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Home My WebLink About- Miscellaneous - 577 FOSTER STREET 5/12/2020 NORTH '9 Town of gLg;,l �Q - LAKE = dover, Mass., 7 co Hi C ME WICK �� ADRATED PPS\ `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System � BUILDING INSPECTOR THISCERTIFIES THAT..................................,................................................................. Foundation has permission to erect........................... ........... buildings on .....j...7 7..... ...................... ............... Rough to be occupied as....... Chimney provided that the p rson accepting t permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of a Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTIO S T ELECTRICAL INSPECTOR Rough ................................................................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location`? 7?' �—ace No. I!d Dated "ORT" TOWN OF NORTH ANDOVER 3 °t ~ 9 i • Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ _ Check # 7 6 61) � Building In i TOWN OF NORTH ANDOVER _ BUILDING DEPARTMENT APPLICA'1'10,"10 CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BURRING PElthff NLWER: G DATE ISSUED: C� _ SIGNATURE: llniUnRCanulititiioler Date Z SECTION i-SITE INFORMATION 0 1.1 Ptgmty Ad&=: 1.2 Amm=on MW and Pared Nmnba .S?2 F0,54e , S-�" rG 416 o/6-q /r dJ- `- -� A17 d o ma a G� y� t�pN." Pamd Numba 1.3 jZaoilgtofanndian: 1.4 Property� lS0 / Zonina Dierid ftqmwd Ube Id Area 1.6 BUILDING SETBACKS M Front Yard Side Yard Rear Yard Required Provide ReWired Provided Provided v 1.7 War 3"*1,LaLCA0. 34) 13. rAw 240 Idamidec 1.1 sew W D*wd Sy— PaW 13 F&M 0 obr.- Flees law n ►Imi4a n O.&%Dipma syw. n SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record 4uill/iz-An-i Svsar� 2��,�e�z.z� S7 9 msfl:r S Name(Print) Address for Service: Tdapbm 12 Owner of Record: Name Print Address for Service O Z m siguatum Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Lioeond Coamuction Supervisor: Not AppG" 13 D./Yl e,o Ly f 2 Licensed Contraction Saperwor C Lune Namb« on Addma a E*mdm Date SigM"- Tdeprons r 3.2 Regidaed Nome Wgmvemeet Ca drador Not AM able 0 v Company Name Registration Numbor r Address r ^Z S' m T Expiration Date A SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 ¢ Zq6) Workers Compensation Insurance at5devit must be oompIdW and submitted with this application. Failure to provids die d5dow will rank in the denial of the issuance of the it. Signed affidavit Attached Ya....... No......D SECTIONS Dae a<Proposed Work dwekd New Construction ❑ Existing Building X Repair(s) Altamtio*s) 0 Addilioo 0 Accessory Atdg. n Demolition 0 Other 0 3pecity Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS [ Estimated Cost(D011ar)to be OAUSE ONLY _ c5 )r//4 A �Iel-Wv CoWleted by permit WHCWA 1. Buildingt (a) Builft Percent Fee Z Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit foe(a)r(b) 4 Mechanical(HVAC) (fr// 5 Fire Protection 6 Total 1+2+3+4+5 Chock Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BURDING PERMIT I, (!�� /)GG^.t�, /'/ttyj�l✓1 P A i� as Owner/Awhorized Agent of subject property Hereby at 6mtw 0? SP�/' to act an My bah in al!matt relative to we k autlto'zed by this building permit application. ^� ) O Sismaire of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, CIJ;��1 c'c.n GL J 7 I✓t P.GL 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 i • PrintN9"027 '�j"f sL Si lure of Owned Agent Dde -NO.OF STORES SIZE BASEMENT OR SLAB SIZE OF FLOOR TA4BERS Iim 3 SPAN DMENSIONS OF SILLS DIMENSIONS OF POSTS DMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL,OF CHOdNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector r �7 N° ,1 3 U / Date.................................. N°RTM TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING SS4c USEt This certifies that ............. r..... ............................... has permission to perform .......................� .............................................. wiring in the building of...... ....................... .................................. at...................... ................... .::.:c.:.......................... ,North Andover,Mass. I - Fee..................... Lic. No.............. ............................................................... ELECTRICAL INSPECTOR 09/10/99 11:24 15.00 tyAID C WHITE: Applicant CANARY: Building Dept. PINK:Treasurer F. TIM COA"ONWEAL2710FAIAMCRUSEM Office Use only DF.f��Y�VTOFPUBLIC.SAF�TY Permit No. /1?(.- BOARDOFFBWPREVFIMONREGUTA770NN5270MIZ-W r Occupancy&Fees Clucked A...PPLICATTONFORPER tflT TOPERFORMELE=CAL 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) Date 2' r Q a ( / Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. WAP PARCEL Location(Street&Number) 7 7 j-0- SrZX -,SjaP4�E7- Owner or Tenant Moe. �/s(,�z,q rr7 /1) qR 7-TN e,4 y Owner's Address S19-In 9- Is this permit in conjunction with a building permit: Yes Q No (Check Appropriate Box) Purpose of Building S--rx6p(-t- F4^rz-V Utility Authorization No. Existing Service Amps / Volts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Cutlets No.of Hot Tubs No.of Transformers Total • KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumcrs No.of Ranges 'No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals ,+No.of Heat Total Total No.of Detection and PUMPS Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other '. Cormcctions No.of Water Heaters KW No.of No.of Signs Bailasis N6.Hydro Massage Tubs No iofMotors Total HP OTHER' hsuas= olear,.R][stm#b�l6eregmemer�CQV1a�sAl3Cie all3vs5 IhaxeaamatLiab&yknlaano Po cyirrh>d ngCcmPlc C:omaFcrits degkaia8 YES NO Ibar abnibdwl'dprofcfsffmiotheOfoe YM U NO Txuba%&drdmdYESpk= t p cf bydvdmgflm INSURANCE V 1 BOND � UIHQZ 4' Spe*) "o_ _-� 9FmalWakIDS�nt — 7 `/ � � ,\ Rath Estin��redVahtecE�7eaciraiWodc$ S4vduodaTeAe aloes pajtry_ � -� �- LioaseNa F1RMMAN E Lim me kkfit A mil_ _A � amseNo Q p Btsi=Tellb 9 78-3SZ—L9 3 �Ad .t. h�� D t2-.1'l1 S 6C)r G'o�-�, f��' 01 l 2/ AIL TeL Na 1, *I-t C OWNER'S INSURANCE WAIVER;IamawatedxttheLmme dm nothaWelirmsum=cme-wcritssulswnbalegx,elatasiagmedbylvla-sadiBebGanBllaws atYithatmysigr2%aemtt>ispenrma }�Omwai«s drisraq!¢anart (Please check one) Owner " Agent Telephone No. PERMIT FEE S tgnature ot Uwner or Agent DATE G. MELLO Disposal Corp. Transfer Station P.O. Box 348 Georgetown, MA 01833 ADDRESS Office: (978) 352-8581 Transfer Station: (978) 352-9948 CITY STATE ZIP 11 l U k 10_.. 1 i 1 Jf'..' aJ OQ i u i i TV I H CASH: CHECK: CHARGE: SIGNATURE: TRUCK NO. DRIVER ON OFF 0 WEIGHED BY y 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 Z() 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: e 11 o U is PC?"5 _*oU (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector