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HomeMy WebLinkAboutMiscellaneous - 55 LOST POND LANE 4/30/2018 (2) 55 LOST POND LANE L lq rU� 210/104.B-0221-0000.0 Locations-�' No. � Date NORrM TOWN OF NORTH ANDOVER p Certificate of Occupancy $ 5-0 41 Building/Frame Permit Fee $ ��b',^°•''tom Foundation Permit Fee $ ss�C" Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ �7 Building Inspector 9 0/18/95 12:04 150.00 PAID 10 3 Div. Public Works -.. .,. , •: .._. ,..ate.., .�s,Emw.-. ., ,;,.� Y._, ....�_.� . ��;,:.. ,,. :;� _ i Location /��--®� D No. e �� Z Date q 40RT" .TOWN OF NORTH,ANDOVER r 0 p Certificate of Occupancy $ 41 Building/Frame Permit Fee $ ��s•,^°•"tom Foundation Permit Fee $ SACMUSE Other Permit Fee $ r# Sewer Connection Fee--- $ Water Connection Fee $ TOTAL $5�� wilding Inspector ! 10 10395Div. Public Works PER-Aitr Nb. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP+J0. I LOT NO. v� C! F ��� �J� �� f�?- ' 2 RECORD OF OWNERSHIP iDATE BOOK PAGE — ZONE �J_ + SUB DIV. LOT NO. �3 14-11 Lac 1` /'� C -y-;7- �J C' z,7Z/I) j 0 LOCATIO / 05r /'6N0 L9A/C PURPOSE OF BUILDINGS°. _ /e OWNER'S`NAME f7 / Lot � /NC NO. OF STORIES SIZE OWNER'S ADDRESS D Cl 6 O X S-3) //' 4/V x61/PC BASEMENT OR SLAB ,Q„9.� ,.,t;„U f ARCHITECT'S NAME ! 3-'�q 4--) /-,�)e31 5^J SIZE OF FLOOR TIMBERS1ST f 0 2ND �,I./C) 3RD k BUILDER'S NAME 4r,„y r e 6G K ' /10(/ C SPAN 7 "— DISTANCE TO NEAREST BUILDING '?Z ! DIMENSIONS OF SILLS a = 2- DISTANCE DISTANCE FROM STREET �U• ' POSTS DISTANCE FROM LOT LINES-SIDES / (�} REAR 2 d GIRDERS AREA OF LOT � 7 1 3 FRONTAGE t"(5)o / HEIGHT OF FOUNDATION 7/ /0 " THICKNESS IS BUILDING NEW ye.5 SIZE OF FOOTING lD �U X ` IS BUILDING ADDITION MATERIAL OF CHIMNEY eel L,�f I` IS BUILDING ALTERATION //a IS BUILDING ON SOLID OR FILLED LAND s� WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ed IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER • IS BUILDING CONNECTED TO NATURAL GAS LINE N INSTRUCTIONS 3 PROPERTY INFORMATION • LAND COST � 9-0- 006 SEE BOTH SIDES a EST. BLDG. COST t PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS I - 12 SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APP VED BY BUILDING P TOR DATE FILED Co BUILDING INiP[CT011 SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E OWNER TEL.# 6'✓C PERMIT GRANTED ,., CONTR.TEL.# CONTR.LIC.# MAM FUM H.I.C.# OCT ` 9 19a 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 d 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ '/. 1/1 1/ FIN. ATTIC AREA _ N_O B MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDI!J'D _ ASBESTOS SIDING COMMCN VERT. SIDING ASPH.TILE ---{I STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR (� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK . SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. d COLS. STEAM STEEL BMS. S COLS. _ HOT W'T'R OR VAPOR DIM m a—am WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G ,� , UNIT HEATERS GAS 7 NO. OF ROOMS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING - --,. ✓�e Er�narna�uuealr�. '1.14 DEPARTMENT OF PUBLIC SAFETY t_ CONSTRUCTION SUPERVISOR LICENSE r Nuiber: Expires: Birthdate: CS 005693 01/13/1998 01/13/1954 Restricted,To: 00 DAVID A XINORED 40 MARBLERIDGE RD POSOX531 N ANDOVER, NA 01845 Restricted To: 00 17650 00 - None IA - Masonry oily 12 Fasily Holes Failure to Possess a current edition of the Massachusetts State Buiildiny Code is cause for revocation of this license. Growth Management Bylaw Exemption Statement ` Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit(below) Address of Property for Permit(below) R/ - rLV e //J f _�__ Logi q (,Ie Map and Parcel : Purpose CApplication (check below) Phone Number of Applicant: A Single Family _Two Family _ (68IT- &sSB I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in exist nce as of the effective date of this by-law,provided that no additional residential unit is created. The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots),below the density, (buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling.unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signin below I attest to the accuracy of the information provided and that the attached building permit is allowe a EXEMPTION as cited above. Further I understand that the submittal of misleading and or inacc yer,' rmation, or the chlkn off of an above item which does not comply,whether done to my know e not, is grounds for ythe Building Department to issue a Building Permit. �� f 9Signa Ure of Owner or uthorize Agsigned the Attached Building Permit Dat This form must be attached to the Building Permit upon application for such permit. OCT ` 9 FORM U - VERIFICATION 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***************** APPLICANT: APPLICANT: P �" �(.-6 f l� 1 A) Phone LOCATION: Assessor's Map Number /�q& Parcel _ TP f/Z,/S, z3*!7S L T r P o S n� Subdivision d � Lot(s) lJ Street D s T 1,04'y4o -y(f St. Number ********************* *O cial Use Only************************ RECO NDATION OF' GENTS: / / Date Approved I V Conservation AdidefiAtrator Date Rejected Comments i I r_ ' Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected / Date Approved c/ Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driv way pe •t L� D (- 9� Fire De artment a� - P wReceived by Building Inspector Date OCT'— 9 1,996 CERTIFICATE OF USE a OCCUPANCY Town of North Andover Date Building Permit Number S( Z THIS CERTIFIES THAT S�v/ � L '( -pc) �fl BUILDING LOCATED ON Los THE � c IN ACCORDANCE MAY BE OCCUPIED AS WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APDL CERTIFICATE ISSUED TO p ADDRESS s • in41ector �SsAcwus� f N� ,TMS _. Town of Andover No. 0 .; ` .tr "°1­ n; to 51 2 -- 17 yy � or dower, 1 Mass. 40ZA 19 Q w COCHICHEWICK lei DRATED PPS\ �5 S 1 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUIJ.DING IN THIS CERTIFIES THAT „ lindation4 has permission to erect........................................ buildingson........`SS... .. .. ...... .... ..t7....... ! � o to be occupied as....................................... '��/ ........r.I�./.!'q../ .............................................................. Chimney provided that the person accepting this permit shall in every respect confor to the terms of the application on file in final �_ /3 :this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of 3� Buildings in the Town of North Andover. PLUMBING INSP&CTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS �Y ELECTRI AL SPECTO UNLESS CONSTRUCTION ST S tuLDINSPECTOR � / i. Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Fough Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Insne.ztor. Burner', Street.No. 9 SPraftlt�s _6'-4� IC�`d�► 1 Smoke Det.3 t tom- - - - MASSACtiUSETTS unwoIZM APPLICATIOU FO11 PERMIT -TO DO PLl1M I 4G <. (Type or Print) NORTH ANDOVER .Mass. �- Date: U/N Building Location / Permit �20d Owners Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ ' FI TURF ' " x • of f77 O Z F-• ? tit W W x pl a 0: x O - x W a O w F- tet a tu W — 0- .J X cc at _ z t. to t7f df t— U y,t 0f x Q W a• �i K . Q OC 0. d 4 0. a O w x w o �' ¢ -� M t--07 X a 3c " e' ¢ x' o z x. t- x n o ¢ a > t- o W 0 o o m z x w t' o a x a a x _ ¢ ¢ O .: ¢ .tr ix W a o a r X .1 to Of O O J 3 Z F-- W U. O O 4 -Cc 03 O ' . SUB— SSMT. - tl BASEMENT IST FLOOR t 2ND FLOOR �. 3RD FLOOR 4Tli FLOOR STHF.LOon GTH FLOOR ' I 7TEt FLOOR J 13TH FL.00n (Print or Type) Check one: Certificate i Installing Company Name Corp. y Address It- 1,vvz,,, �� ��ts 1�� yj 3g� ❑ Partner . Firm/Co. Business Telephone 1)C3 Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: i Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ 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 coverages. Signature of owner/agent of property Owner ❑ Agent I hereby certify that Al of the details and information 1 fa c submitled (Ore.tcecd)in aho.c appliolion arc Irue and iocurate to(lie bell of ury "Owlcdge and that 21t Alun,bine work and installatinns lserfnr+ucd under 1•cnnit issued for dris a;+plication will be in compliance-ith all petlinent pro- sision4 of file Massacl(utetts slate rlumbinr Code and Clupter 142 of tl,c(;cncral hws- r. I3y Title Signature of Licensed Pl tuber City/Town- Te, Number of Plulllbit License I,icerlsumber Com' Nlasttr r ❑ Journeyman '; APPROVED tOFrICE USE OP(LY) - t ` Date. . . . .6 . .11.7 TO 3200 `NOR7: do TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMuS� This certifies that . . . . -. ?/. . . . . . . . . I s ; has permission to perform . . .�� .���� -. . . 1 . . . . . plumbing in the buildings of . . . . . at. . d., ', - d�r�,.. . . . . . ., North Andover, Mass. Fee� vt� � A"—Lic. No�ZD—""...,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � PLUMBING INSPECTOR o WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File 4 a�1 . omce Use Onty 6,q/ a- 014e Lffa IIIIIZ craft I Df gus;#1mitt Permit No. r 1hpartmtrrt of 31trhtit —56af2iq Occupancy& Fee Checked 2 r BOARD OF FIRE PREIENTION REGULATIONS 527 VJR 12:00 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date / I 7 1 (X)i or Town of NORTH ANnOVFR To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number -�S S� Pe' Owner or Tenant //.A_ 01 �67C_ c Owner's Address r ✓dX o Is this permit in conju�r,stion with a�ilding permit: Yes _ No r (Check A rlat2 Sox) Purccse of Suildina JN t// ilt `41 ���Utility Autttprizat n No. Existing Sarvice Amos Vcits Overread _ Unagrnd No. of Meters New Sel-Ace �`2"]G Amps /100/ ,WvOits Overhead - Uncgma No. of Meters Number of Feecers anc Ampacity Lccaticn aria Nature of Prcposee Electr:cai .'/crx Total No. of _:gr; g in Outlets i No. of Hct 7---s7---s No. of :ranstormers K%1A Abover— In- No. of Lighting Fixtures i Swimming Pool grna. — cmc. '_ 1 Generators KVA No. of Emergency Lighting No. of Recectacie Outlets No. of Oil Burners ( ; .3arery Units No. at Sw tcn Outlets �� No. ar Gas Burners I FIRE ALARMS No. of Zones No. of ^_etection aria No. of AanTotal ges No. cf Air Carc. tans I Initiating Oavtces Nd.at Heat Total Total No. of Oiseosals Ps Tons K 4 Vo. of Scunging Devices No. at Self Contained No. of Cisnwasners - SeaceiArea rearing KW Oetect:oniSouneing Cevtces _ I Muntciaat Other No. of Crrers Heattnc ^ev:ces KW Legal Connect:on No. or No. of Low Voltage No. of .Vater Heaters KN j Sic-is Ballasts Wir:nc No Hycro Massage ubs I No of `lotcrs Total "tP OTHE INSURANCE CCVERAGE: pursuant ;o the reeutrements of %Iassacnusetts.;enerat Laws _ I I have a current Liaetiity Insurance Police! inciuctng C�mc:eiec aticns Caverace Cr ;is suos;anrlal ecuivatent. YES _ have suamirted valid proof C me to the Otflcs. YES _NO _ It you nave checxed YES. please indicate :he IVCB Of coverage ay checxtng :he aoprac Cox. INSURANCE — CNO = OTHER = (Pease Scec:y) (Exotranon Cate) Estimated Value of E!ec;ncal Worx 5 Warx :a Start Inscec;:on Oate Recuestec: Rough �— F,na) Signed unser ;he P halt:es of perjury: FIRM NAME�. / L �^47� UC. NO. Licensee /� Q,224—/ P< Cd�7— Signature LIC. NO. �D /I Sus. :el. No. U Alt. Tet. No. Address OWNEa'S INSURANCE WAIIEA: I am aware that the !:censee aces nol nave ins insurance coverage or its suostanval eautvalentt as e- cuvea ov Massachusetts General Laws. anc that my signature an ^:s oermr aowication waives this reawrement. Owner Agent (P!ease cnecx one) —etecnone No. PERMIT FEE S (Signature of Owner or Agenti c�5o5 R Date..... ...-. 7a696 .. TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ,SSACMUS� - .. This certifies that ........... .... ..0:�t ........`- ..<...: .t. ...0 :........ has permission to perform .... ...f.. .,!"..... wiring in the building of.... � .. .... at..... .:...4G2.,i... �/�t. , ..r.... ,North Andover,Mass. Feer,. ; ..sN. Lic.No/vb.a ..pp. ELECTRICALINSPECTOR 43 � 61/23197 14:40-41j9 IV e IQj'5 WiiITE:Applicant CANARY: Building Dept. PINK:Treasurer `. 0117 N N Ol yt •n y'!tip i NORTH ANDOVER BUILDING DEPARTMENT 400 Osgood Street ACHU Tel: 978-688-9545 Fax: 978-688-9542 BUSINESS FORM FOR TOWN CLERK DATE: 7/1 f S NAME: �c�to s �, rvv-�,- ADDRESS: L-C'S� Poo d L-VI Norm -Ay d oUe - ZONING DISTRICT: J 1 TYPE OF BUSINESS: I ���'' (A BUILDING LAYOUT PROVIDED: YES AVAILABLE PARKING SPACES: y c mold. L:3-� p.-mac•--1/ ZONING BY LAW USAGE: YES NO f , n BUILDING INSPECTO IGNATURE Revised 11.5.04 BUSINESS FORM FOR TOWN CLERK