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HomeMy WebLinkAboutMiscellaneous - 10 MILK STREET 4/30/2018 (3)6172441?32 SIEGEL ASkCIATES 805 P01 JAN 30 102 11:37 Siegel Associates, Inc. _ O(W111 TING S T RI11:TI)NAL ENCINEERg (:'H Crtmnrxrwrc!(it:lewntH+ NruYat Crnttt; ,Hr? (W59 January 30, 2002 Rob Bramhall Rob Bramball Architects 38 Main Street Andover, MA 01810 trim: 61' A4-161'2 &Z 617-344-1Ml Plertft(1 80 3—/-C/ go USS * /V Re: FINAL STRUCTURAL INSPECTION AFFIDAVIT Burkardt Residence Milk Street, North Andover Dear Rob, Siegel Associates Inc. is the structural engineer of record for the above -referenced project, architecturally designed by your office. In this rapacity, we have provided structural design and inspection service for this new residence, and recently completed our final structural inspection. On the basis of this work. I certify that to the beat of my knowledge, information, and belief, the structural work at the Burkardt Residence conforms with our structural design, with the structural provisions of the Massachusetts State Building Code 780 CMR -6, and with accepted structural practice. Please feel #Yee to call, or have the building department can me directly, if there are any other questions regarding the structural engineering of this project. Very truly yours, SIEGEL ASSOCIATES, INC. Pew; oP STEVEN PAUL o.SIEGEL u� No. 3635498 Steven P. Siege E., Principal Location t,;-' a No. — �3 c) Date S TOWN OF NORTH ANDOVER Certificate of Occupancy $ �-" -,,. 1) Building/Frame Permit Fee $ S Foundation Permit Fee $ Other Permit Fee TOTAL Check # -�j (., C', Building Inspector 0 co w - H W W w F- V) V) Y J_ X4-2-1 rPAJ , l " I HEREBY CERTIFY TO THE TOWN OF NORTH ANDOVER BUILDING DEPT. THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN AND THAT IT DOES CONFORM WITH THE TOWN OF NORTH ANDOVER ZONING REGULATIONS REGARDING SETBACKS FROM STREETS & LOT LINES." " I FURTHER CERTIFY THAT THIS FOUNDATION IS NOT LOCATED IN THE FEDERAL FLOOD HAZARD AREA. SHOWN ON F.LR.M. COMMUNITY PANEL #250098 0006 C DATED: JUNE 2, 1993. v I N/F THOMAS AND LYNDIA LAMSON -Ref\m 'j A�' 80 jss'o � 3-1-000 ( -Traw4904. q- Iii a0 PLOT PLAN OF FOUNDATION )o LOT #2 MILK STREET IN NORTH ANDOVER, MASSACHUSETTS DRAWN FOR TOM & PAM BURKARDT 356 ABBOTT STREET NORTH ANDOVER, MASSACHUSETTS 01845 60 0 30 60 ix .. . SCALE: 1"=60' DATE: JULY 16, 2001 a\ I NERR�IACIC MGDfiM X SERVICES 116 PARK STREET STEPHEN f4' �/[yp/�I .L.S. DAT ANDOVER MASSACHUSETTS 01810 Location S No. Date TOWN OF NORTH ANDOVER 0- 41 Certificate of Occupancy $ Building/Frame Permit Fee $ CHU Foundation Permit Fee $ Other Permit Fee $ L C TOTAL $ 1 / Check # / (, I f Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT 1 A ONE OR TWO FAMIL 3UILDING PERMIT NUMBER: / DATE ISSUED: / _ h , �? cq SIGNATURE: Building Conunissioner/Inspeefor of Buildings Date - SECTION 1- SITE INFORMATION 1.1 Property Address - 3 Zoning Information: /) — /a A 1.2 Assessors Map and Parcel Number: Map Number Parce Ntimber .4 Properly Dimensions Q -t - urronta e n Tonin District Pr Use Lot Area 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R redVO Provided 1.3. Flood Zone Information: 1.8 �ewetage Disposal Sysiem 1.7 Water Supply M.GLC.40.t54) Zone Outside Zone 0 Moaicipal �rY,l On Site Disposal System LI ?ublic ❑ Private ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 1.1 Owner of R rd Name (Print) Address for Service ZAL"— Sionattlre Telephone 2.2 Owner of Record: Name Print Address for Service: -signartire - - -- SECTION 3 CONSTRUCTION SERVICES 3.1 Licensed ConstructionnSSYpervisor: r'l, ,,- /—,- Z/moi License Construction Supertlisor: Address 0/ s, Signature/ Telephone 3.2 Registered Home Improvement Contractor Company Name Address Not Applicable ❑ License Number Expiration Date Not Applicable 0 Registration Number IExpiration Date signature _ Telephone SECTION 4 - WORKERS COMPENSATION (NLG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failui in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Work checkag s liable New ConstructiorN 0 Existing Building ❑ Repair(s) 0 Alterations(s) 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: &,vS �,E �2 54; JJ a � 11nI—_ - IMMUNE SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant Y # to provide this affidavit will result Addition ❑ 1. Building Z (a) Building Permit Fee '� v Multiplier 2 Electrical -(b) Estimated Total Cost .of Construction 3 Plum bin Building Permit fee (,) .x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check -N SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGErJT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as /Authorized Agent of subject property Hereby authorize My beh in all i iatters relaZ';4�o wor authoriz d by this building permit ap cation. _3nA2 �� a 1 Si nature of Owner ��✓✓✓ ��� Date / SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, As Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true.and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES % SIZE BASEMENT OR SLAB SIZE OF FLOOR TRvIBERS 1ST 2 ND 3 RD SPAN DIlMIENSIONS OF SILLS DMIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHUVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE �Ta fn�ixrtta�trxacrxjj/x r�`, lfFaxu�u��s 80ARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 009544 Birthdate: 03/30/1948 Expires: 0.3Wn002 Tr. no: 19008 To: QO STEPHEN C BREEN 345 STEVENS N ANDOVER, MA 01845 l2."5''a lr.lsi Administrator i virrt.v vi irre��arlt�U!!V/IJ Boston, Mass. 02111 Workers' Compensation Insurance Affl-davit Please Print City -_ Phone am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity go I am an employer providing workers' compensation for my employees working on this job. Company name: N l ' �: l l i.:1 �✓ c? _Address ✓ Phone # L S C 0 u Company name: Address /'� ✓ f '✓S' Pnli City' Phone #: -baa Insurance Co Policy # Failure to secure coverage as required under Section 25A -or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form 4a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct n_ // ice• Signatu Print name Official use only do not write in this area to be completed by city or town official' Building Dept ❑Check if immediate response u required Building Dept El El Licensing Board Q Selectman's Office Contact person._ Phone #.- El Health Department 0 Other FORM WORK MAN'S COMPENSATION FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verifythat all -necessary approval /permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. s ......................//..... .... ......................................... APPLICANT P !Q�% HONE ASSESSORS MAP NUMBER R SUBDIVISION LOT NUMBER E STREETto . STREET NUMBER %D ........■■.....rr...■.......................■........Oman ...............,.■ OFFICIAL USE ONLY ............................................................................ RE4N�� O F TOWN AGENTS DATE APPROVED 7- 1 l 0-0 NS ATION ADMINISTRATOR DATE REJECTED IN ((, 0 ' DATE APPROVED 7, IZ, 7 Q'0 TOWN P r�l� DATE REJECTED CONOJENTS DATE APPROVED FOOD INSPECTOR -HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH / G2 DATE REJECTED CON OAENFS PUBLIC WORKS - SEWER / WATER CONNECTIONS D� DRIVEWAY P �qle4 /) AVL14-- / -L- ) Z, 0 c) DATE APPROVED FIRE DY0ARTW1ENf DATE REJECTED CONBENTS ENT S RECEIVED BY BUILDING INSPECTOR DATE lZ-1 Z 40 TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 J.WILLIAM HMURCIAK, RE DIRECTOR Telephone (978) 685-0951 � NORTpy Fax (978) 688-9573 �Eii LEO ,69•L� O � P } # "q oO'1Tllll QIP �,(�J DRIVEWAY PERMIT DATE C ( Z LOCATION (d REV L S--re-e f BUILDER phone OWNER �Ve/ �DD� ( hone g5 -(zo? THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. I Cl) M Cf) 0 CD O ff-w-lmm". E o _ CQ = CD N CD 0 D d O CO) 'O cl' 0 H Er CD 0 co CD col)' CD CA 0 O CD a 0 CD O Q N QO e co y c�mo m n o col C2 m Z • m ga h O� ._•► Xo O ti T =r CD = y CD -40 m y p c _ 7 OCD 0 n O n p L.n c =r _to 0 rL CD i"7 CD ►� m % O n c am \ /_ H :© Og tj C� ►may O H z = o :(6 ti O "•► m N CD q W CD H cnco cH r CD CL's a' C-) =s: o c� W 4 e 0 c ° CD y n ` cm o :3d c a� O Oil x W 4 e 0 c 3 0 w U u7 It CD d' Lo It CD i N 3 KA W W F— W I /0'1<< V 2 " I HEREBY OERTIFY TO THE TOWN OF NORTH ANDOVER BUILDING DEPT THAT TH$ FOUNDATION IS LOCATED ON THE LOT As .tHOWN AND THAT IT bOES CONFORM KITH THE TO*Nf OF N6RT$ ANDOVER ZONING REGULATIONS REGARDING SkTBACKS FR61! STREETS & LOT LINES." " I FURTFIER . CERTIFY THAT THIS FO&YbATION IS NOT LOCATED IN i1vt FEDERAL FLOOD HAzARb AREA. SHOWN ON F.t R.M. COMMONITY PANEL #250098 0066 C DATED: JUNE' ',L, 1993. H SKI. R.L.S. 121131kobI DA TO N;/F THOMAS AND LYNDIA LAMSON PLOT PLAN OF FOUNDATIONS LOT #2 ]MILK STRE19T IN NORT14 ANDOVER, MASSACHUSETTS DRAWN FOR THOMAS & PAMELA BURKAROT 356 ABBOTT GTREET NORTH ANbOVER, MASSACHUSETTS 016445 SCALE: 1 "=tW DATE: DECEMBER 13, 2001 IIMERR&AC9 ENGINEERING SERVICES 66 PARK STREET ANDO ft MASSACHUSEY7S 01810 > n Z C .97 m °° �--► iii Chnr O N Q N rl P�5-r La"F, Oman-AwAss R106E 2q6' -q 13/16' FIN. FIRST FLOOR 280'-0" 46- T.O.5LSE3 T.O. WALL 2 -M' -O' --------- E30T. FOOTING $ 2131-01 Burkordt Residence 2002 O (5ARAGE ROB B RAMHALL ARCHITECTS ■ 38 Main Street Andover, Massachusetts 01810 978-749-3663 Wall 5ection5 I/2" = P-0" scale: 1/2"=1'-0" date: q-19-01 n r 0 O 2x4 BRO5GO 8004 ON WO 1x8 FRIEZE BOARD GOR -A -VENT 5-400 5/4x8 HEAD GASINO BROSGO DOOR # P.T. 2x6 SILL - ------------------- T.O. 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Burkordt Residence 2002 ROB BRAmHALL ARCHITECTS ® 6ARAGE ■ 38 Main Street Andover, Massachusetts 01810 978-749-3663 Wall Sections 3/4" = 1'—O" scale: 3/4"=1'-0' I date, 9-13-01 I •r 12 S k 10� 4G FAM OF —I W to — —I T.O. WALL • - 285' -II 1/2" GRADE V 2b5-51/2" a v a 'o 4 d 4 V � _ C d . C 4 1 v- LL C. d . - v A 4 a 1� 0 Lf v 4 . C 'd 4 4. eo �4 SLAB T.O. °-------------- - a /AB 4 a' I I—I � I—III—III—III—III—III—III—III—III=1 I I—III—III—III—� I �..-1 I I—III—III d•. 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III I I I ll� I I I-111=111=111—III I I I_�—� o ° °° o� =III=1IIE IElI1=1JJ o°o°oO°o Sa)0(b6o o o °° ff 0�. 0 °0 A00 o o O0a o°0 oa° �O 'e IIC8°°uq��C8 d 4F11 44' °6 °� d o O °P .O o 0O0O°O OpO0o006 a °00op° o°O 00 p 4 B2lO3T. _F OO OTING�ppv 0 O ��OOo ,R Oo °0.00 o °°00 o'OOO oH�60O° (OOO'0 O -O°° 0 ]� Burkordt Re5idence 2002 ROB BRAMHALL ARCHITECTS Wall 5ection5 scale: 3/4°=P -o• �u AR A date: q-13-01 38 Main Street Andover, Massachusetts 01810 978-749-3663 Date...................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ................. .......................... has permission for gas installation ............... I ............... in the buildings of ............ ............................... at ........... ................. North Andover, Mass. Fee........... Lic. No ........... ....... I ...................... GASINSPECTOR Check # Lincoln Daley rtm a PLuumcr P (1)'3) t,;38-') t; F 0,S) o88-1);.17 Town of North Andover , Office of the Planning Department Community Development and Services Division ASSN" VIC =100 Osgood Street North Andover, Massachusetts 01845 December 28, 2005 Mr. & Mrs. Thomas Burkardt 10 Milk Street North Andover, MA 01845 Dear Mr. & Mrs. Burkardt: As you are aware, the Planning Department received a Form A plan on December 8, 2005 proposing lot line changes for property located at 10 Milk Street, North Andover, MA Parcel #97, Lot 20 and Lot 2 within the R-3 zoning district. The process will allow for the lots to be divided as follows. The plan of land proposes that Lot 2,with an area of approximately 81,061 s.f be combined with lot X with an area of 17,799 s.f. to form Lot 2-A which will contain an area of 98,860 s.f. The plan of land also proposes that Lot 13 with an area of 42,799 s.f be made smaller by 17,799 s.f. creating Lot 13-A to contain 25,000 s.f. Reference Plan of Land for Thomas M. Burkardt, Tr., Overlook Realty Trust (Lot #2) and Pamela H. Burkardt Tr., MSC Nominee Trust (Lot 413) of 10 Milk Street, North Andover, MA. The plan is dated December 28, 2005 by James L. Klopotoski, PLS, #28083, of Merrimack Engineering Services, 66 Park Street, Andover, MA 01810. Your plan has been endorsed and approved. Sincerely, f; --� _' ;N,�c �^ •moi./ 'C G� .Lincoln Daley, Town anner cc: Planning Board Engineer B0,UW O0F A?q,ALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 L&I UPO R M .4 2605 DEC -8 APPLICATIO-N FOR APPROVA 1, NUT ItEOURED DATE i 10i th-1To.i, Clvri.. 'lo-ivr. (—crk --.nt.j OTIO WI 1,311 Th.: -14L; L1111 01 11" lilk- � W,-.11 -0' HIM -.1I I R't 0 IEC it ::b`j.!-jiVi.;ik 'I 10 llwa.- I I ii : t- V i I i;l Nil hdiviion Conm;-] Lav- J -31.) 1 JI.r.. I" P(Mld 2. Localionand Dotcription of Proilterty (include Asses.icir's fllellp 10 Milk Street and 130 Heath Road - North Andover Assessor's Mar) #97 Lot 20 and Lot 2, DeCd Rd'e!FMCC: 13 .... k 5646 / 9584 pagc 208 / 165 Lff Centfkavlcc-fTith� Name ctf Sun o o r Merrimack Engineering Services, Inc. 66 Park Street, Andover MA 01810 '�" JLC-✓G,� _.. Si-nuturc of Ownc,rfsi Overlook P ,Va It y Trust 10 Milk Street North_Andover, MA 01845 MSC Nominee Trust - 10 MA Street North Andover, MiA 01845 Thomas M. Burkardt Tr. & Pamela H. Burkardt, Tr. Addrv,, 10 Milk Street, North Andover, MA 01845 2. Localionand Dotcription of Proilterty (include Asses.icir's fllellp 10 Milk Street and 130 Heath Road - North Andover Assessor's Mar) #97 Lot 20 and Lot 2, DeCd Rd'e!FMCC: 13 .... k 5646 / 9584 pagc 208 / 165 Lff Centfkavlcc-fTith� Name ctf Sun o o r Merrimack Engineering Services, Inc. 66 Park Street, Andover MA 01810 '�" JLC-✓G,� _.. Si-nuturc of Ownc,rfsi Overlook P ,Va It y Trust 10 Milk Street North_Andover, MA 01845 MSC Nominee Trust - 10 MA Street North Andover, MiA 01845 • Pk;u r a n4liv u it: I L l!m u nd i t h v r A. R, C i, r 1), itul a IL I'm b ia:1 si-1 a) t. n -4 it: h Luu I IV I ic %W V ti it r III;& n m I I N be u %ulodivititell X If uch fid -sfo Ilia Ilan miwls ,a%, uj ilst: CNIhowinow crileria- ..x X d 11111,110 AQ1.Y. U� Ah1JL the 'I I, MmhLait)-A 1:;;.:J m J C,• C plea 11hokellyllo RIfkl 1JI.A.1 J%Cl m. recor&j in ;'Tm wis. la .,i LIW SLIM mi,vin Conlyt-4 I .,-.% liv i1,v wnJ, OLI Ihtaltl'T;C, 0 1 C,1 a IA;j Ji"Wil .))1 .1 P!an 01 a , -,tibilp, 1;iwu nwmdw a. thc Rq.istn k-1 1 -k -cd., too I,,: J .1rid Coni print fit dut jai,pholt it( Ili,; C01416-1 I .§%% Lich Lul has lisvIl vk-:sr4- marked un lhe plan t4o In, either' XX .01 'NOud W 4nd M.At. (mil i-Fws -.J).A(m)t jol. k.;r h0 L-1-dW "N.11 A ;flaild,et : m*' F201 lot -'00 1hr pian r,off1w;w a Imilding whi4h S-Nosied priur to the idloptiog lot the subdmi.,kon Ciontrul Lin. D. The jolum .huws an exislinst IM dis-killniv) asul has firtmUgc too a jk-jj:rjlvCj UI)4PVL. TiM P OC- r4i;rdk Arjt,-A-tr'j*v%Iij (*.',-It• ;dj!c q,;-Tjnj TOTAL P.03 O CA;* rq N) "rim ND 730 TOTAL P.03 HUNTRESS ASSOCIATES LANDSCAPE ARCHITECTURE & LAND PLANNING Thursday, October 03, 2002 Mr. D. Robert Nicetta Building Inspector Town of North Andover 120 Main Street North Andover, MA 01845 Re: Burkardt Residence – Milk Street Dear Mr. —"a. '�C� l �� I am in receipt of your letter to Thomas and Pam Burkardt requesting that they address a change in the construction detail for the approved pool enclosure. If you will recall, the Burkardt' received approval from the Zoning Board of Appeals for a special permit to locate a pool to the front of their residence on Milk Street. At that time, the proposed pool enclosure detail showed a 4' cedar picket fence and gate (detail enclosed). The contractor made changes to the pool enclosure during construction, most notably enclosing the pool with a 4' natural stone wall to provide better privacy. It is my opinion that this change is minor in detail, and provides better privacy to both the abutters and the Burkardt'. I would ask that the Zoning Board of Appeals allow the constructed enclosure to remain without requiring a formal modification to the original Special Permit, and that the enclosed photographs be included in the Burkardt' file. Further, it is my understanding that the pool enclosure as built satisfies the requirements of the Massachusetts Building Code. We appreciate your time and consideration with regard to this matter. Please feel free to contact my office with any further questions or concerns. Sincerely, r Huntress Associates, Inc. Christian C. Huntress Landscape Architect Cc: Pam Burkardt – 10 Milk Street a C- Z 1� A- 17 Tewksbury Street, Andover MA oi8io 978.470.8882 978.470.889oto, Rurk9rdt Residence - Pool Enclncure 10/4/02 t �r l - ...'..'YET Rurk9rdt Residence - Pool Enclncure 10/4/02 t �r - ...'..'YET -• v Rurk9rdt Residence - Pool Enclncure 10/4/02 TOWN OF NORTH ANDOVER Office of the :Building Department Community Development and Sei-vices 27 Cbarles Street. North Andowr, :Massachusetts 01845 D. Robert Matta, BuilWing Commissioner September 12, 2002 Pamela Burkardt 10 Milk Street North Andover, MA 01845 2nd and final notice Dear Ms. Burkardt: Telghone (978) 688-9545 FAX (978) 688-9542 Please let this letter serve as your second and final notice that the installation of the pool and fence is in violation of the Zoning Board of Appeals approval for the installation of the pool in the front yard. This violation must be remedied within 21 days of receipt of this letter in order to avoid this department from initiating penalties as allowed for in the zoning bylaw. Please be advised that under Section 10 (10.13) of the Zoning Bylaw (Penalty for Violation) it is specifically stated that whoever continues to violate the provisions of this bylaw after written notice from the Building Inspector demanding an abatement of a zoning violation within a reasonable time, shall be subject to a fine of three hundred dollars ($300). Each day that such violation continues shall be considered a separate offense. Respectfully Michael McGuire Local Building Inspector 7002 0510 PrOOO 0894 3377 : ", 2l: zN: -u 0 3 T Zffi �'D 0 3 0 B 3 CD 0 .0 (D (D M n C.I� m .5. E-. — 0 0 CL 0 @ -n a s� (D 0 (D -n CD (D -n w CD (D (D 0 -u 0 3 'a E . N 'o 2 (or' a? actro co U. Q):t� Q) U) Ll -0 cIr 'N. 4) Y o 0 a) 5; co � a) E mc IL Eld 6)m CL6 V a),D r- > .A? cc E - i2 ca a) E —0 �L- m a)v -a 70 a) Q.() 4) "on c a) 4 m 206) >1 0 c 2 t CC) cn 2 u) -a:5 0) (D E 3: cap - cu cu cu E F c7o=., o E ao) E Oa R-0, u) Lu a) Wt5 � �! '5 In o 0 -,e !0 a o a- ca ---. -iE w U) 0-5 (D cr 3: F E -S —ru w co a.T L) Ca (D 0 3X o Cr cc W a) -zF 0 0 r- u) 0 a) 1)'T) ' ou) E.u-), -L� hs >- M r a) IL -a co ID cc .51� m a- E - , T ca U) , -0 o - ?,< w ro co 2 E: 0 CD u U) Z 45 ID C- > EL L, C Q) Zj o 13 3 el — ID a n 0 ca Ma a) 0>, >- >'O z > 0 ca Q)'a) a Q) a)— u CD 0 L) W C, rz 0 "0 C") m rn 0 Z; a) w c -i� 0: F) F a r M 0 < a) On LL z cu Z ca I L's C, 0 CC -4 00 c o" oj ti J) 2-alcl To c M or 14 > Lj C, �D '7 L) 0 X(.) 0 z S'. -0, CC m LLo 2 TOWN OF NORTH ANDOVER Office of the Building Department Community Development and. Seii ices 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta, Building Commissioner September 12, 2002 Pamela Burkardt 10 Milk Street North Andover, MA 01845 2°d and final notice Dear Ms. Burkardt: , 00 Telephone (978) 688-9515 FAX (9 78) h88-95=12 Please let this letter serve as your second and final notice that the installation of the pool and fence is in violation of the Zoning Board of Appeals approval for the installation of the pool in the front yard. This violation must be remedied within 21 days of receipt of this letter in order to avoid this department from initiating penalties as allowed for in the zoning bylaw. Please be advised that under Section 10 (10.13) of the Zoning Bylaw (Penalty for Violation) it is specifically stated that whoever continues to violate the provisions of this bylaw after written notice from the Building Inspector demanding an abatement of a zoning violation within a reasonable time, shall be subject to a fine of three hundred dollars ($300). Each day that such violation continues shall be considered a separate offense. Respectfully, Michael McGuire Local Building Inspector Cc: Robert Nicetta, Building Commissioner Return Receipt — 7002-0510-0000 0894 3377 -p c -p -n CD U) 0 Z CD 0) 0 go (n (n G) -n CD cD (n CL CD CL CD CD 0 CD H- n 0 H (D W Co (D �o ct ct > SD 0) CL 0 CD (D CD (n cn cl N cr 0 x -p c -p -n CD U) 0 Z CD 0) 0 go (n (n G) -n CD cD (n CL CL 7a > E -6 2 o o o E Q :5 >, a) 0 ID , C U) 0 U) cli In SO E io -6 .- c- c --a I cut -0, — a) c,j 0 -o E (up Z! 0 CL —7 lao, C'a a) — 0 a) E E :0 2 u 2 a) (D Mn — �3 5 0 —co EEt-Zomoc 0 a) 'r 0 0 1-- IL U) 0 m 0 (D ca co Co co Lu Ir 0 000 41 co cr Ir a) Ir C6 4 c cr a) E 0 0 Lo co CD c? 9 o) lo N �l co Q) W E _,O =3 z F) 0 00 co E 0 LL U) CL TOWN OF NORTH. ANDOVER Office of the Building Department Community Development and. Services 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta, Building Commissioner July 10, 2002 Mrs. Pamela Burkardt 10 Milk Street North Andover, MA 01845 Dear Mrs. Burkardt, 4.. Telephone (978) 688-9545 FAX (978) 688-9542 Please be aware that upon review of the plans and installation of the pool it has been brought to the building departments attention that the installation of the fence is not as approved by the Zoning Board decision. The Zoning Board approval was based on the plans submitted and was specifically noted in the decision. The plans specifically show a 4" (four foot) cedar fence on top of the stone wall and around the perimeter of the pool which must be installed or a modification of the zoning boards approval will need to be applied for. Please contact me so that we may begin the process to remedy this situation, I may be reached between the hours of 8:30 — 10:00 AM and 1:00 — 2:00 PM at 978-688-9545. Respectfully, Michael McGuire Local Building Inspector r TOWNT OE NORTH A. -N OVER SYSTEM PUMPING RECORD DATE: //-,; 7-D / SYS'T'EM OWNER & ADd KESS ; SYSTEM LOCATION /��.Q.S!`/C, leftjIroot of LhouseAmdk V4 ). oCU � CC/7YY � Gv,C�s �Ct.12��� DATE OF PI 1�fPiNG:. /�— /f C.ANTJ'i'�' PL'."�iYED GALLONS CESSPOOL: NO V'x Es SEPTIC TANK: N. v YES NATURE OF SERVICE: ROUTINE v EMERGENCY OrB,SERVAtIONS: CiOOD CoN(DITIO-N FULL TO COVER HEAVY GREASE 13AP'FLES IN PLACE ROOTS LEACHFIELD RUNBACK. EKCESW,E SOLIDS FLOODED SOLIDS CARRYOVER OTRER (EXPLAIN) •--��-�'Y-ST:E;YZ�?I3I'v11?E:3.H�': .. -- �� / � COMMENTS: CONTENTS TRANSFERRED 'x O: rm TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: /l 'a -7- b / SXSTEM Q�,1'NER Amgs LOCATION ti% qo- � /7C I (example: left front of house) / s 64T TE OF PUMPING:./ Ili � U.&NT1'i'Y PL"+IYED GALLONS 'DAz /4.. 2 d -/S, , CESSPOOL; NO ✓ XES SEPTIC. TANK: NO YES NATURE OF SERVICE: ROUTINE � EMERGENCY OBSERVATIONS GOOD CONDITK N FULL TO COVER HEAVY GREASE BAFFLES IN PI ACF ROOTS LEACHFIEL>D► RUINBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) COMMENTS: CONTENTS TRANSFERRED 'Y O: 1, so? Location finli" _S ,�__r - 0 -) 'Itl- s' No. Date SO,Rr",.. TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ CH Foundation Permit Fee $ Other Permit Fee $ 1"5 TOTAL $ /-,--6 Check # C_� ? / Building Inspector TOWN OF NORTH ANDOVER j k� -'o f, �o 1 BUILDING DEPARTMENT k) APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER:DATE ISSUED: - y&-91. 1-5 - C>119 SIGNATURE: Building Comrrussioner/Inspector of E SECTION 1- SITE INFORMATION 1. l Property Address: Date 1.2 Assessors Map and Parcel Number: O, v ad— 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 Required Provided 1.7 Water Supply M.G.L.C.40. 4) 1.3. Flood Zone laformation: 1.8 Sew a Disposal System: Public 0 Private Zone Outside Flood Zoae Municipal On Sile Disposal System CC SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT . L. 1 owner of Kecor4 Name 1 elepnone 2.2 Owner of Record: Name Print SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Constructign Supervisor: Licensed Construct on Spervisor: �/ 2(4 ZA&��Z-X 40 lddress .i na a Telephone .2 Registered Home Improvement Contractor ompany Name 7 ddress Q re er Ae Z�y A�k Telephone Address for Service: Address for Service: Not Applicable ❑ License Number 2 7b Expiration D e Not Applicable ❑ Registration Number 7 �7/L Expiration Date V M X z O 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 buildipg permit. Signed affidavit Attached Yes ....... No ....... 0 D !� BASEMENT OR SLAB SECTION 5 Description of Proposed Work check all licable ND3RD SPAN New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other SpecifyIA67,'zzGJ,�/ X Brief Description of Proposed Work: IS BUILDING ON SOLID OR FILLED LAND 9,.t�i- IS BUILDING CONNECTED TO NATURAL GAS LINE SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be— Completed eCom leted by perrrdt applicant �0..x 1. Building (a) Building Permit Fee Multiplier 5 p 2 Electrical (b) Estimated Total Cost of Construction O j 3 Plumbing Building Permit fee (a) x (b) 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 BUIIAING PERMIT 9n Agent of subject property Hereby authorize V ArXLI- /b`//LC to act on Myet, ' a] i att r rela rve to work authorized b this buildin rmit a tion.� l� Y P ✓f Li GL of Owner Date SEC>fION 7b OWNER/AUTHORIZED AGENT DECLARATION I ,as Own Authorized Agent o subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge a'nd/beli f Print Na e 1 e O. r/A en NO. OF STORIES Date SIZE BASEMENT OR SLAB SIZE OF FLOOR TMMERS 1 sr2 ND3RD SPAN DIMENSIONS OF SILLS DMENSIONS OF POSTS DMENSIONS 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 3 --a&- O � FORM - U - LOT RELEASE FORM INSTRUCTIONS:. This form is used to verify that allnecessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT7�cJ�J✓�at� %y.YiJt�� PHONE�%>'8D6� ASSESSORS MAP NUMBER Q LOT NUMBER ,4210 SUBDIVISION LOT NUMBER STREET , G / STREET NUMBER` �D OFFICIAL USE ONLY Oman RECO , AO OF TOWN AGENTS DATE APPROVED C6 i17 VATIO TRATOR DATE REJECTED CONIIvIENIS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER 1 WATER CONNECTIONS DRIVEWAY PERNIIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 42111 Workers' Compensation Insurance Affidavit Please Print Location: �O./`l1l� c/ % J 4 G¢�Ar✓a/ CI Phone am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity EET"a m an employer providing workers' compensation for my employees Working on this job. Ci :�AZVI Phone #k �� D I surance Co. 6jv�,/ yQ P olicv# 3�/ Compgoy name: Address City: Phone #• Failure to secure coverage as required under Section 25A or MGL 152 can lead to the Imposition of criminal penalties.of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the office of Investigations of the DW for coverage verification. I do herby certify yrjder the E Print of perjury that the inforrnationprovided above is true and correct Official use only do not write in this area to be completed by city or town official' []Check if immediate response is requared Building Dept Contact person: Phone #- r ,Ad WORKMAN'S COMPENSATION 3 -Z3-e L, Building Dept D Licensing Board El Selectman's Cffice- n Health Department D Other Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division Heidi Griffin, Division Director �••--•• " 27 Charles Street �'SSCHus D. Robert Nicetta North Andover, Massachusetts 01845 Telephone (978) 688-9541 Building Commissioner `, Fax (978) 688-9542 u reco(Ide -Q CD P-1 , Any appeal shall be filed Notice of Decision N - �5 within (20) days after the Year 2002 T' C o n : date of filing of this notice w z = r' in the office of the Town Clerk. For premises at: 10 Milk Street ,n n 'D rr, o r -j o7Ccnc NAME: Pamela Burkardt DATE: S2/12/02 02 =` ADDRESS: 356 Abbott Street PETITION: -007 North Andover, MA 01845 HEARING: The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, February 12, 2002 at 7:30 PM upon the application of Pamela Burkardt, 356 Abbott Street, North Andover, MA for premises at 10 Milk Street, North Andover, MA requesting a Special Permit from Section 4, Paragraph 4.121(7) in order to install a pool in the front yard in the R-3 zoning district. The following members were present: Robert P. Ford, John M. Pallone, Scott A. Karpinski, Ellen P. McIntyre. Upon a motion made by Scott A. Karpinski and 2nd by Ellen P. McIntyre, the Board voted to GRANT a Special Permit from the requirements of Section 4, Paragraph 4.121(7) for the proposed construction of an in -ground swimming pool between Milk Street and the building line according to the Special Permit Plans 1-3 by Christian C. Huntress, Registered Landscape Architect # 1178, Huntress Associates, Inc., 17 Tewksbury Street, Andover, MA 01810, dated 1.9.02 and the Elevations plan #A-201 by Rob Bramhall Architects, 38 Main Street, Andover, MA 01810, dated 8.02.01. Voting in favor: RPF/JMP/SAK/EPM. 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. Town of North Andover oard of Appoa Decision2002-007 Robert P. Ford, ActinjUhairman BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover ice of the Zoning Board of A H°Rr" • tI Appeals °.t��eo fy Develo pmerit and ° Services Division * } Heidi Griffin, Division Director -7 27 Charles S "..'' ��J North Andover, Massachusetts AAfta CH S setts 01845 ^`""5 ss� Registry of Deeds Telephone (978) 688.9541 Northern District of Essex County Fax (978) 688_9542 Lawrence, !'fit 01840 03119/02 Notice of Decision PAMELA BURKARDT K6 Year 2002 o z o # 90 Res ; Ty1) CERT i0.00 rk. For re ises at: P 10 MWk Street �� _T CD -1 --< CD a' = � m T ii C. P. 20.00 z D M OrD� rn Tota.1 a 30. (_ft1 et DATE: 2lz2/02 O zU) o PETITION: 200�p�'1 x= # 81 Pavment Check 30.00 BARING: 2/12/b2 — THANK YOU' T homaS T. Weals held a public hearing afits _ Burke upon the application meeting on Tu Reraiste t of Deeds PP cation of Famels Burkard 356 Abbott Shy' ises at 10 Milk S�1; North Andover, , 3 u t, Ph 4.121(1) in order to install a requesting Special pool in the front yard in the R-3 P. MThe followi cTntyreng members were present. Robert P. Ford, John M. Pa110 - - . ne, Scott A. ICarpmski, Ellen Upon a motion made by Scott A GRA►IVT' a S . Karpinski and 2 by Ellen P. Mcln " Pial Permit from the req tyre, the. Board voted to Proposed construction of an ' requirements of Section 4, Paragraph accordin to m'8�und swimming Pel4.I2I (7) for the g the SpecialPermit plansI _3 een Milk Street and the building line Architect #1178, Huntress by Christian C. H 19.02 and the Elevations Associates, Inc.,.17 Tewksbury' Re � MA 01810 plan #A -20I by Rob Bm�lS Andover, MA 01810, dates dated 8.02.01. Voting in favor: RPFIJMp/SA�pM 3S Main S et�Andover, Ftifthermore, if the rights auth date of the grant,' shall la or ized by the Variance are not exercised Furtherrnor P� and may be restablished o wrthrn one (1) year of the have la ey if a Special Permit gated under the only notice, and a �, hearing. pled after a two (2) y� provisions contained herein shall be d unless substantial use or coyear from the date on which the S deer to Only notice, nstruction has commenced, it shall la Special Permit was gated on a e, and a new hearer cowmen lapse and may be na-established -� TOWn of North ,Andover ofAft Decisio112002-007 Robert P. Ford, Acting airman BOARD OF ,APPE , S 688 9541 BUILDING 688-9545 CONSERVATION 688-9530 HEAL ATTEST: A True Copy TN 688-9540 PLANNING 688-95 9rr�*e... aQlddJ�tav`- Town Clerk dfy aiat twenty (2u, _ s� sed from date of decision fiiing of an �� appeal. Date AMeeH i9,ao.1,Z- Town of North Andover Tow Office of the Zonin g g oard of Appeals Developm<oeServices Division Heidi Griffin, Division Director27 D. Robert Nicetta North Andover, Charles Street � ;�;��"�• ` Massachusetts 01845 �SSACHUS Building Commissioner Telephone97g Fax (978) 688-954288 9541 Any appeal shall be filed Within (20) days after the date of Sling of this notice in the office of the Town Clerk. NAME;. Pamela Notice ofDecision Year 2002 For premises at: 10 Milk Street a _Q T rn CM fV DRESS: 356 AbbottStreet DATE: North Andover2%12/02 MA 01845 PETITION: 2002-Oa7 . TheNorth Andover Board of SING 2/12/02 — Appeals apublic hearing at February 12, 2002 at 730 PM upon the application of Pamela Bnr its regular meeting on Tuesday, North Andover, MA for premises at 10 kard4 356 Abbott Stree Permit from Section 4 P Milk Stmt' North Andover t, tonin d' Ph 4.121(7) in order to install a , MA 1e9ueSting a Special g Pool in the front yard in the R-3 The following members were Prresent. Robert P. Ford, John P. McIntyre. M_ Pallon - -- e�, Scott A_ Karpinski, Ellen Upon a motion made by Scott A GRANT a Species Permit fi and 2 rom th�quemeI of S Ellen P. McIntyre, the, Proposed construction of an in- ection 4, Pard vot to according to the S ground swimming pool between Paragraph 4.121(7) for the Special Permtit Plans 1 _3 by Christian C. Milk Street and the building line Architect #1178, Huntress 1.9.02 and the Elevations Associates, Inc.,.17 Tewksbury Huntress, Registered 01810,Pe MA 01810 -Plan #A-201 by Rob B�halAndover, MA 01810, dated dated 8.02.01. Voting in favor: RPFIXIP/Sgj�pM 3g M Sn eet, Andover, Furthermore, if the rights authorized date of the grant; it shall lapse, by be Variance are not eacercised within one 1 Furthermore, if a Special P Y be ro-estatblished o () Year of the have la Permit gran under the �3' after notice, and a new hearing. Ped after a two (2) year Provisions contained herein shall bed unless substantial use or construction from the date on which the � to on aim nstruction has commSpecial Permit was granted ly ice, and a new h end, it shall lapse and may be re-established Town of North ever ofA p�r Decisi0112002-007 Robert P. Fo Ford, Acting airman C- C C CMz =�rnrn DZoorn o�rD < rnCr, z�co o �x= 7 D ATTEST: BOARD OF AppE.ALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 6 _ A True Copy 88 9540 PL,AjVNING 688-95�� a 5awav' Tpwn Cleric • H "o CD � Z CD O CLd _ a =. n� o p a� r.r CQ CD O a: CD to CD CO) .p CD 0 y d _ O CA O c CA CD 0 CD CD COO) wC —• H O Q y CO) �O m C7 O `A CY G !! rT1 46-4_ �nm p y O O H IE CD > > C n -i 0 � o o -+ 0 0 n p N nca Y - V C � CA n aotog' L CO ; O y V / m C7= • t C CD 0lu,rcr d cn CD CD a -a CA N CD m CD 0g c . O O cn O �► CA m0: CD C2 ? ' ►�+ G O ;=y CDC d ��a CIO N o: G 0: C° Cn rD p Cn ^ o p7 rDi In �' p T p a t..i p S � � p ? O O.. o r n N ; O rt r) ebo W o n I '!jV P 2 X .- _C7M . t :*n z ° o � t7n I� r� i W M t 0 a :*n z ° oz � t7n I� i W 0 a oz � t7n I� i W M U 11 0 a A li oz � t7n I� i W M U A li 3 Ir°•�fi g � I� i 3 h y L4 �e 0 3 Date..................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ...... ............. has permission for gas installation ............ ............. in the buildings of ........... ......................... at ......... t 4,� .......... o .......... I North Andover, Mass. Fee ........... Lic. No.. ./ ....... Check # I .......................... GASINSPECTOR MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or pmt) NORTH ANDOVER, MASSACHUSETTS Date ZZ2 / G Building Locations S / Permit # __ _ ! y JJ Amount $ J Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print or type)Xy0, ///; TTF_ �'G/. t h`T�i one. Certificate Installing Company Name _ Corp, Address ❑ Pier. Business Telephone - ❑ Finn/Co. Name of Licensed Plumber or Gas Fitter G / D /� G .d • i��ly f T 1 ",� INSURANCE COVERAGE Check one: I have a current liability Insurance policy cr it's subshantial equivalent. Yes E- No❑ If you have checked ym .please indicate the type coverage by ung the appropriate box. Liability insurance policy ®- Other type of in� ElBond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by chapter 142 ofthe Mass. General haws, and that my signature on this permit application waives thi's requirement. Check one. Signature of Owner or Owner's Agent Owner ❑ I nereuy certify that all of the details and intormaation 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 State Gas Code and Chapter 142 of the General Laws. jBy: Signature of Licensed Plumber Or Gas Fitter (OFFICE USE ONLY) ❑ Plumber / s- U 0 - Gas Gas Fitter License f4umwf Master ❑ Journeyman P1 d (Print or type)Xy0, ///; TTF_ �'G/. t h`T�i one. Certificate Installing Company Name _ Corp, Address ❑ Pier. Business Telephone - ❑ Finn/Co. Name of Licensed Plumber or Gas Fitter G / D /� G .d • i��ly f T 1 ",� INSURANCE COVERAGE Check one: I have a current liability Insurance policy cr it's subshantial equivalent. Yes E- No❑ If you have checked ym .please indicate the type coverage by ung the appropriate box. Liability insurance policy ®- Other type of in� ElBond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by chapter 142 ofthe Mass. General haws, and that my signature on this permit application waives thi's requirement. Check one. Signature of Owner or Owner's Agent Owner ❑ I nereuy certify that all of the details and intormaation 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 State Gas Code and Chapter 142 of the General Laws. jBy: Signature of Licensed Plumber Or Gas Fitter (OFFICE USE ONLY) ❑ Plumber / s- U 0 - Gas Gas Fitter License f4umwf Master ❑ Journeyman Ki ��� 8 w� F� Od � a � a°o H Boa VaW� �wg f11 � X30 Q�a w� Od � a � a°o H Boa VaW� f11 � X30 _m Cl) m C m Cf) 0 m y az CD . d CZ =. >co O v CL cCO CD o CZ O coCD CO) CD O d O CO) O CO) CD O CD H CD CD O CCD 5 I VJ O Ol = O �• H O CT d� a0:m y 06m ED 1 CD n m N Z �-c (a -j 0 rt 0 11•y T � CL o �o m m C y N y � b =I O !� OO ti• Cl C13 CD a o�m : Ob =r A O O N O co O CO 1 1 J O CL CD V%N .� H .. CrCL 0 CD V A �+ h CD -•CIO O g 6 O o A $ CQ ?mo z yds. a � 4 _..: c agg. J .� ca o nom• ♦S c :9tool- Qf CD C/) (/)M O y . . . .. N C d "d N N �i Cl) m C m Cf) 0 m y az CD . d CZ =. >co O v CL cCO CD o CZ O coCD CO) CD O d O CO) O CO) CD O CD H CD CD O CCD 5 I VJ O Ol = O �• H O CT d� a0:m y 06m ED 1 CD n m N Z �-c (a -j 0 rt 0 11•y T � CL o �o m m C y N y � b =I O !� OO ti• Cl C13 CD a o�m : Ob =r A O O N O co O CO 1 1 J O CL CD V%N .� H .. CrCL 0 CD V A �+ h CD -•CIO O g 6 O o A $ CQ ?mo z yds. a � 4 _..: c agg. J .� ca o nom• ♦S c :9tool- Qf CD C/) (/)M O w . . . .. N C b 8 "d N N �i z a Oli O M 0 c Town of North Andover tAORT Building Department �,? t�?yeO �6*6'b o 27 Charles Street .,, North Andover, Massachusetts 01845 _ (978) 688-9545 Fax (978) 688-9542 P`'� ." O w,a CO[,M[MI WK„ ACHUS���� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS LOT NUMBER SSUBBDIIVISION DATE REQUEST FILED DATE READY FOR INSPECTION ,;,;�'o o C9, FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE ROUTING CONSERV, U OFFICIAL USE ONLY PLANNING D.P. W. — Wt D S PRIOR 10 T DATE 0 DATE �' 7v Z R MEI,i�/�DATE h) T INDICATE THAT THE WATER METER HAS BEEN INSTALLED HE; NSPECTION $QUEST DATE. ATURE/ .TION or Date .... 21 TOWN OF NORTH ANDOVER PERMIT FOR WIRING L4 This certifies that ....... /I / ..... ....... ........ * has permission to perform .......... , ....................................... wiring in the building of ........... / ...................................... St ......... A) ..... !,v ...... /./; ........ ....................... . N Andover Mass .... ....... . Fee .... . ...... Lic. No.. . ..... 1-73 INSPE R RICAL INSP Check # ?0 2 Office Use only Permit No. Occupancy & Fees Checked a -- 4PPLICATIONFOR PERW 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) Date ` 3! Ji /0 (}— 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) /1% L - S Owner or Tenant t1q M b (' Owner's Address16 a / iL /C j %— Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps.../..Volts Overhead Underground No. of Meters New Service Amps / volts Overhead l:3 Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of L ightiog Fixtures No. of Receptacle Outlets No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of Water Heaters No. Hydro Massage Tubs OTHER No. of Hot Tubs Swimming Pod Above Below ground �. ground No. of Oil Burners No. of Gas Burners No. of Air Cond. Total Tons No. of Heat Total Tool Space Are No. of No. No. of Motors Total KW KW KW Total Battery FIRE ALARMS No. of Zones No. of Detection and No of Sounding Devices No. of Self Contained Detectiondoanding Devices LocalMunicipal 0 Connections fr�u-atoeCovsagE Pasrantbthetatltitertatsaih�t�.s�lsea�aaiIat�ts . [haneaa�atLtabtityits<IratoePl�oyirrltl�iig Co►aaBetrilssttb�a>baltigi+aiQti YES NO Q lhMeabxrttra WWp1Mfdsatnebthe0ffM YES rIQ ) jouhtt►edteaaeaY)E�,plpseinafrnletltetypeafao�eb�rdlad�gf`1[�e•_J i4ebox N5URAN E Com- BOND am Q NaicbSlart dC> % L v mdWO&S utxla-�ie�-��_—•�••• b�g�eeii�tlJ�eRe4ttsted Rates �i IRNINAME y/Ce/'T �/cUTL/ (liau 5�� r�?'IS� �. Lioa�eNa f✓ Sire C�'tiJ LiteNo l % 1' y Btsir=TdNa T(y AltTelNa lWN]~32 S11�6URANCEWANFR;IatnawatethatiheLit�nsedtxsnottl�e$teit�ra�oeca�eor�sslet}a�la�taste�aedby,��� td that rrry sseon utas petmt appit�t wanes ibis ragttirertatt. 'lease check one) Owner Agent Telephone No. PERMIT FEE ■ G I I El it �oaCi s� D N r Z W m D Z d I «+ k v W' JLN 7p 70 3 M E x� s Registrar 0 oarm a ,.4 ;,. i ' ¢ h' 37 C, M O JLN 7p 70 3 `+ E c� 0 oarm ,. " a 70 0; j 3 •, +ry m Ck. > 7005 .�.� � � t t'1'1 `TI � • ' . find • m. sM • ` Z r— Cr- " " ..0 -<M -c m . ~ m -n F 02" mA cn U} .� e�'' Of►Z' . mm. z n + it 0 a ,., m. r oo a ._ z c _ Signature } Location 01 No. Date J TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector Tl%XXT1%J !17], 1kTd1D'1'1L7 A ATnnA71<'i 1D 1 V VY 11 Vi' 1v, VYa 111 All A.,% -x T BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONF OR TWO FAMILY WELLING e .: _- T�IiS �O�:fOC iC181 �e fly' BUILDING PERMIT NUMBER: Q DATE ISSUED: (^ 0Q I SIGNATURE: V Building Commissioner/Insikaor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: � 1.2 Assessors Map and Parcel Number: / Map Number Parcel Number / 1.3 Zoning Information: S Zoning District PropoYed Use 1.4 Property Dimensions: r �j�lG Jct / Lot Area sf) Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required rovide Required Provided Required Provided o, aa, T V54) a 1.7 Water Supply M.G.L.C.40. I.S. Flood Zone Information: Public ff Private ❑ Zone Outside Flood Zone b 18 Sewerage Disposal System: Municipal (! On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele on SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisory,, sT r,�0 d t° tet/ �, ✓�- e �N License onitruction Supervisor: C �'i�s .S 1� ✓��s � L �� �� � Addm4s G Y ' G oZ� Sig shire Telephone Not Applicable ❑ 6-j( S License Number Expiration Date� 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name —_ Registration Number Address Expiration Date Signature__ __ Telephone C* „/C 3- ®®`aa SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 2506) Workers Compensation Insurance a;lidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the b6lding permit. .L Signed affidavit Attached Yes ... No ....... 0 _ . SECTION 5 Description of Pro used Work check all a Hcable New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition 17 Other ❑ Specify Brief Description of Proposed Work: 2" o X G O O �4A'-C2 SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed b ermit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) f? 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 behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 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 SfePrin om - , --- -�I�'� tea., i � /c,✓u.�..� - Si at e of Owner/A-ent Date NO. OF STORIES SIZE X ® 74 V:e BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 SSV/p SPAN / O L DMIENSIONS OF SILLS k 6 DM ENSIONS OF POSTS LDI1vIENSIONS OF GIRDERS 0 - 3-d HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING / X X MATERIAL OF CHIMNEY .} S 'V ""-t e IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE �S FROM : SUN ENG. PHONE : 1 97 NO. 8 283 6146 r • an. 30 2001 11:36AM • t•1flScheck C.:�*lYLir'L'VC:F iE?Ott`1' ' Ata33nehusatts EnOvgy Code MA:',-hC+:); :ia[L�at'x v�;.L•ipn i:.Q7 <:ITY: North Andovcl STATE- Mas38chusett.s HDA: 6322 CONSTRUCTTC7N TYPE: 1 or 2 Family, DFtached HEATING SYSTEM TYPE: Other, (Non -Electric Resistance) DATE: 1.'29-2001 DATE Or PLnNS: 12 -11 -?000 TITLE' MASCRECK FOR TIM 13LTRKA DT RESIDENCE' PROTECT 1NFO MATIONS 9URfUkROT RESIDEN(M CC^'_P7USY INFORMA77ON: SUN ENGINEERING 5 CRAFTS ROAD GLOUCESTER MA 01930 COMPLIANCE: YASSSS Required UA - 1357 Your Home - 1337 i I ,vertu: t- 00 8 I I J Charko<i by/Date ; I V� l 0 I Area or Cav_LY Cont. c>).aziu+�lDocr Pcrilrtstar -R-Valua R -Valve t) -Value LA ------------- 4ALLEs Wood Frame, 16" O.r,- 4309 30.0 0,0 GLAZING: Window;; or Daar; 6919 19.0 0.0 152 DOORS 1.:00 89 0.370 555 FLOORS: Over Unconditioned S are 165 0.330 P 65 a, b2 S"TA9 FI.00R-91 Unheated, 48.0" its +u1, 1- 0 0, 0 3 HVAC Er�(TIF3•tEDTT: Foilor, 32.0 AfvE 225 14. D 248 COMPLIANC$ STATF,MCNT: ThF propossd bui-W'---------- cen.zistcnL Kith the buildin 'd'!Ig design described here 1s g Plan, spacifications, and otbayr calculationc submitt^'d with tho ricrmiC application. I'ue Nroposed bnilrii.ng has linen dAsigried to rna9t Ld9 requirc�menUs of the Massachusetts n:ner The heating load for this buildirq, and the coon gY has boon dotormircd using tho applicable StandardnDeaign Conditionsfoundin the Code. The iiVAC equtpaient selected r.0 hoar or Cool she building shall bo no groator than 125@ of the design load as specified in Sections 780CMft 131A - JC.: ELilrier/Cosigner G r'e Date X00 FROM : SUN ENG. FHONE NO. : 1 978 283 G146 Jan. 30 2001 11:37AM P3 MA.Srhoc.k TNSPKCTMN f:EIEL:iii.T:'T Macnachu:,r..tts Energy 0'x MASc:heck Sottware Version 2.01 MRSrT;E(:I< FOR TER BURKARL`T RFS?rENC::' DATE: 1-25'-2ooi Bldg. I llapt:. I Uzi, I I I CEILINGS: ( ] 1 1. R-30 l Comments/Location I WALIB: ( ? I 1. Wood Frame, 16" O.C., k-19 I Commeptz/Locaticri I WINDOWS AND GLASS DOORS; ( 1 1 1. U -value: 0.37 For windows withvut iabeled U -value, deacribP fc:aturez: 4 Panes Frame Type Thermal Broak7 [ 1 Yes j No I Comments/Location 14 1 DOORS: [ 1 1 1. U -value: 0.21 1 Comments/Location 1 FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location C SLAB -ON -GM. -DE FLOORS, I I 1.. Unheated, 48.0" inaul., R-14 E C:dm[aAnt �lLocation _ I Slob inzulatioa to extend down from the top of the slab to at I least 48" ¢R down to flr least rho bottom of the slab t!?F:; I horizontally for a :oral di:itance of 48", I i NAC .EQUIPMi.NT: ( 1 I 1. Bailee, $2.0 IUVE or higher I Make and Model Number i ATR LEAKAGE: t ] I Joints, cpenvtrationn, irnd a:i' other ERr„h opcninga in the 'building I cnvolopc that arg sourcas of air leakage must be seal,ec7., 'When I installed in the building envelope, recessed Ughting fixt'urea I shall meet one of the following raTU remonts: 1 1, Type IC rtted, manufactured with no penetrat_vna tntwrer tF.c: I inside of the recessed fixture and railing cavity and sealed cr I gasketed to prevent air leakago into the unconditioned spar..=_ I �. Type TC r atad, i n mcnorcinnra wi t.h Standard T1$11't1 T£ 283, with no I more than 2.3 cttm (0.9d4 ifs) ai.r mrrsemert •f-,rM t'h'i the I conditioned sa+cc to the: Ceiling cavity. The lighting fixture 1 shall havo boon tasted at. 75 PA or 1.57 lbs/it'1 pressure I difference and chaii be _abeled. FROM : SUN ENG. PHONE N0. : 1 978 283 6146 vA.FoR itE,rAFZRR: Requirod cu Lhe wa.=i-iii-winter Side of all non -vented fraared Ceilings, Wali, and floor9. MATERIALS ID,TNTTFICATIUNe Materials and equipment must be identified so that compliance nan bo determined. Mtuiufacturer manuals for all inztralied heating and cooling equipment and service water heating PStipmvnt must ha provided. Insulation R -values, glazing U -values, tu,d heating equipment efficietucy must be clearly marked on the building plass or spoc:ifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. WCT CONSTRUCTION: A1,1 accessible joints, seams, and coimec[ions of supply and return ductwork located outside conditioned apace, including stud bays or joist cavi,tteslspacez ured to transporr, air, shall be saaled using mastic and fibrous backing tape inutmlled according to the manufacturer's installation lauLruetions. Mesh tape may be omitted where gaps are less than 1/6 inch. Duct tape is not perniittsd. The HVAC system mvst provide a means for balancing ai.r and water, systems. FMPF.RATURE CONTROLS: Thermostat-+ are required for each aeparats HVRC system. A mAn;.:9.1 or automatic means to partially restrict or shut off thF h(,:3ti:kg and/or cooling input to each zone or floor shall be provided. WkC FQUTPMF'NT VZI.NC.: Rated outyux capacity of the heating/cooling system 's not greater than 125% of the design load as spocified in SPction:3 760(2-R 1310 and 04.4. ( I SWIMMING PCCL3: I Al) hP.ated ss,n mining pools must have un on/off heater switch and I require a cover unleas over 20% of the heating energy is from I non-depletable sources. Pool pumps rcquiro a time clock. HVAC PIPING INSULATION: RVAC piping conveying fluida Above: 120 F or chilled fluids b>1ow 55 i must be inaulitsd to thR foilaring levels Un.): I HEATING SYSTEMS: TF1 P (E') I Low pres:ure/tem{:. 201-250 1 Low temporature 120-200 Steam condensate any I COOLING SYSTEMS: Chilled water or 40-55 i refrigerant k below 40 CIRCULATING HOT TITER SYSTEMS. PIPE SIZES (in.) 2^ RLMUTS 0-1' 1.25-2" 2.5-4" 1.0 1.5 1..5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0•.5 0.5 0.75 1.0 1.0 1.0 1.5 1.3 Jan. 30 2001 11:37AM P4 • FP.OM SUN ENG. PHONE NU. : 1 9778 22_93 6146 Jan. 30 2_001 11:38AM PS I lioulaLe c:iY:ulaLinq hot WkLer pipc:n L!! Lhe fo.11cJwictq 1avr.],; (in.): I I PIPE, SIZES (in.) l NUN-CIRMLATING 1 CIRCULATING MAIN9 s RUNQUTS I HEATED WATER TEMP (F): RUNOUTS 0-1" i 0-1.25" 1'10-100 0.5 1 1.0 1.i, 2.0 I 140-1.60 0.5 1 0.5 1.0 1.5 f 100-130 0.5 1 0.5 0.5 1.0 I ----NOTES TO FIELD, (Building Tlaparciaant Use On,ly)---------.-- ------------------------- k `.O fn1 A 0 W O O m m 1 •�' o .� X" :r O uj : Q M " H Vf m C -0 : M -n0 0 a � c� rm o m o c 3 N G a==i :r0� G O' m 0 0 0 M 0 r 0-0 C o m C o• ;� x D Qa, co�00 . c ° re�'� CD(rk <IDU3 nm CL CL c� o naj o o�i0 0 > > N o E O = c :� % -0 * TO CL :_ a v wti y cr Ln .a� *j mn m O z m T Q. a O '` o. -.,il O CCD �s C ct c lot- r -L (D o�- f 0 CL # W CD 30 � O Cf) m m 0 m v FW d y Cl) CD MZ y CD O �■ r c � ? c CL =• y a� -v o p CD CD o CL CC � cr G % o Er CD 0 C CD y a. v y -• O ca C � v CA O 'o CD Z� o CD 0 CD O O QHN = a0:9m .0 CO) CL n m n 0 y n d C9 m CD Z �-C H o �= °:m y o n�0 m �o m C y N gym: a _ O, O O o � OCA n .CD CE a' C ss �c oa =r o co): ' ^ C V^ CD 12 n mGo 0co z � ozad :f � C 4B. N CCA CD iC cn ca �m V m o U2CD `a n Z C0 cncn a3 { af 0 sib v 0 G �b �. 0 '" 0 G :�. y p m O Cr1 n b p O "d r GO w �' O G p o b Cl) O 0 x �: tv O C J629 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. _L r Application by the undersigned is hereby made to connect with the town sewer main in Xi/ Street, subject to the rules and regulations of the Division of Public Works. .nw c ! I The premises are known as No or subdivision lot no. Owner Address Contractor Address Applicant's ignature Street PERMIT TO CONNECT WITH SEWER MA / The Division of Public Works hereby grants permission to �r (,12,2'` r to make a connection with the sewer main at " ` y Street subject to the rules and regulations of the Division of Public Works.. Inspected by Date ivision f P blit Works Y B �� See back for rules and regulations _1033 APPLICATION FOR WATER SERVICE CONNECTION '� Z� North Andover, Mass.Lz /7 CI Application by the undersigned is hereby made to connect with the town water main in R r ` Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. y A^/Street 2 or subdivision lot no. 6?6- �X'2vC � v er 1 G�l� e � �s r���✓��5 Owner U Address Contractor Address A plicant s Signature PERMIT TO CONNECT WITH WATER IN The Board of Public Works hereby grants permission to to make a connection with the water main at subject to the rules and regulations of the Division of Public Works. Inspected by Date 7 L Street of Public Works By �61 zz See back for rules and regulations DPW 29$ Date... TOWN OF NORTH ANDOVER RECEIpT �1V1*CoS,1---'1,`* This certifies that ............................................................. has paid . 2 Zoo, ............ r� ............... . ...............Ik ... for /04;., % J ................... Received b ��4 y ..........................'........................... Department ........J o..s WHITE: Applicant CANARY: Department PINK: Treasurer GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. ell Permit Applicant Property address L/ J >2 Map / Parcel Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 ofthe North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more ofthe following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as of the effective date of this bylaw, provided that no additional residential unit is created. The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent .2� parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a ]at which is ready for a building permit ( all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT IS GRO S F REFUSAL BY * BUILDING DEPARTMENT TO ISSUE A BUILG RMIT. A" % APPLrCAIgS S ATURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 J.VVILLIAM HMURCIAK, P.E. DIRECTOR DRIVEWAY PERMIT Telephone (978) 685-0950 Fax (978) 688-9573 DATE LOCATION 6d) BUILDER hone OWNER Dve/ �DoO l hone THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print n 1 us Ci Phone am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity man I am an employer providing workers' compensation for my employees working on this job. Company name- ��/ �' 4./, N �� ���' ' l f� I l ii7 !��✓ c'� �, i ��. �/ 1 ��,.' -1- "v �\ Address �f 2 Ci /� ✓ Phone r•„ A'of. �f'/J` 1 �,; �tjlZe5°./,O-V f=.��s� Policy.# %/i/(3 . ? "(M a a company name: Address Ci Phone#: Insurance Co Policy # Failure to secure coverage as required under Section 2 -SA or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,5oo.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a rine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to -the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone Official use only do not write in this area to be completed by city or town official' Building Dept ❑Check if immediate response is required Building Dept E] Licensing Board E] Selectman's Office Contact person._ Phone #: Ej Health Department O Other FORM WORKMAN'S COMPENSATION a FORM - U -LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that allnecessary approval/ permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT7 2 HONE ASSESSORS MAP NUMBER R SUBDIVISION LOT NUMBER STREET STREET NUMBER ire OFFICIAL USE ONLY ............................................................................ REQ . O F TOWN AGENTS `may.' r ■r.r ■ ■ ■...■■.■■■■..............■■.■■■■...r■■.■110720 ....■ DATE APPROVED Z D V e6mEwAATION ADmmsTRATOR DATE REJECTED �z�5 CIX ,�(I (CIO TOWN COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR - HEALTH CONMIENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY FIRE CON*AEN 'S DATE APPROVED z 0 DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED RECEIVED BY BUILDING INSPECTOR DATE Z —lZ— l2 - / Z 00 ��T�' �crr.»te�uir:rlr.� cf. �llt�tr�u}Er�3 .`' BOARD OF BUILDING REGULATIONS ' LIConso: CONSTRUCTION SUPERVISOR Number. CS 009544 Birthdate: 03MI948 Expires: 03/30/2002 Tr. no: 1900$ Restricted TO: 00 STEPHEN C BREEN 345 STEVENS Z2" --4o,4r4" N ANDOVER, MA 01845 Administrator Date... No . . .. . ....... "I'll, 01 TOWN OF NORTH ANDOVER 0. 0 miam. % PERMIT FOR WIRING z This certifies that ......... ........... ............ / ............................ has permission to perform ........ . ............ . .......................... wiring in the building of ........ ........................................ 'o' " I at ... / ........ ....... ................................ North Andover, Mass ................. 4 .................. ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer JIM* (lU1Y1mulyWCALl"UPAL4XVH(..L WEI113 du`ceceusenilly DEPARTMF.NTOFP NICS41M Permit No. ✓ () BOARD OFMEPREYEWONRWUMT10AN527CMR 12:00 ' Occupancy &Fees Checked APPLICATIONFOR PERMIT 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) Date I - Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) /0A1 14L S44- 4 - Owner or Tenant 6 m L4-(- K C' r-' i't Owner's Address 3S -(o d6ko-T-T orh TAIA.,- is this permit in conjunction with a building permit: Yes No Purpose of Building ok ctvUe 10 Existing Service Amps Volts New Service U 0 Amps v /� Volts ,Number of Feeders and Ampacity Overhead Overhead Location and Nature of Proposed Electrical Work AJ12VJ To the Inspector of Wires: (Check Appropriate Box) Utility Authorization No. S UndergroundNo. of Meters Underground RNo. of Meters i No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units 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 Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other o. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of q 1 Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER L�strarreCo�rage Arrst>iribthet8gtvearta��Ga�aalLz!ws Iha,,eawautIiabtlitylnstra=PobymAdTCaTpk* Comagecritsakst>tia e*ivtlet YES EJ NO Iha%esubn&dvatidptoof0fs3re1DfC0lireYES Qq NO r --J If}cuhmechaJwdYES, pleasemdic*thetypeofwmagebydm1dngthe appLp box, Il5SURANCE FM BOND MIER F (P=a9eSpacifY) D*dtimDtale Esti n*d Vah dEkchiral Wak $ WcrktoStat /�- 7 - d) „D*�I� get _ �/�// r .� .�. Fetal Sighed unda�ie Rtalties °fpetjtay: Z -g w � A✓ C� �-C,1-r7 C-6 - FIRM NAME Ljoatsee Cho Sy'11� 14 aa-- Zt w� SigrMleC-t=, ;n t �I;oaseNo /l i P -714 jj� / Busi=Tel.Na Add ms 4 Z ��/�,� e5k' % �of A4 ] AA Alt TeLNa OVVNER'SeqgJRANCEWAIVM-I.ama%=dAtbeLimwdbesict theinstxmowmaWoritssthtr>tialegtrivalataste#WbyMassadnsettsGexdIam andthatmysirnthspeun¢appfiratiott thisre�sr� (Please check one) Owner Agent `�`' Telephone No. VC PERMIT FEES Date... TOWN OF NORTH ANDOVER 0 - PERMIT FOR WIRING This certifies that ........ �j ...... C -k .................................... ............... x ................... k has permission to perform ............... -/ .............. . wiring in the building of ............ ........... ... 4�- ............. at... ...... . ............... :�orth Andover, Man. Fee.... ........... Lic. No. e'l .......... ..................................................... .......... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �i' The Commonwealth of Afassochusetts 0!(lce Use / Department of Public Sofety U9 I Occutuncy b fee checked BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 3/90 (have blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance With the Macc.achuseru E)tetr{cal Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL IIF0 ION) Date ae /01 City or Town of 1/ 1 Q nY/� To the Inspector of giros: The undersigned applies for a permit to perfgrm the glectrical work described below. Location (Street bs.Lfumber) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Namber of Feeders and Ampacity Location and Nature of Proposed Electrical Work /n r, n / 1q E7fP V 1 t No. of Lighting Outlets No. of Not Tubs No. of Transformers Total 1NA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ grnd. grnd. Generators . KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency LightingBattery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. Sdin Devices o. oSounding No. of Selk Contained Detection Sounding Devices Local ❑ Municipal ❑Other Connection No. of Ranges No. of Air Cond. Total tons No. of Disposals No. of Heat Total Total Pumps Tons RW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water heaters KW No,f SinsBallasts Wirinoltage No. Hydro Massage Tubs No. of Motors Total HP 1 INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO I have submitted valid proof of same to this office. YES ❑ NO El If you have checked YES, please indicate the type of coverage by checking the appropriate box. r INSURANCE% BOND ❑ OTHER ❑ (Please Specify) piration ate Estimated Value of Electrical Work S , Work to Start Inspection Date Requested: Rough Final Signed ti- •ter Lh Pena ties of perju �•: FIRM NAME11 0 LIC. N0. I l 3 Licensee Signature LIC. NO. 1 Address le INC. Bus. Tel. No. 4 KIDDER Alt. Tel. No. Sfay OWNER'S INSURANCE WAIVED �t at the Licensee does not have the insurance coverage or is sub etantial equivalent as*r y��0IiusettiCeneral Laws, that my signature on this permit application w8vaWI �I) it33LL gent (Please check one) 978-256-4845 Telephone No., PERMIT FEE S Signature of Omer or Agent c�`jt I I Date. � -) . . . . . I TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING /? / , - - 7 � �� j 'e/ ................................. This certifies that . . . . .� . ./ r has permission to perform .... .............. plumbing in the buildings of ... ........ at. . �-14 . ........... North Andover, Mass. Fee... .71-ic. No.. ....... .1. :_7 ........ PLUMBING INSPECTOR Check# MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) ^v NORTH ANDOVER, MASSACHUSETTS v Building Location / 57— Owners Name OUI'� talk of N11" Date 14"¢01 D f Permit # Amount New Renovation Replacement Plans Submitted Yes No FXT'JRES • • .i ilk -------------------------- will:Will (Print or type) pp Check one: Certificate Installing Company Name /i9i� at --7-7-19-/" 4Z ❑ Corp. Address a / %3 //1 411El Partner. Business Telephone 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 Signature Owner ❑ Agent 11 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 State Plumbing C��ter 142 of the General Laws. By: Signe of 1-icensea riumDer Type of Plumbing License Title �d City/Town icense NumDer Master El Journeyman n APPROVED (OFFICE USE ONLY 1� MASSACHUSEnS UNUMMAPPUCATONFORPERMUTO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Ll - Building Locations �� %��� �' % % Permit # 3 JF-)7 Amount $ Owner's Name vl_ L oo /3 A G New El Renovation 1:1 Replacement ❑ Plans Submitted (Print or typ Check one: Certificate Installing Company NamevTTrF ❑ Corp. Address Al D O152 Partner. Business Telephone g? 7 Y/ Firm/Co. Name of Licensed Plumber or Gas Fitter 4 FG /,? t/ /%TT /' e INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1:1 No 13 If you have checked }_es, please indicate the type coverage by checking the appropriate box. Liability insurance policy 0 Other type of indemnity 1:1 Bond 13 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 E] Agent 13 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 State Gas Code and Chapter 142 of the General Laws. awn 'MED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber ` -,- ezp Gas Fitter License Numt5er Master I�T1 Journeyman U a vi O o rn x F tW7 .wa x w F z pF w z cn F W O z O O� W (ilk0. I'k Q G °z x x �' w a ° a F V ve F z H z H w o w w H z gx o A x ow 3 a a° ox > 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 typ Check one: Certificate Installing Company NamevTTrF ❑ Corp. Address Al D O152 Partner. Business Telephone g? 7 Y/ Firm/Co. Name of Licensed Plumber or Gas Fitter 4 FG /,? t/ /%TT /' e INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1:1 No 13 If you have checked }_es, please indicate the type coverage by checking the appropriate box. Liability insurance policy 0 Other type of indemnity 1:1 Bond 13 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 E] Agent 13 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 State Gas Code and Chapter 142 of the General Laws. awn 'MED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber ` -,- ezp Gas Fitter License Numt5er Master I�T1 Journeyman HO�iy 0• ...e .,,40 0 _ Town of •`�__,���_��� NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: O PROJECT: iN� t� �� -� �r JA RIN I DATE: '3 ^` —cpce UNIT NO.: FLOOR: WING: BUILDING NO.: Q n 9 b L. 31 MIL( REMARKS: CST— Ip R 4- Ali P-) f3og Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: – t r) — O 1 Date: Date: c InspectorCX^—Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector. Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector. Inspector 'ire Dept - jil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: —Cof 0# Inspector Inspector. Inspector norm 1Fxr0 Action rress, ooa-mm