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HomeMy WebLinkAboutMiscellaneous - 910 DALE STREET 4/30/2018 (3).I 3135 r►i Date.... '. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .................... .........,....-.....i�................................. has permission to perforin .: :.''?G ::.. f J .............. r:. ......................... i wiring. in the building of �-� ' l ................................................................................... at .............:..:. A P, .. .............:......................................... , North Andover, Mass. Fee . y�' ..: ........ Lic. No.... .;!.3.. /.. . ... ?-.. �.......:......................... ELECTRICAL INSPECTOR Check # �. Official Use 77 Only Permit No. ?�f� G/d7?�Z6'hZU�>4.L'7�f d�'112�SSffC''�725�7'IS anc j Det °d P s 't Occu & Fee Checkog : BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 12:00 Occupancy APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date 2-11- 6 To the Ins ector of Wires: Town of North Andover The undersigned applies for a permit to orm the electrical work described below. Location (Street & Number O Owner or Tenant tpfC Owner's Address Is this permit in conjunction with a building permit Yes ig�- No ❑ (Check Appropriate Box) cQ c-(/ Purpose of Building N _Ufility Authorization No. 0 4 / J / Existing Service Id O Amps �l� a Voits New Service (3, U d Amps /a f d �i`D Voits Overhead E� Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ori i'.,. ,l /.✓r Undgmd ❑ Undgmd ❑ No. of Meters l No. of Meters /_ INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General laws 1 have a current Liability Insurance Policy including Co pleted Operations Coverage or its substantial equivalen E — NO = have submitted valid proof of same to the Office NO = H you have checked YES please indicate the of coverage by checking the appropriate box INSURANCE = BOND = OTHER (Please Specify) (Expiration Date) Estimated Value of Electrical Works � � ,4� CC// Work to Start Inspection Date Resquested Rough X Final Aigned under the Penalties of perjury: OIRM NAME A�T� LIC. NO. NO. -97F34 C Bus. Tel No. 71— 6 l T� %(� Address o? /%�%i G// d �CL>ry Aft Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have:the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my,signature on this permit application waives this regWrement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ �d v (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool gmd ❑ grnd ❑ Generators KVA No. of Emergency Lighting �yt No. of Receptacles Outlets V No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Di osal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dry rs Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiringlel 1-1110-11V No. Hydr1assage Tuds _ No. of Motors Total HP INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General laws 1 have a current Liability Insurance Policy including Co pleted Operations Coverage or its substantial equivalen E — NO = have submitted valid proof of same to the Office NO = H you have checked YES please indicate the of coverage by checking the appropriate box INSURANCE = BOND = OTHER (Please Specify) (Expiration Date) Estimated Value of Electrical Works � � ,4� CC// Work to Start Inspection Date Resquested Rough X Final Aigned under the Penalties of perjury: OIRM NAME A�T� LIC. NO. NO. -97F34 C Bus. Tel No. 71— 6 l T� %(� Address o? /%�%i G// d �CL>ry Aft Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have:the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my,signature on this permit application waives this regWrement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ �d v (Signature of Owner or Agent) Location / 10 p v No. 1600 Date MCRTh TOWN OF NORTH ANDOVER .. 9 Certificate of Occupancy $ D S cHus'••°''�t�' Building/Frame Permit Fee $ a wsE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #1391-7- 15570 3 / 15570 /YI/Vfr(a, f Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING x M .. .. .; ....., ._ _ . ... '-- .. � _ - fibs.,." ✓cam BUILDING PERMIT NUMBER: ` ©Q DATE ISSUED: CO SIGNATURE: C Building Commissioner/Inspeet6ri of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: it) 4 Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record G p� j (d�� Q%rv\ %3 P— \ 7;?—, - C C ame (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: O\, e ( Licensed Construction Supervisor: ess f - 7 ci�- C :i�-3 4 y ignature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Ho a Improvement Contractor aOIL- -p ,pec. Not Applicable ❑ � Q 7� _ Company Name 6� ct-.s ( c I P�ij Registration Number 0�lExpiration DateVre Telephone coo 00 rn X Z O SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work checkall a h'cable Failure to provide this affidavit will result New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: r —� 1a�X tom cSC l I SECTION 6 - F.STTMATF.D rnNCTRTTCTTnN CnCTC I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building oma- %D (a) Building Permit Fee 2 Electrical —Multiplier (b) Estimated Total Cost of Construction o� 3� G 3 Plumbing Building Permit fee (a) X (b) C-;�O cf, 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number NEUIWIN 7a OWNEK AUTHOKILATIOIN TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, 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 SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION Date 1, 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 r� f Saa--()2 Date ! NO. OF STORIES KL C SIZE & I BASEMENT OR SLAB 326 e.— e- SIZE OF FLOOR TIMBERS I l l7 2 ND 3 RD SPAN 1 `N" DIMENSIONS OF SILLS RX 6- _ DIMENSIONS OF POSTS Tc C1 c•l DIMENSIONS OF GIRDERS k f HEIGHT OF FOUNDATION , ' THICKNESS t =mac c SIZE OF FOOTING &Aj k t a. X MATERIAL OF CHIMNEY r i 0 - IS BUILDING ON SOLID OR FILLED LAND So IS BUILDING CONNECTED TO NATURAL GAS LINE --4 t-� I SECTION 1- SITE INFORMATION 1.1 Property Address: TOWN OF NORTH ANDOVER fMap w BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 5 BUILDING PERMIT NUMBER:/ J / DATE ISSUED: 1.3 Zoning information: �` Zoning District Proposed Use SIGNATURE: 119N(dz4� Building Commissioner/Inspector of Buildings Date I SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: fMap w Number Parcel Number 1.3 Zoning information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) I.S. Flood Zone Information: 1.8 Sewerage Disposal System Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 1 Owner of Record 1 A -QEL 7. 4 ALI C E K. -R CSA Y,," 57 N e (Print) / ^ e Address for Service: 2.2 Owner of Record: 1 Name Print 1 Signature T SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone 3.2 Registered Home Improvement Contractor Company Name Address Address for Service: Not Applicable ❑ License Number Expiration Date Not Applicable ❑ Registration Number Expiration Date l 55 IM SECTION 4 - WORKERS COMPENSATION (NLG.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 au applicable) New Construction ❑ 1 Existing Building ❑ 1 Repair(s) ❑ Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: I SF.CTTnN A - F.CTTMATlWn rnMQTVTTr•TTnN 9-ncTc I Item Estimated Cost (Dollar) to be leted b rmit a licant A CSCom r_1 (a) Building Permit Fee Multiplier 0, 1. Building >' ! r &W/C ff W t L it Fed' 0&5k '?U E_/.2'r`'7 L11d �1MAe1QW11L lel I SF.CTTnN A - F.CTTMATlWn rnMQTVTTr•TTnN 9-ncTc I Item Estimated Cost (Dollar) to be leted b rmit a licant A CSCom r_1 (a) Building Permit Fee Multiplier 0, 1. Building >' ! r 2 Electrical (b) Estimated Total Cost of Construction �. / J�- p D ♦ i 3 Plumbing Building Permit fee (a) X lbl 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number a..iav11 is vVvilrljm Av iJaWJM GAllli1'4 1V Dl..' l.V1Y1rLL' lEU wrmi'4 I �_( OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT J 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 1, 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 Sip -nature of Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TITVMERS 1 sr 2ND 3 SPAN . DEMENSIONS OF SILLS DIMENSIONS OF POSTS DEMIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH VINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U.- LOT RELEASE FORM WN (4(0'A) bm — -7-N I - �C91& 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 �A m oF-L .� 1 �� �',� PHONE c kss'.1 ty ✓ LOCATION: Assessor's Map Number/PARCEL SUBDIVISION LOT (S) STREET b >� )ST. NUMBER ,' *****************************************OFFICIAL USE ONLY*********************************** ECOMME TI NS OF/,IPWN AGENTS: CONSERVA,,7iON ADMINI RATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH )�, .9(L,., SEPTIC INSPECTOR-HEALTI SI COMMENTS Q ek) Ion n e� DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED --5 e PUBLIC WORKS - SEWERANATER CONNECTIONS DRIVEWAY PERMIT f FIRE DEPARTMENT *�� r RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 Im T�< MORTGAGE PLOT PLAN 910 DALE STREgT MT JUL 251983 NG`RTH ANDOVER, MASSA ('14 LIS ETTS _ BUYER: SAMUEL 1. RICCA SCALL: 1" _ 50' JULY 2b,1903 i 1 4 3'-i 0 /vCJ• Ur✓L �(1 �� T,,l• 111 `1 I Do QL.-StMc TAS "f'o,h° tE 4a5 ��f �IPp �I `M pi MOIL: FINS IS NOT A SURVEY AND IS TO BL USLD FOR MORTGAGL r PURPOSES ONLY. N.B.- DO NOT USE OFFSETS FOR ESTABLISHING LOT LINES FOR 01m « ERECTION OF FENCES, WALLS, HLVGLS, LTC. /#T% I HLRLBV CLRTIFV THAI THL BUILDING ON THIS PROPL0 V IS sU LOCATLD AS SHOWN ON PLAN AND COMPLILS WITH THE ZONING SIT BACK REQUIRLMLNTS OF THt IOWN OF NORTH ANDOVLR. CYR ENGINEERING SERVICES INC. 1 FURTHL.R CLRTI FV THAT THE ABOVL PROPL RTV IS NOT LOCAI t t) 300 CANAL STREET IN A FLOOD PLAIN ZONL . LAWRENCE.MASSACHUSETTS J UU 4 3'-i 0 /vCJ• Ur✓L �(1 �� T,,l• 111 `1 I Do QL.-StMc TAS "f'o,h° tE 4a5 ��f �IPp �I `M pi MOIL: FINS IS NOT A SURVEY AND IS TO BL USLD FOR MORTGAGL r PURPOSES ONLY. N.B.- DO NOT USE OFFSETS FOR ESTABLISHING LOT LINES FOR 01m « ERECTION OF FENCES, WALLS, HLVGLS, LTC. /#T% I HLRLBV CLRTIFV THAI THL BUILDING ON THIS PROPL0 V IS sU LOCATLD AS SHOWN ON PLAN AND COMPLILS WITH THE ZONING SIT BACK REQUIRLMLNTS OF THt IOWN OF NORTH ANDOVLR. CYR ENGINEERING SERVICES INC. 1 FURTHL.R CLRTI FV THAT THE ABOVL PROPL RTV IS NOT LOCAI t t) 300 CANAL STREET IN A FLOOD PLAIN ZONL . LAWRENCE.MASSACHUSETTS --PkAA)AJF:b ADDtT(ov T MAIN LEVEL 27 ` 4 wINbOW5 -�I 1 4��- 1 101 ►I��iG� cr l o J7sr N, A1vbo\,tE2 ShMvE:L * ALICE RkOCA -� 978-�8s5ac9 -T'LANNE:b ("moi 4 STEAtEN i) 27' Bu.t«F�,ga �oID '!)00 � 00 V 3 0 A EK%S7(0& W INDDW 1r.f� WIMDow �FXcsTi�u���k woRK Br-Br wq�,+nE FN'fRy - K 3 IQ AQ UTI L-iTY koo M c. -- 3 Z 3 Nwxo f L ANM-5b ADD rri m (I $" )c 27 J I i I � SDN I 3R -'t\ t KITCNEN DIP NG 30.,I"Tb5r-pr(c Sy Dr=O LIVING IN FokVrLA Roo Y a� s` ��fiH�doM 3 ninon � .T -ii1 C�Sl� 13AN ea* BEDRcoM �yosti� _ MKtEk �;eoRaotrl T V) W 10TER S I MA IN (EVEL ,.3P r WWrt Ca oNmt- q I.a ,bA.0 ST OOPAP o -F .W, A NDovER \mNTM 5-F) SAA104,J LICE RI CCA TEL,478-4695,5211 �'L��uFA ADD►TIvNCl8�x�7"\ I t I ► I AKA I EEom Ft as n EXISTING ► 3 STEP 1 _ 3 WALK uP/001 i f a- GPS - - G�, GA ELA GF Ex►srojq f ouNbA,T-1 d Wipwv POSSORL6 2ND ENTMW—t To NFW BASEpswT REA\ J �BAsFMWT SPl-►T IEA/T2ANM col oNtoL (c) 1»LF- ST (9f--)RNr--k of AA)boVF2 W I NTER ST) TE -L. Q-78-68552tg ,,�-Jn4 smr- D OOP/8 Q(,K4E-Ab 1,.-767 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. 'e 0 2z Application by the undersigned is hereby made to connect with the town sewer main in Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. or subdivision lot 'no. t Owner Contractor 0 Address Add res AA lic nt's'Sign, ur PERMIT TO CONNECT WITH SEWER MAIN /e Street The Division of Public Works hereby grants permission for K teC� to make a connection with the sewer main at o °`Street subject to the rules and regulations of the Division of Public Works.. Inspected by Date �k es) � �ec� Z-�-4 Division of Public Works By Se e back for rules and/ regulations c j -Daniel A. Giard General Contracting 130A Appleton St. No. Andover, MA 01845 (978) 686-7653 NAME/ADDRESS SAM RICCA 910 DALE STREET NO. ANDOVER MASS. 01845 Estimate DATE �. 2/13 /02 ESTIMATE BASED ON PROPOSED SEWER STUB 83 ft. FROM TEL.POLE #3428 DESCRIPTION I TOTAL I SEWER ESTIMATE: Installation of Sewer From Stub to House. 47 FT. CONNECTION Price Includes: or 69FT. CONNECTION Pumping, Crushing and Filling Septic Tank. Backfilling and Grading to Rough Grade. 6" SDR 35 Sewer Pipe To Be Used. Trenches compacted to the best of our ability. Not Included: Town Permit Fee (if applicable). Conservation Requirements (if applicable). Topsoil and Seed. Not Responsible for settling trenches. REPAIRS ON SPRINKLER SYSTEMS. Landscaping available (extra and priced accordingly). Any Unforeseen Obstructions (such as Ledge and underground utilities ect..) extra and priced accordingly. TERMS: 1/2 TO START $ 801.00 / $1137.00 1/2 AT COMPLETION S. . i timate Valid For 30 Days CUSTOMER SIGNA $1602.00 $2274.00 TQTAL a A n • e Bateson Enterprises Inc. Neil Bateson 111 Argilla Road Andover, MA 01810 (978) 475-4786 Mr. Sam Ricca, 910 Dale St N. Andover MA 01805 Invoice Invoice INVOICE # DESCRIPTION WORK DATE AMOUNT PAID Work Location: Tank located 9' -over from door 30'5" out. 4449 1000 gals. Septic Tank Pumped 11/15/01 165.00 165.00 Invoice Totals: 165.00 Total Paid: 165.00 Total Due: 0.00 e �s��41T SF(.»S les '! a,oW. T Oe -,71 W 4O` Ya �t� 2 tom- (�Wozc£ axH ��d=a.E (c Co r•t cei Co !! 02 k /�� _ aka _c,e,�� �:•.s_ti 5__ _- -- - -- - - --- '%a 1 1 1 + ,1 ! I _ r 1 i I T 0 TOWN OF NORTH ANDOVER .,� PHASE III SEWERAGE FACILITIES CONTRACT 3D J". OD 7 EXIST, W.S. OD X rs! 7!O J P<� g V mlx n N N y� A A Z E m fs m � I Ln m y�W x Im 9 CIO N V Rq II ILA N A t1 G r < h O � � AM z o d fin � P�a Ifs MIS N m 0 1 C ff St �y — 2 it M Lu � a EXIST. 6' WATER EXIST. 12' WATER 0 TOWN OF NORTH ANDOVER .,� PHASE III SEWERAGE FACILITIES CONTRACT 3D J". OD O LJ t v NO 2 <. 40 OI'0. � t y 01 o Z dj T`T �, ✓ c. n1 ':C r41 71 O t tf �� �t g� 1 a 1 i rl 51001.00 & Associates, Inc. DATE APRIL 2001 Bpomd-E4— 1 SCALE aSdmdsts AS SHOWN of �� WINTER STREET X REVISIONS 51001.00 & Associates, Inc. DATE APRIL 2001 Bpomd-E4— 1 SCALE aSdmdsts AS SHOWN of �� WINTER STREET X REVISIONS O z !d /j 1 TIT P4 co CD Z 1 4* 0 U) w LU ccW U) U a W AG W x z w v � � A a W w cn C v D So w° �2 w w -6y ii w G4 o (� W cn cn 1 TIT P4 co CD Z 1 4* 0 U) w LU ccW U) c o o N � Cc to R m c `• = O o cc I .. c0 • Qm E� o� Wei C2 O C :OLD c� E m : C O ' O C :ave m CC 0 tcm m o C3.4 OCO v o ��Z o-..O C cm C C• y O C •O Q : C=D ~ W w N m y0„ ►— O m L w r t 0 .y O LAJcc C.Z C 'E C Z o " C. ig.s_ 5 H O� � Q 006 1 TIT P4 co CD Z 1 4* 0 U) w LU ccW U)