HomeMy WebLinkAboutMiscellaneous - 1 HIGH STREET 4/30/2018 (11)i
No. 41 r7 Date
14ORTol
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ 114-10
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # /�-315-1
&- � 1�---
18877
Building Inspector
TOWN OF NORTH ANDOVER BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
Section for Official Use Oni a
BUILDING PERMIT NUMBER:DATE ISSUED:
SIGNATURE:
Btlildin Commissioner/I or of Buildings Date
i„ y
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
Zonin District LIPMosed Use
I Lot Area Frontage ft
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard Rear Yard
Required
Provide Required
Provided ReqWmd
Provided
1.7 Water Supply M.Ci L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Deposal System:
Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑
A ` y �- : � _ is oris District: es o
b '..
2.1 Owner of Record
Name (Printf Address for Service
Signature Telephone
2.2 Authorized -Agent
Name P 'nt Address for Service:
gnu re. Telephone
A
3.1 Licensed Construction Supervisor Not Applicable ❑
'-1
Address License Number
p I
Licensed Constrn Supervisor.
Expiration Date
Si re Telephone
3.2 Registered Home Improvement Contractor
Not Applicable ❑
Company Name
Registration Number
Address'
Expiration Date
Signature Telephone
ic
O
V\
M
Q
M
Z
Z
M
Q0
O
ic
M
r
Z
G)
Workers Compensation Insurance affidavit must be completed and
issuance of the building permit.
Signed affidavit Attached �Yea ....... El No ....... ❑
-R40
5.1 Registered Architect:
Name:
Address
Signature
with this application. Failure to provide this affidavit will result in the denial of th6
Telephone
Company Name-
j Responsible in Charge of Construction
Not A�plicabk- ❑
Area of Responsibility
Registration Number
Expiration Date
Name:
Address:
Signature Total
Not applicable ❑
Registration Number-
umberSignature
Expiration Date
Name:
.�.
Address
SignatureTelephone
Area of Responsibility
Registration Number ,
Expiration Date
Name
Address
Signature Telephone
Area of Responsibility
Registration Number
Expiration Date
Name i _ .
Address
Signature Telephone
Company Name-
j Responsible in Charge of Construction
Not A�plicabk- ❑
New Construction ❑
Existing Building ❑
Repair(s) ❑
Alterations(s) 11
Addition ❑
Accessory Bldg. ❑
Demolition
Other, 1, ❑ Specify
Brief Description of Proposed Work:
j
❑ A-3
❑
❑
IA
IB
❑
❑
B Business
BUILDING AREA EXISTING if applicable) PROPOSED
Number of Floors or Stories Include
Basement levels
Floor Area per Floor s
Total Area s
Total Height (ft)
Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑
SECTION 10a Owner Authorization - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Owner of the subject property
Hereby authorize ' I to act on
My behalf, in all matters relative two work authorized by this building permit application
Signature of Owner Date
USE GROUP Check as applicable)
CONSTRUCTION
TYPE
A Assembly
❑ A-1 0
A4 0
A-2
A-5
❑ A-3
❑
❑
IA
IB
❑
❑
B Business
❑
2A
2B
2C
❑
❑
❑
C Educational 0
F Factory. ❑ F -I ❑ F-2 ❑
H High Hazard
❑
-
3A
3B
❑
❑
IInstitutional ❑ I-1 ❑ I-2 ❑ I-3 ❑
M Mercantile
❑
'
4
❑
R residential
0
R -I ❑
R-2
0 R-3
❑
5A
_ 5B
❑
❑
S Storage ❑ S-1 ❑ S-2 0
U Utility
M Mixed Use
S Special Use
0
0
❑
Specify:
Specify:
Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE
Existing Use Group:
Existing Hazard Index 780 CMR 34:
Proposed Use Group:
Proposed Hazard Index 780 CMR 34:
BUILDING AREA EXISTING if applicable) PROPOSED
Number of Floors or Stories Include
Basement levels
Floor Area per Floor s
Total Area s
Total Height (ft)
Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑
SECTION 10a Owner Authorization - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Owner of the subject property
Hereby authorize ' I to act on
My behalf, in all matters relative two work authorized by this building permit application
Signature of Owner Date
{
Jzr / J= 1s 7 �r�i/�'l S -'� as Owner/Authorized
Agent v
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief:
Signed underi the pains and penalties of perjury
Print Name
SignatureIfOy�ner/Agent Date
�/
spy
�
Item
Estimated Cost (Dollars) to be
Completed by permit applicant
1. Building
(a) Building Permit Fee
�= Multiplier
2 Electrical
y / (b) Estimated Total Cost of
d D
O l�o 67() Construction from (6)
fl
3 Plumbing
Building Permit fee (a) x (b)
Doo
4 Mechanical (HVAC)
Q OCA O
5 Fire Protection
C
6 Total (1+2+3+4+5)
06, J Check Number
fns t ;rl1t x (dP4�"y`� 1. y,�y,ti,Y aid �' y� l;+lA '.'"rx iii .., "yf " �, 3:"j` .r.'" u."'"'<5 f -. 'X '`. r s s«`,✓.'. dY' i* r. e`^a ,/ -v' yk a.f'� +s'".
�.,
y?r.. R.-i,i+. ?�'��,s... ,77��rSs.,s..s f.,W �fi. .;. ;+�FS.e: :: { '-;d ��...� ,c�-...� Sl ,.. 3'�..a1' '�i x4,,, {y?i,. -.. .•w ..' }i.� Y..Y `� �.. �,.(.�7'+',
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1 sr 2 ND 3RD
SPAN
DEMENSIONS OF SILLS
DEMENSIONS 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
4" [MW r,- s,�',. ,�j',t�4 J . «'s`t,
A
f -
W
rb
s:
LU
o m
O.Lc
m C
H
o 0 3 z
y yr
y O O
1 OE y :
ooo co
c
C m m
s o mcmcm"O
aa
oy
CD co
V y O Cl
Z
CL CD
O c
(\ Q o imc .o
CL
o P,4~ o cow m
LU C O= r m w
Lij
NJ O 'O C eH y d=Z O C Z
ac E v v wi o
g
• V m CM
O tiO_ m� O:2
Z = m �`H= o
H t $ arm
x
a4
b
u
v
O
w
v
cn
®
z
O
w
O
C2
.0
U
G
w
W
M4
a�
p
r�G
G
w
x
W
W
p
w
Cl d
id
q
w
O
W
p
aG
C
w
a
G
In
o
cn
o
cn
= � o
m c
C2
O y
C
O
ca V
�d'O
CL C
m m
• -�-
t m C
O co
V
co
E Q
y
' m C
A
I
r CD
Cl d
C
IN,
p`Vr
2
0
Z
0
D
I
CA
CD
a
CD
0
aI
C3
iv
a
CIO
O
O.
CO)
0
LDC
Cl
L
Q
ts
CD
CL
y
C
CM
C
CD C
m m
Cl CD
3�
0 Q
`o a
CK
ca
cc
'C
CD
Z CD
C.
h
C
December 12, 2005
Mr. Michael McGuire
Building Inspector
Town of North Andover
27 Charles. Street
North Andover, Massachusetts 01$45
Re: 1~reescale Clean.Room Demolition
North Andover Mills, One High Street, North. Andover, M4ssach setts 01845
Dear Mr. McGuire:
Yale Properties USA has authorized Republic Building Contractors, Inc. to obtain the
necessary permits to perform the work outlined in their letter to Freescale Semiconductor,
Inc., dated November 23, 2005 .per the attached .plans.
Thank you for your assistance in this matter. If you should leave any questions, please
contact me at (978) 453-6666.
Sincerely,
Cross point, 900 Chelmsford Street, Lowell, Massachusetts 01851 Tel.: (978) 453-6666 Fax: (978) 454-6394
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
APPLICANT FILLS OUT THIS SECTION
APPLICANT aee,SC6,1f ,G 1�.G�1;��_.. PHONEY -.alb
LOCATION: Assessor's Map Number PARCEL
SUBDIVISION
STREET I k(gk S -1 -
OFFICIAL USE ONLY
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
COMMENTS,
TOWN PLANNER
COMMENTS
FOOD INSPECTOR -HEALTH
SEPTIC INSPECTOR -HEALTH
COMMENTS
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
PUBLIC WORKS - SEWER/WATER CONNECTIONS
`V FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTO
LOT (S)
ST. NUMBER
DATE
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
at: is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c 11, S 150 A.
Also, note Permits are required under Fire Prevention laws<Chapter 148 Section
10A.
The debris will be disposed of in:
Fire Department Sign off:
Dumpster Permit
(Location of Facility) r
Signature of Permit Applicant
/ - z --/ ?, - 63",
Date
The Commonwealth of ,Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
j, Boston,,VIA 02111
ov/dinA www.mass.g
t S
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant information Please Print Leyibly
Nan1e113usincss/Organiialion/Individual): . �1-iC.
Address:--------------
City/Statei'Zip: i`-U1If-�! , pl (� ool Phone DO "tea
Are you an employer? Check the appropriate box:
1. V] I am a employer with / 0- 4. ❑ 1 am a general contractor and I
employees ( full and/or part-time).*
have hired the sub -contractors
2. ❑ 1 am a sole proprietor or partner-
listed on the attached sheet.
ship and have no employees
These sub -contractors have
working for the in any capacity.
workers' comp. insurance.
[No workers' comp. insurance
5. ❑ We are a corporation and its
required.]
officers have exercised their
3. ❑ 1 am a homeowner doing all work
right of exemption per MGL
myself [No workers' comp.
c. 152, § 1(4), and we have no
insurance required.] t
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. Demolition
9. ❑ Building addition
10.0 Electrical repairs or additions
I I .❑ Plumbing repairs or additions
12.❑ Roof repairs
13. ❑ Other
'Any applicant that checks box it f must also fill out the section below showing their workers compensation policy information.
+ Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box most attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information.
1 am tin employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: OLD Cc/&�J
Policy ,4 or Self -ins. Lic. #: MIC, l e>('U � J Expiration Date:_ 1- >
Job Site Address: 11,2P, f��i�y ��Cf�- Ci /State/Zi i C1/7G.
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 WORK ORDER and a tine
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.
/ do hereby certify after the pains ynApenallies of perjury that the information provided above is true and correct
Si
—/ z —rlr
V
Oficial use only. Do not write in Ntis area, to be cvnttpleteil b. city or town glfic•ial.
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
;/Jie-�ommearuue� o�✓�iaaaacLa.,�aeda 's,
BOARD OF BUILDING REGULATIONS t
License: CONSTRUCTION SUPERVISOR
Number: CS'a 045457
Birthdate:. 0310811964 i
Expires:' 03108/2007 Tr. no: 11098
.
Restticti& . 00'
JAMES H BURNS' / r f
22 PARISH LN
BOXFORD, MA 01921
Commissioner= i
Town of North Andover
Office of the Zoning Board of Appeals
Community Development and Services Division
27 Charles Street
North Andover, Massachusetts 01845
D. Robert Nicetta
Building Commissioner
Telephone (978) 688-9541
Fax (978) 688-9542
Any appeal shall be filed Notice of Decision
within (20) days after the Year 2002
date of filing of this notice
in the office of the Town Clerk. Property at: 1 High Street
NAME: Omnipoint Holdings, Inc., 50 Vision Blvd., DATE: September 13, 2002
E. Providence, RI
ADDRESS: for premises at: 1 High Street PETITION: 2002-040
North Andover, MA 01845 HEARING: 9/10/02
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, September 10,
2002 at 7:30 PM upon the application of Omnipoint Holdings, Inc., 50 Vision Blvd., E. Providence, RI
02914, for premises affected at 1 High Street, North Andover, MA requesting a Variance from Section 8.9,
Paragraph 8.9.3(c)(v)(1) for relief from the 600 foot minimum setback requirement from the property line of
properties which are either zoned for, or contain residential and/or educational uses of any types within the
Industrial S (I -S) zoning district.
The following members were present: William J. Sullivan, Walter F. Soule, Robert P. Ford, John M Pallone,
Scott A. Karpinski, Ellen P. McIntyre, George M. Earley, and Joseph D. LaGrasse.
Upon a motion made by Scott A. Karpinski and 2°d by Walter F. Soule, the Board voted to GRANT a
Variance from Section 8.9, Paragraph 8.9.3(c)(v)(1) for relief of 475' setback from the property line of
properties which contain residential use, on the condition that the cell antenna color matches the 90' chimney
color, in accordance with the following plans
SHEET DESCRIPTION titled:
T-1 Zoning Title Sheet Voicestream
C-1 Zoning Orthophoto Vicinity Plan Wireless LakeCochichewick
Z-1 Zoning Site Plan and Elevation Schneider
Z-2 Zoning Partial Roof Plan, Enlarged Elevation and Details Electric, 1 High
Street, North
Andover, MA 01845 4BS-0658-A Smokestack for the facility prepared by Robert L. Davis, Registered
Professional Engineer, Civil #37147 dated 05/08/02. The Board finds that the petitioner has satisfied the
intent of Section 8.9, Paragraph 8.9.3(c)(v) (1) that ensures public safety by a 600', or, 2x the height "fall
zone" setback by attaching the 4' high antennas to the existing 90' chimney, and the intent of Paragraph,
8.9.4(a)(i)(2) by matching the antenna color to the chimney color; and provisions of Section 10, paragr
10.4 of the Zoning Bylaw that the granting of this variance will not adversely affect the neighborhood o[,;
derogate from the intent and purpose of the Zoning Bylaw. Voting in favor: William J. Sullivan, Walter -.'f.
Soule, Robert P. Ford, John M. Pallone, and Scott A. Karpinski. -
Pagel of 2
J
'J
ti
co
Board of :appeals 658-954i Building 6'35-9545 Conwrvation 688 -MO Health 688-9540) Planning 688-9535
Town of North Andover NORT„
Office of the Zoning Board of Appeals uj�gy+`Eo
Community Development and Services Division � ` R
27 Charles Street
North Andover, Massachusetts 01815 �SSgcHuseth
D. Robert Nicetta Telephone (978) 688-9541
Bt?ildhLq Coi)iwissioner Fax (978) 688-9542
Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the
grant, it 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, it shall lapse and may be re-established only after notice, and a new hearing.
Decision2002-040
Page 2 of 2
Town of North Andover
Board of Appeals,
t
William J Sullivan, Chairman
ri:.:..rd of :'ppe— 1; 6<;, -, �,4i ,,,iii: in—a -,;;S-954 5 (o„ser.ati;;n =.,.. HtnI-,"i h;VS-9 5140 P jamming Enc; -9;,1,
. . • j 1 Itis
o
77
E N
�� O„ Vim°-c� ._o .6vvm�V 4L /F••�•11 "1 4 ._
CJ=cq_ 'N�o =
I O n UC _ vl °I ifOrma C d � c
i.: '.:• .. �� I`c°mV-,.a_ao -'o}� ° on IV1�I $ 0 �g8' �.. i
a°^'ov¢�Sr N .F. •:.� t`/l I
d HH
iso' uam'o`'yo. ncu^"_oWu ma auO ut>' I\ e N co
,;Y'I•'
♦:n'' ':17.N.,.". '•- .. UZF asmE o c'o`aa�}CJQJ6� `IN`�q n �;� �D.. L�Ndamy t 9
88 pll
U)oo <D�OV
a
o
'.
hooa W uzNo`o °OUDic �-: _•u° o pl-gym$. •o" Ori.$$ i5
v ''�'.1G•. f$' �: .. n, i .. - a �. } ._ •/ 1 W i
.',�°• " .
Q m N e s - Q t, �. r••1 G u .' I •i•J x G 6
y0 °�OTL °'-O o. �'wO �' j UW p ¢y1
••..�-V a. OD OC iGyVjYDmNO.- �.F�I'1p pg �b CSS
•=W ,,,D O:>O J`9..V wb 'v4NSN NV yZ Q'i 4 W WS t Ol+ a)• •O C'¢. O'3 'd'
a 5'u uw u rn vi. v, ., I: c.. C }u l'� \I: .zz..
.... �cc o.. b :n y
loo d 1 Qct pa
uao co oral ..v 0"" cUr - u ° k -'I " 11 1"gin • �.
wLLo od2c,u�i cN cvs >.ao ced •`m -
.. °rine - oo „1 Ly r7 - J
{r;
U
O c ,y,:
° ° 7 �� V' ", O O a O ^'
"' '�' O ^ h
y' •,
V n �'
lyo
..
�
C� '�
,�
o,
Zw
tr
��. K ®'
m .ZSM
.
:.•N„, C 11 I .
it9tu
•, � a awls) X7Y91 OMNM(IU I
.IC4
Z>
O'
z O W (C
m
..
g 3,m� g3.-:.� Jms'
.. . �� .•� _
•. :::'..
o..
.„
.oz.4 .=v oV°c
'•
`�o•PeiO..i io
o�
QI Eo
I
^.•,, t+:'L.I ..
O N
W w
m N 1
..
U
<WO
m. LL
N
mQ 4
o
U
Ri trs .
� Iz
uM
s
tZ!
Q
O
rd
z
�o'
O
�L<
_U o1xJ ,��
Kj'�° a D
EJW �Q°
UI K
N
N
O
\
p u�,
SIX
wW o
ZriW . LY O
N�
Cb-
O O
baV� �'pO�P
yl NIi .l in^
"C NOd
trO'L; Li
W W „u
°O?
u�'
L
.. .
_V
_
IJ
DO
..O zW
,',--•Jill
b �Z
..-
rng•OoP
•__
F^
. O
zloilo
zn
z
'za¢FFz oo'
zwaGi <
_ 2 w'
z
ca`u
tr
esu..
o^
F g�"':��c�o
o�uocuuu
vu
ICi.
N
sago •.
gamo�ZorZ.+NP
`a•' o u'n E Nal �.-
$'omy� �a
z u
p
w
Y w
..
o pN
kala'ii`o-isFo•Is
Ww ZOUZR I
trgE
-,.
24 p°`�:'oU`W
rc - Ex
u -DI J•D�y
Coob
Cod
'�
N
-.
'
aJo
0.,,,1N
Vi
IN•I
�j I^ wooFo+
FID WFCaU,., OI
.'wm ZOa� .O//
�Q,•IF.
- ut
�
c°m'
005E -voyo
to�•,;�eO .N
Obii C�
bo
.o �W vl
-•V yW ivy's
ale r
J_..
a.
'
KOIi2N
2 3W V?W=tO `�-�
I
n`'V
`O c-�OC:
00�
5X
QOz
z ofi^
>pQ•T�{W=€5 i
E "O
OV Com...
ry-Eo" o°z
NV CmTfw
Ino -„a`
e..
O�Z v o o n v J D
QW� U o oIn '1
JOpl..4t.2
... -_ ..., .r ,. 11yy _ � 00-v
.�113
4 G --
H `J. t }
U'
y(n1_ F-� JW=O ?eC O b`OO `W VOp N CN mhW •, .%G viv :;LI
'0a� W
SWS ::S% �In'�, 'nevun�f.°,°_'�mo �_co '°u'"'nr;.c Hc•r V':V'
pV< wOV�KOCF-
Q Vq� ..1:..
... 0 O O' O K 20 0 2 V t` •J „ .� T w. C O• •” o N v: Y, c 'IY•'.�i
.�-.d oo 'zaag oc/'iz- ai -' Tob9 `. •[.� oo^m10 o•„rn. v.o s.., moi`
u �LL .•o°d ZoZ>vl z. �11�uy opB V ob9 a�9 uo=o o�',oa•'a•o
•v_ •'a:fC•O•�''�WQLO. �rjala..�"'j -fop �IyCio_ vw �b.°.•4 �O�Oa` NVv
KUUV61foN oa Eo u�„n E� o,W-, moi^w� o-vc u \.
uzol-"' w.Z< &oowdwy _u l..z �.o lio 2x c^tr.'o -o'�' •°i^o G° _gH'ge •d+ \�
r•1Tr' � O,O„0.��,. 5•J'7CKY�L��WmU °�, F ._V'UV 1t1�O I
N n° moon'' y -5 `4acia �. 4
.YI(:.:. ! 't ..i •:N f°L d K } W „ O O O _• •p y _
1:• ''V^� c,°p•� Y::W ro�o:N° mt O-_aIXroO ~�O }
,,..., '. •.Jr�. 1 ^ � CO w•- w °nOOWd°�O; L��Jf/1 Q-0..
.•i, Y' ODI ji2
_01.1.40-N u'd wb C .
w' m^ q¢ -F E invmo obo I
° v .,
.0 2O1m 000
.0 ai nvOir a-•.. 1�(C°C'v0i2�v
�..bm. /
YIN
VV
�e 1 •
Z�174
�O2
a , N:.I I': ••. n _
w
0.
OWNI(
717 4_1
/ \ ',, rf \; j NU' 1
N
n .. _ y goit o. n.lo.• �. m � / ;x O;,tr": - - lr, N< I iI1 .. ..
D:11r4: Eta
ror
:'�; .\'I� �..\. -N 1D• ,1'ii g., r •,/!/%;`7�.' ii 6rd''•/, /; t 5`o N '
�CI �• Y. \. / � , Ol.tO \ � � � � `` h, / ! , / , . S?Jbus. ' / 't '•1 * I I
�— N.*,D 'y\L•F� .111�� "' %i;i/•/ •/j ..'�� i`/,� / /'/. to- zi
'usoCt•OS///:%7•.�Z /' / V;:1 I,
'Y �•'r[nl •'\`"0\t)"•.t// l ./ r', ��yaa ,�/i'/•/! - I 1 ,..
g LN N•• 8`. \\ksst8. r:i'
�+�'.N �� '.�...# '\�S\r<:r�`•1.:::..;?�tJ/;.'• s',�,h;�'/'l•:'•'/ 9M �� i�/�,•./.'i' jar I �
Mfr. • �,3i/.•- •�. `` .vo\FDH1 F„jti�-'�Ib ��.. `C;t�'1/• „ ° i l � ' / / . �/�/ B ••' f /• _ I.i, vl s � �_� •�
- .•�,,!•. sr [,•�, i '' •//, •!�%,'./ _ IN as l z &
'`/" ````r^t' .>!'.•. � �•.• :`:•': vp 'b\ '� .. sem\'.'-.moi '• ', - ( �bn I 1�. I o .. oio o uw
$ ..W �'n . •`6 �• �r•// '.'F.'.' �\ '47 '/i ... .. 3.7L,{:/M1/S,'y: ''. / I ',/ 7-aJ / ( 1 I Z O x Z O
`•'.��•. ''•'`. `. \ My,\ ��'• ./'S I + • / / ':V t'l ` I T I I Z7 W
. � m' � in+ . •e . � /./�./ S3,7y�•.-:l�i:: � \ \•t /syr a{�t,�.,C(• 2/' '�... ' �' _.�/ y° I 4 m � :� w N z w � o_ f"` ¢ w_ m w
W YO 6K
. .i .ii N..N a'ys• .�-j.%"6D" �trF.^'.`^`�. \; h3'ap+�'vr'/ !'/; ; r :J I I = 03 p�W� G_orl�. au
S, / `' ii' .. •.•\. \`'\ D /b♦ ti.I'/. �� I O WK UO OJ
Ss _--. �. /'/.:._'.' .\ C �.:.':' U"+`C �.' \•` W I OK LLOC tjCC
P M ySnO zlno SCA y
< g. if" )``` _.i %'f...'' .`-, ?i� \ .�•: SYS`• •��'�jyt /t 1 Z C�jJ y'V'a Cln o
»FF � 1 a / ! � ``--:`.'. • •- . •F, .:.�:.' eryb t7 , •y:.-•:,,,� % ,. - i;
�, .''1'�,.//•••• •i�`-'� u7r, ,}y Lt/ Br' ::' `/;,/•'7����"" JI � lex e I ¢ I.coilan pyo w zw o
_.-� r•, .. 1 �Q ,•'(• ``,,_ ra�L°• ityy. $.A-� D y y �);,.../'.•.,` I I h SWJ W W
$ fib; % ,1 B"\� (r/� S zte
't-• :d I �' g •+S !.' ��gFp i / J �F dI / :' /-�/:: �.: S`�,l„r F,i` I-.\ � N �vqq-r'vMi Il �'io . H rn b
;�1 `' .. . � ,i\l' � ' ii //\ � °sc �,• /�'/.'�3'h'oS'Fy'• .•`. i iiww ii I ry - ^ m
3pS\
e
r {g''.y �Y.• > 'loz. �� v..• y: : !�/ is // /!• \ ::::.i''e•I e��..w
A21ln ";
s, -)lolme 01'S £ `" )I�laa IA2lO1S i//r/..., �\
0/dSy
';iar V1 � _ i rnr / r ii \rr °'i:.''�-- U '•7,0. ! i � ��i�y / / i :. •a"? 1 � i a
F'LeC j-
p . *r� S�•� S ,r �.
O
0`mY•Iln -.g-- Zs
m\
W v a Q snvds\9 `✓A (� b� \ _ _ S�� 3�0j> .\Y O. \+y
th
13
O JF/
V \
W
OZyi .S':L l e1 ! / .._ ��.�i.0 S$�s� O O -
•$. I H 1` O t5a S•!Jb / /�'. "'S '\ X w
- -•:. _s ;? .� m M ., 4 ast �• `��C;�t, g \ OW �� a7o.W--o
— .1'9IL iil +i /\� \J.Q ,\ \ *02.01.1 ^� -•
OZ
,._J,
z
a
SS
♦.Y'11 I .. I
:,
Past .
' �- ^�r L:' .�$ �Y, .i` nI^�,:, ...sas'L nn+cf•�,y� � C ` ` � n °f a w L 1 $ -'-`--._._ �� \ 3,..
. '. -x+G .Y'. t/s gid, ..1• �" o< M �'
M.:a� f U l•I . '�. - car a0 'J - pw lam.'. .. �:•'
o="p ✓Z' . .f. 14!'nNi wp '�j �y _•`�• gig
O.. \ G
U
II
O
w
�O li
O
Q
m y .v
lyo
..
�
4aN
hO 11b
o,
Zw
tr
��. K ®'
m .ZSM
.
:.•N„, C 11 I .
it9tu
•, � a awls) X7Y91 OMNM(IU I
.IC4
Z>
O'
z O W (C
m
..
g 3,m� g3.-:.� Jms'
.. . �� .•� _
mxm - Ism_
o..
M
O(: LL
OTJ
q In
2 0
Dy
I
^.•,, t+:'L.I ..
O N
W w
m N 1
U
<WO
m. LL
N
mQ 4
Ri trs .
� Iz
uM
s
tZ!
Q
O
rd
z
�o'
UI K
N
N
O
_V
n.o
:D
.0
t,
i°Q'
zIJ az,
. O
5m
E O.
_ 2 w'
z
W
ICi.
N
p
w
Y w
U..
O
j0
N
i0
m,
^
.
a.
3z
z
2 z
3 0
N
n .. _ y goit o. n.lo.• �. m � / ;x O;,tr": - - lr, N< I iI1 .. ..
D:11r4: Eta
ror
:'�; .\'I� �..\. -N 1D• ,1'ii g., r •,/!/%;`7�.' ii 6rd''•/, /; t 5`o N '
�CI �• Y. \. / � , Ol.tO \ � � � � `` h, / ! , / , . S?Jbus. ' / 't '•1 * I I
�— N.*,D 'y\L•F� .111�� "' %i;i/•/ •/j ..'�� i`/,� / /'/. to- zi
'usoCt•OS///:%7•.�Z /' / V;:1 I,
'Y �•'r[nl •'\`"0\t)"•.t// l ./ r', ��yaa ,�/i'/•/! - I 1 ,..
g LN N•• 8`. \\ksst8. r:i'
�+�'.N �� '.�...# '\�S\r<:r�`•1.:::..;?�tJ/;.'• s',�,h;�'/'l•:'•'/ 9M �� i�/�,•./.'i' jar I �
Mfr. • �,3i/.•- •�. `` .vo\FDH1 F„jti�-'�Ib ��.. `C;t�'1/• „ ° i l � ' / / . �/�/ B ••' f /• _ I.i, vl s � �_� •�
- .•�,,!•. sr [,•�, i '' •//, •!�%,'./ _ IN as l z &
'`/" ````r^t' .>!'.•. � �•.• :`:•': vp 'b\ '� .. sem\'.'-.moi '• ', - ( �bn I 1�. I o .. oio o uw
$ ..W �'n . •`6 �• �r•// '.'F.'.' �\ '47 '/i ... .. 3.7L,{:/M1/S,'y: ''. / I ',/ 7-aJ / ( 1 I Z O x Z O
`•'.��•. ''•'`. `. \ My,\ ��'• ./'S I + • / / ':V t'l ` I T I I Z7 W
. � m' � in+ . •e . � /./�./ S3,7y�•.-:l�i:: � \ \•t /syr a{�t,�.,C(• 2/' '�... ' �' _.�/ y° I 4 m � :� w N z w � o_ f"` ¢ w_ m w
W YO 6K
. .i .ii N..N a'ys• .�-j.%"6D" �trF.^'.`^`�. \; h3'ap+�'vr'/ !'/; ; r :J I I = 03 p�W� G_orl�. au
S, / `' ii' .. •.•\. \`'\ D /b♦ ti.I'/. �� I O WK UO OJ
Ss _--. �. /'/.:._'.' .\ C �.:.':' U"+`C �.' \•` W I OK LLOC tjCC
P M ySnO zlno SCA y
< g. if" )``` _.i %'f...'' .`-, ?i� \ .�•: SYS`• •��'�jyt /t 1 Z C�jJ y'V'a Cln o
»FF � 1 a / ! � ``--:`.'. • •- . •F, .:.�:.' eryb t7 , •y:.-•:,,,� % ,. - i;
�, .''1'�,.//•••• •i�`-'� u7r, ,}y Lt/ Br' ::' `/;,/•'7����"" JI � lex e I ¢ I.coilan pyo w zw o
_.-� r•, .. 1 �Q ,•'(• ``,,_ ra�L°• ityy. $.A-� D y y �);,.../'.•.,` I I h SWJ W W
$ fib; % ,1 B"\� (r/� S zte
't-• :d I �' g •+S !.' ��gFp i / J �F dI / :' /-�/:: �.: S`�,l„r F,i` I-.\ � N �vqq-r'vMi Il �'io . H rn b
;�1 `' .. . � ,i\l' � ' ii //\ � °sc �,• /�'/.'�3'h'oS'Fy'• .•`. i iiww ii I ry - ^ m
3pS\
e
r {g''.y �Y.• > 'loz. �� v..• y: : !�/ is // /!• \ ::::.i''e•I e��..w
A21ln ";
s, -)lolme 01'S £ `" )I�laa IA2lO1S i//r/..., �\
0/dSy
';iar V1 � _ i rnr / r ii \rr °'i:.''�-- U '•7,0. ! i � ��i�y / / i :. •a"? 1 � i a
F'LeC j-
p . *r� S�•� S ,r �.
O
0`mY•Iln -.g-- Zs
m\
W v a Q snvds\9 `✓A (� b� \ _ _ S�� 3�0j> .\Y O. \+y
th
13
O JF/
V \
W
OZyi .S':L l e1 ! / .._ ��.�i.0 S$�s� O O -
•$. I H 1` O t5a S•!Jb / /�'. "'S '\ X w
- -•:. _s ;? .� m M ., 4 ast �• `��C;�t, g \ OW �� a7o.W--o
— .1'9IL iil +i /\� \J.Q ,\ \ *02.01.1 ^� -•
OZ
,._J,
z
a
SS
♦.Y'11 I .. I
:,
Past .
' �- ^�r L:' .�$ �Y, .i` nI^�,:, ...sas'L nn+cf•�,y� � C ` ` � n °f a w L 1 $ -'-`--._._ �� \ 3,..
. '. -x+G .Y'. t/s gid, ..1• �" o< M �'
M.:a� f U l•I . '�. - car a0 'J - pw lam.'. .. �:•'
o="p ✓Z' . .f. 14!'nNi wp '�j �y _•`�• gig
O.. \ G
�
•
.9' i
j Q.
'w;
..
�
�yaygl
N
•
tr
��. K ®'
m .ZSM
.
:.•N„, C 11 I .
it9tu
•, � a awls) X7Y91 OMNM(IU I
• / ', —�. _ S -L 3N0'!, ' J^
�\ �- -` .OZ•5•Ly
dNO2-r„Lz-o.ss
:gE-/S f �,'Cb
1V1% .,�
_.,. ..�.
.
..
g 3,m� g3.-:.� Jms'
.. . �� .•� _
mxm - Ism_
M
4.1
1
ry
I
^.•,, t+:'L.I ..
•. OOoip 9 - -. At.l-,:hVo-V
Z.FO_6SN_-
--`--- ,'
02
Ri trs .
� Iz
uM
Z
�
O
I�0, ..�C o: ,.. .•• OY� Zi
..
�yaygl
n
�I — —_ —_ � N66_ " �• _� ___ rte`_
�1•n
,
N� �.c12': .,G� v. `` �.. .'.
—JI'1- '1111
220-00'
rN6G03'09'W
• / ', —�. _ S -L 3N0'!, ' J^
�\ �- -` .OZ•5•Ly
dNO2-r„Lz-o.ss
:gE-/S f �,'Cb
1V1% .,�
�yF
�••_� _y♦(�,
M
4.1
I
7�5
Location
No. Date
R
40RT#1 NO A DOVER,
"TOWN OF TH a
Certificate of Occupancy s,
Building/FrAme Permit Fee $
Foundation Permit Fee, $
CHU
R
A
-etbw, Permit Fee $
S..eiglonection Fee $
VARr Connection Fee' I
TOTAL'
Buildirig Inspector
"Zip
No.
Location
# No.
Date _// -1 - - / /
TOWN OF NORTH ANDOVER
NOV,. 15 11991
-No. Andover Collector
Building Inspector
Div. Public Works
Certificate of Occupancy
$
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
nnection Fee
$
RECEIVEDAYOT
NOV,. 15 11991
-No. Andover Collector
Building Inspector
Div. Public Works
PERMIT NO.—
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
MAP KVO.
LOT NO.
2 RECORD OF OWNERSHIP '.DATE
BOOK '.PAGE
ZONE
SUB DIV. LOT NO.
LOCATION One High Street
PURPOSE OF BUILDING
✓/T� i�.L.SIZE
OWNER'S NAME Modicon
NO. OF STORIES
OWNER'S ADDRESS One. High Street
BASEMENT OR SLAB
ARCHITECT'S NAME Bennett & Pless
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME Communications Link Service Corp
SPAN
DIMENSIONS OF SILLS
DISTANCE TO NEAREST BUILDING -
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES - SIDES REAR
" GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING X
IS BUILDING ADDITION
MATERIAL OF CHIMNEY -
IS BUILDING ALTERATIONIS
Install 61 satellite antenna
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 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
1
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
v/I TE ED 6 / 7 7
SIGNA OF OWNER OR X&HORIZED AGENT
FEE J �-
PERMIT GRANTED
a..
- / .- 19 2
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST 9000 G
EST. BLDG. COST PER SQ' FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
BUILDING INSPECTOR
'NV1d lO1d S30V1d3Ll SIHl 'O3SOdW12i3df1S '013 'S30V21
-V9 'S3H01:I0d H11M 'SJNIQ11f18 d0 SNOISN3W1a 10VX3 QNV S3N11 101
WOMA 30NV1S1a GNV 101d0SNOISN3WI0 10VX3 MOHS18f1W N01103S SIHl
IP
Z I I ADN V d f1000 I
ab033V JNlalln8
ONIIV3H ON
_I Pic I +'1
P -L 1.W.9
:)I81:)313
lI0
SWOON 40 'ON L
SVC)
Sa31V3H 1INn
0 LH 1N'110'18
ONIN011IONOJ SIV'
MOdVA aO a.1.M lOH
_
Sa313Va OOOM
S10J V 'SW9 1331S
_
WV31S
S10J 18 'Sws b39w11
'Nand aIV IOH 030103
3JVN1n3 SS313dId
1SIOf OOOM
ONI1V3H L L
II 0NIWVNJ 9
OOVO 3111
80013 3111
S38n1X13 N8300W
0NI300a 1108
_
83MOHS 11V1S
13AVd9 8 8V1
_
`JN19wnld ON
31V1§
_
XNIS N3HDIDI
S30NIHS DOOM
A801VAV1
S310NIHS IIVHdSV
13SO10 a31VM
Oa'1SNVW9wV0
03HS*3-19'10
1'1l3
('X13 L) Wb 131101
'XI3 E) H1V9
dlH
`JNI9Wnld OL
Joon 5
3dOla3dos
1001 I I
DNIHIM
3WVa3 NO 3NO1S
ABNOSVW NO 3NOIS
X19 a30NIJ a0 'JNOJ
_I
80013 F 'S81S JI11V
3WVa3 NO XJI89
AINOSVW NO X0189
—�
_
E
_
9
3WV83 NO OJJn1S
ABNOSVW NO OJJniS
3111 'HdSV
JNIOIS '183A
NOW—VV OJ
JNIOIS SOIS39SV
OM08VH
ONIOIS 1lVHdSV
HldV3
S310NIHS OOOM
3138JNOJ
S01V08dV1J
SNOOK 6
II S11VM `` b
ftOM OV3H
1 1.W.9 ON
IA °% %i
lln3 V3aV
N3HJ11X Na3(30W
S3JVld 3113
V38V JIIIV 'N13
V3aV .1.W.9 'N13
1N3W3SV9 £
—
-
E
L
I
_
E
N13Nn
11VM 1111
-
S131d
a V
\C)
O.01VHVH
M
3NO1S 80 XJIa9
3NId
'X.19 313dDNOJ
3138JNO5
HSINIJ
H0111UNI 8
NOI1VONnOJ Z
N0110f1 NISN00
S1N3WIdVdV
_—
S3JI330 —_ AIIWVd I1lnW
53110!SI AlIWV3 31!JNIS
Z I I ADN V d f1000 I
ab033V JNlalln8
�'•J
Q
rt
O
f'D
v
M
ma
1
O
a
r�AU'
C
C
e
eD
I
L
z
r -
,Ml
V ,
O
Czn
m
z
i
cn
w
„
ca
0
m
3
c
o
m oo
o
_�
<C m
T
S
r
C
n
C
T
H
W
>
>
Z
C
Z
Z
T+
T
T
0
C
_
0
�o