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Miscellaneous - 120 SALEM STREET 4/30/2018 (2)
r 120 SALEM STREET 210/037.C-0020-0000.0 1 ti i i 1717 4 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. Application by the undersigned is hereby made to connect with the town sewer main in ? w9 J19 Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. Street or subdivisi n lot no. Owner Address Contractor A A pli nt's Sin to i (f 9A)-3ipL/; - Y t AJ leg ,s 27 dta, J��r I-{�. i7y PERMIT TO CONNECT WITH SEWER IN i The Division of Public Works hereby grants permission to to make a connection with the sewer main atrfc,�?� Street subject to the rules and regulations of the Division of Public Works.. Diviora Qf Public Works By Inspected by Date f See back for rules and regulations i i TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORDS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845-2909 J. WILLIAM HMURCIAK, DIRECTOR, P.E. Timothy J. Willett of NORrN 1 P Tele hone (978) 685-0950 StaffEngineer Fr 6•;;` � FaxFax (978) 688-9573 A ��SSAGHUS t November 1, 2000 TO RESIDENTS OF SALEM STREET: Please be advised that the recently installed sewer main on Salem Street has passed all required testing and inspections. Consequently, it is now ready for public use. This affects the following houses on Salem Street: #39, #40, #49, #58, #59, #69, #70, #79, #99, and#120. You may now begin the process of connecting to the sewer. A sewer connection permit must be taken out from this office. The fee for the permit is.$1,000.00. You must hire your own contractor to make the connection. A list of contractors is available at this office. Contractors not on the list may also be hired. The permit requires"sign-offs"from the Health Agent and Conservation Agent at 27 Charles Street. Once the permit has been paid, and has been signed by the Conservation and Health Agents, your contractor may proceed to connect your house to the sewer line. The Board of Health has a regulation in place stating that all homes that have access to town sewerage must connect within six months after a line becomes ready for connections. CC: Sandra Starr Susan Ford j i r D, 3� Please forward us as much of the following information that is possible! 1. Type of system S ao V j C d 0 k.i vV� 4•� '�`� ot�f� 2 Age �� y�1 � � �:0,( 3. Loca t i©n,' 4. Maintenance records and date of last pumping . out aw c. , 5. Documentation of repairs and reconstruction Iv a, 6. Site conditions 1 7. Builder of system 8. Engineer who approved, Site C> t A I G - System � �'k"� l �� Z� t1N ��� (N 1.q`k,:1 9 Installation Procedure 1, ` W �, �NX 70, Pro 1.F+m�s SEPTIC SYSTEM INSPECTION FORM ADDRESS DATE INSPECTED &`P PROPERLY FUNCTIONING? N WEATHER CONDITIONS .i COMMENTS :-- WA`T'ER QUALITY TES—lEb ? ResULTS- DYE TEST PERFORMED? Y N DATE? SKETCH: Town of North Andover 1*,EO 6•�° Office of the Health Department "- ° . a Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 SACHUSE Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 May 15, 2001 Mr. Edward Marston 120 Salem Street No. Andover, MA 01845 Re: Sewer Tie-in Dear Mr. Marston: The Health Department has been supplied with a list of all residences, currently on septic, which have access to the municipal sewer system. Your property was listed as having access as of November 2000 due to the completion of the new sewer in your area. This office was notified that you were sent information from the Department of Public Works informing you of your status.and the tie-in regulation. As previously published at a Public Hearing on March 17, 1994, the Board of Health has adopted regulations concerning the required sewer tie-in. The following timetable concerning your property status was adopted: 4.1 All establishments that currently do not have municipal sewer available to them must connect to the sewer as soon as it becomes available, with a maximum time limit of six months. The purpose of these regulations is to safeguard North Andover's drinking water, surface waters, groundwater and surrounding environment. Sanitary sewer is believed to be the most effective form of wastewater treatment. A copy of the entire regulation can be obtained at our office. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 Any questions concerning this regulation should be directed to the Board of Health at (978) 688-9540. Additional inquiries regarding the physical tie-in and permitting process should be directed to the Department of Public Works at (978) 685-0950. Please be advised this Board intends to persevere in this regulation. Yours truly, Gayton Osgood, Chairman Francis P. MacMillan,M.D., Member JoWS.Rizza, D.M.D., M ber SF/sc If Ili " WATERSHED RESIDENTS QUESTIONNAIRE 1. Name � t 2. Street Address 3. How many members are in your household? ^. 4. What type of sewage disposal system do you have? ❑ cesspool septic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? Xyes ❑ no ❑ do not know'* 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years.. Xover 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? ❑ yes no ❑ do not know If yes, approximately how long ago? years. What was done? . 8. How frequently is your sewage disposal system pumped out? ❑ annually ❑ every 2-4 years every 5-10. years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes IX no _ If yes, what problems? ❑ repeated pump-outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground 10. How many of each appliance are connected to your sewage disposal system? '. washing machine dishwasher garbage disposal dehumidifier drain sump pump toilet —Z roof/pavement drains shower/bathtub 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher S L'Lo t1 Get % clotheswasher 12. Does your property have a lawn? 2� yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre ❑ 3/4 acre ❑ 1 acre more than 1 acre (Specify) acres 13. How often do you fertilize your lawn? No. of applications per ye7r L 14 Season(s) of the year 44 1 Cg 1 14. Please state the brand and type (ld or granular) of lawn fertilizer you use: et j% Its iqui ❑ Check here if your lawn is maintained by a professional landscape contractor. .• 0��L�° ---- -- 26864 Lawrence 688 1181 Haverhill 373-7151 Salem,NH 603-898-1554 Plaistow,NH 603-382-3322 Methuen 686-2214 Andover 475-4711 Newburport 462-4661 CUSTOMER'SVNIC HELPFA STARTING 7 -7/Z ADDRESS OO /�y/� W'� E] DAV WORK (/ ��((JJ Wim �Y�C/� ❑ CONTRACT �W ❑ EXTRA JOB NAMP NAMAND LOCATION JOB PHONE 1511MV91PITIM OF;WORK: 4z2&i 4 ioe TOTAL AMO nn 3 NAOo home ❑ Total amount due [] Total billing to Signatu for above work:or be mailed after 1 hereby ack owledge the satisfactory completion completion TERMS;C.O.D. of the above described work of work Because of the nature of the work herin described and of Its emergency,we prefer that all payments be made to mechanic on the Job after completion. A FINANCE CHARGE computed at a periodic rate of 1 1/2% PER MONTH whi h i an ANNUAL PERCENTAGE RATE of 18%will be charged on all accounts remain unpaid by the 10th of the month following the purchase. OTHANK YOU. 0; A service charge of$15.00 will apply on all returned checks. f4'. IS .� 125 SALEM STREET 210/097.0-0032-0000.0 _ 1 � S Date..............�...... .........~.. f NORTH, 3a0 �e'.. 6'.°"°cam TOWN OF NORTH ANDOVER PERMIT FOR WIRING ' ACMU`�� r , r This certifies that .........A.'... .............................. 3 w has permission to perform ...�.... wiring in the building of.... . Tr.. .a��7.......... .................................... j y ........... ,North Andover,Mass. ) Fee.........:........... Lic.Nou�. `o. �......... ............. .... .....1�,Us�' ;/................. # 1rLECTRICAL�INS R Check # 5778 Office Use Onl r7 US use �ummnnWrHJt4 of a.5gar4ua�P Permit No. �j�1 fEquartaitnt of 19uhlir =%afPtg Occupancy& Fee Checked!'Ake BOARD OF FIRE PREVENTION REGULATIONS 52 CMR 12:00 1 3/90 (leave blank) APPLICATION FOR AllPERMIT TO ERFORM ELECTRICAL WORK. ork to be performed in accordance with the assachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATI ) Date S %7—0 J City or Town of To the Inspector of Wires: The udersigned applies for a permit to perform th lectrical work described below. Location (Street & Number) l M s?73�C T Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes 19 No ❑ (Check Appropriate Box) Purpose of Building 'Dwe—f; l N4 Utility Authorization.No. Existing Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work "0,0-,T No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- _. grnd. ❑ grnd. ❑ Generators KVA ` No. of Emergency Lighting No. of Receptacle OutletsNo. of Oil Burners Battery Units No. of Switch Outlets -No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Municipal ry Heating Devices KW Localc ❑Other ❑ Connection No. of No. of Low Voltage No, of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs J No. of Motors Total HP OTHER: (:/ol"_0 7— /�LC'a�iDTJ�CAE 1 Vic� D/ �' c `C/c' ids G`�c i 527',WINSURANCE COVERAGE. Pursuant to the requirements of Massachusetts g'neral Laws V I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES G•--_NO ❑ I ihave submitted valid proof of same to the Office. YES Fd*'—NO G If you have checked YES, please indicate the type of coverage by checking the apprSpmte box. _ ,/ /� �j ` INSURANCE GK BOND ❑ OTHER ❑ (Please Specify)- /�oN/7'� (9'/1 7 7� / /4/7z,�g Estimated Value of Electrical Work $ 350 t V (Expiration Date) Work to Start Inspection Date Requested: Rough Final Signed under the Penalties of perjury: FIRM NAME ,e7z�l/SL �� , LIC. NO. Licensee Signature /���,,'"�_� LIC. NO. •�d�a 6 Address LC1%/�%Ql� STpA'�7- SJ7J,ygi4gAj 4e,+S Bus. T.I. No. Alt. Tel. No. 7 / OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) C, (Signature of Owner or Agent) Telephone No. PERMIT FEE$ x-6565 e aoHry Zoning Bylaw Review Form I w r Town Of North Andover Building Department °"OgAra"•�„<g� 27 Charles St. North Anczver'%A. 01845 ACNUSCi � Phone 978-688-9545 Fax 978-688-9549 Street: I a la I~v r Ma /Lot: 9 r7 / 3 Applicant: L,U+41 e 2 \( Request: Date: Please be advised#hatfter review ofyour Application and`Plans your Application is APPROVED/DENIED for the following Zoning Bylaw reasons: Zoning. Item Notes Item A Lot Area Notes F , Frontage 1 Lot area Insufficient kjS 1 Frontage Insufficient 2 Lot Area Preexisting 4 es 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage e 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed e S G Contiguous Building Area 2 Not Allowed 1 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA S 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 I All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies S 3 Left Side Insufficient �-(e S 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient j Building Coverage 6 Preexisting setback(s) LiS 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D I Watershed 3 Coverage Preexisting 'l S 1 Not in Watershed 4 Insufficient Information 2 In Watershed Ll e S j Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district S 2 Parking Complies 3 Insufficient Information Remedy for the above is checked below. Item # Special Permits Planning Board. Item# Variance Site Plan Review Special Permit C�3 Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot special Permit Lot Area Variance Common Driveway Special PermitHei ht Variance Congregate Housiri S ecial Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elder! Housi;pq Special Permit Tpecial Permit N -nnforming Use ZBA Large Estate Condo special Permit Earth Removal S ecial Permit ZBA Planned Development District Special Permit S ecial Permit Use not Listed but Similar Planned Residential Special Permit S ecial Permit for Sign R-6 DensitySpecial Permit mlt (�} l+oZ Other %@�C.ral e.rw.. ©n� cc;� NAI(.L Watershed Special Permit Su I Additionallnformation y The above review and attached explanation of such is based on the plans,request for or Information submitted.-No definitive review and or advice shall be baser!on verbal explanations b theapplicant serve to provide definitive answers to the above reasons for this action. Any inaccurac es,misleor shall such ading information,oanations by rothelr�nt subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the di of the Building Department.The attache discretion d document titled"Plan Review.Narrative"shall be attached hereto and incorporated herein by refer ce. T building de p ent will retainall.plens and documentation for the above file. r &..ilding Department ficial Signature q `' ` ^©d pplication Received Application Denied Denial Sent: If Faxed Phone Number/Date: r I Plan Review Narrative The following narrative is provided to furthl explain the reasons for the action on the property indicated on the reverse side: AUX 101- )04 3{11.1 !,gm�Y a IN � CII,(i ON- ev / fm;j c� l'1Q _3 u �alVe i i Referred To: Fire Health Police C 7nning.Board K Conservation De artment of Public Works PlanningHistorical Commission Other BUILDING DEPT ZoningBylawDenia12000 No. Date -� NCRTM TOWN OF NORTH ANDOVER Of• ..o ,•�ti O? • • O0 p Certificate of Occupancy $ y c-) Building/Frame Permit Fee $ '^°'EZh Foundation Permit Fee $ sACHUs Other Permit Fee $ �— Sewer Connection Fee $ Water Connection Fee $ �— TOTAL / Building Inspector p 12109/93 09t3d P4," rmrn vp 6786 Q 6 Div. Public Works PJ£RJtIT NO. /� 4 �� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4qO. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK PAGE ZO E SUB DIV. LOT NO. �I � OCATION /Z5la,L6,.cy URPOSE OF BUILDING OP, bL¢TisSIC 9f (�t OWNER'S NAME „7- _ ��` i �� NO. OF STORIES SIZE IhH OWNER'YDDRESS c• � �r- BASEMENT OR SLAB - ARCHITECT'S NAME sJ SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME '��v�dlZBC ` SPAN DISTANCE TO NEAREST BUILDING 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 Nib MATER:AL OF CHIMNEY IS BUILDING ALTERATION I�I spy IS BUILDING ON SOLID OR FILLED LAND V 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 3 PROPERTY INFORMATION INSTRUCTIONS -LAND COST SEE BOTH SIDES EST. BLDG. COST Z GJ "Z)6 � PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. 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 �}TE FILED / - ^eP— If BOARD OF HEALTH SIGNATURE O NER R AUTHOR,OtD AGENT FEE � G G 0 PLANNING BOARD PERMIT GRANTED v OWNER TEL.# c q2 CyONTR.TEL.# Ie1 2- 72--2– 19 � GONTR.LIC. BOARD OF SELECTMEN BUILDING INSPECTOR • s1�►''yp 'S' 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 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HAROW D — — PIERS PLASTER _ DRY VJALL _ _ _ .-G—NFIN 3 EASEMENT AREA FULL FIN. B'M'T' AREA _ 14 1/2 '/ 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 HARD1'✓'D ASBESTOS SIDING COMIAC:N VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ / SUPERIOR I 1 NPOOR NE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 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 1st 13rd NO HEATING f COMMONWEALTH UrrAn I mt:m I ur rlullou%l*PWL I I OF 1010 COMMONWEALTH AVE. V L MASSACHUSETTS BOSTON,MASS.02215 119 r � IENCLOSE CHECK OR MONEY ORDER L I CE Iq!-_:.E FOR REQUIRED FEE, EXPIRATION DATE 0 19 :::I-.1 MADE PAYABLE TO RESTRICTIONS 'EFFECTIVE DATE LIC-NO. "COMMISSIONER OF PUBLIC SAFETY" 0C 0 -15 -.,-'7' C (DO NOT SEND CASH). 11 R 1'\! it 027--6()-70,'=DC 15C EA' _ ("WE PHOTO(BLASTING OPA ONLY) FEE: 11ALIE)EIA IIA 0' 14:'--" HEIGHT: NOT UNT ENSEE AND OFFICIALLY STAMPED SIGNATURE 0 THE COMMISSIONER DOB: ) THIS DOCUMENT MUST BE SIGN NAME IN FULL-ABOVE SIGNATURE LINE OF-LI CARRIED ON THE PERSON OF i(MATVRE CENSEE THE HOLDER WHEN ENGAG- OTHERS-RIGHT THUMB PRINT ED IN THIS OCCUPATION &*kIlroMMISSIONER 20OM-2-87-81429 J 0 holj![ IMPROVEMENT CON Reg istrat ion1104,4 FA mw-lkw � Ir"P& - _ IT lemev r_x,pi-,a o I, tw14. 111 ROL 4' �12MQTH TIM PROICOPEi. %553 LL ST P. %5w ?Cera 55� HAVEEHILL le67- ADMINISTRATOR ^ �` ORT-1 oVM Of � norAndover 0 � L No. 57 o =,:ANS dover, Mass., P" 19!V coc Hoc HEW�CK �� ADRATED s.{ BOARD OF HEALTH. PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................�it✓..a�ri .,�.... i�...x.I".s................................. . .................. " Foundation has permission to e�t.11�i� i .J�,�/.. buildings on ... J.T................. Rough to be occupied as.......... ........................................................ 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough .........,� ....AW440V................. Service BUILDING INSPECTOR O Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT NtlHTy Zoning Bylaw Review Form µ Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 �•9 q.lin°P�'�.(1 'Y'SNC61U'S�'t Phone 978-688-9545 Fax 978-688-9542 Street: 1 >✓Wk Ma /Lot: 9 "1 / 3 Q, Applicant: W/!!l e2 14 -i�>ev►Xe-Z Re uest• -'ru{ fir aJ to,-, .. Date: 1 a,`4-env Please be advised that after review of yourApplication"and Plans your Application is APPROVED/DENIED for the following Zoning Bylaw reasons: Zoning Item Notes Item A Lot Area Notes F . Frontage 1 Lot area.Insufficient 1 Frontage Insufficient 2 Lot Area Preexistinge-S 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage e 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed I e S G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA S 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies S 3 Left Side Insufficient �e s 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient l Building Coverage 6 1 Preexisting setback(s). 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting Li S 1 Not in Watershed 4 Insufficient Information 2 In Watershed "-1,e j Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parkin R 2 Not m district 9 Required `�e 5 2 Parking Complies 3 Insufficient Information Remedy for the above is checked below. Item # Special Permits Planning Board Item# Variance Site Plan Review Special Permit C--3 Setback Variance Access other than Frontage Special Permit Parkin Variance Frontage Exception-Lot Special Permit Lot Area Variance Common Driveway Special Permit Hei ht Variance Congregate HousingSpecial Permit Variance for Si n Continuing Care Retirement Special Permit S Special Permits Zoning Board Independent ElderlyHousing S eciai Permit S ecial Permit Non-Conformin Use ZBA Large Estate Condo Special Permit Earth Removal S eciaf Permit ZBA Planned Development District Special Perml S eciai Permit Use not Listed but Similar Planned Residential Special Permit S eciai Permit for Si n R-6 Density S ecial Permit OtherS ee�tat �7,' Watershed ®,�0c v r.�4, S eciai Permit Su I Additional Information The above review and attached explanation of such is based on the plans,request for or 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 this action. 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 refer ace. T building'de 'en will retain all,plans and documentation for the above file. wilding Department fficial Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for the action on the property indicated on the reverse side: Referred To: Fire Health Police Zoning Board Conservation De artment of Public Works Other Historical Commission Other BUILDING DEPT ZoningBylawDenW2000 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or TWO NORTH ANDOVERL/ I . Mase. oats Bullding PermitU6116 Z- Owner's `�gu Name New ❑ Flenovatlon ❑ Replacement ❑ Plana Submitted: Yea❑ No C1FiXTUAEs ........ . all* _ w IN V A se � V s M � fs � t a ! ! w s � �j M ►. �r el J N u y o r Y a ai? ►�' s o s w s « o U eua—eeaT. seeewenT IST FLOOR >tHo FLOOR 1 _t,ano FLOOR 4TH FLOOR fzl!TH FLOOR STH FLOOR. ITH FLOOR eTH FLOOR - Cheek one: Certificate Installing Company Name ❑Corp. Address `7� G-� ❑P artne ahs P m/Co. Business Telephone Name of Licensed Plumber 3e F� /�iy�rJ ti INSURANCE COVERAGE: Check one I have a current liability Insurance policy or Re substantial equivalent. Yea ❑ No Cl If you have checked y", please tate the type coverage by checking the appropriate box. Aliability 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 thls permit application waives this requirement. Check one: Vonstuts of Ownef or Owner s 4ent Owner ❑ Agent C1 I hereby coMy that aM of the detalis and'Infgrmallon i have submitted for lentsred)In aboveappflcalion are true an accsrrate to the best of my knowledge and that dl plumbing work and installatlons performed under the permit Issued tot this applfcatbn in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 11Mof �7&d lays. By uL Signature Title Number �,? 5��� Ctty/Town Ucense Type of Plumbing license: Master ❑ APf'110YED(OFFICE USE ONLY) Jowneyman �/ Date) A R 01 , TH TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUSEt This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at. . . . . . . . . . . . . . . . . . . . . . . .r. . . . . . . . . . . . . . North Andover, Mass. Fee. . . . . . . . .Lic. No.. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR r, WHITE: Applicant CANARY: BLilding Dept. PINK:Treasure, GOLD: File Date.: N° 4877 "0a':,x TOWN OF NORTH ANDOVER ° A PERMIT FOR PLUMBING ,SSACMUSE� This certifies that A, . .G. . . . . . . . . . . . . . . . . . . has permission to perform . . . . Z. . . . . . . . . . . . . . . . . . plumbing in the buildings of . . .k� r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . Lic. NolC . . . . . . . . ... .t- ;yam . . . . . . . . . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO P.LUMBEf (Type or print) NORTHANDOVER,MASSACHUSETTS Date 04— 26—.o/ Building Location j 2 5 so►lerh S+ Owners Name Wal4el" D gj�n gay permit# Amount Type of Occupancy I New Renovation ® Replacement E] Plans Submitted Yes No i FIXTURES T a SMB&VE E�41vE1�° . 1ST K-00R. �l1 FIOCIZ '�FIOOft M FIOM I 6ZH FI�OQt 7IE�FIiOiCR (Print or type) Check one: Certificate Company Name j�1lJ(' n �/ Corp. /6 O Q C . Address aO x 72R Partner. ndcy e 0164 y- Business Telephone 24 •2 Q Firm/Co. Name of.Licensed Plumb Qc�s er.-� [d n �h e e Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 13", Other type of indemnity Bond Q 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 i Signature Owner D Agent Q I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for thjot plication will be in compliance with all pertinent provisions of the M husetts Sta lu ing C e and Chap r 142 of n 1 Laws._ By: Sigriature of Lice,,77um er Title Type of Plumbing License LIQ, City/Town !.cense Number Master Joumeyman APPROVED(OFFICE USE ONLY � I ..; , �.' 1 h 0 �� 1 e •- o _ � _ . . � 1 � . �� .. .. r r '^ -'CP "� pn �tt� � ttruPl1�J Permit No. Us`�n��� EquirtineM of laubuc -Aafet g Occupancy& Fee Checked f BOARD OF FIRE PRE4thlectrical ULATIONS 52 CMR 12:00 3/so (leave blank) APPLICATION FOR TO ERFORM ELECTRICAL WORKAll work to be . pe rformedwith the assachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR ATI ) Date .5 %2—0 5' City or Town of To the Inspector of Wires: The udersigned applies for th lectrical work described below. Location (Street & Number) �CMOwner or Tenant A `�} j�f� Owner's Address 'E" Is this permit in conjunction with a building permit: Yes ER"'—No ❑ (Check Appropriate Box) Purpose of Building __ LJwe— 1 si a Utility Authorization.No. Existing Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps _ / Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work _Zq2 Z),,4nF16 Ile No. of Lighting Outlets TNo:. of Hot Tubs � Total No. of TransformersKVA No. of Lighting Fixtures wimming Pool Above In- -. grnd. ❑ grnd. ❑ Generators KVA 0 No. of Receptacle OutletsNo. of Emergency Lighting No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No of Heat Total Total Pumps Tons KW No. of SoundingDevices evices No. of Dishwashers No. of Self Contained Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW Local Municipal ❑ Connection ❑Other No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No, of Motors Total HP OTHER: �G SCI cc �c/E SURANCE COVERAGE: Pursuant to the requirements of Massachusettsg neral Laws have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES Zl,—NO C 1 ave submitted valid proof of same to the Office. YES I�NO G If you have checked YES, please indicate the type of coverage by ecking the appro�'�te box. �y ,/ /I� SURANCE � BOND ❑ OTHER ❑ (Please Specify)_f��T���/T� CT'/� L� �f�/7i'�/t 6 -/1- 05- timated Value of Electrical Work$ 33Z) (Expiration Date) ork to Start Inspection Date Requested: Rough ned under the Penalties of perjury: Final M NAME ensee �t/Ae=�+/�`O %�wsi�rCwC�� �� v LIC. NO. ,/ Signature LIC. NO. Tj257 � tdress 27 (y%/�lal� �7�C�c' Si-��� /,� ,��G Bus. Tel. No. Alt. Tel. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not havNo. e the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) (Signature of Owner or Agent) Telephone No. PERMIT FEE$ x-6565 Location !t Y` No. -� '` - Date ` MaRTM TOWN OF NORTH ANDOVER 0 # Certificate of Occupancy $ Building/Frame Permit Fee $ �cwus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r / J � Check # i 18114 Building Inspector h � t TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAAT,`,, OR DEEMj�O.�LIISHH�A ONE OR TWO FAMILY DWELLING s BUILDING PERMIT NUMBER: � DATE ISSUED..... SIGNATURE: Building Commissioner/I for of Buildings Date SECTION l-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: r , Zonin Dist-ric—t Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required, Provided Required Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT `�"�' IL% 1Sti!Ct: Yn; No rn 2.11 Owner of Record Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: a Aame Print Address for Service: t, • Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: G S `/ 0 ,� r `� License Number SSL U"�� ��f U\w.S� �y on Address 'e-) o Expiration Date' ic Signature Telephone v 3.2 Registered Home improvWnent Contractor Not Applicable ❑ V\'J-c Company Name S� M T S P- 1 - f i` ��s�� fV 14 Registration Number r Address I/ ` 3 Expiration Date C� S�ture Telephone G) 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 a0 a Hcable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed rWorrk: I- q Q ens �. g b e . 43•=w�► w -� u� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY ' Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(s)X (b) 4 Mechanical HVAC S�0 r--- 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 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 t Hereby declare that the statements and information on the foregoing application are Lrue and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1' 2 3FD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS .` DIMENSIONS OF GMDERS HEIGHT OF FOUNDATION THICKNESS or SIZE OF FOOTING X MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Will The Commonwealth of Massachusetts Department of Industrial Accidents Ofte of lnvwdgadons Boston, Mass. 02111 Workers'Compensation Insurance Affidavit NaolrrN Please Print — Localdo: CIN U V Phone S D G 1-1 VC) 0 I am a iwmeawner perforrning all work myself. M_ I am a sole prWrletor and have no one working In any capeft 0 I am an employer providing workers'compensation for my employees vvorking on this job. C-oMO=rtarne: , Add C f: Phone f 1'v H Pollcv! yLl Q=Q=na<m Address - cu Phone ' Insuranos Co. Potitar! Folkwe to wars coverape es required under Sedlon 25A or MGL 152 can lead to the knp=VJm of criminal permffi s d.•fins up to$1,500.00 andloroneyeah'Imprboly.md.aawd.rchiMAmseesbthebmdASTOPtNOMORGER.aodaflnd.(SIW.0MAArapelortma I understand that a copy of this stdemsnt may be forwarded to the ORbe of Investigations of the DIA tar cwA repo vwNWdlon. I db hereby cer'Ely under Mia pakm and pwwMYse d perjury that the NdbnneMon provided above b bus and carrea� SigrWurs Date Print name Ptlone! Offk w use only do not write In this area to be completed by city or town aRblar Cfty or Town PermlflL �M ❑ BuildjV Dept []Check If immediate response IS rsqukW ❑ L ten8Nly Bosid ❑ Selectmen's 011iae Contact person: Phone ❑ Health Department O Other North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision 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 c11, S150A. The debris will be disposed of in: e S:lu W (Location of Facility) ' Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector PROPOSAL Dated 3/17/05 Eric DuBois, Owner Phone: (603) 362-6480 Massachusetts Construction NOVA KITCHENS Fax: (603) 362-8449 License # 052746 GENERAL CONTRACTING Home Improvement 7 Island Pond Road License # 115786 Atkinson, NH 03811-2129 Proposal Submitted to: Matthew Freedman Revised 4/4/05 Lillian Joventino 125 Salem St. North Andover, Ma. 01810 603-396-2888 We hereby submit this proposal for the following: Kitchen and rear entryway. Supply and install 21/4" white oak flooring in kitchen area finished with three coats of urethane. Refinish existing hardwood on first floor with three coats of urethane. Cost $1997.00 is included in total. Refinish existing hardwood on second floor and stairway with three coats of urethane. Cost of $3125.00 is included in total Install customer supplied cook top hood and vent outside using appropriate duct and wall cap. Update any kitchen wiring to code and to accommodate new kitchen plan. Install customer supplied cabinets; moldings; end panels and hardware. All plumbing work by Andover Plumbing, and is not included in this proposal. Allowances included in total: Electrical $2000.00, any unused balance credited back to customer. Painting is not included at this time. Provide dumpster for all job debris. Supply all job permits. Total $14927.00 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. Drop cloths to be used in all traffic areas. Job area to be kept as neat and clean as possible at all times. Job to be completed in a timely manner. Payments to be made as follows: $000.00 Deposit payable upon acceptance of proposal. $,5000.00 to be paid at start of job, $9927.00 balance, due in full, upon job completion. Respectfully submitted by: Eric DuBois Any alteration or deviation from above specifications involving extra costs will be executed only upon written order and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. ACCEPTANCE OF PROPOSAL E The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made s ou ined above. ��� Signature 11 ' PROPOSAL Dated 3/17/05 Eric DuBois, Owner Phone: (603) 362-6480 Massachusetts Construction NOVA KITCHENS Fax: (603) 362-8449 License # 052746 GENERAL CONTRACTING Home Improvement 7 Island Pond Road License # 115786 Atkinson, NH 03811-2129 Proposal Submitted to: Matthew Freedman Lilian Joventino 125 Salem St. North Andover, Ma. 01810 603-396-2888 We hereby submit this proposal for the following: Basement. Patch and plaster existing water damaged walls Insulate one outside wall with R13 insulation. Supply and install new drop ceiling panels. Supply and install new balusters on stairway. Supply and install sub floor panels, cost $1642.00. see: www.subflor.com for more info. Supply and install new birch stain grade base cabinets and bookcase. Cabinets to have overlay recessed panel doors. Counter top will be 1"thick birch. Cost for cabs and counter$2095.00 is included in total. All plumbing work by Andover Plumbing, and is not included in this proposal. Painting is not included at this time. Provide dumpster for all job debris. Supply all job permits. Total $9,862.00 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. Drop cloths to be used in all traffic areas. Job area to be kept as neat and clean as possible at all times. Job to be completed in a timely manner. Payments to be made as follows: $000.00 Deposit payable upon acceptance of proposal. $,000.00 to be paid at start of job, $9862.00 balance, due in full, upon job completion. Respectfully submitted by:� --, Eric DuBois Any alteration or deviation from above specifications involving extra costs will be executed only upon written order and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outli ed abov . Signature Date Signature 33f" 14" 21- 211, 24' 3a" W IT NN NNN Man W02438 OR 0 24.01814W 01515. iIf3 ............................... 2 USE BASE FILLER APPROX I 7*V' PULL BLIND CORNER 3"FROM WALL BASE FILLER APPROX IJ i 4, N OYNASrY/MAPLE AUTUMNfCOFFEE VINCE ............................ ...................... UC1690' RW301880 24 T1 1-MOUNT TOP OF WALL CABINqrS-- AT W' USE LARGE CROWN MOULDING TO CEILLING SEE DRAWING (D 2,3"BOX FILLER 3-CUT CORNER CABINET FOR PIPE CHASE AS NEEDED 31&'X 3FT X 3FT PANEL SUPPLIED Lr) 0 GO All dimensions-size designations given are Friend Lumber This is an original design and must not be Designed: 3/16/2005 O subject to verification on job site and 261 Lowell rd released or copied unless applicable fee has Printed:3/18/2005 adjustment to fit job conditions. L Hudson,NH 03051 been paid or job order placed. IL (603)598-6662 Designed By Jerry Ryan FREEDMAN,MATHEW KITCHEN 3.kit Floor Plan I nrnwi_a- i BOARaof exALDINa 6ut:A otys . NSTFtU�� , SUPERVISOR i l 62140 ! 5 i 744.0 7 ISLAND POND R =�-'" mtoii�r ATOWON, NH p 11 �. Board of Building Regulans and Standards tio -- NTRACTOR HOME IMPROVEMENT CO Registration: 115786 Expiration: 411312006 Type: DBA ERIC DUBOISINOVA KITCHENS ERIC DUBOISv„ r''"� 7 ISLAND POND RD Administrator ATKINSON,NH 03811 � NORTIy Town of And Y O - C A E dover, Mass.,-V/ 1' COC NIC ME WICK y� 4F 10 ADRATED `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT A!%"!#� . . ....fivWC404.40 `.1 bo ZO WN T�N � BUILDING INSPECTOR Foundation has permission to erect:..�.�q.....`��.... buildings on..... .. .......................................... ................. trough to be occupied as......... �....�' �N w R�!pA 1�` �►/�Vlj r ,��II�V� ���! Chinn ......................... ........... y ..................................................................... ..... provided that the person accepting this permit shall in every respect conform to the terms of the application on file'I n Final this office, and to the provisions of the Codes and By- ws relating to the Inspection, Alteration and-Construction of Buildings.in the Town of North Andover. 3 %k w A-f t R A M^g PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. trough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N T TS � Rough ..... . .. .. ... ....... .................................. Service UIL ING 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 Street No. SEE REVERSE SIDE Smoke Det.