HomeMy WebLinkAboutMiscellaneous - 1155 SALEM STREET 4/30/2018 I~ 1155 SALEM STREET
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,S•SACHU5�t
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
NOTICE
Notice is hereby given that the Board of Appeals will give a
hearing at the Senior Citizen' s Center located at the rear of the
Town Building, 120 Main Street, North Andover on Tuesday evening
the 9th day of Nnv mbar
19 93—, at 7:30 o'clock, to all parties interested in the
appeal of Sam and Susan D'Antonio requesting a
variation of Sec. 7. Paragraph 7.3 and Table_2 of the Zoning By Law
so as to permit relief of 12.7 feet for the rear setbark and approximately
2.5 feet for the side yard setback for swimming pool.
LEGAL NOTICE in the premises, located at 1155 Salem street.
TOWN OF
NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS By Order of the Board of Appeals
NOTICE
Notice is hereby given
that the Board of Appeals Frank Serio, Jr. , Chairman
will give a hearing at the
Senior Citizen's Center
locat6d at the rear of the Eagle Tribune
Town Building, 120 Main
III' street,North Andover on ublish in the NIX on October 25 & November 1. -19-93.
Tuesday evening the 9th
day of November 1993,,at
7:30 o'clock,to all parties
interested in the appeal of
Sam and Susan D'An-
tonio requesting a variation
of Sec. 7, Paragraph 7.3
and Table 2 of the Zoning
By Law so as to permit relief I
of 12.7 feet for the rear set-
back and approximately 2.5111
feet for the side yard set-ji
back for swimming pool,on'
the premises, located at
1155 Salem Street.
By Order of the Board
of Appeals i
Frank Serio,Jr.,Chairman
F-T'—Ort.25:Nov.1.1993 1
Location �y
i No. f Date -Q9 Q
NORTpy TOWN OF NORTH ANDOVER
� 9
` Certificate of Occupancy $
Building/Frame Permit Fee $ o"C
s�cMus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ S l D .--
" Check #
f
i
16842 /0A4
✓ Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAI RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER CL l DATE ISSUED. C
SIGNATURE:
Building CommissionernLs=tor of Buildings Date L f o'L Ot 6 '
SECTION 1-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
166- 00.5-0
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Regifired Provide Required Provided R red Provided
v
1.7 Water Supply M.GL.C.40.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public ❑ Private / ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ J
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes NO m
2.1 Owner of Record
i
Name(Print) Address for Service:
..Q
Signature Telephone ®l
V�
2.2 Owner of Record:
Naive Print Address for Service:
'n
Signature Telephone 90
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor: 2 -2 7
License Number '
6,P G-leN C R.e 7—�2 Ay /¢A�ey o/L. mn
Address
6��' 917 P6 P2-zoo
Z Expiration Date v
Signatug Telephone
3.24Zegistered Home Improvement Contractor Not Applicable ❑
Co>npany Name / O op y rn
S'��yj /tze�V t- Registration Number
Address r
29 y z
Expiration Date /1
Signature Tel hone G)
3
SECTION 4-WORKERS COMPENSATION 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 it.
Signed affidavit Attached Yes.......❑ No.......0
SECTION 5 Description of Proposed Workcheckall a livable
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) . )( Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
1 ) I
o of e /T ��nJ ,�dZZ,4 Xg e x/T,,',�AJ Gy 1 AJ dO UJ
�Qh►DV2 L JALL X00 ^ A/A.2 Rr7'Is/aAto 41-7— A.) G R•eWm
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be � p,
Completed by pennit a licant
1. Building d'e (a) Building Permit Feery
&eo ' D®O Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbin Building Permit fee(a)X(b)
4 Mechanical HVAC C L (O
5 Fire Protection 00
6 Total 1+2+3+4+5 / B Check Number 4/5
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I> as Owner/Authorized Agent of subject property
i
Hereby authorize to act on
My behalf,in all matters relative to work authorized by this building pennit application.
-Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1, S'�2 'eta/s l/W ,as Owner uthorized Agentof subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and beelie^f //
19
Prim e_ '
off`'" C7
r atur f Owner/Aent Date
I III
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS iST 2 ND 3
SPAN
DIN ENSIONS OF SILLS
DUv ENSIONS OF POSTS '
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
lu The Commonwealth of Massachusetts
_ w .
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
'� 5y•y Workers'Compensation Insurance Affidavit
Name Please Print
Name: rz/
Location:
city iVQ 4P%04,-,PC Phone #,41),P 3 jY-PYS'7
am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
I am an employer providing workers'compensation for my employees working on this job.
Company name.
Address
city: Phone
Insurance Co. Policy
Compam name:
Addreas
t✓t`tir: Phone.-.,
Insurance Co. Policy#
FaiAu a to segue co%valge as required under Section 2M of AWA' 152 cadr lead torthe irtipcsittan of cxitninae penalties of a fine We _ y'.50i
and/or one years'krg)ftornrWStas_ atilesjol6eSamiata-S3DP ikesf�(,SHIo.M adayagalmame: .
understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for
coverage verification.
/coo hereby cwtdy wxfar rhe pains and penarhes afPerjwy that hie irllormffbn Prov~above is&w and�aarrect
Signature Bate
Print nameS'%e® .•� ,�lrl i.y Pine.#97� 3iSi�S�S 7
Offictai use only do not write in this area to be completed by city or tower officiar '
City of'iown Pe<tru?/Licensirg.
--- _
E3Crt7ding I pf
Elchedc Y m7am diate response is requiredLibansr .
L� ng Boar
. 0 Sefecbnares 0
Contact person: Phone# Health Departr
Other
✓fie i0omvrrwvuuea ✓�aa¢acfucaetta a .
k- BOARD OF BUILDING REGULATIONS
License CONSTRUCTION SUPERVISOR
Number``G8, 02.769
Bfi -.aAW-1953
- OZ /2005 Tr.no:
i
'STEPHEN..M KEIS,.Wil
68 GLENCEST DR *� �i '` 1
N ANDOVER MA.018'45'
Admimstrafoi '
'� r _----�--.---- ✓fte "C�p�rintooturea�i o� acfu�de�_6
h
Board of Building Regdlahorks and,-,Stsndarils
I
i HOME IMPROVEMENT CONTRACTOR:'
Regist _ ._101846
€Xpirtionrat n 6/29/2004
jyp Individual
I VHEN'M
x--
Shen Keisiing�:r,, `�; -Y
68 Gienncrest Dr ,
r N..Ahdover K0.1 845 Adm�msfatbr
=x: *
i
LARATIONS
Farm CONTRACTORSCADVANTAGE SPECIAL PAGE 1
Family
Casualty Insurance Company POLICY N0. 2005X0431
® GlenmoM New York
VAME OF INSURED AND MAILING ADDRESS: AGENT NO. 2591 OFFICE NO. 2591
STEPHEN KEISLING JAMES W UGONE
58 GLENCREST DR FARM FAMILY INSURANCE
V ANDOVER MA 01845-1315 10 S MAIN.ST STE 208
TOPSFIELD MA 01983-1832
978-887-8304
:ZENEWAL TRANSACTION EFFECTIVE ) 03121/03;
t
POLICY PERIOD FROM 03/21/03 TOa03J21/a4 h2 019 A M STANDARD TIME AT THE LOCATION
x ` ' .` 'OFA THE DESCRIBED PREMISES
THE NAMED INSURED IS: INDIVIDUAL
}... v":
BUSINESS OF THE NAMED INSURED::`' CARPENTRY �111
C Y.Y r
VOCATION OF DESCRIBED 68 GLENCREST DRIVE 1' PROTECTION CLASS IS: 04
?REMISES NO. 01: N ANDOVER fifA 01-845 CONSTRUCTION IS:
FRAME
?REMISES 01 BLDG 01 BUILDING MATERIALS / 1�EQUIPMENT STORAGE
3USINESS PROPERTY COVERAGE: LIMITS OF; ,. TERM ADDL/RTN
INSURANCE- PREMIUMS PREMIUMS
BUILDING O
d ' 0 0
BUSINESS PERSONAL PROPERTY 5,000 46 46
BUSINESS INCOME AND EXTRATACTUAL LOSS SUSTAINED NOT
EXPENSE `'''EXCEEDING 12 MONTHS INCLUDED INCLUDED
BUSINESS LIABILITY COVERAGE:
BUSINESS LIABILITY -9 PREMIUM IS SUBJECT TO AtT-IT
BODILY INJURY/PROPERTY DAMAGE ;300;000 :PER OCCURRENCE
1,.000,`000" AGGREGATE.
50001016AGGREGATE FOR
4 ,PRODUCTS COMPLETED
> = OPERATIONS HAZARD
MEDICAL EXPENSE =5;000-PER PERSON,, ,,, --
FIRE
ERSON.. , -FIRE LEGAL LIABILITY 50,000 PER OCCURRENCE
CODE DESCRIPTION PAYROLL TERM PREM ADDL/RTN
91342AA' CARPENTRY-NOC 209000 379 379
THE L-IMIT OF INSURANCE FOR THIS_BUILDING SHALL ;BE AUTOMATICALLY INCREASED
BY 57. bk AN, ANNUAL ;BASIS DURING THE POLICY PERIOD
ACTUAL CASH VALUE (ACV) , - BUILDING OPTION-DOES.NOT .APPLY_
DEDUCTIBLE:" $250 DEDUCTIBLE APPLIES EXCEPT WHERE NOTED IN THE POLICY OR ENDORSEMENTS.
COUNTERSIGNED BY:
BF 30 05 01 98 INSURED COPY PROCESSED DATE: 02/14/03
NORT1y
Town o . 4 ®ver
0 11-111111 .�......
No.
o� =000Hic '09 dover, Mass., s$
ADRATED P? C.1
S
BOARD OF HEALTH
Food/Kitchen
ijERMIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.....5.A►Oi..4...s V.t.........*b 'A&4v oj.. .0....................
......•••••• Foundation
hasermission to erect... . .
P 46.4 buildings ......�1.� � . 5
g .... .........16.44.0k.4.... .............................. Rough
to be occupied as..........Ic At. !►.� IN ....t.N..�A.M.G:�........���0 �1A)ofkMl........ 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 O relating to the Inspect' n, Alteration and Construction of
Buildings in the Town of North Andover. 10 ` 6710 �,� 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
.A&C . .... ....
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until. Inspected and Approved by the Building Inspector. Burnet
Street No.
SEE REVERSE SIDE smoke bet.
C M �Z 31-;? GLASS DOOR
W,'-/--� �Cw:- A0201"', f V 41 f TOP
WC W3336W18 W18 tA
AT L.E
24 3DB24 DW/PAN; ;BWB21; 3DB24 BPC36R -
c1 LUS r---------- ------- i - SB ---------i----
rJ qWM 36 TRASH SB36 US
C33 ROLLOUT
TST •a 2/rollouts
54
1 2/rollouts 1 3D13
r :33
WINE ,FLUTES
:33
„�.---
__ _T____-----_-________TT '
36 ;; '
" � ; .�BFD27l;WWR; BFD27 ; ;i �a� �� - 1;
W3621 REF ' ===='BEPR` j ; L621
.J
SS BOLT 2/rollouts R
Y
FLUTES LL LUTES
ISLAND TO FLOOR
TOCBX90 T2490 GLASS DOOR
FLUTES 3Y TOP
gee
BF
D
23L
I
Desi n: 02/01/03
Dwg no.
All dimensions&size designations This is an original design and must dantonio scale:ma)amum Date : 09/17//0
given are subject to verification on not be released or copied unless
job site and adjustment to fit job applicable fee has been paid or job
conditions. order placed. Designer
Date.��.'" 1`'... .�
t �aORT1�
" TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
�Ss�cMusE�
This certifies that _ t-
has permission to perform .../1��C ... ?.F .C ... .�C.� � +n...............
wiring in the building of.... . '...... �..F'�� .T.:C�.'o.�............................
at../ �.`?�... !fa!�'?... '.....................................
/,%North Andover,Mass.
Feef/4/0..6.V.. Lic.No.
......................;�................... ................
ELECTRICAL INSPE R
Check # ��7
4870
t.ommonweann orMassachusetts OtEcial Use Only
Elm Department of Fire Services Permit No:
BOARD OF FIRE PREVENTION REGU TIONS Occupancy and Fee Checked
[Rev. 111991
leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts EIectrical Code gv[EC),527 CMR 12.00
(PLEASE P=IYM OR TYPE ALL INFORMAT70.m Date: --
City or Town of ,)v- y O� c,� To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number)
Owner or Tenant Telen o
Owner's Address
Is this permit in conjunction with a building permit? , Yes No ❑ (Check Appropriate Box)
Purpose of Building e,; -c •/ �z ,//� Utility Authorization No. It--7 - �
Existing Service ILL—Amps moi/ Z , Volts Ov rhead [�Undgrd❑ No.of Meters f
New Service z d Amps /2c., /z%a Volts Overhead No. of Meters r
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
1-,"ly
Completion ofthe;b1lowinz table may be waived by the Inspector of GVires.
No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Total
Transformers KVA
No.of Lighting Outlets No. of Hot Tubs Generators K'A
No. of Lighting Fixtures Swimming Pool o bove ❑ - ❑ i o. o mergency ig ting
rnd. nd. Battery Units
. No.of Receptacle OutletsU No. of Oil Burners
� FIRE ALARMS No.of Zones
No.of Switches Ll No.of Gas Burners No.of Detection and
Total Initiating Devices
No.of Ranges INo.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers eat Pump Number ons W o. of Self- oatained
Totals: — Detection/Alertinz Devices
No.of Dishwashers ❑ Municipal ❑ Other
Space/Area Heating KW Local
Connection
No.of Dryers Heating Appliances Kr Security Systems:
i
No.of Water No.of t o.of No.of Devices or Equivalent
Heaters KW Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No. of Motors Total HP elecommunicationsWiring:
No.of Devices or Equivalent
OTHER:
�y
Attach additional detail if desired,or as required by the Inspector of Mres.
INSURANCE COVERAGE: Unless waived b the owner,no permit for the performance of e
the
P p electrical work may issue unless
licensee provides proof of liability insurance including completed operation coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) --e,- Z-/
(Expiration Date)
Estimated Value of Electrical Work (When required by municipal policy.)
Work to Start 11-21 -,.,;,3 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under the pains and penalties ofperjury, that the information on this application is true and complete
FIRM NAiIIM: AlG
y / LIC.NO.:�y
Licensee./ -C ,��-rg �, Signature LIC.NO.: C
(IJapplicable,P ter "exert"in the license number line.) Bu .`1 el No.:4S"7
Address: 6� ���s ,� j'` s� Alt.Tei.No.:
OWNER'S INSURANCE WAIVER: I am aware that the Lice ee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this re ement. I am the(check one) ❑ owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMU FEE. 5 1-70O-fi29
e�o�+►.�.� RECEIVE!"
s �r� '►�' DAN{f•_ LONG
si,aK
Any app-•ai E; "'""'" :•� N0 T ; =AVER
�-,, t-r the •• 1853 •
^C f'
wit"in ' _ :s of tice •.. .;� 93
ri0 �criu ��, NovN (0 12 16 P
LI;e Office of the Tow' TOWN OF NORTH ANDOVER
-. .. MASSACHUSETTS
BOARD OF APPEALS
NOTICE OF DECISION
Date .November. 10,. .1.9.93 . . . . . . . .
Petition No.. . .043-93. . . . . . . . . . . . .
Date of Hearing. .November ..9,. 19.9.3
Petition of Sam and Susan D'Antonio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. .
Premises affected 11.5 5, S a i em Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Referring to the above petition for a variation from the requirements of ffi�, Section . ,. . . . .
Paragraph 7.3, and ,Table. .2 .of. the. Zoning Bylaw. . . " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
so as to permit relief of. 12. 7 feet .f or , the, rear.house. .setback.. . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
After a public hearing given on the above date, the Board of Appeals voted to GRANT the
variance and hereby authorize the Building Inspector to issue a
permit to Sam and Susan D'anton.io..
The Board finds that the petitioner has satisfied the provisions of Section. '_0,
Pargraph 10.E of the Zoning Bylaw andthat the granting
of this variance will
not adversely affect the neighborhood or derogate from the intent and purpose
of the Zoning Bylaw.
Signed
-Frank Serio, Jr. , Chaira.an
Walter Soule, Clerk
Ravmond Vivenzio
Louis Rissin
Board of"Appeals
rAny •
appeal S-a`I be ; id DA�EIzr
tgORTM
, f��1 ' o AF,fi
�-
Rl O O, Z.
0 to
ilCG' 07 lii'3
Nov e
16 12 ,F
�1SSACHUSEt�
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
***************************
*
Sam & Susan D'Antonio * Petition #043-93
1155 Salem Street
North Andover, MA 01845 * DECISION
*
***************************
The Board of Appeals held a public hearing on Tuesday, November
9 , 1993 upon the application of Sam and Susan D'Antonio
requesting a variation of Section 7 , Paragraph 7 . 3 and Table 2 of
the Zoning Bylaw for relief of 12 . 7 feet for the rear house
setback on the premises located at 1155 Salem Street.
The hearing was advertised in the North Andover Citizen on
October 25 and November 1, 1993 and all abutters were notified by
regular mail .
Upon a motion b Mr. Rissin and seconded b Mr. Pallone, the
Up n y Y
Board voted unanimously to GRANT the variance as requested.
The Board finds that the petitioner has satisfied the provisions
of Section 10, Paragraph 10 . 4 of the Zoning Bylaw and that the
granting of this variance will not adversely affect the
neighborhood or derogate from the intent and purpose of the
Zoning Bylaw.
Dated this 10th day of November 1993 .
BOARD OF APPEALS
fi
Frank Serio, Jr.
Chairman
-a
Received by Town Clerk: 10C rv,'
TOWN OF NORTH ANDOVER, MASSACHUSETTS
BOARD OF APPEALSXm
'
APPLICATION FOR RELIEF FROM THE ZONING ORDINANCE
Sam P. D'Antonio and c.c:
Applicant t Susan M. D'Antonio Address 1155 Salem 5tree
PP
North 7Andovef, MA 01845 Tel. No. (508) 685-1123
_i
1 . Application is hereby made:
a) For a variance from the requirements of Section
7
Paragraph 7.3 and Table 2 of the Zoning Bylaws.
b)
X X
2 . a) Premises affected are land and building (s)
numbered 1155 Salem Street„North Andover MA 01845
b) Premises affected are property with frontage on the
North' ( ) South ( ) East ( ) West (X) side of
Salem Street.
Street, and known as No. 1155 Salem
Street.
C) Premises affected are in Zoning District R2 , and the
premises affected have an area of 44.000 square feet
and frontage of 410.35 feet.
3 . Ownership:
a) Name and address of owner (if joint ownership, give all
names) :
Sam P..),Q'Antonio and Su '
Date of Purchase _ 9/2/77 Previous Owner Fam
b) 1.
i
2 .
4 .
a) Approximate date of erection: 1969
b) Occupancy or use of each floor: Resident;ai
C) Type of construction: Wood F,-arra
5 . Has there been a previous appeal, under zoning, on these
premises? No If so, when?
6 . Description of relief sought on this petition Petitioners seek variance
of approximately 12.7 feet for rear house setback and a==mx;mately 2.9 font side
setback for swimming pool.
7 . Deed recorded in the Registry of Deeds in Book 1319 Page X22
The principal points upon which I base my application are as
follows: (must be stated in detail) Petitioners have owned the residence
since 1972 and recently were informed by survey company preparing a mort a e plot plan
that they needed a rear and side setback variance. This is the first time that a plot
plan was ever prepare or the property. Granting t e variance will not derogate from
tr
Fe in en o e zoning by-Laws or cause su s an is etriment to the public good.
I agree to pay the filing fee, advertising in newspaper, and
in '.d tal expenses 72
Signat re of Petlt` oner(s)
Every application for action by the Board shall be made on a form
approved by the Board. These forms shall be furnished by the
Clerk upon request. Any communication purporting to be an
application shall be treated as mere notice of intention to seek
relief until such time as it is made on the official application
form. All information called for by the form shall be furnished
by the applicant in the manner therein prescribed.
Every .application shall be submitted with a list of "Parties of
Interest" which list shall include the petitioner, abutters,
owners of land directly opposite on any public or private street
or way, and abutters to the abutters within three hundred feet
(3001 ) of the property line of the petitioner as they appear on
the most recent applicable tax list, notwithstanding that the
land of any such owner is located in another city or town, the
Planning Board of the city or town, and the Planning Board of
every abutting city or town.
*Every application shall be submitted with an application charge
cost in the amount of $25. 00 . In addition, the petitioner shall
be responsible for any and all costs involved in bringing the
petition before the Board. Such costs shall include mailing and
publication, but are not necessarily limited to these.
Ever application shall be submitted with a plan of land approved
Every e the Board
will be brought before by the Board. No petition g
unless said plan has been submitted. Copies of the Board' s
requirements regarding plans are attached heretoor are available
from the Board of Appeals upon request.
Rev. 4/93
LIST OF PARTIES OF INTEREST
SU BJ ECT PROPERTY
MAP PARCEL LOT NAME ADDRESS
�b Tocs�4
ABUTTERS
MAP PARCEL LOT NAME ADDRESS
/Q Xonn q x �.T eco �'R 0136f-a/k
NNS J2 �u✓Z->
o�, 17 v c oe g— /has 44 rc s
Ss}Lg cS 1y
fl6 33 ��O 2�v
ra etz /(o ff T✓1 d�.e/u r�L
o "ICA
.� In. oNei
n
I !
MORTq '.
a
SA UO
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
Sam & Susan D'Antonio
1.155 Salem Street
-North Andover, MA 01845 Date: October 27, 1993 _
Dear Applicant:
Enclosed is a copy of the legal notice for your application before
I
the Board of Appeals .
Kindly submit $ 5,22 for the following:
Filing Fee $
Postage $ 5.22
Your check must be made payable to the Town of North Andover and
may be sent to my attention at the Town Office Building, 120 slain
Street , North Andover , Mass . 01845 .
Sincerely,
BOARD OF APPEALS
Linda Dufresne, Clerk
Date. .
40RTH
0 TOWN OF NOPTH ANDOVER
' PERMIT FOR GAS INSTALLATION
SA US
This certifies that . 44.h 1 f ' �GY. -I--, s
has permission for gas installation .C-::-Z- f. . . . . . . . . . . .
in the buildings of . . .T)/'?*/.6".� . . . . . . . . . . . . . . . . . . . . . . . .
at ,/./. �:f: . .S Y.h�-7. . . . . . . . . . . . . . .:North Andover, Mass.
Fee. .U . . . . Lic. No.. . . . . . . . . . . .. f. . .. " .. . . . . . .
GASINSPECTOR
Check# /92Z
4335
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING ? °
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Mass. Dat a 23 D 3 Permit
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Building location J Owner's Name
Type of OccupancyZ f
New Renovation ❑ Replacement ❑ Plans Submftted: Yesp No ❑
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SUB—BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
Gi
3RD FLOOR
4TH FLOOR
STH FLOOR
r
6TH FLOOR
7TH FLOOR
STH FLOOR
installing Company Name YANKEE GAS Check one: Certificate
Address 14 0 SOUTH MAIN STREET ® Corporation 1 0 3 C
MIDDLETON, MA 01949 ❑ Partnership
Business Telephone 978-774-2760 ❑ Finn/Co.
Name of Ucensed Plumber or Gas Fitter WILLIAM R. HARRIS
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes X No ❑.
If you have checked yes, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy E Other type of indemnity❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not 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:
Owner❑ Agent ❑
Signature of Owner or Owner's 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 the permit is for ibis application will be in co pliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the GepgCd Laws. E
gy Tjoof license:
umber gnature o um r or as tet
Title asfitter 3785
aster Ucense Number
City/Town urneyman
iaanrwx n Fr
Date.//—. x-
ri 3
"pR' TOWN OF NORTH ANDOVER
" p PERMIT FOR PLUMBING
SSACHUS
This certifies that . . . J. . . .h5�?�. ". . . . . . . . . . . . . . . . . . .
has permission to perform . . . . f! .� . 7 . Plam. . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . . .0. 14 �. . . . . . . . . . . . . . . .
at . . . . . . . . . . . . . . . . . . . North Andover, Mass.
Fee. ?. '� Lic. No.A 3 . . . . . . . . .
LUMBING INSPCCTOR
Check #
5801
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS j �.
/ � Owners Name Permit# S
BuildingLocation o� /
r Amount - Z rl
Type of Occupancyl I
New Renovation Replacement Plans Submitted Yes No
FIXTURES
a o
x A
H
q x F o
SL 13-BM
r R''SEWW
M FLOOR
MFLOOx
3MROM
4M KOM
5M FLm><t
ILOCIR
HDM
sM> t
(Print or type) �� �� Check one: Certificate
Installing Company Name A CT e111w-V j ,�4 //J�� -e Corp.
Address - j t d R '` 5 Partner.
eq, C1
Business Telephone 0—Firm/Co.
Name of Licensed Plumber: y
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity ❑ Bond
Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner Agent El'
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'n�s�alla[i ns performed under Pe 't-Issued for this application will be in
compliance with all pertinent provisions of the Masacclfuset Stat lumbin Code an hapte 42 of the General Laws.
14
By Signature Of 1cense mer
Typ of Plumbing License
Title
City/Town1cense um er Master n/ Journeyman ❑
APPROVED(OFFICE USE ONLY u
?.. ... .
i, NO°T^
0 1ti0
3? �` TOWN OF NORTH ANDOVER
O .... D
• - PERMIT FOR GAS INSTALLATION
�,SSACHUSEt
This certifies that . . .,. J .. . . .`.. . .. . . . . . . . . . . . . . . . . .
has permission for gas installation . . . ./.�.� `r . . . . . . . . . . . . . .
in the buildings of . . . . . . .k-. X `. . . . . . . . . . . . . . . . . . . . . . .
at �f?. 1.. . �! t - . . . . . . . . . . . . . . . .. North Andover, Mass.
Fee. .'? >. .: . . Lic. No.. . .t.. . `. . . . . . .
f
GAS INSPECTOR
Check# r'
1
45216
MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING
(Type or print) t Date
NORTH ANDOVER,MASSACHUSETTS
Building Locations j S 5 S /e �1_ 1 Permit# `C `
Amount$
Owner's Name
New❑ Renovation ❑ Replacement 13" Plans Submitted ❑
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U x �'
m O �n F
d m w 02 x "�
a
x 0 v w a o
x 0
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v SUB-BASEM ENT
BASEMENT
1ST. FLOOR J
{ 2ND. FLOOR
3RD. FLOOR
4TH . FLOOR
5TH. FLOOR
6TH. FLOOR
7TH. FLOOR
8TH . FLOOR
(Print or type) �` / ec one: Certificate Installing Company
Name !�. �1 I c°- Uyt /tet. �d— L ' Corp.
' Address - S�� d � ❑
Partner.
Business Telephone 01irm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes No❑
Ifyou have checked M,please indicate the type coverage by checking the appropriate box.
Liability insurance policy 0 Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe
Mass.General Laws,and that my signature on this permit application waives this requirement.
Check one: ❑
-1Signature of Owner or Owner's Agent Owner Agent
I hereby certify that all ofthe 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 ofthe Massach!!sl StatVas Code and Chapter 1 ofthe - neral Laws.
By: Signature ofLicerWd Plumber Or Gas Fitter
Title ®Plumber 3
City/Town r-1. Gas Fitter License Numer
Master )� V
APPROVED(OFFICE USE ONLY) ❑ Journeyman