HomeMy WebLinkAboutMiscellaneous - 684 SALEM STREET 4/30/2018 684 SALEM STREET
210/065.0 0048-0000.0 `
_ 1
1
Location
z - 8t.-M
No. Date 3
ORT" TOWN OF NORTH ANDOVER
s p Certificate of Occupancy $
Building/Frame Permit Fee $
�sJACIM S Foundation Permit Fee $
Other Permit FeeA D at $
r
Sewer Connection Fee $.
Water Connection Fee $
TOTAL+ $ 3(b
4(o0 Building Inspector
.01/17//95I!ijeq 310.00 PAIDp7856 Div. Public Works
1 10
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PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP dJO. ,S LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE
ZONE ^� I SUB DIV. LOT NO.
I
LOCATION /i_ _ AL PURPOSE OF BUILDING54
OWNER'S NAME t g . , 11 e J^�� NO. OF STORIES / fes' SJ SEIZE via
+. OWNER'S ADDRESS &,94LL~>� BASEMENT OR SLAB
ARCHITECT'S NAME O `1� ` SIZE OF FLOOR TIMBERS 1STgx io 2ND 3RD
BUILDER'S NAME I �r .A.�/1 j, SPAN �i
• L.
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS Q�l— r1Q
DISTANCE FROM STREET "' "" POSTS
DISTANCE FROM LOT LINES—SIDES sy. REAR �Q,,oIF GIRDERS
AREA OF LOT 617190 FRONTAGE !�� i HEIGHT OF FOUNDATION � THICKNESS 10Jf
IS BUILDING NEW ! /NCO SIZE OF FOOTING %
IS BUILDING ADDITION R� 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 rJ��
BOARD OF APPEALS ACTION. IF ANY /�� IS BUILDING CONNECTED TO TOWN SEWER /Jo
` IS BUILDING CONNECTED TO NATURAL GAS LINE GJ
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES �'Fj - 1
s 1 1 EST. BLDG. COST 000
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.
Y
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUI N INSPECTOR
, r
DATE FILED 'z
/ r
iA
YUILDING INSPECTOR
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE OWNER TEL.# 6929
A` /vZ� —9,;
PERMIT GRANTED CONTR.TEL.# !
p
1995'
CONTR.LIC.#.
BUILDING RECORD
i OCCUPANCY 12
SINGLE FAMILY s ouIES 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 1
2 FOUNDATION 8 INTERIOR FINISH AID
--
CONCRETE d 1 2 13
CONCRETE BL K. PINE _
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY VJALL
UNFIN.
3 BASEMENT
AREA FULL FIN. B.M T AREA O _
1/1 1/1 °/ FIN. ATTIC AREA
MO B MT FIRE PLACES
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE v
WOOD SHINGLES EARTH _
ASPHALT SIDING HARD'✓'D _
ASBESTOS SIDING _ COMIACN
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR I_
BRICK ON FRAME
CONC. OR CINDER RK.
STONE ON MASONRY WIRING
STONE ON FRA E
SUPERIOR 1-1[ POOR
ADEQUATE NONE
5 ROOF 10 PLUMBING ol
GABLE I IP BATH (3 FIX.)
GAMBRELMANSARD TOILET RM. 12 FIX.) _
FLAT I 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 I�r
1st 13rd �. I NO HEATING y
A ORT
M ._ Townof over
p c�+
04
dower, Mass., �'arly A�.� t o 19 qs
LAKE T
-4� COCHICKEWICK
ADRATED
* , E BOARD OF HEALTH
Food/Kitchen
2 Septic System
R M I T
BUILDING INSPECTOR i
...�.k.. �....../Q V 6��+Z- .....................................
THI$ CERTIFIES THAT Foundation
,has permission to.*est..AL .1�A........ buildings on k$A.......! ...ST.............................................
Rough
`i0' 7 e occupied as..P.q.&.... b..... .... . ........ QK. S0.S�.
Chimney
in that the person accepting this Permit shall in eve ryrespect conform to the terms�oTteaPPlication on file
Final
"this office, and to the provisions of the.Codes and By-Laws relating to the Inspection, Alteration and Construction of
PLUMBING INSPECTOR
Buildings in the Town of North Andover. � I,
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
fl
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CO ST Rough
N
. ......... ...... ..... .... ... Service
....
BUILDING ECTOR
Final
i
Occu ancy ,,Permit Required to Occupy Building GAS INSPECTOR
P
Rou
Display in a Conspicuous Place on the Premises — Do Not Remove Ftnagh
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
{ Burner
PLANNING FINAL CONSERVATION FINAL street No.
F ' Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT j
�.;
/ 3
I DEPARTMENT OF PUBLIC SAFETY
COMMONWEALTH
ONE ASHBORTON PLACE ;
OFBOSTON,MA 02108 -
MASSAcH.�SEs TS CAUTION
LICENSE
CoNSTR. SUPERVISOR FOR PROTECTION AGAINST
EXPIRATION DATE " O. THEFT, PUT RIGHT THUMB
} EFFECTIVE DATE LIC-NO. PRINT IN APPROP
01 /13/1995 �EQ53 E
RESTRICTIONS !�o 06/30/1993
r
t NONE ROBERT L STONE B NG OP
< I z 173 PLUS ANT ST �' MUST INCLUDE PH
p DRACUT MA 01826 ]AN 13 1994
SS �€ (128-26-3040 m
y 'OFFICIALLY
PHOTO(BLASTING OPR ONLY) FE {t 0 0 S NOT VA NTIL IGNED BY LICENSEE TONER /iw
V s OR SIGNATURE THE MMISS � / I
STA PED OR
° o
DOB: ' I OVE SIGNATURE LINE �r
'� SIGN NAME IN FULL AB
/y /1936
!3 NSEE ,
1 1 `R SIG NRE OF
LICE
THIS DOCUMENT MU
ST BE -
CARRIED ON THE PERSON
THE HOLDER WHEN EN-
GAGED IN THISOCCUPATION.. }'j� io,
OTHERS-RIGHT THUMB PRINT _ Y _ `— ,. -v• -
r ,
i-OME IMPROVEMENT COi'd`i'l AC j OR;:; REGI_-TRATION
Board of BUilding Rea
Lj 1,ar.ie ns and standards:
- - One , ahburt on Places - I,.00m 13 r1
Boston . P1assachL .' t..ts 0210
I E
i HOME IMPROVEMENT - CONTRACTOR
Registration 110694 . Expa,y ation 11/03/96
I TYPe - PRIVATE CORPORATION
A V L & COMPANY INC
ALAN V . LIGUORI i
39 WILBUR . ST BOX 3 r
LOWELL MA-0185,q i
{ f
i
i
I
I
i
FORM U - LOT RELEASE FORM
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*****************
APPLICANT: K66411)1) AVrk1,'0z- Phone 0A97
LOCATION: Assessor's Map Number Parcel O
Subdivision / -az Lot(s)
Street � St. Number e�
************************Official Use Only************************
RECOMMENDA 7. 170,
e::::::: 9A16/ S TOWN ENTS:
2 9" Date Approved / L /
Conservation Administrator Date Rejected
Comments
1 - - Date Approved � � -
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-Health Date Rejected
Date Approved
Septic Inspector-Health Date Rejected
Comments AQ QA) -5C%61!5�7- 51045;; Q,-- I�DU�SG
Public Works - sewer/water connections
/ - driveway permit
N Fire Department .
Received by Building Inspector Date
. �ro 17 •►�
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type) j
NORTH ANDOVER Mass. Date Vs d2
4uilding Location ✓, ' Permit #
Owners Name
I New — Renovation D Replacement Plans Submitted Lr1
FIXTURr(z
S
y � Y
N Of t) Z tL Cf
N ¢ .Q cctD = F
yt W C O V m S Cf
O us < c O O Z US
m w 6 W us FO- to d c 4
c r x
x a La
v Imo. z l=- z w o m U. tWc�
. w � s
z d w e a Ly - o c o N z
Q y c z Q c a d o o ui _ a ui t-
a x o c� x a a t, .s 0 s Q o. l— o
SUB—BSVIT.
`f BASEMENT
ZST FLOOR r
2MO FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TK FLOOR
8TH FLOOR
(Print or Type) TT Check one: Certificate
Installing Company Namnel)GY) Ly)l a.Y� Q Corp.
Address Partner.
C-\ Q �� °� Firm/Co.
Business Telephone:
Name of Licensed Plumber or Gas Fitter 1�O Y) V Y) a
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability//insrance :1 ,tt
Other type of indemnity = Bond E
Insure ce �aiver: e undersigned, have been made aware that the licensee of
this ap a ti n o have any one of the above three insurance coverages.
Sign e of-6w' rieaajWriof
property Owner 0 Agent 12/
1 hereby certify that all of the dctaihs and i focmation 2 have submitted (or entered)in above application are true and accurate to the best of my
knowledge and that a!1 plumbing work and Installations performed under"Permit izsucd for this application will-be In compliance with all pettiaent
provisions of the Massachusetts State Cas Cade and Chapta 142 of the Cenetah Laws.
By TYPE LICENSE:
Plumber
Title Gasfitter Signature of L' ensed
City/Town: Master Pl/umbe or Gasfitter
Journeyman / Y!V
APPROVED (OFFICE USE ONLY) License Dumber
�'f%.a:�•�``i'..✓n.�-ie[�4"'r'Y"'r',- �`. ^""�rti.L-++s{--.w...��ri:�',-.:f.r.<"...oAr`y�: _.:. kk.��»...�. c?�+�:...�p..c.
Date.. �. i. �.....
174
F MORIN A TOWN OF NORTH ANDOVER
rOt«ao ,e.
Oh0 m
„ PERMIT FOR GAS INSTALLATION 4
�9SSACHUSEt 5
if7
This certifies that c!�? : . . . '- fit`` ! • • • . • • • . • • . • . • • • • •
has permission for gas installation . . . . . . . . . .
in the buildings of . r!#A)K t,) . . '" . . . . . . . . . . . . . . . .
at Jrfr,-:'. �. ►. , y" . . . . • . . . . ., North Andover, Mass.;
Fee. )i5o?. Lic. No. `` `. . . . . . . . . . . . . . . . . . . . . . . . . . ..
GASINSPECTOR
WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:File
t
t
_ Otfice Use ONy
u P (f.==nM of 146miaElpstfts Permit No.
lie"rmtEd of-publu *M&tq Occupancy A Fee Checked
ygp peeve blank) /� E
BOARD OF FIRE PREVENTION REGULATIONS 527 QMR 1200
4� E
ERFORM ELECTRICAL—WORK
L��WORI�
APPLICATION_ FOR PERMIT .TOP --
All work to be performed in accordance with the Massachusetts Electrical Code. 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) = Date �` �
OM or Town of NORTH ANnOVFR To the inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
\Location (Street & Number)
Owner or Tenant v`t C,� -ta Iqy
Owner's Address
� 1
Is this permit in conjunction with a building permit: Yes [ No ❑ (Check Appropriate Box)
Purpose of Buiidina Utility Authorization No. l�J
Existing Service �� Amps 12,J `lo Volts Overhead Undgrnd No. of Meters �—
New Service Amps _J Voits Overhead ' Uncgrnd r No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Eiectricat `Nora �f✓e � �`a`� ►�""" r`'f3
/ Total
No. of Lighting Outlets // i No. of Hot Tucs I No. of Transformers KVA
S� ACcve.— 'n-
No. of Lignting Fixtures S N'rr'm'ng ?=c' gma. = gmc. _ I Generators KVA
No. at Emergency Lignung
o
Q f Cil Surners I Battery Units
No. of Receotac:e CutfetsNo.
INa. of Switch Outlets No. at Gas Burners FIRE ALARMS No. of Zones
total No. of Ce[ec:ion and I.
Na Na. ct Air C of Ranges I nc. :ors Initiating Oevices
Heat
I No.ot Teta[ Tota[
No. of-9+s 0saft l Pumas :ons KWNo. of Sounding Cevices
/ I No. of Serf Contained
No. of Dishwashers Seace/Area ^ieaurg K16V Oerec::onlSouncing Cevices
j^ No. of Oryers 645 / Heath evices Kvv Local — con ec*: Other
Heating D _ Cannecson
I' 1 No. of No. of Low voltage
No. of Water Heaters KW {I Sicns Ballasts Wiring
jNo. Hyaro Massada -ucs / f No. of Matcrs Totai HP
OTHER:
INSURANCE COVERAGE. Pursuant:o the requirements at Massacnusens general Laws _
I have a current Uaetiity Insurance Policy inducing Comc:etec Coerar:ons Coverage or its substantial ecuivatent. YES _ NO
have submlttea valid proof of same to the Office. YES = NO _ it you nave checxec YES. ;lease incticate the type of coverage by
rchecking the aoprocnate pox.
INSURANCE It_ BONO = OTHER = (Please Scec:ty) (Facoiration Dates
/ S-o o. c-a
Estimated Value of Eiectncai Work 5 r Fnal
Work :o Start r tnscec::on Case Recues:ec: Rough
Signed under the Pen tries of per)ury:_
FIRM NAME
i fJYr' Signature LIC. NO.
License -
,J Bus. -e1. No. -oe-��2- P9.1-f'�
Address �3/ r 'w' f� r Alt. Tel. No.
licensee Coes not nave the insurance coverage or its suostantlal equivalent as re-
OWNER'S INSURANCE WAIVER: t am aware that me
Cuireoy Massachusetts General Laws. WIG :hat my signature on taus penult application waives this requirement. Per Agent
d
(Please checx onel �1
Taln
eoone No. PERMIT FE=-
$$ CJ
(Signature of owner or Agents x 5�e5
Date..... .. ..../..
2236
NORTH
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
�,SSACMUSEt
This certifies that ....4........ -A....... ...........
has permission to perform ......I j ;. �—/W/"j , —lit, r.
.... ........ ............
...........................
wiring in the building of... L6
...................................................................
... ..........k;
at............. .....1:6%.) ............... ,North Andover,Mass.
Fee..;7(Ldlj..... Lic. ............................................................
ELECTRICAL INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File