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HomeMy WebLinkAboutMiscellaneous - 63 HIGHLAND VIEW AVENUE 4/30/2018 63 HIGHLAND VIEW AVENUE 210/066.0-0011-0000.0 Location No. d' Date NCRTM TOWN OF NORTH ANDOVER O?O•tt`,O ,•1hoo� Certificate of Occupancy $ + Building/Frame Permit Fee $ Foundation Permit Feee - Oth. r.� r#� ep $ /j `{ Sewer Connection FoI.elQ1 $ - Water Connection Fee 1._Y i $ � rt of TOTA,1o. AnGover Building Inspector Div. Public Works PER'Vtrr xa1 ve 44 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 `MAP 440. LOT NO. 2 RECORD OF�OWNERSHIP IDATE BOOK 'PAGE — ZONE I SUB ,IV. LOT NO. eflr: LOCATI PURPOSE OF BUILDING r. OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRESS o BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD '0111 A BUILDER'S NAME S N o DISTANCE TO NEAREST(BUILDING JbiMENSIONS OF SILLS 92 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 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 ^jd 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 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 DATE FI BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE l `� PLANNING BOARD PERMIT GRAKIED i 19 t - BOARD OF SELECTMEN BUILDING PECTOR 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 It, 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL K. �. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UMF I N. 3 BASEMENT 11 AREA FULL FIN. B M AREA _ 'I 1/1 '/, FIN. ATTIC AREA, _ NO B 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\N'D _ ASBESTOS SIDING _ COMMON _ VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME I 4` CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I 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. &COLS. STEAM. STEEL BMS. & COLS. _ HOf W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS - GAS NO. OF ROOMS OIL g'M'T _ 2nd `ELECTRIC 1.yt 3rd .I NO HEATING �vs���n �� a �vr�r rrtrr�� SEWERIWATER FINAL NTNG INAL y„ . NORTH own e O. ofL Over O DRIVEWAYENTRY PERMIT' _.T�� �E er, Mass., 19 1 A w OA? ?fi SS BOARD OF HEALTH PER THIS CERTIFIES THAT.......... .. ...� •� BUILDING INSPECTOR has permission to erect . ...... buildings on Sough Chimney to be occupied as.. .. ..................................................... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws,,relating to the Inspection, Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids is Perm t. PERMIT EXPIRE IN 6 0NTHS ELECTRICAL INSPECTOR j Rough UNLESS CO TRU ST S Service Final BUILDI SPECTOR GAS INSPECTOR Occupancy Permit .Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove - Burner No Lathing to Be Done Until Inspected and Approved by Sm e et. Building Inspector ST EU-Nc PER--UtT NO. d85 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ✓ PAGE 1 MAP 4-40. OltI LOT NO.—!,b 2 RECORD OF OWNERSHIP IDATE (BOOK PAGE ZONE �, SUB DIV. LOT NO. LOCATION G3 �� _ 1 Jar , ��C PURPOSE OF BUILDING�C�O/ `,gt}�kIST/r -x t fj—Tw 4),f-1n OWNER'S NAME A. �.�vNO. OF STORIES w�•�L5! -E�N G.�cL7� c OWNER'S ADDRESS ?> IjC C^ y!I lti^T' •,� BASEMENT OR SLAB ARCHITECT'S NAME 4y Y SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME -ieo":bep-'x- NtiCt"K.I�`1r SPAN DISTANCE TO NEAREST BUILDING ` DIMENSIONS OF SILLS DISTANCE FROM.STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT F ONTAGE HEIGHT OF FOUNDATION TH CKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATER:AL 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 ,�u IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LIN INSTRUCTIONS, (j, yye 4=. (ZEt�l.n-a-o bZtssljNCo 3 PROPERTY INFORMATION � 1 WkLLg c; 1,,� �a C�,`rr 0/2 LAND COST SEE BOTH BIDES dF-1—*4 L EST. BLDG. COS aO a O PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. 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 DATE FILED BUILDING INSPECTOR SIGNATURE OA�F//OWNER OR AUTHORIZED AGENT F E E /Sa. S OWNER TEL.# PERMIT GRANTED. CONTR.TEL.# 1127 ,s 4G �S- oo�/o�Ol CONTR.LIC.# H.I.C.At 7) r BUILDING RECORD i OCCUPANCY 12 SINGLE FAMILY STORIES } ` •"t +i )*` i 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 'e RAGES, ETC. SUPERIMPOSED. THIS REPLACES.,PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE' BRICK OR STONE HARDW'D — i PIERS .PLASTER — —— ���111 DRY;WALL UNF:IN. 3 BASEMENT I AREA FULL FIN! B'M'T' AREA _ I y. FIN. ATTIC AREA _ 1 t NO B M FIRE PLACES j HEAD ROOM MODERN KITCHEN 4 WALLS 11 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �— WOOD SHINGLES EARTH ASPHALT SIDING HARDW-0 _ ASBESTOS SIDING COMMON _ VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ I BRICK ON MASONRY ATTIC STIRS. 8 FLOOR (— BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR POOR — ADEOUATE I NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) — GAMBRELMANSARD _ TOILET RM- 12 FIX.) F_LATJ 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. &COLS' – HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M-T 2nd _ ELECTRIC 1st 13rd I NO HEATING v Location, CM , o "-4 -vq $ Date aa. � TOWN OF NORTH ANDOVER FFF r p Certificate of Occupancy $ r Building/Frame Permit Fee41 $ 1 •Jl °+inn��► ,�j' 3 ,SSAGMUSES Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ ' d Water Connection Fee $ TOTAL $ a F idling Inspector Div. Public Works PERMIT NO. I APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP K40. � LOT NO. l t 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE R-4r. I SUB DIV. LOT NO. LOCATION (oS ���1 _ �],�-\ p,/� PURPOSE OF BUILDING l X /�( �Oc. OWNER'S NAME ^^ � M�1�`?-�7 �cV G`�^� 91 NO. OF STORIES SIZE 1, OWNER'S ADDRESS \ C�cM• �`G+ C BASEMENT OR SLAB ARCHITECT'S NAME J SIZE OF FLOOR TIMBERS IST y I�2C )xN. 3RD BUILDER'S NAME ...n�- .,. SPAN may/ DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES �"1 REAR 81 GIRDERS AREA OF LOTqzc,� I FRONTAGE ��1 HEIGHT OF FOUNDATION I.L ,��TFd,1�,IjN�,¢�x ( � IS BUILDING NEW SIZE OF FOOTING X I IS BUILDING ADDITION ] MATER:AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE C'� IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY Na IS BUILDING CONNECTED TO TOWN SEWER /v IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST �Od PAGE t FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM �Jr SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY j ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED DUILDING INSPS&VOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E OWNER TEL.# � PERMIT GRANTED CONTR.TEL.# 9 796&p 19 / CONTR.LIC.# y a H.I.C.# �r q r q BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY: f sroRIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND`DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS,OFA BUILDINGS.• WITH.PORCHES. GA- APARTMENTS I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLO_T PLAN. ' CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 1 BASEMENT I, AREA FULL FIN. B'M'TAREA _ '/, 1/2 FIN. ATTIC AREA _ NO 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARD\'✓'D _ ASBESTOS SIDING _ COMIdCN _ VERT. SIDING ASPH.TILE _ 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 I� POOR .ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) GAMBREL _ MANSARD TOILET RM. 12 FIX-1 FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES - KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR 1 11LE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLSr - _ HOT W'T'R OR VAPOR WOOD RAFTERS " _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OIL B'M'T 2nd _ ERIC 1st 13rd I LECTNO HEATING No. Dt s®� ae 3 NaRTh TOWN .OF-NORTH AN-DOVER Certificate of Occupancy $ Budding/Frame Permit Fee2So ,- $ -� „r.. �ssAcMusEt� Foundation Permit Fee $ other Permit.Fee $ f =° Sewer Connection Fee $. r Water Connection Pee, , ., $ i TOTAL . $. { . ,- Building Inspector Div. Public Works. PER APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE ; �Z� AP 4-40. LOT LOT NO. dam`+ 2 RECORD OF OWNERSHIP DATE (BOOK PAGE ZONE SUB DIV. LO` C T' NO. I LOCATION G 3 �+ /,• LY�Ls� Y tC•�w� R{/� PURPOSE OF BUILDING � �I f+�r�� K OWNER'S NAME NO OF STORIES SIZE tJC� �N OWNER'S ADDRESS, (,^j, Ln , V/�..L� d�C BASEMENT OR SLAB - ARCHITECT'S NAME - �T SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME �ID✓�1�,.�,LQ_ SPAN - DISTANCE TO NEAREST BUILDING t�l3T/N� DIMENSIONS OF SILLS -- - DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKI ESS IS BUILDING NEW 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 ND IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS tom, 3 PROPERTY INFORMATION WP%-(- . r3d-r—e-tr e- KITOW-4'-' ' LAND COST - SEE BOTH SIDES ('9' tj��'h 1..r'CL. �� /N�DI'"3 C/ �� ��L�` " EST. BLDG. COST 1S pr'�jv 2b� /' / ... - ©. n. /</ ! 1� � ��/ut EDT. BLDG. COST PER 8Q. FT. PAGE 1 FILL OUT SECTIONS : - 3 ' -® � EDT. BLDG. COST PER ROOM PAGE 2 FILL.OUT SECTIONS - I2- 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 - DATE FILED MpltI4 (O i BUILDING INlPf<CTOI cc 91991t— SIGNATURE OF OWNER O AUTHORIZ AGENT - FEE OWNERTEL.a PERMIT GRANTED CONTR.TEL.# Jp G- 19 ?A/a CONTR.LIC.# C s - C).e - °a, H.I.C.# FNORTH ®TVM O _ O over � L 0 No.2o3 Y` dover, Mass., 1926 C OC WC EWICK ADRATED C, 5 BOARD OF HEALTH E K IT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.................................. - '......v!kc-,F.;, 4.................................................. / ""' Foundation .... g 7 66.4�.6�.�......A.Oe....... Rough has permission to erest:......,�.,�."f`��... buildings an .:..:....:.�...�.....� :. to be occupied as............................ie,- r)eL................4,;: ............................................I...... 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 PERMIT EXPIRES IN 6 MONTHS Fina' UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR Rough . ,/ ................. ... .... .... ... Service LDIN INSPECTOR • Final Occupancy Permit Required to Oc, Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT .y Burner Street No. Smoke Det. c Location,(,V�1C�F1.A1 V i /J No Date I AR S"_ NCRT" TOWN OF NORTH ANDOVER r, o��«.o p Certificate of Occupancy $ +� Building/Frame Permit Fee $ �cwus"E�� Foundation Permit Fee $ r., Other Permit Fee $ a Sewer Connection fee $ k Water Connection Fee „_ $ TOTAL $ � Building Inspector /95:11:34 25:01) PAIR y' a� 93 Div. Public Works �"rt....,�..`3%�.t'v.�r�J_a......,.:�St'.9k .�.-.�.3_..SN.,.., a_..nwr7'%..� .L�4.-.•.�.r..,.. _._-..._I..�... -x�. ...�.._.,� _F:�r .., ,....- PER,%tIT NO. SSS APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 4qO. LOT NO. 2 RECORD OF OWNERSHIP "DATE (BOOK "PAGE eZONE I SUB DIV. LOT NO.LOCATION (03 if \I /ENut PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES SIZE ITV C OWNER'S ADDRESS / 3 E}�,�,1 I /'���11 BASEMENT OR SLAB ARCHITECT'S NAME `O SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME S�� SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES S REAR /L.. " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW 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 ,sC IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY G! 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 GT.. PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. 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 FILLED AND APPROVED BY BUILDING INSPECTOR DATE FILED /YO/2 lgqj r MUILDING INSP[CTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E ZS OWNER TEL.# (r' ILS13 PERMIT GRANTED CONTR.TEL.# 19 gs CONTR.LIC.# H.I.C.# BUILDING RECORD i OCCUPANCY. 12 SINGLE FAMILY soulEs• 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. t' CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 2 13 ' CONCRETE BL'K. PINE BRICK OR STONE HARDW D _ PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/, 1/7 1/1 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 CONCFETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDVV D _ ASBESTOS SIDING _ COMMON 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 _ SUPERIOR I I POOR ADEQUATE I I NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ �i 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 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 WT-G UNIT HEATERS 7 NO. OF ROOMS GASOI L B'M'T2nd _ ELECTRIC 1st 13rd I NO HEATING F NORTH Town of over No. 555 o ° art dover, Mass., n�t�mQ�x. Z % A°RATED P"? BOARD S BOARD OF HEALTH Food/Kitchen PERMIT T D . Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..1.. "..1 .kc �p•.••.•.••...•...••..• Foundation . .�s, :. has permission to erect� ..... b........... buildings on .... .......&&....................... Rough tobe occupied as .... 'Kl�s ........9ka....... ........................................................................ Chimney i 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 i Buildings In the Town of North Andover. PLUMBING INSPECTOR;, .. i VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough { PERMIT EXPIRES IN 6 MONTHS Final UNLESS CON U T S ELECTRICAL INSPECTOR Rough Service BUILDI INSPECTOR Final E t> Occupancy Permit Required to Occupy Buildi GAS INSPECTOR { f Display in a Conspicuous Place on the Premises — o Not Remove Rough No Lathingor Wall To Be Done Dry Dry FIRE DEPARTMENT 1 Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. " ��21 � Office Use Only 01 4C LfUMM1111 Wr #I� 1f f llagoa.4USM9 Permit No. Il epartmPui of Public _541afEtq Occupancy,& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 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 l P (X* or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant ►`"� � `� 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 (3 New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work' `^'�����`�� � No. of Lighting Outlets I No. of Hot Tubs No. of Transformers . Total i� I KVA No. of Li•htin Fixtures 1 Swimming Pool Above In- ^� b 9 0 I grnc. ❑ grn�,. Lr 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 Ranges I No. of Air Cond. tons Initiating Devices Heat 7otat Total No. of Disposals N°°f pump= Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices No. of Dryers K'JJ i Lucal M unicipal ❑Other �.. .-�.. ...,,..._ .:,,. � ❑ Connection I No of. No:of-' LOW Voltage of bJatI r WmngcrMieatcrs K Ballasts No. Hydro Massage Tubs I No. of Motors Total HP--_- Y-- OTHER: �Y� �� sr `"� b '�J c ®7VdWA4_ eiv-, C_ i INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a cont Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES 1.2/NOC I have submitted valid proof of same to the Office. YES�NO _ If you have checked YES, please indicate the type of coverage by checking the appro riate box. INSU,);ANCE BOND Z OTHER (Please Specify) (Expiration Date) Estimated Value of Electrical Work S Z iyud Work to Start Inspection Date Requested: Rough Final Signed under the Penalties of periu FIRM NAME W, V• T� UC. NO. 1t��Ctl-l�+r'� � i nature LIC. NO. Licensee 9 ' Vc�, c� Bus. Tel. No. Address ' 4 Alt. Tel. No. OWNER'S INSURANCE WAIVER: 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 appiicaoon waives this requirement. Ow r Agent (Please check one) Telephone No. PERMIT FEE S�5 (Signature of Owner or Agent) x-6565 �r-.s�t--' -za'3,.�'Y':;z,:.,�.,e...-=���ry..-�a w�'.�-p'`F�li�:�.iu,:.-.t��a.�C,'�Ly ,-''pJ�'y2'a•`�.'�+`� t`�";'ti.'s��'a!'.> Date... 6G-- 02- 324 , %AORTM °ft„` TOWN OF NORTH ANDOVER - PERMIT FOR WIRING 1, ♦ o �i 4 SSACNUSE� - - - This certifies that .... 0:�...�.�.............1.C.o 0 a yam' has permission to perform .. .:h: .c).j wiring in the building f :.C?. { P ....... ...... a. at.;... � :.c{. .rx.Ia ; ,North Andover Mass .... ... �c�.Fee... .......,.. ..... Lic.No.a/.,rl... .:..... .......: .: ELECTRICAL INSPECTOR 0 I P�1`!04 a 50.40 PAID `. WHITE: Applicant CANARY: Building Dept PINK:Treasurer �. 4 y Location � r �� ;a No. 9 Date k) r. MaRT� TOWN OF NORTH ANDOVER ~ S 41 Certificate of Occupancy $ • coo � ' • Building/Frame Permit Fee $ �Ss�cMuse Foundation Permit Fee $ .3 Other Permit Fee $ TOTAL $ Check # /7 `--Milding Inspect/A TOWN OF NORTH ANDOVER BUILDING DEPAR'TMEN'T APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: 3 DATE ISSUED: a® SIGNATURE: Building Commissioner/InEeEtor of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 6 / 21zAVc1 y/ 'Ta" O of Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R iredProvidedRe red Provided 1.7 Water SapplyM.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 11Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION2.-PROPERTY OWNERSEEP/AUTHORIZEDAGENT ' �' %r District: Yes Nn 9'911 2.1 Owner of Record c AW Name Print Address for Servtce Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z Signature Telephone SECT Li+ ION 3-CONSTRUCTION SERVICES Licensed Construction Supervisor: Not Applicable ❑ ensed Construction Supervisor: License Number Address �� Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name M 9 Registration Number rM Address aa® t�02 7 6 Expiration Date Si nature Telephone F G) i SECTION 4-WORKERS COMPENSATION(NLG.L C 152 § 25c(6) , Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check altapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ 1 R Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed/Work: I —off SECTION 6-ESTEWATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ;� OFFICIAL USE E?NLY Completed by Eermit a licant 1. Building (a) . ..:-. >.. > . _... Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 11 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 GQ Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I> as Owner/Authorized Agent of subject property Hereby authorize_ to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AU > ZED AGENT DECLARATION I> as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name 1' Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvMERS l y 2' 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEVINEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I NORTH ovm Of 0 _ RAndover No.vSslz/ LA C dover, Mass., - 3— COCHICMEWICK V 7 ADRATED BOARD OF HEALTH PERMIT . T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. . ........ ....................... ............................................. ................................................ ............ Foundation L3has permission to erect........................................ buildings on................... .. ...... ..: Rough to be occupied a .. Chimney provided that the person acre g this permit shall in eve 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR 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 Find No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM j In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: /Yl LS y (Location of Facility) Si nat . of Pe g Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Board of Building Regulations and Standards License or registration valid for individul use only = HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: ` Board of Building Regulations and Standards Reglstra00n 143690 One Ashburton Place Rm 1301 Explratlon 7/21/2006 Boston,Ma.02108 Type DBA ASAP CONST STEVE PARIENT * �f 83 FORDWAY EXT'.- DERRY,NH 03038 '— Administrator Not vaJ'id'without signature I c` A CORD DATE(MM/DD/YY) TM. CERTIFICATE OF LIABILITY INSURANCE SEP 1304 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ROBERT BEDROSIAN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SAMEL INSURANCE AGENCY,INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 15 CENTRAL STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ANDOVER MA 01810 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Granite State Insurance Company STEVE PARENT&ALAN BELANGER INSURER B: DBA ASAP CONSTRUCTION INSURER C: 83 FORDWAY EXT I DERRY NH 03038 INSURER D: INSURER E: COVERAGES.. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSTYPE'OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS 1T_11DATE MMIDD DATE MMIDD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO ISESRENTED Ce $ CLAIMS MADE I� OCCUR MED.EXP(Any One Person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ POLICY AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-.EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: qGG $ EXCESS/UMBERELLA LIABILITY EACH OCCURRENCE $ OCCUR F-1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TBA AUG 24 04 AUG 24 05 XWC STAY MITM,-S OTHER EMPLOYERS'LIABILITY A ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICERIMeMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 H yes,desctibe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER: DESCRIPTION OF OPERATIONS/LOCATION/VEHICLES/EXCLUSIONS ADDED ENDORSEMENT/SPECIAL PROVISIONS Operations Usual to the Insured I CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Raj Malhotra FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 10 Regency Ridge INSURER,IT'S AGENTS OR REPRESENTATIVES. Andover MA 01810 AUTHORIZED REPRESENTATIVE Attention: ACORD 25(2001/08) Certificate# 7465 Robert Bedrosian 2360170225 I The Commonwealth of Massachusetts d Department of Industrial Accidents F Office of Investigations ,.•� Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: Crit/ Phone # i I am a homeowner performing all work myself. i F . I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Comoany name: L e- Address ; City./�z6~r i rl Phone* X Insurance Co. Pnlicv# Company name: Address City: PL.-- Insurance honI surance Co. Policy Failure to sr iiillliiffillir� ecure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 andforone years'imprisonment_as.weU.as_chili,penalUasin.thofmmd-aSTppyy-OW(_0RDJER.Aid..a.fine.af.($10DM)-aday.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 under the pains and penalties of perjury that the information provided above is true and coned. Signature.. Date Print name Phone# Official use only do not write in this area to be completed by city or town official' City or Town PermiULicensing []Check if immediate response isrequired ❑ Building Dept Licensing Board Contact person: ❑ Selectman's Office Phone A- ❑ Health Department ❑ Other Page# of pages F X118 Y) 3 W4 Proposal Submitted To: Job Name Job# d• Address V ` 4 Job Location 422 Date _ Date of Plans Phone# Fax# Architect 7hereby bmit specifications and estimates for: ........................._._.____.___..__.W....._._..._. ......_._................ ._......_-....__.......... . _.._.._.._..........___.-____._.___..._...._...___.___..___...__..._.._._.._.____.__..___....__..__.___.__....__.__...._.._....-.......__.__._..._.___.... . .._. .._............ _._.___..____.._.__—._.__._.....___...._...___.__._._____....._...__..___ ..____-__ ..__.___- _ _.._..___._.............__...._._.._..._____..._.....___.._ -......._....... __.. 7 II ._.__....._._.__..._._.___.._.__.....__._._._.—.._ .__............__._.___._.__.W...___.__..____.._..._. _.. We propose hereby to furnish material and labor—complete in accordance with the above specifications for the sum of: $ j7� IJJsi ✓ Dollars with payments to be made.as follows: �f Any alteration or deviation from above specifications involving extra costs will be Respectfully executed only upon written order, and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents,or delays submitted beyond our control. Note—this proposal may be withdrawn by us if not accepted within days. 01cceptance of Propool f The above prices,specifications and conditions are satisfacto and are satisfactory i S nature i 9 hereby accepted.You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance Signature NC3819 MADE IN USA