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Home My WebLink AboutMiscellaneous - 625 BOXFORD STREET 4/30/2018 r625 BOXFORD STREET 2101105.C-0053.0000.0 A / Location / a� No. �y Date NOR, TOWN OF NORTH ANDOVER 3?at to + o . ' to Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ ----- s�cMusa Other Permit Fee $ —~ Sewer Connection Fee $ ------ Water Connection Fee $ TOTAL $ �t a Building Inspector 6732 � •' __.Div. Public Works PER"Irr NO. SOIIE2 ,APPLICATION FOR PERMIT TO BUILD— NORTH ANDOVER, MASS. /PAGE 1 MAP i4O. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK PAGE ZONE I SUB DIV. LOT NO. LOCATION �J {=� �rQ 5 PURPOSE OF BUILDINGcc „Lk F`OV,' ib J, OWNER'S NAME YJ�S1J/�A `yw Q, �V�116$,DA �,a� NO. OF STORIES SIZE OWNER'S ADDRESS �J ` BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD ILDER'S NAME t ` SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION Yes MATERIAL OF CHIMNEY IS BUILDING ALTERATION / LL 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 s PROPERTY INFORMATION LAND COST SEE BOTH SIDES EBT. BLDG. COST C f1� COST BLDG. PER SQ. rT. PAGE 1 FILL OUT SECTIONS f - 3 EST. ' t 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 - DAT FILED_ BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHO IZED AGENT FEE / /, OWNER TEL.H 9 1_ ')c►i MANNI14Q BOARD PERMIT GRANTED CONTR.TEL.H t9 J CONTR.LIC.H BOARD OF SELECTMEN 61A zu7 � BYILDI INBPECTOR 1 J BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SiOPIES 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 B 1 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDWD PIERS PLASTER _ DRY WAIL UNFIN. 3BASEMENT AREA FULL FIN. 8'M'T' AREA _ '/ 72 '/ FIN. ATTIC AREA _ N_O 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD"J'D _ ASBESTOS SIDING _ COMfAC;N VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS.d FLOOR _ BRICK ON FRAME CONC.OR CINDER BLK. STONE ON MASONRY WIRING 4 STONE ON FRAME e SUPERIOR I--i POOR ADEQUATE NONE t 5 ROOF 11 10 PLUMBING f GABLE I HIP BATH(3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT A 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. 3 COLS. HOT W'T'R OR VAPOR - WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS I OIL B'M'T 2nd _ ELECTRIC Itt 13rd NO HEATING e 4 . i Suggested Affidavit for Home Improvement Contractor Permit Application For orrice Use only NAME OF CITY/TOWN Permit No. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c.142Arequires that the"reconstruction,alteration,renovation,repair,modernization,conversion,inprovement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. rn (� Type of Work: ��c,� O �r'� 6 �z°t�roo� Est. Cost Address of Work Owner Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under S 1,000 _Building not owner-occupied A Owner pulling own permit _Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I herebyApply for a permit as the owner of the above property: p- Date Owner Name EXISTING- Fo-NDAZ ION Lor- T10T�1 =- J1987 c�J ,&AA � s. OF cy RE419'TE� io2 CHARLES �� vMASON el' No.9536 40 �NU 5 U V"4 / ) / o EDS �> a pegs x �' b 1.n rVy i Sc.fa� _ I L o-r q- i I � r %i In I � o P j i I 1-JO.O o i pAvEMLt+-c � . t FOu,1DAT lniV LOCA-lOrt �O-v 25 NO PATH 1\,\DO CAMERoI`1 BISHOP ENGIN�ta.1�.I�. t t _ ...___.........�.. <;. �s �,� e Y- ct e Ye,,, e C)C) �I I i I ' �; r�. �o •v'i I � �cau�«f� T�oo�r LXX-4 STk.�:'�5 th 0rAZr � a � � Oc?or— u Cj q V,Q A t \ Al ! to"—jot /A nJ u l y.` C- 7T I \oPTj own of NOo over fn No. 548 �A .�•�- A�or AID dower, Mass., O /�. 19fj BUILD - 1 BOARD OF HEALTH g PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....4 l1. I.. .. ....�� ,:. .I�i �. ...+ i................ ................................... Foundation haspermission to erect.. � �. � � ................ p A.ATV&.............. buildings on .. ..... .. .8�.. . . ....... Rough to be occupied as.....park....#Af A,r#%*00...,litMO.10.^.1�...................................... chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERvtu EXPIRES IN 6 Iv10N'I HS ELECTRICAL INSPECTOR UNLESS CONSTIZUCTIOI�J S-[A.RT; • Rough 01111111: "&.NddR&_AWAF ........................... 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 Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT i • - TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT'REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING . <;TtIIs:S�ctioa�#'or t)�'IcialIlse`UaI BUILDING PERMITrn NUMBER. DATE ISSUED. M SIGNATURE: Building Commissioner/1 for of Buildings Date z SECTION 1-SITE INFORMATION 1.I Property Address: 1.2 Assessors Map and Parcel Number: O ✓ ice / Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(so Fronta a(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.7 Water Suppfy.M.G.L.C.40. 54) 1.5. Flood Zone Information: - 1.8 Sewerage Disposal System: Public ❑ - Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System C SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record II W, (p ) —er Address for Service P � . Si azure Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor. O License Number Address Expiration Date signature Telephone r i.2 Registered Home Improvement Contractor Not Applicable ❑ 0v .ompany Name rn Registration Number r ,ddress Expiration Date 19,nature Telephone 1 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.......0 No.......0 SECTION 5 Description of Proposed Work(check all 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 be117 11 � } y Completed b permit applicant ^1 3u IR r 1. Building �� (a) Building Permit Fee Multiplier 2 Electrical Q (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(s)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 BUH,DING PERMIT (4er uthorized Agent of subject property Hereby authorize to act on M-b hal, 'i all matter relative to work authorized by this building permit application. �— 714(®� Signature of Owner V Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/A ent Date NO.OF STORIES SIZE EDDAENSIONS MENT OR SLAB OF FLOOR TIIv1BERS IST 2ND 3RD NSIONS OF SILLS NSIONS OF POSTS OF GIRDERS T OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CFDMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM 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. �.................■............■.■a.........■■■■..■■...■n.......■..........■ APPLICANT ON.3 �O PHONES ASSESSORS MAP NUMBER LOTNUMBER 005-j SUBDIVISION LOT NUMBER STREET STREET NUMBER 4.;k� �.........■ ■ ■ ■■..■■■...........e..............■....■pf■■.....■■......... OFFICIAL USE ONLY RECON WNDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADMINLSTOR �/ 7 <DATERE7ECTED l_/A U 0—� COMMENTS 'Pro poded TedlQco'�(a �n , w50� OlLcczG�riCnri ��T 2G'f 1 bn lu¢."��a.,�5 wtal! w15A �. en �,e. c�cr�►„�e�-�- Side, h� o�� pcop�¢r'- — DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS OVED FOOD ECTOR-H1 ;TED r I :)vED ' (� 02 SEPTIC INSPECTOR-I ov a :TED COMMENTS PUBLIC WORKS-SEW DRIVEWAY PERMIT_ --" DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE i I FORM - U - LOT RELEASE FORM 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. .■■■■■■■...■■■■■■■■■■■■■■■■■.■■■■■e■■■■■■■■■■■■■■■■■■■■■n■■■■■■■■■■■■■■■■■■■ APPLICANT2( (AO PITON ASSESSORS MAP NUMBER e LOT NUMBER 0CL57,3 SUBDIVISION LOT NUMBER i STREET STREET R � f OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADMINIS -- 0NTE REJECTED O COMMENNTS �raAo�c� Tce1 IJSd of . e-41W — 061 ,4e. Iresp4'eA1 bn Au I&Ah M0.1/ c0sc 6e, on Ae. P'a'f 'oe4 Sale I W off poop_ DATE APPROVED TOWN PLANNER DATE REJECTED CON RENTS DATE APPROVED FOOD WECTOR-HEALTH DATE REJECTED .1 b(�1� Pp{L S�. DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTNIENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE ' `�a ' � __._, _ •f;_I i^ �.�iil�; Y'1)rl;i(.'(j !)IlMr.711~^�1('l.�i,i f-_.......` All ; I hereby ?' ✓ inspectzon, elle .lata/:ion, �Ilrn�rt,lo�ls. i offsets and 0.1011at_ion, 0Y, i Jl' foundrt/;1!)ii are as Shawn hereon, with thaC l!e-✓ (:().r n i, with the app_l i cabl e. zoning h ' of the Town of .lVottdi Andover, Ness. %- X /PS1{Ofjys�� / �0 CHARLES 9G�� C5 "MASON �^ No.9536, Q , FFG/STEL su� \ I •��' 1 i E DST L•' c• f -- rl 1 �1 / �' • .S(j �I' f al c C,4"Z17: I 57 STO,VIFI>A X✓, MA D,Z/d'e7 k toco FORM - U - LOT RELEASE FORM I S. .This form is used to verify that all necessary approval/permits from INSTRUCTIONS. � Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ......................m................MEN won.............................■ APPLICANT �� Q � •`'SSo`` a-- PHON1;4 ASSESSORS MAP NUMBER LOT NUMBER 67 CO'd SUBDIVISION LOT NUMBER STREET STREET R Ono .. . ......... OFFICIAL USE ONLY........ ... ........ ,.......................■■.............................■ ................... RECOMMENDATIONS OF TOWN AGENTS �? mamma DATE APPROVED NEW a moommommumm now CONSERVATION ADMINIS TOR I 1 r ) DATE REJECTED I O� cow,WNTs "Propose-9T001 ioca4i'a, w/ SOr of ujdl" y non 5,4e. i we: �,Ws 'Mot 'J' cn A,, side j W off rozd , DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED Vl PTC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT h. DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE hereby crt t:.i r-}'' l.l;;rf.; onY;trr inspection, 0-ic offsets and e.l eva�_i ons of -I]- .fourr/�,:/�,19!7 � 1 ':are as shown hereon, and Li��rL ;:1?ev r~c�rrinl;- with the appl i cabl e. zoning' of the Town of North -Andover, tvmss. ' I ' tv /N M / lc CHARLES r W. `a �4" a' MASON ".. No.9536 o C;f - I, SCS L E. / — 40 �k r I gp 44, b4 � J `` 4 I V. Z 1 O XFoleD RD, IVC) ' 7; ,41VDo�f CA",5RON IZ5- Mil//V 57,-, STON /✓, 14A az/,3'r7