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HomeMy WebLinkAboutBuilding Permit #Exception - 134 MABLIN AVENUE 5/1/2018 (4) TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 22' O N bT cl (4-J Date Issued: 6.e, IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER 1SE11�I�J��T -^J_. CA4:1;D/S Print MAP NO: PARCEL: ZONING DISTRICT: ""`Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ilding One family _Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic well Floodplain Wetlands _ Watershed District Water/Sewer _ DESCRIPTION OF WORK TO BE PERFORMED: Identification Please _Type or Print Clearly) OWNER: Name: E V IZ4!� l�` Phone: Address: CONTRACTOR Name: /G Phone: Address: Supervisor's Construction License: E' Exp, Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEERAs Phone: Address: k 4ed- e l Reg. No. FEE SCHEDULE:BULD/NRMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ WCC D0l� FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregiste contractors do not have access to the guarantyfund Signature of Agent/Owner "Signature of contractor i i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED_ . PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS -HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: g g Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at"124Main Street Fire Departmentsignature/date COMMENTS I Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use y f� ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 Date...r.....— . ....................... ,kORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING S�cHUS This certifies that ......... .........Tzl.S............................. has permission to perform ................!1..?..... ......................... wiring in the building of..... ............................ at..... ...... ...4.4.........4 ........ .North Andover,Mass. Fee. Z.�.......... Lic. ............. ala. EL�&RICAL INSPECTOR Check # 66U k DERLMmvrOFPVBU WETY Permit NO. 6 �� BQARDOFF2EPREYF11�I1gilVRBOULA7Xai 5Z7adR,2'w . Occupancy&Fees Checked 4QPUCA77ONFOR PERMITTO PERFORM ELECTRICAL WORK ALL WORK To BE PERFORMED IN ACCORDANCE WrrH THE MASSACHUSSTS M-EC MICAL CODE,527 CMU 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date ✓� Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant ICS A (~�yVX 4 I < I Owner's Address Is this permit in conjunction with a building permit; Yesm No (Check Appropriate Box) Purpose of Building Qes Utility Authorization No. Existing Service 2Qn AmpQ /Z Volts Overhead pq Underground C3 No.of Meters New Service I Amps. olts Overlied Underground 1:3 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Na of Lighting Outieb Na of Hot Tuba No.of Tranf now TOW KVA Na of LightinS Rixtwa Swimming Pod" Abu" Below rj Aerterato No.or P �OutiW Na of On Burros Mond po=d KVA No.of ghUngHartery Unita Na of Switch Outlets No.Of Oas Bunion No.of Rangy Na of Air Conti. Total FIRE ALARMS No.of ZOea Ton Na Of Disposals Na of Had TOW ToW Na of Detection end Pe Ton Kw Wtiating Devi No.of Dishwashers Space Amy Heating Kw Na of Sounttlng DeW= Na of Self Contained im No.of Dryee Heeling Devioea Kw L0W � Connections a Other No.of water Heaters Kw Na of Na of Signs Ballsafa No.Hydro Massage Tube Na Of Motod Total HP I OTHER' InA>tanaeC,ows�P�mrritbmere�amnOcflNasdalttshGmmlFani� I, lhaneaaaentiie6�YYhaataeF�YiridrgCbm abut dWa;* a YES NO Itsres,�6m�dveidp>oatdsarebho�on 71F�� 1 hsted,eded� � Y134,pkss01 PZLRANM B=[3 itdratefretypecf rte am a BvkdmD EeimabdVAR aftlhdcal WCA S WC&IDStat ii I MOReg,estea Rc* sgdtgtdat RrzM aofpeijtn. E�tMNAIV>18 Lim AL _ L Lm" inn yc�- Von I;aRissrb E 7_95/-5 BtsirlessTdNa e17?efo7 Adim 0 OWI 'SM RANCEWAMR;Iamaw=dNit el �' AtTiirra arivs�6se�elagiivetritasra4l�dbyMrsca,aattaw. ardlhrtrrp�sgfttttuconfiis. rit�picelitalirequfaarat (Please check one) Owner C3 Agent zignsture or UW or Figaill Telephone No. pgtkffr FEB 3 f (w,)BayStateGas A NiSource Company May 24, 2006 Campisi, Kenneth Account Number: 5452820051. 134 Mablin Ave North Andover, MA 01845 Dear Campisi Kenneth: This follow-up letter is to inform you that your gas Boiler/Super Store located at 134 Mablin Ave has been tagged due to a violation of state safety regulations. It is unsafe to use until the following condition has been corrected. Boiler/Super Store under water,disconect/plug The Masachusetts code pertaining to the installation of gas appliances and gas piping, established under Chapter 737 Acts of 1960,requires that the condition be remedied. If you have questions or would like to discuss this issue, please call 978-687-1105 and ask for the Service supervisor. Please disregard this notice if the condition has been corrected. Sincerely, Service or Meter Department Bay State Gas Company CRR: CRR# CAdsupdatedletters\236 05/24/06 55 Marston Street P.O. Box 869 Lawrence, MA 01841-2312 978-687-1105 Fax: 978-688-1875 Location `3 Cr ✓' 'A 6 A��'`J �� No. trn�� WS Date NpR,M TOWN OF NORTH ANDOVER 3 •. AL 4L+ ; ; Certificate of Occupancy $ a. Eco' Building/Frame Permit Fee $ s� �s Foundation Permit Fee $ \Ajoa a Other Permit Fee 64ouv- $ as TOTAL $ Check # C/A jIg( - 15444 Building Inspector _ Town of North Andover NORTN OFFICE OF 3�0y °c COMMUNITY DEVELOPMENT AND SERVICES p 41 146 Main Street IL North Andover, Massachusetts 01845 •�9"04Ar,0 WILLIAM J. SCOTT 9SSACMuS�� Director 3S WS Date: i3A) 14U 14)09 From: North Andover Building Department Re: Wood Stove Installation It appears by the visible aspects of your wood stove available at the time of my inspection, that the installation complies with the requirements of the Massachusetts State Building Code. Inspected by N/j BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 i WOOD- STOV-E INSTALLAVION CHECKLIST � `' Permit t9 S i A building permit is required for the installation of anv solid fuel burning appliance. The building permit and installation inspection are limited to the stove installation and not to the stove construction. Stove / ( . A. New r/ r4 i1 V14Q l�3 _U.,Ad. B. Type/radiant Circulating X C. Manufacturer A P 141 A/J _Lab. No. L. Name/Model No. Lo t-.L 1 (0 Q 6 3 O`Collar size Dimensions/Height __Length Width Chimney A. New I'tl`e1�2� �S���S�S Existing B. Size(flue area) C. Other appliances attached to flue(Number and flue Size) ..._ A-)O N D. Prefab(Manufacturer—name and type) E. Masonry/Lined _ _.Flue liner. Unlined -typed manutacturer) J F Height(refer to diagrams) cap � I OVER, for I w� lo' 12 tr N11r1. 4 2r MIP(. Z �11t1. III 10 5 r Zn MIN. 18 MIN. (FUEL,, i-t �Li c yJ y IG�I HEARTH CHIMNEY HEIGHT Hearth(non-combustible) A. Materials_ B. Sub-floor construction < C. Minimum dimensions(refer to diaoram) Clearances and Walt Protection(see stcvt21lation clearances chart) A. Type of wall protection provided R A B. Clearances(refer to diagrams) / I i FIREPLACE CORrlER WALL/CENTER Date. NORtM TOWN OF NORTH ANDOVER s PERMIT FOR PLUMBIN ,SSACHUS� ' This certifies that has permission to perform . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . , North Andover, Mass. Fee. Lic. No.. . . . . . . . . . . . . . . '(.. . . . . . . . . . . LUMBING INSPECTOR Check # 6985 V. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLG (Type or print) NORTH ANDOVER,MASSACHUSETTS / Date Building Location J Owners Name \ Permit# Amount Type of Occupancy New Renovation Replacement 1 1 Plans Submitted Yes No ❑ FIXTURES H F p4 Ey r [!j Uj rr H > x z a H o w sL]3.>E RASEA i ISI:FLO R j M FLOCK M MOOR 4M MOM 5M fl" 6M MO R 7M HDM 9MIK" (Print or type) Check one: Certificate Installing Company Name z n-7 e/� C 0, Corp. Address 0' 6c'1, 772— Partner. _ usmess a ep on ?C;r-/ Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 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 liSignature Owner F1Agent ❑ I hereby certify that all of the details and information 1 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 to Plumbing Cod nd 8r e eneral Laws. By lgna ure o ense um er Ty Plumbing Licen ` Title 70, City/Town r7cense Mumoer Master Journeyman ❑ APPROVED(OFFICE USE ONLY I I� l Date. . ... . .. . NORTH TOWN OF NORTH ANDOVER y • - PERMIT FOR GAS INSTALLATION �9SSACHUSEt This certifies that . ./1-1, . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . .�. /. .�m X4.5<<.4. . . . . . . . . . .. North Andover, Mass. Fee. . . U. . . Lic. No.. . . . . . . . . . . . . .; .�-. ,.�. . . ... . . . . . . PAS INSPECTOR.- -Check# t 56U0 ,vIASSACI SETTS LT,NI FORN1,sJnUCATON FOR PER'NllT TO DO GAS HF (Type or print) Date (� Wn (� NORTH ANDOVER,NIASSACHU TTS Building Locations VYPermit# Amount S Owner's Name New13Renovation 13C1C1Plans Submitted ❑ W F oI w Ia 3 I4 I ct a �-4 o SUB •BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or type) C c, Cie Jc one: Certificate Installing Company Name M Cn U Corp. �f Address �'" a l�� 7 7 2 ❑ Partner. 5" I n -;-w O t Fe 7 us►ness" a ep one _ -7-er — S Firm/Co. Name of Licensed Plumber or Gas litter Jil IrS G/� Con, xx INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ Noll If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ 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 Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's,agent Owner ❑ Agent ❑ t 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 .%ork and installations performed under Permit Issued f this application will be in 'crripliance with all pertinent provisions of the Massachusetts State Gas Code and a t of the Gen gnature of Lic Plumber Or Gas Fitter By. Plumber -rate CitviTcwn Gas Fitter License :Numver Master .-PPRO�`ED.r:FFtr�E f: E ;,,f Y; Journeyman ti• Date. . NORTh TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 'fir 'O+,n°•e•`t'� SS US . G This certifies that .',--_. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform .�`�' f-� - . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . .f . . . . -�: ... . . . . . . . . . . . . . . at . . . . . . . . . . . . . .. North Andover, Mass. Fee Lic. No. U// . .?. .. Q. . . . . . . . . . . . . . . . . . . eUMELIApECTOR Check # /.3 (/ 4963 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS e Date Building LocationOwners Name Permit# Amount /d, e Type of Occupancy New Renovation Replacement Plans Submitted Yes No FIXTURES z W 4a >1, z a� w w .H `" z a s �a a x x d w CC -Z d Q SLRES�E ISE HIM M FUM 4IM FLOOR 5IM FIOCR 6TH FIO(R 7TH FLCCR gm H-CM (Print or type) --, CC Check one: Certificate Installing Company Name ��j El Corp. Address 722 Partner. 0re67 Business Telephone 7,F,- q4---?- , Yy/�/ Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the of insurance coverage by checking the appropriate box: Liability insurance policy � 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 r Signature Owner 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 Plumbing Code anQhhapter 14 the General Laws. By: Sign a icensea riumoer of Plumbing License Title 9 City/Town Zicense i um er Master Journeyman ❑ APPROVED(OFFICE USE ONLY N2 3459 Date.. ....... 4 T TOWN OF NORTH ANDOVER 0 0 . PERMIT FOR WIRING 14US This certifies that ......... ............. .............................. ...... ...Q.. has permission to perform ....... ............... �yiring in the building of.... .................................................. .......... ........... ...... .North A4"dovR.-f,M5§s. Alt.... ...... ......... ................ ....... Fee.././�`, Lic.No.k�..( .... .......... . ... 14 ................ ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer H1E0QWONWE4LTHOFA14MQ��i ET7N Office Use only DEPARTMENTOFPUBLICSAFM Permit No. 7 EZ BOARD OFFIREPREVEM70NRWUMTIOA S S27CMR 12.00 "VAPPUCATION Occupancy&Fees Checked FOR PER W TO PERFORM ELECTRICAL 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) Datg����,�� Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number)5 3 C4 H 6 ,V1 Aw Owner or Tenant Owner's Address 0 P�A V%A W=rQ S`T' Is this permit in conjunction with a building permit: Yes Q No r (Check Appropriate Box) Purpose of Building \ -,A-e "J i,,( Utility Authorization No. Existing Service /00 Amps ZO/Z o Volts Overhead Underground No,of Meters 1 New Service 206 Amps�Volts Overhead Underground No.of Meters Number of Feeders and Am aci P h' Location and Nature of Proposed Electrical Work b No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Q Swimming Pool Above Below Generators KVA ground around x No.of Receptacle Outlets O No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets i No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons 3 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 I Heating Devices KW Local Municipal Other Connections a Nu.of Water Heaters KW No.of No.of Signs Bailasis Z•Hydro Massage Tubs No.of Motors Total HP OTHER' , Ir wd=Co�a�Rasu�Ybthera4atar �Ivtassad Ga�aalLaws Iha%eaai�Lmbihtyltts==Pobcyerh�drttgCarr�e Coee'a�arils algia alt YES rl NO r IhawahnftdvMptodofWne1o1he0ffm YES M NO Fj utmedniwdYES,plea mdc&thetypeofwmagebyd=krgthe wsvRANCE BOND a 0`114RF-1 ftwespeffy) D& Est n1&dValue iral Wolk$ WakIDShart I I-Z6^0 1 hq3acfiMD*RawcsWd Ra 11 Feral own IR t NTO. 15 I-mm V Iema In A•-, ,�� sigr�tne LioaseNo B s¢tessTdNo. eyt07 5,998_ Adless,_ �� ��� .�._ A)tTdNa OWNER'SWSURANCEWANFR;IamawatethattbeIiasedompa tlreitstranoeco►aagea'hsubkin1 ale#datasm#rdbyMassadxs&Czx al Laws aadi vtmysgr�mftparrrtq#catimwaisesthisrec mnat (Please check one) Owner 1:3 Agent M Telephone No. PERMIT FEE w Date. . . . AORTN of TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SACHUS . . . . . . . . . . . . . . . . . . . . . . This certifies thay.,. hps permission for gis installation in the buildings of .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ati,.. North_ ndover, Mass. Fee X. Lic. No. . . . . . . . . . . -GAS INSPECTOR Check 4 3755 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS Ff rnNG (Type or print) Date (900 / NORTH ANDOVER,MASSACHUSETTS V —�—` — Building Locati ns l Permit# n Amount$ w Owner's Name New❑ enovation 0,- Replacement ❑ Plans Submitted ❑ o a z o w c7 o �Z o ° H o SUB-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH . FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type)�� C•�` h one: Certificate Installing Company Name Corp. 722 4ddress �� Partner. �7o i U ) Q l�'G �Buslness Telephone 7 dr r — f y 2,_ — 77 Firm/Co. a Name of Licensed Plumber or Gas Fitter J�yn17,l j L,-- C.-Zl*r INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No[:] If you have checked M,please 1pdicate the type coverage by checking the appropriate box. Liability insurance policy 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 Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ 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 Massachus to Gas Code and Ch ter 142 of General Laws. By: ignature of Licens lumber Or Gas Fitter Title L3 Plumber n �� City/Town ❑ Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Location No. Date „QRTIy TOWN OF NORTH ANDOVER Of . o , 1ti F 9 Certificate of Occupancy $ ,SSACMuSE< - Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 14363 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: 5 DATE ISSUED. SIGNATURE: Building Commissiorter/I for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: -?n aJam.,. a/"Q- Map Number ParoeTNUWer (� 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided RegWred Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record /!J fiyL Name(Print) Address for Service: Q� -ftp �/v� o vE� � y 5— Signature Telephone 2.2 Owner of Record: Name Print Address for Service: M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number all Ad-dress - Expiration Date Signature Telephone �... 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number Address Expiration Date ^ Signature Telephone Y, i I SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) •J r 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 all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 01 ion ❑ Addit Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFk'IGL� -USE"fINLY Completed by permit applicant 1. Building (a) (a) Building Permit Fee Q©O Multiplier 2 Electrical (b) Estimated Total Cost of 3J O 00 Construction 3 Plumbing OOO Building Permit fee(a)X (b) 4 Mechanical HVAC [- 5 Fire Protection ;300 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZA ION TO BE COMPLETED WHEN OWNERS AGENT OR CQNTRACTOR APPLIES FOR BUILDING PERMIT (]:sOwne:r/;A orized Agent of subject property Hereby authorize - to act on 4atMyh f,in all n r e i to wolk a orized by t uilding permit application. ure of 07,iier Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 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 Print Name Si ature of Owner/A ent Date NO.OF STORIES SIZE" BASEMENT OR SLAB SIZE OF FLOOR TIMBERS OT 2ND 3RD SPAN DWENSIONS OF SILLS DRAENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Town of North Andoverti NORTH b, o Building Department o 27 Charles Street --00, North Andover Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 �9SSAca�us���y DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, sl 56a. The debris will be disposed of in/at: O ()04T 66 86 -Sa& Facility location Foo- &9 d 000,? Signature o Appli nt Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector. I It� 3 .. t V40RTIJ a Town of North Andover ° ,0 • ' Building Department \ A • t Y 27 Charles # i Street * o •; North Andover, MA. 01845 �;°•,..e.�`{9, D. Robert Nicetta Building Commissioner (978) 688-9545 •:978) 688-9542 Fax I HOMEOWNER LICENSE EXEMPTION Please print DATE _ 3 JOB LOCATION YY\ckA0 ;r Ay C 3 9 Number Street Address Map/lot t� t "HOMEOWNER [t� ►1r, ET�n ��r,,�� �t �I 7 (aB �Q c)°�oR Name Home Phone Work Phone PRESENT MAILING ADDRESS_ Yl- i Citi Town State Zip Cede i I The current exemption for"homeowners"was extended to include owner-occupied dwellings { of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. } E The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection p procedures and requirements and that he/she will comply with said procedures and requir ents. f P HOMEOWNER'S SIGNATUR I APPROVAL OF BUILDING OFFICIAL j i a { i j 1 I 3 1 i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: Building Commissio22EIR§eEtor of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Regaired Provided 13 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Name(Print) Address or Service- 39 M lot's Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O F T� i na re Tele one 90 SECTION 3-CONS UCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number mn Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name m Registration Number r Address r Z Expiration Date ^ Signature Telephone V♦ `J SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) 4 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 Descri tion of Proposed Work check all applicable) New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: OD NJ Xo- 77 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OMC tAL USE ONLY Completed by permit applicant „y 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical(HVAC) / Q 5 Fire Protection / (� 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, KE V/1J T H 4• QX M P $ ( s Owner/ uthorized Agent of subject property Hereby authorize to act on Myhalf,in 11 m r r a ive eto work authorized by this building permit application. Si nat4 of Owner ]Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 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 Print Name Si nature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST2ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTF� � O t� o t b�' '•ti0 O - O� . p RECEIVED JOYCE 9RADSHAW TOWN CLERK NORTH ANDOVER SACHU56 TOWN OF NORTH ANDOVER .1000 OCT 24 A 8: 52 MASSACHUSETTS BOARD OF APPEALS Any appeals shall be filed NOTICE OF DECISION within(20)days after the Year 2000 date of filing ofthis notice Property at: 134 Mablin Avenue in the office of the Town Clerk. NAME: Kenneth Campisi DATE: 10/16/2000 ADDRESS: 134 Mablin Avenue PETITION: 032-2000 North Andover,MA 01845 HEARING:9/12/2000&10/10/2000 i i The Board of Appeals held a regular meeting on Tuesday, October 10th,at 7:30 PM upon the application of Kenneth Campisi,134 Mablin Avenue,North Andover,MA for a Variance from Section 7, Paragraph 7.3, for a front and rear setback in order to reconstruct existing dwelling of one bedroom,kitchen, 1 '/z baths,laundry room, living room and wrap around porch. Petitioner is requesting a Special Permit from Section 9,Paragraph 9.2 to alter a pre-existing non-conforming structure on a non-conforming lot. The following members were present:William J.Sullivan,Walter F.Soule,Raymond Vivenzio,Robert Ford and John Pallone. Upon a motion made by Walter F. Soule and 2nd by John Pallone the Board voted to GRANT a dimensional variance.for relief of a front setback of 9'and relief of a West side setback of 2.6',and relief of a rear setback of 25.2' and that the granting of these variances will not adversely affect the neighborhood or derogate from the intent and purpose of the zoning bylaw. Voting in favor: William J. Sullivan,Walter F. Soule,Raymond Vivenzio,Robert Ford, and John Pallone. Upon a motion made by Raymond Vivenzio and 2nd by John Pallone the Board voted to GRANT a Special Permit to allow for renovation of more than 25%of existing structure up to 1800 s.f,,according to the Plan of Land by: John M.Abagis, PLS., #35773, 137 Chandler Road,Andover,MA,revised date: 9/19/2000. Voting in favor: William J. Sullivan, Walter F. Soule,Raymond Vivenzio,Robert Ford,and John Pallone. The Board finds that the applicant has satisfied the provision of Section 9,Paragraph 9:2 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming structure to the neighborhood. 10.4 Variances and Appeals The Zoning Board of Appeals shall have power upon appeal to grant variances from the terms of this Zoning Bylaw where the Board finds that owingto circumstances relatingto soil conditions,shape,or topography of the land or structure and especially affecting such land or structures but not affecting generally the zoning district in general,a literal enforcement of the provisions of this bylaw will involve substantial hardship,financial or otherwise,to the petitioner or applicant,and that desirable relief may be granted without substantially detriment to the public good and without nullifying or substantially derogating from the intent or purpose of this Bylaw. i i By order of the o ' g B and of Appeals, ' William J.Sull� an,Chairman ml/decisions2000/40 • I I . � North R""'Stry Of Deeds m District Lawrence °° Rkk amt I A @%0 ' "lr m mm GI CIA # & Rec: gipe PLAN y m § 7 ay }q \� r J ® Ak mF § @Rec . S' : z & m± l%m AGI .A . 9G4mt10 D¥ lcnanne A.m mA« '! 7777 %A . � — Gam@ . WWF of Deed, NORTH Town of - Andover 0 No. tpM' 0 LA o dover, Mass., IL—ca 7 "'0 40 COCMICMEWICK a°RATED .S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...AP S .. .. CA-m-POSI&.............. Foundation. has permission to erect..QQ 2"M ..... buildings on ... Y.� /4' .................. Rough .............................. .... . .......... ........... S�gle �a� w to be occupied as........................!1 �� � .... M+ ....�1iI�I�......................... Chimney ................................ ........ ....... provided that the person accepting this permit shall in every respect conform 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. in GP se $/8 8* 60OW PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough +^ A 2 � PERMIT 111 1L�S 11 V 6 MON Final A PP�ovA / S �� ELECTRICAL INSPECTORgJSLESS C®NSTRUCTY N ST S Rough C1r Flow" ..................................................... Service OZ S*j BUILDING INSPECTOR Final ®ccupar y Permit Required t® Occupy ,Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry (Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. 1 i i AO J4f" Is7'Ry lm i CERTIFY I TTS PLAID N4-5 SEELY PREPARE/ I „t0 r0RMAIYC'E &/,r# TSE RUMSY.AND REGULATIONS OF THE I?E61,57 � PFIE F' E COUMONIWE T OF MA , AC IlSETTS. /F YN LA RENTANI MA 6 07-fl - QUO LOT 60 ,OATS IR ASAI V, PL:.S 41, SEETION 8/X MIEv THE �I ER,5 5NT owANR ARE IE Oft6' 4U1,5 PPE "A T!A 1AY PRIYA7 LO E ' : TEE ALEY 8 SUB-L 0 Ef'LI�J/ S LOT 48 FOR �� GR NEW WA A1 ; SHOGI��! 07` 06- OA 7E "`GATE P.L.S. IF x�oor� sT. :.. NOif�l/ EE TO 'N OF +VRt9;otVD0YfR ZONING 'R� "APPEALS MA 6. L07 52 SATE OF )c7j: NG: O,4TE CSF f'E '/ ! ': - � GATE OFAP . L N F -JA" 9RACE COLETTA I � UA P 7 LO' 5 IVIF RGIAIIA WILLIAM AM 7 L07 4 PLAN LA�f'':� M F by ?AMON E!BEEERY U.4 7N, ofIrliANYR1 s „ , LOT L'L ! Y 471 AW ;60RLAIIICE aV-.` 7 1Y NF 7`096OF 4Z N."ETH 4'AAPI NORTH ANVOYER EL wow .STREET LO sNORThI .AN�O!!ER, �l�'A SCALE 1":&.40 SATE SIL ' 06 Zaf�O RE1/1, ' sEJ°T 000