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Miscellaneous - 124 BLUEBERRY HILL LANE 4/30/2018 (4)
/ 124 BLUEBERRY HILL LANE M/098-C-0026-0000-0 i i I w i V l I Location No. Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ ' • Building/Frame.Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 2 Check30- 16 8 Building Inspector r Y Commonwealth of Massachusetts � r Sheet Metal Permit Date : (, Permit# � Estimated Job Cost: Permit Fee: Plans Submitted: YES NO '� Plans Reviewed: YES NO Business License# G 5 Applicant License# 1 Business Information: Property Owner/Job Location Information: Name: (at P MA I'ra�kS (�c w� Name:&,Ir eo. K�o•�.s c_ Street: S s �� ^ Sfi Street: I d i4 j l Ci /Town: � s Lill( City/Town: /J �t� tY �1 Telephone:?�) S q`f 03 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO Building Type: Residential: 1-2 family✓ Multi-family Condo/Townhouses Commercial: Office Retail Industrial Educational Institutional Building Cubic Footage: under 35,000 cu. ft. ✓ over 35,000 cu. ft. Sheet metal work to be completed: New Work: Renovation: t HVAC ✓ Metal Roofmg Kitchen-Exhaust System Chimney/Vents ' i Provide brief description of work to be done: 4-W-10 ev �w--sit � I INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes S'No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy DK— Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:l am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box ,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 sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Progress Inspections Date Comments Final Inspection t Date Comments Type of License: By ❑ Master Title ❑ Master-Restricted City/Town To urneyperson Signature of Licensee Permit# ❑Journeyperson-Restricted 3 Fee$ License Number: Check at www.mass.clov/dpl Inspector Signature of Permit Approval Sheet Metal Commercial Guidelines/Life Safety/Critical System_s Inspection Checklist Yes No N/A„ Set of stamped engineering documents and detailed description of mechanical system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet-metal work being performed with proper joum-eyperson-to-apprentice ratios Fire dampers with access door properly installed and checked for operation Smoke and combination fire/smoke dampets with access doors properly installed- actuator checked for proper operation(May also be verified by fire department during fire alarm testing) Duct smoke detectors with access doors properly located (May also be verified by fire department during fire alarm testing) Smoke/atrium exhaust systems installed and operation verified Y p (May also be verified by fire department during fire alarm testing) Stair pressurization systems installed(where required)and operation verified(May also be verified by fire department during fire alarm testing) Grease/kitchen hood exhaust system installed with all seams and connections welded airtight with properly located cleanouts.Proper 6161`ances,fire rated enclosures and pressure testing required: •sF,6',i;7i. eS`=mints install L==1t3 .; i egUxred'oil egLiIment and Duct penetrations in fir'e'rdt& i,:rall-3 and flo6rs sealed• Metal roofing systems installed watertight using proper materials and fasteners Flexible duct runs installed 6'•-0"maximum length Ductwork installed using proper hanger spacing,hanger stock,threaded rod and angle iron Ductwork/plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining Volume dampers installed for each supply air branch duct New/clean-properly sized filters installed(final inspection) Testing and Balancing report complete(final sign-off) A J Sheet Metal Residential Guidelines,/Inspection Checklist Yes No N/A Detailed description and sketch of sheet metal system to be installed has been provided � I All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper joumeyperson-to- apprentice ratios Equipment sized per heating/cooling load calculations Duct work sized per manual "D"calculations Bath/shower rooms contain mechanical exhaust fan vented outdoors yf Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" V- Flexible duct runs installed 14'-0"maximum length Volume dampers installed for each supply air branch duct Ductwork installed using proper gauges and hangers Ductwork/plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining New/clean-properly sized filter installed(final inspection) Testing and Balancing report complete(final sign-of) The Commonwealth of Massachusetts Department of IndustrialAccidents -• =,3 --r 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/E lectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information (n� Please Print Le 'bl Name(Business/Organization/Individual): pp( It 5 Q J��{ i f—k S 14,G.�-n-y, Address: City/State/Zip: ` rw{t-s��-+ A 01'63X Phone#A-) f VY()3 Are you an employer?Check the appropriate I: Type of project(required): 1.[9�a employer with ! y: employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. �Remodeling any capacity.[No workers'comp.insurance required.] 3.Q I am a homeowner doing all work myself.[No workers'compAnsurance required.]t 9. F1 Demolition 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. • 12.0 Plumbing repairs or additions 5.FJ I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.# 13.0 Roof repairs 6.Q We are a corporation and its off',iters have exercised their right of exemption per MGL c. 14.[R'6ther H VA C- 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,'they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees.' Below is the policy and job site information. II Insurance Company Name: Policy#or Self-ins.Lic.#: C L U U 1310 Expiration Date: (P/30//6 Job Site Address: lJ� �(f ( n, City/State/Zip:-_1" dY,+L Ar cvt(i A4-4 Attach a copy of the workers'60111 pen, satton policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t1 aMs7and penalties of perjury that the information provided above is true and correct. Si nature: Date: ,3 -q 6 Phone#: S I- `/ o Official use only. Do not write in this area,to be completed by city or town official.. City or Town: Permit/License# Issuing Authority(circle one): ; 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i A Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. c=,,x Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of lure, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall. enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill-out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub=contractors)name(s),address(es)and-phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation'policy,please call the Department at the number listed below. Self-insured companies should'enter their self-insurance license number on the appropriate line. - City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia o, ....At.COMMONWEALTH OF MASSACHUSETTS • 0 wol - • o .,BOARD-OF I SHEET- METAL WORKERS ' + ISSUES THE FOLLOWING LICENSE::;. — A& k 40URN EYP E RS..ON�UNRESl ICENSEAS,::AJ0URNEYPER..ONUNRESl IGT fl TIMOTHY R PALMER 112 LOWELL AVE `"s`r�w •y !� J HAVERHILL MA w832-3711 0 3731 09/28116 326259 -- No 3 '1 7 S Date..../..... ..:. 1.... V NORTH °�<�``°;•_'"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING • i r ,SSACMUS� fI/ f' 1 , t This certifies that ........:...:.'... ... �.�.:.f ....................................... �,> �• has permission to perform ...:..:.......... - wiring in the building of... ........: ..:,JU ,.� J'/................................ G� at `� North Andover Mass. Fee.. .............. Lic.No. ............ �...........` ........................... ELECTRICAL INSPECTOR Check # Q l WHITE: Applicant CANARY: Building Dept. PINK:Treasurer \ 7HEC�MMplVW9L7Hf7FMAaSA(,li(I. I7.� Uttice Use only DEPAR73fiM0FPUBLICSAFM21 Permit No. BOARDOFFIREPREVENTIONRWUUTIONN5r MR12O Occupancy&Fees Checked APPUCATIONFOR PERMIT TO PEWO.RMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS EI:$CfRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR-TYPE ALL.INFORMATION) Dat g 0 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 1 t1G t �/y l ,1cr•�e' Owner or Tenant r Owner's Address me Is this permit in conjunction with a building permit: Yes[32-No M (Check Appropriate Box) Purpose of Building /- c�SP Utility Authorization No. Ex6sting Service — .206 Amps &J, Volts Overhead Underground M No.of Meters j New Service Amps/ Volts Overhead Underground Q No.of Meters Number of Feeders and Ampacity d Location and Nature of Proposed Electrical Work �c.J No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets c 2 No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumers No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of i5ishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.o(yDryers Heating Devices KW Local Municipala Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTI-IE lns"xeCaajr-Ra=a1)lhe=p=1an1sdMmsadiBftGerlaWIaws Iha%eaam=tLiabtlityh ummPbbynidrgCM#AIe Co arksskswrtWegi%dat YES F NO Iha%estxn0dvalidpoofofsanetotheOT=YESr-I IfjwbaredvdWYES pimeitdc*thet Wcfmcrwbydmkzrgthe wpupriMbox INSURANCE [D' BOND OH-I1R r-1 (»spay) VakleafEkbW Walk$ Watki)Slaat lnspeMcnD.*Rt ed RaO _ "ZZ /U Fhd Signed UlxiaM Penalties cfpajtay. FIRMNAME / Lioa>seNa Lkaw Ilk)- Lioalsel b BtmrlessTdNa -97P-_5Z�-7613 r AI.TUN16. OWN©t'SMJRANCEWAIVER;I.amawatethattbeLicatwd es not lheitnlra wvm' eabss>%tattWe*aala>tasm# byM G=rALaws afldtlratmysigt>ahaernfl�speun�apptt�onwaitesthis lei. (Please check one) Owner Agent Telephone No. PERMIT FEE��� � Location / /L-' J 0/y'I/ //U No. Date 13- NORTH TOWN OF NORTH ANDOVER f �,y ►O- 9 Certificate of Occupancy $ � �•o.A` L/. 'ss Must<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ' Check # V cat__- Building Inspector :.�p� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT5 OR DEMOLISH A ONE OR TWO FAMILY DWELLING 5 BUILDING PERNUT+NUMBER: DATE ISSUED: M ic SIGNATURE: Building Comrnissioner/I torf Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: tog Ll 9L, qb, -C Map Number Parcel Number Zoning Information: f 1.4 Property Dimensions: ✓��=5 c;�rc /� lea " 3d` 330 .d G jj P, -___7571 Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.CAO. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record _ --N,hqaG A11 1 r Com. /U ndo me(Print) Address for e l Service—: j gnature Telephone ` 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed(�Ojnstruction Supervisor: Not Applicable ❑ Licensed Cons4iction Supervisor: QLQ` License Number g" Address E�' p l /7 7 y b L P 7 {A q,0 Expiration Date ic Signature 1elephone rom 3.2 Registered Home Improvement Contractor Not Applicable ❑ a�t7be i f r— Company Name ��'j� tyl ` Registration Number Address C 62 Expiration D i nature Telephone 1 SECTION 4-WORKERS COMPENSATION(Ni G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed andubmi ed 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 au a lIcable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition g/ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: V SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be Dollar ( y � kk'ICI�LUE UNLY� Completed by permit applicartx rt`s �' 1. Building (a) Building Permit Fee 7 Multiplier 2 Electrical D 0 (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 3150 . 50 Check Number SECTION 7a OWNER AUTHORIZAT ON TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR`IAPPLIES FOR BUILDING PERMIT I, 1 ( as Owner/Authorized Agent of subject property Hereby authorize to act on be df,in all dna rs rela a tp work authorized by this bi ilding permit application. Si„nature of Owner �� Date SECTION 7b OWNER/AAJTHORIZED 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 t Print Name 6d Si nature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS R X I Q 1 S 2 3 RD SPAN DEVIENSIONS OF SILLS DIMENSIONS OF POSTS DII�ENSIONS OF GIRDERS xtoX J HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING u x 420, X 40 MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FU,LED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE • rlJn1Y1 V JJV130 1tt�1rL't��7L' !'VlLLYl e •a'` INSTRUCTIONS' This form is used to verify thaall-necessary approval/Permits fromv—al d f Boards and Departments having jurisdiction have been obtained. This.does not relieve the applicant and or landowner from compliance with any applicable requirements. ■r.■.r.rrrrrrrNrr .rr.■.rrrOWN r.r APPLICANT Q PHONE 917 P 6<P 6 R 5- ASSESSORS MAP NUNMER q,� OT NUMBER SUBDIVISION LOT NUMBER STREET IV� `tet Liw� STREET NUMBER I�- �■��■■■■■�■■r■■.rrrrr r■r■■.r..r■..■r.■o■.r.r■rrr�r...r■..rr■■...■■rr.■■r■■ OFFICIAL:USE ONLY RECOMMENDATIONS OF TOWN AGENTS irs�....... .... ............................................... ■■■oras■■.r■ DATE APPROVED f t O CONSERVA�i:ON•:I) TRA:�OR DATE REJECTED COs DATE APPROVED TOWN PLANNER DATE REJECTED COMMEN TS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED. SEPTIC INSPECTOR-HEALTH DATE REJECTED comvfENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE Oct-28-96 17 :04 SCI Company - 1 508 6889998 P _ 02 MORTGAGE INSPECTION PLAN 0_ t' AT 'a /24 BLUEBERRY H/L�L' L ANE 3v NORTH ANDOVER, MA. S E REGISTRY O DEEDS.' 8K. L.C.IC 72 PG. 209 NO. SEX R F CERTIFICATE NO. /O /5/ PLAN NO. 32638 CER TIF/EO TO.'Cl�/EM/CAL SAW SCAL E.' I=50' DA TE.' DECEMBER 8, /992 BL UEBERRY HIL L LANE APPROXiM4IE EDGE OF ON/VE 298 ' 63.38' O p -- 330.06' - 1 1 2 STORY WOOD FRAM I I �n DWELLING i opal pear 1 - - — — --LO TS 264 TO 274 — — — — — WESLEY SMEET NOTES.' /) DO NOT USE OFFSETS TO ESTABLISH PROPERTY LINES OR TO ERECT ANY STRUCTURE. A is 2 pRoPER T Y LINES ARE DETERMINED FROM COMP/LED 1135773 INFORMATION TO BE USED FOR MORTGAGE PURPOSES ONLY. '`Fssl�`'� 3) SEE VARIANCE NO. O/0- 92, GRANTED APR/L, /992. �sUR CERTIFICATIONS.' BASED ON MY KNOWLEDGE, INFORMATION AND BELIEF, I HEREBY CERTIFY THAT THE PERMANENT STRUCTURES IND/CA TED ARE LOCATED ON THE GROUND APPROXIMATELY AS SHOWN AND ARE CONFORM/NG TO THE ZONING SETBACK REWIREMENTS OF THE TOWN OF NO.ANDOVER WHEN CONSTRUC TED AND THA T THE S TRUC TORE SHOWN/S NO T LOCATED IN A FLOOD HAZARD ZONE AS PER FE.M.A. MAP, COMMUN/TY NO. 250098 EFFECTIVE DATE.' 06-02- 93 ZONE.' C JOHN ABAGIS Q ASSOCIATES, PROFESSIONAL LAND SURVEYORS /37 CHANDLER ROAD, A ND OVER, MA. (508) 688- 4699 AP)91-16/VT.' CAMUSO NO. P/, 754 Y S��-��'� S���L� . , • SU�s f� `� k�� � /� __-____ ---- � �. � � � � -� � �`. �. t �./� \� . .� i t f CojA- t� s Li -Jf r P �� V MORGAN STANLEY DEAN WITTER Wellesley Office Park 45 William Street, Suite 130 Wellesley, MA 02481 800-767-7462 781-431-6785 Direct 781-431-6777 Fax CHRISTOPHER F. BUTRYM Branch Administrative Manager r 16 I `'leq Lj f ' � a MORGAN STANLEY DEAN WITTER Wellesley Office Park 45 William Street, Suite 130 Wellesley, MA 02481 800-767-7462 781-431-6785 Direct 781-431-6777 Fax CHRISTOPHER F. BUTRYM Branch Administrative Manager Nod' Any appeal shall L-:' filed r; A.RIL," within (20) d ,,vs 9� the �►��ACNU;Q"�� � I ;� �jy date of flan of tills f\IOtICe ►'►+►v� u,F'R.Z1 in the Office of the Town TOWN OF NORTH ANDOVER, Clerk. MASSACHUSETTS This is to certify that twenty(20)days have elapsed from date of decision,filed BOARD OF APPEALS nthout filing of an aI Joyce A.BracLMaus NOTICE OF DECISION Tom CWk Date . . .April„27, 1992, , . . . . , Petition No.. QIQ-92. . . . . . . . . . . . Date of Hearing. . .Apr7l. .1.4, .19 9 2. Petition of . Mary Camuso, Trustees Kricam Realty Trust . . . . . . . . . . . . . . . . . . . . . . . . Premises affected 1 . A40erry ,Hill. Lane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition for a variation from the requirements of U64.$e c t ion .7, Paragraph. ,3 .and. Table,2, o£. ,t1�e.Zpning :$ylaw. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit . . relief .f rom the ,rear. .s.etback... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . GRANT. . . . . the variance. . . . . . . . . . . . . . . . . . . ... ... . . . . . and hereby authorize the Building Inspector to issue a permit to . ?nary.Camus.o, .Trustee, .Krlcam.Realty. .Trust. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work, based upon the following conditions: . Signed /l Fr 'nk Serio, Jr" Chairman William Sullivan, Vice-Chairman Walter Soule, .Clerk. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ATTEST: A True Copy Anna O'Connor . . . . . . . . . . . . . . . . Town Clerk Board of Appeals appeal sh ` �: �.���,>, .. Any a a II filed�� � s•, >taas • • with,in � I (20) days i�f't r the ► Acau��',� , 7. s date of li-- cf this fJotice }`'•,•"•�' jJ`R Z in the Office of the Town TOWN OF NORTH ANDOVER Clerk. MASSACHUSETTS This is to certify that twenty(20)days have elapsed from date of decision,filed BOARD OF APPEALS 7ithout filing of an ap al Date . a Qu/ Joyce A.Bradhaus NOTICE OF DECISION Town Clerk Data . . .April 27 1992 Petition No.. . . . 1Q-9�. . . . . . . . . . . . Date of Hearing. . .A.prii. 1.4. .1.992. Petition of . Mary. Camuso, Trustee, Kricam.Realty .Trust . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prem18e8 affected 124 Blueberry Hill Lane Referring to the above petition for a variation from the requirements of U44 .$e c tion Paragr4ph. .3 .and. Tab],?.Z. of. .t Iq .ZPeing ,$Ylaw. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit . .relief .from. the .rear. .S..etback... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . GRANT. . . . . the ,variance. . . . . . . . . . . . . . . . . . . . , . . . and hereby authorize the Building Inspector to issue a permit to . .Mary. Camuso. .Trustee. .Kra c.,=.Real-ty. .Trust. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work, based upon the following conditions: Signed C�� , F�Serio, Jr. , Chairman . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . William Sullivan, Vice-Chairman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Walter Soule, .Clerk. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ATTEST: A True Copy Anna O'Connor . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . Town Clerk Board.of Appeals I Y f j ` 5o "'k I Registry Of heeds NOM Jjern i inti i i. UI EssexCounty Lawrence, MA 01P,40 05/10/01 H 1 --: , AARD PI4 NO i TWA ..4.!. mom Ygp 1'fl�� 'a j _ Of DEeds 1 .3 I ' i ReYi:---try of Deeds lHorthern District of Essex Co,ar«v Lawrence, MA 0I840 05/10/01 T H-i FLINUFORD Land Court Du,-;t:_fj:-TWA 50;00 .._ i 10 0 I c _ i Any appeal shall be filed N , OE t�Eo ie 9ti I;.;.�� O within (20) da„s after the 3 ` date of Ti '--,g of ti!is Notice = in the of the Town ` ' • ' (Ji i ICe X94' "w• C��++ II'' �AAiEO i e i-k. SACNUSE� TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS *************************** Mary Camuso, Trustee * Petition #010-92 Kricam Realty Trust 124 Blueberry Hill * DECISION North Andover, MA .01845 * The Board of Appeals held a public hearing on Tuesday, April 14, 1992 upon the application of Mary Camuso, Trustee, Kricam Realty Trust requesting a variance from . the requirement of Section 7, Paragraph 3 and Table 2 of the Zoning Bylaw so as to allow 2.2 foot deficiency in an R-3 district requiring a 30 foot set-back. Existing rear set-back is 27 .8 feet. The following members were present and voting: Frank Serio, Jr. , Chairman, William Sullivan, Vice-Chairman, Walter Soule, Clerk, and Anna O'Connor. The hearings was advertised in the North Andover Citizen on April 1 and 8,1992 and all abutters were notified by regular mail. Upon motion by Mr. Sullivan and second by Mrs. O'Connor, the Board voted unanimously to GRANT the variance as requested. , The Boards finds that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Dated this 27th day, ,of April 1992 . BOARD OF APPEALS i - Frank Serio, J . Chairman e r? ,L Essex ss. Land Court Ll� oj?Od I A true copy of Land Court Document Certificate /d g ,Book 7 Page ./o ffelistered at Attest: r Register of Deeds LU lue 6e 97Y R _'..._ f Deeds 1*�1�i1�t•r'�J [t 11 P�l� Northern -i-strict Di C:SSex Et,i�rit.l� I aWr•ence; St'!i vl QJ I I I �- . �e�., "` • � Off••''....;�,� . ON Any appeal shall t, filed ` �. A.etLn+�:m within (20) c'at's -nr the ., ;�. � I :jl � gCHIS � � _ 7 �. '�' • Ciatc of iin of tills f\IOtICe `'►•rfvq"' W, in the Office of the Town TOWN OF NORTH ANDOVER Clerk. MASSACHUSETTS This is to certify that twenty(20)days have elapsed from date of decision,filed BOARD OF APPEALS lithout fling of an ap al. Date- / OU/. Joyce A.Bra ad h 'us NOTICE OF DECISION TOM Clerk Date . . .April• .27, . 199.2 Petition No.. . . 01.Q792. . . . . . . . . . . . Date of Hearing. . .A.prll. .1.4, .1992. Petition of . Mary. Camuso, Trustee, Kricam.Realty Trust. . . . premises affected . 124. Blueberry Hill. Lane . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition for a variation from the requirements ofgx •Section •7, Paragraph, .3 .and. Table•2. pf, .thq.Zpnirtg •$ylaw . • . . so as to permit . . relief .trom. the .rear. .s.etback... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . GRANT. . . . . the variance, • . . . . . . . . . . . . . . . . . . • . and hereby authorize the Building Inspector to issue a permit to . Mary.Camuso, .Trustee, .Rric.am .Realty. .Trust. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work, based upon the following conditions: Signed 'tr " F Serio, Jr. , Chairman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . William Sullivan, Vice-Chairman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Walter Soule, .Clerk. ATTEST: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A True Copy Anna O'Connor . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . .ppea . . . . . . . . . . Town Clerk Board ofA 0 G .. Any appeal shall be filed 01 NORTH e within ('_O) �'a; s after the or g� F a i JL date of ii ;;:Y cf t;`is Novice • in theGdi e of the Town n ���•R C er-k. SSq���SE TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Mary Camuso, Trustee * Petition #010-92 Kricam Realty Trust 124 Blueberry Hill * DECISION North Andover, MA 01845 * The Board of Appeals held a public hearing on Tuesday, April 14, 1992 upon the application of Mary Camuso, Trustee, Kricam Realty Trust requesting a variance from . the requirement of Section 7, Paragraph 3 and Table 2 of the Zoning Bylaw so as to allow 2. 2 foot deficiency in an R-3 district requiring a 30 foot set-back. Existing rear set-back is 27 .8 feet. The following members were present and voting: Frank Serio, Jr. , Chairman, William Sullivan, Vice-Chairman, Walter Soule, Clerk, and Anna O'Connor. The hearings was advertised in the North Andover Citizen on April 1 and 8, 1992 and all abutters were notified by regular mail. Upon motion by Mr. Sullivan and second by Mrs. O'Connor, the Board voted unanimouslyto GRANT the variance as requested. The Boards finds that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Dated this 27th day of April 1992 . BOARD OF APPEALS `Frank Serio, JiKI. Chairman I i y, r4I liv `J NORTH f G n` G+451 CP t t:: AP*a7*r m U F Any appeal sha!I ! filed ias5 's w,t,,,n (?o) days t.,I file '•sacHuVVVVV date of ii :,;� cf tjis Notice ��� S C o-�Lk-L, TOWN OF NORTH ANDOVER in the Office of the Town MASSACHUSETTS Clerk. BOARD OF APPEALS NOTICE OF DECISION f, Date . . .April 27x •1992 '„ - \� Petition. No.. - . 010-92. . . . . . . . . . . . Date of Hearing. . .April. i.4,. .1992• • • Mar Camuso, Trustee, Kricam Realty .Trust_ . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . Petition of . . . . .y. . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected 124 Blueberr Hill Lane . . . • - Referring to the above petition for a variation from the requirements of 1g4.$e c t ion •7, , • , Paragraph. •3 ,and. Tab],e .2. of. .the .Zoning .$ylaw. . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . so as to permit . .X.eiie.f .from. the .rear. .s.etback... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . GRANT. . . . . the yariance. . . . . . . . . . . . . . . . . . . . . . . . . . . . and hereby authorize the Building Inspector to issue a permit to . Mary.Gamuso, .Trustee, .Kricam .Realty .Trust. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work, based upon the following conditions: • Signed Fra �kS e airman William Sullivan, Vice-Chairman Walter Soule, Clerk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Anna O'Connor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Board of Appeals CER MIED PLOT PLAN AT 124 BLUEBERRY HILL L ANE NORTH A,MDOVER, MA. NO. ESSEX REGISTRY OF DEEDS.'BK.L.C. 73 PG. 209 CER TIF/CATS NO.. 10151 . PLAN NO. 32638 SCALE'/1r 50' DATE.' JANUARY 21, /992 -�-� 3Qlad/3o BLUEBERRY HILL LANE LC. PLAN. 27,8688 AFPR®XINAW EOGE Or ORNE w 330.06 1 I I I ASS SSOR3. MAP 98C 2 sroRr I I ( LOT (26 I O FRA I WOOD M I o DWELLING ARE 32,230 S Q1 -- I I I I % i stag ADD/T/AV I ZONI G.' -3 WOOD-„/ � � ON COLUMN IR I DECX i �8 m„a , r i --LOTS 264 TO 274-=---------------' i WESLEY r4O' WIDE PUBLIC WAY) STREET DATE OF FILING.*-- NORTH ANDOVER ZONING BOARD OF APPEALS ZNO APPROVAL REOU/RED: DATE OF PU /C DATE.' RL HEAR/NG.' 4"�suav DATE OF APPROVAL. 0/-2/-92 CER MICA TIONS.' BASED ON MY KNOWLEDGE, INFORMATION AND BELIEF, HEREBY CERTIFY THAT THE PERMANENT STRUCTURES INDICATED ARE LOCATED. ON THE :GRGYIND APPROXIMATELY AS SHOWN AND ARE NOT CONFORMING TO THE ZONING SETBACK REWIREMENTS OF THE TOWN OF N0. ANDOVER WHEN CONSTRUC TED. JOHN ABAGIS 8 ASSOCIATES, PROFESSIONAL LAND SURVEYORS 137 CHANDLER ROAD,' ANDOVER, MA. (508)688-48 9'n N Y) NO P229 i r vraivl U .uv JL JMJL;J .-_ STRThis form is used to Verify that all-necessary approval/permits LJCTIONS: from Boards,and Dep ne wing jurisdiction have been obtained. This,does not relieve the licant and or landowner from compliance with any applicable requirements. MhCantand'orw1dovmerwrrwwrrrrrwwwrrwrwrrr.wr�rrrwrrrrwrrwrwrwrrrw..rmono.. PHONE APPLICANT i OT NUMBER Y-ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION STREET NUMBER Sw+mpEE nwor..rwwrrrrrrrrrrrrwrrrrwwrwrrw�swwrrrrwr�u.r.rwrwrrr.rr.w.rwwrrr■ OFFICIAL:USE ONLY irwwrrwwrwrwrwr■www■warrrrrwwr'■wa0a■■00aaamors•■■rrrwwrwwrwwrwrwwrwwrrrrrrw■ • RECORD wwwwrrrwrrwrrATIONS OF TOWN AGENTS rww�r�rrwwwrwwrwwrrw-ammo■■wwrrwwmammas wwrwwwwwwrrwwwrrrrrrrwwwr DATE APPROVED CONSER VATION AD TRATOR DATE REJECTED i CO DATE APPROVED TOWN PLANNER DATE REJECTED COMMfiN"IS DATE APPROVED DATE REJECTED FOOD INSPECTOR-HEALTH _+ DATE APPROVED. SEPTIC INSPECTOR-BEALTH DATE REJECTED co is PUBLIC WORKS-SEWER/WATER CONNECTIONS DR VEwAY PERMIT DATE APPROVED F FIRE DEPARTMENT DATE REJECTED co RECEIVED BY BUILDING INSPECTOR DATE cOP� ! 'Oct-28-96 17 :04 SCI `Company 1 608 6889998 P .02 - 1 MORTGAGE INSPECT/ON PLAN AT /24 BLUEBERRY HILL"` L ANE NORTH ANDOVER, MA. NO. ESSEX REG/STRY OF :DEEDS.' 8K. L.C. 72 PG.. 209 CERT/F/CA TE NO. /O /5I PLAN NO. 32638 CER TIF/ED TO.'CHEM/CAL BARk SCALE.' 150' DA TE. DECEMBER 8, /992 BLUEBERRY H/LL LANE APPROX/NAM ""'OF OR/VE 330.06 .. --. r o $1 II WOOD FRAM I ( I I I I �o �O �►* Imo, I DWELLING Ia - .330.00 -- - - --=LOTS 264 TO 274 - - - -- - WESL.EY S M E'ET f NOTES.' zH of /) DO NOT USE OFFSETS TO ESTABLISH PROPERTY LINES OR TO ERE T A NY STRUC TUBE. AS 2)PROPERTY LINES ARE DETERMINED FROM COMPILED s5n3„ INFORMATION TO BE USED FOR MORTGAGE PURPOSES ONLY. 3J SEE VARIANCE NO. O/O-92, GRANTED APR/L, 1992. °�SUR�; CERTIFICATIONS.' BASED ON MY KNOWLEDGE, INFORMATION AND BELIEF, / HEREBY CERT/FY THAT THE PERMANENT STRUCTURES INDICATED ARE LOCATED ON THE GROUND APPROXIMATELY AS .SHOWN AND ARE CONFOIRM/NG TO T/-1E ZONING SETBACK REG IREMENTS OF THE TOWN OF NO.ANDOVER WHEN CONSTRUCTED AND THAT THE STRUCTURE SHOWN Is NOT LOCATED /N A FLOOD HAZARD ZONE AS PER FE.M.A. MAP, COMMUNITY NO. 250098 EFFECT/VE DATE.' 06-02- 93 ZONE.' C JOHN ABAG/S Q ASSOCIATES, PROFESSIONAL LAND SURVEYORS /37 CHANOL ER ROAD, ANDOVER, MA. (508) 688- 4699 AfPL/�A/t/T.' CAMUSO NO. P/, 754 �� NORTFj E Town 1 - over `?3 - o� dover, Mass., RATED P`' C7 1,7 H ` BOARD OF HEALTH Food/Kitchen f)ERMIT T Septic System �0 � ���0� BUILDING INSPECTOR THISCERTIFIES THAT.... :........................................... �. .. ............ .............................................................. Foundation has permission to erect....`?...�.X� ...... buildings on ....�A;.7.......1.31 ....:r#!,V...�~� Rough to be occupied as #OSN 2) 9 C A�.....PN ^*004 ,. .F..., .frve40 w` 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. vl8G '�QD ` 079• PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ....... ...... ................................ Service BUILDING INSPECTOR Final Occupancy.Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place-on the Premises — Do Not Remove Final T No Lathing or Dry Wall 1 o Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. ' SEE REVERSE SIDE Smoke Det.