HomeMy WebLinkAboutMiscellaneous - 85 WEYLAND CIRCLE 4/30/2018�r-, ed
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TOWN OF NORTH ANDOVER
F _ A
• PERMIT FOR GAS INSTALLATION
•' h
ACHUSEA
This certifies that .. y. 5 0 ...........................
has permission for gas installation .. . f� � ........ .
I in the buildings oof /0"
at ............ North Andover, Mass.
Fee. �Q..... Lic. No. 2t !?.... L�. �..))�.�--• ..........
GAS INSPECTOR
Check #
6855
FIXTURES
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BASEMENT
j3T FLOOR
2NwFLOOR
-P-FLOOR
4 FLOOR
Installing CM=12
Check One Only
Address:Q-)- "o oration .
jjwn: State: Afi
Business Tel: j I , (Fax: ❑ Partnership
Name of Licensed Plumber/gs9it er MnY-V i ('i r-vA ❑ Finn/Company
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 checked Yes, please indic to the type of coverage by checking the appropriate box below.
A liability insurance policy rather type of indemnity [] Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142
Massachusetts General Laws, and that my signature on this permit application waives this requirement, p of the
Check One Only
5i nature of Owner or Owner's A ent Owner ❑ Agent n
By checking this box :I hereby certify that allof the det......1:11111111;nil information i have submitted (or enter
accurate to the best of my Knowledge and that all plumbing work and installations performed under the
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of t;
By Type of Licens
❑ Plumber
Title a❑,_,, GG� s Fitter
liirlaster
City/Town ❑Journeyman
APPROVED (OFFICE USE ONL El LP Installer
of
License Number: I
........y u— dppucauon are true and
Issued for this application will be in
arat Laws.
Fitter
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
City/Town: Dtf b Gaher MA. Dater Permit# /
Building Location: (Al Owners Name:
Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential
New: ❑ Alteration: 0 Renovation: ❑ Replacement: Plans Submitted: Yes ❑ No ❑
FIXTURES
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BASEMENT
j3T FLOOR
2NwFLOOR
-P-FLOOR
4 FLOOR
Installing CM=12
Check One Only
Address:Q-)- "o oration .
jjwn: State: Afi
Business Tel: j I , (Fax: ❑ Partnership
Name of Licensed Plumber/gs9it er MnY-V i ('i r-vA ❑ Finn/Company
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 checked Yes, please indic to the type of coverage by checking the appropriate box below.
A liability insurance policy rather type of indemnity [] Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142
Massachusetts General Laws, and that my signature on this permit application waives this requirement, p of the
Check One Only
5i nature of Owner or Owner's A ent Owner ❑ Agent n
By checking this box :I hereby certify that allof the det......1:11111111;nil information i have submitted (or enter
accurate to the best of my Knowledge and that all plumbing work and installations performed under the
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of t;
By Type of Licens
❑ Plumber
Title a❑,_,, GG� s Fitter
liirlaster
City/Town ❑Journeyman
APPROVED (OFFICE USE ONL El LP Installer
of
License Number: I
........y u— dppucauon are true and
Issued for this application will be in
arat Laws.
Fitter
Date. , V4/— 5 . .
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that
--fA. ........................... .
Y �. +
has permission to perform ..... ; t l ........................ .
plumbing in the buildings of//...,1��
at .... s ......... North _Andover, Mass.
Fee. 27... Lic. No.. %!'P 4 . (1
PLUMBING INSPECTOR
Check # Uy
8143
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
}I
City/Town: Cl tXC�► , MA. Date: O 0?—(I— Permit# Y }
Building Location:AbCONOwners Name:
Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential
New: ❑ Alteration: ❑ Renovation: ❑ Replacement: Plans Submitted: Yes ❑ No ❑
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 checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy O 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
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Signature of Owner or Owner's Agent Owner E] Agent E]
I hereby certify that all of the details and information I have submitted (or entered) regarding this 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. provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
By Type of License:
rue ❑_, PPI mber Signature of Licensed PI er
Cityrrown Luster
APPROVED OFFICE USE ONLY []journeyman License Number:
FIXTURES
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4 FLOOR
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7 FLOOR
8 FLOOR
r/_
Installing Company Name: �
� `�
Address: _ �� City/Town:
Business Tel: 23 `"lqq -goqFax:
Name of Licensed Plumber: T
State:
Chec One Only Certificate #
Corporation
❑ Partnership
❑ Firm/Company
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 checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy O 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
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Signature of Owner or Owner's Agent Owner E] Agent E]
I hereby certify that all of the details and information I have submitted (or entered) regarding this 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. provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
By Type of License:
rue ❑_, PPI mber Signature of Licensed PI er
Cityrrown Luster
APPROVED OFFICE USE ONLY []journeyman License Number:
N
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
�,SSACMUS�
This certifies that .../)� !- ... �'
.............................................................
has permission to perform .k:�""....¢... C. S
wiring in the building of �...... %..
at ... A ........�ti rl -...........e;1Z ........ , rth Andover, Mass.
q
Fee---3- ............... Lic. No. �.....11/ ................. .......... ...........
ELECTRICAL INSPECTOR
` Check # t
7538
Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS,
Officiul Use Only P
Permit No, 7� (>
Occupancy and Fee Checked
ELev, 11/99)'' leave blunk
APPLICATION FOR PERMIT TO RERFORM ELECTRICAL WQRK
All work to be performed In it;"rdence with the Masrachuaeits'Elcctrical Codc (MCC), 527 CMR 12.00
(PLEASE PR1NT IN INK OR TYPE ALL XFORMAT10N) Date:- '?— 2 4 — o'7
City or To�vtt of: —10i2?Yl Abo04112' To thr Invr norrnnr Hlirr,c•
By (Ills application the undersigns 61ves notice of his or her intention to perform the electrical work described below.
Location (Street & Number) AiJ,CS14,41e0 C t/
Owner or Tenant r�Q� 14AA140 Telephone No,
Owner's Address
Is this permit in conjunction. with a building permit? Yes ,M No ❑ (Check Appropriate Box)
Purpose of Building Utility Autihurization No,
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No, of Meters
Number of Feeders and Ampacity
Lo�cca`tion and Nature of Proposed Electrical Work: 41/1ze 4&-1V1a1.yU 404uL rafQC—'I4 60"
i k S1�u Sir L� ISG LT S
72 C,0,0sF
Contnlytion u/Ihy /ollowin,v luhly nwi, by "vivrd bi, the In.tpvclnr u(iY;rr.,
No, of Recessed Flrtures
No, of Cell.-S,usp, (Paddle) Fans
No. of Tuwl
Transformers KVn
No. or Lighting Outlets
No. or Hot Tubs
Generators KVA
No. of Lighting Fixtures
oven-
Swimming Pool rnd, rnd.
o. o Emergency tg :ng
BnttcrY Units
No. of Receptacle Outlets
No,,of,Qll•Burners
FIRE ALARMS
No, of Zones
No, o(Switches /
No. of Cas $urnera
o, o Detection an
Initiating Devices
No. of Ranges
No, of Air Cond,Tons oto
No, of AJerting Devices
No. of Waste Disposers
P
Hent ump
Totuls:
, um bet
ons
u. o e - unto nc
Detection/Alerting Devices ly
No. of Dishwashers
S ace/Area Heating KW
P g
Local ❑ un Connection C] Other
Cunnect(un
No. of Dryers
rY
Heating Appliances KW
ecuri , ysevice
No, of Devices or E uivolent
No . of Water Key
Heaters
o. or No, of
Signs Bollosts
Data Wiring: i
No. of Dcvlccs or E uivolent
No. H droroassa t Bathtubs
y e
No. of Motors Tota! HP
a ecomnhun cut ons trine:
N f evict or E ulvolent
OTHER:
allot!+ additional detail Vdcrlred, or a4 required by lilt Inlprc,or o/ ryvu
1NSUR.ANCE 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: NSURANCE�OND ❑ OTHER ❑ (Specify)
r rµ, ( xpiraiion Dole)
Estimated Value of Electrical Work: When required by municipal policy.)
Work to Start: "%-�Zef�b7 Inspections to be regyested in accordance with MEC Rule 10, and upon completion.
I cernfy, under rhe pains and penalties of perjury, that the Information on this appllcation Is trite and complete. /
FIRM NAME; " 04VIO tri 6 LIC, NO., IW� 54
Licensee: (�{/la fr',g66.¢� Signature LIC, NO.:
OI opplicuble, enter " e.ren:pi In the license number liAe _ Bus, TeL No„97p 68 2 "Z -
Address: a.ZSI�ub sr - 44&�� � ` O Alt. Tel, No„ 9�r 3'1 r '1 3y
OWNER'S INSURANCE WAVER; I am ;ware that the Lice es not A•ave the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am (lie (check one) ❑ owner ❑ owner's ager.:.
Owner/Arent
Signature Telephone No. PERMIT FEE; 3
RcLtL, �t O'k-k 7 f )� 6 '-0 � P/,�
-0 7
PERMIT NO.'
IL d
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE I
MAP d40.
LOT NO.
12 RECORD OF OWNERSHIP ]DATE
BOOK 'PAGE
ZONE
SUB DIV. LOT NO. g C�`,/,,.PT
I [i'
F
LOCATION Qs- ( � )-Q\i / &-L 4 CI
PURPOSE OF BUILDING
OWNER'S NAMCCE�o )j, L,) yOd 7u Co Y
NO. OF STORIES ���� SIZE ��/
OWNER'S ADDRESS u S
BASEMENT OR SLAB
ARCHITECT'S NAME Z tt4I g4
GO
SIZE OF FLOOR TIMBERS IST 2ND 3RD x`Q
BUILDER'S NAME
SPAN
DISTANCE TO NEAREST BUILDING`
DIMENSIONS OF SILLS X V
DISTANCE FROM STREET a
POSTS 3 /7-7
DISTANCE FROM LOT LINES - SIDES 7, -REAR 15^o
1
GIRDERS
J
AREA OF LOT ; ? y
FRONTAGE /Cs)o
V v GJ
j S 4,
HEIGHT OF FOUNDATION Q THICKNESS
CQ2
IS BUILDING NEW
�5
SIZE OF FOOTING / X
!
IS BUILDING ADDITION /) 0
vv
1/ MATERIAL OF CHIMNEY
d S• N f.-
IS BUILDING ALTERATION
/L)®
IS BUILDING ON SOLID OR FILLEECD LAND s�
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Xe 5
IS BUILDING CONNECTED TO TOWN WATER f`'Lo S
{
BOARD OF APPEALS ACTION. IF ANY /
N
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE oS
INSTRUCTIONS
SEE BOTH SIDES gK
PAGE I FILL OUT SECTIONS 1 - 3 /V l
PAGE 2 FILL OUT SECTIONS I - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED f /9 G
3 PROPERTY INFORMATION
LAND COST 9,5", &C-0
EST. BLDG. COST ^ �
EST. BLDG. COST PER SQ. FT. L"b
EST. BLDG. COST PER ROOM /dj
SEPTIC PERMIT NO.
4 APPROVED BY
FEE
PERMIT GRANTED
OWNER TEL. N (O ' IO 7 y
CONTR. TEL. It
CONTR. LIC. # / U
H.I.C. >M
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY STORIES <
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FRON
MULTI. FAMILY ofFlcfs LOT LINES AND EXACT DIMENSIONS -OF BUILDINGS. WITH PORCHES, GA,
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE
CONCRETE BL'K.
1-
_
PINE
B
1
2
13
BRICK OR STONE
TIMBER BMS. & COLS.
HARDW'D_—
STEAM
STEEL BMS. & COLS.
HOT W'T'R OR VAPO
PIERS
PLASTER
(�
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
DRY WALL
OIL
B'M'T 2nd
ELECTRIC
3rd
1st —: 13rd
NO HEATING
NO HEATING
_
UNFIN.
3 BASEMENT
AREA FULLFIN.
B'M'T' AREA
FIN. ATTIC AREA
_
G
NO B M
FIRE PLACES
HEAD ROOM
_
MODERN KITCHEN
_T
4-
4 WALLS
1. 9 FLOORS
CLAPBOARDS
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
B
1
22 J
I_
3
_
CONCRETE
EARTH
HARDVI D
COMMON
ASPH. TILE
STUCCO ON MASONRY
_
STUCCO ON FRAME
BRICK ON MASONRY
ATTIC STRS. 6 FLOOR
BRICK ON FRAME
I_
CONC. OR CINDER BILK.
_
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIORPOOR _
ADEQUATE I NONE
5 ROOF
10 PLUMBING
GABLE
GAMBQELI
FLAT
HIP
BATH 13
MANSARD
TOILET RM.M. ( 12 FIX.)
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY _
_
WOOD SHINGES
KITCHEN SINK
_
SLATE
NO PLUMBING
TAR 8 GRAVEL
STALL SHOWER
_
ROLL ROOFING
MODERN FIXTURES
_
' 1
1-
6 FRAMING
WOOD JOIST
11 HEATING
PIPE LESS FURNACE
FORCED HOT AIR FUi
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
HOT W'T'R OR VAPO
WOOD RAFTERS
AIR CONDITIONING
_
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 2nd
ELECTRIC
3rd
1st —: 13rd
NO HEATING
NO HEATING
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Growth Management Bylaw Exemption Statement
Town of North Andover Building Department
This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the
Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information
as requested below.
Name of Applicant on Building Permit (below) Address of Property for Permit (below)
/' O %
Map and Parcel: Purpose of A plication (check below)
Phone Number of A plicant: 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 North Andover 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 mark.
This 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 by-law, provided that no additional residential unit is created.
The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
Byla .
This application is for dwelling units for low and/or moderate income families or individuals, where all of the
conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents, where occupancy of the units is
restricted to senior persons 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 a part of a development project which voluntarily agreed to a minimum 40% permanent
reduction in density, (buildable lots), below the density, (buildable lots), 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 and/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 shall receive a one-time 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 building permits,(i.e. 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
supply approved form U with this EXEMPTION.
Please provide any and all information that would assist the Building Department in making a determination
that your application is allowed 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 and or
inaccurate information, or the checking off of an above item which does not comply, whether done to my
knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit.
Signature of Owner or Authorized Agent who signed the Attached Building Permit Date
This form must be attached to the Building Permit upon application for such permit.
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
**************—*'**Applicant
fills
out this
section*****************
APPLICANT: 7F0_ Y, 6)nz� j Lea
/ JV
Co r
Phone
LOCATION: Assessor's Map Number Parcel
Subdivision OX (c.�c��� Lot (s) IE
Street LdyLa 0 W (f, t- C. St. Number 86 -
************************Official Use Only************************
RECOMME DATI S OF AGENTS:
Ix
Date Approved ��
Conservation Administrator Date Rejected
Comments
15 SEEN*,
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Date Approved A t�jaqL
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Public Works - sewer/water connections
- driveway permit`�`� LJ
Fire Department
Received by by Building Inspector Date
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CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number 580(1996)
THIS CERTIFIES THAT
Date April 11, 1997
THE BUILDING LOCATED ON 85 WEYLAND CIRCLE
MAY BE OCCUPIED AS SINGLE FAMILY DWELLING IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO Foxwood Realty Corp.
733 Turnpike St.
ADDRESS A 01845
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