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HomeMy WebLinkAboutMiscellaneous - 10 SILSBEE ROAD 4/30/2018 (2)o L CO m m. D v .f TOWN OF NORTH ANDOVER �iORTy Office of the Building Department f � Community Development and Services 1600 Osgood Street, Bldg. 20, Suite 2035 North Andover, MA 01845 978-688-9545 SSACHUS Donald Belanger— Inspector of Buildings August 3, 2016 To: Jody Allen Fr: Donald Belanger Re: 10 Silsbee Road, North Andover, MA Dear Ms. Allen, Per the Zoning Bylaw of the Town of North Andover definitions of family and family suite are stated in Section 2.37 and Section 2.37.1 respectively. Those definitions are intended to keep the family structure together to allow family member(s) to take care of their loved ones. The family suite must be part of the single family dwelling and not a separate apartment, as long as the family (as stated in Section 2.37.1 Family Suite) live in the single family dwelling, and clearly define who will occupy the Family Suite so as to be in compliance. I find the Family Suite application for the above property comports with the full intent of the Zoning Bylaw of the Town of North Andover, Section 2.37.1, Family Suite. If the trustee owner resides in said Family Suite at the above address that does not change the fact that the trustee is a family member of the household. Cc: Zoning Board of Appeals Sincerely, —oat Donald Belanger Inspector of Buildings Zoning Enforcement Officer .i LcDJ_� t5-12 rl l- q_.J��/: ��-/ �L-o: r' ✓..f.�_S GTir.L_ uJg L_ G 1� j4N.D �✓d7_���'�Gz�JT� �ti�2i ��N��S.�-�S-� 4�;r_ ►?' PULP i� '2� '` .f 09 I find the Family Suite application comports with the intent of the bylaw where the Trustee owner resides within the dwelling and or family suite dwelling unit as a family member of the household. OCL A4 I e 1� -e t- Roo, OL PC) A-Kd6 v -e r NORTFI Zoning Bylaw Review Form o Town Of North Andover Building -- '° 1600 Osgood St. Bldg 20 Suite 2-36 �9Ss"`"°5 try North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Department Street: 10 SILSBEE ROAD Ma /Lot: MAP 20 PARCEL 29 ZONE R4 Applicant: JODY ALLEN Request: SPECIAL PERMIT — CONSTRUCT A FAMILY SUITE Date: May 25, 2016 Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning Remedy for the above is checked below Item # Special Permits Planning Board Item # Item Notes Setback Variance Item Notes A Lot Area Common Driveway Special Permit F Frontage Variance for Sign 1 Lot area Insufficient Independent Elderly Housing Special Permit 1 Frontage Insufficient Earth Removal Special Permit ZBA 2 Lot Area Preexisting Planned Residential Special Permit 2 Frontage Complies X 3 Lot Area Complies X 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies X 4 Special Permit Required X 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies X 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient X I Building Coverage N/A 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed v X 4 Insufficient Information 2 In Watershed j Sign N/A 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking N/A 1 In District review required 1 More Parking Required 2 Not in district X 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parking Remedy for the above is checked below Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit X Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit X Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non -Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit Special permit for preexisting nonconforming Watershed Special Permit The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new permit application form and begin the permitting process. Building partnt Official Signature Appl cation Veceived Applic tion Denied Denial Sent: If er/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: Item I Reasons for Reference B-4 I A SPECIAL PERMIT FROM 4.122.22 OF THE ZONING BYLAW (FAMILY SUITE IN THE R-4 ZONING DISTRICT) IS REQUIRED FROM THE ZONING BOARD OF APPEALS. SECTION I VARIANCE TABLE 2 SUMMARY OF DIMENSIONAL REQUIREMENTS 7.3 1 Required 30', Proposed.16.69' Referred To: Fire X Health Police X Zoning Board X Conservation X Department of Public Works X Planning X Historical Commission Other X Building Department This certifies that ..'........ /� .....................`. has permission for gas installation .. �' ?.S....S t o U ` 7 T in the buildings of. ...................................... . at .../.U..... .� . �`�� ............. . . No h Andover, Mass. Fee t/ . Sv.. Lie. No. v 3 .. .......4j . ........ ... GASINSPECTOR Check 4 / 3 -) 3 ,r -Q, MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK W CITY -�1 �. F _ /�' tet- -� MA DATE PERMIT # JOBSITE ADDRESS �V ]OWNER'S NAME F ' lit/ GOWNER �.// ADDRESS -e TE FAXE.y TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL -.-_I EDUCATIONAL I RESIDENTIAL CLEARLY NEW: J RENOVATION: [_�. REPLACEMENT: PLANS SUBMITTED: YES Q NO C1 APPLIANCES 7 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER-- COOK STOVE —j _,. _ _ -J DIRECT VENT HEATERr_-__J �._ DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE [— i _ l ...-_ _ I- ---,_ �.. - ,�_I�._ J 1 J= 1 . - - INFRARED HEATER -- _ ..- - J 1 __---_.-_��I I _._ _ Ll-j -i LABORATORY COCKS I- _.. {- l.1.--�_I I- MAKEUP AIR UNIT_...... OVEN._ POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER_ UNVENTED ROOM HEATER WATER HEATER INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MOL. Ch.142 YES [TN0 [ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [_ OTHER TYPE INDEMNITY BOND [__I OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER -_�_I AGENT SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliar)cev/' all Pe inent p vision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 6' PLUMBER-GASFITTER NAME - y � ��W � LICENSE # n ZIGNATURE MP El MGF [ ,� JP [--Jl JGF [JI LPG] _] CORPORATION [.O€33 I—q- PARTNERSHIP D#= _ LLC .�_ I# COMPANY NAME:_v(r ----. �.._-_-----I ADDRESS CITY '?a t3 . .� �-•-�. STATE _44 °g--1 ZIP t7_l TEL- FAXPlot MAIL ---.._...._.. - -- -- - -- - - H O z 0 H U W P-4 w z rl d O N El r W � ~ w tH a Z U w 4* 3 �a 3: � w a LUa a LU LU 0 w W w N a zO w a a c U �y J H a a a � w x w LL UD W H O z z 0 0 H U W C�7 C7 °a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le�><bly Name (Business/Organization/Individual): Address: City/State/Zip: Phone- #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ElI am a general contractor and I employees (full and/or part-time).* 2. ❑ I have hired the sub -contractors am a sole proprietor or partner- listed on the attached sheet. t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] 3. ❑ 1 am a homeowner doing all work officers have exercised their 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 reauired_1 Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 1 I.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks box #I must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. 1 an employer that is providing workers' information. compensation insurance for my employees. Below is the policy and job site Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: lob Site Address: City/State/Zip: tttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). ,ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 fine )f up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. 'i nature: Date: UJJrctat use only. Do not write in this area, to be completed by city or town official. 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 #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. ## 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia Date .........:.. . TOWN OF NORTH ANDOVER � �:.� .� - - • °oma PERMIT FOR PLUMBING r • w This certifies that ... ?a.-.. -!- ........................... . has permission to perform . r-- .-,, "�`�`..''�'% 'h' ........ . l plumbing in the buildings of .......................... at. ............................ , North Andover, Mass. Fee,-? .. Lic. No.' rQ-................ QO PLUMBING INSPECTOR Check # 83`3 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS r BuildingLocation Q / S �� /t Owners Name ��U i 1f�1%�/id Date /� Permit Type of Occupancy 4Ve s/�ry Amount l 3a New ri Renovation 0 Replacement M Plans Submitted Yes E] No FIXTURES (Print or type) L L O RAA✓ Check one: Certificate Installing Company Name_ 141187 �` UM vJ 1 dy ❑ Corp. Address - 16 �� i S`% DRT� /NQ,oU?/L pJvl/� Partner. Business Telephone 97 3-- /- //��,�L Firm/Co. Name of Licensed Plumber. X141%/r ltl Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy El Other type of indemnity ❑ Bond a 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 El 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 Plumb4'ig,Code and Chapter 142 of the General Laws. r By:'Signature of Eicensea rlumner Type of Plumbing License Title W3 City/Town icenseUMDEF Master Journeyman r APPROVED (OFFICE USE ONLY ® y� -1 � 40 2 Date.. � � ................ TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 4�es- , '.' This certifies that ... kl� .1 ...._-e..".:_ ..... ......... has permission for gas installation ........... in the buildings of ....E1'.el— ................................ . at .......... North Andover, Mass, Fee .7�."__.. Lic. No:. 5'/�/*�.�� .......... GAS INSPECTOR Check # 9,7 - 70o3 MASSACHUSE I S UNIFORM APPUCATON FOR PERMrr TO DO GAS FTrrING (Type or print) Date % 2,— NORTH ANDOVER, MASSACCHUSETTSj,� f sJ Building Locations 1 a �G� t ' ` '✓ Permit # /o 83 Amount $ Owner's Name New RenovationEl VA -i Replacement n Plans Submitted • OO • iiiiiiiiiiiiiiiiiiii • iiiiiiiiiiiiii OO OO (Print or type)l �/ I /i./4� /0G 01,41lsl Jlj C❑ Corp, heck one: Certificate Installing Company Name �/ Address Al C S 7' (/ n/u /",4 Name of Licensed Plumber or Gas Fitter 75—A4 0/fi�✓✓ Partner. Firm/Co INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No O If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy El Other type of indemnity 1:1 Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent 1 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. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ® Plumber o2 7 FO J 3 Gas Fitter License Number Master Journeyman Ge 1 Date .....1./ ...... TOWN OF NORTH ANDOVER A p IE PERMIT FOR WIRING S 1 ..f... .c.... ..This certifies that .........o. .. .0......... ................. has permission to perform.'. .��^ `. �.!.........! ��. Q- ..... . . wiring in the building of . s. ,. . L `� ` � 0 + .................................................. . North Andover, Mass. Fee—. .-91�.. Lic. NoQ '.. ............................................................... ELECTRICAL INSPECTOR t4 rl-r4 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer OMce We only 014E C�!DIl muni talth IIf fffimadpitts Permit No. itpartmtnt Qf Pubiic *ufttq Occupancy A Fee CNickats BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 yso Pam blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK q All work to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12.00 1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date R)ir or Town of _ NORTH ANDOVER To the Inspector of Wires The udersigned applies for a permit to perform the electrical work described below.' Location (Street & Number) a Owner or Tenant Owner's Address ; Is this permit in conjunction with a building permit: Yes _ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorizatiro--n�� No. Existing Service Amps _J Volts Overhead : _t Undgrnd No. of Meters •''4 New Service Amps _1 Volts Overhead Unagrna C No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical WorK No. of Lighting Outlets I No. of Hot ' s I No. of Transformers Total KVA No. of Lighting Fixtures i Swimming Pcot Aocve.— in- r grro. _ grno. I Generators KVA ' No. of Receotacte Outlets I No. of Oil corners No. of Emergency Lighting I Banery Units No. of Switch Outlets I No. or Gas ?urr.ers FIRE ALARMS No. of Zones No. of Ranges I No. cf Air C-r..c. oma' No. of Detection and :cns Initiating Devices No. of Oisoosats I No.of Heat oma' -,otai Puros :ons KVJ No. of Sounding Devices {i No. of Sett Contained r; No. of Dishwashers I SoacerArea Heat rg KW OetecttordSounotng Devices f� No. of Oryers I Heating Cev ces KW Local Muntcical -Other Connection No. of t Low voltage No. of Water Heaters KW Signs ea lass Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: �• I INSURANCE COVERAGE. Pursuant to the reouuements cr %lassacalsers ;eneral Laws I have a current Liability Insurance Policy tnctubtng Ccmo!etec Ccerauons Coverage or its substantial equivalent. YES = NO — 1 have suomutea valid proof of same to the Office. YES NO = If you have checKeO YES. Please indicate the type of coverage Gy ' checking the aloproohate box. 4 INSURANCE = aONO = OTHER = (Please S--ec:"�I Estimated Value of Electrical work S (E,taratton Oete1 Work to Stan Insoec:ton pate Aacues:ec: Rough Final '• Signed under the Penalties of perjury: FIRM NAME UC. NO. Licensee Si azure 5 Bus. Til. No. Address Alt. Til. No. t. OWNER'S INSURANCE WAIVER: I am aware that the L:censes cees not nave the insurance coverage or its substantial equivalent as rw , gturea by Massachusetts General Laws. ano that my signature � r.+s -ermn aopttcation waives this redutrement. Owner Agent (Please cneck onel' eteonone No. PERMIT FELE S (Signature of Owner or Agents The Commonwealth of Massachusetts Department of Public Safety BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 Office Use 0"K.// 77 Permit No. ` l/ Occupancy & dee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code. 527 CMR 12:00 q /y (PLEASE PRINT IN INK OR TYPE ALL InNF�O/R{H�AT�I/ON) Date / CO , / City or Town ofZ�z 77'/�LJd V To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number Owner or Owner's Address V Is this permit in conjunction with a building permit: Yes )0 No ❑ (Check Appropriate /Box) Purpose of Build in Utility Authorization NO._m Existing Aervice Amps Volts Overhead E]Undgrd 11No. of Meters NewService _Amps 62a /62-0 Volts Overhead ® Undgrd ❑ No. of Meters Number of Feeders and 6 Location and Nature of Proposed Electrical Work i;,/r xt, 1-n "'o �t4 rI /"q y/, vii No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures No. Swimming Pool gmae ❑ In - ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. Emergency Lighting Batter Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges No. of Air Cond. tons Initiating Devices No. of Sounding Devices No. Self Contained tion/Sounding Devices Detection/Sounding Local 1:1Municipal ❑Other Connection No. of Disposals No. of Heats Total Total Tons KW No. of Dishwashers S ace/Area Heating KW P No. of Dryers Heating Devices KW No. of Water Heaters No, of No. o Sijtns Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ® NO ❑ I have submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) 9/16/911 Expfration ate Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Signed under the penalties of perjury: FIRM NAME CONTINO ELECTRIC & CABLE INC. Rough Final LIC. Nn.&19 8 3 LIC. NO E26788 1 DONOVAN DR. WEST NEWBURY, "- Bus. Tel. No. 1J0813V3=5 - Address lei 019 8 5 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this pe it application waives this requirement. Owner Agent (Please check one) // j►/� Telephone No. PERMIT FEE S i 6 Signature of Owner or Agent ""- This certifies that ...... has permission to perform ..... ....... . ................... wiring in the building of ...... �S t -AN ....... cs)Y�J..: .................................. at../O ....... S cl.,pt ........ ed ......................... . North Andover, Mass. C)" Fee. .......... Lic. No...&.111P.1 Vj� q4 cq ELECTRICAL INSPECTOR (A ��icant' -() - 7 - Y// 50. 00 PAID fVHITE: CANARYALIAIR 6W PINK: Treasurer T') Date ... /0/, r, H97 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING $ACH This certifies that ...... has permission to perform ..... ....... . ................... wiring in the building of ...... �S t -AN ....... cs)Y�J..: .................................. at../O ....... S cl.,pt ........ ed ......................... . North Andover, Mass. C)" Fee. .......... Lic. No...&.111P.1 Vj� q4 cq ELECTRICAL INSPECTOR (A ��icant' -() - 7 - Y// 50. 00 PAID fVHITE: CANARYALIAIR 6W PINK: Treasurer ottlee U.e Onk. The Commonwealth of Massachusetts Pe.,not occupaaer i Fw Checked Department of Public Safety 3/90 (leave stank) rq BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code. S27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date I/ /.5,l T % City or Town of AZ(% _4 H 7,121/1 Z To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) / d S/ is a C1�5 R Owner or Tenant 13 2 U C_ F �A/ L L E& -�^ A Owner's Address F2 F L UN E .5 / 0 ° 11/YP VEA A4 Is this permit in conjunction with a building permit: Yes 1K No ❑ (Check Appropriate Box) Purpose of Building S H4 -L E F-4/411- Y Elam F_ Utility Authorization NO. 7627 L/2 Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service lar Amps 12,0 / 1qy0 Volts Overhead ®, Undgrd ❑ No. of Metes Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work OTHER: 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 ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) 9/16/9.§ Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury;, FIRM NAME CONTINO ELECTRIC & CABLE INC. o7 LIC. hn.&1983 Licensee LOUIS. CONT I NO Signatur LIC. NO E26788. Address 1 DONOVAN DR. WEST NEWBURY, 01985 Bus. Tel. No. J to 08 ) 363=5TZ'U1_ Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE o Signature of Owner or Agent ,- Total No. of Lighting Outlets No. of Hoc Tubs No. of Transformers INA No. Lighting Fixtures of Li 8 Swimming Pool Above In - 8 grnd. ❑ grnd. ❑ Generators KYA No. Emergency Lighting No. Receptacle Outlets of Rece p No. of Oil Burners BatteryUnits No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges No. of Air Cond. tons Initiating Devices No. of Sounding Devices Disposals No. of Heat Total Total p� KW No. of s T ns No. of Self Contained Detection/Sounding Devices Local ❑ Municipal ❑Other No. of Dishwashers Space/Area Heating KW Heating Devices KW No. of Dryers 8 Connection No, of o. o Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: 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 ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) 9/16/9.§ Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury;, FIRM NAME CONTINO ELECTRIC & CABLE INC. o7 LIC. hn.&1983 Licensee LOUIS. CONT I NO Signatur LIC. NO E26788. Address 1 DONOVAN DR. WEST NEWBURY, 01985 Bus. Tel. No. J to 08 ) 363=5TZ'U1_ Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE o Signature of Owner or Agent T42 12 79 Date .......................... 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING SS�CHU This certifies that ... d-,- .......... . . ......................... . ..................................... has permission to perform ... . .. .. ......... wiring in the building of .4-tl .. �- ......... �-; .................................... at ... .................... . North Andover, Mass. Fee! 'K..'VV... Lic. NOA.9pW ............................................................... -7r ELECTRICAL INSPECTOR 11/06/9714:13 WHITE: Applicant CANARY: Building Dl,&.00 POW: Treasurer I \v. 1 �1L_L1 I i•i F O I w -nine Z • , 1 A A z M ., aZ. z n 1,1 Y Iw7 m M w gO z z i r O V A i O O C N Y • C w r ia w n S III r 0 z N A 7� O • ` I. y.� i• 1 �, 0 I11 C w r 'N •_ b > w > w z M • C1 � -.>�1 n >> m m w anA 0 AZ. 0 a � v _ 'n M l _ � po 1 Lp w w x Q� rr- � � �} A Ap C C 1 Q w II� I I ` I ( ! z A. �1L_L1 I i•i F O I w -nine Z • 2 O 0 1 A A z M ., aZ. z n 1,1 Y Iw7 m M w gO z z i r O V A i O O C N Y • C w r ia w n S III r 0 z A A 7� O • ` I. y.� i• 1 �, 0 I11 C w r is Ir.. I • ' r 1 �, I � �Yss jV ; � 1 1 1 z M • C1 � cl r m tLI l'! AZ. 0 a � v 'n M l _ � 1 Lp Y Q� � 1 v 0 a 0 E z. w E m MI a, C 0 4 ...�. �1L_L1 I i•i � �. f � , Z • 2 O 0 1 A A z M I' Iw7 m M w gO Z 1 a A w � V A i A M M • C w r ia w n S N r 0 z A A � 0 y.� i• 1 �, i I is Ir.. I • ' r 1 �, I � �Yss jV ; � v 0 a 0 E z. w E m MI a, C 0 4 O � Z • 2 O 0 1 A A z M Q Iw7 m ' w gO Z 1 a A w � V A i A M M • C w r ia w n S N r 0 z A A � 0 y.� $ i < o cl m l'! v _ � Y Q� � 1 Q v 0 a 0 E z. w E m MI a, C 0 4 O � M m • 2 O 0 1 A A z M Q Iw7 m ' w gO Z 1 a A w � V A i A M M • C w r ia w n S N r 0 z A O i � O z ' X u cl m l'! v Y corn ptan rigine' address. city= ohone # insaranee:cn nnliev>!! .. I am a sole proprietor, general contractor, or homeowner (circle one) and the following workers' compensation polices: contractors listed below who have Failure to secure coverage as required under Section 25A of MCL 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 DIA for coverage verification. I do hereby cerci nder th pains a pe !ties of perjury that the information provided above is true and correct Signature Date 9 L2 -le Print name l9 Phone # ,09 4,67-764. official use only do not write in this area to be completed by city or town official city or town: permit/license # OBuilding Department ❑ check if immediate response is required contact person: (revised 3/95 PJA) pLicensing Board OSelectmen's Office pHealth Department phone #; 00ther A y Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. y.G._ai„ /,��h City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. as' a M-0110 The Department's 1h 4 ii4rL:'L :7 ::`,_.it?ib '^�� i /i i�•=��!t:P:�:�...: Mce all hivestigaliolis 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 Growth Management Bylaw Exemption Statement Town of North -Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit (below) Address of Property four /Permit (below) Jt. Cf r G � ✓ Zr ,�i ., /0 S1 lS b Pe_ K.d Map and Parcel: Purposeof Application (check below) a p Phgnee Number of Applicant: _ Single Family _ Two Family 0 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 North Andover 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 of the 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 of the 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 7as of the effective date of this by-law, provided that no additional residential unit is created. lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this 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.care met and/or represents Dwelling units for senior residents, where occupancy of the units is restricted to senior persons 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 a part of a development project which voluntarily agreed to a minimum 40% permanent reduction in density, (buildable lots), below the density, (buildable lots), 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 and/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 parcel an the effective date of this Section 8.7 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 lot which is ready for building permits,(i.e. 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 supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed 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 and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knowled a or ot, is gr un for refusal by the Building Department to issue a Building Permit. ignature of Ofifidior Authorized Aqent who signed the Attached Buildina Permit Date form mW be attached to the Building Permit upon application for such permit. �M FORM U I,OT R -ELF -ASE FORM ` INSTRUCTIONS: This form is used to verify approvals/permits from Boards and pe that all have been obtained- patents havin necessary landowner from compliance �� es any aelieve the applicant ia and/or A regulations or re applicable lolr ate la requirement or state laY, ****************Applicant APPLICANT; fills out this se Ction****************# de LOCATION: Assessor's Map Number Phone Subdivision Parcel Street Lot(s) — �a ************************St. Number Official RECO Use Only************************ / DATIONS OF TOWN AGFNMTS: V'/_ Conserva ion Administrator ate Refected Date Approved D Comments Town Planner "A,. Comments - -- Food Inspector -Health G `"etc spector-Health Comments Date Approved ( q Date Rejected Date Approved Date Rejected Date Approved Date Rejected f Public Works - sewer/water connections Jdriveway permit Fire Department Received by Building Inspector Date �_ I PLAN OF LAND LOCATION NORTH ANDOVER, MASS. I l_ OWNED BY _ nwrncSisx BRUCE ALLEN { srn r SCALE: 1"= 20' DATE: 12/16/96— f^"—'-`-� —�L� � su_sw.e xnAd_ 0' 20' 40' 60' p x -- D I- - AD SCOTT L. GILES, R. P.L.S. _ I'=°"'1__ FRANK S. GILL'S NORTH ANDOVER, MA. :LOCUS: ZONING DISTRICTR-4. ASSESSORS MAP 20,PARCEL;17,18. / LAND COURT 81-1 17,CERT. TITLEII 11028. `�1x or THIS IS TO CERTIFY THAT I HAVE CONFORMED ,°3 6 WITH THE RULES AND REGULATIONS OF THE R REGISTERS OF DEEDS IN PREPARING THIS PLAN. L S .1,RASK 13 7 $ THE PROPERTY LINES SHOWN ARE THE a9�'311 LINES DIVIDING EXISTING OWNERSHIPS, AND ^^ 11xo° THE LINES OF STREETS AND WAYS SHOWN 12116/qG ARE THOSE OF PUBLIC OR PRIVATE STREETS r OR WAYS ALREADY ESTABLISHED, AND NO z� NEW LINES FOR DIVISION OF EXISTING EXIST. LOT 17;18 OWNERSHIP OR ARE SHOWN. GARAGE —NEW �.,WAYS � �E4i l2(�6/46 X NORTH ANDOVER BOARD OF APPEALS '1 �tlGrtt / DATE, OF HANG. �2•%/ • 7_b DATE OF HEARING: / :!vV—l7 DATE OF APPROVAL AJ// /,q / F 5�6 f PROPOSED I BUILDING I_ N/F c 40' STEWART <I . 1.=60.69- 53.6X'10 CORN . R=409.29' L=119.83' _OP liEl2RICK KD. SILSBEE uWl,i.Ii,ITO ROAD w N/F BOARDMAN i L.OT3A&4A N/F R N/F .1,RASK ALLEN CN/I' %RD 47.4 6 30.uY 1` I8 S32°.20 _ . 6743' S2'°'33170.0U' z� LXjSriNG o EXIST. LOT 17;18 a GARAGE TOT. =13,9x8 S.F. s' 2_6 / F 5�6 f PROPOSED I BUILDING I_ N/F c 40' STEWART <I . 1.=60.69- 53.6X'10 CORN . R=409.29' L=119.83' _OP liEl2RICK KD. 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Y'► O a pL01T Er W I N H m y p N o =r o 9D = o : n to 1 _ ..► .� O W O m S =r' Z' f N a �.m . �o o o m mcc ti CD w H O d h co) CSL N C � W O _ d CL N * O f0 N y m m to o 'd CA co M •p O � 'rt y fir• 1 Ime i o: m m G7m � � •fli r' C7 TC -< d d a-) C C) n _ �oCU co C2' M 0" �O .y A 0=3 09 0 "b4 i \/ ° y W ° x o o CA CLo ( ^� O 0 O O 0" �O .y A 0=3 09 0 "b4 i CERTIFICATE OF USE & OCCUPANCY Town of North Andover BUINIiq Permit Number Date- ex /"3 /2 THIS CP.rtfa'IFS THAT THE BUILDING LOCATED ON /0 MAY BE OCCUPIED AS iU 6 ZP1/ IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO p ` ADDRESS '4P CHU ;41PinIn�spe or ON i� (i B O 0 U ICD Ccm O •� Q C CD M O O 'E m m CD co LM CL ~ ♦.r �3 CD goo cc O a- c cC o_ � c cc c Z 0 CL V y i c C C 0 y 0 U04�_ c o a q. 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LLJ- LU m,9 U- IL C, In IL IS1' tO x- 0 mZt�L f W - m F- X J - Q sN S =I Nf U- zi �_� U- 0 A w b w > w t 10 0 • z'' > w g w • 2SoJ _ .= s M .• 0 X A A z i w 0o.s 0 o A ., 7 , N L r O N L • An I��1 -1 -1 > � 4 A 0 0 : N v > 0 0 - - z Z f r b 0 c » " _ w i Z YI G 4'+ r r x A n z 2 0 C t 0 w p Z A w Z UI Z �c PI �m G yCo "rl a p r -n ,i i • M' w e 71 s • z'' 1 g 2SoJ � L PI X A A z Z 0o.s M x L ,8 s L = c c r f r Q x z x R� V 4'+ r r 0 n z 2 t M' F w e 71 s • z'' 1 g 2SoJ � L PI Iq z Z = M x L ,8 s = c c r r x z x 4'+ r r 0 n z 2 t F w e s • z'' g 2SoJ � L PI Iq z Z = M x F w e z 2SoJ z Z = M x L > s = x M x = x 4'+ • t ,i 1 ' RECEIVED �o EE MAURAVI NORTH ANL HORTM OF ,�ao 9:y JAN iz O 1 my 29 f' •:; : �` TOWN OF NORTH ANDOVER MASSACHUSETTS 9 NOTICE OF D SION Any Appeal shall be filed BOARD OF APPEALS within (20) days after the date of filing this notice in the Office of the Town Clerk Propert Bruce and Jody Allen Da-te: 10 Silsbee Road petit ATTEST. .A: True Copy 4� * Town_ Clzrk - it . , th; ' Evenly x cla2sad t: _._ data of da:ision cued ;tfiling of an app4mL Cateze� —/j / 9%_ Jnyce A. Sra&haw T_. nClerk 10 Silsbee Road January 21, 199" on: 042-96 North Andover MA 01845 Date of Hearing: 1/14/97 The Board of Appeals held regular meeting on Tuesday evening, January 14,1997 upon the petition of Bruce and Jody Allen requesting a Variance under Section 7, Paragraph 7.3, and Table 2 of the Zoning By - Law seeking relief of side set back and rear set back for an existing garage on a lot at 10 Silsbee Road. The following members were present and voting: Walter Soule, Raymond Vivenzio, John Pallone, S L . cott Karpinski & Ellen Mc1rltyre. The hearing was advertised in the Lawrence Eagle Tribune on Dece'm'ber - 27, & December 30, 1997 all abutter were notified by regular mail. Upon a motion by John Pallone, seconded�by Scott Karpinski the Board voted unanimously to Grant the variance under Section 7, Paragraph 7.3, in the R-4 Zoning District for the relief of side set back of 7' and the rear setback of 25.5' for an existing garage on a lot at 10 Silsbee Road. Voting membes were: Walter Soule, Raymond Vivenzio, John Pallone, Scott Karpinski & Ellen McIntyre. Petitioner has satisfied the provisions of Section 10, Paragraph 10.4 of the Zoning Bylaw and that the granting of these variances will not adversely affect the neighborhood or derogate from the 2intent and purpose of the Zoning By law. Note: The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily ensure the granting of a Building permit as the applicant must abide by all applicable local, state and federal building codes and regulations, prior to the issuance of a building permit as required by the Building Commissioner. kL William Sullivan, Chairman PLAN OF LAND LOCATION NORTH ANDOVER, MASS. OWNED BY MIDI LESF.'z lrl'. BRUCE ALLEN sITE 11 1 _ SCALE: 1"=20' DATE: 12/16/96 m 1 SII.' S111:1i ROAD 0' 20' 40' 60'r. a SCOTT L. GILES, R.P.L.S. EDMUND ROAD FRANK S. GILES I-� F NORTH ANDOVER, MA. :LOCUS: ZONING DISTRICT R-4. ASSESSORS MAP 20,PARCEI.,17,18, LAND COURT81-117,CERT. TITLE#11028. y�x Or THIS IS TO CERTIFY THAT I HAVE CONFORMED ai WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS IN PREPARING THIS PLAN. s — 13972 THE PROPERTY LINES SHOWN ARE THE \,/GPit LINES DIVIDING EXISTING OWNERSHIPS, AND 41 Ecxo'• THE LINES OF STREETS AND WAYS SHOWN 46 ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED, AND NO x' NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW ARE SHOWN. -- //WAYS ,Yr„yzsi �easi 12�/6�96 A 0 N N/F o_ ST'EWART 40 57.69' TO CORN. -OF HERRICY, RD NORTH ANDOVER BOARD OF O�F APPEALS DATE OF FILING: 440- JTJP DATE OF HEARINCL -97 DATE OF APPROVAL'AJI- ” LOT 3A & 4A N/F N/F ALLEN CARD 47.46' 30,02' 74.36' S 22° -33'-15" I E 70.00' EXIST. LOT 17;_18 TOT,13,948 S.F. �I PROPOSED I BUILDING N 148' wl 30'I L=59.14' L=60 69, 8=409.29' L=1 19 83' SILSBEE (40'WIDE.I'IIDI.IC) ROAD N/F 0 130ARDNIAN z N/F CXISTING TASK GARpcE 26.90' ss' S ' � x EXISTING °=� GARAGE x' 26' A 0 N N/F o_ ST'EWART 40 57.69' TO CORN. -OF HERRICY, RD NORTH ANDOVER BOARD OF O�F APPEALS DATE OF FILING: 440- JTJP DATE OF HEARINCL -97 DATE OF APPROVAL'AJI- ” LOT 3A & 4A N/F N/F ALLEN CARD 47.46' 30,02' 74.36' S 22° -33'-15" I E 70.00' EXIST. LOT 17;_18 TOT,13,948 S.F. �I PROPOSED I BUILDING N 148' wl 30'I L=59.14' L=60 69, 8=409.29' L=1 19 83' SILSBEE (40'WIDE.I'IIDI.IC) ROAD N/F 0 130ARDNIAN z I 0 % I& X21 3 �\ S � ! � CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MA. SCALE:1 "= 40' DATE: 10/12/97 Scott L. Giles R.P.L.S. Frank S. Giles 50 Deer Meadow Road North Andover, Mass. Zoning District R4 Assessors Map 20, Parcel 17,18 Land Court 81-117, Cert. Title #11028 L S� 0° �g,10W „ I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE 1h U. THE OFFSETS OF THE BUILDING INSPECTOR ONLY G� SHOWN COMPLY AND SUCH USE IS FOR THE WITH THE ZONING DETERMINATION OF ZONING BY LAWS OF CONFORMITY OR NON -CONFORMITY NORTH ANDOVER, MA. WHEN CONSTRUCTED. u►ao WHEN BUILT 10/ 97 • r� r cnr^ cn n O z� VJ O� z we C C H O Q N = a 0 �Co m a. m ao m T CA • �� to -� �a.-►a O �o m H O y N � o fmm a > > c -� to -�• o '� y c d ' Q' oma a a � o f � 06,w... cc o � ? �•/ � m m H V .� C7.0 C O O y O d co, h am Q CL N m CAH W W y CD 'Q o CA CD .+ r'• o m 1 . m y3 0 0 CD :,- -cQ oma: ate• co) O= ±► m � o. � v N FW C d rb 0 Cil m � 'L7 O CD (14 • C) Z y 06 �. SQ=)?cc: CL v CO) CA ro C-) o v CD CD o CLQ "C d CD CD O CCD C CD a. v CCDO) to �• O CD ' � O N om Z � � CD O ` CCD • r� r cnr^ cn n O z� VJ O� z we C C H O Q N = a 0 �Co m a. m ao m T CA • �� to -� �a.-►a O �o m H O y N � o fmm a > > c -� to -�• o '� y c d ' Q' oma a a � o f � 06,w... cc o � ? �•/ � m m H V .� C7.0 C O O y O d co, h am Q CL N m CAH W W y CD 'Q o CA CD .+ r'• o m 1 . m y3 0 0 CD :,- -cQ oma: ate• co) O= ±► m � o. �t��} 7 N p arc W rb 0 Cil m `l� I J w n ;z CC x T1 CL0 ro CA ro 7d 0 m C )Mq 0 0 c MASSACHUSETTS UNIFORM APPLICATION:FOR.PERMIT.: 0:D0`PLUt4S1 (Type or Print) ;; ..;• , NORTH ANDOVER ,Mass. } <. Date: FL. -1 Building Location eo Permit # Owners Name. New 12"" Renovation Replacement ❑ Plans Sylamitted ❑' FIXTURES (Print or Type)� L Che one: Certificate Installing Company Name (�%!'�{j1 Corp. Partner. Cj Firm/Co. Business Telephone Name of Licensed Plumber: --1-7"A4 �,a� Insurance Coverage: Indicate the type of insuflance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 Bond Li Insurance Waiver: I, the undersigned, have been made aware - that the licensee of i this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner LJ AgeneN ❑ I hcccby certify that all of dte details and informs lion 1 leave sultan iticd lot entered) in ab,sve application ire Itee and ut,le to Ute ptu a any knowledge and that all plumbing work and installations performed under rcrit, it i,sued for this applicatiors wiu be in tattlsliattoe Wilk .11 pelligetlt pjelp,i trisiom of the Massachusetts State Numbing Code and Chapter 142 0( llro Genual laws. , By Title City/Town: _A d0_Q_Q.\/_97li 1 • ±�2 3529 Date. /� ..?,��.� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..... G 4 1 ...... c v... ? .....: .......`.�. has permission to perform ....Aj, s ?+... kym f ... 6 .`!! l61- . plumbing in the buildings of . pA l .� ....................... at. ............. North Andover, Mass. ............................. . PLUMBING INSPECTOR C1i rl /0$710:59 2%00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer