Loading...
HomeMy WebLinkAboutMiscellaneous - 64 WHITE BIRCH LANE 4/30/2018��I Date. -..3.q4.f. NpRTM WN OF NORTH ANDOVER +r 3? •� .r - - ppL PERMIT FOR PLUMBING This certifies that ..! .. ...�.....! .c. . ........................ . has permission to perform ... ...................... plumbing in the buildings of . 0 �Lt r ! < at. . �! .. I_. .�!...��! r�. S . ......... North Andover, Mass. Fee., .Lic. No. .?! L. .. ....... !yf^........ . PLUMBING INSPECTOR Check # 3 Y L G5:O 4 3 V N ASSACHUe- m l . tPr>nt oa TYPe) UNIFORM APPLICATION FOR PE' MIT TO DO PLUMBING.. .. MaMDate ��^ d— �"2,`� ri � p� Bui�ing location %.rte 4P ; Owner's Name C Type of �r�,✓i New p dation Q FIXTURES Pians Submitte& Yes Q Nor,' . l lave a ctment faW'Iity po1� of its No a-nubsbmtW aquiralertt whidt meets the �, .of MGL Ch. t42 !f you hare . checked � Wease a the� by mate boos A rabTty cltedcing the _9 outer type of amity o Botod a*'WR's WMIR"CE WNVEFt: l.am aware that the 1- bl►er ut of the lam,era1 t.aM►s~ and that mq censft does s; the prance appacwonwaNnVis ed r+a�ure of owner dr oti. s q Check one IOwner .hWft W*that ao Ot the detatls and - p�} u MUM wak andWefftu iDO1�. iOn err! uue aw aocume �p thtr.mamawsmse' pj�aODtic>ZiOnrral of the Genera Laws. Of Wised ppm Type of Lkerkw Lifer e t , �/x o J°`s'�efr"ae► L. � z _ o IcZ zo :4O = low dv s. o. 11; E CIO A 2 Date ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 504 Y,- --V— " 6 fL Fv 1, Thiscertifies that ............................................................................................. has permission to perform ....... PIPT T013 ................................................................... wiring in the building of ...... 041,5,61- ............................................................................ at 4?11 ......... WI -11 ........... North Andover, Mass. Fee... ....... Lic. No. ............. ............. ELECTRICAL INSPECTOR Check # DFPARIBIMTOFPVBuIes/1FE!'Y Permit No. BQARDOFFlREP1PL'VFN1mRE1f3I11A1i0N5527C1 mlalm Occupancy & Fees Checked APPUCATTONFOR PERMITTO PERFORMELE CAL WORK z�- ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL C E, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date -�� `�✓� Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below'. ,� Location (Street & Number) 64 W � r� 21>,% f`C� LA . Owner or Tenant Owner's Address C.V7y)e-, �. CLQ-"SgE r is this permit in conjunction with a building rmit: Purpose of Building % 1) j 4rt- Existing Service Amps 1O/ t2o Volts New Service Amps olts Yes [] No (Check Appropriate Box) Utility Authorization No. Overhead ® Underground a Overhead CM Underground Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work t�L be L-< No. of Meters No. of Meters No. of Lighting Outlets No. of Hot Tuba No. of Transformers Total NSUNE AN (/f BCND UB1PR e$zafY) FqiationDele Estir�dValreafEh" WodcbS 3t Wuk $ Aral 2-51 L� S KVA No. of Lighting Fixtures Swimming Pool Above El Belo rl Generators KVA =TdNa ;E$(- qA?-- Lt7- 4f2,1- (25tf ground AtTdNa gro afddAnV9g� W=cnd*parn[appicafianwaivesdDisra*wwt (Please check one) Owner a Agent No. of Receptacle Outlets No. of OU Burners Telephone No. No. of Emergency Lighting Battery Unita r w No. of Switch Outlets No. of du Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Tout Tons No. of Detection and. No. of Disposal No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwasher Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local ID Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heater KW No. of No. of Signs Bailasis No. Hydro Massage Tuba No. of Motor Total HP ., OTHSR- Irmia=QN=P A1&=lDlhe>ag=n0*afMMKtlJMG01W1M J1maaxWLiandiy1>sr XCF0ii:yinduftt7amp!- YES NO Ihmst htAWdvdidptoafefsameto1rOfi oe+ YESti r)mhar dmdWYFiS,PkmidrOdEtypecfoA=Wby NSUNE AN (/f BCND UB1PR e$zafY) FqiationDele Estir�dValreafEh" WodcbS 3t Wuk $ Aral 2-51 L� S �N l7ll�',` - Li=wNa l iib A tsBuri Z5 LA c,(,\ 1_rl. RCS � 618,6- =TdNa ;E$(- qA?-- Lt7- 4f2,1- (25tf AtTdNa OWMCSitVSC1RANMWAM3kl mamdmtthelivw tria><aroewm*crisabwWe#valatasmg"byMtmchmoGandLm afddAnV9g� W=cnd*parn[appicafianwaivesdDisra*wwt (Please check one) Owner a Agent Telephone No. pERlt�'I' FEE S r w DERIlD1NF1V MUDWSWE T BQDOFREPPLVFMxNE W�J Occupancy & Fea Checked �.C>•..� APPUCATTONFOR PERMITTO PERFORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODs, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dai Jul-, iA, `fid 5 eq Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street alt Number) 6,4 W Owner or Tenant Owner's Address rc' -i LA . Is this permit in conjunction with a building t: Purpose of Building /1Q I f,i t Existing Service Amps `UI tZO Volts New Service Amps /Volts Yes [D No [Z] (Check Appropriate Box) Utility Authorization No. Overhead ® Underground Overhead Underground Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work 14 eror-qL beLY No. of Meters No. of Meters No. of Ughtins Outlets No. of Hot Tubi ' No. of Trandanuer TOW KVA No. of Lighting Fixmra Swimmins Pool Above grow r7l Bel,, Gam ahn KVA No. of Receptacle Outlets No. of OU Humes ground No. of Errterseocy t.iamitts Battery Units No. of Switch Outlets No. of Oes Burners FIRE ALARMS No. of Zones No. of Rema No. of Air Cad. TOW Tori Na of DetecYdon std No. of Disposals Na Of Had TOW Total Pumps TOW KW Initistiug Devices Na of Sourdirts Devices No. of Dishwasher Space Ara Heating KW Na Of Self Carttdned DetecderdSoundins Devices Local rl Nbwdpal Odw No. of Dryer Heating Devices KW Connections No. of Water Heaters KW No. Of Na of sign silasis No. Hydro Massage Tuba No. of Motors TOW HP lasartaeC WWW- AiteuertbdEraclisesrlab QabBllswg Ihneaaarntliabiity%arzlbki%k drVCaYrlpkte crj1ssubsk"fff hd" YES NO Ihttresuhmlbdvaidpodcfsaw1o# 0MM Y45 r)eutmdmdlmdYEB pbwitcicaledrWcfw%wpby �Ab�1RP►� i BCD1:3 CTI> M C3 rlli e4anDiaRm>e�a I dry Tarte ftniadValadEbctdail Wak S Ro* Aral J ply 2 5, 2-m!5 L MW% l g l 6 A Lioe�ee No B Tffd% ;N - gllz 27-1 s - Z5 L A,,ct,\ t-gec,�.r.AkTd.Na it -►-X35- lists R!SMJRANMWAMR;I=mmdletiheL=wd=wt a�lhir eao�eageoris logiival�tasio4sdbyNla�edsl (;tsierelLawa rip+sigretseat8ispmlitappic�vrai�ftie<taqui�ennt check one) Owner a Emil Agent Telephone No, pgByMrr FEB s C& 4 Location S No. Date �— A NORTM TOWN OF NORTH ANDOVEF# 'fogA Certificate of Occupancy $ + ; , Building/Frame Permit Fee $ d se •' Foundation Permit Fee $ s�cMu Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ tZ'3S , ; Z1 Building Inspector yTn Div. Public Works Sewer Connection Fee $ '3 �O 7/ Water Connection Fee $ 1077,50 TOTAL $ t 0-7 d'ngMA ry008 Div u c Workkss r ��1tr�s� r�Gle Location IN 2- Date 40RTs, TOWN OF NORTH ANDOVE9 a?a.,...o � M- g�ft p Certificate of Occupancy $ Building/Frame Permit Fee $ aL sACMUs Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ '3 �O 7/ Water Connection Fee $ 1077,50 TOTAL $ t 0-7 d'ngMA ry008 Div u c Workkss G W= L ^. O lz a ►- p c o 0 d L U m m m M j W W W 0 cs cci O 4 "♦ 4 2 C6 m oCCD W � � W W N N N N 0 0 uu W ,, 0 fo 0 0 0 N J J f LL 4 0 N m W W W t) t7 N d G R L ^. a: / 0 M W 2 0�gap 4 � 0 Z G W J l7 m < W W < m O YI 4. 6 6 0 n c T D z Jn 1 >OI 0 01:0 qmn NZz COX MXN D-1 n 0�0 N0� p3m m IN_n u►Oa Az_ mN3 � Oz �N mwo. NCZ r m rOO -+c)r -0y0 r • -+ Z�z v Iv a �s 0 In mm mm c� m D0 i f. 1 mti A -i N z zznncm G D DO n 0p Z .- O D w n n � .. yy N C l�V0 Ii TA O 0 Qe T OX, pD nnmxO n n N y IP m N Z n n n y A � m 3: w A O A O =+ N r 00000 Z Z A O O O � O o -1 ON i N O O x A N p�� p c A A_ ~~ 0 m T T m T T T Z O y V N T< Z S tiiZ n Z Z Z G�OZfi%nN N Z Z O 3 r N N O� O C ti; D N 3 3= fJN da r A¢Q' Npn 11 s f �T Nmi �o yDZD m0m3pD>N p?i � '�N T?� p < N T D v 0 w Z p Z> p ry- r ; T { A j T Z N ~ ti Z 10 n _ N 0 I I_ 111 I�f _ Z T O'- p O DZDAp r' 040 C A y x N, m 2 O� A T i rrpDp N ;„�Zx ��w DyOD < - DN oc D -� Dnx NOD DO n !0 O TTT n Z Z covxv Z A D Z � C O N n A D n r T T T O r n 1 r x T 0 T T c A N ? 3 S A A O x Z O A T T M T N A W T O y n m Z p a N D A Z N p M -e W > C A m Z y -1 > -/ Z y~ O x A = p O x> T O< N< n T m 0 3 X m p A N r Z T 0 7C n n T —/ VA1 p A C D Z T A < x1 m z Z T N V G -- n N p D 70 Z W I I I < A D A T H T T O x D D A Q A T Z Z N x Z Z Z OILL A A NN Z T II Pt A I I I I I I I" S I IIIJ i � III I I I I I I I IN 6 0 n c T D z Jn 1 >OI 0 01:0 qmn NZz COX MXN D-1 n 0�0 N0� p3m m IN_n u►Oa Az_ mN3 � Oz �N mwo. NCZ r m rOO -+c)r -0y0 r • -+ Z�z v Iv a �s 0 In mm mm c� m D0 i f. 1 la R� .. Ii ,A i 6 0 n c T D z Jn 1 >OI 0 01:0 qmn NZz COX MXN D-1 n 0�0 N0� p3m m IN_n u►Oa Az_ mN3 � Oz �N mwo. NCZ r m rOO -+c)r -0y0 r • -+ Z�z v Iv a �s 0 In mm mm c� m D0 i f. (p_ 6' Vi f r O p��, ? C' I=m CA 2 C d �Y n — A n 0 CIOCD o N a Z O O CO) 0. C*02 �gm o =r C C b CL= y o m s ?H O C P7 C3 CD CD CL = ac d CD CD o 0 Co CL C CD �v y y O � CC C C — y v O 10 Z oq CD o o CD ,: � m 0 gy: CO . off: CD f r O p��, ? C' I=m n O O x CL a7 2 o _Wocr, Cd • �Y n �a a A n G a 2 o, 3 m o N m o� v C*02 �gm g o m s ?H Ran- a O c =r =M: ...► : Q a om- WO CL mm«:ir CD Co CL _ C O rC O d q y 3 m _ 3E CD o CD m CD ,: � m gy: CO . off: mo Ce � o CD c r^ W m ti � o ;E C5 -�' m o „ aod� C3: = : on a°Z2_�= y Zo = co CZ= m U a -�, r O p��, ? C' O O w '� n O O x CL a7 O n Gam. p o � �Y n r � eb o. C c c� n G a c� N � v L ` � a zY N Q3 E omi 0 9 0 c 7 FORM U - LOT RELEASE FORM t INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction " have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section****** -*7*,*/******** APPLICANT: Sc- �iJ_ COh7 c. Phone 3/ rI D o3 Y' LOCATION: Assessor's Map Number Parcel Subdivision �/7/-Q/ Lots) Street _ CkAU-f, St. Number Jc- ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: o� Conservation Administrator Comments `lam l tuuVC Q Town Planner Comments Food Inspector -Health a, -<I -4�Alu Septic Inspector -Health Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspect Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved 9 1,1-A?,<;�;r Date Rejected Z i r r e Z WHITE 13IRCH SANE 177.1' �`�s+ _T o 1'1 LOT 4 AREA=21,780 S.F. BUFFER ZONE T V 23.0 in m FOUHpgTi —� TOP OF oN FOUNDATION (> o ELEV. = 140.3' N 189.2, LOT 5 FOUNDATION LOCATION PLAN CLIENT. • JPD DEVELOPMENT THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. LOCATION: NORTH ANDOVERNA. SCALE: 1" = 40' DATE: APRIL 25,'1995 CHRISTIANSEN t9SERGI PRO LANDIONAL SURVEYORS ENGINEERS 160 SUMMER ST. HAVERHILL.MA. 01830 TEL 508-373-0310 © 1995 BY CHRISTLINS£N & SERGI INC. I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRIC71ONS SUCH AS COVENANTS, WETLANDS,EASEM£NTS, ORDERS OF CONDITIONS,ETC.) THIS DRAWING- SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPT N77H THE WRITTEN PERMISSION OF CHRISTIANSEN & SERGI INC. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHISITED.CHRISTIANSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR- MATION CONTAINED HEREON. BASED ON SCALED DATA ONLY THE PRIMARY STRUCTURE SHOWN IS NOT LOCATED IN A FLOOD HAZARD ZONE AS SHOWN ON FEMA FLOOD INSURANCE RATE MAP. COMMUNITY NO.: 250098 0005C DATE. -612193 - CA?A DRAWING No. 93067016 T rn CE C0 CD z • CL m n n C2 CS n N � CA "M v'CD c O Rm1 a o �mo� C a' O � m � 0 CO) C7 r) CA o H o : *t - Z CSD O 0 C oo o m :� :d � i Z ?H� D �z vs R yr a =�5 -n r- CD O '0 ;:Scc Q z C- r n� 0, -C D O �o CD O CD m O _ N 0 CD let coj CD H CS dCr � O C)CD Q a:3 O .n H H �� O �' H C'' .0 o C 1 CD Z '*m : cm CD ='o e -r m Un O O O CD O o Sao moi M cf)m O O y CD CO) o m tit z o m c COD CO2 CD cc'� •• CD CC �.+ F. co CD �' 90=2 t MU m ., (D^ ^ p z 'tee o o n 7' o o �o C ' C n a C x C) co (iA v omi 0 9 0 c n m �o MOM mn On 0 �m k O z 'n O(J) C �m > go CL 00 94 CD 0 � C z 0 Tows x x CL r� x� d m9 z tl�roo� rn Z Q n wq v'19 wo (; o c b> � �o x d m � d z � A � w d � r� z � I v � n m �o MOM mn On 0 �m k O z 'n O(J) C �m > go CL 00 94 CD 0 � C z 0 �D cv079 �2 Lo. :3 V) 14'0" 7'0" 7'0" 28'0" 7'0" 14'0" 7'0" 2'10" X 515" 2'10" X 5'5' m o s Q > cn r ' o I Z D, � • G7 aT a , O X T I i I 216" 3'41/4 4'6" 373/+" 2'2" �) rnrn N 2'6s O a r— C O ■ I � I I - o Ii O O ----- ----- ------ -TI OO 2'0" r A (3i No °; U N3 31610 OO - V = 3'0" 5'8" 110" 6'6" N O O D X 1 c x a m O O O NO C O 9 X CT O 2'10" X 515" Y 2'10" X 5'5" 7'0" 7'0" 7'0" 14'0" I 14'0" 7'0" 2'10" X 4'5" L'N 216" i 5'8" rn a� 4'6" 2'10" X 4'5" 7'0" 0 N ? Cn O CD O T Q � X 0 3 N N BATH. cn O vows 2-2'9" C4 0 ' 0 0 o ry 1,o" o CL. 2'6" 10'6" 716\ \ , C ---------------- - 0 N 1 - - - - Q ►v I x M BATH ' I I D, 01 I 2 4" o� CL. -�---- - - - --� N Vj z 2'10"X4'5" \J I 7'0" 18'0" 11'0" 28'0" 4'0" 6'0" 10'0" v C, v O 7'0" _ I _ 7'0" 2'10" X 4'5" L'N 216" i 5'8" rn a� 4'6" 2'10" X 4'5" 7'0" 0 N ? Cn O CD O T Q � X 0 3 N N BATH. cn O vows 2-2'9" C4 0 ' 0 0 o ry 1,o" o CL. 2'6" 10'6" 716\ \ , C ---------------- - 0 N 1 - - - - Q ►v I x M BATH ' I I D, 01 I 2 4" o� CL. -�---- - - - --� N Vj z 2'10"X4'5" \J I 7'0" 18'0" 11'0" 28'0" 4'0" 6'0" 10'0" v C, v O J 1 0 Q. Ty� f7i 7 1 nI LLU i 7'BV2" �� N. r= 0 0 2• x r o�00) t-) X 0N CCD O � 1 co O •+ 93 N p C X O .� N^ a0 a+ -0. °c to D f C•O O O OL CD r CD (b C3 rn o a o o 0 � �� N. r= 0 0 2• x r o�00) t-) X 0N CCD O � 1 co O •+ 93 N p C X N^ a0 a+ -0. °c to D f - o <O CD r CD (b C3 rn o a o o 0 � CA 0 C C 14'0" 7100 _I_ 710" 1 /• ----------------------------- 0 --------------------------- 1 � 1 1 I I I I ►1 1 0 D Ii 1 I Q XID � 1 1 ►► 1 m O Z7 1 1 1 1 = x m ' 1 1 ► QI 1 ' 1 D 2 1 � 1 1 1 �•� I � � 1 1 ' ' I � I I 1 1 1 /► 1 1 I 1 I 1 ' ' 1 I 1 ; I ' p► 1 I ' 1 t 1 ��► 1 Ln 1 1I 1 ►► 1 /\ 1 - --0-0 1 1 1 1 ` 1 1 1 1,4'0" 710„ � P► 1 1 i .►► 1 1 � � 1 ' 1 I (.,r 0) I '•, ' 3I 1 NN fin? 'x ' Oh a Ina �• I X fnD I ' 1 cc- X r4- 0 CD 1 ' O (7 CD—.:.n- I I I '►► 1 =3sO -0-C) N 1 1 rt C:7 co '00 H i I 1 /► 1 � I I 1 �►, 1 1 � 1 ' ' 1 1 ' � •► 1 1 � 1 I 1 1 1 p► 1 I 1 I 1 1 t 1 '► 1 ! I 1 1 ' I p1 1 I I 1 1 1 1 1 I ' 9'00 x 7'0" Overhead door ' ' •/ 1 -------------- -------------- J_ —�� Bottom of frost wall foot' g: 410" below grade (min.) 1'10" 1 512" 7'0" 281011 7'0" 14'0" 14'0" 710m 710" 710"710" I� rY ------------------- r ------------------- v , I - ----------------------------- -- 1 1 I 1 1 1 1 1 '►� 1 10 w 00I I , I m ' •, , 1 CLrrx 1 1 , 1 CT CD a Qs Q I 'D -0 x 0 m 1 I N s —I ' I 1 CD CD = I 1 1 CD ^ 1 1 P► t S � I � t t I O 1 I 1 0 I I 1 1 1 I I C I I C 1 I 1 1 1 1 , 1 I , •'� 1 I I 1 1 1 316"I 1 , 1 1 , , , 1 1 1 1 , , I 1 I 1 I 1 1 , I 1 I I 1 f , 1 1 •' � 1 1 o, 1 310" ' � 1 , 1 '► 1 1 1 N 1 1 , 1 1 1 1 � , 1 t 1 1 1 ,• , , I , I I I I ' 1 1 , 1 0 �\ �• S\ I 1 1 , I NN 1 , I pO I 1 1 v cn 1Pr 5*' I a r- ti 1 p l I CL p t1 x �+ 7 ' I CD O Q' ZJ 1 CD , OC ILOrZ I N , 1 1 O 2 3 -0 CD '03 0 1 1 O N >, v \0 m m oD0 1 ; O •N O � •+ � Cr CD CCD I ! 0 CL CD 0 , 1 �= CL I 1 O , D 1 I1 1 C)IJ 1 , 1 1 ' 1 1 , ;u 1 1 , I , 1 I , , 1 1 CD CL CL 1 I t , •P 1 1 1 , I 1 ' I , t I 1 •�� 1 I I 1 1 Lo I 9'0" x 7'0" Overhead door •� 1—T-----------------------------� ---------------------------- 1 1 1 v T --- - - - - - - - - - - - - - - I I � � • 1 1 1 1 , ------------------I-------------------T, � ---r----- wwwwww���.�.�.�tttttt v , I -------------------------� 1 I 1 1 1 �D � 1 1 1 , I 1 •, , C) 1 , 1 CT o z 1 'D -0 x 0 "(U 1 :*EO O I 0 I C C 1 I I 1 , 1 1 , I 1 , 1 1 , , I 1 I 1 1 f , 1 1 •' � 1 1 1 � 1 , I N 1 •D , 1 1 , 1 t 1 1 ,• , , I I , , ' 1 1 , 1 1 , I 1 , I 1 , Q7 NG-) 1 CI I 1 I CD O Q' ZJ 1 ,, , OS O< O D 1 • 1 1 cod U 12 G -);fl. 1 ' I I 1 >, v \0 m m oD0 1 ; O •N O � •+ � Cr CD CCD I ! 0 CL CD 0 �= CL 1 O 1 D 1 1 I1 1 C)IJ CD 1 D. ' 1 ;u 1 1 , 1 1 CD CL CL 1 , I Lo 1 1 I 1 , 1 I I I � � • 1 1 1 1 , I 1 , 1 1 1 1 0j 1 D• , I I1 9'0" x 7b" Overhead door 1 1 I------ - - - - - , D 1 � -t ---- r ------------ t - Bottom of frost wall foot' g 4'0" below grade ;mh) 1'10" 1 502" 7'0" 28'0° 7'0" 5'2" 1 1'10" Location a No. Date &/, — 7-e NORTFTOWN OF NORTH ANDOVER • O� 9 Certificate of Occupancy •• P Y $ '7b''•a°'''��' Building/Frame Permit Fee $ \SS.�....aE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ S t/,� -7 Check # Buildinq Inspector • TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING a „>._` „r BUILDING PERMIT NUMBER: DATE ISSUED: �-- SIGNATURE: Building Commissioner/InEeEtor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Addr1.2 64 WCC r& LWOW_ Assessors Map and Parcel Number: r I Map Number Parcel Number NovIC A iA `otler MA Oi Q[/I� V �l 7 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Z ()1g0 ZRN Lot Area (so Frontage 06 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private 0 Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT r1isloric Is rift: Yes No 2.1 Owner of Record Ch45 C. )-,M5� &y wLi% V-►.cA LAHe Q 4 Address for Service Name (Print) , � Q 9 7 g % SZ g S % �( �it► r / T �+ct�n�e � U ��i �.. rgnature Telephone 2.2 Owner of Record: Name Print Address for Service: Si na'lirre Telephone SEC ION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor::Not ,rn l LA RPow-r"" f"V��7�W Licensed Construction Supervisor: 13 p Rk D i Address Q -, Signature r Telephone Applicable C License Number 2 f�z Expiration Date 3.2 Registered Home Improvemjen't Contractor �^ L ` Not Applicable ❑ ' ` Compahty ame Registration Number (4�( Z O/ l9 AddressJ Signature Telephone Expiration Date 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 aoolicabte ) New Construction ❑ I Existing Building ❑ 1 Repair(s) ❑ I Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other V Specify Oetk rerlrt►�►1'rM a*t ft" i as Y^ Brief Description of Proposed Work: N eY S -KI tOxt2 1,4.1i Notre ltaa141 asi ra:Ir)at ?44*vVrJ c 4 4 IGxt I ft Je cc "..9 Mv� _� Bio, � w_ �drse s 1:..�_�"�h, D�..•�T_ r4 I- (thj Cla, 0. 7, ECTION 6 - FSTIMATF.D CC- 1 wKV41 d� rc M/ tiA 4 VCTRUCTION Cnv%TC ffl�14a «(iha t e����� c{ecX.�Gecv►dT Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building O �! , f �J (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical(HVAC)�D 5 Fire Protection 6 Total 1+2+3+4+5 Check Number JEL1IV14 is UWiNEKAUIHUKILATION TO HE COMPLETED WHEN OWNERS(( AGEppC NT OR CONTRACTOR APPLIES FOR BUILDING PERMIT i, cz4t' we -r IV as Owner/Authorized Agent of subject property Hereby authorize S Lei A r rQ rs" S to act on My be 11 matters relativ to work authorized by.this building permit application. r .0 -C Si ature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, S ,,, !� - C' C- S p t'� S as Owner/Authorized Agent of subject 't property { Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief 41 ? t?c, e - S e "s- S of Owner/. Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST2 ND SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE C. 1v0' T7'�1r dl°cJQc GcM+ya.'•6t �. $� �''l GK L.►r �( 6C �% rl'1�/`���^� FORM U - LOT RELEASE FORM New I fe -F%0 PeCr, Cz C -c. '0V C. K a raft I S ai ►.� a vt&" :)� ve IC L/C5� os 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 or requirements. ******APP//L'' ICANT FILLS OUT THIS SECTION****-******************* APPLICANTS Gt f'(�1' C Iru�►S� PHONE l ��0 Z aT6 l LOCATION: Assessor's Map Number ( PARCEL O,SUBDIVISION Q / n LOT (S) rllSTREET �D ��' (�� I'`''� L� ke ST. NUMBER ******************OFFICIAL USE ONLY ***** S TOWN PLANNER COMMENTS FOOD SEPTIC INSPECTOR -HEALTH DATE REJECTED DATE APPROVED DATE REJECTED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm FF -Ah i tj G- 1(9 'o f c 0 t ti<- T v le A Ll Fet A� -v- 3'c, Cf wa N77 7 'o f c 0 t ti<- T v le A Ll Fet A� -v- 3'c, Cf wa rn L w L LO ri OD + N 0 -2 +r n o O N m Z X LL O 0 No T' II O + LL p (XO N 00 Ui t0 v OX N U ti co u) r` w cO W ti ti N0000000cm 0 o 0 0 0 0 o O O 00 90 00 90 O O M M O O M �.r NV N ONNV VwcOo tAVmMVOta7MN OD v 0,6 �0 CO O th W) O Mo r t� v M 1 000000011- O O O I W O 00000000 O o J t V Lo COVNVNVVO r N T- (14 N wO O N p`O N —� Q • IQ W 11 11 11 O 11 AlJ R ~ � O F+ me 6w 69 6960V),N 69,N N N co 1— t.i Z a U. LV Its /L U) �Q L yam+ 0 Co M O L O m O� x m rr�n� V •{` c CL (} O m ° 1 c c-0 - L o Y O .o @ C N to fl X vi cawa {1✓ X L DOc O m U OOCOOC c 0 ° m 30o- - - : L O X X X X X X� O U = C VNNNNNlnLL U (n C 00 OO Cr? tO N N t� V ti) LO �O V LL _ LU wLo W � � a Q LL z F W z a 0 cc O m U V m 0 a J LL t= North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM 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 c11,S150A. The debris will be disposed of in: (Location of Facility) ignature of 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 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit I Name Please Print Name: 4 LA P, PC? r1.0 N S' Location: / F- City -�t-v k In^ IP -'c c! Phone 0 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers' compensation for my employees working on this job Comoanv name: _ Address City: Phone # Insurance Co. Policv # ComDanv name: Address City: Phone #: Insurance Co._ _ Policv # Failure to secure 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 and/or one years' imprisonment.as.wcell.as_civil.penaltiesinlhefnrmd a..STOP WORK..ORDER..and..a.fine.of.(.$100.ODJzday against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. ;�E�, Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept []Check if immediate response is required I] Licensing Board p Selectman's Office Contact person: Phone #: Health Department Other Town of North Andover Building Department 27 Charles Street North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax Please print. DATE JOB LOCATION HOMEOWNER LICENSE EXEMPTION Number Street Address Map / lot "HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State The current exemption for "homedwners" was extended to include owner -occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor: (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner' certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Zip Code r to O On ii Q Q s, s� C--., HE CIRCLE RISE M N mj Q � M M M M ZQ ^ N JZ�w ° Q) q.� ((^^ c l Ql- Lo amiLO �S o o M M I 2 h o <t O 44 V~Qq LJ Lq Lo 4j Q Q Z J o o U,6 ,✓ � Q F� 4! J L-LiZ p U U >'C � m 4� Wz�o I� � L4r. c � � 5 Z OJ rtZ V � ^ C) O 4 D �d 00000QQ��QWW CQ 1 V iz r to O On ii Q Q s, s� C--., HE CIRCLE RISE M N Oo \S N q o 4 O :J/�w+M•l1a_`Oi�w.w1i7 YA:fL IRw1•AI'1f�.W)! � �atYYM• �I•N �ItRY/ r11f•Y• ©T.fL=Y'3Y K•X1Tj«h��rw4T•TJI.Y VM1 ►FLYw�I•!►\t'/I`I�tIa�A�'II.OI Rr\\Ivf•O/I.Y/•vh0 V K7 M Lo 1-1O M � M CQ ZQ n 2 Lo Oo \S N q o 4 O :J/�w+M•l1a_`Oi�w.w1i7 YA:fL IRw1•AI'1f�.W)! � �atYYM• �I•N �ItRY/ r11f•Y• ©T.fL=Y'3Y K•X1Tj«h��rw4T•TJI.Y VM1 ►FLYw�I•!►\t'/I`I�tIa�A�'II.OI Rr\\Ivf•O/I.Y/•vh0 V K7 M Lo 1-1O w O No � a0 c a a h � a w 0 w •� w�� w w U 79 w" a �, 0 rx 5 rs. a w��� a � w" x o w G w �. � m o cn v cn cr—, 4j, o= 0 y4 o c d �� •ate ` R ox r ' twu r.+ m 3�ES oma = m c E CD N m; z 4 o�v N av � w N - o IC -cc* c �♦ :Coat N °° V � C,3s c a � o, c H H w y -S~ m COD t uml � dt 4_ •N A C Z `� •N Q Ci a m�0� g z 93M .1 &- co G m �$ � �y� F- .c a m > Z 0 C y O .E CL 0 v _O CL y O cv h O v 111i c c h