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HomeMy WebLinkAboutMiscellaneous - 70 LIBERTY STREET 4/30/2018 70 LIBERTY STREET 2101090-13-0053-0000.0 9960" Date.................................. NOR7M °f� °:•'"� TOWN OF NORTH ANDOVER 3? ��.r - -• OL a PERMIT FOR WIRING �SSU This certifies that ....497't e` .t.v! � .....1..�! has permission to perform .........// S `C �- K ,/ 5................. wiring in the building of /`lw'�l L sty ..................................................................... 7v L� EST ` at � Y.....��...................... .,North Andover,Mass. t Fee...0 :r""-Lic.No..............0 �............ T-'..!.// Check # 1 �� ELECTRICAL INSPECTOR / d-o�c Iq cpale6o FORM U - LOT RELEASE FORM 3 - t QL- &>3 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 Dy00uS t1GWNi 10 Y1 -PHONE 9'16 9-75 S(0aq, LOCATION: Assessor's Map Number ` +� PARCEL -53 SUBDIVISION LOT(S) kSTREET L i be E T',�) STtae"f _ST. NUMBER -70 ************************************OFFICIAL USE ONLY*********************************** REqj9M, ,MENDATI0NS OFT WN AGENTS: CONSERVATION ADMINISTR OR ATE REJECTEDED � / �� COMMENTS TOVS n0f W_e+ tUC-�cer�dy�uuJ x �acKs S"�r �rC. propose ►n 5o i glo Lbw� � � aJ'� j V10 ���banc� TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED OD DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm r � TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER DATE ISSUED SIGNATURE: Building Commissioner/Insmtor of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RegWred Provided Re aired Provided v 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Inforniation: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record ame(Pitv Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Address Expiration Date ic Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name m Registration Number r Address r Z Expiration Date n Signature Telephone v' P � 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 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Max 2OX 19 i�Q3Leby SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant - 1. Building (a) Building Permit Fee GOW , Multi Tier 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+ +4+5 Check Number SECTIO a O NER AU OR ATION TO BE COMPLETED WHEN OWNE S GE TO O IRA TOR.APPLIES FOR BUILDING PERMIT 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 7b OWNER/AUTHORIZED AGENT DECLARATION I, 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 I ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3RD 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 Town of North Andover. +.R Building Department 4� 27 Charles Street North Andover, MA. 01845 o ; r D. Robert Nicetta ' scrrus .Building Commissioner . (978) 688-9545 : 978 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print 2 DATE I�IOJ JOB LOCATION O �T Number Street Adaress Map/lot "HOMEOWNER k v i�✓1 9�8 �( 5 5(�a°I -�� 3 ame Home Phone t a(0 Work Phone ' 'RESENT MAILING ADDRESS ha( !� ST Nb r r City Town Statey5--- Zip Code The current exemption for"homeowners"was extended to include owner-s=pied 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 Budding Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which helshe 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 th;an 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"certifi Oshe undemta ds the Town of No.Andover Building Department mini num insp on",p edures and req irements and that heJshe will ' comply with said procedures and rec}�uiret-Aen _ HOMEOWNER'S SIGNATURE APP APPROVAL OF BUILDING OFFICIAL 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: um 5-rer ciT 9 . Ma I - wob uon "55 (Location ility) S nature 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 FORM U - LOT RELEASE FORM 3 - t a- r.>3 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 SEKPHONE CTION*********************** APPLICANT DoL7oAu5 "0yy%1 1-�✓1 916 975 '5(0�Q LOCATION: Assessor's Map Number 0 +3 PARCEL X73 SUBDIVISION LOT LOT(S) lC STREET L a bek'ST. NUMBER -70 ************************************OFFICIAL USE ONLY*********************************** REC)gWENDATIONS OFTPWN AGENTS: CONSERVATION ADMINIST OR D VED ATE REJECTED _ � � COMMENTS n.0 W-A- weiia-ncd Vluu? 6 KS 5'tfv,4, •.c.rc p(opCSec� � � ' 5hoi TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH 9A t DATE APPROVED D DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm Date. . . . . . . . .. . . . . .... . i NORTH pf t,.io �^,ti0 of TOWN OF NORTH ANDOVER I Si PERMIT FOR GAS INSTALLATION �'ISS ACHU5E1 I This certifies that . 1. ��i!�!. . . _. . . has permission for gas installation in the buildings of� �. .. . 1 �. 11il--z1 e—( . . . . . . at �1/. . . .r� . . . . , North Andover, Mass. Fee.. �Lic. o../�W-" . . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR Check# � 4� 59 � MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) f1h AnAooer r class. City, Town DATE Dec . o9—+9--�3 Building Permit # 1513 Location D �► 57yr-21— Owner's Name . VNOC.Synl ROYI New ❑ Renovation �J Replacement ❑ Plans Submitted: Yes ❑ No ❑ N W W x z a tri N 0 U N x W a 0 rn F- a W Wo w o o m s cn 0 J wz O H Q CC zO 00 ~Z w a cc W O W - W a N U z > W W N W z Q x a a W a w ,°y H z 0 H z � ►= z F W W c7 O > U. ►- U J fes. W z a W 0 m z 0 z O N 1 x a W > W n z a x a LU a x o c� x u. a t7 U ¢ > n a� FW - o SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR II - Check one: Certificate Installing Company Name �OT Yat coolTCT [9 Corp. Z S7 C Address ❑ Partnership (A)0bA8!j 111(4S6 OI P50-1 ❑ Firm/Co. Business Telephone -781 X33- 0a8F) Name of Licensed Plumber or Gasfitter + INSURANCE COVERAGE: Check one: I have a current liability insurance policy or susbstantial equivalent which meets the requirements of MGL Ch. 142. Yes[7 No 0 If you have checked yes,please indicate the type coverage by checking the appropriate box. A liability insurance policy&"' Other type of indemnity 0 Bond 0 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 0 Agent 0 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my 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 C e and Chapter 142 of the eneral Laws. B Type License: By DF'lumber Signature of Li nsed Plumber--7- Title ❑ Gasfitter > 2 Q'Master License Number City/Town ❑ Journeyman JJ APPROVED (OFFICE USE ONLY) I .i It //�� /��j// // Official Use Only (f1mmonwealth o f Mamachuaetb 1 cc�� �� C 2epartment of Jire Service Permit No. � Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (\ All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 ' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1/31/2011 City or Town of. North Andover To the Inspector of Wires: \� By this application the undersigned gives notice of his or her intention to perform the electrical work described below. \.\ Location(Street&Number) 70 Liberty Street Job#110109956 Owner or Tenant Doug Hamilton Telephone No. 781-844-3430 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 ® Undgrd❑ No.of Meters { New Service Amps / Volts Overhead Undgrd No.of Meters L Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of burglar alarm system Completion of theollowin table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- El 0-0 oEmergency Lighting g rnd. rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. Detection and Initiatin Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local 8 Municipal M Other p g Connection uriNo.of Dryers Heating Appliances KW No. Devi es or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Bathtubs No.of Motors Total HP Telecommunications Wiring: No.Hydromassage No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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 0 BOND ® OTHER ® (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and com FIRM NAME: Ultraguard Protective Systems IC.NO.: 1608C Licensee: Michael A. DeCosta Signature LIC.NO.: (If applicable,enter "exempt"in the license number line.) Bus.Tel.No..781-937-0555 Address: 18 North Maple Street,Woburn,MA 01801 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. 000986 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)❑ owner ❑owner's agent. Owner/Agent RMIT FEE: $ y ' Signature Telephone No. PE -S-06 y h A(/�t' WILLIS W. ESTY �.�-- • ,24 � ,za ,,.Id. L • ,io c P 11f.f NA.it2AL 5,ot~ O 11.za D I U 1W ►� 1148 \ ROW OF HAYSALES LOCATED •p B 1114 „ WELL � � /N FIELD PARALLEL TO BLUE D L �raJ - 1148 1148 AN y �10 1148 FLAGGTIVG aOCAT/ON CEMEW AM MGllx cel APPROVED IN WRITING BY Ei I �� �' "'A N NANCY SULLIVAN NORTH C DRI VE►�A y /SLANG' f/4a 'st l� ANDOVER CONSERVATION c7 ;� „4o it" COMMISSION, JULY /3, 1987) c� R — 411 »t - Tv 98.7 Y A s' 7e 11&4 EDGE OF WETLAWS . R »4e »s 1111 nae � V I 1 1112S LOCATED ANC D I�RV� BY S B "" , s. COR. BD. ASSOCIATE'S AtZ.. Ilse 1140 ✓UNE /985' T E FIRST FLR. ELEV. = 121.2 . R GARAGE FLR. ELEV = 114.'8 CON RET. E W A P N deo 114.0 4"Orm & WALLS 1oAe \20)c I q �lX E T LOT 4 • »>; s.0� Sy, ``��, G�l� , C. P/�no �Ze� SPRINKLER QOM "� '`'la.i� 1120 T " rias • ,1110 • 1_ AS—BUILT �N of LOT 3 PLAN REFERENCE- PLAN OF LAND �y S1 TE PLAN OF LAND /N NORTH ANDOVER, MASS I1V PREPARED FOR DOUGLAS HAMILTON, MARCH 11, 1987 NORTH ANDOVER HA 34WS BY C. W. GAR VEY CO., INC. PREPARED FOR fSu ���� DOUGLAS HAMILTON NOTES: "�S�R �Q _ j1�O� SCALE' I" = 40' JUNE 5, 1989 THIS PLAN HAS BEEN PREPARED TO A CCOMPAN Y A REQUEST c A / HANCOCK SURVEY ASSOCIATES, INC. FOR A "CER 77F/CA TE OF COMPLIANCE" TO ME NORTH ANDOVER / I t / V O. 2 ELECTROMCS A VENUE, DANVERS, MA CONSERVATION COMMISSION AND SHOULD NOT BE CONSTRUED 242- 400 SCALE 1" = 40' AS A CERTIF/ED PLOT PLAN NOR A MORTGAGE /NSPEC7701V PLOT PLAN 0 20 40 a0 iso 3405 N/� W/LLIS W. ESTY �.�- • I24 2a A Ills L P • 1 MAS • ""°\ D ROW OF HAYBALES LOCATED I U lfsa • 1I ""a WELL /N FIELD PARALLEL TO BLUE •B B 1114 �• �,xa D FLAGG74G (LOCATION • naJ n-4a it-to DUAW r" Lcafmv cr,�c""�wx c� APPROVED IN WRIT/NG BY 1 1, a�,c- f14as \ N NANCY SULLIVAN NORTH r E f=+�D ANDOVER CONSERVATION n C OR/VEWA Y ISL ANG• /1j`� - 11ao if" COMM/SS/ON, JULY /3, /987)45 a c� R _ as TV 114J "s f` 98.7 Q Y A R 11x4 1140 „s „s Ills EDGE OF WETLAWS 1 'a 1 1/2 STOR »mss LOCATED /N FIELD BY HANCOCK SURVEY • 117.J A,SSOC/A7FS /AG s B , p COR. BD. Ilse ,rao 11-INE 1985' ' T E FIRST FLR. ELEV. = 121.2 F R GARAGE FLR. ELEV = 114.'8 ,rs� neo CON RET. E W 1(��P'$c' nRv �'OOL & WALLS• roAa 2•(73C 1�{ ?�. o LOT 4 S.1040, 5� �2cColvc. PA77O C?RZeb F' H SPRINKLER QOX� '120 T » a y f12a • rid • AS—BUILT Hof LOT 3 PLAN REFERENCE- PLAN OF LAND �y SITE PLAN OF LAND IN NORTH ANDOVER, MASS. IN _ PREPARED FOR DOUGLAS HAMILTON, MARCH 11, 1987 NORTH ANDOVER MA 34308 BY C. W. GARVEY CO., INC. PREPARED FOR e- -E °�o� DOUGLAS HAMILTON NO TES: SURIJ SCALE 1" = 40' JUNE 5, 1989 THIS /PLAN •HAS BEEN PREPARED TO ACCOMPANY A REQUEST I�EQE HANCOCK SURVEY ASSOCIATE'S, INC. FOR A "CER77FICA 7E OF COMPLIANCE" TO 7H£ NOR 7H ANDOVER FILE NO. 2 ELECTRONICS AVENUE, DANVERS, MA CONSERVATION COMMISSION AND SHOULD NOT BE CONS7RUED 242- 400 SCALE 1" = 40' AS A CER 77FIED PLOT PLAN NOR A MORTGAGE INSPEC77ON PLOT PLAN - 3405 0 20 40 80 160