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HomeMy WebLinkAboutMiscellaneous - 125 Christian Way �� f f 1 �l N-0 r/ •� � . � Date..... .. .,,�..1 pORTl, °t , `° '•�"° TOWN OF NORTH ANDOVER FO P PERMIT FOR WIRING �,SSAcm This certifies that has permission to perform ....... ................................ wiring in the building of..... ...... ...................................... •, at.... t...�.....L..�'. :.....:+.:<.:.�..1:�:"..f....... .h j.... ,North AndoveryMass. Fee..... Lic.No.1 ..!.�..!. 7�......... f'�. r /......... ° f. 1 /ELECTRICAL INSPECTOR Cr # Lt 70k 1 1 :..fall .n WHITE: Applicant CANARY: Building Dept. PINK:Treasurer The Commonwealth of Massachusetts OfficePermitNO. 1 Department of Public Safety Occupancy s Fee checked F RD B D O FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code,527 CMR 12:00 yf (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date v 7/77 City or Town of IVO-J� 1"ve e- To the Inspector of Wire/s.-- The ir s:The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) �� � �Chr, �� W .. � � MAP Owner or Tenant J I A^ Nl c a FARC L Owner's Address 14,I(nrtc h 0 k b L-t Is this permit in conjunction with a building permit: Yes 1�r No ❑ (Check Appropriate Box) Purpose of Building -T�W 12 - ✓�Ce— Utility Authorization No. ?Z)57%3 IS— Existing Existing Service Amps __ / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Gtr Amps -Lo / Z Y D Volts Overhead ❑ Undgrd 2-" No.of Meters I`umber of Feeders and Ampacity Location and Nature of Proposed Electrical Work ,n &C-ry rc r 1t 1 No.of Lighting Outlets No.of Hot TubsTotal No.of Transformers KVA No.of Lighting Fixtures Swimming Pool Above Eland ❑ Generators KVA No.of Receptacle Outlets Na.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. Tom No,of Detection and tons Initiating Devices No.of Disposals No.of Heat Total Total Pumps Tons KW No.of Sounding Devices No.of Dishwashers Space/Area Heating KNo.of Self ContainedKW Detection/Sounding Devices No.of Dryers Heating Devices KW Luca!❑Municipal Connection[]Other No.of Water Heaters KW No.of No.of Low Voltage Signs Ballasts Wiring No.Hydro Massage Tubs No.of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES �� NO ❑ 1 have submitted valid proof of same to this office. YES Ek- NO ❑. If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE 0?' BOND❑ OTHER❑ (Please Specify) Estimated Value of Electrical Work$ (Expiration Date) Work to Start 9`2/'`l S Signed under the penalties of perjury: FIRM NAME �- "'` �� LIC.NO.�1-6 7� Licensee Signature LIC. NO. ,� /� � 1 _� � � Bus.Tel.No. L��D acs v Address ,c rc l �Y !` �4f Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the licensee 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 requirement. Owner ❑ Agent ❑ (Please check one) �,- (/ Telephone No. PERMIT FEE$ ' (Signature of Owner or Agent) d- • CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 9 Date c3La 1440 THIS CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS S3IN�/+� a Sid& Vn) e 2 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO ADDRESS 31 N m t;N st 0N,4 ja ,SSACMUSBuilding Inspector AORTH 4 Town of OL over No. 0�A �Q� dover, Mass., q/%2 9 DRATED S 5` BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPEC OR THIS CERTIFIES THAT........A-Avs.A.0.0.......... ...ove Coe........................ ............................ Foundation/�Af has permission to erect...................P ................ buildings on .. ptl.....�...�.. .��.. ,. 1`I ..i.6V...W.Aq �M Rough,�Y 06l x- to be occupied as..! Ia . ,% �,y ID* X11-.- a '4�►1� VN�f r� Chimney . . .. . . . . .. . ....................................... provided that the persona epting this permit shall in every respect nform to the terms of the application on file in Fin this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of al All, (�-�=— Buildings in the Town of North Andover. PL BIN IN PEC,�'OR _ VIOLATION of the Zoning or Building Regulations Voids this Permit. o r4(/Y. G✓ h'1 I O y PERMIT EXPIRES IN 6 MONTHS - UNLESS CONSTRUC ON T TS ELECT o Roc /.N......... ................. 1 ' BUILDING INSPECTOR ? Final ✓ pi Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F nagh1 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. j-3 SEE REVERSE SIDE Smoke Det. O* NORTH �t�ao e 9�0 e a OL O = _ F. t 70 AS �9SSAGHUS�� APPLICATION FOR C IFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY : !�� G'�i1•s�"�•� ���.¢Y ck� DATE REQUESTED FILED/READY FOR INSPECTION /1�4i2ce7 CLOSING DATE ON PROPERTY: --V,,.9/Zch -17 -2 F[VE (5) DAYS NOTICE PRIOR TO CL OSING DATE IS REQUIRED ALL WORK'AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECT:7N FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION PLANNING D DW - WATER METER NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO U MITTAL OF THE OCCUPA CYhINSPECTION REQUEST DPW ` Signature File: OC form revised 618/98 r '�� / �7ti Tl� �YCtGf 117 r 4 Location , � No. Date o, 4 NORT1y TOWN OF NORTH ANDOVER r F, pCertificate of occupancy $ So, i " Building/Frame Permit Fee $ ss�cNus�- Foundation Permit Fee $ Other Permit Fee Fit,pOarr $ Sewer Connection Fee $ "J— &12 o�97 Water Connection Fee $ 15 •� TOTAL $ 3aDc;?' Buildiryg Ins Cto , fp�66 �6tip6 2}051.04 PAID Div. P is Works 5wAl PERMIT NO. 4 APPLICATION FOR PERMIT TO BUILD**** *NORTH ANDOVER, MA MAP NO. 104D LOT NO. #1 2. RECORD OF OWNERSHIP DATE BOOK PAGE ZONE: R2 SUB DIV.LOT NO. #1 09-12-99 107321,7088 476,527 LOCATION: /0?-1 CHRISTIAN WAY EXTENSION PURPOSE OF BUILDING: SINGLE FAMILY RESIDENTIAL � 1 OWNER'S NAME: MANGANO DEVELOPMENT CORP NO.OF STORIES: TWO SIZE: 60'X30' OWNER'S ADDRESS: 36 HILLMAN ST UNIT#12 BASEMENT OR SLAB: BASEMENT ARCHFFECT'S NAME: GJ BRUNO ASSOCIATES SIZE OF FLOOR TIMBERS: 1ST 2"X10" 2ND 2"X10" 3RD BUILDER'S NAME: JAMES MANGANO SPAN: 16"O.C. DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS: 21'X 6"P.T. DISTANCE FROM STREET: 72' DIMENSIONS OF POSTS: 3 1/z"LALLY COLUMN DISTANCE FROM LOT LINES-SIDES: 811,52' REAR: 100' DIMENSIONS OF GIRDERS: 3"X 10"TRIPLE AREA OF LOT: CBA 43,672 SQ FT FRONTAGE: 189.49' HEIGHT OF FOUNDATION: 8' THICKNESS: 10" IS BUILDING NEW: YES SIZE OF FOOTING: 2'X 10" IS BUILDING ADDITION MATERIAL OF CHIMNEY: ZERO CLEARANCE WOOD IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND: SOLID WILL BUILDING CONFORM TO REQUIREMENTS OF CODE: YES IS BUILDING CONNECTED TO TOWN WATER: YES BOARP,OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER: NO IS BUILDING CONNECTED TO NATURAL GAS LINE NO INSTUI�TIONS 3.PROPERTY INFORMATION LAND COST: - EST.BLDG.COST: O O O r— PAGE 1 FILL OUT SECTIONS 1-3 ESTT,BLDG.COST PER SQ.FT. M-0-0- r3 EST.BLDG.COST PER ROOM 43 01 (.0 37 -- ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ®� ! �@ ' ATTACHED GARAGES MUST CONFORM TO STATE FIRE RE ATIONS� 4. APPROVED BY: ♦ � ' PLANS MUST RE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED OWNERS TEL# am 95 t -.23// f- &P, 1'*Al r 1 CO R.TEL; - _ Up)* 06 #4 list •list CONTR.LIC# SIGNATURE OF OWNER OR AUTHORIZED AGENT' FEE $ Cz�� 11 H.LC.# PERMIT GRANTED G� p oy r 19 I Revised 5/5/99 JM ` lD p i S 3ox3g RM �� °�p. A ,iraje- d Z"sn*ti s �7 + 31711/AID, — a f2•Sy _ 1, 7 11 ,f, l a o. 8 '7,13' cy 3031 60 r 3aaQ , -- 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT Man C ( l? �Al e._I PHONE LOCATION: Assessor's Map Number /Oq 0 PARCEL SUBDIVISION B(ML f a em t'. /of`tenC LOT (S) .� STREET n('(S'�/a h Cr 67 &I—aw/0), ST. NUMBER ** ******* *** ******************OFFICIAL USE ONLY********** **** *** ********* RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED �(! DATE REJECTED COMMENTS � Q�a O'd TO CANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT -TW FIRE DEPARTMENT aura d"I�Jl�.1c.—(x''L�w t �� SPC,rt e 6 b pi (asn�� (blra Mu,�le �c�vr 1/,66 {fytr RECEIVED BY BUILDING INSPECTOR DATE ((( X71 Revised 9197 jm 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) Map and Parcel : Purpose of Application (check below) Phone Number of Applicant: • _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 ig 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. 9 The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.care 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 &a&4-or(y) ccs c cr) CiO kms-- 74 �/ The applicant must meet with the Town Planner in order to ensure that the plans conformto the Board's decision.A full set of final plans reflecting the changes outlined above, submitted to the Town Planner for review endorsement by the Planning Board,within ninety ,,,,�_.,, (90) days of filing the decision with the Town Clerk. y j) The Subdivision Decision for this project must appear on the mylars. V- k) All documents shall be prepared at the expense of the applicant, as required by the Planningf - � - Board Rules and Regulations Governing the Subdivision of Land. —� ' 3) Prior to ANY WORK on the site, a) Orange fence or yellow caution tape must be placed at the edge of the tree canopy of the limit of clearing line as shown on theplans. The Planning Staff must be contacted prior to any {` cutting and or clearing on site. As many trees as possible must be preserved on the site outside -- --- of the limit of clearing Lne. b) All erosion control measures as shown on the plan and outlined in the erosion control plan must be in place and reviewed by the Town Planner. 4) Prior to any lots being released From the statutory covenants: a) Three(3) complete copies of the endorsed and recorded subdivision plans and one (1) certified copy of the following documents: recorded subdivision approval,recorded Cove-cant(FORM I), re-e6rded Gaawth Manageme"+TlA`:-Innmr>nt Sc P�and recorded FORM M must be submitted to the Town Planner as proof of recording. c:,U_-)t cf1GCp'r,U b) All site erosion control measures required to protect off site properties from the effects ofork ( ` on the lot proposed to be released must be in place. The Town Planning Staff shall determine —4)UVY`D":t whether the applicant has satisfied the requirements of this provision prior to each lot release and shall report to the Planning Board prior to a vote to release said lot. c) The applicant must submit a lot release FORM J to the Planning Board for signature. d) A Performance Security in an amount to be determined by the Planning Board,upon the recommendation of the Department of Public Works, shall be posted to ensure completion of the work in accordance with the Plans approved as part of this conditional.approval. The bond must be in the form of a check made out to the Town of North Andover. This check will then be placed in an interest bearing escrow account held by the Town. Items covered by the Bond may include, but shall not be limited to: i) as-built drawings ii) sewers and utilities SKr 3 4• u The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations 9� Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner,performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#• Insurance Co. � Policy# V� /�'1 Company name: -J[�- �'1' ,t Q✓1 e& C1 P1 C Address 3( H1LL ✓non S- - on1T-- � Z City: /_S hi) ✓` A04 Phone#: �� 7J '��5 � '12)11 Insurance Co. �rP,�'t�CrPolicy# 34Y Odd(gH 01 Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of-Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of pe 'u that the information provided above is true and correct. Signature— Date Print nam Phone# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑ Building Dept ❑Check if immediate response is required ❑ licensing Board ❑ Selectman's Office Contact person: Phone#. ❑ Health Department ❑ Other --/--rte-13'7 D �i o LO 0 - o �D r- Q 3 driveway prof1i e o oLJ ED w QCIL j LL wry wCL Q Mangano Development Corp. Subclivsion: Brook Earn Estates Street: Christian Way Extension Lot#: 1 St, Number: 125 Drawn By: R. Maida i ~� � �1e`C�amvnza�zusea� o�✓�aaaac/ucaP,(,la -_ BOARD OF BUILDING REGULATIONS qLicense: CONSTRUCTION SUPERVISOR Number: CS 062575 Birthdate:.M/03/1956 Expires:01/03/2000 Tr.no: 4877 Restricted To: 00 ROBERT V MAIDA 108 PRINGLE ST { TEWKSBURY, MA 01876 Administrator MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # II� MAScheck Software Version 2.01 Release 3 1 OZ 8 g,7 `���i/r`" 1 Checked by/Date I I I TITLE Plan # 473 / 0� / CITY: North Andover v` STATE: Massachusetts HDD: 6322 �tS CONSTRUCTION TYPE= 1 or 2 Family, Detached 3rpoK �=y^w\, HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-26-1999 DATE OF PLANS: 6-6-95 PROJECT INFORMATION: Brook Farm Estates Christian Way Extenstion North Andiver COMPANY INFORMATION: Managno Development COMPLIANCE: Passes Maximum UA = 568 Your Home = 567 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1168 30.0 0.0 41 CEILINGS: Raised Truss 690 30.0 0.0 22 WALLS: Wood Frame, 16" O.C. 2912 19.0 0.0 175 GLAZING: Windows or Doors 373 0.490 183 GLAZING: Windows or Doors 40 0.560 22 GLAZING: Windows or Doors 10 0.490 5 DOORS 20 0.350 7 FLOORS: Over Unconditioned Space 2376 19.0 0.0 112 FLOORS: Over Outside Air 12 30.0 0.0 0 HVAC EQUIPMENT: Furnace, 80.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this 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 760CMR 1310 and J4. 4. Builder/Designer Date Energy Audit Worksheet Sud-Division: Brook Farm Estates I Lot#: 1 Calculations for Square Footage Of Walls A IB C D JE IF IG IH 11 IJ ITotal P) Perimeter 1 P1 = 60.0 25.0 22.0 5.0113.51 2.6111.01 2.6113.6130.01 185.3 Perimeter 2 P2 = 60.0 30.0 5.0 13.51 2.6111.01 2.6 13.6 138.3 W H x P total 323.6 Floor Height H1 8.31 1528.7 Floor Height H2 8.3 1141.0 Floor Height H3 0.8 242.7 Total 2912.4 Calculations for Square Foota a for Ceilings Length Width L x W Flat Ceilings First Floor 11.0 2.6 28.6 Flat Ceilings Second Floor 30.0 38.0 1140.0 Vaulted Ceiling 15.0 18.0 270.0 84.0 5.0 420.0 Total Sq Ft 1858.6 Calculations for Floors Over Unconditioned space Length Width L x H 60.0 30.0 1800.0 24.0 24.0 576.0 Total 2376.0 Over outside air Length Width L x H 8.0 1.5 12.0 Total 12.0 Windows& Doors Code Unit Size Area Quantity A x Q dh 2-10x5-5 15.5 21.0 324.7 C.W. 2-10x3-5 10.3 1.0 10.3 S 6.0 40.0 1.0 40.0 ED 3.0 20.0 1.0 20.0 dh 2-10x3-5 9.8 5.0 48.9 window= DH Exterior Door=EDSlider=-S Glass Door=GD Interior Door=1D NORTH F � Town OL dover r doweMass. > > AORA TED P`? BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........AAVS.A.Q.0.........Do........... Foundation o r �o • .... ........ . ..................... . ...................4"*­4 , has permission to erect...............�....................... buildings on ..I,O .. ..... ... ..��.r�... r.. ..i.�.V...�. �� Rough to be occupied �y...D ws.11.4 .. ...... ..... �.'.1....V N� r�................ Chimney provided that the person accepting this permit shall in every respect nform to the terms of the application on file in Final this office, and to the provisions of the 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 rn 104 PERMIT EXPIRES IN b MONTHS Final ' UNLESS CONSTRUC ON T TS ELECTRICAL INSPECTOR e � Rough . ............... .......... ....... ................. Service 1 ' BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done i FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. ORTH Town o 0 . ,- Andover No. T t- y r= o ndover, Mass., q sa q LAKE _ 'p COCHICHEWICK �SSACHUS�� IT FOR EXCAVATION AND FOUNDATION M 104 1) oV-94 o r THIS CERTIFIES THAT .... ... . .. ....... . P Ib A0 has permission to excavate and pour foundation at ...114e... ..�........... .... ... ............... . ... RKY SiN I � FOAoi Dw.oPiNy ' for the purpose of........ f........ ... �� ) The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. .. . . ........ ......***w .....•............... BUILDING INSPECTOR r _ � ORTIy Town o ndover 0 . .... .... . No. O T �O LAKE o ndover, Mass., q S q COCMICKEW ICK 1� ADRATED 1SSACHUS� FOR EXCAVATI 0 N AND FO U N DATI 0 N � eon D THIS CERTIFIES THAT ....A4*4I... ..�I.0..........Dev.......... .r.. .................. ............................ P Rot* has permission to excavate and pour foundation at 1 � N WA 'Esol° .� '616 for the purpose of........ .............. .�.......... .................. ...... .......................... .. The person accepting this permit must return to the office of the BuildingIns ector.a certified lot Ian show P P P of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. .. ...... V..�..�..c �.................. BUILDING INSPECTOR s PzLr— YEW. GEp�91OIIY `GF.D,AZ 91Dt1.1Ct 7-777 n 1 ' 1 i'pvm�4`�'CGttC•Ftyl g "w. a t v6NT N ILLI I 11nill I I cteto� _- I I -c�uc, w/ -1e>✓ eerslulwc�,�- -- _ .:� . _. Ham. . o.+i awe-, t?eT ALO-R: . 1745 GS..F 9mG'iJ{..70larrAL .5. j-�- �t- t, ALL DIMENSIONS MUST COPYAIQKTE®[: at.VERIFIED.BY CDNTRACToR - i. 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' Zfl II.JgUIr C Zf[�Ci2"�(Li�'JfST-Iro" c ! _ E Q IL N411 T4-4 Ir FL- _-`�. --�#j�• � �f9 fu -w�ox45 � -�hZ�E — ¢ •. ----- _ g.- Ft.,ct�tz ` F -------" Q —-- �1STL Phil ZnXl.i 1 r Z-Z��u91L1 PTEJ i ------ t . - _ BILL giL %vfri�l i v IO" 5/&0 1AU: 'd'ANOHOIt"@1I.1`15 FZ TFt 6=0" ------------ ST c --�f -- --- i • � � i Z-It4¢D9 7�f3 � - - - ---- - _ I-• --._.. - --------�__--.. to ' 11-611 le tT?.IP Ox M4 �GvEiZ wmPAGTrrw Cl2Au� 1. ALL DIMENSIONS MpusT COPYl1fONTED G( 6i Ar 10 W W M nar ro RR USED BE VERIFIED BY CONTRACTOR (J I - DU NOT SCALE DRAWINGS. WI.��• �c, -; �' G MIL. vie-.-Z�t -`g V A q"BEY WAT ---------- -——1- Q _ �T►©M -T"H�� FAQ1_L �h • _ 4 _ • �� ��"Ia�-I �H �U Ido _ _-__._-_ �-_.- ------ ." _ -------- _ 3 I , -� L'I�Idal pig 2�dFTEZ` IGII O.G I 41,c P 6ZIL11,191 JAiri �'il r' �lu�e1 i 2"t PJ'cov IuG b Ij i 4 CVM FAMILT eM I I ; c. — r r� td!. ( I I I FVZ L1LIHT dGfE �X °C'G�OiG �._. ' i f i✓: 10 Paesl.wM P✓M' i 1 �31MP'_a-1 TIFJ3 � ��►V.j 1. l�; ��/��1.� ��� I �' _ ��;� �• z uB -I��`o.` � I NZ'S Tc FSH l 1 i PLZ�F P,4F'TL2 -_ _ ----fi a i a-H EM !_� _I_= -- -- — – i --M. = – – I d �,i��l' �9e�Fle ow A4 � v �.c � _ . -- z�lzaa a 'd w_� ' r rte : L s-I ear-t, aMl1. 2M o, ?Y LU ._- Lu KIK TO i fax, 1 I I I ;oxg5 m F DizQ. a .r i 8TL BM I S co CM Z 2 6,x1.87 Q �1 D ¢ 21 an Ali I —T 4AE64r- Moe FL I —I h!'A 1 !I --P 4 '1 i 2 t'�G"flu.Prw ABY E COPYRIGHTED 1 1. ALL DIMENSIONS ONT MUTT - -- -- _ 86 VERIFIED BY DRAWINGS. ACTOR. I II 1� (� jy�pUT PEE��ON • - 2 DU NOT SCALE DRAWIN69, � �4 v a ck" 101.7-9 �a4- / /a S 'c" LOT 1 43, 672 S. F. ± TOP FND. Cpl. EL.=177.86 tia9� / gy / ����5 49• 61h so / PLAN O F LAND A TLANTIC ENGINEERING do N SURVEY CONSULTANTS INC. 97 TENNEY STREET — SUITE 5 THIS IS AN INSTRUMENT PLOT PLAN N . ANDOVER , MAI GEORGETOWN, MA 018.33 SHOWING THE LOCATIONS OF EXISTING AND PROPOSED STRUCTURES FOR OBTAINING A BUILDING PERMIT. LOT DA 7F• OCT. 22, 1999 SCALE 1" = 40 FT. JOB 2f,9906-17 LINES HAVE NOT BEEN STAKED AS PART OF THIS JOB. ON THE BASIS OF MY KNOWLEDGE, ��" OF " AS SUCH THE SETBACK DISTANCES INFORMATION AND BELIEF, I CERTIFY = JOHN B, SHOWN ARE NOT TO BE USED BY THE THAT THE INDICATED STRUCTURES PAULSON N Z CLIENT TO ESTABLISH LINES FOR ARE LOCATED AS SHOWN, AND THAT No, 31725 - FENCES, SHRUBS, LANDSCAPING, ETC... THE SETBACK DISTANCES SHOWN HEREON WERE THOSE RECORDED AT 9Nd �URv�{oQ OCT. 22, 1999 THE SITE. i Location 04 -1-t � S (_ r` lS��J�J ✓ No. Date a o 0 NaRT� TOWN OF NORTH ANDOVER 3? f _ 0 F 9 Certificate of Occupancy $ •;,S3 CHUS9 Buildin /Frame Permit Fee $ �S r At Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 02 S Check # I U r Building Inspector PrRlYfIT NO. APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA AIAPNO. /U / LOT NO. 2. RECORD OFOII'NERSIIIP DATE HOOK PACE ZONE SUB DIV. LOT NO. 3 LOCATION LJ / AoV_5Y 79 /2 14'" PURPOSE OF BUILDING OIVNER'S NANIE PS �Al? h0 NO.OF STORIES SIZE OWNER'S ADDRESS 36 N111 Mqn V A f {WkS UjLi' BASENIENTOR SLAB ARCIITTECT'S NAAIE �'�� Ll kj?o SIZE OF FLOOR TINIBER5' I 2ND 312 DUILDER'S NANIE � h T©l_ SPAN DISTANCE TO NEAREST BUILDING V �1 I l DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS y�(6 DISTANCE FROAILOTLINES-SIDES REAR DIMENSIONS-OF GIRDERS OC X/U AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS 1S BUILDING NEW t SIZE OF FOOTING ..3 12 Sps7iC'7F(J�S/S t IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID Oil FILLED LAND WILL BUILDING CONFORM[TO REQUIREMENTS OF CODE 7 � IS BUILDING CONNECTS TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER i• IS BUILDING CONNECTED TO NATURAL GAS LINE 1NS'I-UC-I'IONS 3. Pitonlll'Y INFORNIA"CION LAND COST EST.BLDG.COST o� O PAGE I FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT. 11 EST. BLDG.COST PER ROOM ELECTRIC NIETE�43 MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATIACIIF.D GARA,kS mus I,,CONFORM TO STAI'►7 FIRE REGULATIONS 4. APPROVED BY: i PLANS MAST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING 1 PEC-1'011. DATE FILED OIVNERSTEL/I -?3 CONTR.TELH g - A095 SIGNATURE OF OWNER OR AUTHORIZED AGENT CONTR.LICN FEE PERNITIGRANTED �aQ 19 X00'0 Revised 5/5/99 JAI v 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 or requirements. **�`*AF 'LICANT FILLS OUT THIS SBC T IONS**********'"`*"F APPLICANT %% �i�.l���a � PHONE LOCATION: Assessors Map Number PARCEL SU8DIVIS10N �� 2 LOT (S) STREET GX 1� ST. NUMBER �cS ****** OFFICIAL USE ONLY R COMMEND T10NS OF TOWN AGENTS: 1Z -?C ern S�A CONSERVATION ADMINISTRATOR DATE APPROVED 6 � ) DATE REJECTED COMMENTS !y U�-��� C'► O ii TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED �—— DATE REJECTED 1 NSPECTOR-HEALTH DATE APPROVED' a� DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVE'NAY PERMIT FIRE DEPARTMENT RECEIVED EY EUILCING ii ISPECTOR M DATE Revised 919;im A •ss. LOT 1 43, 672 S. F. ± TOP FND. EL.=177.86 AN a+. ti Qy / s49, 6�y 0 � PLAN OF LAND A TLAN nC ENGINEERING & JOB No. I N SURVEY CONSUL TANTS INC. — 97 T£NN£Y S7R££T - SU17E 5 SCALE 1" N . ANDOVER , MA GE'OIRG£TOWN, MA 018.33 ON THE BASIS OF MY KNOWLED( QA TE• QCT. 22, 1999 ._ . BELIEF I CERTIFY.TO: , ------- The Commonwealth of Massachusetts w' Department of Industrial Accidents �. Gfficl' of Investigations Boston, Mass. 02111 workers' Compensation InsuranceAffidavit v Mame Myr 0^b COT— Please Print Name Sr^ Ma�ye-�o Location: ON ✓ Phone # aI am a homeowner perrcrminc all work myself. F7 1 am a sole proprietor and have no one working in any capac?ty am an employer providing workers' compensation for my employees working on this job. Comoanv name: M� ��^� RI 4 C.rfP Address VA aA CiN: PrA —Phone--"- Insurance PhoneT Insurance Co key"'n-tr" 1:;SVct',\UPolic,/T t Comoanv name: Address C62 � �.�. J�.t(.r .ti. Cj�( . (oS�)_ Cihi Insurance Co. Folic T Failure to secure coverage as recuirm under Section 25A or MGL 152 can lead to the imocsinon cf criminal penalties 7 a fine up to g1,5Co.00 and/or one years'imonscrment as Neil as cavil penalties in the fcrm of a STCP'NCRK oRCE?and a rine cf(s xo.Cc) a day against me. I understand that a copy of this statement may be forNarded to the office cf Investigancns cr'he GIA for coverage ver:^;csticn. I do hereby certify under the pains and penalties of pe Signature rju that the information provided accve is.'rue and correct. Date Print name _Phone 1 official use only do not write in this area to be comple:ec cy c:-,y cr town crric:2i C y or TcNn P-emit/Lc:�nsino Building Cept ❑Check,f immediate response is required ❑ Licensing coard ❑ .Se!ecrn7an's Office Contact person: Phone T:_ ❑ Health Departrrrent Other BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Location of Facility Signature of Permit Applicant .Y 7 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Y � - i tAORTH 101%M of4Andover O No. 4930? h E o dower, Mass., COC MIC HE-C � (A�DRA TE D PPax\\' C�) 3. lv `` BOARD OF HEALTH s S Food/Kitchen t Septic System �, BUILDING INSPECTOR THIS CERTIFIES THAT.... >�. .. ..A. ..................... ... . ....... . ................................................... .................... Foundation has permission to erect....� .�../�.1.�............ buildings on .. o.. ..,.�.... .�a. ....C..k �. �.1V g W� Rough tobe occupied as.....®. .v c.je.............................................................I.......... y provided that the person accepting this per shall in every respect conform to the terms of the application on file in I Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, alteration and Construction of I 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 ELECTRICAL INSPECTOR P UNLESS CONSTRUCTIO ST T6.4.. Rough Service ce BUILDING INSPECTOR slaS Final Occupancy Permit Required to Occupy Building GAS INSPECTOR � ---- —----- -- -- + Rough Display in a Conspicuous Place on the Premises — Do Not Remove I Fina, No Lathing or Dry Wall To Be Done � FIRE DEPARTMENT Until Inspected and Approved by the Building inspector. 3unicr ,Str(,('[ N,). SEE REVERSE SIDE Smoke l_)ct. Date`'. . N2 R," TOWN OF NORTH /ANDOVER ° " p PERMIT FOR PLUMBING �,SSACHUSE� This certifies that /. t—. . . . . ... ... . . . . . . . . . . . . ... . . . . . . . . has permission to perform . . . V.�. ` �✓. • • • • • • • • . . . . . . . . plumbing in the buildings of '. .-.Y. t :: . . . . , . '. . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee/. �. .Lic. No�l%':':. . . . . . . . . . . PLUMBING'NSAECTOR r� G' WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO II PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS L Z 7/1 Date Building Owners Name int Al nci 0-n o Permit# Amount Type of Occupancy 3 New Renovation Replacement El Plans Submitted Yes El No - FIXTURES V. a w W a w a a s r x a H lx a A x a" d d 151;H-OCR 2M RBM 2 Z 3M FLOOR 4M H M SIH PIDQt 6M HJOCR 7I1 i HIM $1H FI.DOR (Print or type) / Check one: Certificate Installing Company Name T-irley P/j/In6/��j _ 0 Corp. dress 7 0 Ileal n Partner. Business Telephone — 15d 7 1 Firm/Co. Name of Licensed Plumber. 14IC-A t P l 1� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑ Liability insurance policy 4 Other type of indemnity ❑ Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner El Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbin ode-an��M.-Io 42 the General Laws. • - �Lz By: igna o icens um er Type of Plumbing License Title /C .f tfb City/Town icense Numoer Master Journeyman ❑ APPROVED(OFFICE USE ONLY �°�'