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HomeMy WebLinkAboutMiscellaneous - 7 BELMONT STREET 4/30/2018 ONT 7 BELMON7 STREET - --- 2101018000_ Location -/A46 IJ7 Date TOWN OF NORTH ANDOVER ?o..ao .�etieo 'Certificate of Occupancy $ Bwlding/Frame Permit Fee $ `£ I s s C" a Foundation Permit Fee $ sACMUS'( . u Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works PERMIT NO. _ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE : MAP 4-40. % LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK :PAGE ZONE �L I SUB DIV. LOT NO. p o�® PEW 2©( O LOCATIONPURPOSE OF BUILDING _ E S I lam i�iT C R�. F-Lm - OWNER'S NAM pq ' NO. OF STORIES SIZE OWNER'S ADDRESSA .tA C BASEMENT OR SLAB F A C 1 R H TECT' A S NAME E OF FLOOR SIZE O R TIMBERS IST 2ND 3RD BUILDER'S NAME. / SPAN DISTANCE TO NEAREST BUILDING 36-1 DIMENSIONS OF SILLS DISTANCE FROM STREET / POSTS DISTANCE FROM LOT LINES-SIDES is- / REAR 3 % GIRDERS AREA OF LOT yy tp ® s FRONTAGE '5� HEIGHT OF FOUNDATION THICKNESS ���I IS BUILDING NEW V v e, �y SIZE OF FOOTING X IS BUILDING ADDITION V L '�X,7I MATERIAL OF CHIMNEY 0F)-e A ts bJ l C: A b G C f� f IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND JL"O B(,( I dV� WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILOING CONNECTED TO TOWN WATER y�s BOARD OF APPEALS ACTION. IF ANY ^ '© IS BUILDING CONNECTED TO TOWN SEWER �l�es �+ IS BUILDING CONNECTED TO NATURAL GAS LINE 0-L L INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES _ EST. BLDG. COST l©V -0c) PAGE 1 FILL OUT SECTIONS I - 3 - EST. BLDG. COST PERS . FT.V PAGE 2 FILL OUT SECTIONS 1 - I2 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. .' ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY - ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS /PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR l/DATE FILED To Vel �b® nay i/i's��/�Y�fi�J BUILDING INBP&CTO! SIGNATURE OF OWNER OR AUTHORIZED AGENT /' p tt FEE `OWNER TEL AE �t? —tDOs— (71?93 ` PERMIT GRANTED CONTR.TEL# `y ! 19 -- - CONTR.LIC.N _- JUN 1 01996 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 8 INTERIOR FINISH CONCRETE d' 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY MALL UNFIN.'. -- - 3 BASEMENT I , AREA FULL FIN. B'M'T' AREA _ 1/1 '/r 1/1 FIN. ATTIC AREA NO B M T FIRE PLACES _ - HEAD ROOM MODERN KITCHEN 4 WALLS - I 9 FLOORS CLAPBOARDS 8 I 2 3 ' DROP SIDING CONCRETE _ WOOD SHINGLES EARTH ASPHALT SIDING HARDIV 0 ASBESTOS SIDING COMMON _I_ VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK N MASONRY ATTIC STRS. 6 FLOOR .. - BRICK ON FRAME I - CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAMESUPERIO - - POOR ADEO ATE I-1 NONE 5 ROOT A 10 PLUMBING GABLEHIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ __. ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK - SLATE NO PLUMBING _ TAR 3 GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 8 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE - FORCED HOT AIR FURN. TIMBER BMS. 6 COLS: STEAM - STEEL BMS. 6 COLS. HOT W T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G - UNIT HEATERS '7 NO. OF ROOMS GAS >. ...c:_'...: OIL _ B'M'T 2nd _ 'ELECTRICf Ift 13rd I NO HEATING t • CEP TIFIED PL C T PL A lel NOR THERN A SSOCIA TES INC. 342 NORTH MAIN S TREE T A NDO VER MA 018.10 LOT 41 60,00• srhed L 0 T 35 5000 SF+/- LOT as o f�ryo _d ®eck o l o - I LOT 34 1 1/2 STD'. o 11000 v w, 07 I 14! i • 50.00' BEL MONT•STREET PREPARED FOR: PREPARED BY: GERMAIN BEAULIEU NORTHERN ASSOCIATES INC. 7 BELMONT STREET 342 NORTH MAIN STREET NORTH ANDOVER MA ANDOVER MA 01810 r.P. if;ifi7 r Nq U,vG 1 INCH = 20 FEET 0 20 0 �-___ ;. ,�� _____ . ���� __ l ��� __ << � � �� �� N0RT; T . 0VM OL Over No 11-Au } ; N rrt dover, Mass., 19 Iw{.� COCMICMEWICK SAO �\ RATED 5� BOARD OF HEALTH PERMIT D Food/Kii.chen Septic System ,a BUILDING INSPECTOR THIS CERTIFIES THAT l -h. .. ..,J... �. ...............KE-4-44-1--EJ.............................................. ""' Foundation ' has permission to erect:....... . .... buildin s on.............. ........... . ....` L�..h�..7^.................. Rough -..... g � tobe occupied as..................................................... lC.......................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IIS', 6 MONTHS Final 4 UNLESS CONSTRUCTIO T rhS ELECTRICAL INSPECTOR a Rough Service BUILDING INSPECTOR Final Occupancy Permit ;Required to Occupy Building AAs INSPECTOR Display in a Conspicuous Place:,,on the Premises — Do Not Remove F na h No Lathing at tory Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner �I Street No. X i Smoke Det. ;i I ; TOWN of NORTH ANDOVER AFFIDAVIT L me h muenenot Caiact w Lai to lemdt tfplicatim 4 M�c. 142 A regArm that the "rtar-ticn, alb= zgrowatim, repair, wierrdwflicn, cam, improvew t, mal, danAitim, or ca b=tiam of an MXLtiam to any pie- edsticg hnld- irg caltaimig at least one but not me thanfour daellizg ird ...or to sti nu es,4 ch are adjacent to s icb relic me or hdidW'be dale by registered anb=tas, nth certain ewepticns, slag xdth.odxr i V 2 p�D /� of Work: A � l� t � G-- �, � � L �� Est. Cost.._, f' v/ t Aciciress of Work � 6 L M b� l ST. _, Owner Name: E L E I �3 g en t1 L , F j Date of Permit Application: I U AJ I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Rmdt NO. Job under $1,000 Date Building not owner-occupied VI-1 owner pulling own perM t Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERM17 OR DEALING WITH UNREGISTERED CONTRACTORS_ FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRA- TION PROGRAM OR GUARANTY FUND UNDER MGL. c. 142A. Signed uiJEr pa-alties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: L Notwithstanding the above notice, I hereby apply for a permit as^ the owner of the above property: ON ° Date Owner Name .IU�V 1 0 1991, r • . i I � t 1 1 r +7 I 4 I I I i t i i I I 96l 1c - Z Ll - - I I I m I .................. I - I i I I 4 I Location S6 No. /-/0 Date =,?-C>/ Mo^T� TOWN OR NORTH ANDOVER � s ry Certificate of Occupancy $ 'SscMus Building/Frame Permit Fee $ a� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1532 8 Building Inspector i ' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING - �s . BUILDING PERMIT NUMBER: / O _ DATE ISSUED: a Ot � SIGNATURE: C � Building Commissioner/IEECEtor ofBuildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: C 7 belrnoA S+. Map Number Parcel Nfunber I 1.3 Zoning Information: 1.4 Property Dimensions: I . Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required— Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT n 2.1 Owner of Record j2 /3c nor Name(Print) I F Address for Service Signature Telephone o 2.2 Owner of Record: (� , i Iv c Name Print Address for Service: e n Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed C(Instruction Supervisor: Not Applicable 0 19 a� 5 C Licensed Construction Supervisor: License Number Address Expi tion ate ?nature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ C Company Name Jamo Registration Number r Addre r Fon Date S nature Telephone SECTION 4-WORKERS COMPENSATION(1VLG.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.......❑ SECTION 5 Description of Proposed Work check applicable) New Construction ❑ Existing Building HK Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Y %'Y1 JC1,VifCS CJ' CCI SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be FIS I * w �ON l Completed b permit applicant t .sf is 1. Building (a) Building Permit Fee fl Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC 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 I, as Owner/Authorized Agent of subject property i Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. I Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property jHereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief r Print Name v Signature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 sr 2 ND 3 RD SPAN DM ENSIONS OF SILLS DIN ENSIONS OF POSTS DIIv1ENSIONS OF GMDERS 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 •a. Iry 471 f At WON UWE- s Bgord 0f fji l!j llpg Rgjij�lj Almn 16777 .. I'T 1r sns 0 R1912002. s JAMES 0—F . � //��,,.;�_y}.p11 ��++�yr_�yCC )J 4AMMy !"C5Ga17G� 3ars�A I}P f�1L1 a own of Andover ® LA lover, Mass.,. � "� O GOC MICM WICYt y AERATED BOARD OF HEALTH PER- M IT T, D Food/Kitchen Septic System THIS CERTIFIES THAT......,�...................................��■,...V.PY.0............ ......... Foundation has permission to erect.. t. ......... buildings on ....../7.............. ./ BUILDING INSPECTOR ` ........�. ........ Rough Chimne , .t / � to be occupied as......................... ..... .�?.Q................. ....................................C �-.:...............:............................. y provided that the person accepting this permit shall In every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating t the inspection, eration and Construction of Buildings in the Town of North Andover. /� p �� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Per it. Rough PERMIT EXPIRES IN 6 MONTHS 1 LAS Final UNLESS CONSTRUC nON STAR 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner • Street No. SEE REVERSE SIDE Smoke Det. l t ` PRODUCT t78 ®s MUfiRO GRAPHIC .008)-,682-0699_f — — Page No. of Pages J & J ROOFING Specializing in All Types of Roofing - Ventilation - Carpentry (508) 683-2968 PROPOSAL SUBMITTED TO PHONE DATE A rd (17?? 557- c/d l STREET JOB NAME 7 CITY,STATE and ZIP CODE JOB LOCATION ' t ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: p -=A pts__ -e-daa-_an: _- ._.. ±1d 4 :cl .-____._.........___.._---___�...:.___---__----__ 111 00 - f _...an.....3.. .... :�. - ___ - �. �r . . _..._ ..___..__..__........__. __ Or proP081' hereby to furnish material and labor—complete in accordance with above specifications, for the sum of: ' dollars($ S = t d ri . no �. Payment to a made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike "- manner according to standard practices.Any alteration or deviation from above specifications Authorized involving extra costs will be executed only upon written orders, and will become an extra Signature charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. N e:This proposal maybe Our workers are fully covereid by Workman's Compensation Insurance. withdrawn by us if not accepted within days. r"'�nd cre faun Dd r® osal —The above prices,specifications conditions are satisfactory and are hereby accepted. You are authorized Signature to rin the wnrk as snpr.ifipfl Pnvmant will ho maria ac mitlinpri ahrwp 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 iri a properly licensed solid.waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: C (Location 6t Facili ) Signature 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 s Date. . . L` . j ,i NOR7h TOWN OF NORTH ANDOVER .�� PERMIT FOR PLUMBING `r SSUSE� a This certifies that cam �i has permission to perform . .� . . . . . .-: .-: . � . . . . A !(�..� plumbing in the bui dings of r. . . . . . . . . . . . . . . . . . . . . at. . .Z. . .' 'd 19 .,. . . . ., North Andover, Mass. )" 7 Fee, /. ,40.Lic. No))").. PLUMBING INSPECTOR Check # 621 $ v f • 'MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING �) (Prinit�or Type) o� U " � t 1V1 •� L) £-/f _ Mass. Date ?efmlt* fi� 4Y< _ Building tocatloq_ '7 •lrJ� �i'I'1 r7 rI� � Owners Name � , z __, L99$ Type Of Occupancy New O Renovation Replacement Plans Submitted: Yea ❑ No FIXTURES z x m W W j 44 Z NW < = ( <E. U. 10- = H. d �.. O O < H SUB—BSMT. BASEMENT SST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6THFLOOR 7TH FLOOR STH FLOOR Installing Company Name �;� "-+'l�n � ,:,nQ �r�P—C A Sc — CCheck one:. Certificate Address b c� r�; lei L�'Corporation a�� rel Q O Partnership Business Telephone—) Xl- � q - ��0OC) O Fhm/Co. ti Name of Licensed Plumber LAD T:74er'-, INSURANCE COVERAGE: I have a currentliabillty.insurince policy or Its substantial equivalent which meets the requirements of tiAGL Ch. 142: Yes 17 No O If you have checked Ygg, please indicate,the type coverage by checking the appropriate box. A liability Insurance policy ❑ Other typed Indemnity O Bond O OWNER'S INSURANCE WAIVER:I am 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 application waives this requirement. Check one: Owner O Agent❑ Signature of Owner or Owner's Agent \ I hereby certify that all of the detab and`mfom ation I have-W - entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and in"lations pert and the permit i=jed for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing a 142 of the Go Qe Laws. BY, g umber Title Type of Ucen`se:Master O Journeyman O ctittyliovm � L license Number i • 1M - "'�Co j 1 r i. BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION FINAL INSPECTION SKETCHES t f- FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME & TYPE OF BULIDING '- t� LOCATION OF BULIDING PLUMBER , PERMIT GRANTED y DATE 20 PLUMBING INSPECTOR Date.. . . . k. y .,I 1"". pO TM O9 u ry` c TOWN OF NORTH ANDOVER F 3 I O F ' PERMIT FOR GAS INSTALLATION 9SSACMUSE� d / This certifies that . .,: � . . . . has permission for gas install tion ������.�.:'�' in the buildings c --. . . . . . .. . . . . . . . . . . . . . . . at � �< J.l. . . ., North Andover, Mass. ` G Fee. : o Lic. No.l . . . . 21.,R6. /7 . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Chdck# '4894 r MASSACHUSETTS UNIFORM APPLICATION F R PERMIT TO DO GASFITTING (Print or Type) Mass Date ��o O Permit # / 7 Ib SAA 7- Building Location Owner's Name Type of occupancy New p Renovation ❑ V Replacement. Plans Submitted: Yes❑ Non N 0= -A- FL, W_ N ^ ^f� Y 6 N `Jl\44Cv`C� N C> Cr N 2 0Lij O N 2 ►- a N W C O C� r7 J Cz f.. t > Z O ► yr z o W 4 CC m H (• W W O O A. C < N > G N CJ V W = ur K Q M J] r _ u, = J = W W'W z CC ¢ > W H V .J h W W O W P6d 'O D z W > JL W O Z. < Cr Q i O O W a O W E C� ¢ a O t9 Y Y. 7 G O .J U C > C tL M� O SUB—BSMT. BASEMENT 'f ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR BTHFLOOR Installing Company Name Check one: Certificate i —/ r Address Ua �-O�'�C�, 1�j-P LY COrPoratron [3. Partnership Business Telephone_ ""1 2A �S�t- ooh� D Firm/Co. Name of Ucensed Plumber or.Gas Fitter -- INSURANCE COVERAGE: ` I have a current obility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes &Y No ❑ If you have checked Les, please Indicate the type coverage by checking the appropriate box. A liability insurance.policy ❑ Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am 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 application waives this requirement. Check one: Owner[--) Agent n Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 havesubmitted(or entered)iaaAW6,application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the pe issued for this application will a in compliance with all pertinent provisions of the Massachusetts State.Gas Code and Chapter 142 oe eral 4v s. gy. T of license: Plumber g ure of<Jcen lum Gasatter Title Gasfitter O Master License Number C-Yl — �CD City/Town Journeyman APPROVED( 1 NL ILI q i BELOW FOR OFFICE USE ONLY ! PROGRESS INSPECTION FINAL INSPECTION SKETCHES FEE NO. PERMITTO DO OAS FITTING �. APPLICATION FOR P � I� tF NAME S TYPE OF 13 ILDING— LOCATION OF BUILDING h PLUMBER OR GASFITTER t r UC.NO. r PERMIT GRANTED_ j DATE - a , GAS MSPECTOR . f