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Miscellaneous - 125 COURT STREET 4/30/2018
12 S Cov(Z ST. 14 IS7o f.lC ST'(Z oc-roo E: PgP69S t i �.r CONTROL :. COaISTR -&,�i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT ' APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING M OTHER THAN A ONE OR TWO FAMILY DWELLING r �Za�#, '4-u z SS4 N; ,IA.N �� f � ,, . This Section for Official Use Only; { z Fic �y BUILDING PERMIT NUMBER: DATE ISSUED: r� AM-1 � Z O SIGNATURE: �r /¢Le;/. r Buildin.&Comnussionerfineqor of Buildings Date 99 Z A Q01.1 Property Address:'^ 1.2 Assessors Map and Parcel Number: Map Number Parcel Num 1.3 Zoning Information: 1.4 Property Dimensions: v P 7,dning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS(ft) m Front Yard Side Yard Rear Yard Required Provide Required Provi ReqWred Provided I 3 d 2d 3o Sa.�a3 j 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private (I Zone Outside Flood Zone ❑ Municipal SL On Site Disposal System ❑ v _ 2.1 Owner of Record Name nt) Address for Service { s� M Signature Telephone X i 2.2 Authorized Agent l��me P nt Address for Service: Z 10 Z ignature Telephone m 90 3.1 Licensed Construction Supervisor Not Applicable ❑ Address License Number In Lic6sed Construction Su sor: Expiration Date Mee- Sr ature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ f � v omName / Pant ,. Regis ation Number m r Add s Q r Expirati n PCte ZZ YJ { S �aere Telephone 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. _)* Si ned affidavit Attached Yea........❑ No.......❑ 1 SECTION s ;P1tdP ION;A IESIGNAN Ci�NST CTI�1N ItYIC) S t t �.nIl�tG 'Am STO IMSS UBMT, Q l CONSTRIICTIAN C+OI�TIIt©L 1l'I�$�tl'ANT'�C71'�Q Ci 112 ��1��'A�N�t�`14+1CL�"�1�il�A�1D` GF.!l?�`ENCf�'rI4IJ Sl�'A 5.1 Registered Architect: Name: Address Signature r Telephone s l�et?lstexeRsse>t Area of Responsibility Name: Registration Number Address: Expiration Date Signature —Q I Not applicable ❑ Name: Address Registration Number Signature> Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date � �r"s1r. 14��'"S�� •y'-=may "�r,.?.t4t)� Not Applicable D C6mW Name: Responsible in Charge of Construction i New Construction Existing Building ❑ Repair(s) 0 Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 0 A-2 ❑ A-3 ❑ 1 ❑ A4 0 A-5 ❑ 1 B 0 B Business ❑ 2A 0 C Educational ❑ 2B 0 F Factory 0 F-1 ❑ F-2 ❑ 2C ❑ H High Hazard 0 3A 0 I Institutional 0` 1-1 0 I-2 ❑ 1-3 ❑ 3B 0 M Mercantile 0 4 0 R residential 0 R-1 0 R-2 ❑ R-3 ❑ 5A ❑ S Storage 0 S-1 0 S-2 ❑ 513 ❑ U Utility 0 Specify: M Mixed Use 0 Specify: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE . Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: Irv. v..ls f BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft 3S Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property Hereby authorize to act on My behalf,in all matters re alive two work authorized by this building permit application ignature of Owner .4a f 6 � zT / as( rner/Authorized , Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print Name Si=of mar/Agent Da Item Estimated Cost(Dollars)to be Completed by permit applicant ,x...,_. 1. Building a (a) Building Permit Fee Multiplier 2 Electrical �(� (b) Estimated Total Cost of Construction from(6) 3 Plumbing ^, Building Permit fee (:) x(b) QO"tr-70"3N 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) CheckNu{mbei t_'StS��}g �akW'..4 +�t .. a ti,� ri t � #� l �E.a i < i�... ?�. 3C`r Y k+ + r✓: 1 F l �t4{7 4arh �;j ,rf5''�r? p c -ij i F��,liax..r.ay v xS,b�T'•�b 1a#gyp f t Cyt 4 �4q��{Fb:rty '212 NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS Isr 2"o 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Ela �'r tr c 1r� ` �t��'4m. 'y� JOB ., MERRIMACK ENGINEERING SERVICE 66 Park Street SHEET NO. _ ,, .„. ,• t pF ! _ ANDOVER. MASSACHUSETTS 01810 CALCULATED BY DATE 4 CHECKED BY DATE__,,,„, :... SCALE Y e an 8 r y 1 _O ..............� i2"0 Q O i PROP. 10.0 04 W.F. 31 • 01 lee • ; • : : : • I • : .. . .... • • r' i - i. y I : F4XW2WA j�ffnc.emm..1Ea 01,11. fl TOWN OF NORTH ANDOVER ' OFFICE OF BOARD OF SELECTMEN 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 � pyOR7N 9 James M. Xenakis, Chairman Telephone(978)688-9510 Rosemary C. Smed.ile, Clerk of the Board ° . FAX(978)688-9556 Donald B. Stewart x 4q William B.Duffy,Jr. .. SSRCHUS Listed below is a certified copy of the minutes of the Board of Selectmen's meeting of March 26,2001,which authorizes the Historical Commission Building move from Marbelridge Road to Academy Road. BOARD OF SELECTMEN MINUTES March 26,2001 CALL TO ORDER: James Xenakis called the meeting to order at 7:00 PM. ATTENDANCE: The following were present: James M.Xenakis,Chairman;Rosemary Smedile;John R.Leeman, Jr.; William Duffy;Donald B. Stewart;Mark Rees,Town Manager. Historical Commission Building Move. At a previous meeting,the Board was apprised of the desire of the North Andover Historical Society to move the historically significant James Bridges house from Marbleridge Road to Academy Road. At that time the board gave preliminary approval to the move subject to the Historical Society receiving permission from all of the involved parties. Town Manager Mark Rees stated the Historical Commission has received permission from all departments and utility companies and brought forward a certificate of insurance for one million dollars in coverage,with the Town named as additional insured with the moving company. The move has been delayed a week or so with the flooding and is looking at an April 7,2001,moving date. The Town Manager stated everything is in order and he recommends the Board's approval on this move. John Leeman made a MOTION, seconded by Donald Stewart,to approve the Historical Commission building move from Ma-bleridge Road to Academy Road;vote approved 5—0. t Ka leen O'Neill,Administrative Assistant NORTH Mr Sg rj-->own of .. .. ove r CONTROL � O CCWTRUCTION o,", ZC_.0 CN � ` dover, Mass., AAY ice. OR-ATED S H � BOARD OF HEALTH Food/Kitchen PERMIT T D . Septic System BUILDING INSPECTOR THIS CERTIFIES THATA(c ,AMbQY. .L.l4.iFoundation �c�e-�...��./l�a.�i,��'..Q�e7�FQ�/!!tt!�.. � ........ . 1.w�o.� has permission to erect ..fir.�.-.�c��.......... buildings on ..........!!Z5.... y!�T.. Q,�C ?"'1 ..................... Rough to be occupied as.............N.t1.h'rV.4x 4.Ane-...(a.4* ry -� $'��u c .:� ...!P �k:7x. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS CONTROL ELECTRICAL INSPECTOR GJf�Sil€teCe��l 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 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner e •s.> -oR g ss Street No. a • SEE REVERSE SIDE smoke Det. FORM - U - LOT RELEASE FORM . A INSTRUCTIONS- This form is used to ver ifythat all-necessary approval/permits from Boards.and Departments having jurisdiction have been obtained.This does not relieve the applicant and or landowner from compliance with any applicable requirements. IN NEON no■king..15.10 a won a a am ME WON a a am a a am a MEMO a■.■as ads one moans so 0 ONES NONE won 0 ■ APPLICANT poj-M A lip_ A PHONE (37� 6 8b—4o3Sr ASSESSORS MAP NUMBER s'a LOT NUMBER S SUBDIVISION LOT NUMBER STREET C oy Pr Soi—I r STREET NUMBER l Z- I OF FICIA T•USE ONLY Impose Numsommommossm......... RECOMME ATIONS OF TOWN AGENTS (tom { S DATE APPROVED Z 61 CONSERVATION ADMINISTRATOR 1�/ o DATE REJECTED COMIv1ENTS DATE APPROVED OWN PLANNER -TOWN (A1CL.✓90 ow A7-rftM*.'FQ2M A /}(2PL,']bATEREJECTED CON04ENTS _.. DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS /PUBLIC WORKS-SEWER/WATER CONNECTIONS ✓DRIVEWAY PERMIT 5 3 Pe-I,,(-E,F rF c�0e V I V-b 64 R044er�►lAy t BGG I/y DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE S o FS d JOB Ob IL(wT) O AL MERRIMACK ENGINEERING SERVICE + 66 Park Street SHEET NO. I OF ANDOVER, MASSACHUSETTS 01810 CALCULATED BY DATE-- CHECKED ATE CHECKED BY DATE_ SCALE 41 Alb 00 ' `4 O O _.. O ; .._ . 184 186 .. _ -- -- 188 192 _ Ia� � 1 cpm .� 1 -0 x . _ .. 1 0 0 ' PROP 2� _. 6 1 .... ........._.. , _. ...... .... ..... 10"0 �. 4.0o W.F.Da..O p 15 w cn,, .4. --Ff X197.5 ..... ..... _.. ......... _ ........ _ . .. .... .... ... ..................... .. ... .......... ....... ;_......._....... ... _ ..... _. .. ..... ... .... .. ........... ... ........... _....... ... .. ...... .. .... ... .. e V ;.......__........... ...... ... _.... .. .. ...... ..... _ :........., i.. :. .... ..._ .. ... .... _. ._... ............. ... :. ...... ..... ........ . .. .. .. ...... _. ._ .............. .. .. ..... .. ....i....... .......... .. ._....... .... - .._. _... .. .. .... .. ..._. _.... .. ..._. .>......._._ _. ... _. s.. t f�D_ _ _- -- .... u ou it_t 1 ' 1 672 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Ma Application by the undersigned is hereby made to connect with the town sewer main in nU r Street, subject to the rules and regulations of the Division of Publiic Works. The premises are known as No. 12 S V r Street or subdivision lot no. , A) , r 1 c� l( Owner Address Contractor Address n V 1' Xp—prricant�'s Signature PERMIT TO CONNECT ►WITH SEWER M IN C The Division of Public Works hereby grants permission to IV_ J �i EJ to make a connection with the sewer main at O r St eet subject to the rules and regulations of the Division of Public Works.. ivisi n of Public Works By LlJ Inspected by Date See back for rules and regulations 1070 APPLICATION FOR WATER SERVICE CONNECTION Zee North Andover, Mass. }-9— Application by the undersigned is hereby made to connect with the town water main in ��L) Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. �Ur� Street or subdivision lot no. C 1 Owner Address Contractor Address /� p pplicant's Signature l � Z60 .©.D I PERMIT TO CONNECT WITH WATER MAI The Board of Public Works hereby grants permission to CCJ lcleo to make a connection with the water main at 0c)r 4— subject to the rules and regulations of the Division of Public Works. fzz Board of Public Works By Inspected by Date See back for rules and regulations i i j The Commonwealth of Massachusetts r d Department of Industrial Accidents • = Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: ' Location: Ci Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1 am an employer providing workers'compensation for my employees working on this job. Company name: Address City 14 Phone#: Insurance Co Polio# Company name Address Ci : Phone#: s Insurance Co Poliev# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment_as_well_as_civil..penatties�nihe.fnrm.jofaSIOPWORKORDER.and.aline.af.(.$9DO.DD���ayagainst.me. t understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify ugVer..theMpenalties of perjury that the information provided above is true and correct. ' Signature �� Date Print name Q / Phone# Official use only do not write in this area to be completed by city or town official' f City or Town Permit/Licensing n� Building Dept OCheck if immediate response is required .0 Licensing Board E] Selectman's Office Contact person: Phone#. Health Department � Other i f f j' s F "pr 10 01 08: 20a p. 3 71. Flynn E €S4i DATE(MMIDD•YY)xc .. , �',5,,�," � 04%10/2001 740-0 40 FAX (603)743-3370 THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION Ins Agy Inc ONLY AND CONFERS NO RfPON THE CERTIFICATE rave HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Dover; NH 03$20 �_-- COMPANIES AFFORDING COVERAGE COMPANY Green Mountain Agency, Inc Attn: Ext: A INSURED _ ..... . .__ .... JSP Leasing, LLC COMPANY 60x 6 F3 I Center Strafford, NH 03815 COr.4PANY I C F - D wcm,S I,n`it YE,. NMI q 64 114 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO.ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR' POLICY NUMBER DATE(MMIDD/YY) DATE IMM,DD!YY) LIMITS GENERAL LIABILITY i G-NE RAL AGGRFGATF $ COMMERCIAL GENERAL IIABILITV PRODUCTS-COMPIOP AGG $ CLAIMS WADE PERSONAL d ADV IN.IJRY S OWNER'S b CONTRACTOR'S PROT EACH OCCURRENCE g. FRE DAMAGE(P.nv ne':re` $ MED EXP,Am,one:;ersaal S i AUTOMOBILE LIABILITY ,4NY AJ`., COMBINED SiNGLC I IM1` i G00,00+ ALL C!:?SEC'S'vTOS t A X SCNECU� AJ EC -OBODILY INJ�,QY S Per parse-; CL 767002. 04f'05/2001 04/05%2002 : HIRFn AUT^S NON-GINNED AJ-03pOCILY!NJ�nl g {,P BCCtlBnt; -- --- — _— --- PROPE R'Y DAV--II L Y GARAGE LIABILITY — -- - AUT"^.Vi V.FA Ai;J'DENT ANY AUTO OTHER THAN A.UTO ONLY EF.0 I�r•. "i;lc x.,r AGGRESATE EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM OTHER'HAN UMBRELLA FORM WORKERS COMPENSATION AND AT . EMPLOYERS'LIABILITY TORY LIMIT S Eli =_EACr AcCP:ENT TNF PROPR,E'.'OR+ PARTNERS/EXECU71?'= EL DISEASE•PC_I CY_IM'T S OF=KERS ARE EXCI. EL DISEASE-EA E-V°Q''EE $ OTHER I 'DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLESISPECIAL ITEMS IFhis Certificate holder is also listed as Additional Insured 0111 Wloi Ow-F, cl,..+ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TNF EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRI I i EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE I.EFT, North Andover Historical Society + BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 183 Academy Road OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. North Andover, MA 01845 AUTHORIZED REPRESENT TIVE °� 'Apr 1O C_'•1 08: 20a ID. 2 ;.ACORP ' " a V ORL a .. ..�l aux..... 1f3 xAZ.. s �iL1i11u{�'M� �ps DATE(MMIDDYY� F. �;}>YODU � (207)646-8388 FAX �M � THIS CERTIFICATE cs .��� � I IIs' - 04/i0/'2001 kS:�zt �. PRODUCER (207)646-6935 lS ISSUED AS A MATTER OF INFORMATION evignev-Lyons Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Abenaki Professional Park HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1 PO Box 249 Wells, 12 04090-1249 COMPANIES AFFORDING COVERAGE COMPANY Swett Insurance Managers Attn: Ext: A INSURED Payne Const rUCt'O.1, COMPANY LIBERTY VUTUAL ,l PO Ei Ox is . 8 i Center Strafford. NH 03815 COMPANY i:i.;t.l°.ZNY I D + 9 IMP ki }I °�' ez} 1. •NS .: - �. t +, e �Sl � ., "��}F•M� t..�4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDiC.ATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TP'= CERIIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO,ALL THE TERPA' EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS D TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE{MM!DD.'YY) DATE(MMID0,YY) t WITS GENERAL LIABiLIIY — -- -- v'ENERP, AvvREG.ATc s _ 4,f1)C,oOo ..X COMMERtiLAL GENE',P,L L AB L TY PRODUCTS- $ 1 IT'r 000 { 'S CLAIMS MADE x OCCI.R A `�01hPERSONAL DVIN.LRv 1 r J1 OWNERS 3 CONTR,LCT,OR S-R-,T EACH OCC URR�'•:CE $ � .�. ^,f1 "IRF DAMACE IA- e`ver j0. -- ---. -� MED EXP;Any one persor'. AUTOMOBILE t IARII ITY _ ANY/'UT-^ C0'.^31NE^S:rvGLE�ur�t z .ALL UFVNFD z.UTOS BODILY NJ'JRY SCHECULE1 AUTOS ;Per person) IIREC•AU';S NON-CWNEI'A.;-OS (Per aceider.0 GARAGE LIABILITY i - -^ - AUTO ONLY F,.,;Cta;cN" c ANY AUTO OTHER THAN AUT'CN-Y „ EXCESS LIABILITY EACd OCCJRREi- AG3RE.,a`F y OTHE:l l AN LL REEL ,rnR'J WORKERS COMPENSATION AND EMPLOYERS'LIABILITY TORY'L11078 ERs f.,, v, B 087521-00 OW29i12001 : 03/29;2002 E`EACH ACCYJENT g 1 0,000 THc PRO°RIETOP., PAR.TNERSIE XECU'T'VE aC L EL C•ISEAEE-POL!Cl UN117 £ quo,U00 CFF!CERS ARE -y "-X,-L - ----' - r-'---- F: DISEASE-E=I\4P-0-YEE S IO I,OOP) CTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMSThe Certificate Holder is named as Additional Insured 1, I •I �. .. 1 w.0 :. O raw., i 7. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE A EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, North Andover Hi stori cal Society BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 183 Academy (load OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. North Andover, MA 01845 AUTHORIZED 'y,•- a '� 41 fAUTHORIZs EnDR/!!R EPhsR:Et SE aATIVE �wr � £ S'�syve w 6 1121 iK nMINE,y Is Co' 'ixJi x za;X�tl vT, y�M++ R w RECEIb'ED JOYCE BRADSHAW Received by Tow Clerk: T O AI N CLERK NORTH ANDOVER FORM A 2001 FEB 28 P 1: 11 APPLICATION FOP,,ENDORSEMENT OF PLAN BELIEVED NOT TO REQUIRE APPROVAL To the Planning Board ofrhe Tawe&North Andover: The undersigned wishes_taxecord-the-accompanying.plaa and requests a determination by said Board that approval by it under and Subdivision Control Law is not required. The undersigned believes that such approval is not required for the following reasons: 1. The division of land slwvm..on.tleaccompanying-plan ismotasubdivision because every lot shown thereon has thp-amount of frontage required by the No ) rq over Zoning By Law and is on a public way,namely, a 0v9:1- 57900 r R G''n f osC�v� fTEZ�iS� , being land bounded as follows: 02IG-i nynt y A 6.7-4 AC-90- PA12EE L- godr 17" Wojr it sytEf,!r- SoviX BY Ac 94nY" T 19 1( c ov iLr snCAOr N o YXA94--f BY �AgR N& vF �oNN F. BANKoA[ AWY GZ24 4 S-r7ouE Y'AlO AI A-S THE 51Mou SkADS� 6�-STf� w HeN p6�DFIp To 9o0-1WA-NDoYOk- H1SI-041 - So�iET`f vN oG�8E2 Z? [9s� 2. The division pf land shown on the accompanying plan is not a subdivision for the following reasons: 3. Lot frontage nd acreage af.each-lot. icted on accon4mying..plan. 10 F oN 2 S Me) F7 i �G SI vlh, o Goo -rp„ T t .S 3 FaavTAfraG 2573 930 F7- 4. T4. Description of proposal 5. Title referencq North Essex Deed,Book 74-2 ;Page Sq ;or Certificate of Title No. ,Registration Book ;Page Applicants' Signature: Owner's signature and address if not the S LIS v c.= �i�i5rp�ivT' applicant: (print name) Applicant's Address: No2.fK Ak901(E2 KIS�Rrc/IL SAG�TY (S3 AC"O--M, /LoA'D wlwlf ( Tel.No. �q 7 ) Cr 8 6- 4V3 57 Notice to APPLICANT/TOUN.GLERK.ofaction.ofPlanning Board on accompanying plan: I. The North Andover Planning Board has determined that said plan does not require approval under the Subdivision Control Law,and the appropriate endorsement has been made upon the same. 2. The North Andover Planning Board has.determinedAhat said plan shows a subdivision,as defined by G.L. c.41, s. 81-L-and must therefore be re-submitted to it for approval under the Subdivision Control Law. Very truly yours, North over Planning Board By: i e: C ��� Growth�Managg hent ByLaw Development Schedule Town of North Andover Planning Board This form represents the schedule for allowing the following lots to be considered as eligible for building permits under the Town of North Andover Management by-law Section 8.7 of the Zoning by-law. Pursant to 8.7 this Development.Schedule,.must.be..file&m-the..Registry of Deeds and be referenced on the deed of each of the lots below and be filed with the Planning Board prior to the issuance of any building permit or permit for construgion. Name and Address of Applicant for Lots: Name of Development: Map and Parcel of Original: - Date of Application for Lot(s)Division: Lots Covered by this Schedule The Planning Board by their signature below,or a signature of a duly authorized representative,do hereby establish for the above named development the following Development Schedule for the purpose of Section 8.7 of the Growth paanagement By-Law. The applicant,their assignees, successors and or subsequent property owners shall conform to the following,schedule that limits the eligibility of the following lots for building permits. This form must be filed in the Registry of Deeds by the property owner or representative and be referenced on each deed for each of the following lots. Such deed reference for the deed of each lot shall at minimum reference.the book and page in which this Development Schedule is filed and contain the language;"This lo�is subject to a Development Schedule pursuant to the Town of North Andover Zoning By-Law all owners„repr=atad=,=d.RAwe,purchasers-should avail themselves of said restriction by reviewing the approved Development Schedule as filed in Book insert here and Page insert here. The fact that a lot is eligiblefor a building.permit is subject to the limitation of the number of building permits per year pursuant to section 8.7.24 of the Zoning By-Law." The Planning Board hereby schedule the lot(s)for the above development as follows: Year EIigible Number of Lots Building Office Use Building Office Use Elibgible Date Lot Eligibility Notes Completely Utilized Signature of Planning Board member or Authorized Representative Date Signature of Property Owner or Authorized Representative Date GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw.The applicant shall provide all of the necessary information as requested below. NotrN Apoyv2 HIS?"o2ccAt.Sr. 125 CoyQT' Si, SS 5 y Permit Applicant Property address Map/Parcel (T78)J (.84-4-0-3.5-7 `App ant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw.I also understand providing this form does not absolve me or any party to this pewit from the requirements of obtaining other permits required prior to the issuance of the building permit.Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot,in the building permit application and associated attachments,complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement,restoration or reconstruction of a dwelling in existence as ofthe effective date ofthis bylaw,provided that no additional residential unit is created. The lot(s)was/were created prior to May 6,1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals,where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land.For purposes of this section"senior"shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density(buildable lots)below the density permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit(all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that year.One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits.Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. APPLICANTS SIGNATURE DATE THIS FORM TO BE ATTACA TO THE BUILDING PERMIT APPLICATION C . TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 J.WILLIAM HMURCIAK, P.E. Telephone(978)685-0950 DIRECTOR Fax(978)688-9573 � tlOR7sy O L F m p 9SSacHUitt DRIVEWAY PERMIT l DATE A4 K 3 Z BO LOCATION Z S C?puVZ -fT—( BUILDER phone OWNER A 14►Sto2j-,fA1-- 5octETE phone 979 - 06- 403>5 THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET . CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. A f yr t't CA N i�5 s l G/,/A-r Ll TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 3314 OSGOOD STREET IORTH ANDOVER. 'NIIASS ACHUSETTS 01845 Telephone (97,81)685-0.)50 June 1, 1999 FORM U & DRIVEWAY APPLICATIONS PROPOSED DRIVEWAY PLAN- a plan which is required to show the dimensions of the lot, the location of the proposed driveway and the building(s)it services, the type of street pavement, type of existing sidewalk, type of curbing, location of any permanent structures within ten (10) feet of the driveway such as utility poles, hydrants, catch basins, stone bounds, etc. The plan shall be submitted to the Engineering Department for review. If the plan is approved then a driveway permit can be issued.(See Sketch Plan Attached) CREATION OF A CURB CUT,- If there is existing curbing where the new driveway is to be located, then it must.be removed to create the proper ramp fromthe-gutter., The new driveway:shall°not protrude into the gutter. In any instance the new curb cut shall not allow surface-water to enter the property. (See Sketch 13) ]EXISTING SIDEWALK SURFACES-If there is an existing curbing and/or sidewalk the new driveway shall match the existing material and shall be a minimum of 4" thick, The contractor shall provide a detail showing the thekness of material, number of layers,reinforcement and sub-base. DIG SAFE NUMBER- The applicant shall and have a valid Dig Safe number CONTRACTOR - The Contractor doing the work shall have all insurance's required and be in good standing with the Town. DRIVEWAY PERMIT-The permit shall be good for thirty (30) days and may not be transferred without prior written approval by the Town of North Andover. INSPECTIONS - The Contractor MUST notify the Town 24 hours prior to commencing construction. The completed work must be inspected and signed off by the Town, within 48 hours of completion. C:'WORD\DRIVEWAYSTORM U&DRIVEWAY APPLICATIONS Town of Nofth Andover JOB Division of Public Works SHEET NO. OF_384O sgood Suw North Andover,MA 0 1 84 5 CALCULATED BY_`�� DATE (/= l /;191 Q9 CHECKED BY DATE SCALE ..... -- 1,ae> ......... ...�'- ._.... ..._.. � � .- _ ..... _.... ..... `f i.. LI � A _.. { . .. .. I y.. . �'j �'`, 4► f(I�R13 i _ 1 �- .. - - 7~ 0R, . G4q�g Y 3� 3�8. /Ft. 3/8" 8%FT AS REO O d a 0 0 3 W Iii O Q 0� W W PROFILE TYPICAL C3RiVINAY DETA� N.T.S. NOTE: 1.) ALL DRIVEWAY APRONS TO BE PAVED WITH Y 81TUM#NOUS CONCRETE. T BOUNDS A PROPOSED. DRIVEWAYS SHALL NOT BE INSTALLED IN LOCATIONS WHERE STONE D RE MERRIMACK ENGINEERING SERVICES, INC. 66 PARK STREET ANDOVER, MA 01810 (978)475-3555 FAX: (978)475-1448 FACSIMILE COYER PAGE DATE: + NUMBER OF PAGES: (INCLUDING COVER SHEET) Vt TO: 1 Q� �ccf� Cca. FROM: _ I 1E:J&AL�c u� � �a �COMMENTS' NOU C7CA� tAoJ -,c 4?.,t cejv4 or +�j c'oa Is C \ ✓24 ` (z)4e4A t4 SENDING TO FAX NUMBER: "/D 4� vile CONFIRMING TELEPHONE NUMBER: FOR PROBLEMS,PLEASE CALL OPERATOR: (978)475-3555 TRANSMISSION: CONFIRM NO CONFEWATION NEEDED MERRIMACK ENGINEERING SERVICES,INC. - 66 PARK STREET - ANDOVER.MASSACHUSETTS 01810 (attach photo here) 2. Town N aA7 `t /VL> D VER FORM B - STRUCTURE SURVEY Street address l l 1V1AAS1_r R/DdF Rb. MASSACHUSETTS HISTORICAL COMMISSION Office of the Secretary, State House, Boston Name MOODY FWU06ES ko"e 1. Is this structure historically significant to: Original use DWELL.//VG Town Commonwealth Nation Present use QGUELL/NG Structure has historical connection with the following themes (See also reverse side): Present owner 40 M41W LELA VP Agriculture Commerce/industry Open to public NO Architecture Science/invention LgTAr/7Cr Art sculpture Travel/communication Date ANO/710s Style "r K E7Q- I7�c Education Military affairs /7.340,S Government Religion/philosophy Source .of date 4,7KAMC Literature Indians Music Development of town/city Architect (/NXIMLW 3, CONDITION: Excellent Good Fair Deteriorated Moved Altered Added 4. DESCRIPTION FOUNDATION/BASEMENT: High Regular Low Material: STONE' WALL COVER: Wood CLAP0 0AA-P S Brick Stone Other ROOF: RidLe Gambrel Flat Hip Mansard- Sl NCS`'/400 Tower Cupola Dormer windows Balustrade Grillwork LArF/701vG. ELL CHIMNEYS: 1© 3 4 Center End End interior Cluster Elaborate Irregular .-' 9v/i r P/Asr STORIES: 1 © 3 4 ATTACHMENTS: Wings Ell Shed Dependency PS014I FN70 FNrAYki•4Y, P!LAS rrAs ,4A-ONF S/O F PORCHES: ©2. 3 4 Portico Balcony Recessed: FACADE: Gable end: Front/S de Ornament: QENT/GLED Co/-y<<S" Entrance: Side Front: Center/Side Details: Windows• Spacing: P ,.,eZ /Irregulam Tiion+inal/Uari[?d Corners: Plain Pilasters Quoins OUTBUILDINGS 84AN SA! F - - - - - - - - - - - - - - - - 5. Indicate location of structure in r '^ nearest cross streets and other.build +' NOTE: Recorder shouITo-'3tain writt before using this form. FORM MHC-8 IOM-4-67-944872 :.. _ ;wa N ORT1-t A:N D o v& I, ;eet address- f l /yIAR/3G�R/D&F RD. .me f`'(oc oY ?�ttt DbES l,wu�se �iginal use OGyEL.Ll�!/(S • resent use L • � r-'f`" ; resent owner FQMUNDIry LcL�4N0 yea to public NO x •:, s. • >� r/ LATE/7 r . toAND l710 s Style kc E14- i'T'''G . urce of date SM-/STlC I • ------ ------ ............ .. ..►..�r•►��r-------�.r�chltect IINIX&a V 3. CONDITION: Excellent Good Fair Deteriorated Moved _Altered Added - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - 4. DESCRIPTION• FOUNDATION/BASEMENT: High Regular Low Material: .SrON4F WALL COVER: Wood CL•APB CAAP S Brick Stone Other ROOF: Redd.-e Gambrel Flat Hip Mansard_- SINCF%fd'0 Tower Cupola Dormer windows Balustrade Grillwork � 1-4Tlr/7LYc. 6LL CHIMNEYS: 103 4 gulp .: Center End End interior Cluster Elaborate Irregular � ,sviLT P/RsT STORIES: 1 ® 3 4 ATTACHMENTS: Wings Ell Shed Dependency PFD1A1 FNTF0 EWAYA64y *I f-AS rrA$ AA-0,V i3O,F PORCHES: O2 3 4 Portico Balcony Recessed: FACADE: Gable end: Front/Side Ornament: ' 0EN714L FD CORNl c-5' ocr- Entrance: Side Front: Ce_ nter/Side Details: Windows: Spacing: /Irregular Identical/Varied Corner-s: Plain Pilasters Quoins Cornerboards OUTBUILDINGS- BARN SAl D 7* //RAE,85eff 8yu-7'-1,(v /rS( 5. Indicate location of structure is relation to 6. Footage of structure from street /jzz nearest cross streets and other.buildings Property has feet frontage oa s e-e Recorder C14R CAg5a For /V. A. da a. Photo �y Date '47 NOTE: Recorder sho n written.permission p from Commission or sponsoring orPanizationbefore usingthis form. I SEE REVERSE SIDE FORM MHC-8 IOM4-67-944872 VERNACULAR BUILDING DATA SHEET BUILDING: SARLIGSr P.4A7' OP Yg9VSF' an/11 AWAa4E Rip6e Ftp. LOCATION: NO- XA DOV6X ! ,/N/*SS . TRADITIOALAL DATE: 16.80 SOURCE OF DATE: PROBABLE DATE: CA • 7l e►�9�, OCCUPANTS: SUPPOSFOLy UlGT BY TD�fN BAt D66C .. ORIGINAL ELEVATION: 7TWO 57bRr ORIGINAL PLAN: pNr Oo(,/NST.41AS AM. 5',4 ST DP CHI Apt NEY Sr,+C K 1 QPAW 4CA4A-18&e .48ovE'(/74 IFAMP) EARLY ADDITIONS: 44. /dyes 77Aro f,415. 04Np 4,,r o Ow '4 Cr T" �-� , LATER ADDITIONS: AMS 454A D RAoP AND 477-IC CHAAaROWX PAA7177ONS /N' 41fA446E7Z GdINOOGd ,,V/ GNr4�KQE7C/'PGA5TE/q GETL/NF• RESTORATION: EXTERIOR WALL COVERING: INTERIOR WALL COVERING: POWAI-M At RM. H!4S VNDEJ 60sVE' /Ll,41vY AG7*7v-47-zvmc. /TS PRFSvNT Pr',47 A5.9 60.400� At-^i7rA Gtr7LlNcc� F/RS/�G f4GE O 1/FN'� I`jEA/'CThf/ fit//NOO�v.r� A-u. 0.4TE Fi2oA�i ?h�C/8tN CEN7ZIAK 6W�L-Af j NO -000$7- 7N/-4 A41. A64S &1VEN G'Y&-X &ccwSIVELY 7a 7ftE PRFPAT/oN .OF 7=�vD, p�V OTffc'R ff�NO Gk.9titBE�Z �4oVF� 0HI2ETE f:0 � BUT • PROB,¢l 1-Y Gf A6&Zy RF'DU/GT AV KITE,4EN. S1,Oe p D��rT�aN P STIc of d,•r�Y I rM' c 1A5fA7;V T/AES urlTN STAIRS: e�AAiCY /8�G. ALSO SlNG6' .SraME TlGES f/S�p-� sirs. OJT �ARGY sT.a/�tcfiSE" V!s/BLE ON P1_ASr&-K CE/L!N SE t d/.2NE7Z oR�t.4/N ,�iy. GsE7�PL,4N) Ml#f' 40A ,4Y NOT LBF 0A1d- EYE1V DO ,S«EAAA_Y Is 4-,4TE/Z . G�lB•tirAYHAVEQ 40"MW .,c rC*(MNtY OMKF A" w/N"A s PRog, /vv EaRL'&FX Tfa,4N ATF'/8W- EARLY I'W*5 "151"L T. 0 G. DAE ORlfi. s*4A0Av A4Ov1_DeVL 6� A?7SN DOOR IN oN Dimensions ROOF sCZf UP-STAI�iS. (/S RESENT BAT/f 1. DOO�Z mR16. OR, m1#19E wide high PaOM OR/6• �ANELlN� 1ZFAa-CUED O.F deep 1. Rafters: 7ffn M4N54RD APPP- RFP4+6FS PA/E-ROOM 1=_xc,Ep7_ .4T.&WAC W6s7-E71,01 y ore 3 S� of&Kj&.,q,g cT7q ft6�rr4 2. Purlins: . 3. collar beams: �c,�p-aqr uls/�8e E- /'iV A•¢T�,q,dT�,�,l 4. Other: + STRUCTURE SURVEY DATA SHEET (II) I. .ARCHITECTURAL ANALYSIS: 4A767-z, P,4Ar 47F lVUse 40/v /! 114,4R6L5' R/DEcc"A0 AD - A. Original plan: 1. Room arrangement: FWD 0~NQW1AS. AM$ . AND SA'67,60X L,E,gNTO MOOED TO w~, EAsT EN0 -or ak/e. axo'—A/n- IfDcis C: c e,*Nro -MAY OAi/Fr1,V ftW Have CONTA+/NE•D nVV S/t'I C'V1"P/"_r1'lE•N7s(N,&4S) 2. Ent�W f/" 04,4A(40~110444,Y 1DO-NT/CA4- . 7SAOV614 (L.,+MR,s) PED!/hdrYTEO E7/W PORCt'f OPPOS/TE CH/MN67! /4Ca2 D0.044VAY /N C&FAA/727 fii4.t 0e_L0"1V A4r4v+4ED )W 4VINCaw 3. Chimneys: CENT/s?.,4-L CH/MNE),' 4. .Stairs: ,#&4/,VS7'C#j CjArFY sT,tCk 6OAZIS. PhNEL/Ne., B ,t AL41s74-0-XC AAJV ^AI -I NFr) • MA.•,4-EL,gN0 .s.4 .r'fiE' CAN RAE �iN,8E72 C&-Zr �t ST•4!R D/RECTGy j3EJt/EA?tf 1h,4 IN sT /R.0('Sri P[✓f . REAR STA/Rs�.aT4A- ? B. Early additions: 5;pz1r1 RM. �(MyOED By If&Mlr. $/ PROe486y S&IMF k10' /At 41Dt atv g7VX of !8'r?'`cEiv7vRf;,�rrjoGlNs freol�t /444904.0lNES ON A.41tdV P,4ff0L pAOO. C. Later additions: 13,4,V 4VliV000V ON NORTHY &.4p4F' fZEYE,q .4RDUN0 wlNDOtut /Ns►Y�5f.4vE' ,ae=— V i9-DGEj7 IN *VO AA1. C,4. ISNCa(,r ZF D. Modern alterations and restorations: ,241S. 1.,V 46'4Af7V, E. Construction: 1 . Walls: Timber frame Ballon frame❑ Brick t1 Other (3 2. Roof: Rafters, purns, ridge pole Rafters, ridge board❑ Rafters only El Other 3. Floors and ceilings: F. Interior (Measured plan Schematic plan 1. Wall covering: (,,A1X t 0VVAj 2. Paneling: ,QDLD (l Pf'WW7 ) RA/sr-D PWAraS IN XV- AAl./ S o. w ALG.. /4 GSo !IV BEDRM. ,4-l3►V—/i . S1M R4.jE1Z ¢rte F!R-D P.4KsU,vG !N -S& RM. +A(V CH-FA•dH,9&A (,C#AA1Sen tff,4ATff E/ylPj-o4/S SOME KE7/sEl� (=) .ff1,+PVW 1h0UC0ED PANEZ/N6• .s4• /'Z/Ll•/ 3. Mantels: WEST OVA1.4 4"&- 2E1! At17'Hf I/- ft Aj2•ONTAL• FE-4T�ft?ZED '.A-/��t5 L.4H�' rBoGEGT/oN ILIOULDINFt. 4. Staircases: pyo yr sT�tl�cA-s�' P NEZ�-D p�l'ZT GtIRf1H' SffD/'LT �,�.vo2t�.� 6A`USt�12S 5. Doors (including hardware): 004pH1L /NTo So. j4,t4j.FRotir ENW"64Y .• 7w 44A(f ' AAl-WO PANCLS At.4AR0Wd-,pZ X41S&-r PANEL' HN BEMf6ro7V. l� Nli4,�8G: R%066 filJ.• III. NOTES: IVw l7 /��[/f��.{/ v�/�►V cEr i I JIT FLOA 2AWFG. - 51M1L.A1.��, � SLOE sr nAP, -A /G!fp dy 7c>lCi�'Bn�fs i[lE7.OwrlJ.ti '/7134 ((N/1FN .BR/Of1ES AIII 1N O 1114Ar I O�jGO P)A) 4?�SON YAItltT 19N0 NELJ PART LIr/7sDX $Ala " HAI✓c BeEN I I I I O LAVN K r I 1.� I LAA6EX F1RCP41C�- I 1 t iso 1 p��yiC+t AROOE.oAis Lrr-t � oxy e 511 Af4 NAA AV t. a0 DA, At 6 ... ._ AiQNC7( . LIIPCO/fRD I FEA E.I, J � • . .SNF M9 z 1 1 y I e � v I m S t i � Ic I I� ®® h PA 1seAPAnfL} I I SU6NTc _ II I �R3 i The Commonwealth of Massachusetts William Francis Galvin, Secretary of the Commonwealth Massachusetts Historical Commission April 24, 2001 Carol Majahad Executive Director North Andover Historical Society North Andover, MA 01845 Re: Reservation Restriction Review M.G.L. Chapter 184, sections 31-33. Dear Ms. Majahad, Thank you for the opportunity to review the proposal of the North Andover Historical Society(NAHS). MHC understands that the NAHS intends to move the James Bridges, Jr. House to the Court Street side of the Parson Barnard property. The Parson Barnard House is listed in the State and National Registers of Historic Places and the Massachusetts Historical Commission holds a perpetual preservation restriction agreement on the entire property as the result of a prior grant allocation to the Parson Barnard House through the Massachusetts Preservation Projects Fund. MHC has reviewed the proposed relocation plan and approves the proposed move and siting of the James Bridges, Jr. House along the Court Street side of the property. The MHC does strongly suggest that the North Andover Historical Society provide a partial vegetation screening of the VERSA-LOK retaining wall to minimize the visibility of this wall from the Parson Barnard House. This could be accomplished with the use of ivy extending over the wall or with shrubbery planted in front of the wall or both. The MHC is primarily concerned with the setting of the Parson Barnard House and requests that the NAHS preserve to the greatest extent possible the view of the Parson Barnard House as one approaches the property from the Corner of Court Street and Academy Road and similarly the view from the Parson Barnard House. In order to determine if the Bridges House continues to be a contributing property to the Old Center National Register District,the Bridges House will need to be re-evaluated on its new setting. Please submit a Form B for the property to Betsy Friedberg,National Register Director with a request for re-evaluation. As you know, the preservation restriction was placed on the entire deeded parcel and thus does now include the Bridges House. MHC understands that the Society will add specific v interior covenants to the deed when they transfer the Bridges house property to the new owners. Please submit a revised plot plan of the Parson Barnard House property showing 220 Morrissey Boulevard, Boston, Massachusetts 02125 (617) 727-8470•Fax: (617) 727-5128 www.state.ma.us/sec/mhc i the final locus of all the structures on the parcel. The deed for the subdivision should contain the MHC preservation Restriction as an appendix to the deed before it is recorded. These comments are provided to assist incompliance with Massachusetts General Laws, Chapter 184. Sections 31-33. Please notify this office of any substantial project changes. If you have any questions, please contact me at the MHC. Thank you for your cooperation. Sincerely, t -7� 4. Elsa N. Fitzgerald Assistant Director Massachusetts Historical Commission C C NR Hio I NORTH ANDOVER f HISTORICAL COMMISSION February 26, 2001 Mr. e Geor c n George S brae der Chairman Historical District Commission Town Hall North Andover, MA 01845 Dear Mr. Schruender: At our February 26, 2001 meeting the members of the North Andover Historical Commission voted unanimously to. support the North Andover Historical Society plan to relocate the Bridges/Stevens/Leland house to the Court Street side of the Parson Barnard property. We believe that this house will be a contributing structure within the Old Center Historic District. Sincerely yours, Anne Ericson, Secretary MEMBERS: Kathy Szyska (Chairman), Pat Long(Treasurer), Anne Ericson(Secretary),Linda Tremblay, Barbara Somers, Carol Majahad (Associate Member) cc: Selectmen North Andover Historical Society Post Office Box 454, North Andover, MA 01845 • NORTH ANDOVER OLDE CENTER HISTORIC DISTRICT COMMISSION Certificate or A.ppropriateriess This certificate of Appropriateness is issued this 15TH day of March 2001 to NORTH ANDOVER HISTORICAL SOCIETY for the land located at the corner of Court Street and.Academy Road in accordance with Chapter 40C of the General Laws of the Commonwealth of Massachusetts as amended and the by- laws of the North Andover Olde Center Historical District Commission. This will allow the Bridges/Leland home to be moved t this site. Y . George H. Schruender, Jr. Chairman Martha Larson Leslie Hopkins Harry Aznoian Patricia Long -'-� Patricia Hayward Kathleen Szyska Gf l T H E E A R L Y F A R .M I N G C O M M U N I T Y W source had shifted from the sober buildings of Renaissance Italy to the more graceful villas of the late Roman period,as reconstructed,and interpreted by European architects of the neoclassical school. The Federal style, as it came to be known in America, flourished between the 178os and the 1836s. In terms of overall house forms, it effected some noteworthy changes from traditional Georgian practice, specifi- cally in its preference for plans of single-room depth; for low, flipped roofs in place of steep gables; for the inclusion of a low.third story in fashionable houses; and for chimney stacks located not in the center of the house but in end walls built of brick. Interiors also reflected the change, in plastered fireplace walls that set off tall and delicately scaled mantelpieces;in wainscoting and doors whose panels were sunken rather than raised; and in an overall fineness of detail that stood in marked contrast to the robustness of Georgian work. All of these innovations, however,represented not so much a break between fundamentally different styles as a transi- tion from an earlier to a later phase of a single,classical style. The Georgian and the Federal, though they might vary in detail, shared the solid foundation of classical principles. VR NT gFj��jQPrS The Buildings of the Early Farmin Communit in North Andover NovS� J 8 .y' . A fro➢ iN-1.ANp TaaN_ F I R S T P E R I O D ,5?lr Py/�A1 T (l o pok Elements, at least, of no fewer than twenty-one First Period houses have been identified in North Andover, and 2 00 1 there are almost certainly other houses or fragments that have not yet been discovered. While two or three of Pv$Lt 3 MED sY the known houses and several of the surviving fragments probably date from the late seventeenth century, the N. At9oV ' 1057r� SaG great majority of the standing houses were built in the first three decades of the eighteenth. One extant house )S BN 0-97or i$Z-a-7 appears to have been erected in the 173os, and another perhaps as late as the mid-1740s. A few of the later houses are transitional in style between the First Period and the Georgian; each of these is counted among the examples of the earlier style because it possesses an exposed and decorated frame, that feature being the most critical hallmark of First Period work.$ Three hundred years' worth of alterations, additions, and harsh New England weather have had their effect on North Andover's oldest surviving houses. The original forms of most of the known First Period dwellings have been at least partially concealed, and virtually all First Period exterior detail has been removed or covered over. Only two houses still show cleat exterior indications of their First Period character: the elabo- rately pilastered chimney stack of the Parson Barnard House at 179 Osgood Street (see figure i-zi) and the steeply raked western gable of the James Bridges, Sr., House (the ell at 11 Marbleridge Road; see figure 1-13) boldly proclaim the antiquity of the buildings beneath them. While the forms of some of the other survivors 11 A G O O D I N - L A N D T O W N may similarly hint at early dates, it is only through a close examination of their interiors (with particular atten- tion paid to the details of their frames) that the First Period character of these houses can be solidly established. Inside the First Period houses of Massachusetts, carpenters used four different types of ornamental carv- ing to embellish the edges of exposed framing timbers; examples of three of these have been found in North Andover.9 The plain or flat chamfer (a simple bevel that cuts off the edge of a timber at a forty-five-degree angle) was the most common type, appearing on timbers of all kinds and sizes throughout the First Period. When used on a timber of secondary importance, the plain chamfer was normally terminated by a simple taper stop (figure 1-8); on more significant elements such as summer beams (the most important timbers,visually, in a dwelling's interior; see figure 1-6), the chamfer would often be stopped by a carved lamb's-tongue, sometimes . followed by an incised diamond (figure i-9). Plain chamfers have been found on summer beams in seven North Andover houses,with examples of all three kinds of stops represented among them. More ornate and more unusual than the plain chamfer were two types of molded chamfers, only one of which has been discovered in North Andover. Because carved quarter-round and cyma (or reverse-curved) chamfers were more expensive to produce than their flat-surfaced counterparts, they were generally restricted to the summer beams of the finest houses of the seventeenth century. Surviving examples of the cyma chamfer are exceedingly rare; they exist in only a handful of Massachusetts houses, none of them located in North Andover. Quarter-round chamfers are more numerous, with four examples known in this town. Three of these appear on -{ reused summer beams whose dates and origins are unknown."The fourth set of quarter-round chamfers (figure 1-Io) is found on the lower summer beam in the James Bridges, Sr.,House (see figure 1-13),a building that can be dated with.reasonable certainty to the period 1691-98. In the three North Andover instances in which a chamfer stop is still visible, the quarter-round is handsomely stopped by a three-part termination consisting of a flat band, a lamb's-tongue,and a diamond. Late in the seventeenth century, some carpenters began to use a fourth type of carved ornament, a quirked bead (figure i-11), in place of a chamfer. This was formed by rounding the edge of the timber and then accenting the curve with two small grooves,or quirks,that defined its ends on the side and bottom of the beam. The form is quite similar to the molded edge of the casing boards introduced around this time to cover the framing timbers in Georgian houses. Five North Parish houses whose summers carry such quirked beads can be at least tentatively dated: all were built in the I710s or 1720s. It has been possible to identify, with some degree of confidence, the original plans and forms of fourteen of North Andover's surviving First Period houses. Included among these are examples of each Of the major plan types commonly found in First Period Massachusetts. Four of the fourteen houses appear originally to have been built on the one-room, end-chimney plan; three of these seem always to have stood a full two stories high, while the fourth may initially have had only a single story. Six others of the fourteen houses were first erected I2 T H E E A R L Y FARMING . COMMUNITY ' 1-8.First Period flat chamfer with taper stop,on western x-9.First Period flat chamfer with lamb's-tongue and dia- end girt of house formerly at 428 Dale Street.Photo by mond stop:summer beam in the first-floor western room Gayton Osgood of the Frie-Carlton House, 140 Mill Road. r-io.First Period quarter-round chamfei with a flat i-xi.First Period quirked bead:summer beam in the band,lamb's-tongue,and diamond stop.On a summer first-floor eastern room of the Abiel Stevens House,28o beam reused in the center of the Captain Peter Osgood Salem Street. House,440 Osgood Street. on a two-room, central-chimney plan. In five of these six, the rooms on either side of the central chimney stack are of roughly equal size; in the sixth, however, the western rooms are only two thirds as wide as the eastern ones. All six of these central-chimney houses seem to have stood two stories high from the start. A pair of North Parish dwellings are thought to have been built on end-chimney, integral-lean-to plans, while another was laid out on a central-chimney plan; also with an integral lean-to. The final example among North �3 A G OO D I N - L A N D T O W N Andover's standing First Period houses is an upright central-chimney dwelling, two stories high and two rooms deep. The small size of the one-room, end-chimney-plan house meant that it could be built both quickly and cheaply, guaranteeing the form's popularity in newly settled areas and among less-than-wealthy families. At the same time, that small size imposed certain constraints on the occupants of such houses: a dwelling of this type offered only two rooms and a garret, into which must be squeezed all of the indoor activities of a family that might grow to rather large proportions: Moreover, in the seventeenth and eighteenth centuries, only one room—the first-floor "hall"—would be continuously heated during the winter months: a fire would be lit in the second-floor chamber only on special occasions,and most garrets had no fireplace to light." Almost all the activities of seventeenth-century daily life took place in the hall: cooking, eating, work-.. ing, entertaining, and even sleeping (the inventory taken at the death of Andover's John Stevens in 1662 listed two beds located in this room)."In milder weather some work could be done outside, and spinning and weav- ing might be undertaken in the garret or the second-floor chamber, but in winter all of these were forced into the hall. The room on the second floor, generally called the chamber, was the main sleeping area and was often furnished with multiple bedsteads, with several family members' normally sharing each bed. The chamber was ' also the usual storage place for the household's supply of grain and nonperishable foods. In April 1662, for - example, John Stevens's chamber.held twenty bushels of wheat, ten bushels of Indian corn, two flitches of bacon, and quantities of flax and yarns, in addition to the "bedding.1,13 The seventeenth-century garret, mean- while, appears to have been used less for storage than as a workspace and sleeping quarters for.the hardier members of the household. Although no untouched example Of this house type still stands in North Andover,it requires only a little imagination to combine the forms and qualities of two existing houses to capture a sense of an original whole. The Towne-Long House at 4o2 Boxford Street (figure 1-12; see also figure 1-3), traditionally dated 171.7 but more probably built in the 1740s, preserves much of the overall form of a typical one-room-plan house, though its end chimney stack has been removed, and none of its present exterior finish is original.�4 Remembering only the general form of the Boxford Street house, look now at the western end of the James Bridges,Sr., House (figure 1-13),probably built in the 16gos. Here the flavor of the First Period is strongly evi- dent in the steeply pitched roof, the intact end chimney, and the low-pitched end lean-to with its single tiny window poked through to the garret above. Integrate the overall form of the Towne-Long House with the details of the Bridges House and you will begin to forge an image of the type of building that many of Andover's early settlers called home. �4 T Ii E E A R L Y F A R M I N G. C O M M U' N I T Y J1 5 rpt kl; � dui 7;"a.J. w,r Y1[.l t'•�i1 __ 1-12.Towne-Long House,402 Boxford Street.Photo by Gayton Osgood r-13.James Bridges,Sr.,House,the ell at ii Marbleridge Road.Photo by Gayton Osgood Of the four known examples of the First Period one-room-plan house surviving in North Andover, the James Bridges, Sr., House is of particular interest. Not only does it retain much of its First Period form and detail, but it is also the only remaining North Parish house for which there is solid physical and documentary evidence for a seventeenth-century construction date. James Bridges, Sr., was brought to Andover as a boy in the i670 when his father,Sergeant John Bridges, took a local widow as his second wife. In March 1[691, as the younger Bridges was approaching his majority, he purchased from the town proprietors a two-acre lot near the' southern end of Lake Cochichewick. This parcel, just south of the home lot of Richard Barker,Jr. (the present site Of 326 Great Pond Road), is the only land that James Bridges is known to have owned at the time of his marriage to Sarah Marstone,in May 1692. It seems likely that Bridges would have had a house erected on that lot in time to receive his bride (a supposition bolstered by the evidence of a major jump in the young black- smith's taxes between 1691.and 1692). In any event,the Bridges House was standing by March 1[698,when the .town granted its owner liberty to exchange a piece of land purchased earlier for an acre and a half lying "on the north side of his house."" The surviving or fabric of the Bridges House is in perfect accord with a 16gos construction date. Besides the steeply pitched roof and the quarter-round summer-beam chamfers described above, the house has 15 A G O O D I N - L A N D T O W N at least one other feature not commonly found in houses built after 11700: shadow-molded interior sheathing. Perhaps a third of the original molded sheathing boards remain in place on the chamber's fireplace wall, their delicate creased moldings providing a strong, repetitive pattern across the remaining original surface. Additional fragments of the same molded sheathing are scattered throughout the house, which boasts the only known examples in North Andover of this quintessentially seventeenth-century interior finish.1,6 A house of one-room plan may have been all that a young couple such as James and Sarah Bridges could afford, but houses of larger form were available for those with greater resources. The most common of these was the "hall-and-parlor" house, laid out on a two-room, central-chimney plan (see figure 11-4), rather like a pair of one-room houses butted together to share a common entry and chimney stack. Most often, the rooms on one side of the house would be slightly longer than those on the other; the resultant off-center chim- ney stack and doorway create a visual imbalance that distinguishes these First Period houses from their nor= mally symmetrical Georgian descendants. The two-room-plan house allowed a family to separate some of the diverse functions that would other- . wise have to be packed into the hall, chamber, and garret of a smaller dwelling. The major difference was downstairs,where the parents' bed could be moved out of the cluttered hall and into a more formal downstairs room, the parlor. The family's best furniture would likewise be moved into the parlor, and here company ` would be entertained, while the hall remained the common cooking, eating, and working area for day-to-day living. Upstairs; the second chamber and the enlarged garret doubled the space available for working, sleeping, and storage. Six of these two-room, central-chimney houses of First Period date have been identified in the North Parish to date. Five of them have been considerably altered on the exterior, but the sixth—the Abiel Stevens House, at 28o Salem Street—has preserved most of its original form and detail intact (figure 11-114). The Stevens House is known to have been standing in 117119 and was probably built in the preceding year. The lean- to across most of its rear has been documented as an addition of i79i, while the front-entry porch was likely added in 11795; aside from these late-eighteenth-century accretions, the exterior form of the house is almost entirely original." Stylistically; the Stevens House is transitional between the First Period and the Georgian. Exposed, quirk-beaded summer beams are still visible in both downstairs front rooms, but the fireplace wall of the east- ern room bears early Georgian paneling that is probably original. Feather-edged wall sheathing had superseded shadow-molded sheathing by around 11700, with feather-edged rail-and-stile paneling's following shortly there- after. The fireplace wall in Abiel Stevens's eastern room (figure 11-115) combines areas of full-blown paneling with one section that is clearly transitional: the tall "semipanel" to the left of the.fireplace is feather-edged on its sides and top, but its bevel-edged sides run straight to the floor without being stopped by.a bottom rail. 116 A G O O D I N - L A N D T O W N • '=�. � b Y yk a:�` �` a'f "`# N tifi :d E+.t...r � ahs - � y9'. "�.� '� `�+� 'a�.+i �n "�'p'SE`".�Y � �;:.+t7.��< 4.1 Nm ARM a.0 f'� i f � t, • �_> � ;Fa"'; *'� �'^; � �` ,�;l' ° k. v r `� '3' Gam'° s ; w^p (, t )• #'`�" �, x:z �' r d� , ^Y;•-.`,A.�� e5 .�,. ��d'*t t ,,f. y��: :.} Y a �,R,fit•• �r����+ q �ds„�w"�'`�� .,r"� �` XT wwviil v' z, v. i-i9.Deacon John Osgood House,547 Osgood Street.Photo by Gayton Osgood 1720. Sometime during the Federal period, the house seems to have lost its First Period chimney stack and gained a central hallway;finally, early in the twentieth century,the entire structure was turned ninety degrees to the west to achieve its present orientation toward Osgood Street." The Osgood House is structurally notable for being one of only three First Period North Andover houses framed with transverse ground-story summer beams (i.e., beams running from front to back instead of from end wall to chimney) and story posts (intermediate posts between the end and chimney posts in the front and rear walls; see figure 1-6 for both features). Employed in both the original Osgood half-house and its early southern addition, this distinctive framing system is seen within Massachusetts primarily in Essex County, most especially in Salem, and is thought to reflect the persistence of a tradition brought to that town by west-of-England car- penters in the seventeenth century. In North Andover, the only other houses that exhibit this unusual framing 20 T H E E A R L Y F A R M I N G C O M M U N I T Y system are the Parson Barnard House (179 Osgood Street; fig- ure 1-zo) and the James Bridges,Jr., House (the front section of 11 Marbleridge Road; figure 1-13). The similarities in the fram- ingof the Osgood and Barnard houses, in particular, are close enough to suggest that a single carpenter erected both.14 Although most of the earliest finish of the Osgood House has been.removed or covered over, there are signs that the house ' K ?_ once possessed some interesting interior details. Evidence pre- served under the attic floor, for instance, indicates that the present lath-and-plaster ceiling in the chamber of the circa 17o8 half-'house is original. Plastered ceilings, suspended from the C tS ffi� i pad.. bottom of the joists but revealing the lower half of the summer _ beam, were first used in the more pretentious houses of the late seventeenth century; the ceiling in the northern chamber of the Osgood House is the oldest example known in North Andover. The attic floorboards also reveal that neither the upper entry of the original half-house nor the added southern chamber initially z-2.o.Parson Barnard House, 179 Osgood Street.Photo by Gayton Osgood had a plaster ceiling: the joists and the undersides of the floor- boards were left exposed. But while the joists and floorboards over the upper entry show only the expected lay- ers of whitewash, the vertical faces of at least .two joists in the southern chamber (located in the northwestern corner of the room) clearly display an original layer of dark-red paint. Curiously, this color is not found on any of the other joists lying north of the summer beam (those south of the summer could not be examined), and it appears on the floorboards and on the summer beam itself only in the form of careless excess from the paint applied to those first two joists. Although it has become evident in recent'years that the decorative painting of structural members was an accepted practice during the First Period, the pattern (or lack of one) in Deacon Osgood's chamber must be considered anomalous.�5 Deacon John Osgood prospered in eighteenth-century North Andover, and he and his family enjoyed conveniences and luxuries not often found in the homes of their 'neighbors. By 1746, for instance, the Osgoods' kitchen was equipped with a "pumpt" for water—one of the earliest known examples of an indoor water-supply system in New England. At the time of the deacon's death, in 1766, his best bed was furnished with an expensive silk bed quilt; a valuable clock and a variety of silver vessels and spoons were listed among his possessions; and his library boasted more than thirty bound volumes. Also listed in the 1766 probate 2I T H E E A R L Y F A R M I N G C O M M U N I T Y conclusive,suggest that this house was built for Nathan Towne,Jr., zo. NAHSAF,14z Berry Street,Title Notes.There are two other sometime between 1744 and 1749;there is strong structural evi- three-quarter-houses in North Andover,both much later in date: dente that the house was originally just one story high.The unusu- the A.G.Rea House(710 Chestnut Street),probably built in ally wide joist spacing(28.1)and the narrow width of the summer r8z8—z9;and the Jacob Chickering House(15 Court Street),built beam(9")in the original second-floor frame would accord with a between 1843 and 1850. 174os date.The fact that these overhead timbers were all left exposed,and the summer and girts were all smoothly adzed z1. NAHSAF,140 Mill Road,Charles Tucker research. (though the bottom z"-3" of the summer has since been hacked off,and no carving or chamfering is evident on any of the other zz. Cummings,Framed Houses,64-66. members),has led to the classification of this house as a very late example of the First Period style.(For more on this house,see pp. z3. NAHSAF,547 Osgood Street,Title Notes.For the late- 25—z6.) nineteenth-century development of this property into a gentleman's farm,see pages 197-98• 15. Andover Records,0407;NAHSAF,ii Marbleridge Road,Title Notes.For the ca.17z1 addition to this house,see pages 17—z8 z4. Cummings,Framed Houses, 105-6. of this chapter;for the nineteenth-century use of this property as a gentleman's farm,see pages 2.o9—ro. 25. For more on the use of interior paint in North Andover's First Period houses,see pages 23-24. 16. Another notable interior feature,though one less certainly seven- teenth-century in date,is the lower-room hearth.This is composed z6. South Essex Deeds(Essex County[South District]Registry of of square,hard-fired brick tiles decorated by rows of punched stars Deeds,Salem),book 1rz,page 171;Essex Probate(Essex County (more of these tiles can be found in the cellar). Registry of Probate,Salem),docket zozr8.Slaves were not com- mon in colonial Andover,but mention can be found of them in the 17. NAHSAF,z8o Salem Street,Title Notes.For more on the 1790s records of wealthy families such as the Osgoods,Bridgeses,and remodelings,see note 55 below. Phillipses.Even the ministers of the time sometimes owned them, including the North Parish's Reverend John Barnard. x8. Chambers lacking fireplaces were occasionally found in First Period dwellings;one other North Andover example is the eastern 27. Abbott Lowell Cummings,"The Parson Barnard House,"Old chamber of the Samuel Frye House(9zo Turnpike Street),which Time New England(hereafter OTNE)47,no. r (October— seems to have been without a fireplace until the mid—nineteenth November 1956):z9-4o;Horatio Rogers,"Early Owners of the century. Parson Barnard House and Their Times"(North Andover:North Andover Historical Society,1958).For the early-nineteenth- 19. Charlotte Helen Abbott,"Notes on Andover Families;The century development of this property as a gentleman's country Stevens Family,"mimeographed typescript,NAHS;Greven,Four seat,see pages 174-75• Generations,138n-139n.Although his uncle's bequest to Abiel did include the older man's dwelling,there are clear indications in the z8. Cummings,"Barnard House,"1z. Andover tax lists(as well as in the stylistic character of z8o Salem Street itself)that Abiel Stevens chose not to reside in his uncle's old z9. There is evidence for painted framing members in two other First house but rather to erect a new dwelling on the westerly end of Period houses in North Andover:a corner post in the downstairs Nathan's homestead. northwestern room of the Captain Timothy Johnson House(18 In another sidelight on the seventeenth-century Indian wars Stevens Street)and the plates and the second-floor girts of the and their impact in North Andover,Abiel Stevens was taken cap- Thomas Farnum,Jr.,House(338 Berry Street)all bear traces of tive by an Indian raiding party on March 5,1698.The Indians had an apparently original coat of red or brown paint. surprised Andover,killing five settlers and burning two houses and two barns before retreating into the woods with their captive. 30. NAHSAF,18 Stevens Street,Caroline Stevens Rogers research; Stevens,feigning lameness,fell behind the raiding party,and when S.Forbes Rockwell,Jr.,"The Ancestry of Catherine(Kate) "the Indians hastened,expecting to be pursued,he turned,ran, Johnson of North Andover,Massachusetts...,"mimeographed and made his escape,though fired upon by the Indian who took copy,NAHS. him"(Abiel Abbot,History of Andover from its Settlement to z829[Andover:Flagg&Gould,18291,43-44)• 31. See note 14 above. 41 T H E E A R L Y F A R M I N G C O M M U N I T Y t�.*rw 5�� s°� �; 'M11 tk tN�$S ,5 1-27.James Bridges,Jr., House, it Marbleridge ,.. Road,in the late nineteenth century.North Andover Historical Society Collection provided in the new western chamber, and the whole "fireplace" wall of this room was instead covered by an unbroken range of pilastered Georgian paneling (figure 1-25).33 Two-room-plan, central-chimney houses continued to be popular in North Andover well into the Georgian period, with surviving examples known to date from the 1720S through the 175os. Among the earlier Georgian houses of this type was the now-demolished Austen House (307 Clark Street; figure 1-26), probably constructed for either Samuel or John Austen in the 1720S or 173os, and the (still-extant) Enoch Frye House (built at 731 Chestnut Street but moved in 1987 to 43 Mill Road), traditionally dated 1734. An added lean-to has obscured the original form of the Frye House, but the two-room plan of the Austen House was quite clear when the photograph for figure 1-26 was taken. In its overall form and proportions, the Austen House might easily have been taken for a First Period building. The basically square shape of its chimney top, however, stood in marked contrast to the long and narrow chimney tops characteristic of the First Period (compare the Abiel Stevens House chimney top, figure 1-14); moreover, the framing timbers left exposed in the unfinished eastern chamber of the Austen House were merely rough-hewn and obviously intended to be hidden under casings.34 One of the most interesting transitional First Period/early Georgian houses in North Andover is the James Bridges, Jr., House at 1I Marbleridge Road (figure I-27). As noted above, the kitchen ell of this house 27 A G O O D I N - L A N D T O W N r comprises the one-room, end-chimney dwelling probably built for James Bridges, Sr., circa 16go. Some thirty years later, '� Bridges's twenty-seven-year-old son, James junior, secured his '1 # # father's blessing on his proposed marriage to Ellenor Moodey. In general, an only son would stand to inherit his father's home- stead and thus would not expect to be given a separate house and land of his own as a marriage settlement; instead, the son might hope to receive a half-interest in his father's house and x 4 land, on the understanding that he would eventually inherit the 41 , r rest. That is exactly what happened in the case of James Bridges,Jr.'s * ' Vl.+i The old, one-room-plan Bridges House was not large enough for two separate households to share comfortably. The solution in many similar cases involving fathers and sons was to r-z8.Fireplace wall,northern room,James Bridges,Jr.,House.Photo by enlarge the existing house by adding a hall, chamber, and garret Gayton Osgood on the open side of the chimney stack, thus creating a full hall- and-parlor dwelling (as was done with the old Daniel Carleton, Sr., House, mentioned above). The Bridgeses, however,chose to take a different approach: they had a new central-chimney house built across the eastern end of the original dwelling. This addition was standing by November ii, 117z I, when James senior gave his son a deed of gift to "the East end of my house (that is to say) all my new house that standeth joyning to my now dwelling house and the one half of my homestead lands and outlands and one-half of my meadows. . . . "36 The same deed went on to stipulate that James junior would receive all the remainder of his father's estate that was not otherwise disposed of upon the death of the older man. Two months later, James junior married Ellenor Moodey and presumably moved into the new part of the house. The "new" Bridges House, a modified central-chimney "saltbox"37 in form,presents an intriguing blend of First Period and early Georgian features. Foremost among its First Period elements are the outstanding front entry and staircase. The exposed, beaded-edge studs in the entry, and the old-fashioned single-run-with-winders design of the staircase,are thoroughly First Period in character,while the open staircase balustrade with its four spindly balusters is a detail first seen in the finer houses.of the late First Period. In contrast, the boldly raised panels that enclose the space below the stairs are typical of early Georgian design. This intermingling of styles in the entry gives way in the two northern rooms to an original finish that is pure early Georgian. Each of the projecting timbers in these rooms has been cased;plastered ceilings have been hung from the joists;and the fire- place walls have been fitted with some of the most magnificent early Georgian paneling to be found in Essex County (figure 1-2-8). 28 T H E E A R L Y F A R M I N G C O M M U N I T Y a 5 4 w i -O _ L F i-ig.Joseph Parker,Jr.,House,33o Andover Street.Photo by 1-30.Captain Peter Osgood House,44o Osgood Street.Photo by Gayton Osgood Gayton Osgood The quality of the original finish of the circa 17z1 Bridges House is an accurate reflection of the wealth and prestige of this early Andover family. A blacksmith by training,James Bridges, Sr., eventually became a very successful "maltster" (a maker of malt for brewing or distilling). It was this James Bridges, presumably, who twice represented Andover (in 17zz and 1724) in the Massachusetts General Court and whom Sarah Loring Bailey (in her Historical Sketches of Andover, 188o) described as a "man of great influence and considerable wealth, the owner of several slaves." The wealth, the slaves, and the North Parish homestead (including the malt house,part of which may yet stand)were all handed down to James Bridges,Jr.38 Two-room-deep upright houses became increasingly popular during the Georgian period, with earlier and/or more conservatively designed examples' tending to follow a traditional central-chimney layout (as in fig- ure 1-5). The house built for Joseph Parker,Jr., at 33o Andover Street sometime between 1726 and 1736 (figure 1-2-9) is a good early example of the central-chimney, upright type, and one that contains some interesting inte- rior finish. In the downstairs front rooms of the Parker House, the summer beams project below the level of the plastered ceiling, as in a late First Period house; but instead of being exposed and chamfered, these summers have been cased on their sides and paneled on their bottoms. This suggests that the Parker House joiner had not fully mastered the Georgian approach to interior finish: while he clearly understood that casing and panel- ing were now primary techniques for interior elaboration, he seems not to have grasped the fact that in the ' . �9 A G O O D I N - L A N D T O W N 3z. 1798 Massachusetts Direct Tax,roll 5,frames 295,388,434, Street from the present,two-room-deep building.A close examina- microfilmed copy at New England Historic Genealogical Society, tion of the standing gambrel-roofed structure has revealed no evi- . Boston. dente for a construction date prior to the 1730s. 33• NAHSAF,2 5 Farnum Street,Title Notes.For other early houses 43. Captain James Frye III is known to have been granted an inn- lacking chamber fireplaces,see pages 17 and z6 and note 18 holder's license in 1745(Bailey,Historical Sketches,74 above. Presumably Frye's inn would have been kept in the gambrel- roofed house at 169 Chestnut Street.Whether such a use of the 34• NAHSAF 307 Clark Street,Title Notes;Jennie Wight Howes, building was intended from the start(perhaps influencing the "Some Colonial Homes of North Andover,"Stevens Memorial choice of the central-hallway plan and the high level of finish) Library,North Andover(Ms.Howes's essay has been found to remains an interesting question. contain some errors and should be used with caution). 44• John L.Taylor,A Memoir of His Honor,Samuel Phillips LL.D. 35. NAHSAF,r1 Marbleridge Road,Title Notes.For the First Period (Boston:Congregational Board of Publication,1856),11. James Bridges,Sr.,House,see pages 14-15 and notes 15 and 16 above;for the nineteenth-century use of this property as a gentle- 45. An interesting technical feature of the Phillips House is its evidence man's farm,see pages 209-10. of early insulation:brick nogging has been found in the first-floor walls of the house,and birch-bark filling has been discovered in its 36. South Essex Deeds,42:89. upper-story walls.While the use of brick nogging for insulation was relatively common during the colonial period,evidence for the 37. The sixth bay on the southern end of the house is an eighteenth- use of birch bark for this purpose is much less widely known. century addition;the bay windows and the front entry porch are For the nineteenth-century use of this property as a gentle- still-later additions. man's summer residence,seepage 189. 38. Bailey,Historical Sketches,40,110,137.NAHSAF,i1 46. NAHS,397 Farnum Street,"The Farnum Homestead"(copy of a Marbleridge Road,Title Notes.For more on the malt house,see 1917 typescript by Ida Farnum);Bailey,Historical Sketches,chap- page 21o. ter 5. 39• NAHSAF,3 3 o Andover Street,Title Notes. 47• NAHSAF,397 Farnum Street,Title Notes,and"Farnum Homestead."For Captain Benjamin Farnum's involvement in the 40. Another central-hallway house that perhaps belongs on this list is sawmill that still bears the family name,see page 97. the Ingalls-Rea House At 44 Rea Street.This house bears a tradi- tional date of 1739 and is reported to contain unusual paneling. 48. NAHSAF,9z2 Dale Street,Title Notes.The earliest surviving barn Neither assertion has been confirmed. on the Barker-Jenkins place is shown in figure z-z9 and briefly dis- cussed on pages 75-76. 41. NAHSAF,440 Osgood Street,copy of National Register of Historic Places nomination by Martha Larson.This house has tra- 49. NAHSAF,814 Osgood Street,Title Notes. ditionally been known as the Samuel Osgood Birthplace,for the son of Captain Peter Osgood who eventually became postmaster 50. Ira Osgood,comp.,A Genealogy of the Descendants of John, general of the United States(after leaving Andover and settling in Christopher,and William Osgood...(Salem,Mass.:1894),39• New York).For the nineteenth-century use of this property as a gentleman's farm,see page zo8. 51. South Essex Deeds,149:28;Bailey,Historical Sketches,331- 42. Bailey,Historical Sketches,323.See also ibid.,z38,253,35o,and 5z. NAHSAF,844 Salem Street,"Page-Fuller Farm,Salem Street, NAHSAF,169 Chestnut Street,Title Notes.Earlier authors(e.g., North Andover,Massachusetts"(1975 typescript by Eleanor B. Howes,"Colonial Homes")have incorrectly reported that the pre- Conary). sent house at 169 Chestnut Street was built for either John Frye or Captain James Frye,Sr.,in either 1690 or 1700.That earlier Frye 53. South Essex Deeds,150:179,155:z14.Abijah Fuller is known House,however,is,clearly identified in Captain James Frye senior's to have designed the Samuel Abbot House,47 Central Street, 1734 probate case(Essex Probate,1oz96)as a one-room-deep Andover,begun in 1790 and completed in 1795(Brock Jobe, dwelling located on the opposite(i.e.,easterly)side of Chestnut "The Samuel Abbot House of Andover,Massachusetts,"typescript 42 a . A G O O D I N - L A N D T O W N Douglas's campaign for the presidency in 186o. If Douglas had defeated Lincoln, the speculation was that Oliver Stevens would have been the next United States attorney general. When Douglas lost, Stevens was forced to lower �I qV hisolitical sights: appointed Suffolk Count district P g PP Y attorney in 1874, the North Andover native was content to hold that position for the remainer of his active politi- cal life."' When Oliver Stevens acquired his North Parish farm in 1864, he had no intention of abandoning either his chosen profession or his Boston residence. Marble Ridge Farm thenceforth would be occupied by the Stevens 4-32.Marble Ridge Farm main barn(on right)with malt house/carriage-house family only during the summers, with its day-to-day oper- wing,at i z Marbleridge Road.Photo by Matthew Palmer ation's being supervised by a hired foreman. Working through this foreman, Stevens gradually expanded the small-scale general farm of his father's time into a large-scale commercial dairy.The modest complement of four or five milk cows kept by Isaac Stevens had given way by 188o to a herd of twenty or more milkers, a dozen heifers, and a Ayrshire bull. A delivery route was established through North Andover and Lawrence, and one of the hired men drove a milk wagon along it each morning before dawn. In addition to the cattle, Oliver Stevens's livestock included a half dozen horses, a few pigs and sheep,a small flock of hens,and, at least in 18.70, a pair of stags."' The only outbuildings standing on the Oliver Stevens property in 1864 were a large end-opening hay-and-stock barn, erected in the 1850s for Stevens's father, and-a structure known as the malt house, appar- ently constructed for James Bridges, Jr., perhaps as early as the late seventeenth century. Both of these early outbuildings were enlarged and remodeled for Oliver Stevens, and both are still standing today. The original barn survives as the eastern three quarters of the present large barn; the malt house is now the carriage-house wing attached to the barn's southern side (figure 4-3z). The malt house was evidently moved to its present site and remodeled in 1869 or 1870; the big end-opening barn was likely enlarged (by the addition of two more bays on the west end) at about the same time. This may also have been when these two buildings were first clapboarded;.the malt house, it is clear, had earlier been covered with shingles, while the barn may originally have stood with its vertical sheathing boards exposed. Neither covering was particularly elegant, and Oliver Stevens may have decided that only clapboards would be appropriate for a gentleman's farm. The handsome cupola atop the large barn most likely reflects the gentleman-farmer's taste as well, and probably dates from this same period of remodelings.113 y 2T0 i T H E C O U N T R Y S E A T S mately to gain from the experiments of the wealthy hobbyists (as when the North Parish farmers began breeding their cattle to William A. Russell's imported bulls), there was an underlying resentment on the part of the yeomen toward those who could afford to "play" at agriculture. Some of this animosity may be glimpsed in the reports presented by Visiting Committees i and z of the local Farmers' and Mechanics' Club in 188o, printed in successive issues of the Lawrence American & Andover Advertiser. Visiting Committee i had toured Meadowbrook Farm, where the committee members had seen and been impressed by the farm's "Cooley creamer," a newly perfected machine that separated the skim milk from the cream. In his published report, the chairman of Visiting Committee 1 suggested that "it might be well for those who make butter and have no convenient place to set their milk, to visit Mr. Russell's place, and see the operation of the creamer." This appar- ently well meant advice seems to have occasioned the following pointed comment from the chairman of Visiting Committee z, in his evaluation of the old-line yeoman's farm of J. C. Rea: "[The members of this] committee consider it hardly possible to produce a better article of butter than they saw here made in the old-fashioned way by setting in common pans in a good, clean milk cellar, with no patent creamers or patent perfected butter cellar." Eventually mechanical cream separators would become standard equipment in every serious butter- making operation, but in z88o only "fancy farmers" could afford to experiment with these new-fangled gadgets, and it can be assumed that many an envious yeoman hoped the expensive devices would prove useless.98 Two of North Andover's best-preserved gentlemen's farms (in terms of their buildings if not of their actively farmed acreage) are those that belonged to Oliver Stevens and General William J. Dale. Both Marble Ridge Farm and the Homestead (as Stevens and Dale called their respective properties) were converted from yeomen's to gentlemen's farms in the 186os. Neither was considered a model or scientific operation: Marble Ridge Farm was developed into a combined commercial dairy and gentleman's summer retreat, while the Homestead became primarily a gentleman's country seat, with a small herd of choice cattle and a fine stud of horses. Remarkably, not only the dwellings but the barns, the stables, and most of the other outbuildings belonging to these two late-nineteenth-century gentlemen's farms still survive.99 Marble Ridge Farm, the longtime summer residence of Oliver Stevens, had originally been the old Bridges homestead (see figures 1-13 and 1-z'7 for the Bridges House) and comprised some two hundred acres of land near the southern end of the lake. Oliver Stevens's father, Isaac, had been raised by the Bridges family on this venerable farmstead. In 18zz Isaac purchased the Bridges property,which he ran as a general farm until his death, in 186z. Two years later Oliver Stevens bought out the other heirs' interests and converted the property for use as his own summer residence." Oliver Stevens, born on the family farm in 18z5, was destined to be more than a North Parish yeoman. After graduating from Harvard Law School in 1850, Stevens settled in Boston and began a rise to political Y prominence. A member of the Boston Common Council in the 185os, he was the eastern manager of Stephen A. -- I T H E C O U N T R Y S E A T S Oliver Stevens also added new farm buildings to the Marble Ridge Farm complex. A small henhouse/ granary, a two-story icehouse/milk house, a second, smaller barn, and a side-hall cottage for the farm foreman (a54 Great Pond Road) were all erected by 1880. Somewhat later a windmill and a tank house were added, but these two structures, along with the henhouse/granary, have since disappeared. The other farm buildings still stand, and the group as a whole preserves a little-altered image of a late-nineteenth-century gentleman's farm compound.114 A critical element in the Marble Ridge Farm building complex, of course, was the old Bridges House, a structure that was not neglected in Oliver Stevens's improvement campaign. A local correspondent for the Lawrence Daily American reported on September 16, 1874, that the Boston attorney was then "making great improvements on his house and farm. Between carpenters and painters his old family homestead will be one of the most attractive places in town." Stevens's improvements to the house included some minor rearrangement of interior partitions, plus the addition of three bay windows and a wraparound veranda (the last since removed but clearly visible in figure 1-27). These alterations transformed the stiff old farmhouse into the com- fortable summer residence of a well-to-do family, a role the Bridges House would continue to play into the twentieth century.`` General William Johnson Dale, Sr., like his neighbor Oliver Stevens, was a successful professional man with North Andover roots. Although born in Gloucester in 1815, this future surgeon general of Massachusetts was of North Andover stock on his mother's side and was sent here to begin his higher education at Franklin Academy. An eventual graduate of both Harvard College and Harvard Medical School, William J. Dale, Sr., played a leading part in the Union's medical services during the Civil War. By 1863 Dale had risen to the rank of brigadier general,.and he served as acting assistant surgeon general of the United States through most of the war. After the war General Dale returned to North Andover and purchased the worn-out farm of his grandfa- ther, Captain William Johnson, Sr. (158 Dale Street). Here, in the remaining forty years of his life, Dale created the "most thorough-looking" gentleman's farm of its day in North Andover.`6 At the time of General Dale's purchase, in 1866, the Captain William Johnson farm was in sorry condi- tion. The last owner to have actually occupied the place, William Johnson,Jr. (General Dale's uncle), had died in 1857. In the nine-year interval before the surgeon took control, the property had been leased to tenant farm- ers who had subjected it to "skinning"—stripping whatever value they could from the farm and putting back nothing in return. Beginning.in 1866, this damaging process was first halted, and then reversed, as General Dale and his son set out to restore both the buildings and the land. Their success may be judged from the fol- lowing comment, published in 1874: "Surgeon General Dale, who owns a real New England homestead, of " which, alas, there are now so few, is constantly making improvements, and has a really perfect place. The gen- eral is a gentleman of cultivated and exquisite taste, and his ancestral house and acres show it.,,107 J 2II T H E C O U N T R Y S E A 98.LA&AA,December 19,188o,and January z,1881.The chairman position,loaded with several hundred pounds of hay,by one horse of Visiting Committee r was J.D.W.French,the town's foremost or a pair of horses.A movable carriage,running along a track scientific farmer;the chairman of Visiting Committee z was Peter positioned just under the barn's ridge,allowed the loaded fork to Holt,Jr.,an eighth-generation North Parish yeoman.French had be rolled to any position along the building's axis,where the hay his own disagreements with some of North Andover's other could then be dropped.In a barn equipped with such a fork,vast gentlemen-farmers,as evidenced by his caustic comments on the amounts of hay could be quickly and easily transported to scaf- r88o farming operations of James H.Davis:"He[Davis]showed folds far higher than was reasonable when the hay had to be us a field,a part of which he sowed in the spring with fertilizer.We pitched by hand.Long,high barns were the result. fail to see wherein the term fertilizer would apply to what he used on the land";and"Undoubtedly Mr.Davis farms more for plea- 104.Ms.valuations,r86o–igoo. sure than for profit"(LA&AA,December 19,188o;J.H.Davis, son of George L.Davis and a partner in Davis&Furber,was then 105.Leland,"Marble Ridge Farm." living and"farming"on the former Isaac Osgood homestead,58o Osgood Street). io6.BDT,August 1,1879;LA&AA,October 7,19o3;NAHSAF,1158 Dale Street,Tide Notes. 99.A fascinating description of life on the Oliver Stevens farm in the 11870s(and of summer life in general in the area surrounding 107.LA&AA,April 1o,1874;NAHSAF,158 Dale Street,Title Notes; Lake Cochichewick)appears in a lengthy letter penned by one LA&AA,December 1z,1879. "Olympia"(probably a daughter of General Isaac I.Stevens)and published in the August r,1879,issue of the Boston Daily 11o8.LA&AA,April 24,1874,and December 12,1879.General Dale Transcript(hereafter BDT). owned four carriages in 1871(ms.valuations,1871),at a time when even one was considered a luxury.By 188o the surgeon's loo.Edmund F.Leland,"Marble Ridge Farm"(n.p.,n.d.;copy in household even included a full-time coachman(1880 Census,6: NAHSAF,111.Marbleridge Road).Oliver Stevens's father, 205-6). Isaac,was the nephew of Captain Nathaniel Stevens,the woolen manufacturer. 11o9.Ms.valuations,186o-19oo;LA&AA,May 15,1874.The older parts of this house are distinguished by several elaborate Federal 1o1.Leland,"Marble Ridge Farm,"and an unidentified biographical style cornices and some intriguing(if crudely executed)carved sketch(copy in NAHSAF,111 Marbleridge Road).Oliver's older decorations in the same style.The handsome Georgian-style front brother,Isaac I.Stevens,was an even more prominent political staircase,however,seems to have been brought here from some- figure,serving as the first territorial governor of the state of where else.The 186os service wing contains a fascinating pantry, Washington and,later,as Washington's U.S.Representative.A the faces of whose shelves,drawers,cupboards,and pie safe are major-general in the Union Army during the Civil Wa;Isaac I. completely covered with eye-catching painted graining.Another Stevens was killed at the Battle of Chantilly.His death may have of General Dale's modernizations,a two-story privy tower,con- been a blow to his brother's political career. structed in 1875 against the back end of the central hallway,was demolished in recent years. 11o2.Essex Probate,54183;LA&AA,May 1,1874,and December 26, r88o;BDT,August 1,1879;ms.valuations,1870-80.Private uo.Ms.valuations,1866-75. deer parks were occasionally found on nineteenth-century estates; it is not known if such a park was once created at Marble Ridge 111.BDT,August r, 11879;LA&AA,December 119,1879;and a photo- Farm,or if the two stags were simply kept penned.This is the graph now in the possession the Smith family,the most recent only known instance of deer's being privately kept in nineteenth- owners of the Homestead. century North Andover. 112.NAHSAF,158 Dale Street,Title Notes. 103.Ms.valuations,11850-19oo;NAHSAF, a Marbleridge Road, Title Notes;Leland,"Marble Ridge Farm";1798 Massachusetts 1113.Maurice B.Dorgan,Lawrence—Yesterday and Today(Lawrence, Direct Tax,5:259•The high-studded hay barns of the Victorian Mass.:Dick&Tumpold,1918),16o;Stevens,Nathaniel Stevens, era(such as that at Marble Ridge Farm)were made possible by 1174,2-19. the introduction in the mid–nineteenth century of the overhead mechanical horse-fork.This was a hinged iron fork,operating 11114.NAHSAF,1518 Great Pond Road,Title Notes. `t somewhat like a clamshell,that could be dropped from the ridge of a barn into a load of hay,and then raised back to its original J�/ NORTH - SS Town of , CMTROL rn 0 NO. E}I�S a k13E�a It}F� i� o� coc-C dower, Mass., Mrs 4940=1 RATED 1 H ` BOARD OF HEALTH Food/Kitchen PERMIT T D . Septic System BUILDING INSPECTOR THIS CERTIFIES THAT I- A seer.eke-w*~3.d T #. &-a Foundation has permission to erect... �.-. ch ........ buildings on .......... .z ................y! T..... �i� ?"'1 . '................... Rough to be occupied as............. (34,.G>*e - $'��u •�� 1, Chimney ( ..... .......... ........ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS CONTROL ELECTRICAL INSPECTOR ` +` i ITE e ION 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 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner C •S.1�:�.e, -ost8 Ss Street No. Smoke Det. SEE REVERSE SIDE R �,T { Town of North Andover cf �oRTN� �t�to a .`r• y Office of the Conservation Department a A Community Development and Services Division a o 4 y,a 27 Charles Street �9ScNus t'�y North Andover, Massachusetts 01845 Telephone Julie Pairing North (978 )688-9530 978 Conservation AdministratorFax ( )688-9542 June 18, 2003 Merrimack Engineering Services 66 Park Street Andover, MA 01810 Ate Stephen Stapinski RE: 125 Court Street, DEP 242-1064 Dear Mr. Stapinski: I am in receipt of your letter and as-built plans dated June 9, 2003 for the property located at 125 Court Street. Upon review of the plans, it has come to my attention that changes from the original approved plans have been conducted on the site. The largest change is the construction of a boulder wall to replace the approved versa-lock wall. The Commission had significant concerns over the stability of the slope behind the house. A versa-lock wall with the appropriate drainage was approved by this Commission. It appears the applicant has replaced this wall structure with a boulder wall. I question the capability and structural integrity of this alternative wall design to retain the upgradient slope and allow for proper drainage. Certification by an engineer that this wall has been properly designed to retain the slope and allow for adequate drainage must submitted. In addition, several small landscaping retaining wails have been constructed around the house. The project also permitted construction of a bituminous driveway and a one- story garage. Will this structure be constructed? The applicant must file for a modification with the North Andover Conservation Commission to address the identified changes. Upon review and approval of the modification by the Conservation Commission, the applicant may proceed with a Certificate of Compliance request at a separate hearing. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PL_AINNING 688-9535 If you have any questions, please feel free to contact me. j Sincerely, Julie arrino, Co ervation Administrator cc: NACC Heidi Griffin, Community Development Director Robert Nicetta, Building Inspector Robert Allegretto file February 15, 2002 Mr. Robert Buthmann P O Box 193 Seabrook,NH 03874 RE: 125 Court Street North Andover, MA Dear Mr. Buthmann: Enclosed please find a copy of the signed application for Certificate of Occupancy for the referred location.. The conservation sign off note indicates the following"Must comply with all conditions outlined in the Order of Conditions and slopes must be stabilized as soon as possible". I will be out of the office from February 2e and will return on Monday the 25h. Please give me a call, after this date, and we will attempt to put this project to"bed". Thanks for your cooperation. Yours truly, D. Robert Nicetta Building Commissioner CC: Heidi Griffin,Director CD&S Mr. Charles Salisbury 4� No 3221 1 Date......k .. ..d.... TOWN OF NORTH ANDOVER .......... 0 PERMIT FOR WIRING SS C14US This certifies that ..Aor e-f�.....z7—z, �S.............................. has permission to perform ...... ........................................... wiring in the building of.......AIC,14.......//..... .............. at.... ......S.1 ..... North AndAss. over-P ............/... '�Z—-, '. &�46d, Lic.No/..L/ Feev ...... ELECTRICAL'INSPECrOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer FRS : ANDOVER ELECTRIC FAX NO. Jul. 26 2007 12:50PM P1 Jf ANDOVER ELECTRIC SERVICES, INC. 206 Andover Street, #5 P.O. Boz 629 Andover, NIA 01810 E-Mail Address wireit edia net FAX TO: NAME: ,Tim NAME: Robert J. Branca FIRM. Wiring Department DATE, July 26,2001 RE: 125 Court Street FAX#: (978)475-1192 NUMBER OF PAGES: 2 (INCLUDING THIS COVER SHEET) IF YOU DO NOT RECEIVE ALL PAGES AS INDICATED, 1 PLEASE CALL US AS SOON AS POSSIBLE PHONE: (978)475-4995 SPECIAL INSTRUCTIONS: Jim: This permit is for the North Andover Historical Society's relocated house. Please advise if there is a permit fee. I am going to run part of the underground service conduit today and wo d like to have it inspected on Friday if possible. Thanks, FROM ANDOVER ELECTRIC FAX NO. Jul. 26 2007 12:51PM P2 ter. ;;;;�� Office Use Only g, s1� V4E ToMmI sUq ", If 1;z1r*e#ts Permit No. r 13gMt U1 of Public 6 ddu Occupancy a fee Chocked_. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 11:00 3M peeve blank) APPLICATION .FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code. 527 CMR 12:00., (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Data 7/26/01 City or Town of North Andover To the Inspector of Wires: The uderslgned applies for s permit to perform the electrical work described below. Location (Street A Number) 125 Court Street Owner.or Tenant North Andover Historical Society owners Address 153 Academy Road Is this permit in conjunction w"a building permit: Yes ® No ❑ (Check Appropriate Box) Purpose of Building residence 021-658 Utility Authorization No. Existing Service Amps_. - I Volts Overhead ❑ Undgrnd ❑ No. of Meters New service 20 0 Amps 1201. 230 volts Overhead ❑ Undgmd ® No. of Meters ' Number of Feeders and Ampacity 3-3/0 - 200A Location and Nature of Proposed PJectrical work Furnish and install wiring for relocated historical home.' NO.of Lighting outlets Tr 2 2 No.of Hot Tuba No.of anafoMlers Taml !NA No.of Lighting t=ortures Swimming Pool Above In- _ rad- ❑grad - ❑ Generators KVA No.of Emergency Lighting No.of Receptacle Outlets 92 No.of Oil Burners Battery Units No.of Switch Outlets 12 No.of Gas Burners FIRE ALARMS N0.of Zone* No.of Ranges No.or Air Condi Taal No.of Detection and tons Initiating Devices 10 No.of Disposals No.of Hoai Total Tbtal Pumps Tons KW No.01 Sounding Devices No.of Self Contain6d No.of Dishwashers Space/Ares Heating KW Detection/Sounding Devices No.of Dryers Heating Devices KW Local ❑ Municipal ❑Other Connection No.of No. of LOW Voltage No.of Water Heater* KW Signs Ballasts Wiring No. Hydro Massage Tubs No.of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I hew a current Liability Insurance Policy Including Completed Operations Cove ge or Its substantial equivalent YES D NO p 1 have submitted valid proof of same to the Office.YES ❑ NO ❑ N you.7 checked YES.please indicate the type of awerags by Checking the appropriate box. INSURANCE Ah BOND O OTHER Q (Please Specify) _ Estimated Value of Eloetrioal Work S 12, 100.00 (Expiration onto) Work to Start Inspection Date Requested: Rough Will call Cinal l Signed under the Penalties of pe ury: ; FIRM NAME Andoverlectric Services, uc No 14302A 1 Licensee RO erBranca sipna:ure LIC.NO- 206 _ 206 Andover Street, -Andove 01810 Sus.Tei.No. \\ Address Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have trio insurance coverage or no substantial equivalent as re- quired by Massachusetts General Laws.and that my signature on this permit application waives this requirement. Owner Agent (Please check ons) PIS. Advise Telephone No. PERMIT FEE S Minnanra nl rlamar nr Ynantl is MAP A`D to 2t „� Town of NORTH ANDOVER PARCEL 0, �w �3c-s'C.i7t7L BUILDING PERMIT INSPECTION REPORT PERMIT NO.: PROJECT: INSPECTION DATE: UNIT NO.: FLOOR: WING: BUILDING NO.: REMARKS: 5�/c/ (�i�+—►`►`�'C_. �'G/��:cc��►'ca `j 2�� SC..� V�l,h-c-c-y wl 10, �e-4� �� 761 l.t�CJL � J�2 • (���e� 'Fou.�r�y,� �►�� P,emSFe� , P�����r-�. i�rzr4-Y;�s 1�*.'� Tz- r---i)AD , ? i ar �(�-cam' �✓LLs ���.�-c.�w�-�.-��'• II a OCT-25-2001 06 ; 21 PM BIRDINC 9783882590 P. 01 y � bwbaomW Rah►DepdopmW Boar 193 Seakwk NH6 874 97&S"& Fo�838�IS9i9 Al 4� 15; ^ . t OCT-25-2001 06:21 PM BIRDINC 9783882590 P, 02 1 � , a��tursaL P.O. Box 849 • Newburyport. MA 01950 Tel. 978-465-8340 • Fax 978-462-1149 i t i Robert Buthmann October 12, 2001 P.O. Box 193 Seabrook, NH 03874 Dear Mr. Buthmann; I I This letter concerns tF�e Historical Society House which was moved from 11 Marbleridge Road to 125 Court St. in North Andover MA. The foundations have been in place for some time, and the house has been satisfactorily' placed on these new foundation walls. I inspected the project: today and found that all interior beams. columns, and interior foundations, have been installed properly In the basement area, �-n addition, the exterior walls of the house have now all beer' supported and anchored to the concrete exterior foundation walls. The house is therefore now structurally supported by the new foundations, and is ready for occupancy in order to begin interior renovations. i Sincerely, I �G7s �ttG�i�i T. ��j�jYvt Qu.ta.�ci Raymond F. Fitzm�aurice, P.E. i i Bob Nigetta From: Donna Mae D'Agata Sent: Tuesday, October 23, 2001 10:23 AM To: Bob Nicetta Cc: Kathy O'Neill Subject: Town Hall Conference Room Bob, Kathy called to confirm that you have the Town Hall Conference Room tomorrow. Ray will give up his time and you can have the room between 3:00 and 5:00. Donna Mae /A X23'1 1M � I • g7 gff7Vie P.O. Box 849 • Newburyport, MA 01950 Tel. 978-465-8340 9 Fax 978-462-1149 Robert Buthmann October 12 , 2001 P .O . Box 193 Seabrook, NH 03874 Dear Mr. Buthmann : This letter concerns the Historical Society House which was moved from 11 Marbleridge Road to 125 Court St. in North Andover MA. The foundations have been in place for some time, and the house has been satisfactorily placed on these new foundation walls . I inspected the project today and found that all interior beams , columns , and interior foundations , have been installed properly in the basement area . In addition , the exterior walls of the house have now all been supported and anchored to the concrete exterior foundation walls . The house is therefore now structurally supported by the new foundations , and is ready for occupancy in order to begin interior renovations. Sincerely , ►►''�� 4�� \o RAYMOND �G F. FIT o. 82ICE Raymond F. Fitzmaurice, P . E. .,p No. 7826ti oc CISTS-�/ D EE OCT 3 1 2001 BUILDING DEPT. f ItI I 1 I i 1 ! Sys i i 210.89' 1 ! W CD ! oo _ ol EXISTINGo* CONCRETE N N O FONDATION36.4' T.F.�196.3 O 0 SOT 5B AREA=25,199 S.F. =0.58 AC. 0 � V � '30.53 100.02' ., 79.45' COURT STRUT (PUBLICNVAR. WIDTH) i ! I i i I I I i . � I i i i ! i I " I HEREBY CERTIFY TO THE TOWN OF NORTH ANDOVER PLOT PLAN BUILDING DEPT. THAT THE FOUNDATION IS LOCATED ON 0 F FOUNDATION i THE LOT AS SHOWN. I FURTHER CERTIFY THAT THIS FOUNDATION IS NOT LOT #5B COURT STREET LOCATED IN THE FEDERAL FLOOD HAZARD AREA. SHOWN ON F.I.R.M. COMMUNITY PANEL #250098 0003 C IN DATED: JUNE 2, 1993. NORTH ANDOVER, MASSACHUSETTS DRAWN FOR NORTH ANDOVER HISTORICAL SOCIETY 153 ACADEMY ROAD NORTH ANDOVER, MASSACHUSETTS 01845 40 0 20 40 k.Y` '/:. SCALE: 1"=40' DATE: JULY 10, 2001 7/11/01 RRIMACK ENGINEERING SERVICES STEPHENJE. N R. S. DATE 11DOVER, MASSACHUSETTS 01810 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, O DEMOLIS ANY BUILDING RI OTHER THAN A ONE OR TWO FAMILY DWELLING X MOM -:'Phis Section for Official Use Onl .:P BUILDING PERMIT NUMBER: DATE ISSUED: Z � o SIGNATURE: - Buildin Commissioner or of Buildings Date 1.1 Property Address: t 1.2 Assessors Map and Parcel Number: \ Map Number Parcel Number 1.3 Zoning Zoning Information: 1.4 Property Dimces' s: v ) > Zonin Distrid� Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS(ft) . M Front Yard Side Yard Rear Yard Required Provide R ed Provided -Required Provi" 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: 'v Public ❑ Private ❑ Z.one Outside Flood Zone ❑ Municipal On Site Disposal System ❑ 2.1 Owner of Record + i N (P nt) Address for Service 4z4ECLJTLVS M Sigdature Telephone X 2.2 A thorized Agent arae P * Address for Service: Z 5�o / O gn r Telephone m 3.1 'censed Construction Supervisor Not /� Nott Applicable ❑ License Number Lrcen do pervisor: ®/ Expiration Date i_ S atureTelephone / 7 r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number m 7 r dress `� r Expiration6ate ^Z Signature Telephone n Workers Compensation Insurance affidavit ust be completed and submitted with this application. Failure to provide this affidavit will result in the denia6of the issuance of the buildingpermit. Signed affidavit Attached Yea......: . No.......❑ SEC1GlfAPF.S-'P)�tUIif31ALlfl �x3� Ct�xRY1CS 1�tBixSAx "'RU"'PE3IS, t? (`©NS1'R1f1�TI014 C'3�aL 11' �T + 16±vial' i x 5,1140 C F #1► Ll C1f l Ii S1pA 5.1 Registered Architect: Name: Address Signatures Telephone Name: Area of Responsibility Address: Registration Number SExpiration Date Signature Total Not applicable ❑ Name: Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name ` Area of Responsibility Address Registration Number Signature Telephone Expiration Date Not Applicable ❑ Comp Name: Responsible in Charge of Construction F?P,4I 1 {Clerk all applir rle New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition El— Other Specify 1 Brief Description of Proposed Work: i USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 ❑ A-2 ❑ A-3 0 IA ❑ AA 0 A-5 ❑ 113 ❑ B Business ❑ 2A 0 C Educational ❑ 2B 0 F Factory ❑ F-I 0 F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional ❑ I-1 0 I-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R residential ❑ R-1 0 R-2 ❑ R-3 0 5A ❑ S Storage 0 S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUHMING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No 0 SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print Name d tore of er/Agent 6atie Item Estimated Cost(Dollars)to be Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit fee (a)x(b) 4 Mechanical(HVAC) v 5 Fire Protection \AA_O `jU 6 Total (1+2+3+4+5) Check Number ..8 �kS ,y,.`., .��,F%� t} k �'��51_ y;-\s:�x r��7°t :,.ti {��:.e rtY'35; ��A 37'l?,3��r) .�x£...�`�F �{ ,�g;x Chi'f .V``�'{ s,:',sl� �'S �' ✓9`�$a..:ti.. ?L tr,� :v�, y � s�nti�i�r a t...F�,;,r 4�:�'y,�§t v Wr�sj ��-3:..M:.r�tfy..,S tl;�.�: .. �.4�',��,���#� � .Di,�°��,;M';�•5,�.i'`>.�:('�'�a�'< v 1,�4 w fi,v���� y���#F•;:#F�5T5, n�'`34y.J,�X..s:�.-�r�sl�;;S�:,v� '�3,i�.'�:.;.?r :.r,.`.i;, NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2 No 3 RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM ;NSTRIJCTIONS: This farm is uaed to verify that all-necessary approval/permits from Boards.and Departments having jurisdiction have been obtained.This does not relieve the applicant and or landowner from compliance with any applicable requirements. man...............t.........t.... APPLICANT PHONE ASSESSORS MAP NUMBER LOT NUMBER D I SUBDIVISION LOT NUMBER STREETSTREET NUMBER OFFICIAL USE ONLY RECOr✓Il�I ATIONS OF TOWN AGENTS ..............NON OWE OWN NONE.Sam won...ago Una.USES.ENDUE USES use mass moan....... DATE APPROVED CONSERVATION ADN0,HSTRATOR DATE REJECTED COMIv1ENTS ►" DATE APPROVED TOWN PLANNER DATE REJECTED COMMEI+I DATE APPROVED FOOD INSPECTOZ-' H DATE REJECTED DATE APPROVED SEPTIC INSPECTTH DATE REJECTED COQ PUBLIC WORDS-SEWER/WATER CONNECTIONS D A PERMIT DATE APPROVED v EPAR FIRE D DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE Town of North Andover f NORTH d 7 OL Building Department o M 27 Charles Street North Andover Massachusetts 01845 4 (978) 688-9545 Fax (978) 688-9542 04 `°` '��• a+u �� gc DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit.# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: Facility location Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Town of North Andovero� t10RTH q Building Department �,? �so 4*, �6tb 27 Charles Street 0 North Andover, Massachusetts 01845 * ,� (978) 688-9545 Fax(978) 688-9542 " o 9 pOCO[NI[w,wKM 1' R4TlD).P¢y�y Building Demolition Affidavit DATE D OWNERS NAME&ADDRESS s3J21 PROPERTY LOCATION DESCRIPTION70 CONTRACTORS NAME &ADDRESS ® T/S DEPARTMENT SIGN-OFFS D.P.W./WATER f� �'', � / � v SEWER GAS ELECTRIC IV IS-, UA,177j TELEPHONE 2,1 ti 96" V&—e ",A CABLE TAXES POLICE <:A FIRE EXTERMINATOR DUMPSTER- /OFF STREET S DIG SAFE NUMBER /3 "� BLDG. INSPECTOR DATE RECD Office of Investigations Boston,'Mass. 62111 Workers'Compensation Insurance Afd. t Please Print MIMI!i1ill,Al V, Name: Location: C -- -• Phone r'1 am a homeowner performing all work myself. �i am a sole proprietor and have no one working in any capacity am an employer providing workers'compensation for my employee's working on this job. Company nam e• T' � (_'dAS7 Address ly Ci hone U� ` Insurance Co. Poli .# Company name- Address Citi Phone�k - Insurance Go Policy Failure to secure coverage as required under section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprfsonment'as well as civil penattfes in the form of a STOP WORK ORDER and a fine of($100.00)a day against me: I understand that a copy of this statement may be forwarded to the Office of Investigations of the DlAforcoverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and cared' Signature n `/ -- -- - Date �i 1 f> D Print name Le42; c- Phone ` Official use only do not write-in this area to be completed by city or town official' 0 Building Dept QCheck if immediate response is.rWuked Building Dept D Licensing Board Q Selectman's Office Contact person: Phone A E] Health Mpartment 0 Other FORM WORKMAN'S COMPENSATION 02/1412001 14:18 60362510107 1 y USI NEW ENGLAND PAGE 04 P C . . M CERTIFICATE OF LIABILITY INSURANCE 02/i4'Daz PRODUCER / THIS C RTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI 14w England/J&P ONLY AND CONFERS NO RIGHTS UPON -THE CERTIFICATE 881 Main Street HOLDER. THIS CERTIFICATE DOES NOT.AMEND, EXTEND OR PO $QX 100 ALTER THE OOVERAGIE AFFORDED BY THE POLICIES BELOW, Contoocook, NH 03229-0100 INSURERS AFFORDING COVERAGE Payne Construction Services ~ Inc j INSURERA L1klert Mutua INSURER B; P. 0. BOX 6 INSURER O: Center Strafford, NH 038.15 INSURER D: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 TYPE OF INSURANCE POLICY NUMBER P GENERALI LIMITS LIABILI77 I EACH OCCURRENCE i COMMERCIALGENERAL LLABILITY FIRE DAMAGE"Oneflr0 $ CLAIMS MADE OCCUR MED EXP n ons perevn ,1 i I PERSONAL A ADV INJURY _ I I - -� GENERAL AGGREGATE B IGENLAOOREOATELIMITAPPLIESPER:I I I PRODUCTS-COMPIOPAQQ 3 POLICV17 PRO LOC i AUTOMOBILE LIABILITY 7-11 COMBINED L ANY AUTO I ccident)�NGLELIMIT 9 1 I ALL OWNED AUTOS BODILY INJURY SCHEOULEDAUT09 I I(Per person) HIRED AUTOS BODILY INJURY j NON-OWNED AUTOS i (PeraccldenQ i PROPERTY DAMAGE (Pareeeltlant) I GARAGE LIASILITY I AUTO ONLY-EA ACCIDENT ¢ ANYAUT4 ~-I I I OTHER THAN EA ACC S j AUTO ONLY; AGO f EXIOE88 LIABILITY EACH OCCURRENCE 5 - 1 occuR' CLAIMS MADE I AGGREGATE $ �? DEDUCTIBLE ; �— RETENTION A IWORKEgBCOMPENSATION AND WC131.S.3090.11020 03J29/00 103/29/01 W�sTATu• 0TH. EMPLOYERS'LIABILRY fE.L.EACH ACCIDENT E )0, 000 R.L.DISEASE-EAEMPLOYEF-13100 000_ OTHER E.L.OISEASE•POLICY LIMI $Jr 00, 000 I I � bESOgIPT10N OP OPERATIONSILOCATIONs/VE1iICLE21EXOLU910NO ADDED BY ENDORSEMENT/sPEOIAL PROVISIONS CERTIFICATE HOLDER 71 CANCELLATION SHOULD ANY OFTHEABOVE bBJ>CppBEOPeSUONSBEGNe>ELLEDBEFORETF E�p1AT10N N. Andover Historical SOciety DATETMEREOP,THEISSUINOINSUMERWILLENDPAVORTOM/UL:�n DAYGWWMN 183 Academy Road NO1I=TOTHE CERT FIDATE HOLOERNAMEDTOTM1.110 ,BUtimUM TCDOSO>iFb1LL North Andover, MA 01845 IMPOSE NOOBLI"T1ONCRLIABILITYOFANYKINbLIPONTMEINSUREkITSAGENTOOR 9 f { - REPgE9EMTATIVES, . AUT MORIZE NTATIVE' ACORD 26-8(7/97)1 of 2 #S,2.9366/M29362. XKR#ti, rm ACORD CORPORATION 1W �,s, DATE MM/DD/YY r 02/21/2001 RODUCER (207)646-8388 FAX (207)646-693 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION evi gney-Lyons Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Abenaki Professional 'Park HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR • ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 0 Box 1249 COMPANIES AFFORDING COVERAGE Wells, ME 04090-1249 COMPANY Swett Insurance Managers Attn: Ext A _.. . COMPANY ............................................................. .............................::.................................. INSURED ......................... _ ............. .._................................... ....-.......................... ..........................._..__::.:.:.:.:.:..:::.-:::::::.::::.:.:....::..: ....::.............::.........:...: - Payne�Construction � COM - -- PO-Box 6 ....................__.......... ......................................... ...._..............._........:........__......-........._.__._._........_........................__..:... Center Strafford, NH 03815 COMPANY C _ .........................._........................................................................................................................................................................ .. COMPANY D r: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO [ TYRE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE.:POLICY EXPIRATION LTR': DATE(MM/DDNY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE '$ 2,000,000 X. COMMERCIAL GENERAL LIABILITY 1,000,000 „.;.......... PRODUCTS-COMP/OP AGG :$ A :CLAIMS MADE X OCCUR: PERSONAL&ADV INJURY :$ 1,000,000 SF05508958 10/20/2000 : 10/20/2001 .... OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 ........................................................................................................... FIRE DAMAGE(Any one fire) $ 50,000 ........... .. ................................. ......................... .... ED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO $ ALL OWNED AUTOS SCHEDULED"AUTOS BODILYrpson ) INJU Y $ ....::.........................:<....... ..............::...:...... t HIRED AUTOS [ NON-OWNED AUTOS (PeDI ccid nU)RY ...................................................................... PROPERTY DAMAGE :$ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ':$ :ANY AUTO .........: i OTHER THAN AUTO ONLY: x::..::....:::.>::::::..................:.:::.. € ...................... EACHa.x...x.-.......:................ H ACCIDENT:$ ............... _..._.................................................. .. AGGREGATE:$ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM :AGGREGATE. $ [OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WCSTATU-- TORY LIMITS: ER icMPLOYERS. .. i € - LIABkLiT� ...:::::...... THE PROPRIETOR! INCL € EL EACH ACCIDENT $ PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT $ ................ OFFICERS ARE: EXCL _._.................... EL DISEASE-EA EMPLOYEE:$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS This certificate holder is also listed as an additional insured »..A..:.. ,.... .... ,......x. ..............:................ ........arr>:.v:rr:.:r::ir,r:::ri`::::::,:..:::.'::i'i��.. i.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, North Andover Historical Society BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 183 Academy Road OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. North Andover, MA 01845 AUTHORIZED REPRESENT.ATFV2f COPY ' Office Use Only �l��e C�amrnunurPttl#1� nIlttsttruttps Permit No. Department of Public %fang Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYgE AL�. INFORMATION) Date 2/22/01 City or Town of No rt An Over To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 11 Marble Ridge Read Owner or Tenant North Andover Historical Society Owner's Address 153 Academy Road Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building *-psii:JPnr P 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 make-safe electrical for moving of home No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In grnd. 11grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets 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 Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal ❑ ❑Other Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ 1 have submitted valid proof of same to the Office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE fM BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electric rk$ 2 q() _n0 (Expiration Date) Work to Start 2/22M Inspection Date Requested: ough Final Signed under the Penalties of perjury: 14302A FIRM NAME Andover Electric Services Licensee Robert J. Branca //2/ & LIC. NO. SignatureLIC. NO. Address 206 Andover St. , 'AndovBus. Tel. No. (978 )475-4995 Alt. Tel. No. Q7 A )4 7 ci—1 1 Q 2 OWNER'S INSURANCE WAIVER: I am aware that the Licensfile 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) Telephone No. PERMIT FEE $ Pis. Advise (Signature of Owner or Agent) Sketch: I �h G Line of Main Restoration Data: Permit Data: Required Done Date Done Sand Dig Safe: Ticker# Date Effective Gravel Notification: Base Coat Cold Patch Hot Patch Permit Required: Flow Fill Date Sent Date Rec'd Permit# Infra-Red Town ❑ Concrete _ State ❑ Loam & Seed Other Water Notification: ❑ Date Called Size Sewer Notification: ❑ Date Called Signature Stamps: Completion Data: Comments: c ----------------------- J, V.: Completed Date Date Started Completed Units �Slna ure I- �s Sketch: -T �8 �h G Line of Main Restoration Data: Permit Data: Required Done Date Done Sand s Dig Safe: Ticket# Date Effective Gravel Notification: Base Coat Cold Patch Hot Patch Permit Required: Flow Fill Date Sent Date Recd Permit# Infra-Red Town ❑ Concrete state Loam & Seed ; Other Water Notification: ❑ Date Called Size Sewer Notification: ❑ Date Called Signature Stamps: Completion Data: Comments: L4. ell Al .... Completed Date Date Started Completed Units Signa ure ��- I METER JOB SLIP 1all Owner's Name Address Service No. Make / 7` i f h Number � 317 Date Removed _ — Cause Reading 40 —7o yG uS idS Result of Test ma ided Repairs By rhe )6 vee --ate Frost? Final Test Final Reading QV�`y` 7S- Date Reset By "a - i h r �""'- ✓�e C�nizz�nanrrjea�� a�:iGfa,:;rrr�rrae�d r BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 028557 Birthdate: 07101/1952 _ 1 Expires: 07/01/2001 Tr.no: 246 Restricted To: 00 ROBERT P BUTHMANN _' // !{ PO-BOX 653 NEWBURYPORT, MA 01950 Administrator xAORT#i own o 4 over No. _7 L JA dover, Mass., COCH C I O"?ATED BOARD OF HEALTH Food/Kitchen PERMIT T Septic System p BUILDING INSPECTOR 01"CM -SacAqe+ ............. .... .... THIS CERTIFIES THAT...............................Ap.4oult.....A..,........................................................................... Foundation has permission to wok...�AV.4 ................. buildings on .11......A.A.kW ...lt.A.�O.G.E..It-.....A. Rough N" W DC.M 0 / Ft4W..f I E. Chimney to be occupied as....4. ........................... ................. ............. - .1.... %VL................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR',PC ELECTRICAL INSPECTOR I Rough ................*... .................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough o p 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. NORTH E own of And 0 0lei dower, lviass., o� .. 93 -aco( C OCMIC IC RATED FPG,`�5 BOARD OF HEALTH PERMIT Food/Kitchen C TL 10* 110 kF. P Septic System �oA 1%+& R1C&% BUILDING INSPECTOR THIS CERTIFIES THAT...............................AP.4............................ Foundation has permission to moo...!!!.v.p.q................. buildings on .11......A.A.9)04...tt.A.� GE Rough 1P �A�� 1 1 D O ' �� P �I M n u Chimney tobe occupied as....... .................................................................................. ........................... ............... ................................. 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. r1 I (*I p t ' PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST ELECTRICAL INSPECTOR Rough LA ...................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. i RAY =ZMAURHCIE ASSOCHATES Structural Engineers, Newbury, Mass. PROJECT; FOUNDATION FOR RELOCATED HOUSE .�N OF KA4 o q _�` TITLE: MOVED FROM 11 MARBLE RIDGE ROAD, N.A. O RAYMOND N F. --4TO COURT STREET. FlTZMAURICE .i No. 7826 N �0ID'NFS,SC/STER�G���� DRAWING; ;PRELIM. FOUNDATION PLAN AND DETAILS ONAL E 1 STRUCTURAL ONLY y(p�� DATE; 2/16/2001 DRAWING NO. 857/S-1 63'-9 1/2" 19 -4 1 20'-1,1 1/2° 23'-6" 18s 185 71 7" 185 186 rn I 4,777777 185 N 187 186 LAYOUT OF BASEMENT COLS NOT YET DETERMINED 187 CP 00 LDoI 4'- 187 �t N 187 F. N 187_ if 17'-3" 31'-2 1/2" 63'-9 1/2" FOUNDATION PLAN 11/8"= V-0" TOWN OF NORTH ANDOVER BUILDING DEPAI APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR,;RWi1S1r ® NG T OTHER THAN A ONE OR TWO FAMILY DWELLING /v for oincial Use Onl 5 '9 BUILDING PERMIT NUMBER: DATE ISSUED; /10 SIGNATURE: Buildin Commissioner/Inspedor of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 0 ,L>��� _ Ahing District W+,--d Use Lot Area Fromm e(ft) m 1.6 BUILDING SETBACKS(ft) _ Front Yard Side Yard Rear Yard a Required Provide R Provided Required Provided P• 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ private 0 Zone Outside Flood Zone ❑ Municipal On Site Disposal System 0 O 2.1 Owner of Record ��l�i��'✓'���� ��S/0,��� �� lS3 �c�tt��.0 Y lei. O 114ame(Print) Address for Service: SigAture Telephone X 2.2 Authorized Agent Name ri Address for Service: dr— "5 o ign re Telephone m 3.1 Licensed Construction Supervisor Not Applicable ❑ Avsr-ess License Number O Liven c' n Su r: / Expiration Date Si re Telephone / r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 10 Company Name'. Registration Number M Ad ssr Expiration to Z afu6 re Telephone Workers Compensation Insiurance affidavit must be completed and submitted with chis application. Failure to provide this affidavit will result in the denial of the issuance.ofthe building permit. I Signed affidavit Attached Yea..... No.......❑ Sl�C1'I4A1 5-PR�lE 1� 5lt;wl!7A��ESIGPi AN f C�UN; UC 'ION R'1jICLS 1P`48'.BU1�1��1G5�$ USS� �� C`ONSTR�7C'TI�fN Ct;tAY7CRaL_P���TC�X89 SMR•116',�1�TTA��M4I�E�' l�Tt1►35,�i9 GF OF�1C�b Sl�'A�) 5.1 Registered Architect: Name: Address Signature Telephone 5.21�egsE,ere�'P��►fe�sal$iee�s�* �= Area of Responsibility N e: U �l0L dress: adRegistration Number - - WA ;7__Sr-�2 Expiration Date Signature > Total ' Not applicable ❑ 'Name: Registration Number Address 3 . Signature�► Telephone P Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number ^Signature > ^, Telephone Expiration Date Not Applicable ❑ Company ResponsiA4 'harge Co on s ,! rES ' ' �tl►F t �' r3 �cll��tll apgl�able n 4; New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ^Specify Brief Description of Proposed Work: USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ IA ❑ Ali ❑ A-5 ❑ 113 ❑ B Business ❑ 2A ❑ C Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional — ❑ I-1 ❑ 1-2 ❑ I-3 ❑ 3B M Mercantile ❑ 4 ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property Hereby authorize Y �T/ to act on My behalf,in all ma rs relative two work authorized by this building permit application c Signature of Owner Date I, �� �/��.�✓ as Owner/Authorized A e�nt.. Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury i Print Name gnature ofbAeriAg6W Ilate ► � ' Item Estimated Cost(Dollars)to be4 11111 a Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit fee (a)x(b) tn.1 191 19L-71 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) ` ,�� Check Number r^� t rfJi, i ,S{4'S„k,'';3- r?rtZ� ; :f a'ytx`x i t 7rkb,u 3.ni,�.1 :;k Sry ,� �.¢4 t rv%r_G+�"q n..:,��� < k;,yrr'nn+2.,R 1. -�;tFsy„�x S"R .. k XPr n-e�a ..q�.{x.11 ^,s. F : el{.t��i+.� -;,ter rf yR,k.}t}1;'z' p. [�k xi:v�� trr'.S. f/�v x`.'. yt[fit ;:,..rf 3eF*i r..':^ cF -'*Uj S. ijt ex �S.A,� a >5 .'3 'Sr CJ d"�'.,� t Y£e.5: .,,i Y tgr.x n� "+ r `�F R>^�.r t F .,`�c., o ��'vn >n. :1 >z {. s,��',?-aXk�F.._hT>z:F� ik,rS^?' .'`G! J �f? .`r, gf�isbn 1 ri,a NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2ND 3 RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE t i'. r .:std its r ti .y5 �t� I,d�s^ �z" g `S� NORTH M • Town of 0 over'Plp o• tl 0 h C,o = A o dower, Mass., A(-3i:L_><o, . mo COCMICHEWICK V ADRATED BOARD OF HEALTH PERMIT oC Kitchen Se tic System UILDING INSPECTO THIS CERTIFIES THAT/�V,AN�?IDIr I! ,..N.Kw1a...S�GI !. .....��4 NF.... g!.� ..... 101.....&y............. Found ion has permission to mW.........N oVa............... buildings on ....1.1..1!dmf .fbLE��� ./ !!F,�j............................. Rough til to ...... rF1+5�... fTt i? ....1 ��...I. ..Q.I�A4.r4. .-... ................................. . ......... Chimney provid'dd that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this c�'ce, 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. PLUMBGINS ECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final RICt ELECT . SPECTOR UNLESS CONSTRUCTION STARTS. Rough 1� ............ .. ........................................................................ Service BUILDING INSPECTOR Final G INSPEC Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final VFIRE DEPARTMENT kBuerSEE REVERSE SIDE Det. I OB- RAY FITZMAURICE & ASSOC. Structural Engineers SHEET NO, OF P.O. Box 849 NEWBURYPORT, MA 01950 CALCULATED BY DATE (978) 465-8340 CHECKED BY DATE SCALE WIN 1 O Q .. e� r 04 ; to ro C PRODUCT 207 1 7- NORTH ANDOVER.HISTORICAL SOCIETY Guarantee to the:town of Nordi.Andover The NorthAndover E storicd Society isdeeply appreciative ofthe town's. permission to:=Vert&-.Historic Bridges/Stevens/Leland house song.town roads on March:31,.2001 or on an authorized rain date-Tlie Society promises to repay any damage caused to�the'public waybytlie:vehWc SL.use&for tbe move or the house.itself The Societyagrmto-indemnify tbTowaofNorthAndoverforcosts associated with repairing:w public=wag used&ffng the move for damage•directly caused by - negligent acts ofthe.Society's age%&&rfi gthe-move:. 50 Martha:J.L ent North AndoverHistorical.Society i Y (zr moo/ 153 Academy Road, North Andover;Massachusetts 01845 (978)686-4035 kk T. FW, Inven"ent Realty DevelopmentInc J Box793 SeabrookNHO3874 978-590-4169 FAX 978-388-2590 To: North Andover.Board of Selectmen From: Bob Buthmarm/Investment Realty Development Inc Date: February 21,2001: Subject_ North Andover Historic Society Building Move: This is to notify you that the approving.authorities listed below have committed sufficient resources to accomplish the building move on the following dates. The primary date shallbe 3/31/01 or 4/1/01. The rain date for this move is scheduled for 4/7/01 or 4/8/01 The move.will be from the intersection of Great Pond Rd.and Marbleridge Rd.,down Great Pond Rd.to the intersection of Academy Rd. At this intersection,we will tum right onto Academy Rd.to a new site located at intersection ofAcademyRd.and.Court St The agencies listed below are prepared to flimish manpower and equipment to accommodate this move. All costs for mumcipal manpower and equipment shall be the responsibility of the North Andover Historical Society_ No Andov DPW North ver Po ep of North Andover Fire artrnent AT o Verizon / / M Electric }ce r Service North Andoverb06iical Society A RS COW TOWN OF NORTH ANDOVER BUILDING DEP _ _._ 3 ;:: q,a� APPLICATION TO CONSTRUCT'REPAIR.RENOVATE,CHANGE THE USE OR OCCUPANCY OF(OR.-"DRWdi5SP D'�NG OTHER THAN A ONE OR TWO FAMILY DWELLING as Owner/Authorized 33 _ k'n1 s Section for Official Use OW A �- Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my BUIIAING PERMIT NUMBER DATE ISSUED: knowledge and belief. r�' /s a Z Signed under the pains and penalties of perjury Z O SIGNATURE: C Ci(/�s` 4• /v o/ Buildiw Commissioner/Inspector of Buildings Nate ! Print Name 1.1 Pnapert Address 1.2 Assessors Map and Parcel Number: gnature o er/Agent Mate Map Number Parcel Number 1'1 Item Estimated Cos[ Dollars to be 1.3 ZoningInformation: 1.4 Properly D--:Completed by ( 't applicant t .r^5�.., O t T v 1. Building (a) Building Permit Fee m Disrria osed Use La Area Fronto R Multiplier 1.6 BUILDING SETBACKS(ft) - m 2 Electrical (b) Estimated Total Cost of Front Yard Side Yard Rear Yard D Construction from(6) Required Provide Required. Provided Recluired Provided 3Plumbing Building Permit fee (a)x(b) W q l✓E7 ' 4 Mechanical(HVAC) C+._^.4U ♦S O 'U- 1.7watersupply MG-c.Q- 54) 1.5. Flood Zo run tim: 1.5 Scwuag 1)4-JSystem: Public ❑ P— ❑ — Outside FI d zone ❑ Mvaicipil Oa Ste Disposal Sy—❑ 0 5 Fire Protection 25MMM,,t.. .:IP+ 1Q:e• t'z ,f-... 6 Total(1+2+3+4+5) Check Number 21 Owner of Record µ ..,.u�. .. tt /'c/(��TJ��i✓ //�P iS%lf./�i� L �S3 �GRAE�`( Kb. O ++l "`�s, ird 4 sr'Y ra)S� ars .•1: z� t K v Ieme(Print) Address for Service ca k�%?a e.... •..s5 0, rt..ha_ ,iac�N�;.ri;' 9 .1: fU�C,..�ir�, ts:.a eke � � 5 �;t` 4 �, NO.OF STORIES g)yE 1 —�03•S— m BASEMENT OR SLAB Si ture Telephone SIZE OF FLOOR TIMBERS 1 2 3PD2.2 Authorized Agent SPAN `v ✓��X//,) z Name Ad ress f� or Service DEMENSIONS OF SILLS g '/ / DEMENSIONS OF POSTS tgn re Telephone / Z M DIMENSIONS OF.GIRDERS :$ ,.,.� �, QO 3.1 Licensed Construction Supeervisorn NotApplicable ❑ •5-� HEIGHT O FOUNDATION THICKNESS k J // d�� //�T/ L/ J��� (i S �J r O SIZE OF FOOTING X Jnree� License Number MATERIAL OF CHIMNEY /�,t ) /�T��//1�� /�/ D Expi OLID OR FILLED LAND Li / 'n Su G '/r. �7 / 3 re[ion Date IS BUILDING ONS �t / IS BUILDING CONNECTED TO NATURAL GAS LINE <�7• !iY `�S Si re Telephone 3.2 Registered Home hnprovement Contractor / Not Applicable ❑ Company Name,. Rcgistmtion Number m r Ad as .� G✓ r Expiration to G) R Telephone SECTION a- !ORI�Rs s ctlwsPr saTxox(1 C 1s g�ucs L 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 buildin rmit =..d, R" ,Si ned ffidavit Attached Yea... No. ..0 istiAlteralions(s) ❑ Addition ❑ SECTION 5.-`PROFESSIOITALDESIGNAND:Ct�NST'', ON SERVICES FORBUILDING5ANDS RiTCTQRES$DBiECT,TbGOx5TRIICTI[QN CONTIROLPTIRSUiLNI TO 78Q CD( molition ❑ Other Specify t t� Vwo�IE 5.1 Registered Architect: Brief Description of Proposed Work: Name: � Address Signature Telephone .r►x_.a. �'G.. ��'It+� '-, far; .5.2-1'tegistered.Pcof¢sstnoafEtt nee 6,. +.• USE GROUP Check as applicable) CONSTRUCTION TYPE T✓ J AAssembly ❑ A-1 ❑ A-2 ❑ A-3 IA ❑ Name: Area of Responsibility A-4 ❑ A-5 ❑ ]B 010 i B Business ❑ 2A 0 C Educational ❑ 2B ❑ Registration Number F Facto ❑ F-1 ❑ F-2 0 2C ❑ �Vod—ress: /� H Hi Hazard ❑ 3A �� I InstiNtional ❑ I-1 ❑ I-2 ❑ I-3 ❑ 3B ❑~Expiration DateToM Mercantile ❑ q p — -r R residential ❑ R-I 0 R-2 ❑ R-3 ❑ 5A ❑ Not applicable ❑ S Storage Cl S-1 ❑ S-2 ❑ 5B ❑ U utility 0 Specify: 'Name: M Mixed Use ❑ Specify: P fY: S Special Use ❑ Specify: Address Registration Number COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: proposed Use Group: Signature Telephone Expiration Date Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: Name - Area of ResponsibilityBUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Address Registration Number Floor Area per Floor s Total Area s Total Hei t ft - - Signature Telephone Expiration Date MIA Independent Structural Engineenng Structural Peer Review Requrred Yes ❑ No Name Area of Responsibility SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Address Registration Number I as Owner of the subject property Signature Telephone Expiration Date �J 53-± >F ¢f41._�,t, s c Hereby authorize f��/�l1� to ad on My behalf,m all matters relative two work authorized by this building permit application Com an i Not Applicable ❑ t P Y MsYt¢, S,.l_RdiSotf ZJ Zoo[ Kesponsiblt-fhChargelcoffi c6on Signature of Owner Date Apr 10 01 08: 29a p. 3 66 F ACORD,� � . - _ DATE T >000 PRODUCER (603}740-0140 FAX (603)743-3370 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION John 3. Flynn Ins Agy Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 818 Central Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dover, NH 03820 COMPANIES AFFORDING COVERAGE ' - .. ._..... ......... . ...._._..- . COMPANY Green Mountain Agency, Inc Attn: Ext: A INSURED JSP Leasing, LLC COMPANY PO Box 6 B Center Strafford, NH 03815 COMPANY C COMPANY D .. �_.m_ .- �`Ate• - "` __ „' - ,^`i+.4' °a _arrx y^� bC " '. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT.WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION'; LIMBS LTR DATE(MM/DD/YY) DATE(MMIDDIM GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $ >..� :CLAIMS MADE OCCUR' PERSONAL&ADV INJURY :Y OWNER'S 8 CONTRACTOR'S PROT: EACH OCCURRENCE S FIRE DAMAGE(Any one fire) MED EXP(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO 'COMBINED SINGLE LIMIT :$ 1,000,000 'QQQ}QQQ ALL OWNED AUTOS BODILY INJURY A . X SCHEDULED AUTOS (Per person) CL767002 04j05/2001 04/05/2002 .HIRED AUTOS '80DILY INJURY NON-OWNED AUTOS (Per accident) $ .._.._.._............ .......... ._ ....__ __.i PROPERTY DAMAGE =S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT -S ,.-....._., i. � ....... . ..... ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATES EXCESS LIABILITY EACH OCCURRENCE S UMBRELLAFORM AGGREGATE $ OTHER THAN UMBRELLA FORMWC -$ WORKERS COMPENSATION AND A T s ,_TORY LIMIT$ FR - EMPLOYERS LIABILITY'r EL EACH ACCIDENT $ .THE PROPRIETOR/ __... PARTNERSIEXECUTIVE SNCL EL DISEASE-POLICY LIMIT $ . OFFICERS ARE: EXCLEL DISEASE-EA EMPLOYEE S OTHER DESCRIPTION OF OPERATIONSILOCATI°NSIVEHICLESISPECIAL ITEMS This Certificate names The Town of North Andover as Additional Insured L SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of North Andover BUT FAILURE TO MNL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Main Street OFANY KIND UPON THE COMPANY,TIS AGENTS OR REPRESENTATIVES. N. Andover, MA 01845 AUTHO ;6REPRESE AVE ..► • � � Biu �. E 1 Rpr 10 01 08: 28a p, 2 (MMfDDrY`y)ill In 0 ., s 04/10/2001 _ s PRODUCER (207)646-8388 FAX (207)646-6935 THIS C RTIFICATE IS ISSUED AS A MATTER OF INFORMATION evi gney-Lyons Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Abenaki Professional Park ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 1249 ' COMPANIES AFFORDING COVERAGE Wells, ME 04090-1249 COMPANY Swett Insurance Managers Attn: Ext: A INSURED COMPANY LIBERTY MUTUAL Payne Construction B POBox 6 .................. _............... Center Strafford, NH 03815 COMPANY C ........... .............. . . COMPANY D .—�"LAW.s�. `�1'. � +' THIS IS TO CERTIFY T14AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED.FIEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION'; LTR DATE(MMIDDIM DATE(MWDY) LIMITS DIY GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 00,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG !$ 11000,000 CLAIMS MADE X : OCCUR PERSONALS ADV INJURY $ 1,000,000 A SF05508958 10/10/2000 10/20/2001 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S 1,000,000 FIRE DAMAGE(Any one fire) `:$ 50,000 MED EXP(Any ane person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS ° BODILY INJURY - SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY ,$ I NON-OWNEDAUTOS (Peracdtlent) PROPERTY DAMAGE _$ GARAGE LIABILITY ± AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: SON .......� ................. ... ......_ ._ ....._......_ EACH ACCIDENT S AGGREGATE $ _ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND ' EMPLOYERS'LUIBILITY TOY LIMITS EL EACH ACCIDENT S 100,000 B A87521-00 ; 03/29/2001 ; 03/29/2002 THE PROPRIETOR/ INCL , EL DISEASE-POLICY LIMIT S 500,000 000 PARTNERSIEXECUTNE _.._ _.. .. _.._... _.. OFFICERS ARE: EXCL j EL DISEASE-EA EMPLOYEE S 100,000 _ OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS The Certificate Holder is named as Additional Insured i a �.. .w., ..-- n. �� *Sur. ! rwIa e 5 " a� -xrl"n„ az, ., •'ia. ` 4+'s`x."�. _�_'_'�..;w ; ra`' as �,I"��.3 I)�`_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of North Andover BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Main Street OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. North Andover, MA 01845 AUTHOR=DREPR ENTATIVE lid' F •s•-,.. ,Sn �'�i-¢. Y ,.v -.:ai..Ski ...'�.!a rx,�•.. kvi.£+'i3"tiY4¢m8.a r:' xda'w2.;kSrt""s&4,'&"rtfidmd .�`!Y�d, mi� .a1N> riY_.' s sv .y nJ' S�z'r✓vN �y 11a;4uh .d}#3:..•.v t �s.j .ZXYw '°'."r'�E 6'"` 'T - 1 16aof 1, .. - 1 • 2 I�?,I'. AC ORD p , 1 t iet_nu�smn' tr Sa r a •- h saatsa�tcEux n+�nlu.11 PRODUCER DAIT(MM/DD/YY' a. C603) 40 740-01 , ,. ohn 3.. Y Ins q FAX (603,743-3370 j.. c ,rl_:. I. FT nn � •• '• ..rk 03/20/2001;���� 818 Central Ave 9Y TnC ONLY AND CONKERS NO RIGHTS1UPON THE CERTIFICATE HOLDER. PHIS CERTIFICATE DOES NOT AMENlI Dover, NH 03820 ALTER THE COVERAGE AKFORD,EXTEND BY THE POLICIES BELOW. Ir' � COMPANIES AFFORDING COVERAGE Atttt: COMPANY Green Mountain Agency, Inc INSURED JSP LeasingEr-t; A n�, LLC COMPANY I ' PO Box 6- R 1 Center Strafford, NH 03815 COMPANY ! C til 1 COMPANY t D _°�itsth ,'I+(fit " ' u•t: -::;Ir el THIS IS TO CERTIFY THAT THE POLICIES 09"NSURANCE�L{_31tS ' + ` INDICA l? fir 02/14/2001 14:12 6036251107 USI NEW ENGLAND PAGE 04 uilenc#: bbly PAYNECpa �� CERTIFICATE OF LIABILITY INSURANCE oz/i4ia P>fiovuoER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI New England/J&P ONLY AND CONFERS' NO RIGHTS UPON THE CERTIFICATE 881 Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Sox 100 ALTER THE COVERAXiE AFFORDED BY THE POLICIES BELOW, Contoocook, NH 03229-0100 � r INSURERS AFFORDING COVERAGE INSUP1110 Payne Construction Services Inc IINS URERA;L"Berty Mutua P• O• Box 6 INSURER B; Center Strafford, NH 038.15 INSURER 0: LINGURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING. ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE PERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TYPE OF INSURANCE �!.. CT P I POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE 9 COMMERCIALHNERALLIABILITY! i FIREDAMAQEAnyOneflre i ...J CLAIMSMADEF7 OCCUR/ MED EXP n ansp�aon) i PERSONAL Any INJURY = GENERAL AGOREOATE 17 GEN'L AOOREGATE LIMrrAPPLIESPER; PRODUCTS-COMP/OPA001 POLICY PRO"nT LOC MOBILE LIABILITY ! COMBINED SINOLELIMIT ANY AUTO (Eaaccitlent) ,s I ALL OWNED AUTOS �(_--SOHEDULEDAUTOS I (Pup YINJURY MIRED AUTOS III NON-OWNED AUTOS BODILY INJURY ; (per 40CIdent) r...J i PROPERTY DAMAGE (Per AC01tlUnt) GARAME LIABILITY I AUTO ONLY.EA A00I6( NT IF ANY AUTO I OTHERTHA11.1 N EAACC 6 AUTO ONLY; AGO $ EXREBB LIABILITY EACH OCCURRENCE S OGCUR` CLAIMS MAD AGGREGATE g �? DEDUCTIBLE I� RETENTION IIf aA WORKERSCOMPENSATIONAND WC131S9011020 03/29/00 03/29/01 Wo IorHEMPLOYERS'LIABILITY IIIM IE.L. ACWACCIDENTmal"0Q, 000 . l H LAISEASE-EA EMP�YEE,11 0-0—L 00 0 — I OTMER E.L.DISEASE"POLICY LIMIT $500, 000 I , I DESORIIRION OP OPERATIONSILOCATIONSIVEHICLEStEXOLUSIONS ADDED IY ENDORSEMENTISPEQIAL PROVISIONS CERTIFICATE HOLDER AD=m Lwm1t-=w CANCELLATION SHOULD ANYOFTHE ABOVE OGURIED POLKTRS BE CANCELLED BEFORE TIS E7MTICN. N: Andover Historical Society DATE THEREOF,THEIBUINOINSIRKFIWILLENOEAVORTOMALIn OAY'SWRT7EN 183 Academy Road NDTIOETOTHE OMFIDATE HOLDER NAMED TOTHEUEFT,BLITFAara TOOOSOSHALL North Andover, MA 01,845 IMPOSE NO OBLIGATION OR LIABILITY OFANYKINOUPON THE INSURER,ITSAOENTSOR REP RE JENTATIVES, AUTHORIZE NTATIVE { do { • t ' M A54 . :►:' n r ►'�,r fir; s if Im t�� �' a. e � , I � �•4'I 11.E x e . t • . r* . •, �a x.>tE�q.� . } a s ,�i�•_�. �y'kpms. ' � sr'. w � yak fin. 1Y' �.". •�'t. ¢ �t` -'� t. `�2 �`:b � I +.,. � M,..�$;'- •� ' T � a,.sit t i t t w °".�.•,�„���,a+�4`'i' r' ";�f .�• -F Mt'►~��"�}, - . � 'C i�N`v��t� - 5 ..4� ��_ ^� q�;' 5 •�,` a '"a`' r �'raii'�!"�.�i� iG +, �. y Y t10RTk Town of North Andover Of q ,tom:° 6. do Building Department ��,y~1t_ M. b 0 27 Charles Street North Andover,Massachusetts 01845 (978)688-9545 Fax(978) 688-9542cft- ° .. Move '�.�g01#4Te° ?.v�`,�h Buildinglalodbir davit ssACHUS�� DATE t�c"i3 . aLo, aoo OWNERS NAME&ADDRESS PROPERTY LOCATION r DESCRIPTION CONTRACTORS NAME&ADDRESS DEPARTMENT SIGN-OFFS - D.P.W./WATER / Z SEWER GAS N (:�c ELECTRIC 5-4 TELEPHONE ����=� �/�.�;2P CABLE e:L�4- --p TAXES • POLICE FIRE EXTERMINATOR a r� DUMPSTER-ON/OFF STREET DIG SAFE NUMBER BLDG.INSPECTOR DATE RECD o i Town of North Andover MORn� Office of the Building Department Community Development and Services Division William J.Scott, Division Director •"°. ...: . �� 27 Charles Street North Andover,Massachusetts 01845 D. Robert Nicetta Telephone(978)688-9545 Building Commissioner Fax(978)688-9542 MEMORANDUM To: Karen Robertson,Administrative Assistant From: Robert Nicetta,Building Commissioner Date: March 20,2001 Re: BridgestLeland House Move The building department is in receipt of all proper certification for the house move from the current location on Great Pbnd and Marbleridge Road to the new site at Academy Road and Court Street Copies of the following affidavits are enclosed for review. 1. Map indicting route of move. 2. North Andover Historical Society Certificate of Appropriateness. 3. North Andover Historical Society Road Guarantee. 4. Signed a$encies list of mampmr and equipment to accommodate move. 5. Certificates of Insurance. 6. Affidavits of department sign-ofi; If the Board of Selectman accept the affidavits,upon notification,the Building Commissioner will issue the permit for the move. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 . 1�{I t7 ,.� ... 1 r , . IRRRRR. _ r v + .•� ,1 .1, ���:.*rf� h'�'' /' �jT `r /( R 'fir:..! �� Y._.`,t� , ,Y,��, ,: �• , T � )t . ' - ^ r .1 ,`rY( ,V�W r � � � t U/•rj � f� .t•+{IIAa.���lY'^""MM!'y � � . -ov im ocD z S Y • 41 Air vf . r ? (5 a 1 �O Irl� � •' --—+,-.,yI ti . top i + a CV JOYCE BRADSHAW NORTH ANDOVER OLDE CENTER HISTVMLERK ER DISTRICT COMMISSION Certificate or Appropriateness 2001 MAR IS P 5. 20 This certificate of Appropriateness is issued this 15TH day of March 2001 to NORTH ANDOVER HISTORICAL SOCIETY for the land located at the corner of Court Street and Academy Road in accordance with Chapter 40C of the General Laws of the Commonwealth of Massachusetts as amended and the by- laws of the North Andover Olde Center Historical District Commission. This will allow the Bridges/Leland home to be moved t thisr��ja, . 1 George H. Schruender, Jr. Chairman Martha Larson Leslie Hopkins Harry Aznoian Patricia Long Patricia Hayward��,,) "' Kathleen Sz ska �j bju y O Rol ■■■ NORTH ANDOVER HISTORICAL SOCIETY Guarantee to the town of North Andover The North Andover Historical Society is deeply appreciative of the town's permission to move the historic Bridges/Stevens/Leland house along town roads on March 31, 2001 or on an authorized rain date. The Society promises to repair any damage caused to the public way by the vehicles used for the move or the house itself. The Society agrees to indemnify the Town of North Andover for costs associated with repairing any public way used during the move for damage directly caused by negligent acts of the Society's agents during the move. Martha J. Lars esident North Andover Historical Society 153 Academy Road, North Andover,Massachusetts 01845 (978)68611035 =7 0 A, E V E � W D VAR 12 2001 Investment Realty Development Inc. NORTH ANDOVER Box 193 OFFICE OF TOWN MANAGER Seabrook NH 03874 978-590-4169 FAX 978-388-2590 i To: North Andover Board of Selectmen From: Bob Buthmann/Investment Realty Development Inc. Date: February 21,2001 Subject: North Andover Historic Society Building Move I I This is to notify you that the approving authorities listed below have committed sufficient resources to accomplish the building move on the following dates. The primary date shall be 3/31/01or 4/1/01. The rain date for this move is scheduled for 4/7/0 1 or 4/8/01. The move will be from the intersection of Great Pond Rd.and Marbleridge Rd.,down Great Pond Rd.to the intersection of Academy Rd. At this intersection,we will tum right onto Academy Rd.to a new site located at the intersection of Academy Rd.and Court St. The agencies listed below are prepared to furnish manpower and equipment to accommodate this move. All costs for municipal manpower and equipment shall be the responsibility of the North Andover Historical Society. — a � Q� Nokh Andov&DPW North over Po ep e North Andover Fire QeVartment AT T oad CT— OAk i Verizon Mass.Electric �r Service North Andover H orical Society I f �1L\lJ �� • 1 J � �3>r�. �! ��� DATE(MM/DD/YY) t „« .� ., n. : ,__ � 03/13/2001 w 9 ( CATE HI�LD ..: ,a ,. ,_ . _.,..._. PRODUCER (207)646-8388 FAX 207)646-6935 evi ney-Lyons Insurance 1ER.TAND HIS CCEERTTIFRS N'ICATE DOES NOT AMEND,O RIGHTS UPON THE EXTEND OR Abenaki Professional Park ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 1249 COMPANIES AFFORDING COVERAGE, Wells, ME 04090-1249 COMPANY Swett Insurance Managers Attn: John Flynn Ext: A -......... ....._ COMPANY Payne Construction B PO Box 6 Center Strafford, NH 03815 COMPANY C COMPANY D nr;�s .=.:. ..."� ...,.;�,.a......�.:...a>� si Y ^�zy '`...:s...-.fit, '.��,'���c�� S` •.,�" Yi: 3� .+ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ._...,..,......... __ CO POLICY EFFECTIVE POLICY EXPIRATIO TYPE OF INSURANCE POLICY NUMBER LIMITS LTR � � DATE(MM/DD/YY)1 DATE(MM/DD/YY) I GENERAL LIABILITY GENERAL AGGREGATE S 2,000,000 X 3 COMMERCIAL GENERAL LIABILITY( PRODUCTS-COMP/OP AGG $ 1,000,000 _._.. 1€ CLAIMS MADE J� !OCCUR i PERSONAL&ADV INJURY _ $ 1 000 A SF05508958 10/20/2000 ? 10/20/2001 --- -- -- - x___..,000 I OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE _ $i_ 1 r OOO,OOO FIRE DAMAGE(Any one fire)$ 50,000 MED EXP(Any one person) $... 5,000 {AUTOMOBILE LIABILITY - --- COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person)t � — HIRED AUTOS {j BODILY INJURY $ NON-OWNED AUTOS (Per accident) i 1 PROPERTY DAMAGE $ j GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ _._.# _......_.___...._._.._..._._.___ AGGREGATE $ i EXCESS LIABILITY s EACH OCCURRENCE $ UMBRELLA FORM j AGGREGATE - 2 OTHER THAN UMBRELLA FORM $ f WORKERS COMPENSATION AND TORY LIMITS i ERam EMPLOYERS'LIABILITY EL EACH ACCIDENT $ , THE PROPRIETOR/ INCLEL DISEASE-EL DISEASE-EOALICY LIMIT EMP EMPLOYEE E --------' -_ — PARTNERS/EXECUTIVE OFFICERS ARE: _ EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CER1 1liI (�S;\ 131'1'iN. i k� 3�.•.i� � s ,,� �-9 t�"Y .a�-, \_. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILCNDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town Of North Andover BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Main Street OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. N.Andover, MA 01845 AUTHORIZED REP ENTATIVE ✓Mar 20 01 10: 12a p, 2 (MMiDD/1 Y g , 9 PRopucEx {603)740-0140 �'FAX _ a ,a 03/20/2001 : ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 818 Central Ave HOLDER.THIS CERTIFICATE DOES NOT AA4END,EXTEND OR Dover, NH 03820 ALTER THE COVERAGE AFFORDED BY THE POLICIES HPLOW. COMPANIES AFFORDING COVERAGE Attn: COMPANY Green Mountain Agency, Inc INSURED Ext: A JSP Leasing, LLC COMPANY PO Box 6 B Center Strafford, NH 03815 COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE AOLlClES OF INSURANCE LISTED BELOW HAVE BEBN SSU O THINSUReD NgMBD�ABOV OR THE AOL CY PER[OD4 INDICATED,NOTw17HSTANDING ANY REQU►RE1.9ENT,TERM OR COND11'!ON OF ANY CONTRACT OR OTHER DOCUMENT Wl1 H RESPECT TO WHICH THIS CERTIFICATE MAY gE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HLREtN 1S SUBJECT TO ALL'll�E TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEX REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE ANCE POLICY NUMBER POLICY EFFLCf[VE'POLICY EXPIRA'fSON DAIV(MM/DD/YY)_. DATE(dIMlDD/YYJ' LIMITS GENERAL LIABILITY COMMERCIAL GENERAJ.LIABILITY GENERAL AGGREGATE :S :_-•', ,CLAIMS MADE OCCUR PRODUCTS-COMP/OP AGG S OWNER'S A CONTRACTOR'S PROT PERSONAL&,ADV INJURY $ EACH OCCURRENCE S FIRE DAMAGE(Any ox lire) $ F LIARILTTI' - MED CXP(Anyone Person) S - COMBINED SINGLE LIMIT S D AUTOS 11000,000 D AUTOS BODILY INJURY ;CL 767002 - (Per Person) 5 HIRED Aul•os i 04/05/2000 04/05/2001 NON-OWNED AUTOS `BODILY INJURY (Per a .dcne) S `.PROPERTY DAMAGE g GARAGE LIABILITY - d AUTO ONLY-EA ACCIDENT ANY AUTO S OTHER THAN AU'1'0 ONLY: EACH ACCIDENT S EXCESS LIABIUI'Y AGGREGATE S i UMBRELLA FORM EACH OCCURRENCE g S OTHER TITAN UMBRELLA FORM AGGREGATE .. RS COMPENSATION AND S EMPLOYERS`LIABILITY TORY LIMITS rR 'THE PROPRIETOR/ EL EACH ACCIDENT S PARTNERSIEXEC.UTIVE EL DISEASE-POLICY LIMIT :S OFFICERS ARE: EXCL OTI/ER Iii_DISEASE-EA EMPLOYEE S DESCRIPTION OF OPEIIATION&T.00ATIONS.'VEHICLES/SPECIAl.ITEMS his Certificate names The Town of N. Andover as Additional Insured �`?T,.•d"'._`�c' � �` ,��'a��'���''€' -�Lr'1{�J''>�`.. si�, y x'n��� P�s^�;y,��n� .c2 { .. N y SHOULD ANY OF TT1E ABOVE DESCRIBED POLICIES ISE CANCELLED BEFORE THE EXPDTAT'[ON DgTE THEKEpF,THE ISSUING COMPANY w[IiNDEnvOR TO AfAIL DAYS WRITTEN NOTICE Tp THE CERTIFICATE ItOLDEK NARiL='U 1'U THE LEFT, Town o f N. Andover BUT FAILURE TO MAIL SUCH NOTICE SHALI.IMPOSE NO OUL(GATION OR LIABILITY Main Street OF ANY KIND UPON TIE COMPANY,ITS AGENTS OR REPRESENTATIVES. v;A y N. Andover, MAA 01545 - AUTHORIZEDREPRGSP.NI-Aii 01 u *- C-05- � �T r O fico oflhvestigations " Boston, Mass.. 02111 Workers'Compensation Insurance Affidavit • a t Please Print Name: Location: City— Phone t-1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity am an employer providing workers compensation for my employees working o--nnthis sjjoo'b- =� Company Address Ci -% hone d Insurance Co. 7 Poli Company name- Address City- Phone#: Insurance Co Policy1111011�- mo Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisbnmentas well as civil penaltiesinthe form of a STOP WORK ORDER and a fine of($100.00)a day against me- I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjurythat the information provided above is true and correct Signature Date Q>1_// Print name �'/`' Phone# GD /� 9—��� Official use only do not write in this area to be completed by city or town official' Building Dept []Check if immediate response is required Building Dept ❑ licensing Board [] Selectman's Office Contact person: Phone#. [] Health Department Other FORM WORKMAN'S COMPENSATION Y . - K/14/2001 14:18 6036251107 USI NEW ENGLAND PAGE 04 OP CERTIFICATE OF LIABILITY INSURANCE o%(i4�a1 ►>povuoER THIS CERTIFICATE-18 ISSUED AS A MATTER OF INFORMATION USI New England/J&P ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 881 Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR- PO nox 100 ALTER THE CMRAGE AFFORDED BY THE POLICIES BELOW, Contoocook, NH 03229-0100 INSURERS AFFORDING COVERAGE iNsuaSp Payne COnstruction Services Inc �INSURER13; Mutuea P. 0. Box b INSURER e: Center Strafford, NH 036.15 INSURER 0: �^ LINSURER0! '-- I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING. ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TYPE OF INSURANCE _-� L! C P i A _ POLICYNUMBBR ATE LIMITS GENERAL LIA6ILITY EACH OCCURRENCE S COMMERCIALOBNERALLIA910Y IiPIREwDAMAQE #4 Oneflto $ CLAIMS MAO OCCUR I MED EXP(An one pprVgn i PERSONAL i ADV INJURY s µ—�—t f GENERAL A©GREGATE # OEN'LAGGFtE(3ATELIMITAPPLIa"SPER I PRODUCTS-GOMPlOPApQ # POLICY re!T�PRO- I LDC AUTOMOBILE.LIAeIUTY � ANY AUTO I COMBINED SINGLE LIMIT e accleen!) # I ALL OWNED AUTOS I e0016YINJURY SCHEDULEDAUTbs I (Porpereon) # HIRED AUTOS ' NON-OWNED AUTOS I I(Per 40cluo 1)RY i I ' r I PROPERTY DAMAGE 9 (Per eoelaont) 7 GARAGE LU181LITy , I AUTO ONLY.EA ACCICENT s ANY AUTO OTHER THAN EA ACC 8 AUTO ONLY: AGO # 7C0E ES8 LIABILITY EACH OCCURRENCE s OCCLIR' =CLAIMS MADE` � A_00REGATE g DEDUCTIBLE ~— Is 71 RETENTION A WORICEPIGOOMPENGATICA iIAND IWC13IS309011020 03/29/0003/2901 JTNC$TATU• 0TH. 3 f EMPLOYERS'LIABILITYDRY I I E.L.EACH ACCt0EN7 i#1 0 0, 0 0 0 _ I I IE:LAISEASE-aAEMPLOYE�#100, OOO OTHER E.L.DISEASE-POLICY LIMIT)IJr• 00 000 I I DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLEY/EIaOLUSIONB ADDED BYENDORSEMENTJSPECtAL PROVISIONS i CERTIFICATE HOLDER ADITm Lu MINEUPWgrmpt _CANCELLATION Andover Historical Society SHOULD ANY OFTHE ABOVE DEBCPpaED POLICES BE CANOELLBD BEFORE THE Wm7m, . N. DATETHEREOP,THEISGUINGINSUMORWILLENOEAVCRTOMAILI (1 DAYGWRMEN ' X83 AC8C1eTt1y RoadNOTICKTOTHECI!FmF;IDATaHOLDERNAMCC)TOTHELin Bj.#'YFAjLLmWT00090SHALL North Andover, MAI 01845 IMPOSENCOBUGATION ORLIABILITY OFANYKINOUPONTHEINBURERITSAOENTSOR REPMESENTATIVEIL ` AU7HORI2E NTATIVE BUILDING PERMIT 01* r►ORTN ,,.,LED TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION '' Permit NO: Date Received 9w �SSACHU`��� Date Issued: z IMPORTANT: Applicant must complete all items on this page LOCATION / 2-5- CQ t i2T S Print PROPERTY OWNER �� �i cit A0 h&/�j )LO!r2O Print MAP NO: PARCEL: 163ZONING DISTRICT: -Historic Districtes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: � -r� Phone: S c Address: CONTRACTOR Name: Yt Phone: Address: 1 r. X 21�, _Znr,�ay'er m Qt P S Supervisor's Construction License: , Exp. Date: ' Home Improvement License: k- � ` �`' Exp. Dater } ARCHITECT/ENGINEEPhone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ a 14-/. (20G-0.9 FEE: $_ Check No.: 1(2(1 C Receipt No.: _21 -7 -? o NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund G $7i6n4ture of Agent/Owner Signature of contracto Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS I HEALTH Reviewed on Signature COMMENTS I i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments "Conservation Decision: Comments Water& Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Maim Street Fire Department signature/date .COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use 6 V I ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 rr.i, r Building Department The following is a list of the required forms to be filled out for the appropriate permit.to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application .a Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Llcenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ , Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) a Y_ ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In sll cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals "that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Application Revised 2.2008 Location ��� t p✓� J No. Date �2 210P NGRTp TOWN OF NORTH ANDOVER F41 9 s i ; ; Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �U�6 s 21 710 / /Building inspector NORTH o'" Of 2 Andover . .No. 0 © , d®ver, Mass., O _ LAKE COCHIC EWICK ORATE S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System '� BUILDING INSPECTOR THIS CERTIFIES THAT............. to r �t-. �r l.."................................................................................. Foundation has permission to erect........................................ buildings on ..... ........................................ Rough tobe occupied as...................... �,J....../.� . ........................................................................................... 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 ® Service BUILD G INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on Wall Premises — Do Not Remove Final No Lathing or Dry IlYall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspectors Burner Street No. SEE REVERSE SIDE Smoke Det. r! Fortunati Carpentry 0nvdce Home Improvement, New Construction 77 court st 11/20/2008 North Andover ma, 01845 781-820-0136 License#CS 069075 Customer: Robert Allegreto 125 court st North Andover ma, 01845 781-820-6051 Description AMOUNT Strip and re-roof with new architectural shingle. $14,000.00 TOTAL $ 14,000.00 THANK YOU FOR YOUR BUSINESS! cu t I 71. Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR a - Registration:126897 Expiration: 8/4/2008 Tr# 127937 Type: DBA, FORTUNATI CA'PENTRY ANTHONY FORTI..4ATI . 77 COURT ST. NORTH ANDOVER,MA 01645 Administrator '= Nlassachusetts- Department 411,Puhlic Sated Board of Buildin�g Rc�ulations and Standards Construction Supervisor License -License: CS 69075 Restricted to: IG ANTHONY P FORTUNATI +� 77 COURT ST N ANDOVER, MA 01845 i c— J�— Expiration: 11/23/2010 ( nunissi"icr Tr#: 8120 Board of Building Regulations and Standards 1 HOME IMPROVEMENT CONTRACTOR t 4; Registration 126897 Expiration. 8/472008 Tr# 127937 Type: DBA,IL FORTUNATI CA,'PENTRY r ANTHONY FORTI,ATi 77 COURT ST. NORTH ANDOVER,MA 01615 Administrator " i ,, �± tie Lrominzoivaea�i a�✓�aaaccc/zuaP,lld €s tBoard of Building Regulations and Standards Construction Supervisor License License;, CS 69075 Birthdate ,11/23/1966 Expiration 11%23/2008 Tr# 10058 Restnctton 1G .�" ANTHONY P FORTtNArj- 77 COURT ST N ANDOVER,MA 01845`'`"== Commissioner The Commonwealth of Massachusetts Department of Industrial Accidents eOffice of Investigations 600 Washington Street Boston, MA 02111 { W WK1.mass,aov/dia Workers' Compensation Insurance.AMidavit: guilders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): ALU 11,^ F0D / Address:_ 7 7 City/State/Zip:Wit, 1V921 old 0 ver /LI A pl�'hone#:_ 7,7/ Y Z D Q 13 6 Are you an employer?Check the appropriate box: l.❑ I with 4. Type of project(required): an. a employer ❑ i am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 ❑New construction 2.ED i am a sole proprietor or partner listed on the attached sheet ?• ❑ Remodeling. ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. o workers comp. insurance 5. 9• Building addition [7`l p. ❑ We are a corporation and its required.] officers have exercised.their 10:❑Electrical repairs or additions 3.❑ I an a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions myself [No.workers' comp. c. 152, §1(4) and we have no insurance required.] t employees. [No workers' 12.(�Roof repairs comp. insurance required.] 1.3.7 Other *Any applicant that checks box#1.must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this amindavit indicating tltey alt uain En L=.or:;at-it!Then hire--outsi&contractors must submit 8 neW atllttavir indicating Such. Iconu=ors that check this boy;must attached an additional sheet showing the nAme df the sub c-_ �tractoia and their workers'comp.policy information. I am ann employer that is providing workers'compensation insurance for my employees information . Below is the policy and job site Insurance Company Name: Policy#or Self-.ins. Lie.#: Expiration Date: .lob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of.the DIA for insurance coverage verification. I do hereby certify u er ins and penalties of perjury,that the information provided above is true and correct Signature: Phone#: 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 S. Plumbing Inspector 6.Other Contact Person: Phone# Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute anemployee i e ed. s defined as ...eve person in'the service of another r7' P under any contract of hire, expressP 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 inciudin.g 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 o r local licensing agency shall withhold the issuance or renewal of a license or permit-to operate it 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 compl-etely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If an LLC or LLP does have _ employees, a policy is required_ Be advised that this affidavit may 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 teg�rdirg the lava or if you are required to obtain a workers' compensation policy,please call the Department.at then u±ber:listed below. Self-insured companies s houid 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 pennit/iicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/iieense 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 Office of investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents. • Office of IIIvesfibations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26=05 Fax#617-727-7749 WWW'.mass.gov/dia