HomeMy WebLinkAboutMiscellaneous - 115 BONNY LANE 4/30/2018 (2) f' 115 BONNY LANE
210/062-00051-0000.0
Date .� �� � � ��. . .
TOWN OF NORTH ANDOVER
{ PERMIT FOR GAS INSTALLATION
This certifies that . ck
ham . . . . . . . . . . . .
has permission for gas installation . . .p.�`'?! '�-"',
U
in the buildings of. . . ��} ! . . . . . . . . . . . . . . . . . . . . . . . . . . • .
at . . . W5-'. , .1-- r�!��y. . . •. . . . , , , , . , North Andover, Mass.
1
Fee Lic. No. .d'13°1. l . . . . . . . . . . . . . . . . . . .
GASINSPECTOR
Check#
8733
n MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY NORTH ANDOVER _ MA DATE JUNE 10,-2013 PERMIT# _1 "I1 lr
JOBSITE ADDRESSI 115 BONNEY LANE OWNER'S NAME THOMAS J.THOMAS
GOWNER ADDRESS I THOMAS J.THOMAS TE 9789-687-2900 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL® EDUCATIONAL RESIDENTIAL El
PRINT
CLEARLY NEW; RENOVATION:® REPLACEMENT:® PLANS SUBMITTED: YES® NDE]
APPLIANCES Z FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE - --
FRYOLATOR -
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
M7 71—
MAKEUP AIR UNIT
OVEN --
-
POOL HEATER
ROOM/SPACE HEATER
l ROOF TOP UNIT ----
4' TEST - _ - - ----- _- - ....-
_ -
UNIT HEATER --
UNVENTED ROOM HEATER
WATER HEATER - -
OTHER -- -- -- ------
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch,142 YES NO
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY F BOND 0
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER E] AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASATTER NAME ROBERT WHITE LICENSE# SIGNATURE
MP® MGF® JPID JGF® LPGI CORPORATION[D# _ PARTNERSHIP Q# LLC E]#
COMPANY NAME: EASTERN PROPANE GAS ADDRESS 131 WATER ST.
CITY DANVERS STATE MA ZIP 01923 TEL1-800 322 6628
FAX CELL EMAIL
The Commonwealth of Massachusetts Pn[ic`
Department of Industrial Accidents
Office of Investigations
I Congress Street, Suite 100
y Boston, MA 02114-2017
www.mass.gov/dia
Workers' Compensation.Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
A:pulica-nfW�wmr ahon — — - e P-r4nt- e6ibl- -
Name (Business/Organization/Individual): EASTERN PROPANE &OIL _
Address: 131 WATER STREET
City/State/Zip: DANVERS, MA 01923 Phone#: 978-750-6500
Are you an employer? Check the.appropriate box:
Type of project(required):
1.7 I am a employer with 45 . 4. 7 I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors b. New construction
2.F-1 I am a sole proprietor or'partner- listed on the attached sheet. 7. E] Remodeling
ship and have no employees These sub-contractors have g. Demolition
workingfor me in an capacity employees and have workers'
Y P t} 9. [] Building addition
[No workers'comp. insurance comp. insurance.-
required.] 5. We are a corporation and its 10:[] Electrical repairs or additions
3.❑ T.am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGL 12.7 Roof repairs
insurance required.] t c. 152, §l(4), and we have no GAS FITTING
employees. [No workers' 13. ✓� Other
comp. insurance required.]
Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
*Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: ENERGI
Policy# or Self-ins.Lic. #: EWGCD000080613 Expiration Date: 03/15/2014
Job Site Address)1!5 Ixcrn re-4 Lam.,,'P- City/State/Zip:no• Onam,Y e ,()(84•s
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration:date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties.in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
-1do hereby certify under the pains and penalties of erjuiy that the information provided above is true and correct.
k
Signature: Date:
Phone#: 978-750-6500
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Permit/License#
Issuing Authority (circle one):
1. Board of=Health 2.-Building Department 3. City/Town Cler-k--4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
i - 1
i
CIV�11111Me
iWEALTH OE
TT `
a !
a: WON -
BERG AN
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D AS A
MASTER rL M { s
ISSUES THE Ab01/
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c. i
h1TFSULTN MA 61 `s�1�
t. -
4 k: o5io1/14 X177016
LICENSE NO. EXPIRATION DATE S
r _ �
Vi f
i
GENERATOR APPLICATION
DATE:
LOCATION: 115 (lov, netts
OWNERS NAME: 'T�� �s
GENERATOR kw (7 uw
NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS*
CONTRACTOR: c t3P., Pfnc4„ e ccs . i3I g i-e,, f -, iJc�- .�e,� 1� ✓h c,
PHONE NUMBER:
ELECTRICAL --GASPr��-�
RESIDENTIAL COMMERCIAL TEMPORARY
LOCATION OF GENERATOR:
*ZONING DISTRICT:
*CONSERVATION APPROVAL`
I
o
i
c�}k�aa �-1 (/�o• �,...Wil.w e ✓ , ren�
_ - - -
�Q f cK Wn r
Date.....k x
..............
�r►OFT�y,
a;�"':;';••��op TOWN OF NORTH ANDOVER
Q
* ; PERMIT FOR WIRING
8s�1CHUs�
This certifies that
.........^ ................................... ........................
has permission to perform .............. . o
............................... .........................................
wiring in the building of......... ........ 43
at ...//6 /3h n'�! .. . Z", orthAndover,Mass.
Fee!...4, 4-1
.......Lic.No.f 5 l 7
.........._................. .......... ......
ELE nucAL MpECTOR
Chick#
N Commonwealth of/Massachusetts Official Use Onl�
eWINESDe1. partment of Fire Services Permit No. //&
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK -4,
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ( 0 ,
City or Town of: NORTH ANDOVER To the Inspector of Wires.
N this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) S 86P10%L4 L e,V,e-
a Owner or Tenant -1—oi4jd- EJk,,.cL 71%,ok.,as Telephone No. $7—2100
Owner's Address •�t�d�
\ Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters 1
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA ti
No.of Luminaires Swimming Pool Above ❑ In- 1:1 o mergency ig ting �!
rnd. rnd. Battery Units eq
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No. of Switches No.of Gas Burners No.of Detection and `
Initiating Devices �
No. of Ranges No.of Air Cond. Tons TotNo.of Alerting Devices
No. of Waste Disposers Heat Pump I.NMMler I Tons I KW No.of Self-Contained
Totals: I I.................".'....""'."'..... Detection/Ale ting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: ^�
No.of Devices or Equivalent y(
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Est,imated Value of Electrical Work: 1006. (When required by municipal policy.)
Work to Start: 6—// /_3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
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 Covera is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 9"BBOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties VP that flee information on this application is true and complete. 4
FIRM NAME: . CA LIC.NO.: ,;2 f ff0
Licensee: IT' C �, Si nature z f LTC.NO.: ,� a &VG-
(If applicable,�enter `exempt"in the li nse natmbe i e.)
Address: of —Yt-.,,v', P�.v Pu-- all k . V. f�. 0 3 90 lt"bus.Tel.No.:663F 141 a_7 19
Alt.Tel.No.:603�.3f1 %yy7
*Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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)❑owner ❑owner's agent.
Owner/Agent PERMIT FEE.$
Signature Telephone No. �-�-
❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c. 143,§3L,the -�
permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed '
on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an
electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the
notification of completion of the work as required in M.G.L.c.143,§3L.
Permits shall be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he
or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written
application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written
request of either the owner or the installing entity stated on the permit application.
❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of
the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this
purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With
limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was
"in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012.
❑ Rule R—Permit/Date Closed: **Note:Reapply for new permit ❑
❑Permit Extension Act—Permit/Date Closed:
Trench Inspection
Pass IN Failed Re-Inspection Required($.) ❑
Inspectors Comments:
Inspectors Signature: Date:
SERVICE INSPECTION:
Pass M Failed Re-Inspection Required($.)❑
Inspectors Comments:
Inspectors Signature: Date:
PARTIAL ROUGH INSPECTION:
Pass 0 Failed Re-Inspection Required($.)❑
Inspectors Comments:
Inspectors Signature: Date:
ROUGH INSPECTION:
Pass Failed Re-Inspection Required($.) ❑
Inspectors Comments: y
Inspectors Signature: Date:
(FINAL INSPION:
Pass 11' Failed Re-Inspection Required($.) ❑
Inspectors Comments:
Inspectors Signature: t _ w, Date: 1-3
DEB WEINHOLD ...TOWN OF MERR MAC,MA. .......dweinhold@townofinerrimac.com
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Uf www mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leizibly
Name(Business/Organization/Individual): t-P C C .
Address:—k
City/State/Zip: P s 0 3 Y6 Shone#: - 0 3 - 3X aZ - 1 c1 Y 7
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction
_96ployees(full and/or part-time).* have hired the sub-contractors
2. I am a sole proprietor or partner- listed on the attached sheet. E]Remodeling
ship and'have no employees These sub-contractors have 8. ❑Demolition
workingfor me in an capacity. workers' comp.insurance.
Y p tY• 9. EJ Building addition
[No workers'comp.insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10. lectrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions
myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs
insurance required.]t employees. [No workers'
comp.insurance required.] 13.[i Other
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
i Homeowners who submit this affidavit indicating they Are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$CoAtractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site
information.
Insurance Company Name:.
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cer under the pains and penalties of perjury that the information provided above is true and correct.
/(/�/�
Si ature: ( Date: /0 �0
Phone#: 6 0 3 ` ?3 K,)- ^ q y-
Ofjlcial use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other -- - -
Contact Person: Phone#:
l .
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced-acceptable evidence of compliance with the insurance coverage required"
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial ,
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
y
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Coa:a xAonwealth of Massachusetts
Department of Industrial Accidents
Office of Iaavestigatlons
604 Washington Street
Boston.,MA 02111
Tel,#617-727-4900 ext.406 or 1-877rMASS.AF&
Revised 5-26-05 Fax#617-727-7749
www.mass,gov/dza
{
I
I AONWEALTH OF MASSACHUSETTS
COMMONWEALTli ()F MASSACHUSETTS �x•7 / �•
AS A REG ELECTRICIANS
ELECTRICIT ELECTRICIANS A +
REGISTERED MASTER ELECTRICIAN\may IssuEs THE asovE LICENSE To
ISSUES THE ABOVE.LICENSE TO' \l
STEPHEN G MCCARTNEY
STEPHEN G 14CCARTNEY
�U. 2 SUNVIEW PARK 1co tl
2 SUt!\/IEW PARK. 1F'
LAISTOW NH 03865-2231 ,t
NH 03865-225
PCAIST04J 29280 E 07/51/13 872024(1
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`' [ten rr�;nT�rY� ��__ Cl�•�,,`...�• � r!:,. �.g
,
ft
a�irr xo., APPLICATION FOR PERMIT TO BUILD.— NORTH-ANDOVER,-MASS. Ll 2,!5� y AG,J,-
P i
MA4-40. I LOT NO. / " 2 RECORD OF OWNERSHIP IDATE BOOK !PAGE `
•
ZONE LOT NO. ` , 9t71I
SUB DIV. etd7
I
1 LOCATION PURPOSE OF BUILDING
,- L�►w�' Dw e I 11',ti
OWNER'S NAME i �r v� NO. OF STORIES 1 SIZ
OWNER'S ADDRESS t�L�j 11A/0zv,,�w /./ BASEMENT OR SLAB ;�7wroffi- /
ARCHITECT'S NAME/);,e4, /r; r� n � � / / SIZE OF FLOOR TIMBERS 1StT3 2ND 3RD
BUILDER'S NAME l / • SD SPAN
DISTANCE TO NEAREST BUILDING o j DIMENSIONS OF SILLS
DISTANCE FROM STREET / (' POSTS
DISTANCE FROM LOT LINES—SIDES /�� 7� REAR /nom / GIRDERS
AREA OF LOT �r� S-t�(1/ ,µ7,7 J FRONTAGE/4g l HEIGHT OF FOUNDATION 7- THICKNESS
IS BUILDING NEW N� GJ SIZE OF FOOTING /�N Z0 X
IS BUILDING ADDITIONts MATERIAL OF CHIMNEY!
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE f IS BUILDING CONNECTED TO TOWN WATER S'
t� BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER 0
IS BUILDING CONNECTED TO NATURAL GAS LINE /U O
3 P
`Y INSTRUCTIONS ROPERTY INFORMATION
LAND COST
SEE BOTH SIDES
p�p EST. BLDG. COST
1>`MVi f,- EBT. BLDG. COST PER i0. FT.
d d O
BLDG. �G
4 PAGE 1 FILL OUT SECTIONS 1 - 3 FDA HE / � G ��
FDA moi' EST. BLDG. COST PER ROOM
i PAGE 2 FILL OUT SECTIONS 1 - 12 soyt�FRAME� S-7� L-�
sort 01410 fMi►! ��sSsr.wlll�rr� SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS I` �
7-04
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE Fl ED �� 2-7
// BOARD OF HEALTH
SIGNATURE OF NER OR AUTHORIZED AGENT
F E'E o� v C)
i1+r r�cr?TEL.t�.�ij/ 9Z PLANNING BOARD
PERMIT GRANTED CONTR.TEL.#b_
$1f ��
19 9 CON(R. LIC.# zz
i
-- _
BOARD OF SELECTMEN
it
OCT27 #953
/ SuiLDINa INiPECTOR
{
7 ' I
BUILDING RECORD -.
1 OCCUPANCY 12
SINGLE FAMILY S-DRIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION I 8 INTERIOR FINISH
CONCRETE aL—III 3 1 2 13
CONCRETE BL'K. PINE _
BRICK OR STONE HARDW D
PIERS PLASTER ]( '
_ DRY WALL
UNFIN.
3 BASEMENT
AREA FULL FIN. B'M'T' AREA
'/ 1/2 '/, FIN. ATTIC AREA _
NO B M FIRE PLACES Z
HEAD ROOM -ID MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_ ;•�
WOOD SHINGLES EARTH
ASPHALT SIDING HARD\'J'D
ASBESTOS SIDING _ —COMMON
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOORc-�: : r
BRICK ON FRAME I art•t ! i , 3fd
CONC. OR CINDER BILK.
STONE ON MASONRY WIRING
STONE ON FRAME _
Fq 1 I
SUPERIOR I� POOR _ �mc�� T 3-+����'�
�
ADEQUATE NONE -
5 ROOF 10 PLUMBING
GABLE I HIP BATH 13 FIX.)
GAMBREL MANSARD TOILET RM. (2 FIX.) ti
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 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 ti
7 NO. OF ROOMS GAS
OIL
B'M'T 2nd _ ELECTRIC t
1st ':Z 13rd I NO HEATING t/
1 F
__,R,r,,,v...�.,,,.•er^:..- _.r-.,1...cc+y;,,'xaY!'k[�;j"+s."-"`-�r-'...:c.�---- ....:r..,.,a*•siw�-+..ra-r�..x,.>... _:_.
s
Location `r -�--c-
No. G 1`` '( Date
Y
3.
NORTH TOWN OF NORTH ANDOVER
3 •_ 0 ^ -
. ' p Certificate of Occupancy $
Buildin Fee $
/Frame Permit
. . 9
Fouradat'on Per -itee $
Ss�cMusE
Other Permit FeC $ ��,<.C) e�
Sewer Connection Fee $
Water Connection Fee'
TOTAL $ �7 �,r) C-)
- Building Inspector
/ 3:50 25.00PAID
°
7042 Div. Public Works
Location--/
iV. <S`U / Date IcZ /7
,, ofVj0RT#j, TOWN OF NORTH ANDOVER
o? •'a�0
„ Certificate of Occupancy $41
+' Buildiii /Frame Permit Fee
• C . . 9 $
s,��M�S<� Foundation Pe mit Fee $
�FeeOther Perm� $ zjj e) C-)
Sewer Connection Fee $ —""
Water Connection Fee $ —
TOTAL $ —)J—,06
At Building Inspector
t?I17/93 0 .44 25.00 PAID
6805
.Div. Public Works
a
�.
Location ILa.s� 7
o. 52 I 4 Date
v&ORrh ,1 ',TOWN OF NORTH ANDOVER
bpi
.s: p Certificate of Occupancy $
Building/Frame Permit Fee $ 22 d U
CM�s c'� Foundation Permit Fee $ y ?
Other Permit Fee $
Sewer Connection Fee $
Wate( Connection Fee $
TOAL 9$
tp 2 Building`Inspector
6715
., Div. Public Works
Location
No. Date
°RTM TOWN OF NORTH ANDOVER
kift
Certificate of Occupancy $ 5�y C)
41
Building/Frame Permit Fee $
Foundation Permit Fee $ /DD 4 0
sACMUSE
i Other Permit Fee $
Sbwer Connection Fee $
Water Connection Fee $
I TOTAL $ Ls U
rA
4' Building Inspector
f, 6676
Div. Public Works
FO -
RM II IOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Hoards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state lav,
regulations or requirements. "I
****************Applicant fills out this section*****************
APPLICANT: ' Phone
q 7E", S-I q 2.
LOCATION: Assessor' s Map NumberParcel l
Subdivision Lot(
Street ;
"�"'�� bw 'St. Number l�
************************Official Use Only************************
RECOMMEIJPATIONS OF TOWN AGENTS: a�
lALJ
Data Approved
Conservation Administrator Date Rejected
Comments
a• Date Approved `�
Town Planner Date Rejected
Comments
Date Approved
Health Aaent Data Rejected
Comments
r
rd, Public Works - sewer/water ccnnections
}
- driveway perm t
Fire Department it
Received by Building Inspector Date
` Failure to 0"**s*4 f#1 9nt
COMMONWEALTH +"-uEPARTMENT OF PUBLIC SAFETY Z\ Afer.980lwMNSNNAWdine
OF ONE ASHBORTON PLACE C10110sslpb/ff"68tion
MASSACHUSETTS BOSTON,MA 02108 of thlsffoMM.
I ,
4 ATION DATE c:?;?. ;' ;j. I. ! CAUTION
FOR PROTECTION AGAINST
'TRICTIONS EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB
L PRINT IN APPROPRIATE
BOX ON LICENSE.
:. BLASTING OPERATORS
If c;?1.r=,- 1-,=;— ",!:.,;,; _ MUST INCLUDE PHOTO.
m
TO(BLASTING OPR ONLY) FEE: '..!'� •:!"t�.::.!".!!... ,:. :''I. .` '::.,
NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONERR
DOB:
' .I. ... ..
THIS DOCUMENT MUST BE « SIGN NAME IN FULL ABOVE SIGNATURE LINE
CARRIEDON THE PERSON OFAS NATURE OF LICENSEE -
THE HOLDER WHEN EN-
AS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION., WSSIONER
L
✓r �...,� ;-: ,p.kh+s h++xw�s+c ... ... �+Y .-'�a�^'r '' °�'-,��g�F.:�mxti � i -`t:a'.t, "-
G {I� - Y � � � ✓hP, P09N411.09iA1/CU�[il-O�✓1��.(J.k10f�U5P,If�f .
L' HONE IMPROVEMENT CONTRACTOR
Registration 100698
Type - INDIVIDUAL
Expiration 06/23/94
t hf
u ? Peter J. Moschetto
*'= • ' ' �/� � 12 Texas Ave.
Lawrence MA 01841
"?E ADMINISTRATOR
TOWN OF NORTH ANDOVER_
MASSACHUSETTS � 3
n
NORT14 �i l
Of .No ,•1'40 .
O F
Any appeal shall be filed .' "°�: .,' )TTEST•
�. „.,.�•",5 A True COPY
within (20) days after the 'SSA�R�SEt
date of filing of this Notice
in the Office of the NOTICE OF DECISION Town Clerk
Clerk.
October 1993
This is to certify that twenty(20)days Date • • 4:• • • • � • • • •� Augustt J1,� i y y 3•
have elapsed from date of decision filed S ep t s e r 21, 1993
without filing of an qppDate o f Hearing
Daniel Long, );b
Town Clerk
Petition of Thomas. J.• Thomas:• Trustee:• HOLSAM• Realty Trust_ • • . • • • • • • • . • • C
. . . . . . . . . . . . . . . . . . . . . . .
Premises affected 1i5• Bonny. Lane• • . . • • . • • • • • • • • • . . .
Referring to the above petition for a special permit from the requirements
of the North• Andover• Zoning• BXlaw,. Section 4:136:. Paragraph• 5• • Watershed Protection
. . . . . . . . . . . . . . . . . . . . . . District.
SO as to permit the construction of an addition to an existing structure within
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
250• ft•.• of• the• annual, mean• high• water• mark, of. Lake• Cochichewick• • • • . . .
. . . . . . . . . . . . . . . . . . . .
'1
After a public hearing given on the above date, the Planning Board voted
CONDITIONALLY
to APPROVE • , • • • , , ,the . . SPECIAL PERMIT
. . . . . . . . . . . . . . . . . . . . .. . . . . .
. . . . . -,-
cry
c.,
based upon the following conditions :
;
S i
cc: Director of Public Works gn ed
Building Inspector
Richard A. Nardella, Chairman
Conservation Administrator . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . .
Health Agent John Simons, Vice Chairman
Assessors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Polcie Chief
Fire Chief John. Draper• . . . . . . . . . . . . . . . . . . . .
Applicant
. Richard Rowen
Engineer . . . . . . . . . . . . . . . . . . . . .
File
Interested Parties John Daghlian, Associate Member
planning• • Board •
a
„o~r -
KAREN H.P. NELSON S °: Town of 120 Main Street, 01845
Director
NORTH ANDOVER (508) 682-6483
BUILDING
CONSERVATION ss"°~�'` DIVISION OF
HEALTH
PLANNING k PLANNING & COMMUNITY DEVELOPMENT
October 4 , 1993
Mr. Daniel Long,
Town Clerk
Town Building
120 Main Street
North Andover, MA 01845 Re: Special rGrmit -
Watershed Protection
District - 115 Bonny
Lane
Dear Mr. Long:
The North Andover Planning Board held a public hearing on
August 31, 1993 upon the application of Thomas J. Thomas, Trustee,
Holsam Realty Trust, c/o Domenic Terranova, Esq. , One Elm Square,
Andover, MA requesting a Special Permit under Section 4 . 136,
Paragraph 5 of the North Andover Zoning Bylaw. The legal notice
was properly advertised in the North Andover Citizen on August 11
and August 18 , 1993 and all parties of interest were duly notified.
The following members were present: Richard Nardella, Chairman,
John Simons, Vice-Chairman, Richard Rowen, John Draper and John
Daghlian, Associate Member.
The petitioner was requesting a special permit for the
construction of an addition to an existing structure within 250 ft.
of the annual mean high water mark of Lake Cochichewick within the
Watershed Protection District. The premises affected is located at
115 Bonny Lane in a Residential-1 (R-1) Zoning District.
Mr. Rowen read the legal notice to open the public hearing.
Domenic Terranova, Attorney, told the Board that the house has
been on the site for more than 10 years. The owners want to
enlarge the master bedroom suite. The total addition is less than
10%. The porch will be enclosed. The existing porch is presently
open. A roof will be put over it and the stairway will be moved
slightly. A hip roof over porch with a better foundation. Will
add gutters and spouts to a dry well.
Mr. Simons asked if there would be any additional bathrooms.
The 'answer was "no" .
Excavation for the addition needs to be added on the plan.
Put fertilizer limits in the decision.
d
r
Page 2 :
11P Bonny Lane
Will need limit of work shown and silt fences/hay bales. .
On a motion be Mr. Rowen, seconded by Mr. Draper, the Board
voted to continue the public hearing to September 21, 1993 .
Mr. Nardella asked when the sewer was going to go in. Staff
to ask D.P.W.,
Mr. Rowen will draft decision, Ms. Bradley will give him a
draft.
On September 21, 1993 the Planning Board held a regular
,meeting. The following members were present: Richard Nardella,
Chairman, John Simons, Vice-Chairman, John Draper, Richard Rowen
and John Daghlian.
Mr. George Latulippe was present for the applicant to answer
any questions the Board might have.
Mr. Nardella questioned when the sewer would be available for
the area. Staff to check with D.P.W.
Mr. Latulippe told the Board that a sewer line is being put in
now, during the construction of the addition so when the sewer
becomes available the site will just have to tie in.
The existing dry well shall be located on the plans.
On a motion by Mr. Rowen, seconded by Mr. Daghlian, the Board
closed the public hearing.
The Board reviewed the draft decision prepared by Ms. Bradley.
Colwell and Mr. Rowen.
Item 1B to be changed.
Under Findings of Facts in the 4 . 136 section, the Board asked
that the reasons why be more explicit, i. e. no additional bedrooms
to be added.
On a motion by Mr. Rowen, seconded by Mr. Simons, the Board
voted to approve the Special Permit as drafted and amended.
Attached are those conditions.
Sincerely,
North Andover Planning Boar
Richard A. Nardella, Chairman
v
Page 3 : .
115 Bonny Lane
cc: Director of Public Works '
Building Inspector f
Conservation Administrator
Health Agent
Assessors
Police Chief
Fire Chief
Applicant
Engineer
File
115 Bonny Lane
Special Permit- Watershed Protection District
The Planning Board makes the following findings regarding the
application of Holsam Realty Trust, c/o D.S. Terranova, Esq. , One
Elm Square, Andover, MA. 19810, requesting a Special Permit under
Section 4 . 136, Paragraph 5 of the North Andover .Zoning Bylaw to
allow for the construction of an addition to an existing
structure within 250 feet of the annual high water mark of Lake
Cochichewick within the Watershed Protection District.
FINDINGS OF FACT:
In accordance with Section 10. 31 of the North Andover Zoning
Bylaw:
1. The Planning Board finds that the specific site is an
appropriate location for an addition as there is an existing
house; r
2 . The construction of the addition will not adversely affect
the neighborhood;
3 . There will be no nuisance or serious hazard to vehicles or
pedestrians;
4 . Adequate and appropriate facilities are provided for the
proper operation of the proposed use;
5. The Planning Board also makes a specific findings that the
use is in harmony with the general purpose and intent of the
North Andover Zoning Bylaw.
In accordance with Section 4 . 136 of the North Andover Zoning
Bylaw:
1. The proposed construction of the addition will not cause any
significant degradation of the quality of water in or
entering Lake Cochichewick.
2 . No additional bedrooms to be added to the existing structure
or the proposed addition.
Upon reaching the above findings, the Planning Board approves
this Special Permit based upon the following conditions:
SPECIAL CONDITIONS:
1. Prior to issuance of a Building Permit, the plans must be
revised to include the following:
a) . gutters and downspouts for all roofed areas;
b) . a dry well and piping to collect runoff from the roof.
The dry well shall be on the street side of the
existing house and shall be located practically to
maximize the distance from the lake.
c) . The limits of excavation and location of hay bales and
silt fences.
d) . The revised plans must be submitted within fourteen
days of the Board' s vote, and prior to the filing of
this decision with the Town Clerk.
2 . Prior to Construction:
a) . Silt fence and hay bales must be placed along the limit
of work.
b) . The site shall have received all necessary permits and
approvals from the North Andover Conservation
Commission, Board of Health, and the Department of
Public Works.
c) . The applicant must provide a written certification by a
Registered Professional Engineer that the construction
of the addition will not cause any significant
degradation to the quality or quantity of water in or
entering Lake Cochichewick as required by the North
Andover Zoning Bylaw, Section 4 . 136 (7) (c) .
d) . The applicant must provide evidence that all on-site
operations including, but not limited to, construction,
wastewater disposal, fertilizer applications and septic
systems will not create concentrations of Nitrogen in
groundwater greater than the Federal limit of 10
mg/liter at the downgradient property boundary as
required by Section 4 . 136 (7) (d) .
e) . All catch basins shall be protected and maintained with
hay bales to prevent siltation into the drain lines
during construction.
3 . No open burning shall be done except as is permitted during
burning season under the Fire Department regulations.
4 . The provisions of this conditional approval shall apply to
and be binding upon the applicant, its employees and all
successors and assigns in interest or control .
5. This permit shall be deemed to have lapsed after a two (2)
year period from the date on which the Special Permit was
granted unless substantial use or construction has
commenced. Therefor the permit will expire on October 4 ,
1995
a
6. The following Plans shall be deemed as part of this
decision:
a) . Plan of Land in North Andover, Mass.
Surveyed for: Holsam Realty Trust
Scale: 1" = 20 '
Dated: August, 1993
Revised:
Stowers Associates Inc.
Reg. Land Surveyors
Methuen, MA
cc: Director of Public Works
Building Inspector
Health Agent
Assessors.
Conservation Administrator
Police Chief
Fire Chief
Applicant
Engineer ,
File
i
i
•4
A(I UA
IA Wp4C UA
A rft BASS
E�Opy AES��
lb
�ORT1-1
Town
of � � � R over
L
' J
dot 19,�.�?
� o Avrt dower, Mass.,
•w{� COC HIC NE WICK
/ AA
f`
Ap'4A T E D `�
H BOARD OF HEALTH.
PERMIT T D Food/Kitchen
Septic System
XA AS447...�vf�" BUILDING INSPECTOR
THIS CERTIFIES THAT.... .....0t
................................................. Foundation
has permission to erect/ & MII..0....... buildings on ..�.I
s...Jo/wNy.A0*A...................... Rough
to be occupied as OV �� �... Chimney
provided that the person accepting this permit shall in every respect conform to th nFinal
this office,.and to the provisions of the Codes and B -Laws relating to the Inspe d of
Buildings in the Town of North Andover.^w_ #*4ejPje �
C.
PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. �. Rough
DATE,��Ll.�..FEE PAID/oo
Final
PERMIT EXPIRES IN 6 MONTHS �� o
p AMIT FOR FRAME/B I SS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
•
Rough
......
- �f�
._FEE PAID.- 2 .C) Q Service
BATE. tBUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy BuiJz
GAS INSPECTOR
Display in a Conspicuous Place on the Premises -- Rough Not Remove Rough
Final
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT
NO.�` � APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, S. PAGE-1
O MASS.
MAP 4-40.� LOT NO._// 2 RECORD OF OWNERSHIP DATE (BOOK 'PAGE -
ZONE I SUB DIV. LOT NO.
`� o/ t
LOCATION y L dASJ�' PURPOSE OF BUILDING//� �J)�¢�-Q�;
OWNER'S NAME S D � � NO. OF STORIES Z SIzf
440z
OWNER'S ADDRESS S / F �G. GvlyZ BASEMENT OR SLAB ��`� �7�('�' {% /�✓� g
ARCHITECT'S NAME y, . ,�y� SIZE OF FLOOR TIMBERS IST s�/So w2ND
BUILDER'S NAME /'GC /°�. ?v �� r , SPAN lgK^1 _ -V
DISTANCE TO NEAREST BUILDING *d/( V"✓a DIMENSIONS OF SILLS
DISTANCE FROM STREET /. POSTS
(O
DISTANCE FROM LOT LINES-SIDES TS 9s" REAR / JrGIRDERS
AREA OF LOT �'/S"y5/ J FRONTAGE .1,/(O HEIGHT OF FOUNDATION 7_�«.�,° THICKNESS
,
IS BUILDING NEW A'10 SIZE OF FOOTING Z® X
IS BUILDING ADDITION v /�esr MATER:AL OF CHIMNEY
IS BUILDING ALTERATION7ves IS BUILDING ON SOLID OR FILLED LAND S�/J
WILL BUILDING CONFORM TOR QUIREMENTS OF CODE u�s' IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY 77 IS BUILDING CONNECTED TO TOWN SEWER A�p
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST -
SEE BOTH SIDES Ad
EST. BLDG. COST Q .p�. Lim��
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SC. FT. "' T
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DAT FILED
BOARD OF HEALTH
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE CJ
PERMIT GRANTED OWNER TEL /`+ PLANNING BOARD
G` CONTR.TEL.N b
t9 _�'� CONTR.LIC. /7d
BOARD OF SELECTMEN
1 �" BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA-
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE B I 2 13
IN
CONCRETE BL K. PE
BRICK OR STONE HARDW D
PIERS PIASTER
_ DRY WALL
UNFIN.
3 BASEMENT
AREA FULL FIN. B M AREA
V, 1/2 1/1 FIN. ATTIC AREA
NO BMT — FIRE PLACES Z.
HEAD ROOM — v MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDVVD _
ASBESTOS SIDING COMIACN
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK ON MASONRY. ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR POOR _
ADEQUATE NONE
5 ROOT 10 PLUMBING
GABLE HIP BATH )3 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 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 GAS
OIL
B'M'T 2nd _ ELECTRIC
3rd NO HEATING
l J�
o* wn of �
�ORTki
�� ,� Andover
0 rn
��
r� fkC
o A � dower, Mass., D
COCHICHEWICK ��.t
�AoRATED
'9S BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT T D
BUILDING INSPECTOR
THIS CERTIFIES THAT..........y..16.4.....r.#A.....AFALTI...AXA, ...................................
Foundation
has permission to erect-1.4.0.44................. buildings on .... 0A0,W. *Lr............ Rough
•
to be occupied as.e.4am.gt.. iii....A.�:�.40.6r�....A......�.��.�.r�.�. .................................. Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building. Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
Rough
.. ................... .........� ........ ............................. Service
BUILDI INSPECTOR
• Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done
FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
' Burner
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
I� SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT
c)I�I=1ca:�c)l�: r.:.. ::,; ,. "�'t) �V 11 t)�� _ 1.,�� r,l;tltt �.a►t�r•1
nl I r,\►.� :� ;;,••. i�ltalV1'11 AN1)0V1EII )111 waitit„1
I WILDING "'.S-.;., ��,' rel:ttiti7l� l It l t'rl'•t 1 I}S•
1 ,
f:ON J:I( ATION I�I�'I:;u tN(�I U;1 1(�11f •l i
I Ila\1:1'11 -
I�i.i\NNIN(; 1'1,A.NNING. l (;t)!11[�IIINI'1'1' UI:�'lsi.Ol'l111 N'i'
i::\ttl:Id 11.11. NJ.: .ti( V. I111(1:(:1( )It
CHIMNEY APPLICAHON ANO 1113111'
—
1 # 4/
)CATIONICS
Y
LINER'S NAME: -ro Top ou
1ILDER'S NAME:
ISON'S NAME:
kSON'S ADDRESS: I D 14 ,�' G , Y� I CGI YV(a L9
ISON'S TELEPHONE:
�TERIAL OF ClfIhlNEY:_.'p eA
IFERIOR CHIMNEY: L'XI LRIOR CHIMNEY:
Il�WER AND SIZE OF FLUES: 41 x j -- `_
IICKNESS OF HEARTH:
:.0 ch,urrl(ey un. Oi/LepCace toll(lo/cm tO .tile. u{ •(.Ile co(le Mid I!EWC A(ICC.3 (ur(l
.gu.Catiou been necebed: A
.TE:
-GNATURE OF MASON: „,
:RMIT GRANTED: �/� -/ 7 - FEE ��� O C)
'BERT NICETTA
'ILDING INSPECTOR '
SPECTEO:
-'MARKS:
G
SOLtU BLOCK RL'QUlit1:U
THIS PERMIT" I,IUSI- GE UISPLAYLU 014 IHE I'UNISLS
WFIU:-S OF:
'lYown oi,---
I:!I I f•1.1i11 ':F11•i•I
Al:,11.AI.S NORTH ANDOVER 1.11111 .1;1111„1 ,
lit 111.1)IN(i IF111•,1.111,11 1 ti•1
(:ON ti a l VATION t`'""' 111 MIND 1N(W11 1 •
ili) ill -,-17;-!;
-
1'.i.ANN1N(1 1'1,��lVN(N(;. Y� (;()t11[►Il!NI'i'1' !)1's�'l:t,()1'Ai1:N'1'
i:AH N 1 I.P. NI:I.I )N. I )II(I:(j( )It
' CHIAINEY APPLIC.'AHON ANU PENA11I'
ATE '
PERNi'I'.
)CATION S �
IF
LINER'S NAAIE:
1I LDER'S NAME:
, SON'S NAME:
kSON 'S ADDRESS: % � -
ISON'S TELEPHONE:
JERIAL OF CHIMNEY: �—
IrERIOR CHIMNEY: EXIERIOR CHIMNEY:
11�IBER AND SIZE OF FLUES:
IICK14ESS OF HEARTII: ' 1,�2i�
:,U chbi)>,ey o& ()dh.epCnee ealt(aam to .tlte ne.l�u.iJlernent:3 u( •t.lte cv(h (Uld II1tVC AUU.3 (Uld
:gu.Catiow been neeebed: --
.T.E: •
.GNATURE OF h1ASON: j -
-RMIT GRANTED: ? % L'LL; s--, C) O
'BERT NICETTA >
JLDING INSPECTOR
SPECTEU: _
'MARKS:
SOUR BLOCK REQUIRED
THIS PERMIT IJUSr GE UISPLAALU 014 111E I'RLhNSPF "� Y�
CERTIFICATE .OF USE, & OCCUPANCY
Town of North Andover
Building Permit Number 501 (1993) Date DPc-. 3, 199)4
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 115 BONNY LANE
MAY BE OCCUPIED AS ADDITION TO BEDROOM 12' x 16' 8" R, IN ACCORDANCE
ENCLOSE A PORCH
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO Holsam Realty Trust
115 Bonny Lane
ADDRESS North Andover MA
Building Inspector
i
t 0VM of Nort Andav %r
No.
'. �� rig �' 19
,North`Andover, Mass.,
BUILD
BOARD OF HEALTH
PERMIT TO Food/Kitchen
Septic System
ILDING INSP GTO
THIS CERTIFIES THAT. 0AX/ ... `.1y... �f ............................................... I�.
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has permission to erect.#0rirj#400....... buildings on ../J ..A?4#AW*W.y.jA.#jAVA...................... Rough 14 lC''<
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to be occupied aso* �. . /..�.� �� NVr , � Chimney ! -
provided that the person accepting this permit shall in every respect conform to th •S. n Fina
this office, and to the provisions of the Codes and B -Laws relating to the Inspe l
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Buildings in the Town of North Andover.too "Oe X C' PLUMBING
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VIOLATION of the Zoning or Building Regulations Voids this Permit. 00u
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DATE._._ FEE PAID/l% • 6 s::..._
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PERMIT FOR FRAME/BUILDINGa,_. { 'i i` I if . . I i I i �, I
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DATE: FEE PAID' BUILDING INSPECTOR
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GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
" No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspec r. FIRE DEPARTMENT _
.9 /2/A/9t/ Burner
PLANNING FINAL CONSERVATION INAL Street No\�9�'
Smoke Det. �J 1`^3
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