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HomeMy WebLinkAboutMiscellaneous - 59 PADDOCK LANE 4/30/2018 / 59 PADDOCK LANE 210/107.D-0104-0000.0 j��A DD6C/� i Date 9G TOWN OF NORTH ANDOVER 0'A Certificate of Occupancy $ + ,' Building/Frame Permit Fee $ •�� tib • i ��b'•roe'�Z� Foundation Permit Fee $ JJACHUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector u r, 9772 Div. Public Works 0 PER-NiIT NO i t1PPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. V PAGE 1 t• MAP K-40. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE v SUB DIV. LOT NO. F- I LOCATION / �r PURPOSE OF BUILDING OWNER'S NAME dl/�L/t �y /C'rG NO. OF STORIES �? {/z SIZE JF©XZ 41 OWNER'S ADDRESS �M �' � C V BASEMENT OR SLAB ARCHITECT'S NAME WFV--l(' 71 ZI SIZE OF FLOOR TIMBERS IST fa,( , 2ND /f x'{O 3RD ZX b BUILDER'S NAME 7iQf/ /4-/�-//!G,/l,,'f/i )- SPAN /'? 7C�G�Vwtr/� s+ / !� DISTANCE TO NEAREST B415IILDI,NG„"�'•%//V� DIMENSIONS G•OF SILLS ff X DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES -SIDES 17,U(a Q d REAR � •' •• GIRDERS � N!a AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION ��a �� THICKNESS /© IS BUILDING NEW �,JJ LLQ• SIZE OF FOOTING �vf « X 2.-� N IS BUILDING ADDITION yes MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND seer WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANVCps r IS BUILDING CONNECTED TO TOWN SEWER I{071fet:'OF0ZLriJ;e 6'� n L_-0,4, ec&er' IS BUILDING CONNECTED TO NATURAL GAS LINE N� v9/' INSTRUCTIONS 3 PROPERTY INFORMATION �o LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. ��-jf PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 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 i DATE FILE rf- BOARD OF HEALTH SIGN TUR OF OWNEft OWNOR AUTHORIZED AGENT FEE OWNER TEL # �6��5"✓r PLANNING BOARD PERMIT GRANTED �� CONTR.TEL.##.�.� CONTR.LIC. 19 BOARD OF SELECTMEN BUILDINd INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY RIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES . - LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- 2 4 _ RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRICTION 2 i FOUNDATION I 8 INTERIOR FINISH CONCRETE2`Lilll _ 3 1 2 13" ` CONCRETE BIL K. BRICK OR STONE HARDW'D _ PIERS PLASTER _ DRY—WALL UNFIN Ye - _ 3 BASEMENT.. I . AREA FULL FIN. B M'T' AREA _ FIN. ATTIC AREA _ NO BMT FIRE PLACES ' HEAD ROOM MODERN-KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING •CONCRETE �_ WOOD SHINGLES - ' ASPHALT SIDING HARDv✓D _ ASBESTOS SIDING COMIAON — VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ _ BRICK ON MASONRY.; ATTIC STRS. & FLOOR _ BRICK ON FRAME. CONC. OR CINDER'BLK. STONE ON MASONRY WIRING STONE ON FRAME ~ SUPERIORPOOR _ ADEQUATE 4 NONE • 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK - SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOF-+NG MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE - FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS .. 7 NO. OF ROOMS GAS IL O B'M'T 2nd ELECTRIC 7y} 4R 13rd I NO HEATING � N0 RTH TC,*-)wn of 0 o L1 dOVer. COCMICMEMCK ADRATED pPIT T a��� _. -- r ' THIS CER1!,-,_:; THAT........................................ ........1 � . .............................................................................. ... has perm*- to erect......APA! (..0.!Y..... buildings on ..........S-Y......... 64 04Dd Gk................... ... . .... to be occu, s .......................... .. provide;, t;. r;; person accepting this permit shall in every respect conf rm to the terms of the application this office, to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Const Buildings i„ ',:e Town of North Andover. VIS I-f;: . . . Zoning or iseilding Regulations Voids this Permit. _ 'ERMIT EXPIRES IN MONTHS t _ ILESS CONSTRUCT) DN ST 1 ........................ ........ .....suiLnuvc.ask.... .... . .... C Fancy Permit Required to Occupy Building in a Conspicuous Place on the Premises — Do Not Remov,. No Lathing or Dry Wall To Be Done _ nail In,4 �c cted and Approved by the Building Inspector. i TOWN of NORTH ANDOVER AFFIDAVIT Etme bWmm ant Gxtx ctrr Iaw SLFplement to>ennit Aplicat cn Mi.c. 142 A regYmes d at the 'bma sW-nden, altaratim. rer aticn, repair, ®chi cn, ommxrsi n, mgxave snt, re>L,al, dmnlitim, at cawbartim of an adhtian to any prL— edstag aamr-oampu d hri1d- irg cmta kdrg at least ane bit mt mi dmfar X11 g ird ...ar to sb rt+*es ubich are adjaoant to such reMd Erre cr bul irg"be doe by regist a xM=trs, with oestain acTdcns, alag wth other raviremEnts. Type of Work: New (2) car garage & (2)bedrooms with bathroom Est. Cost $70,000 Address of Work 59 Paddock Lane (off Boston St.) Owner Nom: Mr. Michael Geragosian Date of Permit Application: April 26,1996 I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Fit No. Job under $1,000 Date Building not owner-occupied Owner pulling awn permit X Other (specify) Owner is waiving his rights under MGL c.142 X ,OWNER' 5-7-96 _ ACK 0 ED ED MICHAEL GERAGOSIAN Notice is hereby given that: OWNERS PULLING THEIR 01WN PERMIT OR D IS E COIv3BAC1ORS._ FOR APPLICABLE HOME Il�ROVEMENT WO NOT HA ACCESS TD TIE ARBITRA- TION PROGRAM OR GUARANIY FUND UNDER MGL c. 142A. Suped tnde-- pa-aIties of perjury: I hereby apply for a pe it as t agent of the owner: �- 5-7-96 JAY PHILBIN MCSL#002175 Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name YL,/I Add � ts-. Cet-ek PCl y 05/10/96 13:01 5083723960 $ 5083723960 , _ P01 30.1' • , �• 110.0' 1 MAY 1 Q 1996 q` LOT 9 AREA=44.431 S.F. er LOT 10 Q SN 'a1 IN n m W top OF FOUAWYM ELEVAAON � IS"' 1 o. LA NE _ REFERENCE PLANS: ^ i N.E R.D PLANIf IV73 D o PLAN 8Y CHRISTIANSEN R SER01 J h 4 DATED 2/12/96 FOUNDATION LOCATION PLAN �P NOWW ,�;CK REOV� LLoAfL Ta APPLICABLE ZONING BYLAWS IN EFFECT WHEN CONSMOCYrD. MIC'HAE'L & DIANE T. (WIN CgRMCATION off-q Nor Cr1NgIWQR ANY nellyv RFSTAlrT1 W VXH AS COWWANTS.MMANO3 LAWMEMM CLIENT.• GERAGOSIAN OROEM OF C0NEVTI0NS.E7C_) THIS ORAWNS SHALL NOT BE USCD 8Y TW CU&& MR ANY THIS CERTIFICATION IS MADE AND LIMITED PURPOSE OTNCR THAN mAT OUTLINED ABOVP-EWZPr MW THE' WRITTEN PFRULMN OF CNOWUNSFN & SE1MC► INC. TO THE ABOVE CLIENT. FIIRIM/ERMGRF Dos DRAWNYG Is TmE* cGWrmofrrD PAbPERTY OF CNR/STUNSFN ! SEW IAB- ANO ANY UNAUMM/MZ O USr IS PRONlB►TEO CNIVIS►LINSfN B SEMI TAM NO R1a BN.ITY FAR TW IINAUThWIZF11 USP OF "a DRAWING ON ANY lMfM- LIAYMN CONWWO NEWW LOCATION: LOT 9 PADDOCK LANE NORTH ANDOVER, MA. Kik or i- LLN , AM SCA ' 1 :e60, DATE: MAY 9, 1996 .�. C Q SE'R�I PRQF£iipNAL � �� uKo��' IRIS TIA NSEN LAW SURVEMS fW SWMER ST. MMYEAVR"MA. 01ASO TCL. Safi-Mi-0510 ®rasa or cIN ar"%8FN s smi #Va. DRAWING No. 95088001 TOWN OF NORTH ANDOVER/ BOARD OF HEALTH MAY 6 iQaF FORM U - VERIFICATION,FORM L_INSTRU !` is 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: 7ke," 6Phone 4792'9028 LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street 5:!F a"((�� anbc Cz�� St. Number ************************Official Use Only************************ RECO NDATIO OF TOWN AGENTS: - - Au, Date Approved Co servati Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved is Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date 1UJ I'UINAM KUAD SIDE SETBACK = S89'56'47"£ S89'1 S89'1 7'45E 30.08'" 110.00' MAP 107D LOT 105 N/F ROBERT & MARGV L 0 T 9BRENNER N 49 PADDOCK LANE LA Ct ct AREA=44,431 S.F. 'gyp N W \ N O N �Tl � N PROPOSED N= /F ADDITION 720 f ` SALLY 0. EXISTING NA SLANE / � . 24' EXISTING WELL. o �e� 36' tig•5 S�� � . DWELLING ` 11 EXISTING 4 C P L=190.39' R=150.00' �5p,43 573.49,39"w N PRIVAtE 5pY NUDE 126.45' / U"I AGREEMENT 1. This agreement is made this 31st day of October, 1995, by and between Mr. Jay Philbin, Philbin Construction Co. . (Herein after "Philbin") of 33 Walker Rd. , N.Andover, Ma. , and Mr. Michael Geragosian, (Herein after "Geragosian") of 59 Paddock Lane, N.Andover, Ma. 2. Whereas Geragosian wants Philbin to perform work as described on attached Plans and Specification(s) Sheet at 59 Paddock Lane, N.Andover, Ma. , the parties agree as Follows: 3. In consideration of Philbin performing said work, Geragosian shall pay to Philbin the sum of $70,000. Further, Geragosian shall pay $10,000 of this figure upon the execution of this agreement by the parties. 4. The balance shall be paid as follows: Section 1 . (Nov 20-24) $10,000 it 2 (Dec 18-22) $20,000 is 3 (Jan 8-12) $10,000 is 4 (Jan 22-26) $10,000 it 5 (Feb 5- 9) $10,000 5. The work is to be completed in a good and workman-like manner prior to February 9, 1996. 6. Geragosian agrees to hold Philbin harmless should forces beyond Philbin's control prevent Philbin from completing the work by the date stated above (i.e. , strikes, weather, material shortages, changes in plans, etc.). If completion is delayed because of the above, Philbin shall be allowed a reasonable time to complete the work, without affecting in any way, Philbin's right to the contract price. 7. This agreement shall be governed by the laws of the State of Massachusetts. 8. The parties agree that they have read and understood the contents and requirements of the agreement. Michael Geragosian Jay Philbin of Philbin Construction Mass Building Liscense X1002175 4 SPECIFICATION(S) SHEET SECTION 1 (Nov 1-24) 1. PLANS/PERMITS- Prepare and submit plans and completed application to the Town of North Andover Building Department. Pay all necessary fees and obtain permit. 2. ENGINEERING- Engage the services of Christiansen Engineering to locate the garage side lot line by "flagging" the same. Geragosian to make existing certified plot plan avail- able to Philbin. Subsequently, Philbin will make available to Town of N.Andover and Geragosian, the "as-built" survey (Christiansen) upon the completion of the new garage foundation. 3. EXCAVATION- Excavate suitable foundation hole to accept footings and foundation walls. Create proper ramping for poured concrete foundation. 4. FOUNDATION- To be poured concrete (3000 psi) with 10"x20" footings,�� thick knee walls, required lally column footings. C. 5. BACKFILL/FLOOR PREP- The exterior of the new garage foundation will be backfilled with existing material (from excavation) and graded in a proper manner to comply with the current topography. Lawn to be reseeded in the Spring. The interior of the new garage will be backfilled with material conducive to the proper prep work to accept a poured concrete floor. 6. GARAGE FLOOR- To be poured concrete (3000 psi) , 4" thick, and 4" pitch to garage doors. Rear section (6'x24') to be stepped-up and leveled for storage area. 7. DUMPSTER- Philbin will maintain a suitably sized container for construction debris thru-out the construction period as he deems necessary. Said container will be located on site in a mutgtua I agreeable location. 8. PERSONAL PROPERTY--Geragosian will remove all non-structural items from the existing garage to a location well away from and not interfering with the construction area. Philbin will give Geragosian a (10) notification lead. 9. DEMOLITION- Removal;garage doors/opener, gable end wall, front entryway-fl@or-door- clo int rior wall board/plaster, windows all from the existing garage in a manner. o b ed ce heat loss/personal discomfort for Geragosian, yet in a timely manner t f ilitate the impending new construction/framing/rehabbing. tic SECTION 2 (Nov 27-Dec 22) 1. FRAMING- Lumber will meet or exceed Building Code and will include 2x6 PT sills, 2x10 floor joist, exterior walls, 3/4 T&G sub floor, 1/2 plywood sheathing, 2x4 interior partitions, afters, 2x10 ceiling joist, all necessary structural elements. Tyvek housewrap, 1x6 pine facia, 1x10 pine soffits, 2. DOORS/WINDOWS- Anderson thermopane windows (9) with screens and grilles (builders line) will be used. Anderson (or velux) skylights (2) will be used. Stanley metal doors (3) will be used-note- Geragosian to select from Philbin's builders line of selection. 3. ROOF- Ice and water shield on leading edges of roof, bird 80 lb asphalt shingle to match (as possible) existing house/garage shingles. 4. SIDING- Cedar clapboards (4j" to weather) will be 3nsfalled using stainless steel nails. All exterior siding, trim, doors, windows will be stain/painted (2) coats using Benjamin Moore brand. Colors to be selected by Geragosian from samples supplied by Philbin or his painter. SECTION 3 (Dec 26-Jan 12) 1. ELECTRICAL (Rough)- Labor and material to bring home run from existing service to new addition, Closets,..:garage, and storage area to have porcelain fixtures. There will be (12) recessed ceiling lights with new FR having a dimmer switch. New garage to have (1) 2-head flood and (1) single head flood. All convenience outlets, smoke detector, door bell system, and GFI as per code. Builders "bug" lights for front and rear doors. 2. PLUMBING (Rough)- Labor and material for (2) bathroom sinks, (1) elongated toilet, and (1) one-piece 5-0' Tub/Shower. All to be Kohler/Delta. All piping supply and waste as per code. 3. INSULATION- As per code with 3J batts exterior walls and 6" ceiling. Garage ceiling to be 6" Batts. Interior poly wrap stapled as required by code. 4. PHONE/CABLE TV- (3) phone outlets and (3) cable TV outlets to be provided. Wiring for '' Ga ge door_ openers to be provided. w SECTION 3 (cont) 5. BOARD/PLASTER- All interior walls will have 1/2" blueboard with skimcoat plaster. Ceilings and closets will have a textured finish while all walls will have a smooth. finish. Garage ceiling and common wall will fire code. 6. GARAGE DOORS- Doors to be supplied by Philbin's vendor (American Garage Dorr Co.) . Doors will horizontal paneled, wood grain, insulated (foam) , and will be equipped with automatic openers. SECTION 4 (Jan 15-26) 1. INTERIOR FINISH- Labor and material to install Morgan six-panel pine doors where shown on plans with 2J" colonial casing. Stairway to have 4x4 newel posts with 2x6 rail and 2x2 balusters wood prepped for carpet. Uphall railing to match stairway railing. All appropriate door/window hardware to be installed. Closets to have white wire enamel shelf systems. Bathroom and down hall to have appropriate underlayment. (1) 5-0' Pine Vanity with colonial style doors a (1) row of drawers to be installed. All double- hung windows to have 2J" colonial cased trim kits applied. 2. HEATING- Included in the contract price is a HEATING ALLOWANCE of $7,500. It is the intent of Geragosian And Philbin to use these monies as directed by Geragosian to supply an adequate source of heat and it's accompanying labor and material to meet with all existing Town/State Heating Codes. Geragosian agrees to make heating decisions in a timely manner to facilitate the on-going construction. SECTION 5 (Jan 29-Feb 9) 1. ELECTRICAL/PLUMBING-Complete all items as set forth in section 3 of this agreement. 2. INTERIOR PAINT- There is a PAINTING ALLOANCE of $1,500. Itis the intent of Geragosian y and Philbin to use these monies as directed by Geragosian to do-a professional interi6r wall/woodwork paint/stain job. If so desired, Geragosian will instruct Philbin to com- plete the same and forfeit the allowance. 3. CART/T E- Included in this contract price are the following allowances: Carpet- $20.00 ,pef.6quare yard (Family Room, Stairway, Bedrooms, and Up-Hail.) Tilt- $5.00 per square foot (Bathroom and Down-Hall) aSS�W 40 H11y�� �� 4p •canes ►nal bx 2AL ml'� )�rva ?7�7Vfl ?9vw,9 `91VIIS.lxj t �SOD V2J-,',9 ' 1 FC,A Oke.-pt&'d F1114«f i�6aM �'twoNts tau( ar-VfeT RooF Rt H�pelf. I 6MA&4RA( i I � Ffl1((l�lf`/rtodR 2K y 4//rri4u� * O �UjSTc R WA(I .o LAMC f oSc:T en17R� F° :� ;� Rt�cA I/�,cr�tizJ Komi : Qxr S�t�FL tikL, LAvdr�G a ! ARM .-...--Y------���'''^^_'��-.^^'.'''.---.��._ -_ .____..__ _.�. Wit•*' 'a ;Q-`' ' 131gT#r— yx(.p7sd/ ivy MA RY. 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LU _ MA Jy '^ a of M� r � ✓Ire Lom-nxanurea�r o���druJe�; { DIP2m1t of IRLIC sum T01MET101 MIRVISOR lial B Raber: Expires: Birthdate: CS 112175 8211211998 12112/1946 Restricted To. 18 JAMBS a Run It LACY S? so MVBR, U 11845 Restricted To: 68 39527 11 - lone � lA - Masonry only 16 - 1 12 Fairly Holes Failure to possess a current edition of the t Massachusetts State Wilding Code 4 Is cause for evocation of thi lic 1 I REE`F'ED Town of North Andover NORTol G7��SjS' JOYCE BRAUHAW v N�TROWN CLERK OFFICE OF 3�oy "`° '°1�oL yh � GP/�',: f'/! TMV NITY DEVELOPMENT AND SERVICES A MAR Z52 Ll PM '96 146 Main Street North Andover, Massachusetts 01845 t 9SSACHUS�� e.F-pssd from aaia c;c..::,,s:c.,..._ / ...:out f•?Ing of anps��JJ U� Armsa A'Due C i s Cate 'f/�9/1�'/ 01 iG_:f1C13rf( , - `7 Town CIS Any appeal shall be filed Within ? „ 0) c,�.ys a,f+ the date of firing Of this i`'otice BOARD OF APPEALS in the Office of. the Towli ~ Clerk. `r NOTICE OF DECISION Property: 59 Paddock Lane j 7 IT W-d:QC..0r-:1 w Michael & Diane Geracosian Date: 3-25-96 � 1 59 Paddock Lane Petition: 08-96 North Andover MA 01845 Date of Hearing; 3-12-96 The Board of Appeals held a regular meeting on Tuesday evening, March 12, 1996 upon the petition of Michael & Diane Geracosian requesting a variance from requirements of Section 7, Paragraph 7.3 and Table 2 of the Zoning By Laws as to provide relief of for sideline variance of 10'6"for the addition of car and second bedroom. Lot dimension area 43,560,existing setback 44,431,Street Frontage required are 150,existing are 150.34,front setback 30',existing area 87'+,right side setback 30',existing setback 34'6",left side set back 30,existing set back 44' relief requested 19'5". Rear setback 30',existing setback 175+. The left side variance was granted with the attached condition that 10' screening non disturbing of land of trees on the westerly side and that the garage enter from Paddock Lane front. The following members were present and voting: William Sullivan,Raymond Vivenzion, John Pallone, Ellen McIntyre, and Scott Karpinski. The hearing was advertised in the Eagle Tribune on 2.23.96& 3.1.96and all abutters were notified my regular mail. Upon a motion by Scott Karpinski and seconded by Ellen McIntyre, the Board voted unanimously to GRANT relief of 19'5"to 10'6"on the westerly or left side with the condition that 10' screening non disturbing of land of tries on the westerly side and that the garage entrance be on Paddock Lane. Voting in favor; William Sullivan,Ray Vivenzio,John Pallone, Ellen McIntyre and Scott Karpinski. The petitioner has satisfied the provisions of Section 10,Paragraph 10.4 of the Zoning Bylaw and that the granting of these variances will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning By law. ' Board of Appeals William Sullivan,Chairman BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 4A Ate' ' -wE�= PERJiET 11T0.: O 1 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAPO. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK PAGE ZONE I SUB DIV. LOT NO. �I LOCATION ' !1 b PURPOSE OF"ME"Ri6 � OWNER'S NAME C05 ( N8�.�7'a�aco SIZE, OWNER'S ADDRESS C:-�` ae1 (�CCL ' J� O v. BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING !� I to DIMENSIONS OF SILLS DISTANCE FROM STREET iCo 4 J�� - POSTS DISTANCE FROM LOT LINES-SIDES /i a 33 T7 REAR "3 GIRDERS AREA OF LOT �41 �'�-1 -}- FRONTAGE QO -�^ ' HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW n GJO SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 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 INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST $--o O PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 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 APPROVED BY BUILDING INSPECTOR DATE FILED /Z 7- BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE PLANNING BOARD PERMIT GRANTED T - Y 19 BOARD OF SELECTM r Bo- BUILDING INSPECTOR BUILDING RECORD 1 OCCUP CY 12 SINGLE FAMILYsiORIES 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 _ d 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER ` DRY WALL _ UNFIN. 3 BASEMENT Ll- AREA FULL FIN. B M AREA _ 1/1 1/1 1/ FIN. ATTIC AREA _ NO BMT FIRE PLACES HEAD ROOM MODERN'KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B _ 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ D _ ASBESTOS SIDING _ COMf✓.CN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME _ CONC. OR CINDER BLK. STONE ON MASONRY WIRI STONE ON FRAME _ SUPERIOR I POOR _ In q Ito to ADEQUATE NONE 5 ROOF 10 PLUMBING ' GABLEHIP BATH (3 FIX.( GAMBREL MANSARD TOILET RM. (2 FIX.( _ FLAT I 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 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. _ STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO/OF ROOMS GAL _ B'M'T 2nd _ ELECTRIC •� 1 � 1st 3rd NO HEATING 7 z WOOD STOVE INSTALLATION CHECKLIST Permit A building permit is required for the installation of any solid fuel burning appliance. The building permit and installation inspection are limited to the stove installation and not to the stove construction. ' Stove A. New /Yv" Used 1 B. Type/radiant T"— Circulating C. Manufacturer P M EOvAlAe n Z Lab.No. N o I 0 6Acc V V I-- Name/Model _Name/Model No. __ =-1T— Collar size IL Dimensions/Height 3 Length Width Chimney QAS of 0 A. New ` 1 Existing B. Size(flue area) C. Other appliances attached to flue(Number and flue size) D. Prefab(Manufacturer—name and type) E. Masonry/Lined— Flue liner Unlined ityp•d manulacturar) F. Height(refer to diagrams) cap OVER IQOVER 10� Ml0ll 3MIR :o ' 3jI 'M IN. l2.ttK ' —�- ,MIN. 00, 18a MIN. FUEL/A.SH �G�E55 5tC> HEARTH CHIMNEY HEIGHT Hearth(non-combustible)` A. Materials B. Sub-floor construction C. Minimum dimensions(refer to diagram) Clearances and Wall Protection(see stove i stove chart) Q_A. Type of wall protection provided _(50 B. Clearances(refer to diagrams) 1`7 r�.rr�rrrrr..rrr , T ' FIREPLACE CORNER WALUCENTER 13 cap • —' per_ factory built chimney C roof support support bracket l3 connector pipe \ non-combustible wall protection A _ connector overlap A ' ' A ' i �woodburning � stove ' �non-Combustible 1 floor protection 12„ 18" 12" Figure 2109.4 Figure 2109.4 STOVE INSTALLATION CLEARANCES Combustible 1/z"Asbestos Millboar Concrete,Masonry Spaced Out 1 " Stove Components Material Spaced Out 1 '' 2. Foundation Wall 4" Brick Veneer Radiant Stove(l. 36" - -Front Circulating Stov<1.) 24. — - -Front A. Radiant Stove 3• 36" 18" 6" 18: Side!BackiTop A. Circulating Stove 12" 6" 6" 6" —SideiBackiToo a. Single Wall 18" 12" 6" „ 8" . Connector Pipe S. Insulated 2" 2• 2" k. 2' ' Connector Pipe C. Chimney Heignt Three(3)feet above adjacent roof and ' (Metal or Masonry) two(2) feet above any roof ridge within 10 feet.. It a damper is not included in the stove construction. D. Oamper it must be installed.in the connector pipe. 1. Eront:Fuel or ash access side. 2. Non•comoustible spacers required. 3. Clearances on each side of a radiant stove with a heat shield shall be measured as if a circulating type. Note:Clearances shall be measured perpendicular to stove body. Laboratory verified test clearances permitted. 4. Thimble required for passage through combustible construction. 12 �. Office Use Only / d �IImmnnw>r# of 4Ha95ar4UJJrttS Permit No. / Megartmznt of Public —AAfetg Occupancy& Fee Checked Q ,a BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 3190 (leave blank) l APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMPy 12. 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date I G (X* or Town of NORTH ANDOVER To the Inspe for of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) (�- PC(& A Oct L-0 ne Owner or Tenant /77-&F C—,ec q <; I Lc n Owner's Address Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps _I Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity ^ 1 Location and Nature of Proposed Electrical Work ILIP1OR a d o v�,eec' OC net ) e Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures Swimming Pool Above In 9 grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners I Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Air Cond. No. of Ranges ( tons 3 Initiating Devices No. of Disposals No.of Heat Total Total p Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices 1. Municipal KW ❑ No. of DryersHeating Devices Local []Other Connection No. of No. of Low Voltage L No. of Water Heaters KW Signs Ballasts Wiring f �S�Cr7-S No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ;'Ie NO = I have submitted valid proof of same to the Office. YES � NO = If you have c ecked YES, please indicate the type of coverage by checking the ap ropriate box. �I )_ � `� Z& / INSURANCE � BOND OTHER - (Please Specify) r7 ^ Q (Exp anon Date) Estimated Value o ec ical Work S v COI / Work to Start Inspection Date Requested: Rough Final Signed under enalties of perjury: f� ?J(�y� FIRM NAME / �� S ��� LIC. NO. G J Licensee J s G Signature LIC. NO. Bus. Tel. No. 50 y D O Address to �� E/iY�axG A Alt. Tel. No. OWNER'S INSURANCE WAIVEK: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Ow r r ent (Please check one) dd Telephone No. PERMIT FEE S J �(Sig�naature/6f Owner or Agent) x•5565 Date..1�7AI 1A.. o rN TOWN OF NORTH ANDOVER to 1a "42TKtCAL A PERMIT FOR 4M INSTALLATIONS U SACHuSEt nnehn �?P G This certifies that . . .�J. k.S. . .T�AM cc, . . . . . . I ru tJG o�/Y has permission forr installation . f . . . . . . .x in the buildings��//o'�►f ,C—.ERte.`JV.S i_q� . . . j at S.`( . . . 1�`d(40 C- . .L . . . ., North Andover, Mass. i Fee . No 3.�Os' . . . . . . . . . . . . . . . . . . . . . . . . . . C 30 4=INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File �m - The Commonwealth of Massachusetts t(J Dcportmcnt of Public Sofcty BOARD OF FIRE 00 AE PAEVEHH REGULATIONS S27 CMR 12 3/90 Oce.gawcy a Iraq-o.aetai (laa.a 61Mt) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be per(ormtd in accordance With tht Macaachuseru Ejectriu,Code.$27 CHR I2.00 (PLEASE PRINT Ili INK OR =E ALL INF'ORHMON) Date 2 City or Town of /?/• N�fT To the Inspector of Wires: The unCarsigned applies for a permit to perform the electrical work described below. Location (Street b Number) f d� L- f �/ O-ner or Tenant_ Owner's Address Is this permit in conjunction with a building permit: Yes 4�0 ❑ (Check Appropriate Box) A:rpose of Bullding f_ i»�{ y y Utility Authorization NO. Existing Ser.ice 20a Amps /Z /z y O Volts Overread 0 Und d He" ServiCe Amps / Volts Ovcrbcad ❑ Undgrd❑ No. of Metc- Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot IubsTotal No. of Iransformers EVA ':o. of Lighting Fixtures /y/ Swimming pool Above In- grnd.❑grad. ❑ Generators yVA No, of Receptacle Outlets 2Z_ No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets �(p No. of Cas Burners FIRE ALARMS No. of Zones No. of Ranges No, of Air fond. Iotas tons No. of Detection and Initiating Devices Nc of Disposals No. of Heat Total Total Pumps Tons K{7 No. of Sounding Devices .1o, of Dishwashers Space/Area Heating 1(W No, of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW _ Lo'cal 11!lunicipal ❑Other No, of o, o Connection No. of Water .;eaters KW Sirns Ballasts IAw Voltage Wirin No. Hydro Massage Tubs No. of Motors Total HP O:$[ER: INSURANCE COVERAGE: Pursuant to the requirements of Hass-acbusetts Ceneral Lava I have a current Lia Operations _ t Insurance Polic incl equivalent. YES�/fi0 U I have submitted validiproof ofeSaameted thisofflce Coverage gYESr i _substantial Ii you have checked YES; please indicate the type of coverage by checking the appropriate be box. INSURANCE / INSURANCE BOND'F] OIM❑ (please Specify) Estimated Value of Electrical Work S (Expiration—Ma Tte Work to Start -f -2,1--,,4&1 Inspection Date Requested: Rough± 1,4-,X,4- Final Signed under the penalties of perjury: FIRM NAitE ;F �� G LIC..NO. j�33 Licensee p = Signature. .33 LIC. N0. Address Bus.4e 14. OWN2n'S INSURANCE WAIVER; I an aware that the Licensee oes not have It. Tel. he No.nce coverage or is sub- " equivalent as required by Massachusetts General G, Lhat my slgnature on this permit application waives this requirement. Owner Agent (Please check one) Telephone Ko. PERMIT' FEE S •slgnature of Owner or Agent v sn2642 Date. .. 0 of NO oT c 1ti� TOWN OF NORTH ANDOVER E O PERMIT FOR INSTALLATIONS M D � j � s t • o � • �9SS/1CNUSE� ' This certifies that . : ��. . �-!`.?'Q.��. . . . �: f. . . . . . . . . . . . . . Vili2��1G � . Z. has permission for W.installation . . �� . . . . !.� .. f in the buildings of d.Q�0 Vit. ` . . . . . . . . . . . . . . . . . . . . . . at . , , , , , , , , ., North Andover, Mass. 1r�q� ` Fee f(�. . . . Lic. No.�!� .3 E, 4WINSPECTOR C� y3�1 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File