT COVERAGE: 5.82 % HOUSE �$4 - EXISTING OPEN SPACE: 94.18 N No. 549 0 16.0' N N PROPOSED DECK FOOTPRINT: 387.50 S.F. PROPOSED 16.0 3 - PROPOSED BUILDING LOT COVERAGE: 7.36 % DECK 4.7 6 s' ^ - PRPOSED OPEN SPACE: 92.64 % 13a,0 eco Z LOT 11 MIcz,9cy� IBL-ASHKAR N No. X686 SITE PLAN ( Showing a Proposed Deck ) Assessor's Parcel ID # 210037CO03000000 y 549 PLEASANT STREET ,NORTH ANDOVER, MA. 70 Washington Street GRAPHIC Suite 306 SCALE Prepared for: Jorge Jimenez & Mary Ellen Obert Haverhill, MA 01832 Surveyed by: Michel G. EI-Ashkar, PLS ph: (978) 914-6527 fax: (978) 914-6528 Scale: 1"= 30 ft. Date: April 21, 2017 www.ashkarsurveying.com 30 15 0 30 60 90 Location M _. No. Date 3 MORTq TOWN OF NORTH ANDOVER 3?Oi�t�_•O_I ,�O O .F s Certificate of Occupancy $ • °1 t.t�i�:.. 4 • �' b''•'°'�t�' Building/Frame Permit Fee $ CHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # de"e) 17155 Building Inspector v t TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Uzi ., ��. L ry �• + ,."ggy z "€ ,.. .';zU ,.,T�., � *^.- ; ,...,se..... tee.,• +'�t'-- rn BUILDING PERNUT NUMBER: �-� DATE ISSUED: .r „ �-� 2 X ric SIGNATURE: BuildingCommissioner for of Bw1din Date -,j 4 7d, SECTION 1-SITE INFORMATION 1.1 PrAddress: 1.2 Assessors Map and Parcel Number: Map N mber Parcel umb 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R redProvided Required Provided 1.7 Water Supply M.G.L.C.40.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record �/° Name'(Pifnt5 Ad rAs for Service Signature Telephone 2.2 Owner of Record: lNa�e Print Address for Service: z . M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.I Licensed Construction Supervisor: Not Applicable ❑ l a Li nsed Construction Supervisor: Li nse Number Address /C M / > e/- 71206C pi on'Dye Signature r Telephone r 3.2 R istered Home I rovement Contractor Not Applicable ❑ ompanyPam��e -� Registration Number Address , ` C� ! rM Expiration Date So r ele hone SECTION 4-WORKERS COMPENSATION(NLG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check an applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to beQFFICIAL USE QNLY Completed by permit applicant 1. Building (a)..Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(8) 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> 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 1 I, as Owner/Authorized Agent of subject propert Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief r Print Name Si afore of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DIN ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ✓7e U�amrmzoouoea` o / act auaek$ BOARD OF BUILDING REGULATIONS ` License: CONSTRUCTION SUPERVISOR At- Number: CS 034049 Birthdate: 12/08/1923 Expires: 12/08/2005 Tr.no: 12443 Restricted: 00 MARIO T CASTRICONE 31 COURT ST N ANDOVER,ER MA 01845' Administrator r 92L tir ryinmto�ture¢ o�✓UGg4aac�ir�ve�d Board of Building Regulations and Standards 3--_ HOMEIMPROVEMEN T CONTRACTOR Registration: 103317 Expiration: 7/7/2004 Type: DBA CASTRICONE ROOFING&SIDIN Piano Castricone 31 Court St. N.Andover,MA 01845 - - ��n st'f 's•ator -woof,. { Wow W Q MIT ihr NORTH ® of _ Andover No. Zo z= o 0 lover, Mass., 44J LA C OC NI C ME NICK RATED p`?���� U BOARD OF HEALTH PERMIT T DFood/Kitchen 1 Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............................... .............................................. .. ...............'.....:.. Foundation has permission to erect................... .................. buildings on .... Rough to be occupied a ..... Chimney provided that t e person acce ng this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisio s 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 T L Final g� 1 ER a11.Yte- EXPIRES 1101 6 MONTHS ASS ELECTRICAL INSPECTOR UNLESS LSS CO101 S 1 1�V ®101 S Rough .....................................................................7W......................................... 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. Castricone Roofing & Siding C% ! REPAIRS FREE ESTIMATES Telephone 978 682-4266 MARIO CASTRICONE 31 Court Street,North Andover,Mass. 01845 I/we,the owner(s)of the premises mentioned below, hereby contract with and authorize you as contractor,to furnish all necessary materials, labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and conditions,on premises below described; Owner's Name....... .. ..,........� .. �:' ................. Job Address...... ..... . !div ............. / .� SPECIFICATIONS ......A � ..�.{�C//�/�/•.... .�lZ. � i. .. ... Sjg....c.. < C}............................................ J � ...... -... a > - " ......... ............. ....... . .: ,e �. .:. .............................e, ,.i �....... ....... .. . �.., .:. .... - <... .................. .... � �� .......................................................................................................................... .............................................................................................................................................................................................................................................................. .............................................................................................................................................................................................................................................................. .............................................................................................................................................................................................................................................................. .......................................................................................................................................................................................................:...................................................... .............................................................................................................................................................................................................................................................. ............... .................................................................................. .. ............ Materials and labor to cost $ .....3--:3.�./••�..'.........:.......... Payable ... .. . :... .-6n and balance in............ monthly installments of$.......................................::each, payable on ........................................day of each and every month thereafter until paid in full (..............%charge per year is to be added to above cost of labor and materials and is included in monthly payments.) Contractor will do all of said work in a good workmanlike manner. Upon completion of above work,all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation and a completion as requested by the contractor. Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpaid immediately due and payable. It is agreed that if permitted by law contractor shall be paid by the owner(s), all reasonable costs, attorney fees and expenses, in addition to the amount due and unpaid,that shall be incurred in enforcing the terms and conditions of this contract and/or any lien in connection therewith. It is further agreed that this contract may be assigned by contractor;and also that the obligations hereof shall bind and apply to their heirs,successors or estates of the parties. Tne undersigned warrant(s)that he is(they are)the owner(s)of the above mentioned premises and that legal title thereto stands of record in his(their)name(s). PROVISO:This contract shall be void and of no effort if credit approved of owner(s)is refused. There are no representations, guaranties or warranties, except such as may be herein incorporated, if any, nor any agreements collateral hereto, nor is this contract dependent upon or subject to any conditions not herein stated.Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties. Cover attic storage cleaning not included. Receipt of a copy of this contract is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. Owner or Owners are not responsible for Property Damage or Liability while job is in operation. IN WITNESS WHEREOF, the parties have hereunto signed their names this..................... .........day of.... 119... 19............... Accepted: � � � Signed..............� ...... Owner........................................................... (OWNER HAS 3 DAYS IN WHICH TO CANCEL CONTRACT) Signed...................................................................................... Owner Per.... 7..... ............................................ Signed...................................................................................... Rep esentative N° 2660 Date..../........ ................... NORT" °et"`°:•'"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSAcmUS� This certifies that ...�`:l f�1.r...c�.�......��.�...�`.r.�.<<.�........... ...... .... has permission to perform \ A1C. wiring in the building,?f............................. ......T............................................. lSC.� T J t at.... Y. ..... ................—............. ....................r.!North Andovcr,, ass- Fee!K77).r dq. Lic.No// ... t..... ...... .f... ..... .. ,.1.:.<.... ELEcrmcAL INSPELOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Permit No.Official Use Only c^'. (�G��2112CY12ZU�i4,.4�057 10041 Sam Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 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 all information) Date To the Inspe o of ires: Town of North Andover The undersigned applies for a permit.to perform the electrical work described below. Location(Street&Number_ S_ / /p`0SA4; S^ Owner or Tenant Owner's Address_ Is this permit in conjunction with a building permit Yes �� No ❑ (Check Appropriate Box) r-- Purpose of Building F Utility Authorization No. Existing Service J Amps `JO Voits Overhead RL---_ Undgrnd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgrnd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �V Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No:of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Inibating Devices Heat Total Total No.of Di sal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other �No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage 'No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts 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 the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE = BOND = OTHER = (Please Specify) �7' "/� Estimated Value of Electrical Work$ (Expiration Date) ,(ti ,f/ ) Work to Start Inspection Date Resquested RoughU Final Signed under the Penalties of perjury: FIRM NAME LIC.NO. Lkenseec-�� Bus.Tel No.Signature LIC.NO./' Address/? ��/ f/�u�/ J/ �1�1/1����/� Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware at the Licenses 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) t� (Signature of Owner or Agent) Telephone No. PERMITTEE $-- (w 9932 :3- Date.................................. TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ,SSACl4u Thiscertifies that ................... .................................................................. has permission to perform ...g,6;�rT-Pn ...�5y.5��... ..b6��4�5 -Y wiring in the building of...........J? .............................................. ... ... ..... at....."I.................................................................. North Andover,Mass. —0 Fee..................... Lic.No. . ........ .. . ...... ............. ................... ... ... ...... .... ELECTRICAL ucmicAL INSPEC�TOR�t Check # Ctuommonea h ol//�a6sac�iu6et`f6 Official)Use Only op Permit No. "C�� alJefiarimeni o�.>`ire service9 Occupancy and Fee Checked BOARD OF FIRE PREVENTION RE'GUL.A'FIONS _ [Rev. 1/07] ieaveblanl�_ APPLICATION FOR-PERMIT TO PERFORM ELECTRICAL WORK Ali work'to be performed ui accordance with the%i lassachuset+s Eecvicai Code(MEC),527 CMR 12.00 (PLEASE PRLVT IN INK OR TYPE ALL INFORMATION) D ate: -ity or Town of: dal,7W 4-11))004 'L- 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) �} f �'r S', Owner or Tenant >!� i',✓ Telephone No. 'l�97S –<3 S' Owner's AddressIs this permit in conjunction with a building perm it? Yes ❑ No,. (Check Appropriate Box) Purpose of Building Utility Authorization No. _ Existing Service Amps / volts Overhead(❑ Undgrd (❑�� 'No.of Meters _ Ar„. / �J •a,. ll�rn by A ! I T�iva�rJ� 1 N!r.of Meters MCC Number of Feeders and Ampacity Location and Nature of Proposed.Electrical Work: _ Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires NQ.of Ceil:Sus addle`Fo.o Total P (Paddle) Transformers _KVA No.of Luminaire Outlets No.of Hot Tubs Generators INA Above n-. o.of Emergency Lighting No.of Luminaires` Swimming Pool gr•nd. ❑ grnd. Battery Units No.'of-Receptacle Outlets No.of Oil Burners FIRE 4LARMS No. of Zones No.of Switches No.of Gas Burners No. of Detection and Initiating Devices 1No. of Ranges No.of Air Cond. Tons No.of Alerting Devices eat Pump I Number ITons X No.of Self-Contained No.of Waste Disposers Totals: —`— Detection/AlertinV Devices --'—— icip ' No.of Dishwashers Space/Area Heating KW Local❑ Connection MuniO'Pal El Other No.of Dryers Heating Appliances ) Securi Systems:* ! ry No.of Devices or�lent ! No.of Water KW o.of No.of Data Wiring: Heaters Signs, Ballasts No.of.Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: .No.of Devices or E uivalent l OTHER: Attach additional detail if desired, oras required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: C"--(1P- 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 includin;"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 0 BOND ❑ OTHER ❑ (Specify:) 1 certify,under the pains avid penalties of perjury,that the information on this application is true and complete. FIRM NAME- Se u c S�rL' es LIC.NO.: -ASS Licensee: MO( 1L (ObhW Signature LIC.NO. S C (If applieoble,enter "exempt"in the Ircen umber line.) Btis.Tel.No.: •=i SJl_c�S�/� Address: I � C L t r)—k t�` T)r.. Vic .\1 x S iJ H O 3 o � _..Alt.Tel. No.: 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. ('1��)CF, OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally rcquired by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. 0-mier/Agent .ERI1IIT 1-E PE.' $ ,signature Telephone No: �' _\ gX7 ,e 1C •-�t' �'hli De 'artment of P blic Safety 11'` "f ` il one AshbUrton Place, Rm 1301 Boston, Ma 0210 -161 8 License: S -LICensp Number: SS CO G00053 Expires:02:07120 11 Restricted To: 00 -NIARK . BRLir,FIY SR 1111MQRS ST - NORWOOD, h(:\ 1121162 --- Tr.no: 1 17.0 Keep top for receipt and change of address notification. .OP r,;. ._-, •:!.ng"ryD>_a:FC��.a:.i•C9a's_]t - ,� .%%..• /•r•lruur:rrrr:crlii c� ,f.:L:�rr,rru.-!w (( DEPARTI,I.ENT OF PUBLIC SAFETY �:1 X1.11, •�^J S-Liconse dumber. SS CO 00053 Expires:G2r07120.. Tr.no: S-License: ADT SECURITY SERVICE (I foe RK A BROPHY SR J 111 I'.IORSc ST r� J'� DIG SAFE CALL CENTER: (888)344-7233 NORw4000, MA 02032 -•--_•- --.---- - --- Coittcnissiuner -- •_ • Fold,Thon Dolach Alanq All Pedoratioru - :_ ' COMMOINWEAL'TH OF MASSA£NUS' TTS . BOARD FA = .A_REGISTERED SYSTEM CONT RACTOR•:F,'.; ISSUES THE,ABOVELICCNSE TOc T SITY ,:'SERJICES, INC ECUR TYPE u'r v BRQPH T SR }� t -CIVERSIIY:-AVE iir, MA ,02090-'2311 G1E.STWQO,D. { -r#:5 C 07/31/13 849174 _ • -t r Fold.Then Detach Along All PVoratlan HORT/y E 1 TOWN OF NORTH ANDOVER f A PERMIT FOR GAS INSTALLATION �,SSACHUSEt This certifies that . . .V.. .G �." ... �- has permission for gas installation .o?. . . . . . . . . . . . . . . . . . !. in the buildings of . . oel t el.L I . . . . . . . . . . . . . . . . . . . . . ... . . . at . . . 5. 1 �. ... . .�.�. .T . . . . . . . . . . . . .. North Andover, Mass. Fee 0. . . . Lic. No..�.� /�-''". .. . . . . . . . . ... . . . . . . . .. GAS INSPECTOR Check# 676 t 1r MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FTIPNq (Type or print) NORTH ANDOVER, MASSACHUSETTS Date j O� Building Lo. gations ��L ,f / /t v Permit# Owner's Name Amount$ New❑ Renovation D Replacement u Plans Submitted ❑ 0 waft= w ' w a w a t F a m =z o � aa C z F�a w 0 C7 Q V F 4 w w � Z w m V F z Ew Q x a C Q z w O O x 3 C OLID UzSB -BASEM ENTG O FO BASEM ENT IST. FL00R 2N D. FLOOR 3RD , FLOOR t 4TH . FLOOR .I STH . FLOOR 6TH . FLOOR 7TH , .FLOOR i 8TH . FLOOR. (Print or type) Name U., Check one: Certificate Installing Company A ddress ti u _ IP• !V Ug lkPartner. a e uslness p one AIX Firm/Co. Name of Li censed Pf - umber "- orGas Fi �! tier FR- INSURANCE COVERAGa current liability Insurance•policy or it's substantial equivalentChecko�ne�have checked yes,please indicate the a cove Yes . i�oh'P rage by checking the appropriate box. Liability insurance policy ( Other type of indemnity D 5r`-+ �--+ Bond 3 Owner's Insurance Waiver Lam aware that the licensee does_ not h�the Insurance coverage required by Chapter 142 of th Mass. General Laws,and that my signature on this permit application waives this requirement e Signature of Owner or Owner's Agent Check one: I hereby certify that all of the der 13 Agent etails and information I have submitted(or entered)ed)in application e best of my knowledge and that all plumbing work and installation d accurate to the compliance with all pertinent provisions of the Massachusetts a �O� under Permit Issued for this application will be in e d Chapter.142 of the General Laws. By: Si n ure f icensed ber Or Gas Fitter Title PI tuber City/Town. 0 Gas Fitter Lice.... gum er ®aster APPROVED(OFFICE USE ONLn Journeyman 3353 Date.. �G..`�..,/.-- . f NORTN TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION N _ p s 7SgACMUSEt [� This certifies that . .*�:s-:�-.'. :�. . . . G . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . A . . . . . . . . . . . . . in the buildings of . .��r H .. . . . . . . . . . . . . . . . . . . . . . . . . . . . at, .-. �. . ! . . . ��.' r``. . ' . s" . . . .. North Andover, Mass. Fee. .?�.' . . Lic. No.. .�` GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer tMASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING e or print) Date A4 a / 19 Giw . NORTH ANDOVER, MASSACHUSETTS l Bu111m �, Building —_ a LIZ— Permit Amount S Owner's Name f New❑ Renovation Replacement ❑ Plans Submitted ❑ m L W Cn - _ n Z 7 - -e SIJ B -BASEM ENT _ — — B A S E vt E N T IS"r. FLOC) R 2ND . FLOOR 3 R D . F L O U R 4"r It F L O O R 5T It . FLUOR 6T 11 . FLUOR 7T 11 . F L U O R IST 11 F 1, U U R (Print or type) Check one: Certificate Installing Company Name ❑ Corp. Address 22Z i. I P e1z, ❑ Partner. Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter ht p 1p� /jg� INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 4:: — No If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity F-1Bond 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: Sienature of Owner or Owner's Agent Owner ❑ Asent ❑ 1 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 Massachusetts State Gas gde d Cha ter 142 of General Laws. Bv: Signature of icensed Plumber Or Gas Fitter Title ® Plumber l� City/Town ❑ Gas FitterIc nL she umoer Master APPROVED mi,ncf:USE ONLY) ❑ Journeyman a,7 — 16 Date.. . . .. ?. . . . . .4 N2 46124 AO o'A TOWN OF NORTH ANDOVER ° • p PERMIT FOR PLUMBING SSACMUS� This certifies that `'`'. . • S. • • .1�. . S. . . . . . . . . . . . . . . . . . . . has permission to perform . . . R. . . . .S z. . . . . . . . . . . . . . •\ 4 plumbing in the buildings of . . . . .``!'. . . . .'. . . . • • • • • • • • • • • • • • • • • at . . . . .`.(.`.,. . r.(. '.e`'. . . -'° . . . . . . . . . . . . . , North Andover, Mass. r —Fee. .3. . . . .Lic. No.. . . . . . . . . . . . . . . . . .v_ . .:"��,__%.. . . . . . . . PLUI_1 INS ECTOR Check # > > t WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING 3 (Type or print) NORTH ANDOVER,MASSACHUSETTS r Date A�1-2,2140 Building Location Owners Name (J°11 cy I j , Permit# Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes No FIXTURES Ha sz X Zw x SMB BASEM >i' M RIM M NJOCIR V 3MHIM 4M RfM 5M FUM 6M RaR 7M Rat 9M RR (Print or type) l Check one: Certificate Installing Company NameW12Corp. 17171 Add s Partner. Business Telephone � �—QQ irm/Co. Name of.Licensed Plumber: SSG!//-4 � Insurance Coverage: ird-rar the type-of.nsuran..,ccveoge by checking the appropriate box: Liability insurance policy U-- Other type of indemnity ❑ Bond a Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance h Signature Owner Li 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 Massachusetts S Plu in a and(napter 142 of the General Laws. :� By: ,gna ot Licenseaum er Type of Plumbing License Title J City/Town /License Numer Master n Journeyman ❑ APPROVED(OFFICE USE ONLY Jam+ Location �C - No. Date �- OfORTH TOWN OF NORTH ANDOVER N" O J f F ' Certificate of Occupancy $ s'••°'Eta' Building/Frame Permit Fee $ �� s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #�� f / 14 L L` 6 Building Inspect r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: .,000 A TAO%�� Building Commissioner/I for of Buildings Date SECTION i-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number ParceTRumber Ca 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 Required Provide RegIfired Provided Required Provided C 2 (e 35 -b, .13 30 S® a G 1.7 Water Supply M. L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal 0 j On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record c 1q ,A17-#0Ll l—A-- ���� U�,"��� I'e r Ski Name(Print) , Q Address for Service l l`l ��l 1 Sig `- Telephone O 2.2 Owner of Record: Name Print Address for Service: O 1�1 Signature Telephone SECTION 3-CONSTRUCTION SERVICES r 3.1 Licensed Construction Supervisor: Not Applicable ❑ $ Licensed Construction Supervisor: _ Z �_S License Nu atber � ,�� S� Ms C,7 :7— Expiration Date Signature Telephone 2 Registered Home Improvement Contractor Not Applicable ❑ �// O Z %l �) Company Name (r� 4 s (s J 0-/Tat", / at Registration Number Ad .S Expiration Datd Signature Telephone 6!� 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 all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 2�— Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: � �-� � /� �S`jD,� •- S'� ©off 4 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ffi (?F+'ICIAL USE ONLY Completed by 2ennit ap2licant 1. Building X� e�6 O , (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONIXACTOR APPLIES OR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on beha , n all matters �ve to work auo ' d by this building permit application. Si nature of er 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 4 ne Si ature of Owner/A ent Date NO. OF STORIES AL SIZE BASEMENT OR SLAB 2 S C'-- SIZE OF FLOOR TI1vIBERS IS 1 Z,0 2NO 3RD SPAN DEMENSIONS OF SILLS DEVIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION ' THICKNESS /b" SIZE OF FOOTING /Z. X L MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE P _ ....,._...-ova,� MI...... _. .__.,....-,_��.. �....___`-a"...._�..-. ..... 111, 6 Is, � I 4 31 LOT II L-c)i oT 12 p +I I � I - PLEAtAhIT '--)TR_ EET FOUR SEASONS ASSOCIATES, INC. P375 COMMON STREET, LAWRENCE, MA _ _TELEPHONE 683-5671 _ NOTE: THIS IS NOT A SURVEY AND SHOULD BE USED FOR MORTGAGES PURPOSES ONLY.DO NOT USE OFFSETS FOR ESTABLISHING LOT LINES.FOR THE EREC- TION OF FENCES OR CONSTRUCTION PURPOSES.IF BUILDINGS SHOWN LESS THAN ONE FOOT FROM THE BOUNDARY LINES.IT IS ADVISED TO MAKE SURVEY TO VERIFY THESE MEASUREMENTS. ; I HEREBY CERTIFY THAT 1 HAVE EXAMINED THE PREMISES,AND ALL BUILDINGS,EASEMENTS AND ENCROACHMENTS ARE LOCATED ON THE GROUND AS SHOWN. I FURTHER CERTIFY THAT THE BUILDINGS CONFORMED TO THE ZONING LAWS AND AMENDMENTS OF NO.kQDOVEt.WHEN CON- STRUCTED.I FURTHER CERTIFY THAT THIS PROPERTY IS NOTLOCATEO IN THE ESTABLISHED FLOOD HAZARD AREA. BUYER AUkD T :)W%l -L)5TO THE EQU 1-"A?2LE 00' PMAGe PS �A,10F {; OUQcE I11C. �r�� LEVVIS c AND TITLE INSURERS H. BOOK: 66 HOLZMAN H PAGE: 285 MORTGAGE INSPECTION PLAN q No.7817 PLAN NO.: 335')7 C LOCATED �`� TEP�°��'�t SCALE: I�=40�-0p�1 LOT I2� f1.S:A�aA1�T aTm l 001 AW>ovle?.l NAl IANC DATE: (0/?_4/130 TO BE USED FOR MORTGAGE PURPOSES ONLY // h FORM — U — LOT RELEASE FORM r INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT 1 )oq V/b z12(a/-11-Z PHONE ,61-11 ASSESSORS MAP NUMBER -3C-- LOT NUMBER SUBDIVISION�j� LOT NUMBER STREET / /��l-S G/Vtf ST, STREET NUMBER ? OFFICIAL USE ONLY IMMENNEENEwden RECOMMENDATIONS OF TOWN AGENTS . .........................................................1' 11 ............. 1 1,-,n U,&-(L C' � DATE APPROVED ' fO 05 CONSERVATION ADMR41STRATOR DATE REJECTED COMMENTS 0o DATE APPROVED TOWN PLANNER DATE REJECTED CONIlyiEN S DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT i DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: >j)r� �/� /✓� • i�•/ /�/ Location: City 61- An 1t/ et Phone ��. �G � ' am a homeowner performing all work myself. �I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Companyname: Address Ci Phone#: 7 Insurance Co. # 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 the form of a STOP WORK ORDER and a fine of($100.00)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 herby certify nde thepain nalties of perjury that the information provided above is true and correct. Signature Date ��-dL`"' Print name 71///b Phone# Official use only do not write in this area to be completed by city or town official' ❑ Building Dept []Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION DAVID MORIN REMODELING CONTRACTOR JOB ESTIMATE ANDOVER, MA 01810 (508) 475-2672 PHONE _ DATE Lic. #040898 JOB NAME/LOCATION II JOB DESCRIPTION: f/ f ,✓ r , .................._. g�' ................ ............................ ..... ...................... .. �+.. ....r.x.;p,�.r..�- ........, .. ....�. ... ..... ... L.: ✓- ..1 A ......... - .... ...............i... - ... ............... C....: � .........r Grp........-�`.`.r '... ..............;:........._...._ >_,.>r l ~�f�' .. �- c . �r- —� /'*.-- •?� _�.;�..:,�.y..:.. ,. � ... ,.........._:......�, .. . --tom F...:.....:......:.. 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THIS ESTIMATE IS FOR COMPLETING THE JOB AS DESCRIBED ABOVE. ESTIMATED IT IS BASED ON OUR EVALUATION AND DOES NOT INCLUDE MATERIAL JOB COST J PRICE INCREASES OR ADDITIONAL LABOR AND MATERIALS WHICH MAY BE REQUIRED SHOULD UNFORSEEN PROBLEMS OR ADVERSE ESTIMATED ,ff WEATHER CONDITIONS ARISE AFTER THE WORK HAS STARTED. BY RECYCLED PAPER: g�Contents:40%Pre-Consumer•10%Post-Consumer Li � cen se: CONSTRUCT ION SUPERVIS R 0 Number.`CS 040898 I Birthdate 07/04/1954 Exprres:07/04/2001 Tr.no: 1650 f2est�Icted ET6: 00 "DAVIQMy1VIORINi `"' 13 HIGH PLAIN ANDIVER, MA 01810 Administrator t HOME IMPROVEMENT CONTRACTOR Registration 110320 ' Type INDIVIDUAL. •�,� .:' Expiration 10/20/00 DAVID M. MORIN &BALMORAL ST G�t67 `O OVER MA 01810 1 ADMINISTRATOR C NORTH Town of And o dover, Mass. d O CO:HICHrwl,: ��• A0'4ATEO P5 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.-Am%A" ..... boka............PlAiO.J.d. I . •••••••• Foundation has permission to erect... ..4�P^Y... .. buildings on .....Vr. .�.�......A�. �.,�.A..uf 1 'A' Rough to be occupied as......8... 1.b.... 10~.. �~... �I••.! I��AJ �I1, ,'_� a Chimney ..8A....... 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 onstruction of Buildings in the Town of North Andover. M j P) e P *3 O cploOI WNW PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI Rough .......... .............. Service BUILDING INSPECTOR Fina( Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. 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