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Home My WebLink AboutMiscellaneous - 7 HAY MEADOW ROAD 4/30/2018 7 HAY MEADOW ROAD �L 210/1048-0113-0000.0 J a I .� No 7 Date.,, ...... ...... VIORTH TOWN OF NORTH ANDOVER 0 # p PERMIT FOR WIRING 4L SS S s S This certifies that ............. .......... has permission to perform ..... ...... ........... wiring in the building of..... ..................14 ..................................... North Andover,Mass. at.... ..... .................... Fee-.,-..',:.�.............. U6.No.............. ........ ..................... .. -ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer .\ THECOMM011W/E1LTHOFMA.SSAC'IU.S'E77S Office Use only l�i�iB9RT11ffiVIOFPUBLK S9FElY ,L/ Permit No, BOAROOFF7REPREVEN770NREGUTA770NS527CMRlZ-00 Occupancy&Fees Checked ` M APPLICA TTONFOR PEST TO PERFORMELE=CAL WORK ORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 !/ ALL WORK TO BE PERF �'"� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date J Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work escribed below. AP PARCEL Location(Street&Number) G`_ DG/ Owner or Tenant 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 / Volts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground r--J No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work f✓l��" f'f-7�SOiv o/�� No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generator: KV A ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumcrs No.of Ranges No.of Air Cond. Total I IRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Si Bailasis No.Hydro Massage Tubs No.of Motors Total HP CCBER- ti hnrmneCo erage.RustytottleregimmutsdNt-md�Cvnwallaws Ilnwa=atLmbtlityhMa=Pbbc irrl U%Can ' Co MWcrits&"UnWec� YES NO a llrawslhru&dva}idpmfofsurretotbeOfCe YES =NO Yy ubawa admaYES,pleaseit cEeedr FofoowWbydrdcmgthe �cE BOND Q rn1E Q FkmSpo*) E*atiorlIDtoe Fsft�VahiedEbo icalWcik$ olkwSta<t IrWocfimD&Req�a Final tgleduoda4l ofpajtuy�— 1k�P1v1NAME t,. '_.ioa>sae �� SigtlahaeLioa>seNo .� �17��'SC BtsitmT(ilf b k' AIL TeLNa , OW UZRSMURAIcEWAIVER;Iamawarethattttelioffwdoesrnthnetheinstaamecmuagecritsab4xtolec asregxcdbyMamimsetsCvrni iLam andthatmysiglrahaeonthisPM111app}ira_waius tlrisregtmanart (Please check one) Owner Agent Telephone No. PERMIT FEE S-,:1) Signature ot Uwner or Agent i Location' f �/ No. ZJ' Date Axlz� 7-7 NORTH TOWN OF NORTH ANDOVER 3't i • O i y • ; , Certificate of Occupancy $ y o ,• a 1> ��....L. .. 11 �+s•o•I �ssCMUS Building/Frame Permit Fee $ �• — Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �s Check # //09 131 7 2 7 / Building Inspector • J s JW ( r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �ti� � � � _ -� BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: e CAOU4�� BuildinsTommissloner/InEeEtor of Buildings Date SECTION I-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 64� 0 R Map Number Parcel Number CT W 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use ea s Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Rcquired Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT F m 2.1 Owner of Record t �o W Name Print Address for ServiW. r �Sla a r Telephone O 2.2 Owner of Record: to Name Print Address for Service: O Z M Signature Telephone 90 jSECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ C �'.�� Licens d Construct' n Supervisor: Q � (Q O 0-0 // f `�f475S f�j — `` ` License lmber mn Address # L-4,- ! `��T� /�/ / Expira�n Date ic tgna r Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name _ rn � (,, a /{�G V r Registration Number r Address r r dl�13/o a <,'46,� Expiratio Date ^2 Sin re G) Tele hone 4 SECTION 4-WORKERS COMPENSATION(AG.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 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other V Specify G eGd Brief Description of Proposed Work: ,S`a eGoz& Ozer ge SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFI� `' U,S.E'QNLY�r 5 Completed by permit applicant " I. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of GG G Construction 3 Plumbing Building Permit fee(a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Cl Check Number SECTION.7a OWNER AUTHONIZAT40N TO BE COMPLETED WHEN OWNERS AG�Nj OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property P Hereby authorize V to act on My behal' , all mattes rel tive t work authorized b#lthis building permit application. f v< r Date 9ECTION 7b OWNER/AUTHORI ED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare at the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief r Print Name t e -0 er/ int at NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIlvMERS 1 ST2 ND3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORK! 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 or requirements: * *t°,,k *AFPLICAT FILLS OUT THIS SBL aPPLIcaNT 2 s e-Z- t� z PHONE LOCATION: Assessors Map Number la e-1,6 PARCEL O 113 SUBDIVISION LOT (S) STREET �, lce v ST. NUNIEER USE *RECOMMENAPATIONS OF TOWN AGENTS: VATION ADMINISTRATOR DATE APPROVED zI I a.bU- DATE REJECTED COMMENTS S ti TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS_. FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SE - IC INSPECTOR-HEALTH DATE APPROVED 0� DATE REJECTED M COMMENTS PUBLIC WORKS -SEWER/WA T ER CONNECTIONS. G DEPAIt ivAEN DRIVEWAY PERMIT FIRE DEPARTTMENT FECEiVED EY BUILDING ii ISPECTOR -DATE - Revised 9�97 im The Commonwealth of Massachusetts _ Department of Industrial-Accidents Gtfice of Investigations .� Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print (Mame k 1 Location' l)-a W V Mf 1 Phone aI am a homeowner perrcrming all work myself. I am a sole proprietor and have no ane working in any ca pac'rY CI am an employer providing workers' compensation for my employees working on this job. Comoanv name: Address Citi. Phcne T Insurance Co. Policy T Comcanv name: Address CN'. Phone M' Insurance Co. Folic,/T Failure to secure coverage as recuirec under Section 25A or MGL 152 can lead to the irrrocsition er criminal penalties or a fine up to$1,500.00 and/or one years'imprisonment as Neil as c:vii penalties in the Corm d a STCP wCRK ORCER and a rine cf(5100.C13)a day against me. I understand that a copy of;his statement may be fcrsarced to the Office of Investigations cf:he GIA for coverage verification. I do hereby certify undoUt? ,caa, and penalties perju that the information provided accve is true and correct. Date l5 Signature Qp � Print name � r! ( Phone ir Official use only Co net nmte in.this area to be completed by city cr town=ic:ai 1 City cr TC,vn Permit/Ucensinc Building Dept ❑Check f immediate response is required Cl Licensing Board Se!ectman's Office Contac:person: Phone T 1-lealth Department Other • BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL.c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11,S 150A " The debris will be disposed of in: Y-2 Location of Facility t 16nature of Pe GIr- a Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector r y t 45 tr': i `'jI ,,' h, i i I t i � v I II 5 1 a � Ili ll SII we will use 3 2x10 nailed together walls will be 2x6 16 on center with on each side and support with walls walls will have R three 12x12 tubes four feet deep 112 inch plywood. filed with concreat 19 insulation floors will be 2x10 16 on center with 3/4 plywood R30 insulation roof will be 2x10 16 on center with 1/2 plywood insulation will be R 30 with proper vents and ridge vent and soffit vent \ -- _' r r / x.10 R T#q own of And , a V _ ",. No. A$ ofj* dower Mass. y • L ' d COC MIC HEW ICK ORATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ` BUILDING INSPECTOR THIS CERTIFIES THAT.... .�../r �� 1 .. .................A �i .0..C.C .....t.0.............. L," '•• Foundation has permission to erect... �X..�..i?..0 g P1 R d �� buildings on .......... ..........��...... DOW w �. ............... ........t—cie- to Rough. be occupied as.. afel'CA.. ....0 .X�. ..... ..�'� .)..P. ... . .. ...... 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. I I PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 1 b Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI T T Rough .............. :................................................... ...,,.. Service BUILDING INSPECTOR Final Occupancy Permit Required t0 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) NORTH ANDOVER Mass. Date 1/27 19 98 Permit # Building Location_ 7 Haymeadow Road Owner's Name Tomacchio Type of Occupancy_ Residential ti4 New ❑ Renovation ❑ Replacement Plans Submitted: Yes ❑ No ❑ FIXTURES U Z Y. z N a 1 rUI F- N J N O Z W O W > U d n D O W }.� V) z (11 a ¢ d ~ Z o _ z '�' a N N N !4 x _ ¢ i W _ N "—' rn N x a w N z a a 3 x roti b b ¢ w O cu d N ¢ W = Q S 3 O z S > Y a 0 Q W U. Y W �4 �4 ~ U > F O = a J N f. Z O O N = z W F' O U 1.- X = U) W Q Q O Q J J d ¢ ¢ ¢ `= O 3 Y J O rlj 33 33 � SUB—BSMT. BASEMENT 1 IST FLOOR I W1 2ND FLOOR N A 3RD FLOOR D T 4TH FLOOR I T w 5TH FLOOR R I S 6TH FLOOR E 7TH FLOOR C +DHfF 8TH FLOOR Installing Company Name Heritage Htg, &P1g. Co. Inc. Check one: Certificate Address 35 Pleasant Street LX Corporation 714 Stoneham, Ma 02180 ❑ Partnership i Business Telephone 617-438-7776 rJ Firm/Co. Name of Licensed Plumber Gordon Switzer I INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No ❑ If you have checkedrimes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 0 Other type of indemnity ❑ Bond ❑ 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: Signature of Owner or Owner's Agent Owner ❑ Agent❑ 1 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best ofmy knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code a d Chapter 142 of the Ge;eral Laws. By Title Sig ure of icensed umb - _ _ Type of License: Master[$- Journeyman❑ City/Town O 8322 APPROVED FFICE USE ONLY) License Number I BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 1g PLUMBING INSPECTOR e Office Use Only (1 4C \':j1Mjj UnW r)lth if 46a1i5ar4U.6 ftg Permit No. 7 _ Bepartment of Public —Aafetq Occupancy& Fee Checked ___� r BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 390 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 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 41 (X* or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the ^electrical f\work described below. Location (Street & Number)-i-7 #41- tet. aCkXD Owner or Tenant '3�to) N h �a' 1(4-4 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 _� Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrigal Work. Ani i Total No. of Lighting Outlets I No. of Hot Tubs No. of Transformers KVA �-� rr � No. of Lighting Fixtures Swimming Pool grnd Above❑ In-gmd. I__i i Generators— No. I— No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones i Total No. of Detection and No. of Ranges I No. of Air Cond. tons iribating Devices N�Heat Total Total No. of Disposals I Pumps Tone KW No. of Sounding Devices -- No. of Self Contained KW Detection/Sounding Devices No. of Dishwashers I Space,Ar ea Heating KW Municipal Fr-; �i 99 ;Ir.. ,e•;, e; Lccal L_J Connectio No. of Dryers I Other No. of No. of" - Low Voltage No of Wa?er Heaters n'bV I Signs Ballasts Wiring No Hydro Massage Tubs No of Motors Total HP OTHER: # ' INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws � _ I have a cu Ent Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES 2' Nv 1 have submitted valid proof of same to the Office. YES = NO � If you have checked YES, please indicate the type of coverage by checking the appr nate box. p ) I bi 'I G�� INSliF1ANCE 'BOND = OTHER = (Please S eci (Expiration Date) Estimated Value f lectricat Work S :21b . Work to Start CG Inspection Date Requested: Rough Final Signed under the Penalties of perjury: FIRM NAME LIC. NO. Licensee 1 S. n Signature LIC. NO. Bus I No. Address D 45011 1 A t. T No. OWNER'S INSURA�E WAIVER: l am aware that I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S ` V (Signature of Owner or Agent) x•6565 Date N - 3602 "'1. aa w TOWN OF NORTH ANDOVER q Oai . , ti �0 PERMIT FOR PLUMBING ,SSACHUSEf O This certifies that . . . . . . . . . . . . . . . . . has permission to perform Ale S.5'. . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . at. . . .///-I J/„e4 A-. . . . . . . . . North Andover, Mass. � Fee.-2.77. . . .Lic. No.2-3. ?.?-. . . . . . . . . . . . . . . . . PLUMBING INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Date... .� �� :. ................ - 378 NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING • i : • SACHUS� ._ This certifies that ...... ....................................... o has permission to perform ....... ......... ........................... • 8 wiring in the building of..... ... . .Q............................................................v; coo'doj at....... ..... ... ............................. .. ....................... .North Andover,Mass. Fee. l�......... Lic.No.. 1.7 . 1.. ... ELECTRICAL INSPECTOR .� .r GE /So WHITE: Applicant CANARY:Building Dept. PINK:Treasurer