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Home My WebLink AboutMiscellaneous - 113 BRIDGES LANE 4/30/2018 (2) 113 BRIDGES LANE 210/104.x011 0000.0 ---- -- - - - -_�- -- - Commonwealth of Massachusetts City/Town of NOM A,%0WEjk System Pumping Record r` Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the PL P LVED accordance with 310 CMR 15.351. A. Facility Information JUN _ 4 2009 Important: TOWN OF NORTH ANDOVER When filling out 1. System Location: HEALTH DEPARTMENT forms on the n �i S / 0 computer,use (J [� only the tab key Ad re A M115.106a to move yourMA cursor-do not CitylTown State Zip Code use the return key. 2. System Owner- VQ T J C re v-y Name � I13 ��stsLti Address(ifdifferent from to tion) II Av. An,4C,V M o�� Cityrrown State Zip Code S7- CS7�( Telephone Number B. Pumping Record 1. Date of Pumping c "o 2. Quantity Pumped: 2U�� Date Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes D"'N-o If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: �00� 6. System Pumped By: �a i%u01(a V5 3 76 � Name IVehicle License Number gas IV1111111k 16 Comp ny 7. Location where contents were disposed: Ipswich Water Signature ofMisatment PlantDate InSWic h MA 01938 `o�R Signature eceiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 nJ~ ' Date. S N0Rrq t <� 41 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS14� `1 r 'rr This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . (/ . r . . . . . . . . . . . ^- plumbing in the buildin s of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /13 , North A dover, Mass. . ,�. Fee.4 .I). . . .Lic. N 7.l. . lv. .tlr PLUMBING 1 SPECTOR z ,y Check # Wt . 6429 MASSACHUSETTS UNIFORM APPLICA ION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS V Date Building Location / l' Owners Na e t e 11�� 1'! Permit# Amount Type of Occu anc e New Renovation Replacement di Plans Submitted Yes No 110 FIXTURES 4. 74 C. %REM MS�TT C��1xAMBM .71RL I`l.1Ai\ 4MlD 5fflHj0CR 6nM 11f= /M ZIaR (Print or type) Check one: Certificate Installing Company Name �U�)dl`/S'�Q (` /C --�4 El Corp. Address wt r k 1:1 Partner. I d4 ga usmess Telephone 13-Virm/Co. Name of Licensed Plumber: 6;d? r&V7 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity El 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 ❑ Agent ❑ 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 Plumbing Code and Chapter 142 of the General Laws. By: Signature o icense um er Type of Plumbing License Title ra a 14 1cl City/Town License Numoer. Master Journeyman APPROVED(oma USE ONLY LJ � I Date x ...... .. TOWN OF NORTH A14DOlVER 1_ O p PERMIT FOR GAS I STALLATION :O �9SSACMUSES This certifies that .. . . . . . . . . . . . . . . . . . has permission for gas installation . .�.,�'. ?l:o . . . . . . . . . . . in the buildings of . otAe7 .�%, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at .�,��. . �. ! � : . . �.�'. . . . . . . . , North Andover, Mass. Fee . . Lic. No.. . . . (�aAS INSPECTOR• , a Check# /V 5557 MASS APPROVAL # MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT YO DO GASFITTING AL,AN it>0 0 i .Mass. Gate Permit Bttiksinp t oeation /d/ _.AND o v C i-r Owne.'s NameT16 UU i-2&U1b Td occtrpanc'y -3��2 rD �S = L� New 0 Renu ailort 01 Replacement Q Ptans Submitted: Yesp No a \ t a x W a a � a c mn s 0lu n s ti K W = er = < e:W O D W W a J Z Z b Q C H W V = }1 W z i W J .t C y `a o z O x Wr 0 W J >V b Z a O < O O W O •e III eL .= O o S evs—ssatT. IST FLOOR I ." 2NO FLOOR yi 14 3RO FLOOR �s 4TH):Loop 5TIt FLOOR 4TN FLOOR ?TK FLOOR `TN FLOOR Insta I ft Coriipany Name YANKEE GAS Check one: Ceftifteate Address 140 SOUTH MAIN STREET IX Corporation 103C . MIDDLETONr MA 01949 C. parlmrship Business Telephone 9 7 8—7 7 4-.2 7 6 0 C Fret/Co. Narne Of UeenaW Plumber,or.Gas Fater WILLIAM R. HARR TS INSURANCE COVERAGE. have aYes e nt liability Insurance u a policy or its substantial equivalent which mets the requirements of MGL Ch. 142. If you have.checkedy". please indicate the type coverage by checking the appropriate box A liability Insurance policy M Other type of indemnity D Bond O OWNER'S INSURANCE WAIVER:I am aware that the licensee does nct 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 OwnerrJ Agent 0 1 hereby artily that all of the details and information t have submitted(or entered)in above WA aticn are true and accurate IoAhe hast of my •knowledge and that all plufnbing work and installations performed under the pemid this n will with all Pertinent provisions of the Massachusetts State Aas Code and Chapter 142 of era 8Y TjFbet nse: gnature IunmCor or iter I Paster - license Number 3785 OtyRown Joumeynman ------------ Commonwealth of Massachus is Official Use ly Department of Fire Servic Permic No. Occu BOARD OF FIRE PREVENTION REG LATIONS Rev. 1Occu1ancy and Fee Checked leave blank APPLICATION FOR PERMIT T t PERFORM ELECTRICAL WORK All work to be performed in accordance ith the assachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK ORT E ALL INFOR<VY TI N) Date: City or Town of- To tl To the Inspector of Wires: By this application the undersigne gives notice of his or` &intention to perform the electrical work described below. Location(Street&Number) //-3 -S/ F AI- I- Owner or Tenant 7,tj / f 7 l I T-c H ErIV Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building 2,) �W Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L�r � 1 /a 7/v? a Completion of the following table may be waived by the Ins ector o Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ No.of Emergency ig mg rnd. Ernd. BattM Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices ns No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained Totals: Detection/Alertincy Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of WaterNo.of Devices or Equivalent Heaters KW No.of o.of Data Wiring: Signs Ballasts No.of Devices or Equivalent i No.Hydromassage Bathtubs No.of Motors / Telecommunications Wirin / Total HP� No.of Devices or E uivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wirer. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov, rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) ON A /C Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the pains an penaltiwf—;�Cfy? 'ury,that the information on this application is true and complete FIRM NAME: i LIC.NO.:—?Il 6,A Licensee: S-A M-C Signature LIC.NO.: (If applicable, enter "exempt"in the license number line.) Bus.Tel.No. -`3 - c�0 Address: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insu ance coverage normally Da� required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent y Signature Telephone No. PERMIT FEE: $ w Date. 1 0_ TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSACHUS�� 1 �zx Thls certifies that ..... .`.......... .. . � }� ,✓�, �r has permission to perform .ll1I 166�fi� ' '. wiring in the building of,. ! /� ................ !:�:t.'....-.:: �--J............ at ` .� �� >R. .�--��,.,c North Andover Mass. ......... ..� ...j ........i �//1. /�J...... , .. .. , J , Fee..7...p....... Liic.No..if/,.;, /.,..... �., ELECTRICAL INSPECTOR Check # �4 " 5525 MbffJHEiE0jMCommonwealth of Massachus s offrcial�e ly VEW J29 Department of Fire Servic Permit No. / Occuancy 0" BOARD OF FIRE PREVENTION REG LATIONS Rev. 11j /99 and Fee Checked leave blank APPLICATION FOR PERMIT T PERFORM ELECTRICAL WORK All work to be performed in accordance with the assachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR E ALL INFO TI N) Date:—/, 11-0-5- City j-ps- City or Town of: a I To the Inspector of Wires: By this application the undersigne gives notice of his or r intention to perform the electrical work described below. Location(Street&Number) //3 !3/�l 1� (-F5 LAIv1 Owner or Tenant Zu / H t�/V Telephone No Owner's Address ' 7 ; Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building 'Jl' Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I f , t Completion of the following table may be waived by the In ector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Tota Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ n- ❑ INO.of Emergency ig rng rnd. grnd. BatterV Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection an Initiating Devices No.of Ranges No.of Air Cond. oral No.of Alerting Devices ns No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW LocalMunicipal ❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems: No.o aterNo.of Devices or Equi alent Heaters KW o.of-- o.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors / Total HP Telecommunications Wiring:' No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE . BOND OTHER❑ (Specify:)❑ ( N P I fy.) OA) �' /c Estimated Value of Electrical Work: (Expiration Date) (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the pains an penalties of perjury,that the information on this application is true and complete FIRM NAME: P n7L LIC.NO.: �/ �O A Licensee Signature LIC.NO.: (If applicable, enter "exempt"in the license number line.) Address: Bus.Tel.No.• Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ o�rner ❑owner's agent. Owner/Agent y Signature Telephone No. PERMIT FEE: $ 6 • cr i w � ...rte..- O 1 i it F E. Date r' 3? TOWN OF NORTH ANDOVER O t - PERMIT FOR GAS INSTALLATION �9 �'ISS ACHU , .N...w..,..... _ -. _ This certifies that . . .Vt,.A,17 r <. . . l�. f . . . . : . . . . . . . . . . . . has permission for gas installation . ?1'. ��. . in the buildings of f.% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at 13. : p �_•. • • • • • • • •, North Andover, Mass. Fee. . . . . Lic. No.. .�J .. . . . . . . T . . . . . . . „{ GAS INSPECTOR Check# /L 7 5348 1 eo903. --516 MASS APPROVhL USETTS UNIFORM gpPUGATtON FOR.PERMIT To ov GASFITT1NG �., tis�«T� �� sa. oc�� a Q�-•Pem�s_.: .� euadlno.�•�• �J3 �r��'� L� —owne.':name �67 Typo d Occupatnry New 0 Renavaliott �% %ReOl�entent Plans Subrnilted: YaQ Na fA i O .1 H = c WIr 4 W ' 1W.11 M 049 C Y W W M wMl 0. t �► a W O O W 1V F' 1Y Q ly 10 s p m i sup—ssMT. •Aaatout INT I T FLOOR Imn FLOOR ' ` allo FLOOR 4TH RLOOR 47*FLOOR 4TM FLOOR TKFLOOR 'TM FLOOR YANKEE GA ' Cheek one: CertNleate Nanta Installing-Company,._P .. S 140 SOUTH MAIN STREET � CaPon�n 1-0-3c Address Address [ti ParfrtershlQ _.._---,---- MIDDLETON MA 01949 8tufne:a Telephone 978-774=2760 C, Fsrnit,o. Name d,L enwo Phrnber Or,Got Fuer Fhtv*a COVERAW.' or I!s subatantW squivaalent which meets the requlrernenta of MGL Ch 142 rod Curl Sy kyes N►su ��eaed ya.please Indlate;the type C&*Vmge by checking the aWopWO box. e. 1-401-toty 0 Rom 0 A IiabNlty Mstranae Policy 13 other i OWNER'S IItSURANCE WANER? 1 am aware that the inert"dost Do tuft the insurance coverage required by Chapter 142 of the Mass.QenerW Laws,&W." my signature on this pew applihwaives this requires t• Ct+eek eek one: � - owrou Agent 0 M a 155=7/leant 1 Mnby artily that sN of the dsteiis and IWGI rMGon i have subrWded fax entered)in sbow avo+ca bw we true arta saturate to ft bw 01 W My and 1W d PDQ work W cold instsNa►tgW pMormMAed pe p�previoens d the IAsssadlusetb Stats 4as as orad dsll2 of 11M a By T PG rrUC@434• !a • nlber a Iver Tula 1 tksnse Nlsnbu 3 7 8 5 Q /Town JoalnMyn+sn i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAK RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: m X SIGNATURE: Building Commissioner/I for of Buildings Date SECTION i-SITE INFORMATION Z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O J/3 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R red Provide red Provided R red Provided 1.7 Water Supply M.G.L.C.40.' S4) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT " 1 l c . e� M M2.1 hof Record i f - � Natn nt) Address for Service Signa ,.�,,- Telep one 2.2 Owner of Record: Name Print Address for Service: O z Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicabl Licensed Construction Supervisor: License Number 071 Address Expiration Date Signature Telephone •� r r 3.2 Registered Home Improvement Contractor p Notl' App icable ❑ v Company Name Registration Number M - r Address r Expiration Date Z Signature Tel ^ hone V f SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 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. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Workcheck sU s cable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: f, _ �'AI�j0(\11\C6'jmk� �SL'i,i MIA,G S iC e, B,A I Ck arr) SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 'ZOO Check Number SECTION 7a OWNER AUTHOR TION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, fJv i �� as Owner/Authorized Agent of subject property Hereby a nze to act on My behalf„in ill matterlativ worthorized by this building permit applicaion. � t 2 �1>Z `fir nature 6 KYm-mer Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 ature of Owner/Agent ent Date Siiig NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TUVMERS Isr2 ND 3 RD SPAN DM ENSIONS OF SILLS DMIENSIONS OF POSTS DM ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE t NOR7ry Zoning Bylaw Review Form Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 9Ss"`"uS�t Phone 978-688-9545 Fax 978-688-9542 Street: 11,3 /3 42 j Z)fa 1S �. Ma /Lot: /090 //15� Applicant: Jb(A11e14 Request: o?4 x eZ(o` ie Side t • , 'n a Date: Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning 77-1 Item Notes Item Notes A I Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting k4 e S 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage 4 S 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed tie S G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA Li e 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 1 Complies 3 Left Side Insufficient y e S 3 Preexisting Height e3 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting e s 1 Not in Watershed e s 4 Insufficient Information 2 In Watershed j Sign 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 1 In District review required 1 More Parking Required 2 Not in district Li '11> 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pte-existing Parkin Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit C- 3 Setback Variance Access other than Frontage Special Permit Parking Variance Fronta a Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Con re ate Housin S ecial Permit Variance for Sian Continuing Care Retirement Special Permit 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 S ecial Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6Density 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. L el�ley BLildin Department Official Sign*yro Application Received A licatior De ie pp d Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for toe APPLICATION for the property indicated on the reverse side: 44 6,o a ted 0 4 S e-�64C14C.S' A*k- we— /rr 11 1 0 /10 T-_,61e Referred To: Fire Health Police J4::5' Zoning Board Conservation Department of Public Works Planning Historical commission Other Building Department