HomeMy WebLinkAboutBuilding Permit #896 - 73 CHICKERING ROAD 6/13/2012TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO:
Date Issued: l a t
IMPORTANT:
Date Received
must complete all items on this
LOCATION 17-3 C h RInyc
Print
PROPERTY OWNER G'e o 5 G N R (4 6 N pG 2
Print
MAP NO: PARCEL:_2,�ONING DISTRICT: Historic District . yesno
Machine Shop Village yes no
TYPE OF IMPROVEMENT
DESCRIPTION
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
El Addition
❑ Two or more family
❑Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ DemolitionElOther
�tSeptic❑`Well
- _ VW
; `®? yVatershedDstrict; _
OWNER: Name
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly)
S014 Ry&')Yhe,
Address: 1-3 i✓ h 1c Kz,h' t N 1 R-4
CONTRACTOR Name:
)4,U- Wl44,511 -fSoM5
Address:
Supervisor's Construction License: 09-V-O(?6 Exp. Date:
Home Improvement License:
% 433Y? Exp. Date:
Phone: 47e -60--C--13'7
J*,4 /J-
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE. BULDING PERMJT. $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED 0 $125.00 PER S.F.
Total Project Cost: $ ���.®� FEE: $_
-q
Check No.: Receipt No.: C v
NOTE: Persons contra4fie with unregistered contractors do not have access the guaranty fun'
Location
N Date/,
0
Check #� �,
25409
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee
Other Permit Fee
TOTAL
Building Inspector
Plans Submitted ❑ - Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑
Well ❑
Private (septic tank, etc. ❑
Tanning/Massage/Body Art ❑ Swimming Pools ❑
Tobacco Sales ❑ Food Packaging/Sales ❑
Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
Reviewed on Signature
Reviewed on Siqnature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Commen
Conservation Decision: Comments
Water & Sewer onnectioniSignature & Date Driveway Permit
DPW Town Engineer: Signature:
FIRE DEPARTMENT - Temp Dumpster on
Located at 124 Main Street
Fire Department signature/date
COMMENTS
Located 384 Osgood Street
no
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 n
Doc:.Building Permit Revised 2008
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
o 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)
a Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
DOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
iat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording .
lust be submitted with the building application
Doc: Doc.Building Permit Revised 2008mi
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CS # 022680
HIC# 103358
A. J. Walsh & Sons
55 Pleasant Street
.North Andover, MA 01845
# of
978-688-6737
or
1-866-AJWALS H
Proposal Submitted To:4 /&.,1 & � , . Job Name [ Job #
tA
Address � / e . Job location .
Date Date of Plans
/1
Arc
Phone # (� `�� Fax # Architect
Architect
hereby submit specifications and estimates for
�Ll�•'-a�1
cw,e�uuG
We propose hereby to furnish material and labor — complete in accordance with the above specifications or the sum of:
ov 0(D
$ C/'%d DOr%� Dollars
� � r
with payments to be made as follows: LAr
I
Any alteration or deviation from above specifications involving extra costs will be Respectfully
executed only*upon written order, and will become an extra charge over and submitted
above the estimate. All agreements contingent upon strikes, accidents, or delays —
beyond our cohtrol. Note — this proposal may be withdrawn by us if not accepted within days.
acceptance Of prDpagai
The above prices, specifications and conditions are satisfactory and are Signature �7
hereby accepted. You are authorized to do the work as specified.
Payments will be made as outlined above.
Date of Acceptance Signature
MASSACHUSETTS HOME IMPROVEMENT CONTRACT
This form. satisfies -all basicr"uirements of the state's Home Improvement Contractor Law (MGL chapter 142A), but does not include standard
language to protect homeowners. Seek legal advice if necessary. Any personrplanniag home 4inprovements show' d fiM obtain a copy 0f"a
Massachusetwoonsumerguide to home,improverhent" before agreeing to any work on yourmsidence. You may obtai&a free copy by calling the '
Office of Consumer Afrairs and BusinessIogulation's Consumer Information Hotline U617 -973,8787 -or 1:488842834757:
Homeowner Information Contractor Information
Name
pang ame' '
�-eo (fir SG l�RU NNS �T (A J4,,t,5 f+ -rSoKs
Street Address (do not usca Post Office Box address) tractor/ Selespetsoa/Owns Name
C h lc kte2
/Y �`a "P w� ess Address mull include a street address) .
�o I .Doves/� Gs yiyT ksf
Daytime Phone Evening Phone ffoxmState
_
HCode
97d'-6�� Sth�� /�D /i NCOdere /tel 0
Mailing Address (It different from above) ausiness Phone ederal Employer ID or S.S. Number
lav aeyuirn uui moa lnmeim Acme tComnntr aeaSN®har-axp"vatimmte
coa"actm haws
®
The Contractor agrees to do the following work for the e�
Homeo tier.
aou
Roa'Y ,diet/ E l " .
Itequired'PeriWts- Thefollowing building permits are regbired Proposed Start acid Completion St hedule •The fdllowiiig schedule will
and will besecured:by the contractor as the'homeowner+s agent; be adhered to runless circumstances beyond:the connaetofs'control arise
(Owners who. secure their own pe=ntits will be (
excinded f'rom;the Guaranty Fund'provisions of when contractor will begin contracted work.
MGL chapter 142A.)
iate
_L_(_LLL?when contracted .work will be ettbstmadally-repleted. .
Total Contract Price and PayrnentScbedule
.,.� ..v "uwr.agrccs w periorm me WM14 tumtsa the material and labor specified above for thetotal sumo£ f � ' yf � ()" (s)
Paymeuts will be made according to the following schedule:
S 70W, upon.sigoing contract'(not:tb exceed 1/3 of the total.contmct cc, the cost:of
!m 4f special order items, whichever is -greater)
S by =T% or upon completion of ^
$ by_� / or upon completion of --
O sv
upon completion of the contract (raw forbids demanding full payment until.contract is completed to both party's. satisfaction)
The following material/equipment must be special S to be paid for
ordered before the contacted work begins in order 5 to be paid for
to meet the. completion schedule.(**)
NOTES: (•) including all fmance charges (••) law requires that any deposit or down -payment required by the contractor before wodc begins may
not exceed the greater of (a) one-third ofthe total contract price or (b) the actual con of any special, equipment or custom made material
which must be special ordered in advance to meet the completion schedule.
Express Warranty - Is an expresg wamnty bein• provided by a eontroctor� No Yes f terms of the warrants mnat be attacked to the contract*
Subcontractors The contractor agrees to be solely responsible for completion of the work described regardless of the actions'of any thud
party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors foi
materials and labor under thi aereement
Contract Acceptance - Upon signing, this document becomes a binding. contract under:law. Unless otherwise noted within this document, the
contract shall not imply that any lien or other security interestlas been placed on the residence. Review the following cautions and notices
carefully before signing this contract
• Don't be pressured into signing the contract Take time to readi.nd fully understand it Ask'questioris ifsomething is unclear.
• Make sure the co itracrnr hes • valid Horne i pmvement r,........»_- Registration The I& requires most home improvement contractors and .
subcontractors to be registered with the Director ofHome Improvement Contmetdr Registration. You may inquire about contractor
registration by writing to the Director it Ashburton Place, Room 13QI,.Boston, MA 02108 orby calling 617-727-3200 or
1-800.223-0933.
• Does the contractor have insurance? Check to see that your contractor is properly insured,
• Know your rights and responsibilities. Read the Important lnfonuation on the reverse side of this foim'and get a copy of the Consumer
Guide to the Home Improvement Contractor law.
You may cancel this agreement if it has been signed at a place other than the coatraetdr's'normal place of business, provided you notify the
contractor in writing at his/her main office or branch office by ordinary mail posted by telegram sent or by delivery, not later than midnight of the
third business day following the signing of This agreement . See theattached notice of cancellation form for an explanation of.this right
DO NOT SIGN TTTiC rn VT4? A f` r IrV Irl" . "" . -1 ..
Two' tical t ofthecoatracttounbeeompletxdsadsiaord One •-••u' iar� a n14ai1�A ArAl3:J'.1:
ayy.ahoutd ao a the 6oenotvnQ. The other copy ahwW be kept by the contractor.
omcowne s Signature Contractor's
Signature
Date
-.Date
Contractor Arbitti! 6 .
The Home bmproyementContraetorLawHrovides homeowners with thenght-to-initiatean arbitration action (as an
alternative to court actioW if they have a &pute with a contractor. The same fightis n'ot automatically afforded to a.
contractor,.how.ever.r., econtractorwould have tp resolve any, dispute he/she.has with a homeowner in court unless
both parties agree to, the optional clause provided below.. This clause would give the contractor the same, right to
arbitration as is afforded to the bomeowner.by the Home Improvement Contractor Law.
The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute
concerning this contract, the contractor may submit the dispute to a.private arbitration firm which has:been. approved by
the Secretary of the Executive Office of Consumer Affairs and Business Regulation andthe consumer shall be required
to 'it to such i on p ided In•Massacbusetts General Laws, cha er 142
ff
o eowner's Signature Contractor's Sign
NOTICE.' The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution
initiated by the contractor:: 7he1omeowner.may initiate alternative:dispute resolution even where this section. is not
aPnArAtAv siened3ry •the rat hlesr
Homeowner's Rights
A• homeowner's rights under the Home -improvement Contractor Law (MGL chapter 142A) and other consumer
protection laws (i.e. MGL chapter' 93A) may not be waived in any way, even by agreement: However, homeowners
may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law.
Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of
the Home Improvement Contractor Law. The -contractor is responsible -for completing the work as described, in a
timely and.;woriCmanlike:manner. Homeowners .maybe entitled to .other specific legal: rights if the contractor guarantees.
or provides.an. expresswarranty for..workmanship or materials. In addition to.guarantees or warranties. provided by the
contractor, all goods sold in Massachusetts carry an implied warranty of merchantability ;and fitness.fo:a particular
purpose. An enumeration of other matters on which4he homeowner and contractor lawfully agreeMay be added -to the.
terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about
your consumer/homeowner rights, contact the Consumer Information Hotline (listed Below).
Execution of Contract
The contract must be executed in du lice a and should not be signed until a copy of all exhibits and referenced
documents have been attached Parties are also advised not to sign the document until all blank sections have been
filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachments is to
be given to the owner and the other kept by, the contractor. Any modification. to the original coniract must be in writing
and agreed to by both parties. Contracted work may not begin until both parties havereceived a fully executed copy of
the contract; and the three day recission period has expired.
Accelerated Payments
A contractormay not demand payments in advance.of the dates specified on the payment schedule in cases where the
homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself
to be financially insecure, the contractor may require that the balance of funds not yet due be placed in 'a joint escrow
account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the
signatures of both parties.
Additional Information
If you have general questions or.need additional information about the Home ImprovementContractorLaw or other
consumer rights, or if you wish to.obtain a copy
of "A Consumer. Guide to the Home.Improvement Contractot
Law," -contact
Cgnsumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza, Room 5170, Boston, MA 02116
(617) 973-8787 or 1-(888) 2833757
If you want to verify the<aegistration.of a contractor or if you have.questions or need.additional infoiaiation specifically
about the contractor registration component of the Home Improvement Contractor Law, contact:
Director of Home Improvement Contractor Registration
Bureau of Building Regulations and Standards
One Ashburton Place, Room 1301, Boston, MA 02108
(617)727-3200 ort -800-223-0933
For assistancd with informal trrediation of disputes or to register formal complaints against a business, call:
Coriehffier'CoinplaintSet;tion
Office of the Attorney General
(617)727-8400
AND/OR
Better Business Bureau
(508)652-4800
(508)755-2548
(413)734-3114
The Commonwealth of Massachusetts
of lidusirial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www -mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/E lectricians/Plumbers
Applicant Information Please Print Legibly
Name (Businesslorganization/individual): `iso h($
Address: �, � f2&eA514N7_ Si
City/State/Zip: /i% /qlllfldyek'. Phone #:
Are you an employer? Check the appropriate box:
I .I am a employer with
`t- E] I am a general contractor and I
employees (frill and/or part-time).*
have hired the sub -contractors
2. ❑ I am a sole proprietor orpartner-
listed on the attached sheet
ship and -have no employees
These sub -contractors have
working for me in any capacity.
employees and have workers'
[No worIcers' comp. insurance
comp. insurance_t
required.]
5. ❑ We are a corporation and its
3. ❑ I am a homeowner doing all work
officers bave exercised their
myself. [No workers' comp,
right of exemption per MGL
insurance required.] t
C. 152, § 1(4), and we have no
employees. [No worlcers'
COMP. insurance reouired.1
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. [l Building addition
10.❑ Electrical repairs or additions
11.0 Plumbing repairs or additions
I2. oofrepairs
13.[] Other
`Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
t Homeowners who submit this nfTdavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tcontmetors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have
employees. Irthe sub -contractors have employees, they must provide their workers' camp. policy number.
I am an employer flint is providing workers" compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: y! L/f9 L IA%,�S' C
Policy # or Self -ins. Lie. #: % /y6 Z- Expiration Date:_ &/t/- %
Job Site Address: -Z,-? City/State/Zip: AS/n 14 AVI)d cl ck M19'
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORD ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby c=-zinder thepains and enalties ofperjury that the information provided above is true and correct.
Sienature: Date: L'1dr-,Z—
Phone M iT 4 0 - 7, ? 7
Oficial use only. Do not write in this area, to be completed by city or town offtciaL
City or Town:
PermidUcense #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Cleric 4. Electrical Inspector S. Plumbing Inspector
G. Other
Contact Person: Phnne #-
r"
n\' fNf¢e of Consunier Affairs & Winess Regulation "
F HOME IMPROVEMENT CONTRACTOR
Registration: '471,03358 Type
Expiration: IQ�l2 Private Corpora'
A. ALSH & SqQq
Arthur Walsh,Jr.
55.Pleasant St
N Andover, MA 0184'
Underseeretary
Massachusetts - Department of Public Safetc
Board of Building Regulatio0and Standards
Construction Supervisor License
License: GS 22680
.Al 3 i
ARTHUR J WALSH JR
159A WAVERLY RD
N ANDOVER, MA 01845
Expiration: 6/9/2012
Commissioner Tr#: 29327
61
y.
L
r"
n\' fNf¢e of Consunier Affairs & Winess Regulation "
F HOME IMPROVEMENT CONTRACTOR
Registration: '471,03358 Type
Expiration: IQ�l2 Private Corpora'
A. ALSH & SqQq
Arthur Walsh,Jr.
55.Pleasant St
N Andover, MA 0184'
Underseeretary
Massachusetts - Department of Public Safetc
Board of Building Regulatio0and Standards
Construction Supervisor License
License: GS 22680
.Al 3 i
ARTHUR J WALSH JR
159A WAVERLY RD
N ANDOVER, MA 01845
Expiration: 6/9/2012
Commissioner Tr#: 29327
61
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYY)
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
12/12/2011
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF
INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE
CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject
to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not
confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Durso & Jankowski Insurance
CONTACT
KANE:
PNONE FAX
(A/C. No. Ext): (A/C, No);
Agency Inc
E-MAIL
ADDRESS:
198 Mass Ave Suite 101B
PRODUCER
CUSTOMER IDH.
North Andover, MA 01845
INSUREDS) AFFORDING COVERAGE )AIC ;
INSURED
Arthur Walsh
INSURER A: A.I.M. Mutual Insurance Co 33758
INSURER B:
dba A J Walsh & Sons
INSURER C:
55 Pleasant Street
INSURER D:
North Andover, MA 01845
INSURER E:
INSURER F.
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
_7
TYPE
TYPE OF INSURANCE
NUMBER
POLICY EFF
POLICY EXP
LIMITS
(w(/oD/rrrY)
(M4/DD/VYYYI
GENERAL LIABILITY
EACH OCCURANCE $
❑COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES (Ea. occurrence) $
❑n.... MADE ❑OCCU0.
MED EXP (Any one person) $
❑
❑
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES ER:
GENERAL AGGREGATE $
❑ POLICY ❑PROJECT ❑LOC
PRODUCTS - COMP/OP AGG $
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
FIANY AUTO
(ea accident) $
BODILY INJURY (per person) $
❑ALL OWNED AUTOS
❑
SCHEDULED AUTOS
BODILY INJURY(per accident) $
HIRED AUTOS
PROPERTY DAMAGE
❑NON -OWNED AUTOS
(para 'RTY dent} S
$
❑
[—]UMBRELLA LIAR ❑ OCCUR
EACH OCCURRENCE $
EXCESS LIAB ❑ CLAIMS MADE
AGGREGATE $
❑ DEDUCTIBLE
❑RETENTION $
_
WORKERS COMPENSATIONxc
'-- oxx-
AND EMPLOYEES LIABILITY
® SOxY LINIT9 ER
THE PROPRIETOR/PARTNERS/
OFFICERS ARE
E.L. $ 100,000
EACH ACCIDENTEXECUTIVE
E.L. DISEASE -POLICY LIMIT $ 500,000
❑ incl ® exci
7014648012011
11/14/2011
11/14/2012
E.L. DISEASE - EA EMPLOYEE $ 100,000
ARTHUR WALSH IS NOT COVERED BY THE WORKERS'COMPENSATION POLICY.
CERTIFICATE HOLDER
TOWN OF NORTH ANDOVER
1600 OSGOOD STREET
NORTH ANDOVER, MA 01845
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
AUTHORIZED REPAESENTATIVE2-_P1_Q
Location
N o. - A�V J, Date
TOWN OF NORTH ANDOVER
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04/25/2000 16:06 9789279351 UNITED SIGN CO PAGE 01
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NORTH ANDOVER
OFFICE OF
THE ZONING BOARD OF APPEALS
27 CHARLES STREET
NORTH ANDOVER, MASSACHUSETTS 0 184
Any appeals shall be filed NOTICE OF DECISION
within (20) days after the Year 2000
date of filing of this notice Property at: 73-77 Chickering Road
in the office of the Town Clerk
NAME: Schruender Realty Inc. DATE: 4/12/2000,
ADDRESS: 73-77 Chickering Road PETITION: 009-2000
North Andover, MA 01845 HEARING: 4/11%2000
RECEIVED
JOYCE BRADSHAW
TOWN CLERK
NORTH ANDOVER
1000 APR 2m A 11: 18
FAX (978) 688-9542
The Board of Appeals held a regular meeting on Tuesday evening, April 11, 2000 at 7:30 PM upon the
application of Schruender Realty Inc., 73-77 Chickering Road, North Andover, MA Petitioner is
requesting a variance from the requirements of Section 6, paragraph 6.61) & 6.6D2, in order to allow a
front setback for an existing real estate sign and to allow a front setback for an existing gasoline sign.
Petitioner is requesting a Special Permit from the requirements of Section 9, Paragraph 9:1 in order to
extend the non -conforming existing signs.
The following members were present: Walter F. Soule, Raymond Vivenzio, Robert Ford, Scott Karpinski
and George Earley.
Upon a motion made by Walter F. Soule and 2nd by Scott Karpinski the Board voted to GRANT a
dimensional variance of a front setback for an existing real estate sign of 5.5' on Chickering Road and a
dimensional variance of a front setback for an existing gasoline sign of 4.0' on Chickering Road and 7.5'
on Dufton Court. The variances are granted on the basis that the petitioner has satisfied the provisions 4
Section 10, paragraph 10,4 of the Zoning Bylaw and that the granting of these variances will not adversely
affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. The Board voted to
GRANT a Special Permit for the existing real estate sign and existing gasoline sign on the condition that
no change be made to the size or location of the sign. However, if necessary a change may be made in the
wording of the gasoline sign, however, the sign may only be used for purposes to advertise as a gasoline
sign. The Board finds that the applicant has satisfied the provision of Section 9, paragraph 9.1 of the
Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than
the existing non -conforming use to the neighborhood In accordance with the Plan of Land by: James
Curren, P.L.S. #33495, 234 Essex Street, Lawrence, MA., dated: 2/23/2000. Voting in favor: Walter F.
Soule, Raymond Vivenzio, Robert Ford, George Earley and Scott Karpinski.
Furthermore, if the rights authorized by the variance are not exercised within one (1) year of the date ofthe grant, they shall lapse, and
may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained
herein shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was granted unless
substantial use or construction has commenced, they shall lapse and may be re-established only after notice, and a new hearing.
By order of the Zonin of Appeals,
G
Raymond Vivenzio, A g hairman
mvdecisions2000/9
BOARD OF APPEALS 688-9541 BUILDINGS 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
16
NORTH ANDOVER
_ OFFICE OF
THE ZONING BOARD OF APPEALS
27 CHARLES STREET
NORTH ANDOVER, MASSACHUSETTS 01315
Any appeals shad be filed NOTICE OF DECISION
within (20) days aBathe Year 2000
date of filing of this notice Property at: 73-77 Chickering Road
BK 5748 PG 351
RECEIVED
JOYCE BRADSHAW
TOWN CLERK
NORTH ANDOVER
Igo APR 2U All* 18
in the office of the Town Clerk.
NAME: Schruender Realtv Inc. DATE: 4/12/2000
ADDRESS: 73-77 Chickering Road PETITION: 009-2000
North Andover, MA 01845 HEARING: 4/11/2000
FAX (978) 683-9542
This is to oe* alit twenty OM don
have elapsed from"ddet> *m tMl1
wfl W wno d an
o.te
J"N A.
Torn Cho
The Board of Appeals held a regular meeting on Tuesday evening, April 11, 2000 at 7:30 PM upon the A'n
application of Schnrender Realty Inc., 73-77 Chickering Road, North Andover, MA Petitioner is `'xw CM
requesting a variance from the requirements of Section 6, paragraph 6.61) & 6.6D2, in order to allow a f- aVr'+ M660 '
front setback for an existing real estate sign and to allow a front setback for an existing gasoline sign.
Petitioner is requesting a Special Permit from the requirements of Section 9, Paragraph 9.1 in order to
extend the non -conforming existing signs.
The following members were present: Walter F. Soule, Raymond Vivenzio, Robert Ford, Scott Karpinsid
and George Earley.
Upon a motion made by Walter F. Soule and 21 by Scott Karpinski the Board voted to GRANT a
dimensional variance of a front setback for an existing real estate sign of 5.5' on Chickering Road and a
dimensional variance of a front setback for an existing gasoline sign of 4.0' on Chickering Road and 7.5'
on Dufton Court. The variances are granted on the basis that the petitioner has satisfied the provisions of
Section 10, paragraph 10.4 of the Zoning Bylaw and that the granting of these variances will not adversely
affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. The Board voted to
GRANT a Special Permit for the existing real estate sign and existing gasoline sign on the condition that
no change be made to the size or location of the sign. However, if necessary a change may be made in the
wording of the gasoline sign, however, the sign may only be used for purposes to advertise as a gasoline
sign. The Board finds that the applicant has satisfied the provision of Section 9, paragraph 9.1 of the
Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than
the existing non -conforming use to the neighborhood In accordance with the Plan of Land by: James
Curren, P.L.S. #33495, 234 Essex Street, Lawrence, MA., dated 2/23/2000. Voting in favor: Walter F.
Soule, Raymond Vivenzio, Robert Ford, George Earley and Scott Karpinski. MAY 15 -400 FM3:41
Furthermore, if the rights authorized by the variance are not exercised within one (1) year of the date of the pant, they shall lapse, and
may be re-established only after notice, and a new hearing. Furthermore, if a Spectral Pamit panted under the provisions contained
herein shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was panted unless Q
substantial use or wastructian has commmoed, they shall lapse and nny be re-established only after notice, and a new hearing 77ee
Q
By order of the Zonin of Appeals, a
mUdedsioos2000/9 Raymond Vivenzio, hairman 0
•
A
a
BOARD OF APPEALS 688-9541 BUILD Ni GS 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLAINNING 688-9535
Location C
No. 111-72 Date
7600
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee
Foundation Permit Fee to
Other Permit Fee QDor- $
0
Sewer Connection Fee $
Water Connection Fee $
3a, — )
TOTAL 3 �
1171,o e4
Building Inspector
Div. Public Works
eERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE I
MAP +40.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK ;PAGE
ZONE
SUB DIV. LOT NO.
LOCATION 1)3
PURPOSE OF BUILDING
OWNER'S NAME 6doonae 54�^,r-41a�V
NO. OF STORIES SIZE
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
'00
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
DISTANCE FROM LOT LINES - SIDES
REAR
GIRDERS
AREA OF LOT
4,
FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW X C/
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS I - 3
PAGE 2 FILL OUT SECTIONS I - 12
I;LECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
P�ANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED-
PERMIT GRANTED
16 / /.7s-lg
ej�bb
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
got
ING INSPECTOR
OWNER TEL. #
CONTR. TEL. #
CONTR. LIC. # Z-z-
H.I.C.# 163 0�
BUILDING RECORD
OCCUPANCY 12
SINGLE FAMILY
S-ORIES
MULTI. FAMILY
—r�—FFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION
—1
8 INTERIOR FINISH
CONCRETE
PINE
a
2 3
CONCRETE BL K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY WALL
,—I
GNFIN
3 BASEMENT 11
AREA FULL
FIN. B M T AREA
V,
FIN. ATTIC AREA
tlO 8 M T
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS
B
1
2 3
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
HARDW D
—COMMON
ASPH. TILE
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME
11
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR_
CONC.OR CINDER BLK,
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I IPOOR
NONE -1
ADEQUATE I E
5 ROOF
10 PLUMBING
GA BLE I
GgAMBRE ]L
FLAT
FLAT I
IP
BATH (3 FIX.)
MANSARD
TOILET RM. (2 FIX.)
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOI' ST
PIPELESS FURNArE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
HOT W T * R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 2�d
l.t I 3,d
ELECTRIC
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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TOWN OF NORTH ANDOVER
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SIGN PERMIT,APPLICATION
NORTH ANDOVER BUILDING DEPARTMENT
Division of Planning & Community Development
Date Filed: July 6, 1995
1. Site Ad d r e s s 7 3-Ch.ickenigq R1.
2. Owner Schruender Realty INC
3. Applicant ;,George H. Schruender, Jr.
4. Number of Signs 2 Size of Sign(s)
2{�PLAM ftuaT W^A SIGcw1 ZT"'X9b"
5. Site of Proposed Sign s ) S W'0114 la" x 144" Wsu s►f.L� — A
6. Materials-: WOOZ)
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Tif-W UEWe4.0Z6
7. How attached: (a) Against the wall (()
(b) Roof ( )
(c) Ground (�)
(d) Other ( )
8.
Illumination: (a)
Not illuminated
(b)
Internally illuminated
( )
(c)
Illuminated from separate service
9.
Proposed Colors:
Background
Lettering
Border.
10.
Will sign overhang
any public road or walkway: Yes
( ) No (X)
11.
If Yes, Name of Agency
who will provide liability insurance:
12. Attachments:
( ) -',Photographs of building
( ) Material sample
( ) Color samples
( ) Site or Plot Plan .(Required for all free-standing
( / signs)
�f -;Drawings of proposed sign
( ) Other, specify
13. Is Board of peal decision required? Yes ( ) No
Signature of Applicant
1988 �
JUL 06 '95 10:49AM CARLSON CORPORATE
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