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HomeMy WebLinkAboutMiscellaneous - Exception (72)Date. -'/'- TOWN TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that �xC�2.� ... •'�................... has permission to perform .... P.0 P.., lam. ! ............. plumbing in the buildings of . V00.9.,dr ti -7 .................... at ...? U.0 .. �.<.�. .............. .orth Andover, Mass. Feel Lic. No. 2 Yf-J"j' . LUMBING INSPECTOR Check # % y� 64.2® MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location New Renovation i (Print or type)� � �;I Installing Company Name Jl� Address usiness e ev one TION FOR PERMIT TO DO PLUMBING Date/ O � Permit Amount A—L Plans Submitted Yes 1:1 No Check one: 11 Corp. E] Partner ® Firm/Co. Certificate Name of Licensed Plumber: Insurance Coverage: Indicate the t3we of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity BondW 0 ❑ 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 1:1 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 a plication will be in compliance with all pertinent provisions of the Massachusetts State Plu ' g Code an hapter 142 of th General Laws. By. igna ure o icense mer Type of Plumbing License Title 2 j 85- City/Town icense um er Master ❑ Journeyman APPROVED (OFFICE USE ONLY Location,�q,,,'�, No. l % 9 Date" NaR,M TOWN OF NORTH ANDOVER OL f 9 Certificate of Occupancy $ yes''•• E<�' Building/Frame Permit Fee $ s�CMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ o Check # A 1 8268 � —B—u (ding Insp ce�torr— 1.1 Property Address: 2,6) J A L- S- 1.2 Assessors Map and Parcel '316 Map Number Number: . Parcel Number Atop Q 2.2 Owner of Record: Name Print 1.3 Zoning Information: I,z— I R es Zoning Distrix Proposed Use Signature Tele one 1.4 Property Dimensions: /o�;SO- o eo"+ Lot Area 332�, Fronts ft 1.6 BUILDING SETBACKS ft 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address IJ Signature Telephone Front Yard Side Yard Rear Yard Regaired Provide Required Provided Re 'red Provided. Company Name Registration Number 1:7 Water Smpply M.G.L_C.40. 54)1.3. Private ❑ Zone Flood Zone Information: 1.8 Outside Flood Zone A� Municipal Sewerage Disposal Syst em: Q N `,.i I n j & Oa Sita Disposal Systeme SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 136o Ka, --A 'e Name (Print) I -1A 2-6 M t /P— P,4 4 -z -Y i �� uS-r Address for Service: L9 Ys- -C�J C)o Signature v Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele one SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address IJ Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Tele hone 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 SIZCTIO14 5 Desai non of Proposed Work ehcek ■ . ble New Construction...0 Existing Building Repair(s) Altcrations(s) ❑ Addition Accessory Bldg. ❑ Demolition 1R) Other, ' ❑ Specio Brief Description of Proposed Work:�°P ��r.e� ; nJDO? ✓ S S%j�� C �%rv�r5; 3y /PeParfe- 5AG(25//0'& GA( - f200-� ,S y I -J& 0eI'VL12.117- Lac/.�tc U 7-5 /�-e C9 l' L, S i` o ge //:�,,` 4e pa ��S i foe C << eu / 7-11 W A t, L 5 •f- 6 ft�e a O.0 y-/ V �r az `lie. C, K 0 AJ cnPrTTnAT L _ VQTTM AIM" VinNCTDTT!`TinN VnCTC Item Print Name Si of Owner / ent Estimated Cost (Dollar) to be Completed by permit applicant OMCIAi. USE ONLY SIZE 1. Building ,%SO (a) Building Permit Fee Multiplier SPAN /2' %aeLtc OretJ 2 Electrical DMIENSIONS OF POSTS `i'X 41 (b) Estimated Total Cost of Construction 3 10 (Q 3 Plumbing SIZE OF FOOTING %� ` 02 /✓',3, TU h I Z ` ` Building Permit fee (a) x (h) MATERIAL OF CHININEY �(J 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TU BE UUMYLE IED WtiEfl OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/ -of subject property Hereby authorize /�`�/ t -L� �1�r /� U' to act on My beh in all matters relat"ve to w r authorized by this building permit application Rionah r of"Owner ` ' - Date M& AXXIT►MnI A i rVVX^Di741► Ar luau t►D!`r AD ATi!►N 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 ol��✓ J Sf�e�� lj �L _ Print Name Si of Owner / ent Date 0. OF STORIES i SIZE BASEMENT OR SLAB L�S SIZE OF FLOOR TIMBERS I ST 2ND 3 RD SPAN /2' %aeLtc OretJ DIMENSIONS OF SILLS DMIENSIONS OF POSTS `i'X 41 DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION _ THICKNESS �D SIZE OF FOOTING %� ` 02 /✓',3, TU h I Z ` ` b2l� K X MATERIAL OF CHININEY 1S BUILDING ON SOLID OR FILLED LAND e- e IS BUILDING CONNECTED TO NATURAL GAS LINE 'y 0 ;m FORM U - LOT RELEASE FORM ~ `�^ S7 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_N /1 PHONE 7� � 90?--/ 080 LOCATION: Assessors Map Number PARCEL SUBDMSION LOT (S) 9A- S�S, 7A PArZ STREET L ST. NUMBER OFFICIAL USE ONL AGENTS: TOR DATE APPROVED DATE REJECTED !PQ6�1 e C TOWN PLAN N R DATE APPROVED OJ" DATE REJECTED COMMENTS ZZO /liL.r t/zGsi In Mklk nj jdA „D„1— -/— / —4- � FOOD INSRECTOA-HEALTI4 DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE R*vWW M97Im 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: f`ZI (LL GCSG- �E'• �.c�� cC� r� / y� C L /c 2 7o�r� (Location of Facility) , Signature of Permit pplicant Date NOTE: Demolition permit ffi a of the Building Inspecf North ndover must be obtained for this project through the n A 5 � z' =2n,e' N/F MORCAN yo 1`5 N�t51 _ L=21.67 �- 764 >fRf4+Yt'E T ? if ✓ �-,t, pe N/F BAJAN J R-50.00' , �.fl 1,/✓ �V LOT 7A 1 LOT #7 1.375 9 1aC517 is a : �'-' j 1 LOT 8A C Ca - 1J0.2e18fi ,� ' -17 SADM LOT) ��'JJJ111 /1u1.7 jJ 63 / C 9-74 0-25 / N/F McCOLLISTERa E -a TAX JUP 37B (/ `jp PARCEL 3 E-1 + Y B-2% 1 Je9e33g (mc.) 3-ze r_e C 1; u LOT 8B 1 2.59,1E 3-71 7 1. TAKESIAA' e-3 s-7 c,2 / CH= 95.59• 1 MIF RENEESR7 U .. &��- %ls 7A Y S15 5573 P LOT #8 a n A 5 � z' =2n,e' N/F MORCAN yo 1`5 N�t51 _ L=21.67 �- 764 >fRf4+Yt'E T ? if ✓ �-,t, pe N/F BAJAN J R-50.00' , �.fl 1,/✓ �V LOT 7A 1 LOT #7 1.375 9 1aC517 is a : �'-' j 1 LOT 8A C Ca - 1J0.2e18fi ,� ' -17 SADM LOT) ��'JJJ111 /1u1.7 jJ 63 / C 9-74 0-25 / N/F McCOLLISTERa E -a TAX JUP 37B (/ `jp PARCEL 3 E-1 + Y B-2% 1 Je9e33g (mc.) 3-ze r_e C 1; u LOT 8B 1 2.59,1E 3-71 7 1. TAKESIAA' e-3 s-7 c,2 / CH= 95.59• 1 MIF RENEESR7 U .. &��- %ls 7A Y S15 5573 Photo 1 Welcome to 206 Dale Street! Page 1 of 1 Lots of Potential! Wonderful Opportunity for Renovation or Tear -Down! This 960 SF House Features 6 Rooms, 3 Bedrooms, 1 Acre Lot in Great Location (40,964 SF of Buildable Space.) ContentsAl Next ► http://www.lillianslistings.com/206dales/img001.httn 2/20/2005 J, O z 4 U O O v v Q E z cz ca E C CD _cc CL C cc cc CL im CD CL H Ww+ � CM C ca ca 0 CD C cc J .® ® CD CD CL COD L C C* cv i.3 w � p, C 410. 0 nG :c Uw" c+: i.�, n: � rx� Ea w w L m ° cn L� v cn 4 U O O v v Q E z cz ca E C CD _cc CL C cc cc CL im CD CL H Ww+ � CM C ca ca 0 CD C cc J .® ® CD CD CL COD L C C* cv i.3 p, C C Ea L OCL coo 4t:cm '~ o �w 2i ME 0. e:. to ev L o�03 s m O 41t: -0 A N C 3 4=0 H o E0m 0 .: CLCD m lot: � Q c c e c H .oo� •O ' N% m L. V W O OI d O CD m s p QQS = ~ CD H O+0,.~ N O w s CL E .0" 10 Z O C3 O° h O� O.0 O AS06 •�.. m 9 4 U O O v v Q E z cz ca E C CD _cc CL C cc cc CL im CD CL H Ww+ � CM C ca ca 0 CD C cc J .® ® CD CD CL COD Date ... 41. Z;?:: TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... ................................ . ............. . .. ..... has permission to .............................. winng in the building of at.. ;P...tk..."�26....6 ...... .................. . North Andover, Mass. ................ Fee. ............. Lic. No . ............ ............... '� ..................... ELECTRICAL INSPECTOR Check# A - 57G9 1 rm tLuivVylul y YrGfi" n (Jr DEPAIiAIDVIOFPVB, BOAROOFFREPREVEMON t APPUCATIONFOR PERMIT TO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE 1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Town of North Andover The undersigned applies for a permit to perform the e Location (Street & Number) a Q 6 ogle Owner or Tenant Al / fb Al / PiPWL7` Owner's Address 13 b di¢L 4 ®4(rV a Permit No. �S527C�1R12� ^� Occupancy & Fees Checked RMELECTRICA.L WORK l ELECTRICAL CODE, 527 CMR 12:00 below. To the Inspector of Wires: Is this permit in conjunction with a building permit: YestZI No (Check Appropriate Box) Purpose of Building '/n©�ioL �jfiJr,%1�G 11fd&(y biwe 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 77,7/171, Qf 07711yG fi/YCl/ ZE7 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below rl Generators KVA fJ round and No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch � " es C23 No. of Gas Burners FIRE ALARMS No. of Zones N . 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 Locala 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. Z-C4l,�/eJ tf"-�9�/D� 147a clecIl ie f�rolle Or. Ct///�eJ/�✓Jc°/%�1 it lyla 7/G /6 -Cwt. f�,�-i'��e� E,Yi✓T��i� /Do ,41W. hmtranoeCo�erag� Aaslantmthetac}I¢ana�IsdlvlaGataalLaws Itmeaamailit&ykmna =R)ficYinJu* gCor O—* Co,uWartsmbWfftialmPvdlalt YES `� NO ihre dvafidptoofcfmmlDtheOffim YESS EI Y)uuhawdrdodYES,Plea ndca dEgpeof by � >x>x BOND aII:1Fx+++ ( v> /°/P l/ep loll �� d llzlel .5— Ui(`L Ci9- c` F�tirnDa� E9irn*dvakleofEbcb ralWade$ WoklDstatt ]f/i�LL C 14!C Final ( C,4 LL Sigh Eof FtMNANIE v Srtc 7O�/a Licensee Ol�/ 1y T- f %, �� Sigrmae ���" Lioa>seNo cr/�/yI� Busff=TelNcx e� y/ Add= r2a vvA14Y Xle - Ae,;2 62;/ AIW)f AL TU Na OWNER'S INSLJI2ANCEWAIVER;IamawarethattheLioawdotsmthavetheinslmmwmWorisabdudepvalaltasmgtmedbyMasmd>u mGetlaalLam andthatrrysgrtakwcn,MpwnkffkWmwaivesthismgt kmalt (Please check one) Owner 1:3 Agent Telephone No. PERMIT FEE signature of Owner or Agent 1tiC l..v[vl nuivVykdujl7 yr DEPAR739MOFPUR + BOARDOFFREPREVEMON. r d APPLICATTONFOR PERMIT TO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE I CLEASE PRINT IN INK OR TYPE ALL INFORMATION) Town of North Andover The undersigned applies for a permit to perform the e Location (Street & Number) a mle Owner or Tenant Permit No. �!� 9 �—on Occupancy a Fees Checked RMELE=C,A.L WORK ELECTRICAL CODE, 527 CMR 12:00 D � Date �AI To the Inspector of Wires: below. Owner's Address 13b - a4dewile VJ Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building 1,T&n DOeZ ��/J 7M4 Kl�&Cl7 IIV/Y%e 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!yi A NCr OF -A-t- 77w-174 No. No. of Lighting Outlets No. of Hot Tubs I No. of Transformers Total Ee of Below . of Receptacle Outlets I No. of Oil Burners I No. of Emergency Lighting Battery Units KVA . of Switch 4wh -f S G'S No. of Gas Burners FIRE ALARMS No. of Zones . of Ranges No. of Air Cond. Total Tons No. of Detection and of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices -� of Dishwashers / Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other of Dryers Heating Devices KW a Connections of Water Heaters KW No. of No. of Signs Bailasis Hydro Massage Tubs No. of Motors Total HP HER. 3 -P/>���f , Z C4el'ef Ir— "Md C 11h 7a E/PCl4L--/o Owe, Ar, "All? fIDOi�/G /6 - Cir fid -f��eC � E,�i✓r.�ii� /6o A�,D fe�'diC�, �'� Ptasuartbthett�gtmanal�of>l�ltsCse�lLaws awmaYLiabtEtYL�uiatoeFt�6cYirrl<IdrlgCar>p orAss»be alegrivala�t YES NO aftimdvafidptoofofsate1D te06tce YES 1fyouhnedrd1odMpk=MdcateQlet cfa by dte o of E F 7/1 � a anu El rem ) zl—ntl/eQEkimfcn Gvil cft ccDme Start / �f Estim*dvatteofD micdWdk$ St Iinpe� mD * Req r9ed Rottgh %yi L C c 4 !L Furs) 4(11 a. C,4 l L � tlrtd3' of --- NAIv1E?� Cil /�A L Lioatseria� 70?� signanne A017- Bud=TdNa Alt Tel No "y ER'SINSCJRANCEWA1VEl2;IatnawmdattheLioffwdoesnothmdrirmnano a e critsakfttggpalmtasta4ri b5iMmdiamCmaW Laws to n yagrkecndispearrtffkabortwal%mftmWkmut to 'ase check one) Owner 1:3 Agent M � Telephone No. PERMIT FEE signature of Ownergen P,mr ec) 7t/ otC A (0 ;oe Of-` 4Y- zZ- FTM �5 • (& - d!;- p9let-t.