HomeMy WebLinkAboutMiscellaneous - 105 WEYLAND CIRCLE 4/30/20181
i
r
b
Date. 9. f � .c)v
TOWN OF NORTH ANDOVER
,a
p PERMIT FOR PLUMBING
This certifies that ...:...................
has permission to perform.............. .
plumbing in the buildings of : _.<.. ! .........................
at .. .IS
. ........... ..... ,North Andover, Mass.
Feer. ? "7 f .. Lic. No :7. jQ . .. n...... f,..yji�-:........ .
PLUMBINTINSPECTOR
Check # 17 �� U
5375
P
MASSACHUSETTS UNIFORM APPLICATION
ftnt or T )
p�,��
' Mass.. Date
Bidding Location J
C�
FOR PERMIT TO DO PLUMBING`S
C 2 Permit vl 3 � 5
Owners Na
Type of OccupanC'M Fi t -'%L
Now ❑ Renovation ❑ Replacement 9 Plans SubmMQd:d: Yes O No ❑
FIXTURES.�
Inatagktg Company Name,,
,3 r-� C'004 [ k (nA K 1 s- r_ 1
171 E +4 ' 6-Aj rn d 0 d a4l
Business Telephone 1,11 L - i9 -7 t
Name of Ucensed Plumber
Check one:
O Corporation
O Partrwahip
9'0irm/Co.
CedifIcate
INSURANCE COVERAGE:
I have a current jablilty Insurance pocky Or Its substantialequivalent whkh meets the requirements of MGL Ch. 142.
Yes LT No O
If you have chocked 30, pease indicate the type coverage by checking the appropriate boot
A liability insurance policy Other type of indemnity 0 Bond o
OWNER'S INSURANCE WAIVER: I am aware that the licensee does rat have the insurance coverage required by
Chapter 142 Of the Mass. General taws. and that my signature on Oft permit aWlatlon waives this requirement.
Check one:
owner O Agent O
I hereby MW that sh of the details and Iffiamation I have submitted Ion entered) in abm application are bus and acowate to the best m my
knowiedpe and Metes pkM*vV work and atataGations kw--- under the permit isswolat On application wig be in comp WXO with all
pe tmt W*wons of tin Massachusetts State and01
the taws.
Mrs of uawww- pkxdm
rRN Type of license: Master gni .lournepnaA 0
I.t°
a
mt
m
=
o
Y
z
<
z
>
di
W
W
02
]C
z
N
<
a
C
i
4
O
,
z
z
0
O
;
a
Z
J
h
W
W
A
=
w
~
V
ICN
M
Y•
M
rr
z
d
a
h'
V=
C
W
s
O
o
i
C
M
t
W
le
C
<
i
p,
t
h
ta
2
r,4-
d
a
+�
t7
z
K<
C
C
Q_
yr
0.
a
�
a=
�
W
3=
b
C
s
•
s
A
><
�
a
G
O
�
J
A
t
Y<
W
a
i
a
<
<
•oz
dr
O
u
Zt
rg<
W
o
O
sys—asMT.
sAsEarrNT
IST FLOOR
2ND FLOOR
3ROFLOOR
4TH FLOOR
STM FLOOR
eTM FLOOR
7TH FLOOR
STN FLOOR
Inatagktg Company Name,,
,3 r-� C'004 [ k (nA K 1 s- r_ 1
171 E +4 ' 6-Aj rn d 0 d a4l
Business Telephone 1,11 L - i9 -7 t
Name of Ucensed Plumber
Check one:
O Corporation
O Partrwahip
9'0irm/Co.
CedifIcate
INSURANCE COVERAGE:
I have a current jablilty Insurance pocky Or Its substantialequivalent whkh meets the requirements of MGL Ch. 142.
Yes LT No O
If you have chocked 30, pease indicate the type coverage by checking the appropriate boot
A liability insurance policy Other type of indemnity 0 Bond o
OWNER'S INSURANCE WAIVER: I am aware that the licensee does rat have the insurance coverage required by
Chapter 142 Of the Mass. General taws. and that my signature on Oft permit aWlatlon waives this requirement.
Check one:
owner O Agent O
I hereby MW that sh of the details and Iffiamation I have submitted Ion entered) in abm application are bus and acowate to the best m my
knowiedpe and Metes pkM*vV work and atataGations kw--- under the permit isswolat On application wig be in comp WXO with all
pe tmt W*wons of tin Massachusetts State and01
the taws.
Mrs of uawww- pkxdm
rRN Type of license: Master gni .lournepnaA 0
J
y
A,
s In
A
4
_
O
O
z
O
c
_
O
a
G
z
=
4 z
PSI'
s
A
4040
v
0
M
N
I
Location //4,(u
No. o Date
TOWN OF NORTH ANDOVER,
M
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
jl (`'U8
Building Inspector
Div. Public Works
-PERtaT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
'PAGE 1
MAP3140.
LOT NO.
I
2 RECORD OF OWNERSHIP :DATE
BOOK :PAGE
ZONE
SUB DIV. LOT NO.
r)
LOCATI N
t r'', '
PURPOSE OF BUILDING
OWNER'S NAME Q!f , 7
V
NO. OF STORIES SIZE •
OWNER'S ADDRESS
ii �"T'� /
BASEMENT OR SLAB s"
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME 6X Wod
p a [ Y
SPAN
DISTANCE TO NEAREST BUILDING
---
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES - SIDES
REAR
GIRDERS
AREA OF LOT
FRONTAGE
HEIGHT OC.GdUNDATION THICKNESS
IS BUILDING NEW a -5
SIZE OF FOOTING X
IS BUILDING ADDITION I
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED -G
SIGNATURE OF OWNER OR
3
FEE -
PERMIT GRANTED
-�( 19 -
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST /aJ JI-x�l
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
IA� z -
BUILDING INSP[CTOII
OWNER TEL. # If- 34 r2
CONTR. TEL. # � � � g r> L�
CONTR. LIC. # V
H.I.C. #
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY I
STORIES
MULTI. FAMILY
APARTMENTS
_OFFICES__
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
3 1 2 13
PINE
P
CONCRETE
CONCRETE BL K.
BRICK OR STONE
PIERS
PLASTER
DRY WALL
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B'M'TAREA
_
y, 1/2 l/,
FIN. ATTIC AREA
_
N_O B M T
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I
9 FLOORS
CLAPBOARDS
B
_
1
22 J
3
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
_
HARDNrJ'D
COMMON
ASPH. TILE
STUCCO ON FRAME
_
BRICK ON MASONRY
ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I� POOR _
ADEQUATE NONE
5 R70F
10 PLUMBING
GABLE
I
I HIP
BATH 13 FIX.)
GAMBREL
MANSARD
TOILET RM. (2 FIX.)
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
_
TAR & GRAVEL
STALL SHOWER
_
ROLL ROOFING
MODERN FIXTURES
_
TILE FLOOR
TILE DADO
6 FRAMING
I 11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS
HOT W'T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
'M'T 2nd _
3rd
GAS
OIL
ELECTRIC
NO HEATING
1st
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS: WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. ,
e
Ce
�-- -
5
r-1
N
cz
4�
H
w
o
A
c
O
u°.
a
Cf)
CL7
cn
�
u
w
z
z
Q
-
]v
MM
C
°
ro
w
p
w
U
C
w
O
w
X
z
p
uw
C
w
O
G
�,
U
�
w
p
cn
C
w
O
H
U
Q
rL
C
w"
w
A
W
v
r4
u
cn
cn
4 ui
7�
/'--'�
to
U
O
CO
O
GD
O
E
O i
� O
O v
Z O
cm
O y
D �
0.—
ca
CD
LA O .O
ECDco
m m
~ ♦_-+
CD �a
O i co
CD i
_�
�Q
C
.o
o C
v J�
G�
C Z CO
V y
C
�C C
CO
CLy
c �-
0
N
m c
c
0 0
c
o
CC
CC
m
3
D
Q
,r
0a
�E_
z
p m
:oma
o
C.3 as
c
E
m �
a
C
L
H
y
r ^
�//
Q
rm
m -3:
m
_
\x'
= C
N
o
A-- N
o
E
m o
rn
0-4
y m '
C:
t o
as
m
m o
• V N O
i
6 7 • > Z
p
C 1- O
C
Q
: yC
m C
C
2
mo
N
~
:a
CD D
'r'•
N m
C
U.
+.
O C
CO2
E
0.�
V� co N
Z
o
LU
U
m
C m C
W
O.
coCO
m� p�
H .O
C*)
C
i
i-
s
CD
, C., m
to
U
O
CO
O
GD
O
E
O i
� O
O v
Z O
cm
O y
D �
0.—
ca
CD
LA O .O
ECDco
m m
~ ♦_-+
CD �a
O i co
CD i
_�
�Q
C
.o
o C
v J�
G�
C Z CO
V y
C
�C C
CO
CLy
4,w
AO6(�/ey/^�PC
9�P �zpa
qlg2(09 �ie�
tv
-75-81 ��
L0T-41-
z!, :784
IZ.pi ,32.33'
V. 2z.o' 4•a
2.32D-
-
�rC?CL�'
Pi2o�GtSED Novs�' Go -',N7 -10A/ A,vo
�O. HNDo✓E� '�lASS�
\\AOF �a� � O,PAfYiI/ iO.P
i
o JEFFREY c�a l�E�GG'EE,�/ /1 AA14Ge/YIE.t/T
NOFhr4NN43
/ rr
iilE•P,P/ril.9Gt� E,vG�,s�EE.P/.!/G SERY/lES
6G
A.r/DOYE,� �YIASS.4G%l/SE775 O/B/D
-
• r
- i
j
L a 7-
78 4
'784 S,F,
= O. 5100/ AG,
IG, 33' P24f�2SED
4.0' �. 117
ZZ 48,0
. L=45.f3• - -
�9yGAA/D
ORaPQSED /✓OUSE L4rcA7'/0N A.vD
.0167- 11'G AN
/y0, HNl�o✓E�C'� �AS,S�
�Npc Mass O,PAJ✓1V FOW
JEFFREY �G�� ��YE'�E,C/ M,4>c/AGc/YIE•t!T
m�
� HQFMINN
43
/ /99
�.�AtS iz
OqT�-
E�P 65 S J
'' islE•P,P/ilfflCt� E"•vG��EE.P��G SERY/L'ES
_ A.t/DDYE�; iyl.4SS,4Gl�l/S'•ETTS o/9/D
Communication Result Report ( Apr,24. 2012 11:43AM)
2)
Date/Time: Apr,24, 2012 11:43AM
File Page
No. Mode Destination Pg (S) Result Not Sent
----------------------------------------------------------------------------------------------------
5123 Memory TX 819782692106 P, 1 OK
----------------------------------------------------------------------------------------------------
Reasonfor
error
E.
1) Hang up or line
fail
E.2) Busy
E.3)
No answer
E.4) No facsimile connection
E.5)
Exceeded max. E—mail
size
sa.so'-
r
1
- •1
�ar�2/
• iE9�' 70' � ; M)'
f2.3� — 3Aii'
PRORtfF� "
-
- �
.33•
...
PpJPOSED !/0//s6 facpYidN A.VD
P[PY PLAN .
Of
JMEY
�YEC6,eEE:I/ MANR6cAl6.✓r
KOACiF?I2 Nv
e S,
i fit. s.. nest
ME,P�P/.ALfGY EN6UocE, /C 6 SERY/lE3'
.. ._ - ...
.. ...
ANOOYde, ,dfAsxlGY�•�'1-r O�8/O
.. ...ter_ -_r.:.:._. . .
LocationIA-luo-
No.
_ Date �l
A
N°"TM TOWN OF NORTH ANDOVERp
' p Certificate of Occupancy $
Building/Frame Permit Fee $
...mss:.. „.
s "revE
cMuFoundation Permit Fee $
� s�s t
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
0
TOTAL $
j r� Building Inspector
90:13 3 Div. Public Works
1-6cation 6 5
N 3 Date
TOWN OF NORTH ANDOVER
V�� Water Connection Fee $
v TOTAL $
0r_w+ � O
YJ
�`- �.8uilg Ins t r
06/ p9,;4Q�� 1000.00
1 PAID1, D77
k 4/i D9 Div lic Works
p Certificate of Occupancy $
Building/Frame Permit Fee $
IssAC14 Foundation Permit Fee $
Other Permit Fee $
/070 Sewer Connection Fee $
V�� Water Connection Fee $
v TOTAL $
0r_w+ � O
YJ
�`- �.8uilg Ins t r
06/ p9,;4Q�� 1000.00
1 PAID1, D77
k 4/i D9 Div lic Works
Location d (dQ C
No.... Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$ s'j S J
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
Water Connection Fee
$
TOTAL
$
V6/24/96 09 -AA 150.00 PAID
Building Inspector
Div. Public Works
P�dt'% IT Nt3. <
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE I
MAP h40.
LOT NO.
2 RECORD OF OWNERSHIP JDATE
BOOK 'PAGE
ZONE D
SUB DIV. LOT NO.3
I
—
LOCATION
_ ) s— GU -F
/a �, a/ Cf r c /4L
PURPOSE OF BUILDING 'tfQ%a
,r a , a
OWNER'S NAME �� O
.�' d Y its r�
OWNER'S ADDRESS t73-3
� If � _
T`-IYT
-/v
NO. OF STORIES SIZE r11'�c�
BASEMENT OR SLAB 67<40Aw ovi
ARCH ITECT'S.NAMESIZE
OF FLOOR TIMBERS IST X !!Q 2ND ��l 4i 3RD
BUILDER'S NAME rte'
SPAN
DISTANCE TO NEAREST BUILDING
�j
'!'�
DIMENSIONS OF SILLS ---
DISTANCE FROM STREET
�f x+70
POSTS
DISTANCE FROM LOT LINES - SIDES
REAR
G9
(f))Id
GIRDERS ►J/
(/C
AREA OF LOT 7) c'm F
vJ
FRONTAGE
�v
HEIGHT OF FOUNDATION FJ' 1 THICKNESS
LS
IS BUILDING NEW V
77
� S
SIZE OF FOOTING / A 4� X
! V
IS BUILDING ADDITION
j1 1 D
MATERIAL OF CHIMNEY
aLL �-
IS BUILDING ALTERATION
/00
IS BUILDING ON SOLID OR FILLED LAND G' 0
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ,0
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
AI /l I e
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
'Q -
ELECTR16METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
SIGNATURE OF OWNER OR
FEE
PERMIT GRANTED
lfl rC l 19
3 PROPERTY INFORMATION
LAND COST 7s em
EST. BLDG. COST i n S -2p 1 o
EST. BLDG. COSTPER SQ. FT. V EST. BLDG. COST S -Z)
EST. BLDG. COST PER ROOM J 2) j ?v
SEPTIC PERMIT NO.
4 APPROVED BY
OWNER TEL. #
mUILDINO INSPUCTOI!
6 (q -36'> �f
CONTR. TEL. # 6 I 7^ -'?&/ 2 V
�I 1990
�CONTR. LIC.
H.I.C. #
BUILDING RECORD
I OCCUPANCY 12
SINGLE FAMILY
RIES
MULTI. FAMILY
APARTMENTS
CONSTRUCTION
2 FOUNDATION
8 - INTERIOR FINISH
3 1 2 13
PINE
CONCRETE
CONCRETE BL K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY WALL
NFIN
3 BASEMENT,
AREA FULL
FIN. B M'T' AREA
1/1 1/2
FIN. ATTIC AREA
t!O 8 M T
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
—7 --WALLS
9 FLOORS
CLAPBOARDS
B
1
2
3
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING—
CONCRETE
EARTH
_HARDVJ D
COMIACN
ASPH. TILE
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME *
ATTIC STRS. & FLOOR
I
I—
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
i'T0_NE,bNFRAME,
SUPERIORPOOR
ADEQUATE I NONE
5 ROOF
10 PLUMBING
GABLE
HIP
BATH Q FIX.)
GAMBREL
MANSARD
TOILET RM. (2 FIX.)
FLAT
SHED
WATER CLOSET
ASPHALT SHINGLES
A
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
WOOD RAFTERS
HOT W'T'R OR VAPOR
AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
AS
OIL
ELECTRIC
B*M'T 2nd I
_31d
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND, DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS -OF BUILDINGS. WITH PORCHES. GA-
RAGES, ETC. SUPERIMPO§E61 THIS 'REPLACES PLOT PLAN
7- 1
r
d it
jLOT#Z/
Z/, :784
Zi-34' 7-e ia7�
32.33'
... � � /6.33. P2ofl�S�D �• .
• - a u.cp� p
i
L = 45.48'
!'R�PQSED ,vOus6 Lac,�TrQN A.vO
IN
JEFFREY '�o�, ��l�E'.E'G,E'EE,�/ /19.¢.c/AGE"/17E•t/T
�HO�WNN y
143
� Gr
e,-'4,5Y S P, C, S, DA r5-
rNE�P.P/rtlslGt� E.vG�.�/EE.P�.(/6 SE•Pv/lES
6G PA�P.E� .ST.PEE"T
A.t/ODYE� �/,4S.S,4Gf/!/SETTS O/8r0
i
FORM U - LOT RELEASE FORM
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 local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT:_] XWOc)o1 �Ff) 0l�y 6)-0d PhoneIF
LOCATION: Asses'sor's MapNumber Parcel
Subdivision /"d X WQQ a// Lots) �Z
Street -b"" %a j/ Cc, o al �� C��o St. Number
************************Of icial Use Only************************
RECOMME ATIO S OF T GENTS:
Date Approved 6174
Conservation Administrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Date Approved
Date Rejected
Date Approved
Date Rejected
Public Works - sewer/water connections h LO 6 -7 - %G
- driveway permit
Fire Department /C
Received by Building Inspector
Date
N° 1070
APPLICATION FOR SEWER SERVICE CONNECTION
(r
North Andover, Mass.`- IIJ 46 z 19 lc
Application by the undersigned is hereby made to connect with the town sewer main in _ Or— Street,
subject to the rules and regulations of the Division of Public Works. 1
The premises are known as No.
or subdivision lot no.
V
Owner Address
Contractor
Address
A icant's Signature
PERMIT TO CONNECT WITH SEWER M IN
The Division of Public Works hereby grants permission to ��Dx Gt�Odl�^
to make a connection with the sewer main at C -C -le
subject to the rules and regulations of the Division of Public Works..
Inspected by
Date
Street
Street
ivision f Pu lic Works
By
See back for rules and regulations
RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES
1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer
or appurtenance thereof without first obtaining a written permit from the Division of Public Works.
2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The
owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation
of the building sewer.
3. A separate and independent building sewer shall be provided for every building; except where one building stands at the
rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an
adjoining alley, court, yard, or driveway, the building sewer from the front building may be extended to the rear building
and the whole considered as one building sewer.
4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by
the (Superintendent), to meet all requirements of this ordinance.
5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating,
placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. The sewer
shall be 6"diameter SDR 35, PVC pipe. Minimum slope shall be 1/8" per foot. The minimum depth of sewer shall be four
feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a
minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown
of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of
the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift.
6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all
buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such
building drain shall be lifted by an approved means and discharged to the building sewer.
7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or
ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer.
8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for
inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent)
or his representative.
9. All excavations for building sewer installation shall be adequately. guarded with barricades and lights so as to protect the
public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be
restored in a manner satisfactory to the (town).
618
APPLICATION FOR WATER SERVICE CONNECTION
r �
North Andover, Mass. 19 j
A
Application by the undersigned is hereby made to connect with the town water main in ����1 f �L�=r� �� Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No. �/? C �'-���� �'/ �^ y�i Street
or subdivision lot no. L
Owner J / Address
Contractor
Address
t
�' v
A`pp is nt's Signature
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 Public Works.
Inspected by
Date
Street
-<—�� ,+ Board of Public WorksBy
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'/s foot rod and brass plug
type cover.
TOWN OF NORTH ANDOVER, MASSACHUSETTS
DIVISION OF PUBLIC WORKS
38a OSGOOD STREET. 0184.
GEORGE PERNA Telephone (508) 685-0950
DIRECTOR Fax (508) 688-9573
� NORTk
O L
+•oq ' S
DRIVEWAY PERMIT
Date:
LOCATION: �d5 ���G,
BUILDER: phone:
OWNER: 7
phone: �g�-/� zg
The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the
grade and set -back from street established in any driveway entry onto any street or way maintained by
the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval
of such entry.
FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT
IRemarks: Approval:
CN
l
w
A
x
v
O
LE
e
v
U)
lz
O
z
z
Q
O
w
O
rx
C
U
m
G
w
P4 0
U
z
O
u:
ro
w'
C4
O
W
rwu
z
u
W
O
u:
v
cn
G
w
a
w
z
o
O
W
A
0
PQ
2
v
cn
Q
O
cn
ti
m
oar
c ver-+ UW
f : Cn
p Ncc
d
c� c, L : C7
.cc o0 Ln : Q
o Ldco
ELU
LU
CD
o o
r3- : —0.
tom
co
0: c .• � O
o 0
m�
mm a U
N N •�
CID
H c c
cc o w �
:gym. R H U a
CLU L� CD
�
N Wv
L = O cm ll ^^
m p � m
v y o U
cc.,)
7 i Z p O
' ow rn
e o
E-
CD m
= m ms c N
M cc
+- c p
F -N O.L — Z
cc E 0 -0 o
V m p m C'
-o
d p . O .5
= mC H •� O
G�
O
E
CDO
� v
z
O CO)
CD
D �
I C C
CA CD
•FE m m
�
s
CL
Cus
CD
L
!C O d
a. os Q
c
o C
cvCc
v -j =
CD
C z co
0 CL
V CO)
ev
C
'C C
c
CO)
0
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 Parcel: Purpose of Ap lication (check below)
Pho a Number of Applicant: 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. 1 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
existence as of the effective date of this by-law, provided that no additional residential unit is created.
AWThe
lot(s) were/was created prior to May 6, 1996 are exempt ;rom the provisions of this Section 8.7 of the Zoning
This application is for dwelling units for low and/or moderate income families or individuals, where all of the
conditions of 8.7.6.c are 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 :wady for t.uiiding permit. ,,(i.e. all other permits from all other boards and
commissions have been received anr' t^e_projoct is in cor!plionce with those permits), and th_- Development.Schedule
does not ..accommodato issuing a building p ,reit irl th,: Fear, one building perrnr<will be issued per Year per
Dtr velnpment ,.ndl such time as the Development Schedule accommodates issuing building permits. Applicant i(!oq!
supply appiuved 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, is grounds for refusa by the Building Department to issue a Building Permit.
§ lure of Owner or _ uthorized Agent who sig ed the Attached Building Permit Da e
'This form must be attached to the Building Permit upon application for such permit.
•- C v � •-r ' p � i. W
C «o• p ~
co
CDj_rij
m�co
cz A'
CO),
ui
Cc
yCO
.�
o
0 c \1 O3 O d!
�.. .CD
L
y.+ L '• -
ymm J w -
ss o m O
�•o.ct •� ' O O ,
o m O C3.
m, r , v H o y
c3•�� o C
wo.... p
Q C3 CL
c
c
111 = -w�� w ��
o ::_
CL
N 1= E E.0wa, o_ C
LU
m C.m,
= ca m -0om CD
" o"+' co
x 44
(�
as ua
-o
G J .
,�
_c
cu
2 v
0 cn
_
w o. m
W
(c.
G V) w
�
c0 - u.
c u °w
am U). • V) .
•- C v � •-r ' p � i. W
C «o• p ~
co
CDj_rij
m�co
cz A'
CO),
ui
Cc
yCO
.�
o
0 c \1 O3 O d!
�.. .CD
L
y.+ L '• -
ymm J w -
ss o m O
�•o.ct •� ' O O ,
o m O C3.
m, r , v H o y
c3•�� o C
wo.... p
Q C3 CL
c
c
111 = -w�� w ��
o ::_
CL
N 1= E E.0wa, o_ C
LU
m C.m,
= ca m -0om CD
" o"+' co
-..
F _ . _. _.
_ m