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HomeMy WebLinkAboutMiscellaneous - 655 SOUTH BRADFORD STREET 4/30/2018 (3) / 655 SO BRADFORD STREET _ 210/104.D-0148-0000.0 f. Date. ..3 3/ ....... . Of`40RTk 1ti TOWN OF NORTH MOVER • PERMIT FOR GAS INSTALLATION s i r • �s SAC'MUSEt 9 This certifies that . .... .. . . ._ . . . . . . . has permission foi as installation in the buildings of)J . . . . . . . . . . . . . . . . . . . . . . at . !�. Vis. ,r u-. . . . . . . . . . North4 Andover, Mass. Fee � �.�'%d Lic. No. . ... . . . . . . . . . GAS INSPECTOR Check# 6374 MASSACIIUSErlS UNIMZMAPPLIMON FOI2 ITRABT TO DO GAS FI TI' NG (Type or print) Date �-- NOR7I1 ANDOVER,MASSAC)IUSL CTS Building Locations d��� �, Permit It 3 Amount Owner's Name New® Renovation Replacement Plans Submitted � a W V w a oF. x N L as v� F O n. x w t w z u A x �, z o H w ti F~ T W raj Cwh p > w w H w A ' Wy W SUB -I3ASEM ENT _ B A S E M ENT _ I ST . F L O O R 2N I) . FLOG R 3R 1) . FLOOR 4 T H . F L O O R _ 5'TH . FLOOR 6TH . FLOOR 7 T H . FL O OR 8T11 . FLOOR (Print or type) / hec one: Certificate Installing Company Name 2i:!PC SQA (/Z- CIV Li Corp. Address ll je� (Jt Partner. Zi r-en crd-2d Business Telrp rove ( z � ® Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No E] if you have checked yes, please indthe type coverage by checking the appropriate box. Liability insurance policy e Other type of indemnity bond "I Owner's Tnsnrance Waiver: Tarn aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit applic"Nion waives this requirement. Check one: Signature of Owner or Uwner's Agent Owner Agent I hereby certify that all ol'the details and information I have submitted(or entered)in above application are tnre and accurate to the hest of my knowledge and that all plumbing work and installations performed qdtr Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetls State Gas Cnd and hapte 12 of the Ger ,al Laws. a ttre of ,ceitsed Plumbut Or Gas �if.tcr Itv: Q Title !'lut7rher ('ityll'owm HICir cr Lx;rnse nlrt�Ter Master �1'�'IZO��EI)(orrrct�.usr F�vi.vl F"'1 Journeyman ;Location No. Date l> r' r &ORO TOWN OF NORTH ANDOVER � 9 s i Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s�cM�sE 9 Foundation Permit Fee $ Other Permit Fee $ _ TOTAL "Check # r � 1 Building Ins of i ! I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: / DATE ISSUED• ---�F SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: S, gra 6►- �fi p�� Map Number Parcel Number —i",I Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided o V I1 1.5. Flood Zone Information: e l S 1.7 Water SnpplyM.G.L.C.40. mation: 18 Sewerage Disposal ystem' � Public ❑ Private ❑ 1 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ n SECTION 2-PROPERTY OWNERSE II'/AUTHORIZED AGENT r 2.1 Owner of Record O Pacd cvw"4z, S erad W �f Name(Print) Address for Service Signature Telephone a 2.2 Owner of Record: Name Print Address for Service: r Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: t License Number o Address 9 ' Expiration Date e Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ e r� Company Name Registration Number r Address Expiration Date Signature Tele hone I � SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) i I Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result j in the denial of the issuance of the building permit. j Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work check altapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. Demolition ❑ Other ❑ Specify j � Brief Description of Proposed Work: cod hokv loon advr- ��� for brV O'C!5 - o be d c[I've-e d a&& L>cii If VShfck' U96. ii-o�c. ►` 1 Xly : SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to begE }�CIL>fIE ONIsSt�� Completed b ermit applicant '�`t 1. Building (a) Building Permit Fee 100' O 0 Multiplier 2 Electrical _ (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)X (b) 4 Mechanical HVAC —_ 5 Fire Protection - 6 Total 1+2+3+4+5) FCheck Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUII.DING PERMIT ` I,_ A �- P44 ':�'Va-(fz- ,as Owner/Authorized Agent of subject property Hereby authorize to act on My bein all m erP ative to�work authorized by this building permit application. 9/Z0101 0'O' SignattYe of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 s"r 2ND 3RD SPAN DIMENSIONS OF SILLS DMIENSIONS OF POSTS DEMENSIONS 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 i FORM U LOT RELEASE FORM IA., `f 0? obot 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. ******************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT ICC fii PHONE-7q q-7q�� LOCATION: Assessor's Map Number l 7'�' PARCEL SUBDIVISION, n LOT(S) STREET �1 S �rGLUY ST. NUMBERV4496 *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OFT WN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED 16 3 0 DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FO D INSPECTOR-HEALTH DATE APPROVED DATE REJECTED i& SE15TIC INSPECT -HEALTH DATE APPROVED lot COMMENTS V DATE REJECTED � 5�.� PUBLIC WORKS- SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 I'm $.,�,� 5 B•LAP L c4 2S- 4q, �r55F{ i i mI m m 1 � 1 i IIS 'Dee-V- ` - I i 15D' SS i f AP MORTGAGE INSPECTION PLAN scale; � Date:(g — � f1 � wded to N• S Registry of Deeds Book 374(,x,, ✓,/1Pa9e 63 I shown as lot 2�`j an plan by raS-��Y�1 t.r,Q��YI� �Cv--�� rySSUC, and recorded Its Q-,.) 'pl.tt 12,1 DA Book page ection plan was not compiled from an instrument survey and in not intented corded. Under no circumstances are offsets to be used for establishing property for construction purposes of any type. of etructur-(a) as shown hereon were either in compliance with local zoning ; In effect when constructed (with respect to structural setback requirements only), PA exempt from violation enforcement action under o v'�" Title Vlt, chapter 40A. Section 7. t'of the dwelling as shown hereon does not lie within the Flood Hazard Zone No. 046 ! Ity Map No.Zs>�©q g . The Flood Hazard Zone has been C �� ad by the scale shown on said map and Its location Is not necessarily accurate. determination cannot be made unless a vertical control survey In performed. u„ nl2ni; Loo 2� + m m f { i 15D' ND { I � Location:� t��s S,P�rar�.w�- MORTGAGE INSPECTION PLAN scale'-_ � � �(�- !2-U Deed recorded In N. ��jy"T Registry of Deeds in Y } ���Book �Yf.4� t'y`JS t-. �: and being shown as lot 2J�""'� on Plan by �Cl5'iC. � C.� �U:.rV'�� Dated and recorded boa,.) This inspection plan was not compiled from an instrument survey and in not i tented P►oP Y _ to be recorded. Under no circumstances are offsets to be used for establishingert lines or for construction purposes of any type. OF'sem Evocation of structure(s) as shown hereon were either in compliance with local zoning o� by-lows in effect when constructed (with respect to structural setback requirements only). pAU or were exem t from vidation enforcement action under J. Mass. G.L. Title Mi. chapter 40A. Section 7. y Location of the dwelling as shown hereon does not lie within the Flood Hazard Zane No 04IV Community Map No.2s(7OC($' The Flood Hazard Zone has been c� Elk determined by the scales own an sold map and its location Is not necessarily accurate. N� j Accurate determination cannot be made unless a vertical control survey is performed. j P.E. DESIMONE SURVEY 3s Coffee Street _Medwa . Ma. 02053 t,NO sTH, Town of North Andover o� ;,+ Building Department p 27 Charles Street North Andover, MA. 01845 *�s•TMe.:;{g► D. Robert Nicetta Building Commissioner (978) 688-9545 ":(978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE Ld f JOB LOCATION �."J S �rGt� )rd Number Street Address Map/lot ,.HOMEOWNER �G({�Lf !&t1v& fZ_ q78-S- 7 61 y --7 qg-(R, �75� 53R,_ Name Home Phone Work Phone PRESENT MAILING ADDRESS_(p5'5 S,&adfvrd �f, N- pmd o yer MA City Town State Zip Code The current exemption for"homeowners' was extended to include owner-0ccupied 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 • u APPROVAL OF BUILDING OFFICIAL NORT#q Town E of Andover � X -12 No. /FY ~ 1 -0- o (� dover Mass. �U —3 6�0 coca C 'C f 1 ADRATEDP'P�\,`iC� S H � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.........`....4�..... .. ....... w Z :...... Foundation has permission to erect...l................................. buildings on . ©' Rough to be occupied as...... �d '� v p� / 'V 2Ean (-IA.re 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 Jelating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. /P Y 4D//4/8 .2,S-, — 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 RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE .I Location No. fd Date `13 /�� TOWN OF NORTH ANDOVER p Certificate of Occupancy $ h �e Building/Frame Permit Fee �$A. tryArloJ ssACMUSE Foundation Permit Fee I $" VV fy;i Other Permit fee `° $ `Sewer Connection Fee $ /7-z War,� on Fee $ n 9/l? y7_ 71 9AL J., Building Inspector Div. Public Works Ail j: Location -SC�� � No. -4213 Date l� �'�1•— Date QtNaRTM - TOWN OF NORTH ANDOVER t Sao a,h 'p Certificate of-occupancy $ ; ; Building/Frame Permit Fee $ �cMusE Foundation.Permit Fee $ s Other Permit Fee $ c:� � � Sewer Connecti�ovn'F -� $ !/ L5 IF l4l W e i'dri pee $ 167)r). Lo AL $ 12,vvu. r,o wilding Inspectfir Div. Public Works r Location - No. v Date - s "ORT"1 �" TOWN OF NORTH ANDOVER 3?���t�•�-'� 6��C� 1 r" -ter a Certificate of Occupancy $ + Building/Frame Permit Fee $ �,SSACMUSES� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ water M P� ci �te $ Building Inspector �doVe�C®ler �9.P Div. Public Works PERMIT NO. 'I�-0 - _ _ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. iC � O PAGE 1 . SAP 4-40. /�f�.n LOT NO._a3"�f 2 RECORD OF OWNERSHIP (DATE BOOK PAGE — TONE 7 I SUB DIV. LOT NO. zg �s LO ITCH O - PU RPb2W_0_f BUIWI51NG Si > , ►? OWNER'S NAME f• , NO. OF STORIES SIZE OWNER'S ADDRESS 9 i/BLS c� BASEMENT OR SLAB n O( (w ARCHITECT'S NAME J ��Vu v / %'IC�p�S SIZE OF FLOOR TIMBERS IST r� y /,o 2ND ' 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS T DISTANCE FROM STREET /` POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS e; AREA OF LOT / � FRONTAGE /6-O HEIGHT OF FOUNDATION a THICKNESS IS BUILDING NEW �. SIZE OF FOOTING `rX X IS BUILDING ADDITIOf4 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 LIAE INSTRUCTIONS /�`}� 3 PROPERTY INFORMATION Fewm ONLY LAND COST 114 SEE BOTH_AIDES REGtIU�TED BYPARA. . C, + 9& & EST. BLDG. COST/1 oL V PAGE t FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. f PAGE 2 FILL OUT SECTIONS I - 12 DATE -Ltm PAID !� 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 e PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED 6 BOARD OF HEALTH SAidATURE O WNERA'(jTHORIZED AGENT FEE OWNER TEL.#'_ / �/ PLANNING BOARD PERMIT GRANTED CONTR.TEL.# tg CONTR.LIC.# ICA-) BOARD OF SELECTMEN PERMIT FOR FRAME/BUILDING DATE FEE PAID'_.__ WE FRAME PERMIT$ ,IT� S e N � BUILDING R INSPECTO$ 5"s�� a � p A 1 BUILDING RECORD ; 1 OCCUPANCY 12- SINGLE 2-SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS Q- F 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 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 BASEMENT 11 AREA FULL FIN. B'M'TAREA _ '/ 1/1 V. FIN. ATTIC AREA _ NO BM'T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS _ B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD\N'D _ ASBESTOS SIDING COMIACN y VERT. SIDING ASPH. TILE l f(a�yin STUCCO ON MASONRY i■n rsv. STUCCO ON FRAME �y 2-0.011 AMI Yd OKAj BRICK ON MASONRY ATTIC STIRS. & FLOOR I_ >� BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRINGflea n STONE ON FRAME _.-._. ,f,. SUPERIOR __�IPOOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH 13 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 II 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_ IS NO HEATING !"FtT}M4A 1 Y FORM U - LOT RELEASE FORM INSTRUCTIONS: r`,ais 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/ hills out this section***************** APPLICANT: d, r 4i �l�r Phone LOCATION: Assessor' s Map Number -0 Parcel .Subdivision (' � Lot(s) Street 01� _ St. Number CS-5 ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: G�1�5�4 Date Approved Conservation Administrator Date Rejected Comments iA Date Approved • 2`l. `�7 _ To n Plan er Date Rejected Comments r a y` ZZ" j Date Approved Health Ag nt Date Rejected Comments Public Works - sewer/water connectio - driveway permit �i_ ce d���,�,1�.} f 1. A4-^---- Fire ^----Fire Department Received by Building Inspector Date SEP 1 4 19 � PL4NN NG ' FINALCONSERVATOATH SEW /WATER ��_�INAL AL Town Of n over 9L9 DRIVEWAY ENTRY PERMIT -m- � 992 C MEO over, Mass., -Sc-S� 174 9 AoRdip IC Pay BOARD OF HEALTH PERM .1 THIS CERTIFIES THAT......... ........... f- K....� ..... .............. � SS S0, �CQ •TI BUILDING INSPECTOR has permission to erect ..W .......buildings on �.... �.� ............... ... .. Rough C. l�l,N .�� ..��A.1 W/it, LTl7!� N ,, 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,AK"IffW ONFIN ONLY Rough Buildings in the Town of North Andover. REGULATED BY PARA." 1142-& &C. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. A� ;� �rop PERMIT EXPIRES IN 6 MON 1D PAID — ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS � � Rough PERMIT FOR FRAME/BUILDING Final ... ... ... . . ............ . .. DATE: FEE PAID:._..... .•BUILDING INSPEcrOR 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 Smoke Det. clam,# isem'7 Building Inspector S COMMONWEALTH DEPARTMENT OF PUBUC SAFETY s 1010 COMMONWEALTH AVE. s OF BOSTON,MASS.02215 MASSACHUSETTS ENCLOSE CHECK OR MONEY ORDER LICENSE EXPIRATION DATE CONSTR. SUPERVISOR FOR REQUIRED FEE, 06/30/1993 `` L�`-j MADE PAYABLE TO RESTRICTIONS ° EFFECTIVE DATE LIC-NO. p NONE 006/30/1991 016511 0 "COMMISSIONER OF PUBLIC SAFETY" A mALVIN J FMAILLET - (DO NOT SEND CASH). 3 WESCOTT ROAD . SS 4 024-30-3375 ANDOVER MA 01810 PHOTO(BLASTING OPR ONLI1 FEE: __- .. 100. 00 HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY SAMPED OR SIGNATURE OF THE COMMISSIONER DOB: 05/15/1937 DO NOT DETACH LICENSE STUB THIS DOCUMENT MUST BE SIGN NAME IN FULLABOVE SIGNATURE LINE CARRIED ON THE PERSON OF SI NATURE OF LICENSEE THE HOLDER WHEN ENGAG- OTHERS-RIGHT THUMB F.,11 ED IN THIS OCCUPATION COMMISSIONER 2DOM-2-87-81429 11N MING FI� AI�®6�SER1lAT 1 SEW /WATERO�� FINAL own of �< <c ; nalover 0 No. JK DRIVEWAY ENTRY PERMIT ' � 7. 19`12 wCj EAr o er, Mass., ScS-r�-'. 0'r P� i BOARD OF HEALTH PERMI LD I THIS CERTIFIES THAT.........A'..�!...L!ANP(mU i.�....AR#..ST��Lt�lq!A ............. h � BUILDING INSPECTOR has permission to erect W OC„�,....... buildings on , �.. Ss . ..54 fbf q ') `y Rough l ,N t7C.!��.�Ly w PIA w"" �T/'f��'•"�� �/V ,... Chimney tobe 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,AMMWFflIWN ml N BNLY Rough Buildings in the Town of North Andover. REGULATED BY PARIL 114.8& &C► Final VIOLATION of the Zoning or Building Regulations Voids this Permit. D9 } Z?i PAID'�� ELECTRICAL INSPECTOR PERMIT EXPIRES IN 6 MON1 Rough UNLESS CONSTRUCTION STARTS Service PERMIT FOR FRAMERUILDING A Final o ... . ... ... . . ................:..... .............. DATE: '0j_1 3 1 FEE PAID: �� BUILDING INSPECTOR 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 Smoke Det. C� ts�3 ��� C►c `i �,�)Building Inspector 6 OCT 1 9 I0a9 r r �pp - �—_ ..._--__ ,•' �CGHTEO 11..1 {`�D. �NfJOV�� p � A.01 LOT 01ST. rwr•4D. •3s' r 5OUTH V D�R�. �'•�AY G�2.T11=Y THs✓ o�FSE'TS . USE c�' -r`i-t E. 'F3 u��n�►.l C� '��►s�+EcTo �b��OF S K a w� Co1.nQc:.y t o uc�y a ti.►o S vGH v s E. �s �'o si✓ +' W r-r-1,4 TFl E zoU iU Cs s✓2 tr t w1 AT l o U-i o F' r c=,&-A i I.,j Qr u i E5-/ L.C1vtdS of CouFofLMi Ty o2. 110►�1 Cowi�o2,+r'1fTY No. PRsDdj(�;-K tit,, NAr N 1✓u co U'!=-;f . I A Location �,?,a- l�h- t-.��- /_ •-' f4o, Date NORT1� TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame PermitFe�.$, ^e1 y I IAC s+cMus t� Foundat*1QrMY _'�� p LUAR Other Perm t Fee $ y 7• Sewer Connection F -At Water Connection Fir TOTAL APR ` � Building Inspector Div. Public Works APPLICATION FOR PERMIT TO BUILD — NORTH ANJVER, MASS. ,- A) AGE 1 � � S i s3-- MAP 4-40. LOT NO. 12, RECORD OF OWNERSHIP ;DATE (BOOK ;PAGE — ZONE SUB DIV. LOT NO. L ATION URPOSE OF BUILDINGtA �l wifii// WNER'S NAME C Ps NO. OF STORIES ASSIZE" / WNER'S ADDRESS r J BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD .BUILDER'S NAME ABY SPAN -- (DISTANCE TO NEAREST'BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS A EA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW L'�vf SIZE OF FOOTING X IS BUILDING ADDITION / MATERIAL OF CHIMNEY S BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO FV&UIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER 4f _ IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROPERTY INFORMATION INSTRUCTIONS LAND COST SEE BOTH SIDES T. BLDG. COST Iev PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACFSED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS e PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR , DAATE FILED / X, BOARD OF HEALTH SIG TURE OF OWfifR OR AUT ORIZED AGENT PLANNING BOARD PERMIT GRANTED OWNER TEL. C7 a 0 TR.TEL.#,--r / 19 �ti� CONTR. LIC.# 7,i " BOARD OF fELEGTMEN • 1 NG INSPECTOR IIE_DING DEPAPT MEN' 7 p; f _,r Jc FlEPAR 110EN� 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 2 FOUNDATION B INTERIOR FINISH CONCRETE _ B I 2 13 CONCRETE BL'K. ---III PINE _ BRICK OR STONE HARDw o PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M AREA _ 14 1/7 '/. 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 HARMU'D _ ASBESTOS SIDING COMMON 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 GABLEHIP BATH� GAMBREL MANSARD TOI�p$ILR 12 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 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. S 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 ist 13rd NO HEATING V • s NORTH Town of And ! o a � dover, Mass., /r L 197 ADRATED '9S H BOARD OF HEALTH Food/Kitchen PER. M IT . T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ' .�..I�'1I11�,L. .., ..T... a., ....... ... ...�. .................. �......................................... Foundation has permission to erect.. 7.~. . .AVS....... buildings on ....4..S..44A .400 �A.�.,r Rough to be occupied as......... U3 Chimney . .,.�.�..�. ... .. �'. ............. .. ...............r...... provided that the person accepting his permit shall in every respect conform to the terms of appl ation 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. 4 '' 14 *SbdTOR n'� IR VIOLATION of the Zoning or Building Regulations Voids this Permit. gh — 4 I �Ij'!' , � 7 I PERMIT EXPIRES IN 6 MONTHS �� 7 , UNLESS CONSTRUCTION STARTS _ ,ELE�TtIAL INSPECTOR A � DEPAR P y<� t>a �a� Rough Service ... . ... . .Q. ... .... ..... ...... ... .............................. BUILDING INSPECTOR Final Occupancy Permit Required to Occupy 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 Burner PLANNING FINALCONSERVATION FINAL street No. & f Smoke Det. CPIAIFP /%A/ATFP FINAI , q S� 7 DRIVEWAY ENTRY PERMIT 1 CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 420 (1992) Date MAY 28, 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON LOT 25 - #655 SO. BRADFORD STREET MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/2-CAR GARAGE IN ACCORDANCE UNDER WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. NOR71 �? 01,�..o .�tio CERTIFICATE ISSUED TO A. J. Mai l le t Const. O L 2 Westcott Rd, ADDRESS Andover, MA CJs C 4us Building Inspector PLANNING,S� A►LCONS ' VAT � � SEW /WATER// ��INAL ttVA L own o �� �o ; - n over )RIVEWAY ENTRY PERMITO '`�- 1992 o KI 1917 Mass., S- ''. ?• g, C H IME WICK Pil z 7 PERMI B 0 BOARD OF HEALTH ­., THIS CERTIFIES THAT..........A'..,�!..a!��� �.,.....�.I.�..�SI.��. 1 OAS ;�OO .•.• - .•••••• BUILDINGINSPECTOR , has permission to erect .. ... ....... buildings on � `�..`.. �'. a �'oQ `�r Rough _ /-� /y. .�l.N 6k Fr ..�W. ..W/it' vTT� N 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 PLU �N ���ECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,AFM��ljWhM ONLY Buildings in the Town of North Andover. REGULATED 8Y PARA. 114.8,4. &C. 9 3 Inal� Of VIOLATION of the Zoning or Building Regulations Voids this Permit. DAX p ZZ ��PAID '� PERMIT EXPIRES IN 6 MON] �:� EL �RCA ��SPE1, Rough t� +.. UNLESS COJSTIUC' f1O^ ST RTS ��� Service PERMIT FOR FRAME/BUILDING Final ® / j ... .. ... . . ...................... .............. ` DATE: ° j 3 1 FEE PAID'' BUILDING INSPECTOR GAS IN � Occupancil hermit Required to Occupy Budding ern 3 Display in a Conspicuous Place on the Premises -� IRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. << d-T-,4 Ce-150) Clc4'j f;qo Building Inspector 6" 24 -'F3 Date. NORTH TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SACNUS� r This certifies that . . . . . . . . . . . . . has permission to perform,---r`.. . . . . . . . . . . . . . plumbing in the buildings of . ... .s,: . . . . . . . . . . . . . . . . . . . . . . . at. : .f /. ./-� orth Andover, Mass. PLUMBI G IJN. PECTOR Check # i 4 ;62 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 PLUMBING (Print or Type) A:+. Mass Date Pefff* Buwft location Owner-s Name r � Type Of OCCupatlCy_'t New ❑ Renovation 0 Repiacemot ar, PianSubc+titllad: Yes O No O FIXTURES z y W i 03 i �; Z Z y < a e s o a at s a a. a. t C o Q t w W O O s �[ m C = < W p 10 1 of a a a 10 It im x 4* gb Ig IL Claw n• v �. O z e. z 102 a r- z O p w Z f al ►' O V s a ; x W `v a s C o 0 sus-eSMT. BASEMENT IST FLOOR 2ND FLOOR SRO FLOOR 4TH FLOOR STN FLOOR GTN FLOOR 1TM FLOOR aTw FLOOR In$Wlft Company Name"ACiM& -1jPerirA IAP 0 Check one: C t kste Address �s r'' ro is[H L??a�: s�l`� 0 Corpoatlan 0 ParbleraMp eusirtesa Telephoto �^:�1-X971 �'�ICo. Name Of Ucensed Plumber _„�4►`r3 r!T rf .SP nvu1�-eL - INSURANCE COVERAGE: I have acurrerd oDIfty ftuQ pocky or Its substantW eq�rsJerd which rneets the requiranerds of MGL Ch. 142. Yes Q' N It you have checked Yom, please -5 dirate the type coverage by checkin0 the appropriate box. A pa AKy Insurance polity itd Obw type of Mdemrdly 0 Bond 0 OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not hve the insurance coverage required by aupler 142 of the Mass. General Laws. and that my signature on this pem*appiicMion wafts this requirement. Check One: owner ❑ Agsrt!O nstun a owner t 1 hereby cw*that all of 00 details and int ffl"ab n 11104 submitted to entered)in above application an true end accurate to the but of my kim%dpa and that d pkvnbmg waft and m3umab0c s unCW the permit' fa this q*katbn vM be in wnpheroe Frith d potinsM provisions of the Massuhusetts State Pwrn and of ON tannrs. 1;►y Tdle Type of Ucen n:Mo ter % .loernWMi r❑ Sp R°""' Lioenss Numbs X1.3 3 5 j� o� SELOW FOR OFFICE USE ONLY FINAL l NSPECTION$ SK, E�7CNESi PROGRESS INSPECTIONS IEEE N0. , APPLICATION FOR PERMIT TO 90 PLUMBING NAME t TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE PLUMBING INSPECTOR o Date.. -� �. ^�'V. N- 376 ............ ORTH TOWN OF NORTH ANDOVER FO A PERMIT FOR WIRING SSACHUS c� Thiscertifies that ...... .!......... ................................................................... has permission to perform P f —/-' wiring in the building of...:............:... ............................................... at...........` ...................:.ti_.. z ..�..,�*r. c.:.: ......... ,North Andover,Mass. Fee .....�........ Lic.No X5.1.;f ... / . ^- .................... ELECTRICAL INSPECTOR Check # ", IF(,5 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer _ v , Official Use Only t, Commonwealth of Massachusetts y Department of Fire Services Permit No. (3 BOARD OF FIRE PREVENTION REGULATIONS ONS Occu ancYand Fee Checked (Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK. All work to be performed in accordance with the Massachusetts Electrical Code QviEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: No . A n&o u-e.r To the Inspector of Wires: By this application the undersigned Ives notice of his or her intention to perform the electrical work described below. Location (Street& mber) h QA Owner or Tenant Z Telephone No. --�ff -74(4 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 i Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L, A Completion ofthe.following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No. of Lighting Outlets No.of Hot Tubs Generators KVA Np. of Lighting Fixtures Swimming Pool Above ❑ 1n- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. Total No.of Alerting Devices Tons b No.of Waste Disposers Heat Pump I Number I Tons I IOW No.of Self-Contained Totals: --- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances ICW ecurity ystems: No.of Devices or Equivalent No.o atero.o o. of Data Wiring: Heaters KWSigns Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ` ' Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) ._ (Expiration Date) Estimated Value of Electrical Work: S-3 p-3-78 (When required by municipal policy.) Work to Start:-q 6J Q Inspections to be requested in accordance with NEC Rule 10,and upon completion. I certify, under the pains and penalties of perjury,that the information on this application is true and complete- FIRM ompleteFIRM NAME: ADT Security Services 111 Morse Street,Na vo d,MA,02062 LIC.NO.: 1533C Licensee: John S.Bassett Signatur IC.NO.: 1533C afopplicable, enter"exempt"inthelicense number line.) Bus.Tel.No.: 781-278-1131 Address: Alt.Tel.No.: 781-278-1725 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)[Iowner Elowner's agent. Owner/Agent PEIZitiIIT FEE .�3�•00 Signature Telephone No. -