HomeMy WebLinkAboutMiscellaneous - 1 GRAY STREET 4/30/2018 (2)N
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GRAY STIOD &
ADDITION LOCATION PLAN
CLIENT. FRANK RULLO
THIS CERTIFICATION IS MADE AND LIMITED
TO THE ABOVE CLIENT.
LOCATION. -NORTH ANDOVERNA.
SCALE.1 "--40" DATE. 11124199
I CERTIFY THAT THE ADDITION SHOWN CONFORMS TO A
VARIANCE GRANTED BY THE NORTH ANDOVER BOARD OF
APPEALS. (1HIS CERTIFICATION DOES NOT CONSIDER ANY OTHER
RESTRICTIONS SUCH AS COVEI"N73,WETUNDS.EASEMEN73.
ORDERS OF CONDITIONS.ETC)
THIS DRAWING SNAIL NOT BE USED BY THE CLIENT FOR ANY
PURPOSE OTHER THAN THAT OUTUNED ABOVE.EXCEPT WITH THE
WRITTEN PERMISSION OF CHRSTIANSEN & SERGI INC.
FURTHERMORE THIS DRAWING IS THE COP"NGN1ED PROPERTY
OF CHRISI/ANSEN & SERGI INC. AND ANY URAUTHORIZED USE
IS PROHIINTED.CHRISTIANSEN d: SEM TAKES NO RESPONSIBIUTY
FOR THE UNAUTHORIZED LISE OF THIS DRAWING OR ANY INFOR-
MATION CONTAINED HEREON.
POF���SENGINEERS &SERGI
160 SUMMER ST. HAVERNILL.MA. 01830 TEL 978-373-0310 /
®1999 BY CHRISTIANSEN & SERGI INC.
DW(
Location
No.
Date
TOWN OF NORTH ANDOVER
0.
Certificate of Occupancy $
S Building/Frame Permit Fee $
CHU
Foundation Permit Fee $
Other Permit Fee $
TOTAL
A0
Check #
17 9 6 9
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT.
APPLICATION TO CONSTRUCT !EtM& RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: / DATE ISSUED:
SIGNATURE:
Building Commissioner/I of Buildings Date
SECTION 1- SITE INFORMATION
I.1 Property Address:
1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
1.3 Zoning Information:
Zoning District Proposed Use
1.4 Property Dimensions:
Lot Area Fronts 11
1.6 BUILDING SETBACKS it
Front Yard Side Yard
Rear Yard
Regifired Provide Regifired Provided
ReqWred Provided
1.7 Water Supply M.G.LC.40. 54) 1.5. Flood Zone Information:
Public 0 Private 0 Zone Outside Flood Zona 0
1.8 Sewerap Disposal System:
Municipal ❑ On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENTjC
2.1 Owner of Record
/M6
ame (Print) Address for Service
Sig,r We Telephone
2.2 C ter of Record:
NamJ Print Address for Service:
Signature Tele hone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Licensed Construction Supervisor:
Address
Signature Telephone
Not Applicable ❑
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
s
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
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 unit.
Signed affidavit Attached Yes .......0 No ....... 0
SECTION 5 Description of Proposed Work check au r ble
t=
❑ Existing Building ❑ Repair(s) 0 Alterations(s) ❑ 1 Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
Q VTTnN 6 - FCTTMATvn CONSTRiTrTTON COSTS
�7"1J I P-40 _
item Estimated Cost (Dollar) to be
Com leted by permit applicant
OFIE! ICIAL USE ONLY
.;
1. Building //
((S 00, 0-C
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
S �-
4 Mechanical HVAC
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, as Owner/Authorized Agent of subject property
Hereby authorize to act on
My alf, in all mattet rk authorized by this builduig permit application.
Signature of Owner Date
SECTION 7b OW%ERJAUTHORIZED_XGENT 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
Prntt Name
Si ature of Owner/Agent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TINIBERS VS72' 3 RD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DINIENSIONS 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
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°-,.WOOD STOVE iNSTALLAHON CHECKLIST
Permit
A building permit is required for the installation of any
solid fuel burning appliance. The building permit and
instailation inspection are limited to the stove installation
and not to the stove construction.
t Stove
A. New
Used X,
13. Type/radiant
Circulating
C. Manufacturer —1
-ab. No.
Name/Model No.
Collar size
DlmensionslHeight_ _T x ?�/�
Length Width
Chimney
A. New x
Existing
13. Size (flue area) �'
C. Other appliances attached to flue (Number and flue size)
0. Prefab (Manufacturer—name and type)
.E. Masonry/Lined
Flue liner
Unlined
gyp• A manwactur•�1
F. Height (refer to diagrams)
cap
OVER. IC'
,31 MIR O
CHIMNEY HEIGHT
Hearth (non-combustible) ) M�
A. Materials 77�
B. Sub -floor construction
C. Minimum dimensions (refer to diagram)
Clearances and Wall Protec!lon (see stcve inziC la(:cn c!earances chart)
A. Type of wall protection provided �74--
B.
`
8. Clearances (refer to diagrams)
FIREPLACE
I
_'"` O R r- E R
H 1=A H I H
WALLrCENTER.
4
�72130
Date .... //t*, 6
... I ............
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
g � i Ck r( I c� k7 (, c � � '(_
Thiscertifies that ...... (I . .................................................................................
has permission to perform ...... ....... .........................................
..................
.wiring in the building of ........ .........................................................
at ..... ......................... %-; .................. . ,North Andover, Malss,�-
Lic.No.P./.-"/7 ................ -1 ........... ......... I ........... 4 ......
/ELECTRICAL INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
TIE COAMONFVF
4LTHOFJIASSA(7JLS= Office Use only �)
DEPARTMEVTOFPUBLIC& FM Permit No. l OV
BOARD OFFIREPREYENI70NREaE4TI0A SV70V 12.00
Occupancy &Fees Checked
APPLICATION FOR PERMIT TO PERFORMEL ( ICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date I1 X15/00
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
Owner's Address I ter tilt A41h
Is this permit in conjunction with a building permit: Yes [2rNo (Check Appropriate Box)
r trpose of Building Utility Authorization No.
ting Service Ua Amps/2 /a oVolts Overhead Underground No. of Meters
9rvice Amps Volts Overhead Underground No. of Meters
NO - °Feeders and Ampacity,
�I
Loca� d Nature of Proposed Electrical Work
No. of .mg Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of L ghting Fixtures
Swimming Pool Above
Below
Generators
KVA
O
and
ground
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
v
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. of Disposals
No. of Heat Total - Total
Pumps
Tons
KW
lttitiating 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.::idro Massage Tubs
No. of Motors
Total HP
• ru:1 an1••• •: •I •ilr .i. • . 1 • • :•.1 'J. 1�:". ur.: rv1• _ 1 • :.• ._I
*-I• /:'
661 V, as
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SAW
C4l 1
OWNER'S WSURANCEWANER;Iammmthattheldog not thearsrima eq
and$ratmysiglakncn ispetmtWpfictmv4i%esllsmgm*m imt
(Please check one) Owner r7 Agent Q
Telephone No.
AkTdNa
arms�bsirlriaalegri�laiastegt�edbyly
Caimal Laws
PERMIT FEE �/
Date..//
N2 4�70
TOWN OF NORTH ANDOVER
0
PERMIT FOR PLUMBING
This certifies that
71
............
has permission to perform ..... Ae.-'<', ...........
plumbing in the buildings of . . I-- . �. e .......
at ... ........ North Andover, Mass.
..........
Fee. Lic. No. f�.V.L/ ��) ......... ......
�PLUIVIBING INSPECfOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION: FOR PI
(Print or Type) /
k7 Mass. Date
Building Location I &e y "S%<< Own
V
New ❑ Renovation G7 Replacement ❑
FIXTURES
Installing Company Name G �l �/ �9 it/ �'1a ����rf /r��.' f Check one:. Certificate
Address :��c �����%^ y` �'f ❑ Corporation
e /Y 3c, ❑ Partnership
Business Telephone 3 7 - 6q 4, ❑ 'Firm/Co. `—
Name of Licensed Plumber %i C d z 1- �` �- �- li? a
INSURANCE COVERAGE:
1 have a current liability insurance policy or its. substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No ❑
If you have checked Vis, please indicate the type coverage by checking the appropriate box
A 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:
Owner ❑ Agent ❑
Signature of Owner or Owner's 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
knowiedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing. Code and Chapter 142 of the General Laws.
By C Signature of Licensed Plumber
Title
Type of License: Master ❑ Journeyman City/Town y ��
APPROVED (OFFICEUSE ONUS License Number
MEN
Env
Installing Company Name G �l �/ �9 it/ �'1a ����rf /r��.' f Check one:. Certificate
Address :��c �����%^ y` �'f ❑ Corporation
e /Y 3c, ❑ Partnership
Business Telephone 3 7 - 6q 4, ❑ 'Firm/Co. `—
Name of Licensed Plumber %i C d z 1- �` �- �- li? a
INSURANCE COVERAGE:
1 have a current liability insurance policy or its. substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No ❑
If you have checked Vis, please indicate the type coverage by checking the appropriate box
A 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:
Owner ❑ Agent ❑
Signature of Owner or Owner's 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
knowiedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing. Code and Chapter 142 of the General Laws.
By C Signature of Licensed Plumber
Title
Type of License: Master ❑ Journeyman City/Town y ��
APPROVED (OFFICEUSE ONUS License Number
Location
No.
Date
TOWN OF NORTH ANDOVER
+
0
Certificate of Occupancy $
Building/Frame Permit Fee $ Q2
14us
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ C2 C/o,
yqD
Building Inspector
3 4 5 1
Div. Public Works
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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 SECTIONN / p
APPLICANT��K sJ • -f /3/��Bf�iQ!. �U'LL C1 PHONE
LOCATION: Assessor's Map Number `U `% _ PARCEL
SUBDIVISION L,'� _ LOT (S)
STREET / Gi4 Y ST. NUMBER
*************************************OFFICIAL USE ONLY***********************************
Cz46
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR
COMMENTS N 6
TOWN PLANNER
COMMENTS
FOOD INSPECTOR -HEALTH
�S TIC PECTOR-HEALTH
DATE APPROVED 0
DATE REJECTED
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED_
DATE APPROVED
DATE REJECTED_
COMMENTS�� v+ c✓cA . V,
PUBLIC WORKS - SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
BUILDING DFFA,RTMENT1
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm
North Andover Building Department
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11,S150A.
The debris will be disposed of in:
(Location of Facility)
Signature of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
NORTH ANDOVER
OFFICE OF
THE ZON1NG BOARD OF APPEALS
27 CHARLES STREET
NORTbI ANDOVER, MASSACHUSETTS U 1345
Any appeal shall be filed
within (20) days after the
date of filing of this notice NOTICE OF DECISION
Property at: One Gray Street
NAME: Frank Rullo
ADDRESS: One Gray Street
North Andover, MA 01845
RECEIVED
JOYCEBRADSHAW.
TOWN CLERK
NORTH ANDOVER
1999 SEP 22 P 1: 01
FA.`. (978) 688-95.12
DATE: 9115199
PETITION: 035-99
HEARING: 9/14/99
The Board of Appeals held a regular meeting on Tuesday evening, September 14, 1999, upon the application of
Frank Rullo, One Gray Street, North Andover, requesting a Variance from Section 7, paragraph -7.3 of Table 2, for
relief of left and right side setbacks in order to construct a proposed addition of bedroom and bath, within the R-2
Zoning District ..
The following members were present: William J. Sullivan, Walter F. Soule, Raymond Vivenzio, Scott Karpinski
Upon a motion made by Walter F. Sloule, and 2^d by Raymond Uvenzio, the Board voted to GRANT a Variance
from the requirements of Section 7, paragraph 7.3 for a left side setback of 13' and a right side setback of 6 'in order
to construct a bedroom and bath. Voting in favor. William J. Sullivan, Walter F. Soule, Raymond Uvenzio, Scott
Karpinski. Reference Plan of Land by Christiansen & Sergi, 160 Summer St., Haverhill, MA, Michael Sergi,
Professional Engineer, #33191, dated: 7/14/99.
VARIANCE: OCT 13'99 PM12:12
The Board finds that the petitioner has satisfied the provisions of Section 10, paragraph 10.4 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..
Note: The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily ensure
the granting of a Building Permit as the applicant must abide by all applicable local, state and federal and building
codes and regulations, prior to the issuance of a building permit as requested by the Building Commission.
0.
By order of th Zoning Board. of Appeals
William J. S Ilivan, Chairman
mi/1999decision/43
• ...� .. � ice.. -_..y
BO,Ua OF :UTEALS 688-95. 1 BUILD NGS 0 88-95-11 CONSERV:1TIO.NN 698 '9530 ILEA H O "-9540 PLANNING6`5-95.3?
is to cortify that twenty 12") dali
a Sed from date of dsufs! r. fil-W
oa
iiiing cl, an appeal.
onto Dc3c/�99
.
Jct -.=A. Bradshaw
�.� °`+ne_.r•-th
S'�GHUsgi
Ic n CIL
NORTH ANDOVER
OFFICE OF
THE ZON1NG BOARD OF APPEALS
27 CHARLES STREET
NORTbI ANDOVER, MASSACHUSETTS U 1345
Any appeal shall be filed
within (20) days after the
date of filing of this notice NOTICE OF DECISION
Property at: One Gray Street
NAME: Frank Rullo
ADDRESS: One Gray Street
North Andover, MA 01845
RECEIVED
JOYCEBRADSHAW.
TOWN CLERK
NORTH ANDOVER
1999 SEP 22 P 1: 01
FA.`. (978) 688-95.12
DATE: 9115199
PETITION: 035-99
HEARING: 9/14/99
The Board of Appeals held a regular meeting on Tuesday evening, September 14, 1999, upon the application of
Frank Rullo, One Gray Street, North Andover, requesting a Variance from Section 7, paragraph -7.3 of Table 2, for
relief of left and right side setbacks in order to construct a proposed addition of bedroom and bath, within the R-2
Zoning District ..
The following members were present: William J. Sullivan, Walter F. Soule, Raymond Vivenzio, Scott Karpinski
Upon a motion made by Walter F. Sloule, and 2^d by Raymond Uvenzio, the Board voted to GRANT a Variance
from the requirements of Section 7, paragraph 7.3 for a left side setback of 13' and a right side setback of 6 'in order
to construct a bedroom and bath. Voting in favor. William J. Sullivan, Walter F. Soule, Raymond Uvenzio, Scott
Karpinski. Reference Plan of Land by Christiansen & Sergi, 160 Summer St., Haverhill, MA, Michael Sergi,
Professional Engineer, #33191, dated: 7/14/99.
VARIANCE: OCT 13'99 PM12:12
The Board finds that the petitioner has satisfied the provisions of Section 10, paragraph 10.4 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..
Note: The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily ensure
the granting of a Building Permit as the applicant must abide by all applicable local, state and federal and building
codes and regulations, prior to the issuance of a building permit as requested by the Building Commission.
0.
By order of th Zoning Board. of Appeals
William J. S Ilivan, Chairman
mi/1999decision/43
• ...� .. � ice.. -_..y
BO,Ua OF :UTEALS 688-95. 1 BUILD NGS 0 88-95-11 CONSERV:1TIO.NN 698 '9530 ILEA H O "-9540 PLANNING6`5-95.3?
Registry of Deeds
Northern District of Essex County
Lawrence, MA 01840
10/13/99 ��
CMC
PLAN 13.00
Copies
Inst j770'4
Total
17 Payment Check 24. '15
THANK 'OU! Thomas J. Burke
Register of Deeds
I '
Town of North Andover f NORTH
OFFICEOF,
3?° .,tioL
0
COMMUNITY DEVELOPMENT AND SERVICES 0 p
27 Charles Street " 1 "
C
North Andover, Massachusetts 01845 -
WILLIAM J. SCOTT SSACHUS"
Director
(978) 688-9531 Fax (978) 688-9542
HOMEOWNER LICENSE EXL%IPTION
Please print.
DATE �b �3bt� .
JOB LOCATION /
Number
"HONIEOWW-ER" I,=-A#lv /C
Name
PRESENT MAILING ADDRESS
L? 12-A ),/
Street address
J", 8 U L L. ZS
Home phonQ
4jg�/ 6
Section of tov
e76r`-637(F-
Work phone
o ie(zs
Citv/Town State Zi>7 code
The current exernption for "homeowners" was extended to include owner -occupied dwellings
of six 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 Sec-
tion 109.1.1)
DEFINITION OF HOMEOWNER:
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 to sic 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-vear period shall not be considered a homeowner . Such "homeowner" shall submit to
the Building Official, on a form acceptable to the Building Official. that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
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 procedures and requirements and that he/she will
comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICL-�L
Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with
State Building Code Section 127.0, Construction Control.
BOARD OF APPEALS 688-9541 BUILDING 683-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 689-9535
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