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HomeMy WebLinkAboutMiscellaneous - 57 SETTLERS RIDGE ROAD 4/30/2018 57 SETTLERS RIDGE ROAD 210/061.0-0106-0000.0 Office un 010 UITe &Mliwnwrab of MoBaL4US&S Permit Na iBERMIintttt faf Public £tafag Occu H wnc�►a ti.ateaoad BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00V77 also paw blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacnusetts Electrical Code, 527 CMR 12;00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 4 %* or Town of NORTH ANDOVER • To the Inspector of Wlresi The udersigned applies for a permit to perform the electrical work described below. Location (Street 3 Number) Owner or Tenant L-&t ( ' Owner's Address Is this permit in conjunction with a building permit: Yes No C (Check Appropriate Box) Purpose of BuildingN,65 Utility Authorization No. �D�S I ,A Existing Service Amps —Volts Overhead `1 Undgrnd [I No. of Meters New Service ,7c. 0 Ams IZO Z ----- P —1_ n Volts Overhead _ Undgrno u� No. of Meters t1 Number of Feeders ano Ampacity . r Location and Nature of Proposed Electrical WorK C ` 4- -� No. of Lighting Outlets 7� I No. of Hot 'cs I No. of Transformers Total `�� KVA i. No. of Lf ntih g 9 Fixtures In- Swimming PcoI Abcve— r w grna. _ Sma. ( Generators 1CV/► No. of Emergency Lighting No. of Receoacls Outlets �� I No. or Oil corners Battery Units , No. of Switch Outlets I No. of Gas _urr.ers FIRE ALARMS No. of Zones No. of Ranges I No. of Air C.;rc. 'Ola' No. of Detection and :cns Initiating Devices ;1 'No. of Oisoositls I No.of Heat o:ai dial Purres :ons No. of Sounding Devices r No. of Self Contained r �; No. of Dishwashers ( I SoaceiArea 4eatir.9 KW Oetectlon/Sounoing Devices No. of Dryers I Heating Cevices KW L-ocai '- Municibai r-Other " ._ Connection ' No. ofNO Ji LOw Voltage i NO. of Water Heaters KW Signs ?aitas:s Wiring ? No. Hydro Massage Tubs ° I No. of Moicrs .otai HP h'I OTHER: INSURANCE COVERAGE. Pursuant :o the reouirements cr Ma55aCnLsers ;enerai Laws 1 have a current Liability Insurance Policy incluaing Ccmc•:"-Ccerauons Coverage or its substantial eouivaisnt. YES have submitted valid proof of same to the Office. YES _ NO = It you nave checked YES. Weaae Indicate the type of coverage cy checking the appro to box. INSURANCE BONO = OTHER = (Please Scec:�-r) 1 Estimated valueof E!ectncal Work 5 --sycry, 671 (Exotratfon Oates . Work to Starta t ' cf- Insoec:Ion Date Aacoes:ec: Rougn �I f�'� Fina Signed under-he Penalties of perjury: FIRM NAME UC. Nl0 LVI1e SZ - Licensee � G -�--6- l i �"��� • y S;gna:ure UC. NO. �I. Address 1-�-1 � S - l�[ c5 r -ti.( O 3 5 �— Sus. Til. No.(�.2 3 fs 7 Alt. Tel. No. �t OWNER'S INSU ANCE WAIVER: I am aware trial trie L:censes toes not nave in* insurance coverage or Its suostantial equivalent as re- quires by Massacnusetts General Laws. and that my signature �n ^.is cermet abpiicatton waives this reouirement. Owner Agent (Please check ones- eieonone No. PERMIT FEE S .- (Signattue of Owner or Agenu abase �, • _ Date.. 1. �..l...f. } NORTH 6. ova TOWN OF NORTH ANDOVER g PERMIT FOR WIRING cMusE� [� LU Thiscertifies that ......1:�!.......................`- ....... .................................................... has permission to perform ..... .........�t. rti��.. \ ........`j wiring in the building of... 1Q.!').f(. ............. ...... ...................... i- at at—,..7......J. .).�`. .5.... �..�.. 1�.......................... .North Andover,Mass. Fee l,3.:.:�. Lic.No.11l1( &.............................................................. ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 370 Date December 23, 1997 THIS CERTIFIES THAT THE BUILDING LOCATED ON 57 Settlers Ridge MAY BE OCCUPIED AS Single Farm y Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Tara Leigh Dev. Corp •� �' °cp 185 Hickory Hill Rd No. Andover MA 01.845 ADDRESS 's,CH„scBWR Ong Inspect � F �1ORT t TONM of over s dover, Mass., 19 .' 0 LAKE COCMIC.EWICK V '9s SAA r E b►Pa` ,�� `G BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT - ' .....................................:........................................_.:.. ...j.... :.i.............°..............................'..,.........A.... Foundation has permission to erect........................................ buildings on .......:................... .......:.....:.._...•...:.:.......:.:.......... ..,. x....�...... _ Rou - to be occupied as....................................................:.............................................'........:.:.....:..:...a.............................................. C ney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in F. 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. PLUMBIP5G I/NSPECTO VIOLATION of the Zoning or Building Regulations Voids this Permit. ,0,0�� PERMIT EXPIRES IN 6 MONTHS ELECTRIC IN P UNLESS CONSTRUCTION STARTS i� ::.....�...: ce ..... •... . ..... ... ......... BUILDING INSPECTOR Fi Tr Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough ,Z L`3/g No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner ..t Street No. Smoke �D�c.� /'j 1VK j4q—> Location ,b CP No. Date � 'a'or-OT ,.ORTIy TOWN OF NORTH ANDOVER 9 i i • Certificate of Occupancy $ �7Ss'+ne E<� Building/Frame Permit Fee $ 3 Qy AC Mus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3170 r Check # �Sa f i 7 5 u 9 A/y lzt� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE.OR TWO FAMILY DWELLING M BUILDING PERMIT NUMBER: � � DATE ISSUED: J SIGNATURE: BuildingCommissioner/I ctor of BuildingsDate Z SECTION i-SITE INFORMATION - O 1.1 Property Address: n n 1.2 Assessors Map and Parcel Number: .T7 Self/EILS 1 C i d'g1;- RC� 2 �© Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard . I Side Yard Rear Yard Required Provide Required Provided —Required Provided Q 1.7 Water Supply M.G.L.C.40.§54) 1.3. Flood Zone Information 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System. 0 J SECTION 2 PROPERTY OWNERSIDWAUTHORIZED AGENT M 2.I Owner of Record � 2� SG/SIL VL� G �� • Name(Print) Address for Service: Q r Signature Telephone 0 2.2 Owner of Record: )0 O Name Print Address for Service: M Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ KBE Licensed Construction Supervisor: L4—r; 4 I t License Number Address L/_ .a/ Expiration Date re Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v G E�) Co a Sf(z,0C Company Name 3 rT1 n Registration Number r 1T /-L c . ►`{ Address QQUDate 8 " 6) — ZJO Expiration Dat e re Tele hone SECTION 4-Wp RKERS COMPENSATION(1V .G.L C 152 Workers Com § 25c(6) Pthe issuance Insurance affidavit ' be comPleted and sub'inihed with thapplication. Failure to provide this affidavit will result in the denial of the issuance of the buildin rmit. Si nedaffidavitAttached yes.,.,.,. No........ . SECTION 5 Descri tion of Pr osed Work check all a New Construction 0 Ucable Existing Building ❑ Repair(.,) 0 Alteration s � ) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Description of Proposed Work: (D)tlb 13 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Coit(Dollar)to be 1. Building Com leted b eimit a licant r �, �b 8O (a) Building Permit Fee 2 Electrical Multi tier (b) Estimated Total Cost of 3 Plumbm Construction 4 Mechanical(HVAC) Building Permit fee(+)X tbl 5 Fire Protection 6 Total . 1+2+3+4+5 v [! SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHENCheck N OWNERS AGENT UR CONTRACTOR APPLIES FOR BUILDING PERMIT Hereby authorize as Owner/Authorized Agent of subject property My behalf, iii all matters relative to work authorized by this building pennit application. to act on Si iiahue of Owner SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION Date I, �� E rJ .property ,aAuthorized Agent of subject Hereby declare that the statements and information on the foregoing application are true and accurate, to the and belief best of my knowledge k F C_ Si ire of er/A ent. — 7 - 21 Date NO..OF STORES BASEMENT OR SLAB SIZE SIZE OF FLOOR TE`iIDERS SPAN 1 2 3 .... SIONS OF SILLS DIMENSIONS OF POSTS n IvLFNSIONS OF GIRDERS .� fiE[G pF pOUNDATION SIZE OF FOOTING THICKNESS MAT.F.RLAL OF CHIMNEY X r IS BUILDING ON SOLID OR FILLED LAND [S BUILDING 111vT1ECTED TO NATURAL GAS LINE t The Commonwealth of Massachusetts Department of Industrial Accidents Offieeof/mre092t/ons 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit li 71"'i of rmafion ; _ ease,: ITL e i nation: 74 r7�'w t 47 e Co e- city !" - ANC./'a J�i ,/!ft phone# / 72" 6 C] I am a homeowner performing all work myself. W 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. company name. address: „ city: hone—# insur1nce co po6cy# t I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: eotnlmn.y name. address: city: phone# insargnce co policy`# cotnoanv name' address. city: phone# insurance co: �hcy At,�cacltirralelecessar� . Failure to secure coverage as reyuired under Section 25A of 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 5100.00 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 underthe ns and penalties of perjury that the information provided above is true and correct. Signature Date — Z. 49 ���/`►AJ . ..� .. C6e.J ._. . . ..... .. .. . .. .._ _.._. . Phone#g_"79 t�41-'T Print name_-_ , official use only do not write in this area to be completed by city or town official,_.:.... ._ _ ._...'.... city or town: permit/license# -Building Department ❑Licensing Board ___..... O check if immediate response is required pSelectmen's Office C]Health Department contact person: phone#; -Other '�a �.:,�'`'�'��"'�'.���..�,...::.:.r.._�_..:zY�-Wiz,..-'� ,.., :.•: .s.;ffx�,<._a.,•.�;�;,. .�. �.,r.,,.�a`"'.��`�a'""�,s�''�.� (revised 3/95 PJA) �fLe t9o4YNYtoOAle%�2 O��///GQQdCLCJttI.dB� . BOARD OF BUILDING REGULATIONS I License CONSTRUCTION SUPERVISOR Number XS, 058245 Birthdate ¢03/24/1943 i Ezpires._,03/24006 Tr.no: 21031 Restricted: 00 KENNETH B KEEN- 21 HEWITT AVE j N ANDOVER, MA 01845 Acting Cmis one, � i � (p� ✓lie �omvnwozusP,a/,C/ o� ��aoaae/zuae�d Board of BuildingRegulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 108383 Expiration: 8/1'812004 Type: ;D8A KEEN CONSTRUCTION.CO. Kenneth Keen 21 Hewitt Ave No.Andover, MA 0184.5 Administrator KEEN CONSTRUCTION CO. 21. HEWITT AVE. N. ANDOVER, MA 01845 (978)691-5201 Murphy, Sharon&Daniel 57 Settlers Ridge N. Andover, MA 01845 (978) 725-8194 Contract # 1618; Appendix A Date: 6/6/04 Remodel Basement: • Frame interior partition walls in basement to create approx. 420 sq. ft. of finished area not including bathroom • Create 'h wall on back of room Create 3/4 bath(approx. Tx 8') with raised floor to accommodate plumbing pump • Relocate existing exterior door approx. 4' from present location to area that will remain unfinished • Supply& install one 6'0" x 6'6" Andersen Permashield gliding door • Supply& install two Andersen TW series windows ('28 width, height to be determined} 3—-/4 • Supply& install insulation and vapor barrier on all exterior walls t4- • Supply& install Blueboard & skimcoat plaster all finished walls and smooth walls in stairway Supply& install paint grade trim on doors, windows and base to match existing • Upgrade handrail on stairs to C6010 oak(urethaned) • Upgrade stair treads to oak(urethaned) • Paint walls(one color) & trim(one color) • Supply& install ceramic tile on floor in bath( $3.50 sq. ft. material allowance) • Supply& install Kahrs Click Plank natural oak engineered floating floor • Supply& install 2' x 2' revealed edge suspended ceiling(#704) Plumbing.- Supply lumbing:Supply& install customer selected gas-fired wall furnace • Supply& install Customer selected plumbing fixtures from Peabody Supply(Quote# 58833) and all necessary feed, drain and vent pipes • Supply& install plumbing pump in floor of bathroom • Relocate sprinkler pipe and install heads as needed Electrical: • Supply& install wiring for plumbing pump & new furnace • Supply& install exhaust fan/light combination in bathroom 1 KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978) 691-5201 • Supply&install eight recessed lighting fixtures in main room • Install customer supplied vanity light and staircase light Total Price:$36,513.00 (thirty six thousand five hundred,thirteen dollars) Price does not include cost of permits, vanity& stair light, changes required by inspectors, exterior painting, relocating the electrical panel, slop sink& faucet, or 2"floor bathroom window, All extras to be paid for when ordered. Payment schedule:$1000.00 due upon signing contract $3000.00 due when door&windows are delivered $5000.00 due when door&windows.are installed $4000.00 due the I'day of work (other than doors & window) $5000.00 due when framing is complete excluding the bath 1 $4000.00 due when the rough electrical is complete $3000.00 due when the rough plumbing& heat is complete $4000.00 due when the blueboard is hung $5000.00 due when the floor is installed $2513.00 due at completion of contracted work Customer K e B. Keen 4 - -7r o Ly 7 --- Date Date 2 1618 KEEN CONSTRUCTION CO. PROPOSAL a 21 HEWITT AVENUE NORTH ANDOVER. MA 01845 978 691-5201 All home improvement contractors and subcontractors Tel: ( ) engaged in home improvement contracting, unless Fax: (978)682-3231 specifically exempt from registration by Provisions of Chapter 142A of the general laws, must be registered with Submitted �J}Cj r .{ p "o �r �1 the Commonwealth of Massachusetts. Inquiries about 10: �. ._ `_r�.' _.._ T� -.— - -- registration and status should be made to the Director, 5.? � ` Home Improvement Contract Registration,One Ashburton ✓.. ..__..... �'- 1 E� _-�__._..� _� � ... R MA 02108 (617) 727-8598. Place, oom 1301, Boston, rn r— Owners who secure their own construction related ...... } permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL C. 142A. PHONE DATE REGISTRATION NO. I F.I.D.N0. - '�2-5 - `; L (n -- (,� C MA. H.I.C. 108383 04-325-8052 > C/S = Customer Supplied S + I = Supply + Install We hereby submit specifications and estimates for work to be performed and materials to be used: _— —__—,___.—_ ___ . .. ... ..... i � NORTfy Town of ? 4 L Andover No. 7Y , - LAKE dover, Mass., 17 y COCMICMEWICK ADRATED PPS\ BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT 4.4.r.6. A. N BUILDING INSPECTOR ...... ..... has permission to erect........ .......... ... buildin s on Ns �l .... � Rough 40 .. tion .. .. .. ..... .. to be occupied as....... ..�� ..............*.. a.....Q. ...... ..! S!.I�b. .V.. ............................................ 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-La s relating to the In ection, Alteration and Construction of Buildings in the Town of North Andover. O 71 d` �. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 30 D Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rom, A.. ..................................,�I�l..�.. ..... .......... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To BeDone Final FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. V PAGE 1 PMAP 440. LOT NO. 12 , RECORD OF OWNERSHIP DATE JBOOK PAGE ZONE SUB DIV. LOT NO. JTA�h U�(.tfb&u,roe P. J1".srp, LOCATION IS yV- -J, R,�6� PURPOSE OF BUILDING C �, Ljgr -L� J OWNER'S NAME 7TARPr Lai i(. NO. OF STORIES SIZE )'l OWNER'S ADDRESS I S 1��CAhd 1 G ✓ja BASEMENT OR SLAB ARCHITECT'S NAME—r4,0• SIZE OF FLOOR TIMBERS 1ST Ii,)e )40./2ND 9 3RD s + BUILDER'S NAME /i �1 w ) n•y/ H D&1 AGg SPAN A, ,/4, �Ll -- DISTANCE TO NEAREST BUILDING _T�� Z�/A7ft. DIMENSIONS•/O.F S`ILLS�--`{ DISTANCE FROM STREET [ "' POST ZO t 3 �Z S A, Lei Lt�' DISTANCE FROM LOT LINES- SIDES �7 3. -f REAR jdd �_.d GIRDERS tle 1 7 1, �Q AREA OF LOT , e^s- ^j �G'- FRONTAGE i�+T� HEIGHT OF FOUNDATION( ��"!�`/C THICKNESS IS BUILDING NEW xJ J SIZE OF FOOTING O , X > GJ IS BUILDING ADDITION/ �JG! MATERIAL OF CHIMNEY Q '� < IS BUILDING ALTERATION l jb IS BUILDING ON SOLID OR FILLED LAND ,$0 - /,Z> WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YeL3 IS BUILDING CONNECTED TO TOWN WATER y1S{ BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER VCES ��•/v IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST +201 0416— SEE BOTH SIDES EST. BLDG. COST FT COST PER SQ BLDG. . . 6 S' PAGE 1 FILL OUT SECTIONS 1 - 3 EST. O PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. Ili /► 1 v ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ✓tet ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING 1 SPECTOR DATE FILED suILDING INSPECTOR NATURE OF OWNER AUTHORIZED AGE T F E E / C T OWNER TEL.N 5(51?-6 e 7 PERMIT GRANTED / CONTR.TEL. CONTR.LIC.k 1Q �2 tb i1 �i5 �� H.I.C.# /e)7(97 �i J" L9 BUILDING DEPARTME-P; BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S-ORIES 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 I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 I 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER V _tel DRY WALL _ UNFIN. 3 BASEMENT AREA FULL ''t FIN. BM'T' AREA _ V. 1/7 '/. FIN. ATTIC AREA N_O B M-T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIN D _ ASBESTOS SIDING COMMCN ✓ VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME _ 11 ADEQUATE Iii NONE 5 ROOF 11 10 PLUMBING GABLE HIP BATH )3 FIX.) GAMBREL MANSARD TOILET RM. )2 FIX.) T FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 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%b COLS. STEAM !l STEEL BMS. &+ o6y HOT W'T'R OR VAPOR ✓ WOOD RAFTERS IL AIR CONDITIONING - f -- RADIANT H'T'G UNIT HEATERS �G"' ..•'v 4-.Y:`_3 ' 7 NO. OF ROOMS GASOI L B'M'T 2nd ELECTRIC 1st y 13rd NO HEATING F NORTh Town of _ over No. 3�0 _: LAK_ S-___1qCi dower, Mass., . A COCHICHEWICK aY'�` .9� OAT ED PAS �Cl `G BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System ^ BUILDING INSPECTOR THIS CERTIFIES THAT................................ �'�.CT...............I�r .��a.. ........... ........\,, C t ..PA.... . Foundation has permission to erect.................... ................... buildings on ........5..7........47774- .c2. ........RiDr.0.a Rough to be occupied as �.� .6.4 A..............t ................. Chimney .......................................... ......... .... provided that the person accepting this permit shall in every respect conform to the terms f 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST Rough ...... ........ ........... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough p Y P Final No Lathing.'or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. - Smoke Det. 4 SETTLPRI` kAAD, PKDP��i�1� 11-E FLAN i /74m,e �" = 4 d� Tara Leigh Developmento�. 185 Hickory Hll RdC �f :c•�: ,i:. .,:�;-• :-t;;�•;::.;;;;•.>• 1; .�. . N. Andover, MA 01845 — _52 7+qo i`1 D CB-02 8+00 � _ W DW-01 -- D #17-3-- ? � W D H- I ° #174 6 CH 0, C � — X75 �E __.;� PROPOstp- N 210 #160 #176 \ \ _RFfHAR6E L — � - - � LO'T'S— PIT , l s•s� /� , +-BUILDING DE 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 fill//s out this section***************** APPLICANT: IGZ� �ec`1 �YP.�c ��y� �� Phone 6P7-L�3� LOCATION: Assessor/'s Map Number 4/ Parcel Subdivision 5 hrS i . Lot(s) Street a-P LI afg k0a, - St. Number do ********************** *;S: ial Use Only************************ RECOMMENDATION OF 1 /Date Approved �� Conservation Adminilskrlor Date Rejected Comments � �- Date A rove /� PP ,Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected &,VL � Date Approved �b Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit 1 7 J ' 112 Fire DDepartmen ��ved y uildin Inspector I e �! 2 3 B,UILDING DEPAIRTMEN ► CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE_1'=40' DATE.-8171'97 Scott L Giles R.P.LS. .50 Deer Meadoq Road 53.00 North Andover, Mass. CA) - .ta V V W . v - W LOT.2 LOT 3 s� 23,553 S.F. #6o s� LOT 4 ' O \ oil \ N 15$0 Q Cr N 1 'OpD Cz �pGE S R . I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY AND SUCH USE IS FOR THE WITH THE ZONING DETERMINATION OF ZONING BYLAWS OF 13972 CONFORMITY OR NON-CONFORM&Y NORTH ANDOVER WHEN CONSTRUCTED- WHEN BUILT Y� ?141.9.041 Date..... NOR7M *..e ° � TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACHUSE� ' ,/ This certifies that .... k�.M.JlPl........f'..��`G1'<<.......................... has permission to perform /� 4 S ea"e w / t ,e•? `.hl............... ..... ... .......................... wiring in the building of.... at............................. .................,f`.P..... .............,l0h Andover as eoFee......�?....... ... Lic.No.�= .e�.......... A .1�.. ... CTRICAL IN PE R •• Check # 542 1 TRE COM WONWI.AUHOFMASSACHUSF+TIS Office Use otdy DfFARTA1rE 'OFKM CS9FM Permit No. BOARDOFFTREPREVEMONRDGUTAT ONSR7aM121X1 Occupancy&Fees Checked ` r APPLICA77ONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE ASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 L (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 1 Y—C) / Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electric 1 Wescribed below. Location(Street&Number) 5 7 6�/� lPj�lqe- Ik �� Owner or Tenant h4o V / Owner's Address CL tj6 Is this permit in conjunction nth a building permit: Yes No (Check Appropriate Box) Purpose of Building �`'�n11-5 Utility Authorization No. Existin Service L` Amp2,110 Volts Overhead Underground No.of Meters New Service Amps Volts Overhead Underground No.of Meters 4 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures / Swimming Pool Above Below Generators KVA (Q round 2round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices _ No.of Dryers Heating Devices KW Local Municipal Othe Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER- kmaanoeCoMagp.Ptlraiantbtheregt>rterrlerfsofMazsach�llsGaleralLlws IhmeatauaiLiaAlYh»attoePblicyittcludrgCcnmp)et0Dmr eorflssub rialegrivalat YES NO Ihavestbrri&dvaHdp10d,0ftM1DftOffiX YES IfyvuhmecrdWYES,pkmiti&thetypeofawmpby F��Dafe Est ma1rdValieofE a=cal Wak$ WodcmSrnt hq)ectiortl&RegtiesWd Rc* anal FIR L NAME Y ImnseNo. 2 f 7.2— E— Licer�ee /W 6 tLYJ�— Sigratze LioalseNo �� �-2 Bust� a �'7� �-y 7 j^l!!6Arirfi - �Q & 7 S ��'�! �Cl J�� TeLNAlt Tel Na OW?IOUSINSURANCEWANFR;Iamawaethatdrlio wd mnothmtheirtaaaucomr,WoraakslarMe#vaimasmquff dbyNL-Mdnse c,alaalLaws r a dthatmysgM=cnftpmndappbcMmftm4'ffff= (Please check one) Owner Agent a �) Telephone No. PERMIT FEE$ �/ Signature or Owner or Agent NORTH OF „ac 1°,'b0 of y` °� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION Ta SACHUSE�t This certifies that .. . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . .P.i.R :. (. . :-:?4 . . . . . in the buildings of . . ./V.-4'-. ,,!. . . . . . . . . . . . . . . . . . . . . . . . at . . f. .1. . .rT . !t 4 /� � . . , North Andover, Mass. Fee. .( .L . Lic. NoSfP.?�. . . . . . . . . .i GAS INSPECTOR r Check# 4803 MASSACHUSETTS UNIFORMAPPLIC ON FOR PERMIT TO DO GAS FMING (Type or print) Date 0 L( NORTH ANDOVER,MASSACHUSETTS Building Locations ePermit# Amount$ Owner's Name � New❑ Renovation Replacement ❑ Plans Submitted � a a w d a G z a aOH Ow d . w w FF 4 O Z Oa H OF� , J a H O SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . F L O O R 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or type) Q / /J� Check one: Certificate Installing Company Name /L c (-fir e,�.—"�-`--'C, `' F-1nrp. Address 1� '� X ❑ Partner. 0 : ✓t/ -�-fid �t�c^ �9- , Business Telephone Lo K _ _ ©'Firm/Co. Name of Licensed Plumber or Gas Fitter rINSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ©— No❑ If you have checkedeseS,please indicate the type coverage by checking the appropriate box. Liability insurance policy 13- Other type of indemnity D Bond 0 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: Signature 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 Massac AV, S e Gas C e and Ch ter 142 he General Laws. By: Signature of L ensed Plumber Or Gas Fitter Title [3—plumber L--5 L City/Town ❑ Gas Fitter License 7urn r 13—master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. "oR,,, TOWN OF NORTH ANDOVER n te PERMIT FOR PLUMBING ,SSACNUS� This certifies that . . . .1'9.ze.!? � C . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . at. . . . . . . . . . . . ., North Andover, Mass. Fee. . . . . . . . . f PLUMBING INSPECTOR Check # 6 13 7 MASSACHUSETTS UNIFORM A LICATION FOR PERMIT TO DO PLUMBIN (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location o n s Name 144 Permit# Amount Type of O cu anc �it/ NewEl Renovation LJ Replacement Plans Submitted Yes ❑ No ❑ FIXTURES Cn4 y RAS VM IST11(m za 1Hlom �)HIDCIi 4III)HIDC114t SII3)H fm 6M FIDCIZ 7MRDM S1HHJXR (Print or type) Check one: Certificate Installing Company Name f ❑ Corp. Address S� y D X I_(� IL �/ FlPartner. Business Telephone U 0 r2 v 13—Firm/Co. Name of Licensed Plumber: C36� S 44-/ Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 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 Signature Owner Agent F1 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 'nstallations perform d under Pe 't Issued for this application will be in compliance with all pertinent provisions of the M Ss huse St Plumb' g Code an hapter of the General Laws. By: na ure of LicensearDAMDer T e of Plumbing License Title �> L City/Town License um er Master Journeyman ❑ APPROVED(OFFICE USE ONLY