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HomeMy WebLinkAboutMiscellaneous - 1001 GREAT POND ROAD 4/30/2018N O o Location No Date (�ZAA� NORTH TOWN OF NORTH ANDOVEFf, t Certificate of Occupancy $ Building/Frame Permit Fee $ ��s'••°''tom s�cwusE Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ �U Water Connection Fee $ TOTAL $ uilding Inspector 12620 Div. Public Works h rn c Z N - LU N m c z 5 C N s. 2 2 to N N w C � U z L W Z CL w L b4 w W z n N i LW_ w C Go - u Y i Z :1 in F- X C Z o Q � � � ^ c in z Z y _ `z L•LJ 3 Z _ _ X 3 - i w w y aOIN 3 3 W s � w N y 5 W 'r Y Z w w Z Z LA N a z Z Z - 2 S vi ` LU h Z Z W t J L W L L Q m m r a z G m G L� z o I- a Q 1 w O i � � LLJ < u V ? W vi } W a z LLI C L LUw uj 75 z N— z W w N 3 z pp Q LU U z V? i ? h W C :! :d U Imo, C C C Q wLL;�_¢ z z Q O C Ir � _ N_ n •lf �n c Z N - LU N m c z 5 C N s. 2 2 to N N w C � U z L W Z CL w L b4 w W z n N i LW_ w C Go - 1 Z o � � in z Z y _ `z L•LJ 3 Z _ _ 3 - i w w y �► U U c Z N - LU N m c z 5 C N s. 2 2 to N N w C � U z L W Z CL w L b4 w W z n N i LW_ w C ,, r L d,71rf 67 FORM U - LOT RELEASE FORM C`r�e✓T�/�>s ��s /� INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ****"**********APPLICANT FILLS OUT THIS SECTION* J APPLICANT iG AV 1)i i AP IS % W PHONE /av i G,Pe?+7' rolzlw LOCATION: Assessor's Map Number PARCEL V SUBDIVISION LOT (S) STREET ST. NUMBER "OFFICIAL USE RECOM NDA ONS F T N AGENTS: t CONSERVATION ADMINIXTIYAYOR DATE APPROVED IV DATE REJECTED COMMENTS ZZ /)/Nf / I TOWN PCANUE9 DATE /APPROVED J DATE REJECTED COMMENTS V W l FOOD INSP,I=CTOR-HEALTH DATE APPROVED DATE REJECTED H o DATE APPROVED DATE REJECTED COMMENTSz PUBLIC WORKS WORKS - SEWER/WATER CONNECTIONS o DRIVEWAY PERMIT ` FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Dee '*:WqS,S A6. ARISTA DECK JOB X�ek J 1 12' X 12' deck 1 foot off ground. 12" sonotube concrete filled dug 4' feep. 2 X 8 outdoor wood 12' joists. 1 X 4 mahogany decking. Residence of: Mr. & Mrs. Manuel Arista 1001 Great Pond Road North Andover, MA 01845 Phone 1-978-682-8519 Builder: Alan M. Henderson Home Improvements 133 Andover, IStreet Andover, MA 01810 Phone 1-978-475-1601 12' X 12' deck 1 foot off ground. 12" sonotube concrete filled dug 4' feep. 2 X 8 outdoor wood 12' joists. 1 X 4 mahogany decking. Residence of: Mr. & Mrs. Manuel Arista 1001 Great Pond Road North Andover, MA 01845 Phone 1-978-682-8519 Builder: Alan M. Henderson Home Improvements 133 Andover, IStreet Andover, MA 01810 Phone 1-978-475-1601 Manuel Arista Residence 1001 meat Pond Road 61;5 &t No. Andover, MA 01845 Scale 1/2" to 1' 12' X 12' deck 1 foot off the ground k\ 12" sonotube concrete filled dug 4' deep. /Z Oc2X8 outdoor wood 12' joists. 1X4 mahogany decking Builder Alan M. Henderson Home Improvements 133 Andover, Street Andover, MA 01810 Phine 1-978-475-1601 El �"OISIO tlVl `83h00Ntl ��: 1S 81400N1,S£i .I 1 NOSa381f3ld� 1 � 00 <ITo ¢; 6E6i/i0/VO 00Ol/10/PO4Y �' r :a�eP4i��g aaatdx3 � f 3SN3O�1 lo SlAdidw ROI(tNNO3 3YS d3O 0 M " LLJ i m • = o o � G y c O ; a C3 ac ev o CD c Rt•,; 00 11ai E a Q6 mCD c _ 0 a y oco <. nc �F 0 o � Q ,r t; cm ti E o �? m 3 c C � _m 0 0 C4 m :to v �: m y O CID.. C o C! CM"c O c aCt 7 O,C � m V ycm o O 000 CL c Q o :cmc oN co : s�0 vs 0.0oo CO) �v o y CL= OC Z °C 'E v m v •ui y O C.3 C3 AD Vi a o .5 0 = cyp a y'O O CL z 0 w P-4 a� am CD O CD O s Z O CL O CO) � C O O! CA p� C �E m m 0 CD coO � � 0 O e_cv o a CL as Q c ccc = c V c Z �..� No O C CL C CO) O a a a a � x 0 G� u w cx w rx U x W O C C � a dw a cin C O cn " LLJ i m • = o o � G y c O ; a C3 ac ev o CD c Rt•,; 00 11ai E a Q6 mCD c _ 0 a y oco <. nc �F 0 o � Q ,r t; cm ti E o �? m 3 c C � _m 0 0 C4 m :to v �: m y O CID.. C o C! CM"c O c aCt 7 O,C � m V ycm o O 000 CL c Q o :cmc oN co : s�0 vs 0.0oo CO) �v o y CL= OC Z °C 'E v m v •ui y O C.3 C3 AD Vi a o .5 0 = cyp a y'O O CL z 0 w P-4 a� am CD O CD O s Z O CL O CO) � C O O! CA p� C �E m m 0 CD coO � � 0 O e_cv o a CL as Q c ccc = c V c Z �..� No O C CL C CO) O MORMAGE INSPECTION PLAN Ar /00/ GREAT POND ROAD NORTH ANDOVER, MA. NO. ESSEX REGISTRY OF DEEDS.' CERTIFICATE PLAN.NO. 16,372 B CERTIFIED TO.' NORTHMARK BANK SCALE.'/"-- /00' DATE' JULY 14, 1994 Eon .cgs 'moo r r� LOT 3 �srr. , 'W F 22.23 1 / h W NO. 7069 R 1 - \AAS E2sk,0 NOTES.' /) DO NOT USE OFFSETS TO ESTABLISH PROPERTY LINES OR TO ERECT ANY STRUCTURE. 2)PROPERTY L/NES ARE DETERMINED FROM COMP/LED INFORMATION TO BE USED FOR MORTGAGE PURPOSES ONLY. CERT/F/CAT/ONS.' BASED ON MY KNOWLEDGE, INFORMATION AND BELIEF / HEREBY CERTIFY THAT THE PERMANENT STRUCTURES INDICATED ARE LOCATED ON THE GROUND APPROXIMATELY AS SHOWN AND ARE CONFORMING TO THE ZONING SETBACK REaIIREMENTS 'OF THE TOWN OF NO. ANDOVERWHEN CONSTRUCTED AND THAT THE STRUCTURE SHOWN -IS NOT LOCATED /N A FLOOD HAZARD ZONE AS PER FE M. A. MAP COMMUNITY N0. 250098 EFFECTIVE DATE' 06-02-93 ZONE' X JOHN ABAGIS a ASSOCIArES, PROFESSIONAL LAND SURVEYORS 137 CHANDLER ROAD., ANDOVER, NA. (508)688-4699 APPLICANT.' AR/STA NO P 2057 FORM U - LOT RELEASE FORM f a / © C INSTRUCTIONS:. This form is used to verify � �/x 3 �' �A �ti ~ y that all n I , y necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. q ents. I*****************************APPLICANT FILLS OUT THIS SECTION*********************** i APPLICANT PHONE `COOS` o Sf c( LOCATION: Assessor's Map Number 3 € PARCEL `4 SUBDIVISION i EET G o e al LOT (S) ST. NUMBER I'© *****************************************OFFICIAL USE , ONLY*********************************** RECOMM CONSERVA' COMM !v, OF TOWN AGENTS: FOOD FOOD INSPECTOR -HEALTH r r SEPTIC INSPECTOR -HEALTH COMMENTS Nta b W\04 G UA I t APPROVED _ f 2 DATE REJECTED WATE APPROVED DATE REJECTED rl . - f __ /' - r 2 - PUBLIC WORKS - SEWER/WATER CONNECTI DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 im DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED t Z� TE APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISIi A ONE OR TWO FAMILY. DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE:.. Buildin Commissionerfi for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map.Number Parcel Number I:3 Zoning Information: 1.4 Propertl3imats bns . Zoning District osed Use LotjArea s Frotita" 1.6_BUILD.ING SETBACKS ft Front Yard _ -. - -Side Yard ` Rear Yard Required Provide R ' `red Provided R red Provided 1.7 water S 15. Flood Zone Lfformagon Supply M.G.LC.40. 54) ] 8 Sewerage D,sposal System: - Public ❑ Private ❑ Zone Outside Flood Zone - ❑ Municipal ❑. On Site Disposal System'-'❑ SECTION 2 - PROPERTY-OWNERSHIP/A'VTHORIZED AGENT' 2.1 Owner of Record F ,z ame (Print) Address for Service 0a Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Si nature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ .-icensed Construction Supervisor: License Number \ddressk ,.' Expiration atio n Dat na xP Date II g lure,. Telhone p - - I .2 Registered Home Improvement Contractor Not Applicable ❑ ompany Name Registration Number ddress Expiration Date nature Telephone SECTION 4 - WORKERS COMPENSATION (fvLG.L C i52 S 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial'of-the issuance of the building permit. Si ned affidavit Attached Yes ..:..17 No,4j..:..Q 0 SECTIONS I9ekrf t 6 of Pro died Work- aleck ail appI.cable New Construction V Ekisting Building ❑ Repair(s) r Alterations(s) 0 V Accessory Bldg. 0 SECTION 4 - WORKERS COMPENSATION (fvLG.L C i52 S 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial'of-the issuance of the building permit. Si ned affidavit Attached Yes ..:..17 No,4j..:..Q 0 SECTIONS I9ekrf t 6 of Pro died Work- aleck ail appI.cable New Construction V Ekisting Building ❑ Repair(s) 0 Alterations(s) 0 Addition ❑ Accessory Bldg. 0 ,Demolition ❑ Other 0 Specify Brief Description of Proposed Work.- ork:SECTION SECTION6 - ESTIMATED CONSTRUCTIONCOSTS Item 1.Building _. Estimated Cost (Dollar) to be Completed by permit a licant (a) Butlding Pern. f Fee Multi Mier' . 2 -Electrical "` (b); EstimatedTotal' Cost of .Construction 3 Plumbiri..:. ... Building. Permit fee (a) X. (b) , 4 . Mechanical.: HVtYC . 5 Fire Protection• 6 _ Total. 1+2+3+4+5 SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT L 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 I SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION . I h ,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 Print Name r Signature of Owner/ Date SI OF FLOOR-TI—MBERS 1ST 2 ND3 DEE ENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION SIZE OF FOOTING MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL THICKNESS X 9 77z----� 4000 RN J,, Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 Sandra Starr Health Director January 81 2002 Mr. Manuel Arista 1001 Great Pond Road North Andover, MA 01845 Re: Application for a 24' x 36' Barn Dear Mr. Arista: Telephone (978) 688-9540 Fax (978) 688-9542 Your application for a barn at 1001 Great Pond Road has been reviewed by the Health Department. The application was denied on January 8, 2002 for the following reasons: 1. X Missing information 2. Passing Title 5 inspection of septic system may be required 3. Location of structure not acceptable To address the problem(s): If #1 is checked, please supply: a. Floor plan of existing and proposed addition b. Certified plot plan showing house, septic system and proposed project in scale If #2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If #3 is checked: a. Relocate the project Please feel free to call the Health Office at 978-688-9540 with any questions you may have. A Grasse, Health Iector CC: )3uilding _=p rile`" BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 �i Date.... - /,t // -,-3 TOWN OF NORTH ANDOVER -vow PERMIT FOR WIRING This certifies that ........... ....... / ........... I ................................. has Nrmission to perform .... R�.k:AX-P ...... in the building of ...... Z� / o .,...;!1..... .............................................................. Man- 3 at ..... '/,North Andover,Mafs. Fee.. '.t... ........ Lic. Noz,011�713 . ..... e ELECTRICAL INSPECTOR Check # 4540 Official Use Only Permit No. 7�fc ed7127120722U�r�.C'?� d� nL�4S.S�L'�S�77S Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in in or type all information) Date Ql cin �� To the Inspector of Wi s: Town of North Andover The undersigned applies for a permit to perform the electrical work described al Location (Street & Number ! U v l.� &mT-rLiki Owner or Tenant q (. Owner's Address Is this permit in conjunction with a buildi g permit /Yes p No P (Check Appropriate Box) Purpose of Building i V) /v� t'G l Utility Authorization No. EAsting Service !U U Arn f t/ Voits Overhead Undgmd ❑ No. of Meters New Service Amps ?. (J Voits Overhead Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO have submitted valid proof of same to the Office YES = NO = If you' have YES pl ind. to the type of verage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify � , . z/ d 3 7 n IuPir�wn ate) Estimated Value of Electrical Work$ Work to Start Signed underthe Penalties of perjury: FIRM NAME / C/ I a RPA"', (�c1 LIC. v ' Bus. Tel No. Address !G G Alt Tel. No. OWNER'S INSURANCE WAIVER: I am ware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) 1 (Signature of Owner or Agent) Telephone No. . PERMITfEE $ v Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool grind ❑ gmd ❑ Generators KVA Em envy Lighting No. of Receptacles Outlets No. of Oil Burners Batter U tis No. 6f Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices t y dDi Heat Total Total . No. sal No. Pumps . Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Area Heating KW DetectiordSounding Devices ❑ Municipal ❑ Other No. of Dryers HeatingDevices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO have submitted valid proof of same to the Office YES = NO = If you' have YES pl ind. to the type of verage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify � , . z/ d 3 7 n IuPir�wn ate) Estimated Value of Electrical Work$ Work to Start Signed underthe Penalties of perjury: FIRM NAME / C/ I a RPA"', (�c1 LIC. v ' Bus. Tel No. Address !G G Alt Tel. No. OWNER'S INSURANCE WAIVER: I am ware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) 1 (Signature of Owner or Agent) Telephone No. . PERMITfEE $ v The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02919 Workers' Compensation Insurance Affidavit Name Please Print Name: Location: Com— Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: r_ Address City Phone#: i Insurance. Co. Policy # Company name. Address Ctt Phone #: Failure to secure coverage as required: under Section 25A or MGL 152can lead tothe imposition of criminal penalties of.afine up to $1,5W I and/or one•years' imprisorvientas wvgLm-cn l penakmsjoihelam jofa�PAORK�ER-md afineW-al.14.po)-ajdaY mi 1 understand that a copy of this statement may be forwarded to the office of Investigations of'the DIA for coverage verification. / do hereby c&WY under the pains and penalties of perjury that the ff*mratian 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 tawrr official' City or Town Perrrublkensinp Building Dept []Check if immediate response its required 0 Licensing Board C] Selectman's Office Contact person. Phone #: Health Department Ei Other