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Miscellaneous - 12 MINUTE AVENUE 4/30/2018
12 MINUTE AVENUE r 2101060.="0 i li NORTH x TOWN OF NO /HANDOVER • - PERMIT FOR 61AS INSTALLATION SACHUS This certifies that . . . .�''. i./��?.�`.�. . . .r. . . . . . . . . . has permission for gas installation . f'�? . ./,z Y L� F..-(. . . . . . . . in the buildings of . . 1 G'�. �. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . ./.2. . . . . . ..: .`. . . . . . . . . , North Andover, Mass. Fee. Lic. No.. . . . . .�f�, . . . . . . . GAS INSPECTORV Check# -3 u a- �,' j' 6475 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) -P--C N A 0 0 b C- f— , Mass. Date /-2 Permit # G L( 7 Building Location_ 42 HWU7C Ay E Owner's Name kF-U11J NAMEL -Pp?-TeK- W TH A000\/F /Z2, t9-AType of Occupancy_&SMUT)P L -'S/kZz-g- New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes[] No ❑ N N ¢ Y W N N N Z ¢ N N c= N ¢ U p 0 W W ¢ O V m t = x S Z O U 1- Q >- ¢ Z Z Q } T, W m N F- 1Qj W O a C H W Q t- 0: O W W W N J Z Q x¢ ¢ W ¢ W H W N x C7 14 WF- Z A f- Z F, W W (7 O > LL IF- V J H W�4 Q W > ¢ W Z, Q a G0 Z O Z ¢ O flr x a '.x oc0� y n a tw- o SUB—BSMT. LF BASEMENT / 1ST FLOOR 1 I 2ND FLOOR A 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET XJ Corporation 1862 LAWRENCE, MA 018 41 - 2312 ❑ Partnership Business Telephone q 7 8-6 8,7-110 5 ExT X 306 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I 1 ha-re a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No ❑ If you have checked res, please indicate the type coverage by checking the appropriate box. A liability insurance policy 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: Signature of Owner or Owner'slgent Owner❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in abo plication are true and accur to to the best of my knowledge and that all plumbing work and installations performed under the permit iss i r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. (j i T e of License: Title Plumber Signature of<Jcensed Plumber or Gas Gasfitter City/Town Master License Number 374'5 O FIC SE 0L Journeyman i BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME TYPE OF 13UILDING LOCATION OF BUILDING ' f PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE _19 GAS INSPECTOR 09862 Date . .. .�. .. .(!. . . . • TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . . . .'. . .�`A'S. . . ��w?A j . . . . . . . . . . . has permission to perform . V` �G/. ... . . . . . .Z: . . . . . . . . . . . . . J(l POO-A&-4— plumbing int e buildings o ! . .. . . �. . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .North Andover, Mass. Fee Lic. No� �. . . �. . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check#,2 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK - CITY NORTH ANDOVER MA DATE .�Jf'-�5� PERMIT JOBSITE ADDRESS /c2 �i.,C/1TC AIle OWNER'S NAMEIJ_e ilt%V yWlY4--l- — OWNER ADDRESS SA Otc TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL X PRINT CLEARLY NEW:-,_,:; RENOVATION:: REPLACEMENT'X PLANS SUBMITTED: YES NO FIXTURES 1 FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OlUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES 1 WATER PIPING OTHER INSURANCE COVERAGE: I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YESA-'--' NO r IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW _ LIABILITY INSURANCE POLICY 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement, q. CHECK ONE ONLY: OWNER AGENT I SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information 1 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. S PLUMBER'S NAME THOMAS HALLORAN LICENSE#24833 SIGNATURE MP JPA CORPORATION # PARTNERSHIP' _ # LLC `# L COMPANY NAME HALLORAN PLUMBING ADDRESS 826 DALE ST. 2� — CITY NORTH ANDOVER STATE MA ZIP 01845 TEL 978.685-9504 FAX CELL EMAIL �� _,� fir, Y N �� � �� �U�� G� _ �2i ��3 IM�" _ _. a I COMMONWEALTH OF MASSACHUSETTS ,ISI PL UMBERS A D GASFI E S l r: LICENSED'AS A JOURNEYMAN.PLUMBER ISSUES THE ABOVE LICENSE TO: THOMAS : N HALLORAN 82G DALE. ST `NORTH ANDOVER MA 0 18457 1.422%.- 249.33 .422 248.33 05/01/14 I I Date. . . . . . . . . . . . . Th TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING Ss CHUS This certifies that . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . plumbing in the buildings of 'e .. . . . . at . . . . . . . . . . . . . . . . .. . . . . . . . . . . . North Andover, Mass. -iA- ' /N6 Fee'�-�. Lic. No. PLUMBING INSPECTOR Check # 8121 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town:_IVDV-Ajn L/`P� , MA. Date: D Permit# 2-1 BuildingLocation:_I lOk J /� � Owners Name: .._/1 CUJi7 Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential New:❑ Alteration: ❑ Renovation: ❑ Replacement: [' Pians Submitted: Yes❑ No❑ FIXTURES --- 2i z to o Lu> z N J = Fes- W W a z H Y m -� Q W z W M z Q F- _w � to w C3 Q z it °� IX z z W y v a LL a a M a o Z � a a X lLO 0 � U M > ° o O z z 0 i`- t i 4 = 0 ai � SUB BSMT. BASEMENT J57 FLOOR Z Nu FLOOR 3 FLOOR 4 FLOOR 61H FLOOR 6 FLOOR 7 FLOOR 8 FLOOR KOV4 / Check One Only Certificate# installing Company Name: ! �� � ���� Corporation �y) Address: rzt.5__L7_ City/Town:-_�7 e Sj0,r0 State:. �''�' s,�. ❑Partnership Business Tel: d�J fit/ �-®� Fax: 61`)S A5 ) r)aO ❑Firm/Company Name of Licensed Plumber: tj r INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes eNo If you have checked Yes,please indicate the type of coverage by checking the appropriatebox below. A liability insurance policy 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only ❑ Signature of Owner or Owner's Agent Owner f-1 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. By Type of License: True L'7Pmber Signa a of Licensed Plumber Cityfiown []journeyman APPROVED OFFICE USE ONLY D.lourneyman License Number: i 1 ,,OOT" °` � � •'" Zoning Bylaw Denial Town Of North Andover Building Department 400 Osgood SL North Andover, AAA. 01845 Phone 97868 446 Fax 978488-9b42 k 60 .C/31 nt Kevin — t Famil suite addition 3-10-06 Please be advised that afar mvww of your Application and Plans that Your Application is DENIED for the following Zoning Bylaw reasons: Zonis R-3 Notes Item Notes Item A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexists yes 2 Fron a Complies 3 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use PreexWing 2 Com ies 4 Special Permit Required VP R 3 Preexisting CBA yes 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height yes 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient Building Coverage 6 Preexists setbacks yes 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Compiles D Waarshsd 3 Coverage Preexisting yes 1 Not in Watershed yes 4 Insufficient Information 2 In Watershed j I Sign N/A, 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 N/A 1 In District review required 1 I More Parking Required 2 1 Not in disWct yes 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-exisfing Parking Remedy for the above is checked below. tam e SpKial Permits Planning Board teem 6 Varian Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Ddymmy Special Permit Height Variance Conginii aste Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Pw mits Zoning Board IndilPilindent Elderly Housing Special Permit Special Permit Non-Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned DevekViment District Special Permit Special Permit Use not Listed but Similar Planned Residential SpecW Permit B-4 SpeciaIPermftfbr family su' R-6 Density Special Permit Speml Permit preexisting nonconformin Watershed Special Permit The above review and MUM ad eglarwion Of such la tiered on the plans and mlo-ndion sub mided. No definitive review and or advice"be herd on verbal Govt hms by #a appYcarrt nor WM such verbal eorplsnMians by the applicant serve to provide doWlive amwers b#w above screws for DENIAL. Any inaccuracies,nrielaadirg lidw aboi,or cow subsequent changes to on odumdion m n ped by the appkeit aW be grounds ford*redow b be voided at the dACMUon of the Buildup Dgwbrw*The attactred dommwrt tkbd l%n Rwlow NsnobW ohM be altachad Iwab and incorporated herein by mtenmce. The build deperinrani wo stain r plans and doounwrtadon for th above Ase.You must file a new building permit q-lication form and b@*Uva permilbg prooees Building Department Official Signature _ Application Received Alifilication Denied Denial Sent: If Faxed Phone NumWinate' Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the application/ t permit for the property indicated on the reverse side: holt! MaNM f0[Do" �1�110! B-4 A Special Permit through the Zoning is required f r of th Z�- zi4g_.B law for a pre-existing, non-conforming lot pre- existing, non-conforming ' ' n orde to _bui r Referred To: Fir Health Police X Zoning Board Conservation DeWrtmmd or Public Works Planning Historical Commission Qaha BUILDING DEPT Location A Illiy/C- No. Date 4 3 &CRT" TOWN OF NORTH ANDOVER O? • t• CA Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ el title Vit/FFee $ 0-'DZ S wA� 1 Sewer Conntion Fee $ L-Connection Fee $ TOTAL w / $ 2 0-0 Building Inspector i1 Div. Public Works PERJLIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. V PAGE 1 WilkP 440. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE SUB DIV. LOT NO. F 1-1 LOCATION iZ ,(�A\N\1 _ PURPOSE OF BUILDING �1 o/ /t 2 OWNER'S NAME GY`` y,� NO. OF STORIES pit" (SIZE !rt0 d OWNER'S ADDRESS • BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME � / �/f / SPAN DISTANCE TO NEAREST BUIL ING Sc� T G•/, DIMENSIONS OF SILLS DISTANCE FROM STREET rs POSTS DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW 0 SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION -z .!�_ _\ IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 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 DATE FILED / Z t 7 BOARD OF HEALTH SIGNATURE FOWN AUTHORIZE F E PLANNING BOARD PERMIT GR TED 3 19 �Z *D.OF SELECTMEN 1 PECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY 11 STORIES I 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 _ 3 I 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D — PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT r AREA FULLFIN. B'MT AREA _ 'L 72 'h I FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD\?JD _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR ADEQUATE ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 4 2nd _ ELECTRIC 1st 13rd NO HEATING own of No ndover tea LARIVEWAY ENTRY PERMIT -71 0 nd6 er, Mass, BOARD OF HEALTH PERMIT . TSSA E LD THIS CERTIFIES THAT.C/.�/**W .Cdr p.1vri.....C 40 1* BUILDING INSPECTOR has permission to ...... buildings on MA410 M. -A-SIALWO..... Rough to be occupied as...DA, . 4FChimney M M4��/ .........�. ��............ Final provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids t ermit. / I P1 1\,1V11_1_ LAIJIld-b IBJ 6 NTHS ELECTRICAL INSPECTOR Rough UNI-ESS CON. 1'-RUCTI S RTS Service Final ... . .......... ... .....BUILDING ILDING.....PE.... R GAS INSPECTOR Occiip(!nc), Permit A'equired to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by STRkEToet. Sm Building Inspector so-r, OF ,.a 1.y � OFFICES OF: o Town Of 120 Main Strcet APPEALS :�.:.. : NORTH ANDOVER No�rdI Andover, ' BUILDING M II1 1845 C ONSI-RVATION nes 1AVI ION OF (6 17)685-4775 HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIIIEC-1.011 In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: (Location of Facility) ignature of crmit App icant D e NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Lobation lti'LJ i(-7 No. r Date NORTH TOWN OF NORTH ANDOVER A Certificate of Occupancy $ �- • e r Building/Fram Jt Fee CMU $ E< Foundation Pe it R , ����yj SAS •� '��`.` Other Permit Fee ,UN $ Sewer Conntltion Fee Water Connec 'ol*t*gip$,A V 6 TOTAL $ � � Building Inspector v Div. Public Works Location Date AORT" TOWN OF NORTH ANDOVER p Certificate of Occupancy $ 4L I Building/Frame Permit Fee $ Foundation Permit Fee $ sACNusE _ Other Permit Fee $ . Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector .0 Div. Public Works J Ldcatlon 1 L f:0/AJJTIE S ! E ` No. G y G Date gNORTM TOWN OF NORTH ANDOVER S •.. .• O� Certificate of Occupancy $ Building/Frame Permit Fee $ 'SsAcMusE� Foundation Permit Fee $ Other Permit Fee $ P����vection Fee $ QF� Water Connection Fee $ `,TOTAL $4/7010 collect., j/ Building Inspector v - Div. Public Works a APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAFW( LOT NO. 2 RECORD OF OWNERSHIP 'DATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. -I !tJCATION j� L /_ �./ /J f /)n J��+ PURPOSE OF BUILDING ��� /` ���` / c-7� �(moo H Lk, .�- OWNER'S NAME /?, /.�� U4'. NO. OF STORIES �J SIZE ` Q� C► 71 L� OWNER'S ADDRESS ` BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME ;?��n^_1 /r �S`�V�/,vC SPAN DISTANCE TO NEAREST B ILDING �d/ DIMENSIONS OF SILLS DISTANCE FROM STREET r� / POSTS DISTANCE FROM LOT LINES-SIDES REAR " •• GIRDERS AREA OF LOT FRONTAGE /(,) HEIGHT OF FOUNDATION THICKNESS 15 BUILDING NEW a SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATIO YiTcN iND� BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /�l IS BUILDING CONNECTED TO TOWN WATER Le! BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE (f INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST TIraO, 00 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY I ATTACHED !}' GARAGES MUST CONFORM TO STATE FIRE REGULATIONS P6ANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DACE FILED L 4 '1"A 4,4 BOARD OF HEALTH _.8! tRE,e*-bWNE-R-jKlR AUT14 MkIZED AGENT OWNER TEL.# �� �� FEECONTR.TEL.# CONTR.LIC.# O�L!3 ' /�"� // � PLANNING BOARD PERMIT GRANTED �(�(�L.Id-iL Ti^js4� 19 BOARD OF SELECTMEN ■UILDI SP CTOR 1 a / � tf BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY rO 0RIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY FICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS —=A RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY V✓ALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 114 '/2 '4 FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WAILS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW'D _ ASBESTOS SIDING _ COMMON 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 _ SUPERIORI� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING S GABLE I HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. )2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK e 1 SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ t ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS IL B'M'T 2nd _ ELECTRIC 1st I-T,-dI NO HEATING t F y0MMONWEALTH rEPARTMENt'`OppugUC'��`�'�"� OF 11010 COMMO a •' y NWEALTH AVE. J MASSACHUSETTS +IBOSTON,MASS--622W. 622W EXPIRATION DATE "`± L I C E N S E ""I• CONST�q. SUPEkRVISOR AMAA E 9 2 J f'EFFECTIVE DATE LSC NO. At r NONE ; .{• � t . i.,SHELCON�'M: 'PRISCH r: SS '033.:yy� , 1:14 .:LOTHR.OP 08E4 BEVERLY MA 01915 PHOTO(BUSTING OPN oNwl FEE: .. x#.00 . V HEIGHT, NOj VALIDUNTIL SIGNED�' . LICENSEE STA MPED O /AT+URE Of THE AND CO OFFICLA V i bj Q � � I 5 'Zcro(V,-.- I 106 12W L 36R 33W 24A R 3 SR DISH. 24a 9T R 12W R IN nn ti �,.�v�✓lS1Cc�o+^ 30R RANGE k - 30" � V � 116 16W L 150 Q 33)( 3T REFR- C Q c � C R + Design: NOW92 Drug no All dimensions&size designations O° This is an original design and must Scale:V2"-V gwen are subject to verification an not be released at copied unless job aRe and adjuatratnt to fit job applicable fee ttas been paid or job Designer conditions. order placed. r �' f c r l i � i _ . k } � o o � � c� c� o o � � c� � � � � o o � � � L ORS T 6 own of n over No. 0 .;-_��.......... 96 Na ."'.."NVEWAY ENTRY PERMIT . ........ L K ■ fiver,HE C WICK PER BOARD OF HEALTH THIS CERTIFIES THAiCt. .......... ... .......# .....M......C.................................. BUILDING INSPECTOR Ir has permission to erect ......................... buildings on . ......•�• Rough Chimney to be occupied as..f k*0.yft6.dV. X.I.T.C .. J ........................... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids s Permit. PERMIT EXPIRES N 6 M NTHS ELECTRICAL INSPECTOR Rough UNLESS CONS zRUC 'I A T Service Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector F NORTH a I own of 6Andover No. d96 6D �o E er, Mass., 19 92 ss BOARD OF HEALTH '!'THIS CERTIFIES THAT........1.....�7.1.Ll. ..•PERMIT T LD 40 �.... ..... •••••.•••••• .�� ••.���� BUILDING INSPECTOR has permission to erect .... ................. buildings n ... .. ..., .. Rough i�;/, l occupiedto be .••.. •��.. .` Chimney Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in i PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of 4 { Rough Buildings in the Town of North Andover. I Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION STARTS Service �.�. .� • BUILDIN NSPECTOR GINSPECTOR Occupancy Permit Required to Occupy Building rAS Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector ° CERTIFICATE OF USE & OCCUPANCY 7owun of forth And®wem BulldWq Permit Number 096 Date JUNE 16 , 1 9 9 2 i THIS CERTIFIES THAT THE BUILDING LOCATED ON 12 MINUTE AVE . MAY BE OCCUPIED AS KITCHEN REMODELING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. pF NORTH CERTIFICATE ISSUED TO i t i c o p. Mottgage , Inc . 17 Fna t S . , Salem, MA 01910 . , ADDRES • p9q' ,mh P" �9SSAC HLI 5 Building nspector I I CERTIFICATE OF USE Ft OCCUPANCY Town of North Andoveg, Building Permit Number 096 Date JUNE 16 , 1 9 9 2 THIS CERTIFIES THAT THE BUILDING LOCATED ON 12 MINUTE AVE . MAY BE OCCUPIED AS K I T C H E N REMODELING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. NORTH 3�oy tf,.ED 6�tiOL CERTIFICATE ISSUED TO 2Buill4di 5ry , . Mon a e Inc . ° MA 0 19701Z St. , Satem, ADDRES 1.D nectorSSACHUSE Location /` fs l'�✓�T� S! No. f�r1 7 Date o, ,40;*: TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ ,SSACHUPAYMEaTon Permit Fee $ Other Permit Fee $ 10 - 14-0 Sewer Connection Fee $ No.Andover Co%Fx g Connection Fee $ TL $ /�0 - G-J Building Inspector Div. Public Works PEaJfI][ NO. z - APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. C PAGE 1 /MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP jDATE. BOOK 'PAGE ZONE I SUB DIV. LOT NO. ,LOCATION�- i,L PURPOSE OF BUILDING �f L OWNER'S NAME NO. OF STORIES SIZE r c_= OWNER'S ADDRESS / BASEMENT OR SLAB �' !'�O✓iS �S'Sv.J21' __ ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME � ,�� ,[ /'_ ` SPAN DISTANCE TO NEAREST BU LDING SL.Al y✓, ,� �.t,n DIMENSIONS OF SILLS DISTANCE FROM STREET �(� L,.TLw._W'�' VE•�•`✓Q'�•J POSTS DISTANCE FROM LOT LINES-SIDES �(� REAR "" GIRDERS AREA OF LOT FRONTAGE 1Q� HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION ��� CAS IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yo IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST !_j�0-tO PAGE I wILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. ie PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 4 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 FI OA D APPROVED BY BUILDING INSPECTOR DATE FILED ��� G� BOARD OF HEALTH SIG E NER erk AUTH 1 ED AGENT ���©6y OWNER TEL # F E E /0 , 0-0 CONTR.TEL.#_ZY -O a COtiTR. LIC.#_42 5_21 PLANNING BOARD PERMIT G NTED 19 7__ _ BOARD OF 87ECTMEN BUt��! BPECTOR i I BUILDING RECORD _ } 1 OCCUPANCY 12 SINGLE FAMILY 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 —I 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ 'h 1/1 '/ FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE _ WOOD SHINGLES EARTH ------111_ ASPHALT SIDING HARDW __'D ASBESTOS SIDING _ COMMON _ VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORI� POOR ADEQUATE N _ ONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS IL O B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING co� UK ------iINA6 PLAN! W1 N� al 0" !'i' F I I N An L XAOR I T 6 own of Andover No. DRIVEWAY ENTRY PERMIT ij'� er, Mass x=% 6 '102, BOARD OF HEALTH PERMI LD r vog THIS CERTIFIES T P.A) ca T ...Of HA ................................................. BUILDING INSPECTOR ......................... bufldin son /& Rough has permission to erect ..oviva ...... Chimney to be occupied a4W.wrV"J= ...00 ;2AWYK...SAME....... .CIS Final provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids t 's Permit. PERMIT EXPIRES N 6 M LATHS ELECTRICAL INSPECTOR Rough UNLESS CONS"' RUC II 10 Service Final ... .... .................................................. BUILDING INSPECT GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE.DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector r Location Date ' gCRT1y TOWN OF NORTH ANDOVER p Certificate of Occupancy $ } Building/Frame Permit Fee $ Foundation Permit Fee $ s�cMuSt Other Permit Fee $ ��Sppev��er,Gae�t�ectiori Fee $ EWVat'er Connection Fee $ AUG 2T�3T $ Building Inspector Div. Public Works BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY::::l 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 3 1 2 13 CONCRETE BL K4 PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY VJAII UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ 1/1 1/2 1/1 FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE —{I_ 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 _ SUPERIORI� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP 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 I 11 HEATING WOOD JOIST PIPELESS FURNACE - FORCED HOT AIR FURN. TIMBER BMS. &COLS. !UNIT AM � .. STEEL BMS. &COLS. _ W'T'R OR VAPOR WOOD RAFTERS _ CONDITIONING IANT H'T'G HEATERS'7 NO. OF ROOMS B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING 4 1 t•ERAITT NO. • APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. � //PA GE 1 ►, IAP+40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE ZONE SUB DIV. LOT NO. .].00ATION �1 '00W. v URPOSE OF BUILDING _ yvrNER'S NAME Gs O NO. OF STORIES G SIZE ./OWNER'S ADDRESS&/vBASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD UILDER'S NAME d SPAN --- DISTANCE TO NEAREST BUIL64P& DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR "' GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES ,!;ST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. 11 PAGE PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM A SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS Y PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR (/DATE FILED /• BOARD OF HEALTH SIGNATURE Oof&NER O UTHORIZED AGENT FEE 00 PERMIT GRANTED U,NER TEL.# �3 FQ©S PLANNING BOARD (/CONTR.TEL.# = 12 19 �_ t-40NTR.LIC.# G BOARD OF SELECTMEN �/' BUILDING INSPECTOR O,MORtH, OFFICES OF: . �? �� Town of APPEALS North Main Street* =: NORTH ANDOVER Northn►uI()ver, , I�ilJlla71NG ;,'•�:i""�:-•'e Mi1titiF1('llUti(;tlSUlfi4 i CONSERVATION SSS`" °` UIVItiIUN UI 1 HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIREC"1'011 In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: (Location of Facility) 1 f4ure o[ omit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. DEPARTMENT OF PUBLIC SAFETY COMMONWEALTHDEPARTMENT COMMONWEALTH AVE. OF BOSTON,MASS.02215 'MASSACHUSETTS ENCLOSE CHECK OR MONEY ORDER �- LICENSE CONSTR. SUPERVISOR FOR REQUIRED FEE, EXPIRATION DATlF �l.•il �`D MADE PAYABLE TO 06/30/19"' C 6 EFFECTIVE DATE LIC-NO.' 6 RESTRICTIONS "COMMISSIONER OF PUBLIC SAFETY" NONE . 06/30/1991 035851 PLAZZ C SWiHART (DUNO�-iADCASH). 6 FOREST SS 0 010-48-9628 LAWRENCE MA 01841 P EASE Ntli �rjql-wCREASE PHOTO(BLASTING OPR ONLY) FEE: 100.00 El FECTIVElf)E 1989 HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY X-9: STAMPED-OR SIGNATURE OF THE COMMISSIONER DOB: 02/17/1956 _ .. /A�✓-� D NOT DETACH LICENSE STUB THIS DOCUMENT MUST BE THE PERSON OF C SIGNATURE OF LICENSEE « SIGN NAME IN FULL-ABOVE SIGNATURE LINE CARRIED O / THE HOLDER WHEN ENGAG- OTHERS -RIGHT THUMB PRINT THE H ,THIS OCCUPAYION. `_`rJ/O C OMMI$$IONER 20OM-2.87.81429 I CARBONLESS CARBON rKurV�N� FORM 3850 REQUIRED TRIPLICATE PROPOSAL i NO. Data— Sheet No.-'...:_:__- W Proposal Submitted To: Work To Be Performed At: Name _ Street_____-_.__._.w_�_2.c.4-eST...{�L _!Z � •__ _____----__�___ Street__�_�_�-______�u""` /� S/n-�rT - . City.-.__.-_---___.__.___.._5�^+_S.t!w---_-..... _-__.._____.._.._._.___-------____________.__ _ City ._.__ �_-_--- wD__Dvtn-__________. State " State ..._____ f?, ---------.-------.___.._____-_---___. Date of Plans Phone-.—,6.8..,3 .- _......_ ._....__.---__._..._____.________ Architect_.._.------ _--------.____..__......__.___.___. We hereby propose to furnish the materials and perform the labor necessary for the completion of ------------____--------------------- _ __.___.. -- ---_____----------— _-_____________________________________.._______-___.__ ._ --------- _________ -----------_-_-_____ --------------- ,. ________-_--__ ___--_ __ ..__ .__._____ -_.__-__-_______ - ._.-__-----_--__-- ___-_- ..._______._. _--_ ------- __....____-___.__..-_---------- All -----_-All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications' submitted for above work and completed in a substantial workmanlike manner for the sof u 5 Dollars ($ �� v�S . with payments to be made as follows: ------------ Ay Any alteration or deviation from above specifications involving extra costs,will be executed only upon written orders,and will become an Respectfully submitted extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance upon above work.Work- Per men's Compensation and Public Liability Insurance on above work to be Laken out by Note—This proposal may be withdrawn by us if not accepted within ..4-0 days. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Payment will be made as outlined above. Signature Date ..- ` . �- � 1.4 � ... .- - ____-- Signature.-_____ ' - FINAL - ONSERVATION ._._... PLANNING T 'r /NAL SE /WATER FINAL own o nwover i0 .. No. 339 I�) IV EW AY ENTRY PE _ . - S R r� , er, Mass., C E IC .4r) Pa�� � BOARD OF HEALTH PERMIT L 0 THIS CERTIFIES THA ....,r>PZr4.1t.e.110.4 ......................... � BUILDING INSPECTOR has permission to em& . 4J.01010.. buildings on ...kX.I. .MIM-Cf••AlFAC Rough Chimney to be occupied as........�6*. .. f A )0.04V A40YP.A04rd4- lol.we'. Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION START Service � �`• Final � BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. CIZt4 Building Inspector Suggested Affidavit for Home Improvement Contractor Permit Application For Office Use Only NAME OF CITY/TOWN Permit No. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c.142A requires that the"reconstruction,alteration,renovation,repair,modernization,conversion,inprovement,removal,demolition, or construction of an addition to.any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Re 12 T o r SAII,d�/.osC Est. Cost � /, S�S V Address of Work ✓Owner Name: Date of Permit Application: �— I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under 51,000 _Building not owner-occupied wner pulling own permit _Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Ow er Name MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING- 1 (Print or Type) NORTH ANDOVER Mass. Date �9�--- �uildin Location 9 UPermit # s, 95�'! ' Owners Nam � a ? New '1 Renovation Replacement Plans Submitted FIXTURES N N a N 0: .O 0LAS I�'• 0! j a to l' 2 = t11 d to W r a Uj a o a x Q to W 0 in 96 rt y 4 vt a � x .. o m Us m an W ? a z a c W a w }' m o l•- W -' H M t- H o o z o z w a _ z 4 w W a m Q u > a w z 4 Q a d a o W O W t- a x o o z W n a ca ,1 0 rr y ci a P o SUR—BSMT. BASEMEKT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TK FLOOR STH FLOOR (Print or Type) � Check one: Certificate Installing Company Names Corp. Address Partner. Firm/Co. Business Telephone: � Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy [Other type of indemnity 0 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 coverages. Signature of owner/agent of property Owner 11 Agent El I hcteby 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 InstaUations performed under Permit issued for this application will-be in compliance with all Milnent provisions of tho Massachusetts State Cas Code and chapter 142 of tho General Laws. By TYPE LICENSE: Plumber Title Gasfitter- Signatuf e ed City/Town: ,Master P o a fi er Journeyman APPROVED (oFFiCE USE ONLY) Licens Number Date , f.' .... . . . . . . . . f CEIVED pgYMENT N0 TOWN OF NORTH ANDOVER 3?Oy t��EO 0 7 0&MIT FOR GAS INSTALLATION 9 °q, (lector r,° SSACHU This certifies that . . . . . . . . . . . . . has permission for gas installation !': . :: . . . . . -. . . . : . . . . . in the buildings of . . . . . ,:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at /:!- /,i-eE: . .:':-� . r?,:-. .4. . . . . . . . . . . . .. North Andover, Mass. Fee..3.i,. 7-. . . Lic. No.:,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4` t ?,/ GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File �n v pCu VW k,-)� %AA,`D - �� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIRENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 40 BUILDING PERMIT NUMBER: DATE ISSUED: X ic SIGNATURE: --I Building Commissioner/Inspector of Buildings Date SECTION I-SITE INFORMATION I z 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: --I�--- ST. () 0 C- -il NAC uv.!�e Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Diaik—t Proposed Use Lot Area Frontage(11) 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard Required Provide Required Provided -Required Provided 1.7 Water Supply M.G.L.C.Q..1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: > Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 -q SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record t� el Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: 0 z Signature Telephone rn SECTION 3-CONSTRUCTION SERVICES go 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor: 0 License Number mn Address > Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number M Address Expiration Date z Signature Telephone Q 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 Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 111 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIALUSE.ONLY._ Completed by permit applicant 1. Building (a) i 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 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT T_ I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 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 Signature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHPANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 31 VVI UNREGISTERED LAND FILE NUMBER!. 55672 DEED BOOK: 2781 PAGE: 87 ATTORNEY: DONALD H. CARYM PLAN/DEED BOOK' - PAGE: _.�,._ LOTi3! LENDER: CITICORP MORTGAGE INC, PLAN NUM9ERs 0360 of awNER: CITICORP MORTGAGE, INC. REGISTERED LAND APPLICANrt BARRETT LESTER 4 JOYCE TENNANT DATE: 08-27-92 $CALEB 1'-40' REGISTRATION BOOK: PAGE: CERTIFICATE OF TITLE: FLOOD HAZARD INFORMATION PLAN NUMBER: LOT(s)- FL000 MAP COMMUNITY NO.: 2500 IONL:_C ASSESSORS MAP PANELS 00106 GATED- 06-15. 3 MAP; BLOCK: PARCEL: MORTGAGE INSPECTION PLAN IN NORTH ANDOVER Lot 191 Lot 162 100.E....__s.. . _..._..... W Lot 192 Lot 161 w Lot 193 Lot 160 > N` Lot 194 � Lot 159 ra o 0 LO Ln o Lot 195Lot 158 w Total Area= 159000 S.F.* -� a Lot 195SLor Lot 151 House Lot197 Lot 156 MINUTE STREET C— VL-, kt_ l�"`a2 Qd �� �� A,f' THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. THERE ARE NO DED EASEMENTS OR ENCROACHMENTS WITH RESPECT TO BU I LD I NGS SITUATED ON THIS LOT EXCEPT AS DES LAURIERS & ASSOCIATES. INC, SHOWN. 130 WEST STREET THE LOCATION OF THE DWELL I NC SHOWN DOES NOT FALL WITHIN WAL POL E , MA 020 B I A SPECIAL FLOOD HAZARD ZONE. (800) 28,N Of 404 (508) 668-5010�f THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER WAS o� sTEPHOP"I '^Q IN COMPLIANCE WITH THE LOCAL ZONING BY-LAWS IN EFFECT P � m' WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL SETBACK' .o1i16ti a REOUIREMENTS ONLY) . OR IS EXEMPT FROM VIOLATION EN- FORCEMENT ACTION UNDER MASS. G.L. TITLE VII . CHAPTER SU 40A. SECTION 7. GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this dote, (3) This plan was not made for record- 19 purposes. for use in preparing deed descriptions or for constructions, (4) Verifications of property line dimensions, 61din j.oftsets. Ponces, or lot configuration may be accomplithsd only by on occurata Instrument survey. ,, T01- d 0sst� sztlniZ�!lnd —t 9na 6z = zt Tzl =1 z6 — sz = 0nle �a���y�"�"�"�",�.'"',��'!! .hr�, •�',p"K' are' �x'�`. n!t`e ..��"�.. .p .� .p �' .v s -�,�v.. y �s: �`-,,� i � l lis ..SY F+�'Ar t i Y..k :.'��'B ;... s �'+� t« i '• �� ��wy .. �f L. �r � 'b w,..• n..,.„�� .�.... e kvyt��._#tW�.�. �•�,. bfv a� ".''+F..nw,F.as'�u. �. 4'. y 'p¢':� .�� `���E �i`q;'�?. �,«. �•"t4'�a+��o .L.n 'A� �s; 7{"� -i.. '�1+ j. �a i�.YDW'+3 f� y. � 7 t"pu N,t T N I p N Z vi s 3 cl cL z RECEIVED JHiv 1 -) 2003 -fid-3C] ON!cj-7, BUILDING DEPT. £ooZ + `ju ,f , , r QEIA��V NORTF{ Zoning Bylaw Review Form 101r Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 SR4NUsf Phone 978-688-9545 Fax 978-688-9542 Street: S f— Map/Lot: 6 o C 31 - -Applicant: /Ap licant: arra# .,. /Y9,4R �� e,�, , Request: R*em m u Date: Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height - 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 1 Not in Watershed 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 I( I Parking 1 In District review required 1 More Parking Required 2 Not in district 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parking Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance. Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housin S ecial Permit __Special Permit Non-Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit Special permit for preexisting Watershed Special Permit nonconforming 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. Building Department Official Signatlif Application Received Application Denied Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: J t Referred To: Fire Health Police Zoning Board Conservation De artment of Public Works thern OHistorical Commission Other Planning Buildinq Department