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HomeMy WebLinkAboutMiscellaneous - 78 KARA DRIVE 4/30/2018Date.... . ..../D.. -Ps.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... #.DT:.5.4- v?gzl . ***.;K .......... has permission to perform ............ 7 ..... I. .>""............................. wiring in the building ofSN11,.4......1.7.......................................... at ............ :7X ....... lk� ICA .............. )�.K .............. , North Andover, Mass. . ..... ........ Lic.No.,�.-- 6 — fllp .6 ............ ELECTRICAL I N'SPECTok Check # /r, V _ Commonwealth of Massachusetts Department of Fire Services ,. BOARD O FIRE PREVENTI �:2UrIONS Official Use Only ..Permit No. Occupancy and Fee Checked (Rev. 9/051leave blank APPLICATION -OR PER I ERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 !PLEASEPRINT IN INKOR TYPE ALL INFORMATION) Date: 5- 9-6� City or Town of: AJ Ayp )Ue {— 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) EDr Tenant Owner's Address Is this permitin conjunction with a building permit? Purpose of Building E:xisiingService Amps i V01is New Service Amps / Volts Telephone No. Yes ❑ No rV7 (Check Appropriate Box) Utility Authorization No. Overread ❑ 'indgrd ❑ No- o iVieiers Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security and or Fire alarm systems AICC 0 \,) e- L Z'O' N w r C r9 n �14 01 -V &m () K p`i- F k ri I Completion of tffe following table may be waived by the Insnertnr ni WirPc No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total —� Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires AboveIn- Swimming Pool ❑ ❑ rnd. arnd. o. o mergency 1g mg Batter Units _ No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS _ No. of Zones 1`x'0. oi'Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Tonal No. of Alerting Devices l Waste No. of V1 rite Disposers Heat Pump I\umber Tons "-- KW .__--� No. ofSelf-Contained C Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW �Municipal (� Connection Local Other ❑ No. of Dryers Heating Appliances KW Security Systems:* Qt dnlNec.t L No. of tievices or qulvalent q0 �- INo. of Water r«N No. of No. of Data Wiring: �,.. _._ _ rieaters ji ns �,n�e�,.0 No. c Devices or Eq aivaieil! Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total H -P No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of {Vires. Estimated Value of Electrical Work: 0 (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. T he undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE,: INSIJRANCE El BOND ❑ OTHER ❑ (Specify:) I certify, rattler thepains andpena/ties ofperjury, that the information on this application is true and complete. FIRM NAME: ADT Security Services, Inc. _ LIC. NO.: 1533 C Licensee: Kenny Wong Signature „�LIC. NO.: 5966D (if applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 60-594-5900 Address 18 Clinton Drive Hollis N.H. 03049 Alt. Tel. No.: 603-594-5930 *Security System Contractor License required for this work; if applicable, enter the license number here: SS CC 001975 OWNER'S INSURANCE `.VAIVER: 1 am aware that the Licensee does not hcrve the liability insurance coverage normal:y required by law. By my signature belcw, hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent 1 PERMIT SFE: $ !rlnature Telephone No. __ M Town o North Andover t&ORTh Building Department � ,�;`eO ' �o 27 Charles Street a n► North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 �` •" �` � tOt Ml[IK NrK■ �9SSgAID cNus���y APPLICATION FOR CERTIFICATE OF OCCUPANCY /INSPECTION ADDRESS a. j ee LOT NUMBER -k y SUBDIVISION DATE REQUEST FILED DATE READY FO INSPECTION �s2 3 d, ALL WORK AI D SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF TBE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE M 6. ( ROUTING CONSERVATION DATE / t2 -a PLANNING ' i D.P.W. — W R ME] i D.P.W. MUST INDICA TO THE'INSPE SIGNATURE / DPW A DATE DATE TE THAT THE WATER METER HAS BEEN INSTALLED CTION REQUEST DATE. N TION 11,116,' N° 1). _ 5 1 Date 1��/ ............................... ,.t, -. •. ooL TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ''.• This certifies that ............. r . (.' .. �.�c......',. 7 ........-.....................4 ..(•„�.......... hos permission to perform ......... f.. ..........`./-r- ......................................... wiring in the building of ......Z ...... r,:..!.G.......1..................................... / �� �i% %.%}f1... `.� ��..:...!.�. '. �, North Andove , Sass. Fee .... ..`.(....... Lic.1+70. 0 . � `:.... 1,-7,4 l : .. `..... ...... ......... �ELECTRICA[:INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THE t0M1110NWE4LTHOFM4SS Office se only .--- DEPARTMTM NTOFPUBLICS4107 Permit No. BOARD 0FFIREPREYEW0NRB9JL4TI01 KY 527CMR 12-M V131A Occupancy &Fees Checked LICATIONFOR PER .MIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 � I (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 1— Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address To the Inspector of Wires: Is this permit in conjunction with a building permit: , Yes Q No (Check Appropriate Box) Purpose of Building 440 / Utility Authorization No. Existing Service Amps� Volts OverheadQ Underground No. of Meters New Service Amps Volts Overhead l:3 Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Yet-- i..�ixti-+ If No. of Lighting Outlets No. of Hot Tubs No. of Transfonners Total d KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Di washers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Diyers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Sim Bailasis No. Hydro Massage Tubs No. of Motors Total HP htstttanoeCoraage: Laws Iha%eaa=ttLibtTdyhmrmwPobynix*gCmVit C vaagDa'itseWhdat YES F7-1 NO Iha,,estbxr»madvMptoofofsametothe0ffi= YES U NO IfycuhmdtdWYES,pleasemdiat ftle peofWYWd ebydtedttgthe INSURANCE BOND OTIIER (PleaseSpedfy) EVitabmD* WotkbSw d °I - G l h i0mD*Reqested Rogh FERMutxia�ieP�taltiesofpajt: y f /Gi /- Al 1-iRMNAME S U J ! v G r FAVn*dV*edUechicalWdk $ Firial lioa�seNa 8 Sr S c Lioam &jL✓-� 47. SL) di yr, °jam_ �h4,-1 ag-/, L' Idoa.I b 2 2 (/ 7 V ff &&=TeLNa C/71� - (o J0a9- 6, 7 �.27_/'�/ c/ �C{lt Sf! w✓ �' AiTeLNa OWNER'SMURANCEWANER;I.amm=tbsttheI dmnat #eicsua=wmaForilsskftWeVhdaltasteWmdbyMam&wMCerteralLam a4d @?atmysigttahaeonihis petmatappfir�at waives this tec�anat. (Please check one) Owner a Agent Telephone No. PERMIT FEE � N N.2 Date Z .............. / ........... TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that .................................... ...................... .......................... has permission to perform .............................................. ............................ 16 wiringin the building of ...... ....................................................... . ..................... at ................................. .................. ... �:� ..................... .North Andover, Mass. Fee4�.'* ........ ...... Lic. No ........................ ..................................................... ELECTRICAL Wsncm Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer DEPARTMENPOFPUBLICSAFEIY Permit No. BOARDOFFREPREYEWONREGMT10AN527CMR12.0 Occupancy & Fees Checked .,;1(.3,!F 41P APPLICATTONFOR PER1VIlT TO PERFORMEMECTRICAL WO` ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL. INFORMATION) Dat U i Town of North Andover To th Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street, Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No EJ (Check Appropriate Box) Purpose of Building , /t16 G2 VI" I dd.1 • Existing Service Amps/ Volts New Service Amps 'ltl / ) Volts Utility Authorization No. Overhead Underground Overhead Underground Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work' r/W aJJ /1 i=1 4-172F"-771 No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outle No. of Switch Outlets No. of Ranges Ngo. of Disposals No. of Dishwashers s t! No. of Dryers No. of Water Heaters No. Hydro Massage Tubs OTHER No. of Hot Tubs Swimming Pool Above ground No. of Oil Burners No. of Gas Burners No. of Air Cond. No. of Heat Total Pumps Tons Space Area Heating KWINo. of No. of Signs Bailasis No. of Motors Total HP Generators No. FIRE ALARMS No. of Meters No. of Meters Battery Units Total. No. of Detection and KW Initiating Devices KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices KW I Local Municipal Connections No. of Zones Othe VA VA tlrs==Cbm PlIIsuatttbthelegIDflita$�C']a1H'aIL$WS Ihatieaamm tLmbrTdyhur =PobcyirtcJ &gC vide Co►eporitssewhri wmt YES a NO Iha%eshmAledm&poofofsameiodxOfm YES M NO r7 IfycuhaeedtaWYESspleasemdc*thetypeofw&Egpbydmdtagthe box II�ISURANCE BOND OHiER (Pkaee**) EornaledValuedU mhAWak$ WakIDSM htspactianDabRegt>ested RD# Ftttal 0 �� �i Lioer>SeNa .. U== 1AA411 -1 Dhjf�lly S��= Ij=wTb 0 BtsiffXssTdNa 0 L CEJ' D lJ.>IAI AkTdNa p v�77 OWNER'SMURANCEWANFR;I.amaevar dAtheLimw tlteirtsrrdtxecgtaageordss atecErivaiet asrec dbyMa C,t3taalLaws andthatmy aecnitispt niappticaimvm" sthisragtritanenL (Please check one) Owner a Agent a Telephone No. PERMIT FEE $ O• N0�1H ,� l 0 Town of +�s'•...:,'• NORTH ANDOVER ��CNUS BUILDING PERMIT INSPECTION REPORT PERMIT NO.: M�ZPROJECT: UNIT NO.: FLOOR: REMARKS: r`+3C���# DATE: WING BUILDING ki 62 3 S-/--//, /--�e 91 #178 1'�AR44 IDNOi, C. Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector. Inspector Footings and foundations and drains - Insulation - Other: Date: 5-a3- Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector. Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector. Inspector- -ire Dept - -jil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -Cof 0# Inspector Inspector Inspector Form #995 Action Press, 095-7000 N2 ' j 9 Date ....... `.:................... :'.�.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...........................................:............................................... r has permission to perform ....:....................................................................... wiring in the building of ............................................................................ at .......................... . North Andover, Mass. Fee..................... Lic. No.............. .................................. ............................ ELEcriucAL IrrspEcwlt Check # y WHITE: Applicant CANARY: Building Dept. PINK: Treasurer !� TIE 0qW0NqE4LTH0FA1Ayr4Cy1U M Office Use only �\ DEPARTMENTOFPUBLICS4FM Permit No. ?V U%1"BOARDpLjCATJ0NF0RPERW OFFIREPREVEM70NMM4TI0AN5270V 120Occupancy &Fees Checked TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS EI.E MCAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Insp or of Wires: The undersigned applies for a permit to perform the electrical work described below. !� Location (Street & Number) � )e p/i Owner or Tenant iM L Owner's Address % D Lf � L/�/V,�� Is this permit in conjunction with a building permit: Yes © No (Check Appropriate Box) Purpose of Building rim /" Utility Authorization No. dao? -1 Existing Service Amps / Volts Overhead a Underground ED No. of Meters New Service --F D1Amps 1�/ Volts Overhead Underground © No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work', 1 MJ ^P ALY I )il/DUtti .V,0 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ound No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipala Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER-- histrarreCo� R>rst�antbthetagt»a��GalaalLaws �-� IhaveaaratI.iabkyhmm=PohcY AdMCar#gk CovwdWcrksakslaiialegivAr# YES[ l— NO Iha%e%brn&dvMprodofsatrebthe0ffm YES If3cutmedvdWYESPkmemdc*tbeVA)eofwvaaWb'dudcrgtbe appiop bac INSURANCE BOND OMER (I've Speafy) .EViWm D* Esftm&dValuecfl m(ncal Wodc S WakoSw hqieWwD*ReWesWd Ratgh Foal Sigtred utxia�ie Pa�ltyes ofpajtny. FIRMNAME Lz L" LioenseNa Lica= I l,A/tVr✓J t )511.'f£/LSig ewPV BusiressTeLNa Address. � D L C�,�„ _W R tt A/ Ak. TeL No. OWNIERSII-�URANCEWAIVER,I.ammmthattbeLiomdo t e ethert>s�><a>oeooverageaossub�tialec�valentasrec dbyMas xsets Laws aodditmys semihspemr6apphcabarwaipesd isra�aiienL (Please check one) Owner a Agent n c� �—'-�+ Telephone No. PERMIT FEE $�� �_�_ 0�4�J4 �•�h0 p t [ y Y �,SSACHUg CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number _� Date Q -/,/-dL / THIS CERTIFIES THAT THE BUILDING LOCATED ON �DT C> Rr O L MAY BE OCCUPIED AS S �'v, )eL F,4m , ��'`,�ll ��y IN ACCORDANCE WITH THE PROVISIONS OF TH MASSACHUSE S STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY./ CERTIFICATE ISSUED TO CQ / U a!y/ o e ADDRESS /0 Y 7-D /, tip/ /lam (5 / . �l PUT 0 O v -4 O cm C y � � LA O �O 'E c0 co CD 0 CD CL I..r"c-+ L O .O C) OCm i e3 o Q CL QM Q C � C 43 CLJ y � C c cc CO2 C) C) Lli Cn Ir W Cr LLJW Cn °4 v m c �:ci �; � ; .. IN u w x O z w y c ' � o rM w a b a Pw i a v _ co ` '� $ a N � � \ N PW Q w 9 m O\ m c E `t m2Q� v Y o a w cn w o w U a ►� a o CD a� m E PUT 0 O v -4 O cm C y � � LA O �O 'E c0 co CD 0 CD CL I..r"c-+ L O .O C) OCm i e3 o Q CL QM Q C � C 43 CLJ y � C c cc CO2 C) C) Lli Cn Ir W Cr LLJW Cn m c �:ci ; 0 c H o c ' � o rM C zmo .« v Ir of Ir i D _ co $ a N � ES m dw c� �`: a m c E `t m2Q� C CA C h'Em v a o CD a� m y m COQ cm 6 d=0Z m o� L) N ocmj m O Ilift C O O CR C ti F- a Q o 4` H x m a o N Z W G O�,flt "r •H a Z C oc �E vLU vs Z o m.-` 0ay��O y_x Og = aim F. PUT 0 O v -4 O cm C y � � LA O �O 'E c0 co CD 0 CD CL I..r"c-+ L O .O C) OCm i e3 o Q CL QM Q C � C 43 CLJ y � C c cc CO2 C) C) Lli Cn Ir W Cr LLJW Cn d N t # SO,o, V,aQ-A N E�ci�• Lors q� A n� 6. low h 7 1 imrBr emmy ro ru Lie, •.\ wave L r� Lom . vo"pr• fwr Me I= vTN . is LOCATED ON THE Lor AS SMFX AND rAAr lr DOES CON= vlrH I= -rmV040 ^Im. A ►Jt;bv or4o=o jtgoMr1OX8 BSGtRWO SX7WCJM FROM SrRd'ErS & Lor LfNES ` 1 FURMER CERr1Fr MAII I= F� P'rKJ , IS Nor LOCAM IN r7iE F HAZUW ARS AS S1 DIN OX Fa1G1 ,. !PANEL f 25or�I0 �� "',','" =� r%•iTEv G-2-13 "^ srEPXBN - - • MW �.At Lin -'i a - Nor F08 Bommar wm 1q1� BOUNDIRr INFOmffoN TAKEN FRAM ZMrYN0 REL1MS. 4:P7$ kam 0riv e, PLOT PLAN IN ijorvTN A w DoveW , H.4< DJU FM FOR }J I L,I- i I*�--1 04ea--CTT �Vm tr' 104q Tut4, pIIGE 15,'rtcrr I'" 401 � - I'l -0 1 1 RRRIYACK RMCIINMUM0 SRRVICRS 88 PARK STRERr AXDOMR, YASSACHUMM 01810 _ocation )o4ay 39 08 / lo. 3 Date f MORTh 1 T:O�•t`'o ••• ti0 OL 9 l 'r b�Arlo .r"�,�9 s�cwust TOWN OF NORTH ANDOVER Certificate of Occupancy $ nn Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL Building Inspector Location'"r%� No,. / ' Date NpRTM TOWN OF NORTH ANDOVER .j�� • pL 9 Certificate of Occupancy $ /5 yes'•••° •'stn Building/Frame Permit Fee $ s4CHusE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspee/t6r ' TOWN OF NORTH ANDOVER 4, BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR. RENOVATE. OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: 13DATE ISSUED: ) 1-. SIGNATURE: 41# �,6a4�4-� Building Commissioner/1-tor of IRnildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: p� lam_ /Df Map Number Parcel Number 1.3 Zoning information: 1.4 Property Dimensions: 93 4.1 Sob`,4 Zoning District Proposed Uk Area sf) Frontage ft 1.6 BUILDING SETBACKS ft IzLot Front Yard Side Yard Rear Yard Required Provide Required Provided ---fSQL Required Provided 3o 3 .2,v 'a 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record &Z.g dyrr�,o� � Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Si r. ature Telephone SE4 jTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address 00, 1-044-710 0 /vw / '02 -��� Expiration Date/ r I r, 6dr e Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature 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 ....... 0 SECTION 5 Description of Proposed Work check all applicable) New Construction NO Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 15 le- ) /i, SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed bypermit applicant (}EPIC) AL -USE UNLY , u_...,.. 1. Building .-� / d (a) Building Permit Feet Multiplier L5 �oP 2 Electrical 0 00F' (b) Estimated Total Cost of Construction � / bock_ 3 Plumbing 0-0-0 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 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 OWNNER/AUTHO/RIZED AGENT DECLARATION I, 6// /� /�/ 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 �,��Z/O / a t e of caner% ent Date NO. OF STORIES SIZE x' BASEMENT OR SLAB f j r(�f77P SIZE OF FLOOR TINIBERS IS1,/U 2 11D;2'4/d 3RD SPAN ' DIN ENSIONS OF SILLS DRaNSIONS OF POSTS )C DINIENSIONS OF GIRDERS — X HEIGHT OF FOUNDATION / THICKNESS /D SIZE OF FOOTING 2 X t7 MATERIAL OF CHIMNEY / C C- IS BUILDING ON SOLID OR FILLED LAND C IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORiA INSTRUCTIONS: This form is used to verity 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 �4_ )Af , PHONE -&112 - /,; LOCATION: Assessor's ivlap Number PARCEL r SUBDIVISION LOT (S) Z STREET L A /-A ��/` 11/ e-- ST. NUMBER RECO IMENDATIO CONS' VATION ADM] COMMENTS �0 TOWN PLANN COMMENTS ' ****** ***OFFICIAL USE ONLY*********'************************* NS OF TOWN AGENTS: TRATOR FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH DATE APPROVED Z,4 II DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED COMMENTS CP` PUBLIC WORKS - SEWER/WATER CONNECTIONS 4 DRIVEWAY PERMIT tae sQG✓ 1 ' FIRE DEPARTMENT a RECEIVED BY BUILDING INSPECTOR_ Revised 9197 jm 1 �" DATE MASchbck COMPLIANCE REPORT ' Massachusetts Energy Lode Permit # MAScheck Software Version 2.0 ; Checked by/Date ; CITY: Lawrence STATE: Massachusetts, HDD: 6235 CONSTRUCTION TYPE: 1;or 2 family, detached HEATING SYSTEM TYPE: ;Other (Non -Electric Resistance) DATE: 3-5-2001 DATE OF PLANS: 3/5/01 TITLE: PROJECT INFORMATION:; Kara Drive 4:#'78 LOT -24 NORTH ANDOVER, MA; 01845 COMPANY INFORMATION: WILLIAM BARRETT HOMES 1049 TURNPIKE STREET NORTH ANDOVER, MA; 01845 COMPLIANCE: PASSES j Required UA = 803 Your Home = 778 Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA -------------------- ----------------------------------------------------------- CEILINGS 2100 38.0 0.0 63 WALLS: Wood Frame, 16" O.C. 3588 13.0 3.0 256 GLAZING: Windows or Doors 866 0.350 303 DOORS 42 0.350 15 FLOORS: Over Unconditioned Space 2100 19.0 100 BSMT: 8.0' ht/7.0' bg/0.0' insul. 187 0.0 41 HVAC EFFICIENCY: Furnace, 86.0 AFUE ---------------------------------------------------------'---------------------- i COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. Theproposed building has been designed toj,meet the requirements of the Massachusetts Energy Code. The heating load forthis building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310!,and J4.4. Builder/Designer Date ��� Z 1654 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. &e 19� Application by the undersigned is hereby made to connect with the town sewer main in r//r Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. or subdivision lot no. � /_ r"19 1' en. l4'( V ,r Owner Contractor PERMIT TO CONNECT The Division of Public Works hereby grants permission to to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Works.. Inspected by Date C l o -lee Address Add Applicant's Signature SEWER MAIN /0 01 rya Street Street �y Division of Public Works By See back for rules and regulations � 1056 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. Application by the undersigned is hereby made to connect with the town water main in Street, subject to the rules and regulations of the Division of Public Works: i The premises are known as No, 78Ci �� Street or subdivision lot no.._ _ villale 2v/^n Owner. Address Contractor Add r s Applicant's Signa ure - zoo-oo �6r � p Q 11 20 Zf 00 ©1 PERMIT TO CONNECT WITH WATER MAIN The'Board of Public Works hereby grants permission to 6e to make a connection with the water main at /� Rte✓ 1 c/� Street subject to the rules and regulations of. the Division of Public Works. Board of Public Works By Inspected by Date See back for rules and regulations N J.WILLIAM HMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 "VON ) O O L A DRIVEWAY PERMIT Telephone (978) 685-095, Fax (978) 688-9573 / u-tt�to ie �2 DATE LOCATION BUILDER phone OWNER ( (n 660 P hone—Z 3 THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. DPW 329 Date ... y TOWN OF NORTH ANDOVER RECEIPT 4 This certifies that ........... C.041u,T.( e ao^/1%N has paid ... ........... ...... / .............................. for .......... S. -7f . ....................... ........... Received by ............................ ........ 0.1.1C / Department ............................ WHITE: Applicant CANARY: Department PINK: Treasurer M LI. c LI�2�►a � zo►� I e� : eGs 3 Z, I NaRa'BY =MY TO In NO• ,A N DOV EfL P,) L, � . POPC C ter ME VW Fc L.L . IS LOCIm w ME IAT AS SMIN AND nur IT DOZE caw= Juam i; Rzmcxv PROP mR' rs & IAr laws.- ` I PU8nm c1l m7 riur rlll8 f7k.1", IS Nor LOCAND D I= PB rat FLOOD R jZW AM AS SAOYR OX FM COWUWff PAM E Z1500gb oozG s � 1 4 .L.B.A411 \J po?o Plea P� ►� IN I Jour� A w rVVF;L, a DRAWN POR (� IL1, IDS f-1 ; ,aa arTl-�OH I 14 IV, ra, YBRRI MY cmarmerN a SSRVICSS BB PARK STRaar "DOVWR, YASMCWS.EffS 01810 GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. A Pr, Permit Applicant Property address Map / Parcel 979 -,i2 -ZZo � Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check marc. Ibis is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as of the effective date of this bylaw, provided that no additional residential unit is created. The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit ( all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. L'AML CANTS SIGNATURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION Lot -gz5/ I Building Value Calculation -for Propertyy at..... LOST/}#�24 Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen 24.5 15 367.50 65 $ 23,887.50 Living Room 15 14 210.00 65 $ 13,650.00 Dining Room 15 14 210.00 65 $ 13,650.00 Family Room 20 18 360.00 65 $ 23,400.00 Study 12 12 144.00 65 $ 9,360.00 Laundry 6 3 18.00 65 $ 1,170.00 Garage 24 30 720.00 35 $ 25,200.00 Entry 13 13 169.00 65 $ 10,985.00 Mudroom/1/2 bath 8 6 48.00 65 $ 3,120.00 Sunroom - 65 $ - Sittingroom 12 10 120.00 65 $ 7,800.00 foyer 11 8 88.00 65 $ 5,720.00 Basement Finished - 65 $ - Deck - 10 $ - Screened Porch - 35 $ - Sunroom - 65 $ - Bedroom 1 19 18 342.00 65 $ 22,230.00 Bedroom 2 16 15 240.00 65 $ 15,600.00 Bedroom 3 15 14 210.00 65 $ 13,650.00 Bedroom 4 15 14 210.00 65 $ 13,650.00 Bedroom 5 - 65 $ - Bathroom 1 15 11 165.00 65 $ 10,725.00 Bathroom 2 15 9.5 142.50 65 $ 9,262.50 Bathroom 3 - 65 $ - Bathroom 4 - 65 $ - Bathroom 5 - 65 $ _ 7777 � ::............r..R...,3......«'L-.,.,,..,..._�.u...va....,u....,,.,....,.=..,Fa...v...'sa�_....._�.._...,.,..,_..,rt,..�3......,.,. .....,.,.:.,,.,J ..... _.........e..,.. ,.... ,... Z z Z - O o L) o O `?S 0 U � Z , o_ .. aQ FM Q 0 �R m LL y� s ir.. V• Q �w _ F V u Q ca s a L o rn S r � ►' o� Cl o c = � .0 30 C ru O ■� Z? oa E ° Ln � a c vs u rn O O O o C H Qi a — Oacuo Eu X CU c a � o o � �c m ci o o �5 0 o a c c c ._. P tm o G •c c x V N Li n _ °- r °-0 C m UJt ter=- O C L O +„ 0 ai m c F- 0 L 0 L in O U1 z ~ m �I a � .m c w ° Lit% 94 a � CL C• O O dCD C Ir O Irm u w p' chi w a or. 0 w p w .0 U CO C X0 E0E�� W a Ar p a C w a C a w p w �� mmQ� om3�� C ii x p x p cG G w" z w v G 7 csa cn ,. v o cn 6 0 S .7 Co O CD y co .9 CDL CL CD t C O CD V _m CL CO) 0 y Q a cc _02 0 L O V co Q. y G CO OM C C 0;5 G co m _o U) LLI U) CC W IrW U) .m c Lit% c H CL C• O O dCD C Ir O Irm .. o a E m C 6* E y:a �� mmQ� om3�� �! N CO) •O C �` = C -C! A • h CO) C A �• m O C O *Ali ! 0. NCJ m CD •o eL O o� Vm y O m O 'A OZ .._ r C np Of C mq:hm •a N ~C2COO Z •H dtp C oc •E Q -0 v .y Z o LU - CM ym �- a gC m c= = =ytv . LMXCZ 6 0 S .7 Co O CD y co .9 CDL CL CD t C O CD V _m CL CO) 0 y Q a cc _02 0 L O V co Q. y G CO OM C C 0;5 G co m _o U) LLI U) CC W IrW U) A 5 G 96 'ON IV ld 33 /' A � � r a 4 J i � d u I I 10 i d . a d .-ra N N n u N • �, � � V d • / I •� d T Y 9-C f MARK �, •� � ��fd '�— r� U n N O co c -RIP' i .� � � v CL s s s �0 4 r e � ., • � � � �._� _ c „ W a Nui 0 n ` � y � A T N U ' R N � r � N LANE ISA JOJ3e 0 _ � 1V 14 sa W N 3 Nb1 7?fOG 31d d W i r L6 ON---LV-ld 33S - I Date..... .`.0� .............. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... .......... ....................................... U has permission to perform .::.:-.:,.-:: !........%....................................... wiring in the building of./ q. N.!-.................................................. �- ... , North Andover, Mass. at ........... ....... f .............. Fee.` ............. Lic. No3`/�t..._......::,rt:�;;,;.....::�-�:f...................... ELECTRICAL INSPECTOR Check #—� 57'17 1� 11W UUlM1Lmuly rrrVi"a vr 1nts3aM%."Uves1 10 ��•^��7r-y� DEFARTA1EA7OFPUBIICSAFE7Y Permit No. `J /1 BOARDOFFMPREVFIMONRF,gJLAHONSSVaMl2W--tJ Occupancy & Fees Checked APPLICATION FOR PERMITTORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MAS*SACSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date. �pl't 20, 2005 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work escri d below. Location (Street & Number)�j atrt ye. Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes LAJ NoEl (Check Appropriate Box) Purpose of Building Digroovid 2o0l Utility Authorization No. Existing Service Amps�Volts Overhead 0 Underground No. of Meters New Service Amps volts Overhead 1=1 Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Plumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal a Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER• hmttaroeCovad@e Ra =iDthemgman zcfMamadmsmGm WLaws 'Ihaveautaalti abthyhts o=Policyirrtxk gCanpW CommWc issub algJivalert YES NO 1havesibniWdvaWpa1of0W1D he0lii= YB r- m IfyauhawdrdodYESpleaseirtar*dieWofwo mgeby ,rINSUI ANCE UK] BOND. wim F1 (PleaseSNe*) ff6rceoss r WO&ID";at 2 kRecdmD&ReWe&d Signed urxixl& dpajay FMMNAW —�— Lioer ;Lp— AA; S I 1 A no U3 i e 2- S4 -&w t'� 1 EstkrWdvatleofEbcftW Wuk $ Lioat9eNa _ Lioa�eNo �3�5�SdC Busirles TdNa AkTelNa OMg0CSINSURANCEWAIV]5;lamawaretudrLioarsedoe nahmdrmur=a aagzailsLam and that mysigraluneon thepmnitapplica'Mwaivesthis regmemem (Please check one) Owner ED Agent Telephone No. PERMIT FEE I X _ signature of Owner of Agent n �rn r mm � b -f r R_ II II II II II II II II II II II 11 !I tl II II II it it II II II II II II � II II II II II II II II II II t/I I II n II II II II II H II II I1 II II 11 I► II II II II 11 11 II II 11 11 Lr UJ'------ TI O �.� CA 0 0 oe o 90 X z 1 K' K -c �' �' - `0 r "Q to su 00 X I f W OjX. i' '� 0 0• � 6` CT; � W W 1pr r.iw-t%.�Lk\`' .r w -Ciw WILL IAt-I BARRETT PROJECT TITLE: SCALE: DATE: SHEET: BUILDER OF FINE HOMES SHEET TITLE: 7 /7 DRAWN BY: I FRONT ELEVATION REVISIONS:TraH >a I y tl A pm mm �D 0 I n H II II I I I I I � II II II II II I II I I II II II II II II II II II II II II II II II II II II II fl II II II II II II II Ii II II II II II II II II II II II II II II II H II u -TT--- II II II I LJ I L. L I AT1 5A RRE T T PROJECT TITLE: BUILDER OF FINE HOMES SHEET TITLE: REAR ELEVATION i I ALE: DATE: SHEET: 1/8" 7/17 AWN BY: REVISIONS: TSN14 I m r Nm aA O z - - - - - - II II I I II II ' II II H II u II II II II u II II iI II IL - - - - - - H II II II II II II II II II II ►I II II II II II II II II n II II II II II II II W I L L I ,41"1 X3,4 RRE: T T PROJECT TITLE: BUILDER OF FINE HOMES SHEET TITLE: RIGHT ELEVATION I ALE: DATE: I/8'=1'-0' 7 17 AWN BY: REVISIONS: SHEET: A N is 30'-0" I 20'-0' 6,-0" 5,_0" r�_0" 3'-� M.O. M.O. 8-O' x 11-01 OVERND DR OVERND DR ------�--- ---------------� ° 1 10'-2' I I ° ------ — -- I O r -0 I _ I �— --� r-� L --- ° I L_ I I 3-1 3/4' x Il l/8 J I - _ - _ _ - J I j R L.V.L. BEAM m� 1 �'_4" 70 r I .; I � I I I Im 3 x I I (bD I i I I N —I - I • 1 I ° I L_J I � L_J I I I I I I I -------------------------------- I-----� — i I. T -------� �—------------- — —� _J r—----'`— 0 N m I II 3 F � rX l I 6'-0" -0' I I DmD 3� jL L J CN OI I x � L— ori --� I �^> I` ml L J I I I I P� II' 1I -- I I J m0 I I I I I C (�rr I I I I r I I I 80 I I z EEw L �T J Oca I I zn 00 I I N b0p� 0g m I I (pr r A I I r I I Nm I I I mxib L J I I I I m� 15'-3' r t � I �N 14'-9' I t I 1> N D� I I I L-------- -- — ----------1 I --————————— — ----- — ------- - -I 7- 0 N TI no b C m �u 0 � 'Z WILLIAM f5,4f;RfRE TT PROJECT TITLE: BUILDER OF FINE POME5 SHEAT TITL FOUNDATION PLAN SCALE: DATE: 7117 DRAWN BY: Tey SHEET: 74 a N e J i t I '-0 16'-0' PROJECT TITLE: UJ I L L I ,41"1 8,4 fRfRE: T T BUILDER OF FINE HOME& SHEET TITLE: FIRST FLOOR PLAN SCALE. DATE: lis•=r-0' 7 17 DRAWN BY: rU N I SHEET: I '-0 16'-0' 301-01 f I 5'- 0' 2'46WWAI 0 0 NA ----------------� II 0 -- - -- - - - - - -- - - - -�/ 0 w e OL 0. to cm J D 0 011 II up m A w 4, 11 rn w �G�rnO� 0�0J' D7Dj 3-4' '-' �. 70 ti0 - -W0 ' . O. G.O. '-03-0' ar � gyp- pp 011 I I - t,7 Oil O 1 0 a. -0 LZHEAT�AL(RIL -- PROJECT TITLE: UJ I L L I ,41"1 8,4 fRfRE: T T BUILDER OF FINE HOME& SHEET TITLE: FIRST FLOOR PLAN SCALE. DATE: lis•=r-0' 7 17 DRAWN BY: rU N I SHEET: /� & n r m WILL 1 4� �4��E TT PROTECT TITLE: BUILCDEF, OF FINE SHEET TITLE: SECOND FLOCK PLAN SCALE: 1/8"=1'-o' DRAWN BY: 1A( i � DATE: 7/17 REVISIONS: SHEET: A L i I i i i I I 0 I i 2X10,AT16'O.C. 2 x 10 BRIDGIN m U� °'- .r 66 N D 3 • 0 to Z z � I I I i i i i WILL W-1 8�4RRE:TT PROJECT TITLE: SCALE: DATE: SHEET: BUILDER OF FINE NOi" IE5 18.=,,_0. /7 SHEAT PI TLE:DRAWN BY; RST FLOOR FRAMING PLAN i i PROJECT TITLE: SCALE: DATE: SHEET: W I L L I A1"I 5.4%fRE TT BU I Dt� OF FINE N� I -I OI t I SHEET TITLE: DRAWN BY: REVISIONS: 14 I� E S SECOND FLOOR FRAMING PLAN Til/ . M WILL I At -1 B.4i�%E TT PROJECT TITLE: BUILDER OF FINE HOMES SHEET TITLE: CEILING JOIST PLAN SCALE: DATE: vat=r-m, 7//7 DRAWN BY: REVISIONS: I � ' a SHEET: A=I d {f! -n m �3 z r z UJ I L L 1,41 e,4 �F;;;�S T T PROJECT TITLE: BUILDER pF FINE NOt IES SHEET TITLE: ROOF FRATITING PLAN SCALE: DATE: 7 7 SHEET: DRAWN BY: 1 i oat. �/�/off %``° '• "� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that ........-:...... _.v ...................... � n has permission to perform .................. wiring in the building of ...1 t.......�.......:..��..-l.Y.................. at ... j�.. _ «.. _. !......................... . North Andover, Mass. Fee... <Y..".. Lic. NoA/............ ....................................... ///,, ' Ecscrxicni.INSPscrox Check # (l/ v 5303 . Commonwealth of Massachusetts permit no.Offiaal Use �a a J } Department of Fire Services Occupancy and Fee Checked _ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] (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 PRINTIN INK OR TYPE ALL INFORMATION) Date: 6.14.2004 C *tv or Town of: North Andover To thenspctpre rlfbbelow. By this application the undersigned gives notice of his or her intention to perform electric wDr Tesc Location (Street & Number) 78 Kara Dr. Owner or Tenant Ken / Bonnie Hyslit Telephone No. i Owner's Address 78 Kara Dr. North Andover MA 01845 Is this permit in conjunction with a building permit? Purpose of Building residential Existing Service Amps / Overhead New Service Amps / Overhead Number of Feeders and Ampacity Yes ❑No [X] (Check Appropriate Boz) Utility Authorization No. ❑ Undgrd ❑ No of Meters ❑ Undgrd ❑ No of Meters Location and Nature of Proposed Electrical Work: change devices from white to ivory and install porcelain fixture and receptacle in basement 91- No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures1 Swimming Pool Above In- grad. 1:1rnd ❑ No. of Emergency Lighting BatteryUnits No. of Receptacle Outlets 40 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches50 No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No of Air Cond. No of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons I No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local Municippa�l Other ElConnecTion El No. of Dryers Heating Applicances KW Securityy Systems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Si s Ballasts Data Wiring: No. of Devices of Equivalent Jo. of Hydromassage Bathtubs No of Motors Total HP Telecommunications Wiring: No. of Devices of E uivalent OTHER: ROUGH INSPECTION FINISH INSPECTION 6.15.04 I Attach additional detail if desired, or as required by the Inspector of wires. 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 suc verage is in forced has exhibited proof of same to the permit issuing office. CHECK ONE: � INSURANCE F] BOND�OTHER (Specify:) (Expiration Date) 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 I certify, under the pains and penalties of per/ury, that the information on this application is true and complete. FIRM NAME Power Wiring & Emergency Response, Inca LIC. NO.: A17354 Licensee: Stephen Decker Signature (If applicable enter "exempt" in the license number line) Address: 44 Stedman St, Unit 2, Lowell, MA 01851 LIC. NO.: Bus. Tel. No.: Alt. Tel. No: 1-800-418-3221 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liab' ' insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owheil owner's a Owner/Agent IFERMIT FEE 75.00 it "5 Date..4 , TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..:z ........ ............................. has permission to ........ ... wiring in the building of..'?�a" .. ..................................................... at ... 47 ...... ..Jc4iaj ... , North Andover, Mass. ...... ... . ...................... Fee.. 6.... t........ Lic. No ......... - . ........... .................... ELECTRICAL INOE'60R Check # Rf C/ 5731/ I rm UUM LylULV VVrA" n Ur 1ntL3 aA%1"U.usi i u �•• DEPARTMMFV 0FPU&JCSAFEIY t No. BOARDOFFIREPREVEMONRBGUTATTONS5VCMR12,.,W Li�- Occupancy & Fees Checked A.PPLICATTONFOR 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) Dat 0 Town of North Andover To the apector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & owneror Tenant Owner's Address-S4/hG Is this permit in conjunction with a building permit: Yes [::] No a (Check Appropriate Box) Purpose of Building U e � BVI erg ro U r C Utility Authorization No. a 7117 Existing Service Q� O Am . psi 0 /at0 volts Overhead F-1 Undergrounds No. of Meters New Service aO. Amps LQ /,Z Volts Overhead r-1 Undergrounds No. of Meters Number of Feeders and Ampacity c'� o V' y(� aODA /YID . Location and Nature of Proposed No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above 1:1and Below Generators KVA AL round s o. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal r --J Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER - 1.1f 11 ;IL,111,••••.r-,•I-'il•- �1 i • •:•a• a•W.1•i✓.du I:✓..g• M.1�✓.I•� L♦i . Wakaostatt MAq 2 0hpewoD*FxWmwd s-uwurxiAePala6scfpaw FRMNAME ucem� n ij [ S Lapcvicz., SignaOare FiWnabdValuecfEbchlcal Wdk $ R.# ina 3, zoo 5 Fatal Lioat % LimmNo (J f 1M�fTetNa -,k1 -Y 7714 OWNER'SINSURANCEWAP43kIamawesthattheLioawdoes riothatethehum eoraageorkssttswlialetluivalaltasm medbyMassadll mGala'allaws anddtat rrysignatineen dtispurnkgTk* -atirnwaises &tagtmanait (Please check one) Owner 1:3 Agent Telephone No. PERMIT FEE signature of owner or Agent JIM t,U1V1lV1UIY VVVjuj n Ul' �r�tf k7rit,n�.u:i 1 DF.PAleMNTOFPUBLICSAFETY BOARD OFF2REPREVIIVT70NRB91A770NSSl7a R12:00 Permit No. Occupancy & Fees Checked APPLICA71ON FOR PERAff TO P MORM ELE MCA ooWORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR �'!(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat 0 Town of North Andover To the apector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street Owner or Tenant Owner's Address 5,gmC. Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) Purpose of Building Existing Service :200 Amps/,2O /at0 Volts New Service aOO Amps LQ 12,6 Volts Number of Feeders and Ampacity "7 IX t/JA)f�e Location and Nature of Proposed )4, .SeiV iIC P Utility Authorization No. Overhead E3 Underground No. of Meters Overhead Im Undergrounds No. of Meters No. of Lighting Outlets No. of Hot Tuba No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA and and No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER• Insuucowrage An�atbthetagtmarta>�cfMasad>u Ga�aalLaws IhaNeaamatbabltylr ==FbLyirru*gCorr crtsWiM>b' IhaNeabrnWdva5dptocfofww1Dlhe0ffi= YES drddrlgdr*P7�* INSURANCE BOND 0 OHiER 0 ftm*r) alert . YESNO lfycuhawdrdadYES,pk= dteNxcf / EMm*dVArcfEbchica1Wak$ WodclDSfat MAq 2 Z D htspec>ienDaleRec}te>!ad Rotrgtta Y 3, Zoo 5 FkW sgrdurxTle escfpew FQtMNAME LimwNa Licertsae �V1 V1 t S G ��W (C L Sigrohae Lioa�eNo Business'Il'1.Na jqhm' Vk rd C v A1tTel Na 79�� Nvl�RS NMWAIVIIi;IammaredutlleLioanedtxsmthawftir mvam*or akswWepvWnastepWbyM%sact=! C naWLm �r�d d>at my signahae an this peant apphrration waives dig requaer�i (Please check one) Owner M Agent e ep one o. PERMT! FEE $ Signature of Owner Of Agent Location 29 blA PA -� No. 3 3 Date �a- lg-oZ NaRTh TOWN OF NORTH ANDOVER '•,MO0 F?O•`t`•D AL Certificate Occupancy $ + , , of s"uNus Building/Frame Permit Fee /00 $ • Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /00 CA Check # 16 u,81 4 h/� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING T115 fo BUILDING PERMIT NUMBER: 3 3 DATE ISSUED: O �Z- SIGNATURE: AV Building Commissioner/Inspector ot'Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ap Number Parcel Number ND 1.3 Zoning Information: Zoning Diaiic—t Proposed Use 1.4 Property Dimensions: Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided ReqWred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public 0 Private 0 Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record q // J S v v� �(J K'g:2 ©/l�0'C-�- �• oJr/C/1 Name (Pri !� Address for Service 17119 " -1-2 ' 818& Signature C Telephone 2.2 O er of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone MU rn Z 0 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 ....... 0 SECTION 5 Description of Proposed Work check allapplicable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other '< Specify / Brief Description of Proposed Work: ,SAT//Ti'o"A4 /� ��sri►�N i�rT SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (e) (J� 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 BURDING PERMIT / r I, ��� 7 > /LsC t as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, tte 'b ork authorized by this building permit application. - Z-17 a Si nature 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/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB ST RD SIZE OF FLOOR TIMBERS 1 2 3 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 .= 3 =� G� � � � �� � �Y � a �J �, � -� � -� as 0 3 � � c� 1.�. Q `tt�lo 46 N Town of North Andover Building Department • �''� �R�TiO PPP �L 27 Charles Street 4SSACHUS�� North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION 73 VAR 1142— Number Street Address Section of Town "HOMEOWNER Number Home Phone Work Phone PRESENT MAILING ADDRESS r/i'w"e- City Town State The current exemption for "homeowners" was extended to include owner -occupied dwellings of six 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 Building Code Section 109.1.1) Zip Code DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures ac- cessory 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 109.1.1) 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 and requirements and that he/she will comply with said procedures and requirerr�ts� ��_ �Yf/ J HOMEOWNER'S SIGNATU 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. 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: (Location of Facility) Si ture of Permit Applicant ate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector M IV)0 z K 0 W Az coA u o w° a cn 04 0 U A a a w° a�' U w U P-0 a :3CO w O W W 7 a°' U)w is U d °�° w F� W w w w o cn ui c o m c c� o ` C H O C V V Ric. w o 'c m o ._ •- «• o ��EaO L� =� ow 0 O Mr�C�` r e y O m d N cm dm� y o in h O O m iscm 3 m CD y CC CD o .s0 m v NO CM a •C = co o $ ca o w o CO) O_... •10d 1'*A C O •y O W •E vm V cp ci VD a' 4D _ ca =oy•� O z 0o. m :2p M ILI c O v v y y E CLO L O O Q ev CL H 0 v .y 0 V O C cc CO) r�lw i O s co CO)CL 0 CD f+ 3� coLft G O O O' a c ac 4-0 G c cc O O Z C. COD C 0 W vJ W w ccW CO Date. /) :.�1 .�-. — TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . ... P.I..9 � <•;• ............ . has permission to perform ... R�' �'7 ,-... '�l .�'.4 :.:.............. plumbing in the buildings of ..... ..................... at ... ................. .cNorth Andover, Mass, Fee. Lic. No..11(64 ... ........ ,.:. �� ...... . PLUMBING INSPCTOR Check # Ig 3 V 5450 MASSACHUSETTS UNIFORM APPLICATION FOR•PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS ,/ C Date bez. 3. ZQU Building Location r7.6 )N 24 i�2juE Owners Name �/1�Z H N���� it_ iP JlZ)C %Permit # J - Amount jr-j _ 1rJ Type of Occupancy j 0 ill— NewRenovation � Replacement Plans Submitted Yes ❑ No ID ►. RES i r • �-�-�-.--.-.-.----.-�---- (Print or type) \ Check one: Certificate Installing Company Name M Ai -►G 1i;�NCf: ❑ Corp. Address _11 L i gj� AVS 90Li FI 4/J&1, 5 ❑ Partner. Business Telephone y _ ._ fall � Firm/Co. Name of Licensed Plumber: MA4Z.I_ A. 6 -i buc. Insurance Coverage: Indicate the type of insurance coverage by checking theappropriate box: Liability insurance policy F1 Other type of indemnity E3 Bond ❑ Insurance Waiver:I, undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance � e— —'" Owner ® Agent rl I hereby iertify°ihat all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my`ki owledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. IBy: (APPROVED (OFFICE USE ONLY Signature or Llcensea Ylumoer Type of Plumbing License > 1-icense �- se um er Master � Journeyman Date .? ...`? . �.. Z ..... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .. le-wl-ly. l . . . P. !. Pic. ............ has permission for gas installation . ,fes. . I... ��, .�......... . in the buildings of ....?�..�.. ........................... . at .. .13.r . ....... ......... North Andover, Mass. Fee. G . Lic. No.. GAS INSPECTOR Check # Y G ) ) 413.::} MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date 666, 3. ZdLT2- NORTH ANDOVER, MASSACHUSETTS Building Locations W3 KAtA b/z I U C Permit # Amount $ Owner's Name MP-, g- 7)4l LIP 9-7tCX:- New Renovation Replacement [] Plans Submitted (Print or type) CJIWk one: Certificate Installing Company Name MAP -r- Corp. Address it ElPartner. Business Telephone T}k� -L-84R— (abi3 FirndCo. Name of Licensed Plumber or Gas Fitter IVIHCr— .4 ! J i buc /4 INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes rl No M If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 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. Gen ws, atmsignature on this permit application waives this requirement. Check one. Signature of 94er or Owner's Agent Owner 0 Agent ❑ I hereby cehat 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts,State Gas Code and Chapter442 of the General Laws. . VED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ® Plumber I I (Aa: Gas Fitter License Number 0 Master Journeyman 3RD. FLOOR i4TH. FLOOR FLOOR (Print or type) CJIWk one: Certificate Installing Company Name MAP -r- Corp. Address it ElPartner. Business Telephone T}k� -L-84R— (abi3 FirndCo. Name of Licensed Plumber or Gas Fitter IVIHCr— .4 ! J i buc /4 INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes rl No M If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 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. Gen ws, atmsignature on this permit application waives this requirement. Check one. Signature of 94er or Owner's Agent Owner 0 Agent ❑ I hereby cehat 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts,State Gas Code and Chapter442 of the General Laws. . VED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ® Plumber I I (Aa: Gas Fitter License Number 0 Master Journeyman Zoning Bylaw Denial Town of North Andover Building Department i4W OWW St North Andover, MA. 01845 Phone 9j&4U W Fax 97 642 Street: / J A 12 A �7 �r L� Applicant: �V no i S 1 Reouest: % q X y0 /N G nV Co 17 IS"'—�� S/OA Date•?©/ S Please be advised that afar review of your Application and Plans #0 your Application is w_�e__ �J�.. wwww• DENIED for torte following Lonmu Zoning Ifiern A Lot Am 1 Lot area Insufficient 2 Lot Area Prew&fing oymeiw �W- Notes F 1 2 hein Frontage Fro Insutflcsent Frontage CMOiss Notes L(�S 3 Lot Area Complies e 5 3 P Congmuft Housing Special Permit 4 Insufficient Information special Permits Zoning Board 4 Insuffident Imfomwtion _ Large Estate Comb Speciel Permit 8 use Specild Permit Use not Listed but Similar 5 No access over Frontage R-6 Density Special Permit Watershed Speciel Permit 13--" 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insuffficcient Area 3 Use Preexming 2 Com les 4 Special Permit Required 3 preexisting CBA 5 Insufficient Information 4 Insufficient Infornation C Setback H Building Height 1 All setbacks comply 1 ht Exceeds Maximum 2 Front Insufficient e 5 2 Complies 3 Left Side Insufficient 3 Preexists ht t- S 4 i Fight Side Insufficient 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexists setbacks 1 Coverage exceeds maximum 7 1 Insufficient IMomtation 2 Coverage les YS p Watershed 3 Coverage Preexisting 1 Not in Watershed YP 4 Insufficient Informalion 2 In Watershed d Sign .� 3 Lot prior to 10/24/94 1 sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient lntornation 3 Insufficient Infornotion E Hssllorfc Dtetrict K Parking o 1 In District review required 1 More Parking Required 2 1 Not in district ,C5 2 Parking Complies 3 Insufficient Information 3 Insufficient Information —T47ft-wdsung Parking Remedv for the above is chocked bebw Non 6 Special Permits Plannino Board lam t Variance Site Plan Review Special Permit Setback Variance Access other then Frontage Special Permit Pwking Variance Fronteas Ex=ption Lot Special Permit Lot Area Variance Common Drkvmiy Special Permit Height Variance Congmuft Housing Special Permit Variance for Sign Continuing Care Retirement Speciel Permit special Permits Zoning Board In dent HousingS rmm Pet ' Permit Non-Conformin Use ZBA _ Large Estate Comb Speciel Permit Earth Removal Special Permit ZBA Planned DovWqWwtt Distiid Special Permit Specild Permit Use not Listed but Similar Planned Residential SpecW Spec'Pamir Special Permit for Sign R-6 Density Special Permit Watershed Speciel Permit 13--" 8pqcW Permit preedsting nonconformin 5 pec z i -orint o 1N 1�1-AO Y4.000 The above review and dh dnd smmpltrmtOarm d such is feted on the piers and irmformarion sub mieed. No defrost review and or advice shed be bond on verbal wpieneliorrs by the appicarf nor shed such vwW sm1iarmtliorma by rime appttaant ewe to Pmv ds dews a *mm b th shave ressams for DENIAL. Any irroaswim nfN. - g2 in On or odw aubasq=1t c WVft to the tiamom etmbrrftled by the appkw&ahs begmmamda for rife review to be voidtd at the diaCrs11 of the Bm kWV DepwbnN* Th aaadmad dor , , tbod lW Review Nwrdve' :hal be d eehd harsh and iporaltd hsrsirm by reference. The buildne depnbntnt we nadn ail pane and doaffmnMw for no abon a& You must tib a new bmdWft Plmdt 11 111 form and bran an psrnfUinp pmo=L Building Department Of W Signature Application Received Appl' Denied Plan Review Nar atNe - The following narrative is provided to further explain the reasons for denial for the applicatbnl permit for the property lndkmted on the reverse side: Q.iAmpvjmil Tn- I Fire I HwM Polioe Zonino Bond Consenstion SlIcviatlk �S �1� c�Cps a+� `fiu.o c1) Planning 01-C,e 6,C COA.10, -411- ce c -Lu t -e z� �en�I�0thvuCQ,CQ n'� Iep�i Other BUILDING DEPT d nQ�r c? t- C L V e d- bC, �mC a4a LQ Q.iAmpvjmil Tn- I Fire I HwM Polioe Zonino Bond Consenstion Dopwbnwt d Public Works Planning HistmtW Commission Other BUILDING DEPT 0 Jun 06 05 01:53p NORTH ANDOVER 9786889542 p.4 SECTION 3 CONSTRUCTION SERVICES 3.1 Licensed Cunstrucuun Supervisor: Licensed Construction Supervisor: \0l0 llm 0C� f�1S�S& . 30 Address yS�� Signah:rc G� � T ho e 3 2 Regis red Home Improvement Contractor Ls �oa ane Name n >ddress ��cnut (103 Telephone Not Applicable G ()a 0,:s c0� License Number' 5^ ('Z-06 Expiation Date Not Applicable 0 r :�6 oL Registration Number a a o6 Expiration Date T M z 0 D m 0 z M 0 71D r S� C r ^z U J TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Tbtis Se tioe for OfCKW—Use Oat BUILDING PERMIT NUMBER: DATE ISSUED: S I G N ATURE : Building Comri'LiSSionerlinspeCtor of Buildings Date SECTION I- SITE INFORMATION 11 Propene .Address: 1.2 .4sscssors Map and Parcel dumber: � 94& D2 96�14 l� Map Number Parcel Number 1.3 Zoning Wormation: 1.4 Property Dimensions: Zoning Disma Noposcd Use Lot Area (so Frontage R) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Re red Provide Re red Provided Required 1 Provided ( D 1.3. Flood Zone turoroutioo: 1.1 Sewerage Dispos.l System: _ 1.7 W.ICI S.,,, G.L.C.aO. 34) Zoae Outside Flood Zoao 0 Muaicip.l 0 On Site Dispoul System _ � c 0 pr.v,tc e SECTION 2 - PROPERTY OWNBRSHECPlAUTHORIZED AGENT � 2 I Owner u( Record, Name ' t) Address for Service 974 W37- - to 776 SlgllatU r[ Telephone 2.2 Owner of Record: Name Pnnt Address for Service SECTION 3 CONSTRUCTION SERVICES 3.1 Licensed Cunstrucuun Supervisor: Licensed Construction Supervisor: \0l0 llm 0C� f�1S�S& . 30 Address yS�� Signah:rc G� � T ho e 3 2 Regis red Home Improvement Contractor Ls �oa ane Name n >ddress ��cnut (103 Telephone Not Applicable G ()a 0,:s c0� License Number' 5^ ('Z-06 Expiation Date Not Applicable 0 r :�6 oL Registration Number a a o6 Expiration Date T M z 0 D m 0 z M 0 71D r S� C r ^z U J 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 .......0 No ....... 0 SECTION 5 Description of Proposed Work(check all _applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. 0 Demolition ❑ Other �. Specify .Tnardund Gun iR� t Brief Description of Proposed Work: Zvi �t� 19 �X 40/ l PgfWUu 9 6QAJI LV= SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to bet Completed b permit applicant 4 k"47' ONLY °` z, $ 1. Building(a) 00 O Building Permit Fee Multiplier , O 2 Electrical 5 A (p DO 0 (b) Estimated Total Cost of Construction K 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total (1+2+3+4+5) 4—% 1)0 0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize /Al to act on M , If, in all m, ti elat* work ed by this building permit application. Si nature of0v., Date SECTION 7b OWNERJAUTHOftIZED AGENT DECLARATION r as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief _ 1�7ro,ki,e k&dt Print Nayne — q ilAl I . Q1Lr W1��1ti �s p`7it �S� ni-� Sienature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TNMERS I 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIIAENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CFUMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 0 Y,c_ { # f? e) .F ao I So,o' E7<I,ojf, F 0 tN LIZ -'"F V.& k- A r 7 13i.1$D' 18JPR8BY CaBwr ro nm LI, AWAv 00 r� �•►� . �Prl�tr rye r rrrN . I8 LOCdlS'D aN rfil LOT u4 BAOFN AND rair lr Doae CMUMN WE rM A Nqov &Y4&Wo Ra1G rlon RaculotHo sx7mels PMM smirre t Lor LOW& LOCIND m w RMHAZ� AMBA017N ON !'aJfAjPAWL AS I SITPJS" DAUB "'i 4""" -sem" - Nor "a aoumn r imm 1 BOUIVDIRY 111iPOR1l/!!QN rllt'N1V !'Baur l>nBrINO Rccom #P 7? VDe-a,Or' PLOT PLAN IN Nor�-rN a N novErz , ►-��ss DJUWY FOR to4q-rat4ipir-E -!�,-r"e r YBRMACJr RNormCjWMC SFRfrICRB 9191 PAW SrJWgT AMVRA YASSACUUSBrrS 01810 Wl POOL IA FD Page 8/10 %C fit 70 00. A "POVSa F I mr w VW r, LJ, JI SOCAM tib! ,W REM 4M Mf if am ow f-Ermsow.ar mo,4pvjv momw AMUM110 MRFAAM Fj" 146mgm- onvvr 1w,mmem & Aw Zme "W mi MA-e��-'w air nove cir im & mm"" 4� mq MUNW FM 24r 9D JUt46z, IAJ lVIo 1^ AM Ap_M_mmm mvzcn fivurr 600 lz ZT:ZT tooZ/Zz/Co