HomeMy WebLinkAboutMiscellaneous - 66 HEWITT AVENUE 4/30/2018 (2) �.
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' No. �.3 Date A
MaR,M TOWN OF NORTH ANDOVER
O',.ao a'�ti0
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F
Rowa
Certificate of Occupancy $
s�cNUsE<�' Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ 1
Check # C:�;q/
\ , `"Building Inspector
TOWN OF NORTH ANDOVER A -
BUILDING DEPARTMENT
i
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: / l� DATE ISSUED:
ic
SIGNATURE: CLQ
Building Commissioner/12EREtor of Buildings Date z
SECTION 1-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
1 �
PVF- 0(,D, C ag7
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: U`1
ZonTg District Proposed Use Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
R fired Provide Required Provided Required Provided
310 , aQ , 30' a
1.7 Water S ly M.G.L.C.40. 54) 1.5. Flood Zane Information: 1.8 Sewerage Disposal System:
Public ( Private ❑ Zane Outside Flood Zone 0 Municipal NQ/ On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
rn
2.1 Owner of Record
V11- C,CA ,I� soh v�l YW Z)9 ic),�5
Name(Print) Address for Service
on REPOIN6- ^9r 0/ 26y, i
Signature Telephone _
U 517- VO '- 967
2.2 Ownr Record:'.
Name Print Address for Service:
z
rn
i
Signature Tel hone 90
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor:
License Number
Address
Expiration Date
Signature Telephone
3.2 Registered Home Improvement Contractor Not Applicable ❑
I�
Company Name
Registration Number M
Address
Expiration Date /�
Signature Telephone i+1
SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes.......❑ No.......❑
SECTION 5 DesciA tion of Proposed Work check au a hcable
New Construction 4]/ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition Other ❑ Specify
Brief Description of Proposed Work:
� z � Dw,6 .L f wG-
Env N _/ yL
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SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be pgC ONLY, _e
Completed bypennit applicant
1. Building (a) Building Permit Fee
Multiplier
2 Electrical (b) Estimated Total Cost of
Construction `
3 Plumbing Building Permit fee(a)X(b)
4 Mechanical HVAC g ��-
5 Fire Protection
6 Total 1+2+3+4+5 Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT t
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
7b7bOWNER/AUTHORIZED AGENT DECLARATION/
A) I� t/e cc A//9 as Owner/Authorized Agent of subject ,
property
iHereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
�
Pxc
Print Nat.
Si at Owner/ ent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TRVIBERS 1 2ND 3RD
SPAN
DMIENSIONS OF SILLS
DRAENSIONS 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
�l
FORM U - LOT RELEASE FORM 'DwL--e-L�`
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 O Yl ,kl DLIf- CC- 14 PHONE 6I - 5-90-96
LOCATION: Assessor's Map Number 0 G O, C PARCEL003�2
SUBDIVISION LOT(S)
STREET_ h o` t f/e ST. NUMBER
******************************* ***OFFICIAL USE ONLY****************** ********* * **
EEC MMENDATIONS OF TOWN AGENTS:
CO SERVATION ADMINI RATOR DATE APPROVED o?
DATE REJECTED
COMMENTS . % 040
�V LJ +0 re-,Lr J Ap �
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS- SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE_
Revised 9197 jm
I
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:
's S-A1141-1)
(Location of Facility)
h-,I,
Signature of Permit Applicant
Z-- Y- 0�
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
Q VtORTFt q
a 0
O
Town of North AndoverAt
Building Department ,q �:..--•-°'
27 Charles Street
�9SSacHusEt�
North Andover MA 01845
Tel: 978-688-9545
HOMEOWNER LICENSE EXEMPTION
Please print. �/
DATE - y I
. JOB LOCATION e6
Number yStreet Address Section of Tc
"HOMEOWNER �/�/�I �l/ - 8_y0 ?G a �7
Number c Home Phone Work Pho
PRESENT MAILING ADDRESS
o� AjDo U� Z2
City Town State Zip Code
The current exemption for"homeowners"was extended to include owner-occupied dwellings
of 1 or 2 units 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 of two
there is,or is intended to be, a one family dwelling, attached or detached structures
accessory to such use and and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official,
a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the
building permit. (Section 108.3.5.1)
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 d req irements a that he/she will
comply with said procedures arequi a en
d.
HOMEOWNER'S SIGNATURE and r
APPROVAL OF BUILDING OFFICIAL
Note:Three family dwelling 35,000 cubic feet, or larger, will be required to comply with
State Building Code Section 127.0 Construction Control.
Revised 4.30.03
Home owner Exemptions Form
Town of North Andover 4 NORTH q
Building Department 3�a�tto �'`'°�0
27 Charles Street r°
North Andover, Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542
COC KK WKK
4Dg47ED rPa�y 5
Building Demolition Affidavit �SsACHus��c
DATE '7- OH
OWNERS NAME &ADDRESS QIS i V'' C C-4 //I
)EAL A)4' Int
PROPERTY LOCATION 6 11 Uk W i T T l
DESCRIPTION 9C 2-E Dry)F�1- l w(�
CONTRACTORS NAME &ADDRESS aGG4A/ C- UriI/-- �- "A/C�
DEPARTMENT SIGN-OFFS
D.P.W./WATER I S 7-
1-7-cxL
GAS
ELECTRI /- 7- O
TELEPHONE
CABLE
TAXES
POLIC�E,/ Q c
EXTERMINATOR Nc IJ/4 ---6-11- o,3
DUMPSTER-ON/OFF STREET
DIG SAFE NUMBER
BLDG. INSPECTOR DATE RECD
Town of North Andover E Na oT�
Office of the Zoning Board of Appeals or
Community Development and Services Division
27 Charles Street
North Andover, Massachusetts 01845 4SSACHUSEt
D. Robert Nicetta Telephone (978)688-9541
Building Commissioner Fax (978)688-9542
Any appeal shall be filed Notice of Decision
within(20)days after the Year 2003
date of filing of this notice
in the office of the Town Clerk. Property at: 66 Hewitt Avenue
NAME: John DiVecchia HEARING DATE(S): October 14&
December 9,2003
ADDRESS: 66 Hewitt Avenue PETITION: 200:3-635
North Andover,MA 01845 1 TYPING DATE: 12/11/03
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday,December 9,
2003 at 7:30 PM upon the application of John DiVecchia,66 Hewitt Avenue,North Andover,MA
requesting a dimensional Variance from Section 7,Paragraph 7.3 and Table 2 of the Zoning Bylaw for
relief of front setback requirements and a Special Permit from Section 9,Paragraph 9.2 of the Zoning By-
law in order to allow for the addition of a proposed family room,kitchen,bedrooms and garage to a pre-
existing structure on a pre-existing,non-conforming lot. The said premise affected is property with
frontage on the South side of Hewitt Avenue within the R-3 zoning district. Legal notices were published
in the Eagle Tribune on September 29&October 6,2003.
The following members were present: William J. Sullivan,Ellen P.McIntyre,Joseph D. LaGrasse,Joe E.
Smith,and Richard J.Byers.
Upon a motion by Joseph D.LaGrasse and 2nd by Richard J.Byers,the Board voted to GRANT the Special
Permit from Section 9,Paragraph 9.2 in order to construct a new dwelling within the R-3 setbacks on a
non-conforming lot per Guy Messier Residential Design, 148 Park Street,North Reading,MA,Job# 1437.
Dated 11/14/03,sheets 1-7 and Plot Plan-Owner:John DiVecchia,Location: 66 Hewitt Avenue,North
Andover,MA,Date:November 28,2003 by Stephen P.Des Roche,PRLS#27699,Engineering&
Surveying Services,70 Bailey Court,Haverhill,Massachusetts 01832 in conjunction with Neponset Valley
Survey;on the following conditions:
1. The existing dwelling and shed will be razed and removed.
2. The existing foundation will be filled according to the Building Commissioner's instructions.
3. If the old septic system is still on the site,then it will be removed and the area filled according
to the Building Commissioner's instructions. Voting in favor: William J. Sullivan,Ellen P.McIntyre,
Joseph D.LaGrasse,Joe E. Smith,and Richard J.Byers.
Upon a motion by Joseph D.LaGrasse and 2nd by John M.Pallone,the Board voted to allow the petitioner
to WITHDRAW THE PETITION FOR THE VARIANCE WITHOUT PREJUDICE. Voting in
favor: William J. Sullivan,Ellen P.McIntyre,Joseph D.LaGrasse,Joe E. Smith,and Richard J.Byers.
The Board finds that the applicant's smaller dwelling plan and revised site plan now conform to all R-3
setbacks,and the applicant has satisfied the provisions of Section 9,Paragraph 9.2 of the Zoning Bylaw
that such change,extension,or alteration shall not be substantially more detrimental than the existingnon-
conforming structure to the neighborhood.
Pagel of 2 1
Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535
Town of North Andover oE�No oTH ��
Office of the Zoning Board of Appeals • ' °p
Community Development and Services Division * i
27 Charles Street • -- ,r'
North Andover,Massachusetts 01845 9Ss'qcHusEt
D. Robert Nicetta Telephone(978)688-9541
Building Commissioner Fax(978)688-9542
Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the
grant,it shall lapse,and may be re-established only after notice, and a new hearing. Furthermore,if a
Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)
year period from the date on which the Special Permit was granted unless substantial use or construction
has commenced,it shall lapse and may be re-established only after notice,and a new hearing.
Town of North Andover
Board of Appeals,
r.
l
William I S>'llivan,Chairman
I
i
Decision 2003-035
M60CP37
Page 2 of 2
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Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535
I
Service Slip/Invoice
0NEEDHAM
s
WOBURN
Pwt G�aeeh ,. INC.
Bill to: t:1 :t.931 Service to: P.O. Box 920408
Needham, MA 02492-9998
PO.Box 563
�y L?14,"T iITTr�1.•', e�.V14, Y1� fA �r^�+^�fT�iy�.��1e:'�'j'P�i�,VL�E ty uycin Woburn, MA 018010663
SV0.i. TH . �-}l.'4i,lt�'EUR ,�JA 0-1945 NORTH CA�FR���.lt?I:M MA 01 45
(781)891-5313
1)
FAX (781) 891-5946
2)
3) 1iI1li WANT`7° A GEN 'i 't�ga HOUSE 1�►�I i.-014. DC.
Invoice# 0215179
Date 06/11 /03
4) CALL 30 MIN BEFORE AT 1517 590 8627 . DC Time 2
5) Map
6.) Route 08 -- 08
7) Service Type 1�fw''
8) Prevtt5tisafa Tce oue_ i. 0
9) senrlcq't`an rtt $125 . 00
10) Discount
Areas Inspected/ oriitored/Treate � U t_ c
. . . $125 . 00
ii .1 (V }t . {t i� ',f f/}r ,f Warranty Period
} } Amount Paid
Ck ':^,lit C AAI r,'t�r� O Cash O Bill Arheck# }
O®OO O=Up.Date
P—as in need of cleaning/repairing:
- Card#
Authorization#
Chemicals EPA# Act.Ing.% Target Chemicals EPA# Act In % Target
Pest Qhr. Method 9 Pest oty. Method
ADVANCE DUAL 499-459 N-Ethyl Perfluorooctanesulfonamide.500 MAXFORCE FC
CHOICE 6424811 Fiproni1.05
Roach Bait Station
AVITROL 11649-7 4-Aminopyndine.5 P.I. 499-444 Pyrethrins .5
mpe"Butoxwe Technical 4.0
BORA-CARE 84405-1 00dit0n,Oclaboralh PRO CONTROL Pyrethrim sas
T�
023 4 T$, FOGGER 499 465 Pipe aryi eutnride i...t al 6.00
.. _''. _.... NQIrILxrarErtdrnMfe 10-00
Pyitfth S 3.00s
BP300 499-450 Piperorryl Butoxde Technical 6.00 SAGA WP 432-755 'Ital0oh1twur 130.03 00.08
N-Octyl Bicyclohentene Dicarbodmide 10.00
CONTRAC 12455-79 Brornadiolone.005 Tem 1e�rin 0.2W
BLOX STINGER 9444181
�0.125
DELTADUST 432-772 Deltamethrin 05 TALON 1 p'+
WEATHER BLOK 10182339 Broddacoum.005 i �t( ' L d�-
DITRAC 12455-56 Diphacinone 02 TALSTAR 2793162 Bifenthrin 0.03 0.06 t 1
FlAWABLE
DRAX ANTKL GEL 9444-131 Orthoboric Acid 5.0 TALSTAR
TERMITICIDE 279`9206 Bifenthrin 0.06❑.12
DRAX KIL-PF 9444_135 Orthoboric Acid 5.0 RECRUIT 11 62719-272 Hexaflumuron.5
Cyclopropaneca"late.10 other:
INTRUDER HPX 9444183 Pyrethrins.05
Pi eron Butoxide Technical 1.00
MAXFORCE
Roach Bait Gel 64248 5 Hydramethylnon 215
0 Censum Info Buttepn Given Q Prenoltficatron,ISS11 0 NO#CO3ilPos6d Location of Bait Stations Method of Application
A Crack&Crevice
B Spot
Coi6pany,RepFesentativef ,;1 License#``' Time in D Vo dace
• �l 1 E Space
Vo, F Soil Treatment
Customer/Custoomm er's Representative
"� Time Out ❑Added ❑ Relocated G Bait Stations
f f
❑Removed ❑Total Stations
CUSTOMER COPY
Permit Number
REScheek Compliance Certificate Checked By/Date
1995 MEC
REScheckSoftware Version 3.5 Release le
Data filename: C:\Program Files\Check\REScheck\DIVECCHIA 66 HEWITT.rck
PROJECT TITLE: 66 HEWITT AVE
CITY:North Andover
STATE:Massachusetts
HDD: 6322
CONSTRUCTION TYPE: Single Family
DATE: 01/07/04
DATE OF PLANS: 12/23/03
PROJECT DESCRIPTION:
NORTH ANDOVER MA
DESIGNER/CONTRACTOR:
JOHN DIVECCHIA
PROJECT NOTES:
ALL INFO SUPPLIED BY BUILDER
COMPLIANCE:Passes
Ndaxif lum UA=384
Your Home UA=374
2.6%Better Than Code(UA)
Gross Glazing
{ Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 1022 30.0 0.0 36
Wall 1:Wood Frame, 16" o.c. 2227 13.0 0.0 161
Window 1:Wood Frame:Double Pane 235 0.500 118
Window 2:Wood Frame:Double Pane with Low-E 11 0.330 4
Window 3: Wood Frame:Double Pane with Low-E 14 0.490 7
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 1022 19.0 0.0 48
Boiler 1: Other(Except Gas-Fired Steam), 88 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,
and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC
requirements in RES checkVersion 3.5 Release le (formerly MECchec�and to comply with the mandatory requirements listed in
flie RES checkInspection Checklist.
B iildef/Designer Date
RE*heck Inspection Checklist
1.,995 MEC
RES checkSoftware Version 3.5 Release le
DATE: 01/07/04
PROJECT TITLE: 66 HEWITT AVE
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] �< 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: Wood Frame:Double Pane,U-factor: 0.500
' For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
[ ] 2. Window 2: Wood Frame:Double Pane with Low-E,U-factor: 0.330
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ] Yes [ ]No
Comments:
[ ] 3. Window 3: Wood Frame:Double Pane with Low-E,U-factor: 0.490
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
Floors:
1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation
Comments:
i' Heating and Cooling Equipment:
[ ] 1. Boiler 1: Other(Except Gas-Fired Steam), 88 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5" clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3"clearance from insulation.
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[i`] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ` ] Insulation R-values,glazing U-factors, and heating equipment efficiency must be clearly marked on
the building plans or specifications.
4
t'
Duct Insulation:
[ ] Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-6.5.
Duct Construction:
[ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used
for fibrous ducts. Duct tape is not permitted.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 120 T or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
r
TAle 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating Runouts Circulating Mains and Runouts "
Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 1.5 2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
f ._
1 `
Iic t
i I
•
' NORTIy
ovvn of And
0
LAKE
over, Mass., 1 y Cos
COC HIC ME WICK
BOARD OF HEALTH
PERMIT T E Food/Kitchen
Septic System
a� •
BUILDING INSPECTOR
THISCERTIFIES THAT...4.0...................... .. ..... .. .�,. ... ....................... ......................................
Foundation
1 ` •
has permission to �.....RAILAL....... buildings on .....6!..(a........1"I..�r�.W .1..:.............. .V..� Rough
to be occupied as w 'S 1 W �! P �O/` Maui Chimney
4..... I.... ......... ... .. ....................... .
provided that the person accepting this permit all 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. ( O C' PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Perrtiit. Rough
Z 16 Q V e` Final
!� PERMIT EXPIRES IN 6 MONTHS
aVVMM� .1.
O 3� ELECTRICAL INSPECTOR
� L � S;ART
1 ��1y � �at
.�..!!��� . Rough
�I .. .... ...... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required t0 Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises -- Do Not Remove Rough
P Y p Final
No Lathing or Dry Wall To BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
SEE REVERSE SIDE _
Location
No. , Date
,40RTq TOWN OF NORTH ANDOVER
O? oe 1 .�•e 00�'
„ Certificate of Occupancy $
B• ilding/Frame Permit Fee $
. o, • s
CHU N-�o undation Permit Fee $
•'Other.Permit Fee $ u
��Ci� 992 Sewer Connection Fee $
Water Connection Fee $
�A� 2 eAL $
Building Inspector
Div. Public Works
1 ' 4
PERAMIT�NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. G`'PAGE 1
;MAP 440. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE
ZONE I SUB DIV. LOT NO. �I i
11
LOCATION t PURPOSE OF BUILDING
AL1 I l E I fi�l�( •' (ve. N �� ?P� �� s J�2L)
OWNER'S NAME Ivl I(W f t MON U y l 8„/) e NO. OF STORIES SIZE
OWNER'S ADDRESS ` l/ n r
t� �j��t (9�� BASEMENT OR SLAB r
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME �, , '�thj��0 SPAN
DISTANCE TO NEAREST BUILDING ` DIMENSIONS OF SILLS
DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES—SIDES /tt REAR �� GIRDERS -
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW - SIZE OF FOOTING X
�--�/' � ` �✓ MATERIAL OF CHIMNEY
IS BUILDING ALTERATION �c 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
_ yV v
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 METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
�ATEFILE
BOARD OF HEALTH
SIGNATURE OF dWNER OR AUITHfifAIZED AGENT
F E E / r`� 3 7IH QV IER TEL.#
"'NTR.TEL.#_ PLANNING BOARD
PERMIT GRANTED 1. ,ONTR.LIC.#
BOARD OF SELECTMEN
BUILDING INSPECTOR
4
y
BUILDING RECORD ,J
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 —I 8 INTERIOR FINISH
CONCRETE B 1 2 13
CONCRETE BL'K. PINE
BRICK OR STONE HARDW'D
PIERS PLASTER
_ DRY WALL
UNFIN.
3 BASEMENT
AREA FULL FIN. B M'TAREA _
11. 1/7 1/1 FIN. ATTIC AREA _
NO B-M'T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE
WOOD SHINGLES
ASBESTOS SIDING COMMON
ASPHALT SIDING HARDW'D
_ _
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STIRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAMESUPERIOR_
ADEQUATE I I POOR _
NONE
5 ROOF 10 PLUMBING
GABLE I HIP BATH 13 FIX.) _
GAMBRELMANSARD 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 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 NO HEATING
'CONSE11, VATI SEWER,/WA _FINAL FINAL
---- FINAL ,F "
own of 0 Andover
0
183
DGVEIAY ENTRY PERMIT „lr 19�Z
K W -T V er, Mass., $Am Ax
AoR Pay ,
SS
BOARD OF HEALTH
PER 0
THIS CERTIFIES THAT.... �••F'•....... . �... / .......
BUILDING INSPECTOR
has permission to erect ..... buildings on ... ..... ....... Rough
Chimney
tobe occupied as..................... .. ........................................... Final
provided that the person accepting this permit shall in everyrespect 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 this Permit.
PERMIT EXPIRES MONTHS ELECTRICAL INSPECTOR
Rough
UNLESS CON RU Service
Final
•
... ...a. . . .UILDING INSPE 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.
Building Inspector
Date.... ..................
01 AORT"
',,a- '.
TOWN OF NORTH ANDOVER
0
6 PERMIT FOR WIRING
SACHU
This certifies that ........................ .............;t-!.e...............
has permission to perform ..... .......................................................
... . . ... ....
--.<- /
wiring in the building of...........�./.......
..................................................... .North Andover,Mass.
I-Ile L e-11111
Fee��";� ...... Lic.No.............. ...............................................................
ELECTRICAL INSPECTOR
Check #
4- 4 7
THE COMMONWEALTHOFMASSACHUSETTS Office Use only
DEPARTAIEWOFPUBLICS4MY Permit No.
BOARDOFFMPREVEMONREGULAHONS527CM12M J
�j
Occupancy&Fees Checked
APPLICATTONFOR PERMIT TO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,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) ( d, MgW►TT AVE-.
Owner or Tenant :NO 4 I)l y Fcc 1-f lh
Owner's Address —I .S0460L kItL OJ- /V. 9iA.D)NG , NA.
Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box)
Purpose of Building TEfl p :50 y t C c Utility Authorization No.
Existing Service /00 Amps IU/ ,/UVolts Overhead ® Underground No.of Meters
New Service Amps / Volts Overhead Underground No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work F1907y7- iDUSE = . StnUi CF
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
round round
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch Outlets
No.of Gas Burners
No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of 7.ores
_ Tors.
No.of Disposaisr No.of Heat Total Total No.of Detection and
filth o Tons K vi uu
eating Devices
No.of Dishwashers Space Area Heating KW No.of Sounding Devices
} No.of Self Contained
Detection/Sounding Devices
No.of Ders Heating Devices KW Local 0 Municipal Other
Connections
No.of Water Heaters KW No.of No.of
Signs Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
OTHER•
hmnanoeCovtrdg_- PutaaanttotlletagtmanaysofMassadxt�lls(' aliaws
IhaNcaafaartLiab&yhmuanoePblicyinch>dmgClele Cowrageoritssubbtanbalegtrivatad YES NO
Ibawatmktodvandploofofsmrtotbe011ice YES Er (—') If uftwdrel®BYES pkmitldcaedrtypeofoovmg,-by
ch_ckilgtir, box LJ ^�
INSURAIVCEBOND � ftn-- /aS"O 3
FxplrahonDate
WotktoStatt Aga Cf�[L Estin*dVahieofF1earicalWoik$
hpecfionD& Raugh Final SCJ
Signed u ncierTie Penahies o
FIRMNAME - AUL pt c o LicerwNo. 1_71G,If3
Liamsee i�Lf f I/��Ic o Sig aw Lic enseNo
�/� tI Busa&ssTel No. [�—�'/9
Arlrfiecc /7 ` %/S/9L J/• /� ��f}�i/�1G, /!fG / A1tTel.No.
OWNER'SINSURANCEWAIVER;IamawatethattheLmwdoesnothavedieitmanceco oritsmbstantial
Wage ec]MvalentasregtriledbyMassa�Ga�laws
and that my sigtrahue on this permit application wars this u
(Please check one) Owner F7 Agent
Telephone No. PERMIT FEE$ �,Zb
Signature o caner or gen
MAStACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIN( �
(Print or Type)
,! NORTH ANDOVER Mass. Date —
f - 1huilding Location ye col c ve Permit
Owners Name m j 7-A10-MA-?V-&P; SC
New '—t Renovation Replacement n Plans Submitted .❑
Cn
1 N 01 U z
L
%- ow
� o t" w
•t w to r W `� o o t"
tz
m o x x .t tz Q
W 4 W W F' N 0. Lt Q
a o W [� y w
W W W w x x a w >- I- x
Vj cc
' , w
Nr 7 xz o z w o 0
Q > w z o o W a
o w I-
a x o 0 x U. 0 -j U > a a I- o
SUR—E3SIAT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6THFLOOR
7TH FLOOR
STH FLOOR
(Print or Type) Check one: Certificate
Installing Company Name d Dty cau $2 � 9`� 1�kt Corp.
Address - k,05 --P -�64 ID Partner.
io I-ey F-1 Firm/Co.
Business Telephone:
Name of Licensed Plumber or Gas Fitter
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy [V Other type of indemnity Bond
Insurance Waiver: I , the undersigned, have been made aware that the licensee of
this application does not have any one of the above three insurance coverages.
Signature of owner/agent of property Owner Agent
I hereby certify that all of the detiils and infotmation I have submitted (or entered)in above application are true and accurate to the best of my
knowledge and that all plumbing work and InstaUations petfomtcd under Permit issued to: this application wW be In compliance with all pestlaent
provisions of tho Massachusetts Slate Gas Code and Chapter 142 of tho Genual laws.
By TYPE LICENSE:
Plumber
Title Gasfitter Signature of Licensed
Ma. Plumber or Gasfitter
City/Town: Journeyman _ _� ��
APPROVED (OFFICE USE ONLY) Licertse Number
The Commonwealth of Massachusetts _
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
5�1b Workers'Compensation Insurance A fflda vit
Name Please Print
Name:
Location:
City Phone #
I am a homeowner performing all work myself.
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.
Company name:
Address
City: Phone#7
Insurance.Co. PolicV#
Company r1arne:
City: Phone#- _G
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_wrelLas_civil.RenattiesjnlbeSnanifa.STOP]NORK ORDER md_afire-f_($1D.0.OD).aAayagainstDx-- I
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
/do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature pate
Print name Pbone.#
r
Official use only do not write in this area to be completed by city or town official'
(
City or Town Permit&icensing
El Building Dept
Check if immediate response is required0 Licensing Boar
F1 Selectman's Office
Contact person: Phone# E] Health Department
Ei Other
' Date. . . . • . .�� 'F . L
t . .�.
NORTH ,, TOWN OF NORTH ANDOVER
tiO
3� 'E a .PERMIT FOR GAS INSTALLATION
SACMUSEt
This certifies that .. . . . .. . . . . . . .... . . ... . ... . . . .
has permission for gas installation .. . . . . . . . . . . . . . . . . . . . . . . .
in the buildings of . . . . :
at . . . :. .' r . . .!r ... . . . . . . . . . . . .. North Andover, Mass.
Fee. . . ... . Lic. Na. .;:,. �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GAS INSPECTOR
WHITE:Applleant CANARY: Building Dept. PINK:Treasurer GOLD: File
+ s
`inn ar
�1SSHCNUgt�
CERTIFICATE OF USE OCCUPANCY
TOWN OF NO H ANDOVER
Building Permit Number g o Date 0y
THIS CERTIFIES T$AT
THE BUILDING LOCATED ON—6 6 44.� -frL 4 v-�-
MAY BE OCCUPIED AS es/'V
7 Ras m-5, 84-7-� S o2 <S7a// xC/ yao oPro ec%
IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO m A ti �r v e CC�i j
Building Inspector
NORTH
Town of Andover
0
No.
10
0 ' over, Mass.,-02
�-o C Hi CAI'41 WICK C K
0 RATED
WARD OF H TH
0
Food/Kitchen
PERMIT T D Septic System
•THIS CERTIFIES THAT...................0....h...AD............. Ve-0-A BUILDING INSPECTOR
..... .... ..... ... Foundation ft XL&,---D- 17-C
has permission to erect....... /......................... buildings an .....4....4.......Atquolw too&
. . ..................................... Rough '113cido
to be occupied as.... -7
....A*A OW &18& ch
provided that the person accepting this permit shall in every respect conform to the terms of the'application"on file in Final 3d1W el.
this office, 'W and to the provisions of the Codes and By-Laws relating to the ction, Alteration and Construction of
Buildings in the Town of North Andover. 40 & / 307 *'"&' f- PLUMBING INSPECTOR
Q Y9$ Vol
VIOLATION of the Zoning or Building Regulations Voids this Permit.
196 7
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INS
UNLESS CONSTRUCTION START
... .. . ..110*.............................................Jr..................
.........0*
000 BUILDING INSPECTOR
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
v
(?6
Display in a Conspicuous Place on the Premises — Do Not Remove -
No Lathing or Dry Wall To Be Done
Until. Inspected and Approved by the Building Inspector. Burner FItM DEPARTMENT
1114 :
Street No.
SEE REVERSE SIDE Smoke Det.JJ.7
cf A,- q
RTH
Town of - ------ Anover .
No.
0 y y
�- LA over, Mass...
OC
HICHEWICK
ATE F'*' C7
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT
C
. ........AJ.............4 � ..'....f.....
.........................1W..................................... --Foondation
has permission to erect..... ......... buildings on......ev..Oc...../ .................A v' .A* ........... ugh
to be occupied as 0 be C*V m 4p ij 0 0 50,!�
........................................................................................... * #% w q t
oj eo
...................... lChimney
provided that the person accepting this permit shall in every respect conform--t*o—the-t*erm'**s—o*f the application on file in. Final
this office, and to the provisions of the Codes and By-Laws relating to the I
Upection, Alteration and Construction of
Buildings In the Town of North Andover. 4 40 f307 PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
-0 • Rough
...........1.0........................................ie4.................................. Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Foh
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE__Jl Smoke Det.