HomeMy WebLinkAboutMiscellaneous - 105 BROOKVIEW DRIVE 4/30/2018 (2)N
NORTH ANDOVER BUILDING DEPARTMENT
1600 Osgood Street
North Andover
Tei: 978-688-9545
Fax: 978-688-9542
BUSMSS FoltM.,F'O.R TOWN
DAA:
1�7
NAME. �� � � ( � M,4lq4e^c,,4,c
ADDRESS;
ZONIN01)I8TRIOT:
'ISE OF BUSINESS' 10 0 lie
BUPL,I)IN�'rLAYOUT PROVIDED.- YES --
. A.uAILABLEPAR MG SPAMS:
ZON7Cl G BY LAW USAGE: 'YES NO
13USMSS FORM FOR TOWN CLERK
2.40 Home Occupation (1989/32)
An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal
address, which is clearly secondary to the use.. of the building. for litnng ptuposes. Home occupations shall
"but tiot'l mited to the following uses; personal services such as fimiished by an artist or instructor,
but not occupation involved with motor vehicle repairs, beauty padors, animal fennels, or the conduct of
retail business, or the mamfaoturing of goods, whi& impacts the residential nature of the neighborhood.
4. For use of a dwelling in any residential district or multi -f tinily district for a home occupation, the
following conditions shall apply.
a. Not more than a total of three (3) people may be employed in the home occupation, one of
whom shall be the owner of the home occupation and residing in said di -yelling;
b. The use is carried on strictly within the principal building;
c. There shall be no exterior alterations, accessory buildings, or display which are not customary
with residential buildings; -
d. Not more than tweni ,-five (25) percent of the existing gross floor area of ;the dwelling Init.
so used, not to exceed one thousand (1000) square feet, is devoted to'such use. In
comnection with
such use, there is to be kept no stock in trade, commodities or products which occup5r space
beyond these limits;
e. There will be no display of goods or wares visible from the street;
f The building or premises occupied shall not be rendered objectionable or detrimental to the
residential character of the neighborhood due to the cAerior appearance, emission of odor,
gas, smoke, dust, noise, disturbance, or in any other way become objectionable or
detrimental to any residential use within the neighborhood;
g. Any such building shall include no features of design_ not cusmmaty in buildings for residential
use.
Signature pate
r
�c, ss ca v� TTS UNIFORM APPLICATION FOP, P RMIT TO CSO GASM-MING
(Print or Type) ( t
ter NORTH ANDOVER Mass. �J P date
building Location Permit
Owners Name ` 6c�jj
New.._.Y. f2enovation �_. Replacement �] Plans Submitted- ff-rl
'
to
W
v
W
®
F-
G
a
o
>
to
ua
to
w
z
d
z
09
O
(
¢
Q
ut
C1
ut
z
Q
ut
Us
Q
m
?
w
O
H
z
C?
Uj
. i
Oos
j--
us
'
O
tom^,
i.
A
t49
.4t
V
c
y
cx
0.
ti
4
01
33
SASEMERT
.I ST FLOOR
2.40, FLOOR
3R(] FLOOR
4TH F:.00l;
STH FLOOR
.6TH FLUOR
I I i
I
'ZTlt FLOOR
pp
E
I I I
f I
t
!
jj
1
8TH FLOOR
(Print or Type)
Installing Company Name
Address UVIA S
�(_� U�
Business Telephone:
Name of Licensed Plumber or Gas Fitter
Check one:' Certificate
Q Corp.
Partner.
Firm/Co.
Insurance Coveraqe: Indicate ,^e type of insurance, coverage by checking the
appropriate box:
Liability insurance policy Other type of indemnity Bond
Insurance Waiver: 1, the undersicned, have been made aware that the licensee of
this application does not have anv one of the above three insurance coverages.,
Signature of owner/agent of property Owner 17 Agent
i hcreby certify that an of the dctailx and information 1 %aye submitted (or entered) in above application ate true and accurate to the best of my"
k."o-ledge and titat all ptuntbin; work and intwltatiotss perfortted under Permit iuct:d to: this application will be in comp(iancs With z% pertinent
,p7griEiotu of tho k(assachusetfs State Gas Cudc and t:tapter :4-2 of uio Genoa! Ltws.
3y TYPE LICENSE:
Plumber
TztYe asfitter Signature of Licensed
City/Town: ty,/Town: master Plu2.or Ga,sfi.tter
Journeyman
APPRCs ED (OFFICE USE ONLY) License Number
2858 Date ... . f�' . �f......
HpRTM - TOWN OF NORTH ANDOVER
pyatt�ao ,e,tiOL
.\A PERMIT FOR GAS INSTALLATION
r
This certifies that a�........ ....'~ ? - �•
has permission for gas installation .` �: �� .: � ...... • • • • �•
in the buildings f
'
at . �U�-?^ . .- -`.. �,c.. , North Andover, Mass.
Fee.Lic. No.'R Oa- . ..........................
GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION ff=OR PERMITi :`> O.DO PLUMBMG
(Type or Pring ,
NORTH ANDOVER ,Mass. Gate:
Building tion Permit
- Owners Name '�P_
New Renovation Replacement Q Plans Submitted '
FI TURE
(Print or Type) —Check one:. Certificate
installing Company game `< Corp.
Address c��yV �1� �� I�( Partner.
Firm/Co.
Business Telephone
Name of Licensed Plumber: LC-�3y�—A o l - -
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance: policy ❑ Other type of 'indemnity El Bond
Insurance Waiver: 1, the undersigned, have been made aware that the licensee of
°this application does not have any one of the above three insurance coverages.
Signature of owner/agent of. property Owner El Agent (�
i hereby ecrtiry trial alt or the details and inrorntation I lrave subini(lco (or entered) in at:ovc aPplia(ion are Irue and it•ecurate to lite beat of my
-• knowtedre and that all piuntbing work and installatinns (xrrnrmcd under rcrnrit itsucal for this 211plication will be in compliance with all perti,tcK( pto•
vliirrrst of the mi-tuchusettc state riumbinr Code and Chapter 142 of the Gcncral t.2ws-
T'i'the
City/Town:
' APPROVED tor-•rlcE usE orrc.r)
Signature of Licensed Plumber
Tv e of Plumbin License
[.:i se Number tfaster El Journeylm ,
x
•
a:
ay
x
X
O
�
x
z
a
F
am
w
w
a,
aC3
-If
z
b
ae
x
co
d
it
r
v
x
c
w
z
x
a
x a
�°
a
°�'
U1
s-
"�
tom-
ai
w
in
Q
0
a
cc
a
a- C)
It
O
D•
""
.�
o
4
w
a
o
I-
a
_in
5e
w
tG x
ut
>
a}
Ems-
o
Q)
vs
4.i
o
m
x
w
N
o v
m
x
3
sc
-A
m
co
n
0
�
x
F
0
LL
v
i
a<�
ca
o
SASEMENi
I5'r FLOOR
!IL
I
FLOOR
i?D FLOOR
4TH FLOOR
_
STH FLOOR
SYM F! OOR
TYK FLOOR
STH FLOOR
(Print or Type) —Check one:. Certificate
installing Company game `< Corp.
Address c��yV �1� �� I�( Partner.
Firm/Co.
Business Telephone
Name of Licensed Plumber: LC-�3y�—A o l - -
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance: policy ❑ Other type of 'indemnity El Bond
Insurance Waiver: 1, the undersigned, have been made aware that the licensee of
°this application does not have any one of the above three insurance coverages.
Signature of owner/agent of. property Owner El Agent (�
i hereby ecrtiry trial alt or the details and inrorntation I lrave subini(lco (or entered) in at:ovc aPplia(ion are Irue and it•ecurate to lite beat of my
-• knowtedre and that all piuntbing work and installatinns (xrrnrmcd under rcrnrit itsucal for this 211plication will be in compliance with all perti,tcK( pto•
vliirrrst of the mi-tuchusettc state riumbinr Code and Chapter 142 of the Gcncral t.2ws-
T'i'the
City/Town:
' APPROVED tor-•rlcE usE orrc.r)
Signature of Licensed Plumber
Tv e of Plumbin License
[.:i se Number tfaster El Journeylm ,
v
. ........ .
Date. ..�
•A
3696
f NORTH 1 TOWN OF NORTH ANDOVER
O tt..�o .•, h•G
PERMIT FOR PLUMBING
SscNusE�
This certifies tha ....
V m
j�
has permission to perform IsfL. .... ..... .... ;
plumbing in t uildings of . .................... .
at. , North Andover, Mass.
Fee'3: � . ic. No. ?3! -. ...............................
PLUMBING INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Date'. 5- e )
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ............
G�`-;�
has permission to perform . .. ...................
plumbing in the building of,.. f.:......'..'. �................ .
at ........... . North Andover, Mass.
Fee -e s .. LIC. No.. . ..� ...........
PLUM�fN`SPECTOR
Check # j' �7
5532
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date d 3
Building Location `) it! a U r -e t4J Owners Name �--� C/t � -�� Permit # 5' & 2
Amount
Type of Occupancy
New r Renovation Replacement Plans Submitted Yes No rj
FIXTURES
(Print or type)/ � ;Check one:Certificate
Installing Company Name/tel//?- Corp.
Address S D ✓OX FU A, 0 Partner.
Business Te ep one -Firm/co.
Name of Licensed Plumber: �J /� S/� el -c �--
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 AgentEl
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 installatio s performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Masetts aPlurrng Code Chapter of the General Laws.
sae _-
Title
City/Town
(OFFICE USE ONLY
Type of Plumbing License
..cense TIMM Master Journeyman ❑
Date. .........................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .Z .......... ...:
.... l --�....................................................
{ has permission to perform.. �..`
.............................................................................
wiring in the building of ......r.:.:.
at..... ..(................................................................ ,Norah Andover, Mass.
Fee:' ................ Lic. No.. � �J� � � � ... /� ...... ��� .:.........................
_ ` .. ELECTRICAL INSPECTOR
Check #
4372
�ccOr�)igiORWaGLLJi O�cc�Q.�d�tf�Q�
1Jspa►Enw� a�.}ir. �trvica!
BOARD OF FIRE PREVENTION REGULATIONS
(Rev. 11/99) For Office Use Only
Permit Number:--." 3
�OOccupancy 8 Fee �
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
(ALL WORK TO BE PERFORMED WrrH THE MASSACHUSETTS ELECTRICAL CODE 527 CMR 12:00)
PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date:
City or Town of: A lz ANDOVER To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location: (Street & Number)_ %(' d y- 0l' el
Owner or T
Owner's
al
Is this permit in conjunction with a Building Permit? Yes V No ❑ (Check Appropriate Box)
Purpose of Building: u/� Utility Authorization M
Existing Service: 200Amps�/ 2 laolts Overhead 13 Underground.01,11"
# of Meters
New Service: Amps / Volts Overhead ❑ Under round.❑
9 # of Meters:
Number of Feeders and Ampacity:.
Lei i
Location and Nature of Proposed Electrical Work: Q J L
-e f/(// pr/J 1
---vt"c —vtKACiE: unless waived by the owner, no pertni for the performance of electrical work may issue unless the licensee provides proof of liability insurance
including "completed operation" coverage or Its substantial eq lent. The undersigned certifies that such coverage is in force, and h s exhibited proof of same to the permit
issuing office. CHECK ONE: INSURANCE BOND ❑
OTHER ❑ Please specify: �-/ � �j �`� �,i /-,L, �
Estimated Value of Electrical Work $ (When required by municipal policy)
Work to Start: �— t
Inspections to be requested in accordance with MEC Rule 10, and upon completion.
!!l1 /certifunder the pains and pe off/ties of perjury,/that the Information
on this application is true and complete.
V y
Firm Name: LIC. #
Licensee: d " jo 1A! /+� I ff/(-Signature:
(If applicable, enterQexet" in the Ucense number line)
Address: I J �e1 026 79 Bus. Tel. # 7/�j
7�It. Tei. #
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normallyrequired by law. By my signature below, I hereby
waive this requirement. i am the (check one) Owner o OR Agent o
Signature of Owner/Agent: Telephone #
PERNIIT FEE: S
?„<� ed1?1i1t0"rt?�/F.r,1r? d> 75
Dyr,�r«.d.r P -d&4 swarf
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Office Use Only l
Permit No_ I �/ /
Occupane/ 3 Fee Checked
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Cade 527 CMR 12:00,
(Please Print in ink or type all information)
Town of North Andover
Date P O
To the Inspecto of Wi .
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number Z�-/ 7 9,0/0,r06�—,6 4-,K V/?., ^! eT
Owner's Address Py 13 6 X r 'ru
Is this permit in conjunction with a building permit Yes ( No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No. 70 V17
&sting Service �- Amps Voits Overhead ❑ Undgmd ❑ No. of Meters
New Service 1�q C'0 Amps %,1c od Yc Volts Ovwheaad ❑ Undgmd ZL,- No. of Meters
Number of Feeders and Ampaacity.
Location and Nature of Proposed Electrical Work
OTHER:
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 1110 =
have submitted valid proof of same to Me Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box
INSURANCE = BONO = OTHER = (Please Specify)
Estimated Value of Electrical Works lvU c c(Expiration Date)
Work to Start
Inspection Date Reaqueated 5' gi / 7� Rough Final
Signed under the Penalties of perjury:
FIRM NAME 4V1612 /`: i / 4�;'6c,14 LIC. NO. � Ua
LJcAsee S%tn�� SignatureGs�J LIC. NO.
Bus. Tel No. C 7F ys9 — J� % (v
/
Address �`� �+`� C } N v��" /l �' Alt Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Maes
achussitts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
Telephone No. PERMIT FEE s��—
(Signature of Owner or Agent)
Total
No. of Ught8nq Outlets
No. of Hot fuse
No. of Transformers KVA
Above ❑
In ❑
No. of Ughtinq Fixtures
Swimminq Pool qmd C
qmd ❑
Generators KVA
No. of Emergency Lighting
No. of Receptacles Outlets
No. of Oil Burners
Battery Units
No. of 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
Heat Total Total
No. of Oioosal
No. Pumas
Tons
KW
No. of Sounding Devices
No./ of Self Contained
No. of Dishwashers
Soace/Area Heating
KW
OetectionrSounding Devices
❑ Municipal ❑ Other
No. of Orvers
Heating Devices
KW
Local Connection
No. of
No. of
Low Voltage
No. of Water Heaters KW
Signs
Batlases
Winn
No. Hvdm Massage Tuds
No. of Motors
Total HP
OTHER:
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 1110 =
have submitted valid proof of same to Me Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box
INSURANCE = BONO = OTHER = (Please Specify)
Estimated Value of Electrical Works lvU c c(Expiration Date)
Work to Start
Inspection Date Reaqueated 5' gi / 7� Rough Final
Signed under the Penalties of perjury:
FIRM NAME 4V1612 /`: i / 4�;'6c,14 LIC. NO. � Ua
LJcAsee S%tn�� SignatureGs�J LIC. NO.
Bus. Tel No. C 7F ys9 — J� % (v
/
Address �`� �+`� C } N v��" /l �' Alt Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Maes
achussitts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
Telephone No. PERMIT FEE s��—
(Signature of Owner or Agent)
Date .....
vN2 5
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Vy�-ckqfj —
I j(�K) q
This certifies that ...... ......................... ...................................
has permission to perform ......L): �t�M ......... t1dim..'L ................................
wiring in the building of ...... E . ........ :!.J.n ......................
........ /.o ...... f......... . North Andover, Mass.
Feekit. J. Lic. No. ?.7�v ..............................................................
ELECTRICAL INSPECTOR
426/98 08:59 280.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Location
I& Date 101'151V
' a
pOTOWNIOF NORTH ANDOVER
Certificate of Occupancy $
a< 1.
Building/Frame Permit Fee $ Z
�►�s',"°'�t�' Foundation Permit Fee $
s�CHUSe
t Ottfgr Permit Fee $
\�
Sewer Connection Fee $
t0
Water Connection Fee $ /002.0'
$ , TOTAL $
o
I
B Idi �, spy. for 'll
03/12/98 09:49
�c�'
1`2 J9209 .14V
Div. blic Works
V
W
m
I
tac
7c
o
boy
o
�
O
0 V
I
U
n
V
W
�
p
b
z
F
0
N
h
=t
}�z
Q
lkl.)
W
\
n
C
0
IJ
3
o
v
Z
\
y���
H
d
O
'a
�/l
♦ l
p
O
X
U!
LW
O
>
m
V
[�
O
e
F
a
W
3
Q
0
d
m
O
u
0
0
i7
G
r
a
W
L
T \
w
WF
cc
W
W
<
Z
L
<
W
z
>
3
p
1a
F
<
Z
0
O
<
<
M Z
N
•.
J
z
A
2
Q
Z
N
W z
p
z
a z
u
pJ
m
z
9
LA
O F
49
0
C)
.3,
0
t m
O
cr
rn
4
4
0 2
n.
R
O
0
0
4
O
S
Z
V
0
P
O
W
z
C
0
0W
F
IL
O
IA
z
I
(
.!�
K
Z
W
W
H
Z
<
W
F
C
Q
N
n
m
mIL
O
W
K O
W ~
C z
0
Ix
s �
W µ�
1n • R
I �
Ifl
W
F _Z
W J O
W
Ix 0 j7
0 J
F F W 0
0 0 z <
0 0 0
z z
u uz LL 5 OJ
z O
< <
F F W m m
YI N_ K
0 0 < N
■m
0
0
U.1 ui
F H
o
�
O
0 V
V i
W
�
p
0
IL
}�z
Q
lkl.)
z
\
n
d
a
0
IJ
3
o
v
Z
y���
W
W
z
0
O
m
N
p
O
L
°u
LW
O
>
m
V
[�
O
e
F
a
W
3
Q
0
d
m
O
u
0
0
i7
G
r
a
W
L
T \
w
WF
cc
W
W
<
Z
L
<
W
z
o
z
F
<
Z
0
O
<
<
M Z
0
I-
W
z
A
m
p
m
N
W z
u
o
a z
u
pJ
i
z
9
LA
N
0
0
t m
O
n
aI
n.
W
K O
W ~
C z
0
Ix
s �
W µ�
1n • R
I �
Ifl
W
F _Z
W J O
W
Ix 0 j7
0 J
F F W 0
0 0 z <
0 0 0
z z
u uz LL 5 OJ
z O
< <
F F W m m
YI N_ K
0 0 < N
■m
0
0
U.1 ui
F H
o
�
O
0 V
V i
�
p
IL
}�z
\
n
W
W
L
°u
LW
O
>
m
V
[�
O
e
F
a
W
3
J
0
0
d
m
O
u
0
0
i7
G
o
v
O
a
W
L
J;(<
o
m
m
m
W
z
A
z
A
<
(n
z
J
W
f
W
W
m
a
W
K O
W ~
C z
0
Ix
s �
W µ�
1n • R
I �
Ifl
W
F _Z
W J O
W
Ix 0 j7
0 J
F F W 0
0 0 z <
0 0 0
z z
u uz LL 5 OJ
z O
< <
F F W m m
YI N_ K
0 0 < N
■m
0
0
0�
t I
Z �
�U-
0 4 C/) U-
r-
� C3�LQ
LLJ Z)
W
0e
W Z
C
UI Z W 0
z 0 z
p � LL o
Fm w '1 F
u W F Z
M W
D 0 H 0
1�<
VI O 0 0 W
Z F F � V� N p
IK
11
m N O 00 0 O
0 0 L j
111 Ifl W U ~ <
O O m 0 Z
1- 0 < 0
F 0 L
H OW F W _J Z
N H l'- a < 4 O 0
L W
W 0 0 m LL
o W < 0 z
m J J F 0 0 W <
c
1► 1� u W I J V
UZI
0 0 W < W
W C
< Z W
k 0
M L L W < L 0 • IL L
- v
U.1 ui
F H
J
ul
3 0
0 U
0 V
V i
0�
t I
Z �
�U-
0 4 C/) U-
r-
� C3�LQ
LLJ Z)
W
0e
W Z
C
UI Z W 0
z 0 z
p � LL o
Fm w '1 F
u W F Z
M W
D 0 H 0
1�<
VI O 0 0 W
Z F F � V� N p
IK
11
m N O 00 0 O
0 0 L j
111 Ifl W U ~ <
O O m 0 Z
1- 0 < 0
F 0 L
H OW F W _J Z
N H l'- a < 4 O 0
L W
W 0 0 m LL
o W < 0 z
m J J F 0 0 W <
c
1► 1� u W I J V
UZI
0 0 W < W
W C
< Z W
k 0
M L L W < L 0 • IL L
- v
40
A
t , p-
F
Ou
2�
41
o
W
a
O
v
U
w
�wj
p,
C7
w
w
a
a
n:
w
a
a�'
w
w
oo
°
cn
o
cn
ui
z
r^ s
c
c�
o �
C L
N
O C
v V
a�
ac
Mev
m c
c `L°
'O
L r n
�. o:
m
�.
3 a
COD
m Z
CS
O
+4 t; cm vi \p
,mc
y /0
mm
L
�
U)
VJ
O
C n/
cc
z
y
y C Oo w
0 E y U
m
a mo
A ac' m rte/)
:=t p co _
r : cm C2 C w
c N Q � ^W
d C t •� 0-4
V yZ O
A �
C 0 �
C C
= m m r 3 fV
H �0.. y C OO„ ~ O
COD m MoCD
t
Ca dt O C Z
V •m C3 flCD
•c C
CIO a 5
_ � .00MO o
H t $ aim
:a
C
- o,
ca
E- mm
O
ow
o G'
m J+
v o G 0
xCL
C9 a � 9
v
d O CD
ca 'a C Z Ai
V CO
cc
C
i.
• c
—
h
0
acro ac:.Dsdsul Bu -,p —,ng nq panTaca�
Z4- j
Z 0, -Y7�
b / �l�j Su0'�OauucO aacrM 'aa.:as - s:i'OM ^iLti P
a> Gr J L•a:.:a dad' acEQ
pa.Oa fag acro
panc :ddy acro
Z-T�-r �`cc: _ .. _✓a.'_�t' x'001
p=coa�ag
pancaddy
a�rQ
aaPQyQ
aauurTd uMol�
pa �Oa Lag
acPQ
�- I^
P:.—SL
L- Q� pancaddy
agPQ
. 4
sillaOK N.MO 30 SHOILVC11MUMDad
XYYYYYY YX Y'K �LYYJf.]I•�I•'Y'�'Y. 'Y"Y`i1T uO
asII TETOT7.7 Oi��F �`Y1F 'KYYi']�i�Y]L Y�f. �'a�cYYx'
aa=nH qS
i (S),4O`I]i00'07
u0?sTn.DQnS
f? �� ;aO.:Pd
aaC[MnH dpW s,--Ossa=-Sv IHOIIVDol
auoud
pp�S % o%
` 'a
:JITVDI'IddV
************* c***UoT4Oas sTT44 gno sTTT3 guPOTTddK
-sguamasTnbaz so suoTgPTnbaa
'MPT agEgs aO TEOoT aTgTP-TMEOTTddr AUe TP -TM aouETTdmoo mos3 aauMopuPT
so/puP gUPDTTddE atR aeaTTaz 4ou saop sTt-pauTPggo uaaq BAUq
uoTgDTpsT.znl buTAsq sguam:pLzdap ptm spiEog moz3 sq-F=ad/sTuAosddP
LL RssaOau Tie qmp 1;zzae og pasn sT =o3 ST141 : SHOIMDfJUISHI
maw zsvzm im - n y uoa
'iano:) @d/(4
Snld sseaq pue poi looj z�,t, gIIM ad j aii3 ayl jo aq llegs pue aull Aliadoid ayl le pallelsui aq Reqs saxoq ginD -9
saAlen alseM pue dols 5918 H
suoiun lied aaigl ZObS L H
sdols gjnD Z L ZS l H
suoileiodiOD ZOZS l H
lenba ao iallanVN adAi aguelj sseaq aq llegs sguilllj Ild -S
�ulgnl iaddoa I adAl „L aq llegs suopauuoa aainiaS .t7
'b96L-L89 auogdalal—'M'd'a agl }o anileluasaidai e Aq uoilDadsul lnopm pall!3laeq aq Reqs saalnias ialeM ON •E
•apeig gsitiq ay Molaq laaj ani} Jo wnwiuiw e pallelsui aq Reqs saDlnias ialeM Ilb 'Z
.slioM Dllgnd jo uoisinla aql woij liwiad pllen e lnopm ianopuy glioN Jo
uMol aql jo walsAs uolingiilslp aql jo lied aie gaigM sinew ialeM q1jM iadwel AeM Aue ul io del Ile4s suosiad ON
SDIAMS 1131VM 30 NO11VIIV1SNU 3H1 DNIN213AOD SNOIlVIMAII ONd S31nll
W4
suopelnsai pue sauna aoj 1aeq aaS
ale(]
Aq paiaadsul
�a
sjaoM ai�q • jo i og r4�1
•sjaoM aiIgnd Jo uoisinia aqj jo suoileInSai pup sauna aqj of 1aafgns
aaaais + �� CIn a V j 3e uiew jaiem ay; qi!m uoiiaauuoa a ajew of
oa uoissiwjad siuejS Agaaaq slaoM ailgnd;o pjeog aqj
NIVW 1131VM HIM 1:)3NNOJ Ol 11W213d
ainleuSiS s,ju
,::57 � n �a
y�lC-1
ppb'
iolaejluoD
ssaippy aaumo
•ou 101 uoisinipgns ao
6L'ON se umoul aie sasiwaid aql
•sjjoM ailgnd }o uoisinip ayjo suoilelndai pup sauna aql of 1aafgns
+J �'la 1(1� J ui uiew aaleM umol aq1 qi!m laauuoa of apew Agajay si pauSisiapun aq1 Aq uoileailddy
ZT 6 L 'Janopud gijoN
N011ANN03 DIAMS 1131VMVSOI NOIIV:)IlddV
-,�? n 0-:1
z8L .oN
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 guilding Permit (below) Address of Property for Permit (below)
_ OvNI� /�``<,S _SOS gee 0tl/je� fl!'jvC
Map and Parcel: Purpose of Application (check below)
PhV �er�o�A�p�glicant: X 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 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
existence as of the effective date of this by-law, provided that no additional residential unit is created.
ByX The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
law.
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
allowed an EXEMPITLCIN as cited above.
inaccurate info on, r the ecking
knowledge / ot, i�gunds f r refusal
✓ A
5lgnature i5f Owner or Authorized Agent who s
This form must be attached to the Building
of the information provided and that the attached building permit
Further I understand that the submittal of misleading and or
ff pf ark above item which does not comply, whether done to my
ryIhe B ilding epartment to issue a Building Permit,
W� S
igned the Attached Building Permit D to
Permit upon application for such permit.
1
4
e ' %�atttmzoau+ieall� o� �T�irda�GZUJ�IIJ Ij
DEPARTMENT OF PUBLIC SAFEFY
INSTRUCTION SUPERVISOR LICENSE
umber '. { :Expires: Birthdate:
S 685693'; 01�13�2000 011311954
Restrltted Toi 00
DAVIO N_"'•kINOREO
30 MILL POND POB% 531 1
N ANDOVER, MA 01645
156635
j Restricted To: 00
i, 00 - 35,0@0 cf enclosed space
(MGL C.112 S.60L)
is IA - Masonry only
1G - 1 & 2 Family Homes
ii Failure to possess a current edition of the
Massachusetts State Building Code
r,
r, is cause for revocation of this license.
c:
t r r -
y
y t
4t % 1
v
s - 4M i
t ' �
1 • a
Z
v
'>
r\
i-
N
N
Cn
C:)
00
I
C)
0
w
CD
C'4
n
p—
a
�t
°O
I
IU
C -)d00
O
N
�cfl
00N
Lu
t�—
00
C�
a)
LC]
�
W
W
LLJ
J
L LJ
O
vi
x
Q oQUQ
�mlox
Z OQ(nCD
---t 1
I I
I I
I I
I I
I I
I I
I !
I I
I I
I I
I I
I I
I I
I I
I I
I I
---1 I
I I
I I
ES
I I
I I
I I
I I
I I
I 1
I I
I I
I I
I I
LU
---1- I
I I
ILJLI
I I
I I
I 1
I I
LU
I I
I I
I I
I I
I f
I I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
t I
I I
I I
I I
I I
--------- --
------
I I
I I
I I
I I
---LJ
+ 0 }
lu
w
LU
--� 1
d
N
Go
tLQ
� �
I I fl
I I
Q
>
Lu
c
$
i
•�
cl
II z
Lu m
Y
u
M
a
oC,
3
`I
,p
I
II
_
N
cm j X
I I
Lij
6 U Q
Y
I m ti
Z
li
II
0 d to
1 LI
�
II
II
7K3
-CUp
X 9 p ��
3
Q)
I I
ac
��
II
_ 1=3IMP
L NcAIU OU
i I
I I
L) Q} cc -- — i
U
CIO
go
I I
go
-na
n -C
I I
O U�O
Q0 O
I I
_ U i
RE
2 90��
�I
to a IMo�
-�� �
I-
----LI
Q)�U
x
Q) Qj -
�� �
-6
O
5- 7j� 07p
-CSO
OM
U O ��L
OO
�N
�
'IT
.0-.9 A► A �8
di
O7
3
QO'p
CLi-.-
p �qa'U
M
U U
MI`
7� Wig-
IZ
�VUZ
U
p O
' U
i u p U
� to N�T,
ILI
� ) Q) ul:s
40
O 70 V V
a
IL p Som
Q)
^ N
M r
-2 Y
- - - - - - - - - - -
I
I
I
I
I
I
I
i
I
I
I
I
I
I
I
I
L----------
«d—,5 .0—,6a�—,Z „9—,ll
Q6- tr 1- I
.01-1Z ,6—.Y X d01—,4
-,9Z
a0
p6-,ti X .01,Z
o�
I
CD
o
=
o,
I
1
M
.n
(n
o
C5
r
o
`t
in
I
N
d
(V
O
I
[p
�
LU
o
I
m
O
�
O
N
�
a a
7
O
I
�
�
�v
1 N
a
toO
C , 1
m03
�
2 21—
p{� 7T
a� N —
gto
_I
L
N
wfiO
I
OLU
m
�
0
I
`o
1
,Z
o
i7
d-
I
I
1�
�
(4
to
O
I
P,
�9-.z
co
7
�`
O
Z
8
��
.XL
N
I
O
T4�
cD
d'
o
x
1
M
Z
a
CD
I
o
�
I
N
��
rn
I
N
0
Ro
I
c
aDCl
1
«9 .Z
I
I
I
�
I I
I
`Q
x
o
0
N
LL
o
I I
I
j ----
I
I I
I I
I I
o
I
.01-1Z ,6—.Y X d01—,4
-,9Z
a0
r
,I
19-`t
-o
„9-,Z
I I
I
I I
.9-,6
A A
A
n
- - -
A
- - - -
I
I
-
I
I
I
I
II N
R
I
if
� o
I I�
si
II
O
�Y
Q �/
II �
Q
II v
II
o
►-
�n ac o u ►u
.11
r
to Q
,I
19-`t
11
„9-,Z
I I
I
I I
.9-,6
A A
A
r _ a -` _ - a -- _ s -
- - -
A
- - - -
I
I
-
I
I
I
I
II N
R
I
II
� o
I I�
II
n '4
II �
II v
II
o
<t
II
LU
Q
r
-1L----
------
►'►
I
I
a0-,6
XLU
I
,D
r-
�
�
I
I
• I x
Qo
�1-
O
�a
rL
I
N
x
I
I
a I '
I
ip tU
I'
I
I
I
I
I
I
'►
I
I
o
I
I
I
I
I
�
I
I
I
1—�
�
I
�
1
1
n
;
.D
o
I I
I I
I
r
-•-e
I
I
I
U
---
I
I
O
I
I
I
°`cc
I
I
II
I
I
a I
I
a<a
R
a
I
I
I I
I I
I a I
I I
I - - - - a9—,6
1 w9-,* 1
„9-,Z
I I
I
I I
a
o
A A
A
e - - - -
O • A A
- - -
A
- - - -
--
-I.
I
-
II
- - - - -
II N
R
I
II
� o
I I�
II
n '4
II �
II v
II
o
II
LU
Q
r
-1L----
------
►'►
I
I
a0-,6
„ 0—,0t
w0—i
- -
I - - - - a9—,6
1 w9-,* 1
„9-,Z
A
A A
A
e - - - -
O • A A
- - -
A
- - - -
--
-I.
I
I
-
- - - -
- - - - -
I
p�►
I
LU
Q
r
I
►'►
I
I
ao
XLU
I
,D
r-
�
�
I
O
�a
n
•►
I
x
'oil
ip tU
I
p,►
I
I
I
I
'►
I
I
1—�
1
1
n
;
.D
a-
I I
I I
1
r
-•-e
I
°'r
---
I
I
I
°`cc
I
I
II
I
I
a<a
���
I.•L--��
I II
110
I
�
II
I I I
I x0
Ip'►I
I I I
I 7v U
I
I
►•►
I
I I
u0-,£
p,
I
I
I I
I
I''►
I
I
II
I
I
I•p
I
o
I I
}
•►
I
I I
I tQ W
J
.D
I w
-
•_
r
I I
ebm
Ip,
I
I I
I'D
I
I
I
I
I I
d
I
I
I �
►'° I
I
'►
LII
17
j�
NiQ
I
.D
I riJ
I
D, I
I
II
l l
I
I
►�' I
-
-- - -- - - - -vD
_
,-
I
.L—,g
0
v
'>
N
�-
N
(n
o 00
O
I N 00
d-
LLJ
CYa
a
d I I
00
r-
y LL
o
o 00 00?
�COC.0U
N
m
00 00
®3: c
c�
—
. !moi
w w -i uj
a�
i x
Mm�
Q of
II
z o2tnn
ri
II
I
s
O II
is
L
a►
p I II
O i
•�
O
CIA
_LL
�L O 6 I
O
1
a.. _
kn z �
LL 9)
Z OL
ui
LL d X� II
Ln' _� L \V
V j- 0
O
LL
I
�
Q Q I I
LL
Ili
Ili ctrl I I
li
II
I
II
I I
II
II � II
I
II II
it II
I I
II II
II II
II II
f
L L
A
.r
a
H�
----------------
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
L ---------------
r
r
G
w
. _ 4
Z
Q o
(n o 00 d ct5
C,4CC)LU
C:)
4 a t—
`� m
D 0000 -1
�co q cn r-
00 OD
cat � � t7z L 4� Qcw9Q~
ffi� �Z
(
Y
I -e 11 z flQvvi��mWa�
�� p i -1z
WiLL< f
A 'o.a>J �—=
uo0-X
LL, 4 o}
"'X�£°
O
fx �
Linn
0
fx�ook
CL Qc�
—14�7wLU
a•
u�OQ4 a.
W O
} u-
tp
z
(n lu LU
Q� O — u
> _ U� U z
O O
LLI
z$zJj a
a a
u u uma 1111111 1111111
� ,°�Q 1111111 1111111
u- L
u- LU u_
�.. A �..
u lox u
• • . . . e e
Ar
m10�
a� ,a a� i6 a4/�L iii
aof
LH
O� iL:a
O �� �9 R O awl o� Q
r� °R°
�70 -0 O 00 -12
-0
0 LL
fy
�o0
M7 Ac - ' _°orb s ° -0�
LL
�l °rp
s"o—
fj�= �-
Ero Q��mo .0o�� m q
— o � r: ii► � ici .o r
k
Y
I
' b
1
A
J
o
a
%LU 3 O X
0
zoa= r,
10 q
.0
iL-��w
a oc
LL
lu
UeAo°a
z �
Y d
O O �
LU
lu
iU1 U �
aD�nLU-
�O
WDA
o$ n
o
"quoO~
Q m �n5?
40 —znLU4
a �aX
U 0Q_
SQA
«dl
CERTIFICATE OF USE &(OCCUPANCY
Town of North Andover
Building Permit Number Date
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 16:5— Zk- a d & IJ ��
MAY BE OCCUPIED AS IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
". ° RT : CERTIFICATE ISSUED TO Cdl
'• 0
ADDRESS1�4N�
,:JACMUS�
ing Inspector
O
EM4
W
ct
r
f
�s✓\\\j
� 0
•m C
J
W
w`�
z�0\
C G7
a
C:3
Q
z
C
c `
Z
oz
O
r0'-" T
(n
a
'U-'
G
o o
a
w' ���
G
'0
o
w G z o
.
F�
Ir
W
ea
m c
r
f
�s✓\\\j
� 0
•m C
C G7
C:3
c `
Z
oz
O
`ea
�o
V
v0
CJS
p�
nm
.
F�
Ir
W
ea
m c
h-�-1
Cli
• N i"'
m
w.
m
CL
E c
m
05
t;cm
�.
c. w
N ev
: m o
cc
o
CLU
O
h•7
C Q
aN
cz
y O
•
ts
� c � o
CL
QCD
y C
!
m
: m 3
n
H
S
N m�H
COD
LL
oC
m �• C
oc
�E
v cci "
v
m
o m c
H
n
m� CIO
m 0 N�7
H
t
r nr=.+m
E
if
N
t
ca
w
H
cm
m
cm
m
0
cm
C
•C
N
m
L
O
Z
0
O
F�
i
M,
6
O
O
O
0
O
Q
Z O
iZ
O H
� C
CO
I O �
� —
co
ca O ._
.- m m
CD 0 CD
CD
O�
CD
O � i
O O d
12- Cm Q
10
O +-' !OC
V
.Q O -co
C CD
O C
0
.0 C
_cc
�.
_)
is
Lam''
�s✓\\\j
W
a
i.a
Z
oz
cf)
R
�o
CJS
p�
►�-
.
F�
Ir
W
Cn
O
h-�-1
Cli
F�
i
M,
6
O
O
O
0
O
Q
Z O
iZ
O H
� C
CO
I O �
� —
co
ca O ._
.- m m
CD 0 CD
CD
O�
CD
O � i
O O d
12- Cm Q
10
O +-' !OC
V
.Q O -co
C CD
O C
0
.0 C
_cc
�.
_)
is
Lam''