HomeMy WebLinkAboutMiscellaneous - 101 ROCKY BROOK ROAD 4/30/2018ocationlSJ C
cow. i Date
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NO"TN "TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $ 6�
Other Permit Fee $
Sewer Connection Fee $
U 09:]7
1272-8
Water Connection Fee $ �(
TOTAL $
Building 1 spector
1,343.00 PAID
Div. Public Works
r
Location
No. -' (4' Date -
•4
MaR,M TOWN OF NORTH ANDOVER
AL
wabLa Certificate of Occupancy $
t Building/Frame Permit Fee $
�'+s • E<�' Foundation Permit Fee $
s•►cMus
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $,f,�
'"
TOTAL $,
f Building Inspector
1 ///1•,798 09:17 1,343.00 PAID i
Div. Public Works
40
Locations
NC. Date
a �v
N°ffT" f TOWN OF NORTH ANDOVER
Certificate of Occupancy $ -�
Building/Frame Permit Fee $ €
s E Foundation Permit Fee * $
� s�cHus �
Other Permit Fee $
. ` 4
Sewer Connection Fee $
'Water Connection Fee $
TOTAL $
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TO � ; 1, 232.90 IZ
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Div. Pubrks
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FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits frot11
Boards and --partments having jurisdiction have been obtained. This does not relieve.
the applicant and/or landowner from compliance with any applicable or requirements.
k"A"A'""***"APPLICANT FILLS OUT THIS SECTION
APPLICANT.. 1 4
e
LOCATION: Assessor's Map Number
SUBDIVISION eOL�
STREET
CONSERVATION
�d �,,( �� IT
TOWN PLANNER
FICIAL USE ONLY
AGENTS:
TOR DATE APPROVED
DATE REJECTED
DATE APPROVED
PHONE !=_ Z'082
PARCEL
LOT (S)
ST. NUMBER_.Lj
FOOD INSPECTOR -HEALTH DATE APPROVED
DATE REJECTED
R -HEAL
COMMENTS
DATE APPROVED
DATE REJECTED
PUBLIC WORKS - SEWER/WATER CONNECTIONS l40
DRIVEWAY PERMIT
FIRE DEPARTMENT Gi�i✓ ��-� ��/
RECEIVED BY BUILDING INSPECTOR DATE
� I
APPLICATION FOR WATER SERVICE CONNECTION
North Andover, Mass.
Application by the undersigned is hereby made,to connect with the town water main in
subject to the rules and regulations of the Division of Public Works.
G�
ti
4
19
_ Street,
The premises are known as No. J� Street
or subdivision lot no.
1 e. ��S P�� 5L
Owne Address
Contractor
Address
pplicant's gnature
PERMIT TO CONNECT WITH WATER MAIN
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 P
Inspected by
Date
Street
/Board of Public Works
By
See back for rules and regulations
RULES AND REGULATIONS GOVERNING THE INSTALLATION OF WATER SERVICES
1 No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town
of North Andover without a valid permit from the Division of Public Works.
2. All water services shall be installed a minimum of five feet below the finish grade.
3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964.
4. Service connections shall be 1" type k copper tubing.
5. All fittings shall be brass flange type Mueller or equal
H 15202 Corporations
H 15212 Curb stops
H 15402 Three part unions.
H 8185 stop and waste valves
6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 4�/z foot rod and brass plug
type cover.
(WILLIAM HMURCIAK, P.E.
DIRECTOR
TOWN OF NORTH ANDOVER, MASSACHUSETTS
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET. 01845
o� NORrM�
�F tIEC. ,a9ti
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C �
9S SA CFH USE��
DRIVEWAY PERMIT
Telephone (978) 685-0950
Fax(978)688-9573
DATE A 197o
LOCATION f l /2, �2Cf �rr�o
BUILDER phone `
OWNER' c v T �v� hone _ 1�
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.
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 for Permit (below)
Map and Peel : Purposeof Applicaticn (check below) v �/
Phon Number of Applicant: • Vsjngle Family Two Family
— � -11 C _ ? � ,,2
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 ig 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
L",
nce as of the effective date of this by-law, provided that no additional residential unit is created.
The lots) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
w.
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 on 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
knowledge or not, isrounds for refusal by the Building Department to issue a Building Permit.
l
�9nature o er or Authorized Agent who signed the Attached Building Permit 401)a
This form must be attached to the Building Permit upon application for such permit
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CERTIFICATE OF USE &OCCUPANCY y
Town of North Andover /
Building Permit Number 3 a 6
THIS CERTIFIES THAT
V
Date oZ `Y 9'
THE BUILDING LOC:ATM nN 1491 /?O G yv BPOO /C Pd
MAY BE OCCUPIED AS 514; '/ie- /AN11ISI /tars/c/Wi IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO V� l�►� /7 �1 s G
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ADDRESS
�O3ACMU3� Building Inspector
TOWN OF NORTH ANDOVER, MASSACHUSETTS
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET, 01845
GEORGE PERNA Telephone (508) 685-0950
DIRECTOR Fax (508) 688-9573
0'00
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January 29, 1999
Mr. Michael McGuire
Assistant Building Inspector
Town of North Andover
27 Charles Street
North Andover, MA 01845
Re: water meter installation:
101 Rocky Brook Road
Dear Mr. McGuire:
Please be advised that our water meter installer, Jackson Long, is out sick today and
cannot install the water meter as scheduled at the above captioned address. Meter
installation has been re -scheduled for Tuesday, February 2. This Division does not object
to your granting occupancy on this date in regards to this issue.
Very truly yours,
Timothy J. Willett
Staff Engineer
CA
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Date.. ...............................
,aORTI�
3: ao� TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that.................................�v `�S�- {' CIOCC c .. C
`.................................
has permission to perform ....J�2 `J..........U.......................................
..... vYl
�u .c.t .....� U!'Y/f'S....... .........
wiring in the building of ..r...�..............�...
at �� ( %�c%C Y (tj�C1(1� ��- ................... . North Andover, Mass.
.....................
� T
Fee..3.x:3.......... Lic. ............................................................
ELECTRICAL INSPECTOR
1'05/98 08;51 333 00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Of �:DIIIiI1DImulth Qf �fi� 1Lgrm ofk. use otter �Ci7A
P+sfmlt Na
Eeparnntttt of Pu61ic *nft:tlg V' Occupancy A Fee Chocked
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12.00 "'90 out W"
APPLICATION PERFORM ELECTRICAL WORK
performed IPERMITn accordance WTO
All work to be acnusetts Electrical Code, 527 CUR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION)
Date 0% 'o
slice or Town of NORTH ANnOVFR
To the Inspector of Wires:
The uderaigned applies for a permit to perform the electrical work described below.
Location (Street & Number) I'Zo7-�) /o/
Owner or Tenant
Owner's Address
NO. 01 DIl00lal! I
13 this permit in conjunction with a building permit: Yes No
[ (Check Appropriate Box)
Purpose of Building b6'nUtility
Authorization No.
Existing Service Amps _J Voits Overhead 1..1
Undgrnd No. Of Malars
New Service 0d Amps )� "2�D Volts Overnead _
�C1-./
Unagrna No. of Meters L�
Number of Feeders and Ampacity
K:/
Location and Nature of Proposed Electrical worx
No. of Llgnttng Outlets
I No. cl .`sol =cs
I No. of Transformers Total
No. of Dryers I
Heating Cevices
KVA
Local - Muntcical —Otho
Connection
J
No. of Water Heaters KW I
No. 01 Lignttng Fatures P:ol Aocve, :n -
swimming r
I
Srra _ Srnd _
Generators KVA
?�
No. of Receotaue Outlets 7✓ I No. or Oil corners
No. of Emergency Lignung
Battery Units
No. of Swucn Outlets I
No. of Gas=urrers
FIRE ALARMS No. of Zonas
No. of Ranges I
No, Ct Au C-r.c. 'On
No. of Detection and
xs
Initialing Devices
NO. 01 DIl00lal! I
No.01 Meat°:a'
Pum=s -ons\'J
alai
No. of Sounding Devices
//
NO. Of Oiahwalnera / I
SoaCerArea Heat ro
K:/
No. of $elf Contained
OetectlonrSounbing Devtcas
No. of Dryers I
Heating Cevices
KW
Local - Muntcical —Otho
Connection
J
No. of Water Heaters KW I
No. at - vu �I
Signs aadas:s
Low Voltage ;
Wiring
No. Hydro Massage Twos I
No. at Maicrs .alai HP
OTHER:
INSURANCE COVERAGE. Pursuant :o the reoulrements --t '.tassac-%sere ;eneral Laws
I have a current Liability Insurance Policy ,nctucing Ccm- s c Ccerations Coverage or Its substantial tlduivaalU. YES -e NO = 1
have subntned valid ,proof of same to the Office. YES E v0 = It you nave cnecxea YES. please tnotcate the type of CW#Wapa.py �
Cnactting the aaa drlate bolt.
INSURANCE '2aONO = OTHER = tPlease Scec.`�I
Fatlntat(Luwatton Gaal
ao Value of E!ectnccai worst S
Wom to Start T� ` e9 Insoec:ton Date nac6es:ec:
Signed under moPenaltiesol,penury
M J
:
FIRNAME D%1F4 �'%FL)2I C . I h/e' -
Ucensee
S,c,-a::rs
sougn w/114.41 • Fnal
uC. NO.
v Bus. Tel. No(7/F1>,6-f 7-
Address � /7FD7- � %� ,C�i2.. 7 Y". Si?or�i� . 9- _lg72_ All. Tel. No.
OWNER'S INSURANCF- WAIVER: I am aware treat ins L:censss ^ces of mays ins insurance coverage or its SubstantialegwvWnt as ran ;
duueo by Massacnusells General Laws, wo trial my signalu to Jn ^.is =ermn aot7llcauon waives this requuenlenl, Owns/ AW1
(Pies" cnecrt over
onone No. PERMIT FEE t vv
(S.gnature at Owner or Agent
e�tif.
142 3842
Date/
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that s`? �.72`� ....�� .f .................
has permission to perform ...A).- u .f-io,,Fs� e,,,,,,,,,,,,,,,
plumbing in the buildings of. t�+.�. S........
at . /d A . po !r./�'y .P R a � A Orth Andover, Mass.
Fee . 3. �; . Lic. No. z;._ .............
PLUMBING INSP CTOR
10/22/98 12:38 333.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
(Print or Type)
Installing Company Name //+9vr772-" pGG � iyTG
Address /3W1,1i*,PaV
TFC/f5-/f W? / IM/4
Business Telephone Ss'/ fG �-a
7A
Check one: Certificate
0 Corp.
L Partner. ..
Firm/Co_
Name of Licensed Plumber: A /�9a.C776
,► Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy ET 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 cQYerages.
Signature of ownerlagent of property Owner Agents%
bmbr catifr Was all of Ute details and infosnution I l,a.c submilicd lot cntncd) in atwnt apptiglion site lsoe 11::S; stale to dw best of uq
k"wicdge and Out all plumbing Wolk and installations l.csfnsn,cd undcr rcrn,it 11sucd fos this applicali" Will be b1 pwptiiws>1 "lit -y
aislo" of the Mann 4tuclls Slate f lumbint Code and Cluplcf 142 of the Ccnu&I LAWL �r
By
Title
City/Town:
A QDRnVFn 7OFFICF USE oNLY1
Signature of Licensed Plumber
Tvpe of Plumbing License
/3 X0;2 .
License Number ❑ Master ®—Journeyo"