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HomeMy WebLinkAboutMiscellaneous - 126 OLD FARM ROAD 4/30/2018 126 OLD FARM ROAD - J 210/035.0-0048-0000.0 I I I I i i Location No. Date 'y y ad NORTH TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ s�CH�s Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �/ ,/?2 Check # �� l 137f' 3 Building In a for TOWN OF NORTANDOVER BUILDING DEPARTMENT APPLICAT16N TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .rye k - «' ..: ;w. ,X '' i BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: v TURE � Building ComAssioner/Imector of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /mob al �/{P>,1A R d 3-5— 4l Map Number Parcel Number AV 1.3 Zoning Information: 1.4 Property Dimensions: L2- Sf e �� /e 4.1,1)- 7 sl= I -F 6iinDistrict ProposedItse Lot Areas Fronta ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided J 30 X30 ZJ34 AQP(\Ou c D ab' 1.7 Water S GL.C.40. 54) I.S. Flood Zone Information: f 1.8 Sew Disposal System: Public Id Private ❑ Zone Outside Flood Zone k7 Municipal On Site Disposal System 0 �J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record L). N�) 1 Wo o ame Print) Address for Service: g � -5�4 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.i Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: /f License Number Addres Expiratiod Date Si ature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ _ } 28 ^ r Company Name l 12 3 13 n v�� / Registration Numbe �+ Address 7Expiration Date �y nature Tele hone !d SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildij permit. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Descri tion of Proposed Work check all applicable New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: lam/- ✓r �eeo w)c1 �- /6BY2 /� i t U�(l T YAyC✓�S F' /�ilJ� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICCIAL'USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee o p Multiplier 10 2 Electrical _ (b) Estimated Total Cost of /7 �Ov` S D 0 0!6 0 Construction 3 Plumbing 0 D Building Permit fee(a)X (b) 4 MechanicalHVAC a a D /�� 17, 5 Fire Protection 6 Total 1+2+3+4+5 r Check Number SECTION 7a OWNER AUTHOR &ATI N TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT � ��^^ I, �+�, )1y\V as Owner/Authorized Agent of subject property r Hereby authorize TE _ P � C-� to act on w My b h f,in all i atters"e a 've t k authonz d by this building permit application. p ` signature 6TUwner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, / 1Z 1� ( 11-peola-//+w b O as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief r r,L) �i+e(,A 1 A-e 0y Print Na SiL ature Owner/A i ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIlvIBERS 1 ST 2 ND 3 SPAN DIMENSIONS OF SILLS DINIENSIONS OF POSTS DIMENSIONS OF GIRDERS HIfGHTOFTOLTNI)ATION THICKNESS SIZE OF FOOTING' X MATERIAL OF CHIlvINEY IS BUU DING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTHERN ASSOCIATES INC . 342 NORTH MAIN STREET ANDOVER MA 01810 TEL:978-474-4410 FAX.-978-474-5067 L9 L10 C, , ef 4-13- 40 L11 LOT 8AA L12 L8 L1. 328.84' L7 L1 L2. 116.86' P L3. 85.71' L4. 99.63' L5. 50.34 L6. 350.00' L2 L7. 228.30' L8. 459.88' 9. 186.51' L10.471.27' L1 7 ' Old Farm Road L122. 788..0808 (not to scale) LOT C LOT 8AA LOT64 127 SF± CbVERAGE 2% Ilk 4 18.00' A 16.75' 35'f \ — — — DECK DRIVEWAY EASEMENT\ / co \ b EXISTING CO ADDITION \ M / LANDING 46.06-' 0 w 7 t� hs#114 o0 85 \ \ rn co k ► o LOT 7B I W �' C) N/F C.COVIELLO i s 136 r-4 I 1 I LOT 9AA q I co N/F W.ADAMS I I I I I R=125.00' I L=50.34' i 00000 OLD F�AfM ROAD ZONING DISTRICT R2 H OF �c RM PREPARED FOR: T y PREPARED BY. PETER & DEIDRE DUNN 0. 184s7 NORTHERN ASSOCIATES INC. 126 OLD FARM ROAD °� 9F �e ao`/ 342 N.MAIN STREET NORTH ANDOVER MA ANDOVER MA 01810 �t WAD DATE.-APRIL 13,2000 SCALE.-I"=20' i i BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL.c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in-a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: k,4A) ,K (I R 01 2L J,-S0A,) Location of Facility Signafuri of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector t The Commonwealth of PWassachusetts t Department of Industrial-Accidents \ E Office of Investigations IEE Boston, Mass. 02111 Workers' Compensation Insurance Afflidavit Flame Please Print Name d��'�Fr2r'r A &,0194 ✓>o IPIO-retl+ Det'dra c Q UAJN Location: /a b 01,' Z'FA 12M o City N A 4o 4? All Phone aI am a homeowner performing all work myself. aI am a sole proprietor and have no one working in any capacir/ I am an Employer providing workers' compensation for my employees working on this job. Camcanv name )?An-S01/de/Z-C DeS is N U. Address 7f 9&i n P r Wood. AUL- Cir: No AAZJ-Q-U0V2 APE.- Phone Insurance Co G VARA P01icv T i02 u l o I Comoanv name: Address Cit,/' Phone r' Insurance Co. Police Y Failure to secure coverage as requirea under Section 25A or MGL 152 can lead to the imposition of criminal penalties m a rine up to 51,500.00 and/or one years'imoriscrment as'Neil as civii penalties in the form cf a STCP'NCRK ORCER and a fine cf(5100.00) a day against me. I understand that a copy of this statement may be Fcrvarded to the Office cf Investigations of'he GIA For coverage verification. I do hereby certiy un da the pains and penalties of perjury that the information provided accve is true and correct. Signature Cate a17'�D Print L�l��zr- i f' /��/ /14�/�l.► Fhene lrs'a Offic:al use only do net wrrte in this area to be completed by c:iy cr'cwn criciai' C`ty or Tcwn Permit/lJcensinc Building Dept ❑Check if immediate response is required ❑ licensing Board F-1 Selectman's Office Contact person: F,hcre m health Department Other 0 J 1 ' ' . . Registry of Deeds Northern District ufEssex County Lawrence, MA 01840 O2/11/OO DUNN JC # 5Rec: Type PLAN 10.00 Inst 3592 Copies 1.00 # 6 Rec: Type CERT 10.00 Inst 3593 Copies 0.75 Total21.75 # 7 Payment Cash 25.00 # 8 Change 3.25 \ THANK YOU! Thomas J. Burke \ Register of Deeds ' • F p r Y RECEN ED -�' JOYCE BRADSHAW � •` TOWN CLERK NORTH ANDOVER NORTH ANDOVER OFFICE OF THE ZONING BOARD OF APPEALS ZOOO JAN 20 P 1= 3b 27 CHARLES STREET NORTH ANDOVER,MASSACHUSETTS 013-15 FAX(973)633-95.12 Any appeals shall be filed NOTICE OF DECISION A `57' within(20)days after the Year 2000 ,4 TMON4ai date of filing of this notice Property at: 126 Old Farm Road in the office of the Town Clerk. 1 % NAME: Peter&Deidre Duma DATE: 1/12/2000 ADDRESS: 126 Old Farm Road PETITION: 015-99 North Andover.MA 01345 HEARING: 1/11/2000 The Board of Appeals held a regular meeting on Tuesday evening, January 11.2000.at 7:30 PM upon the application of Peter&Deidre Dunn. 126 Old Farm Road.North Andover, requesting a variance from the requirements of Section 7,Paragraph 7.3 of Table 2. for a rear setback to construct a proposed addition of garage.bedroom.bath.and study, within the R-2 Zoning District. ,aQ, a /J The following members were present: Walter F. Soule.Robert Ford. John Pallone.Ellen McIntyre. Scott Karpinski. Upon a motion made by Robert Ford and seconded by John Pallone. the Board voted to GRANT a dimensional variance from the requirements of Section 7,Paragraph 7.3 for relief of 5'for a rear setback. in t order to construct a garage.bedroom.bath,and study. The Board finds that the petitioner has satisfied the 3 provision of the Zoning Bylaw and that the granting of this variance will not adversely affect the 9 neighborhood or derogate from the intent and purpose of the Zoning Bylaw. ,Z In accordance with the Plan of Land by: Carmen A.Testa. Registered Land Surveyor,#18.167, Northern Associates. Inc., 342 North Main Street.Andover, MA.and in accordance with elevation drawings of- Al. A2. A3, A=1,A5,drawn-try G.J. Bruno Associates, Architectural Designers. 23 Berkeley Road. North Andover, MA 01845. Voting in favor: Walter F. Soule. Robert Ford.John Pallone, Ellen McIntyre. Scott Karpinski. 10.4 Variances and.Appeals: s zif, The Zoning Board of Appeals shall have power upon appeal to grant variances from the terms of this Zoning Bylaw where the Board finds that owning to circumstances relating to soil conditions,shape,or topography of the land or structure and especially affecting such land or structures but not affecting generally the zoning district in general.a literal enforcement of the provisions of this Bylaw will involve substantial hardship.financial or otherwise,to the petitioner or applicant,and that desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of this Bylaw. Furthermore,if the rights authorized by the variance are not exercised within one(1)year of the date of the grant.they shall lapse,and may be re-established only atter notice,and a new hearing. Furthermore,if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed atter a two(2)year period from the date on which the Special Permit was granted unless substantial use or construction has commenced,they shall lapse and may be re-established only after notice,and a new hearing. By order of the Zoning Board of Appeals. Walter F. Soule,Acting Chairman mUdecisions200012 - BOARD OF.APPEALS 688-9541 BUILDINGS 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PL.kNNING 688-9535 L-SSLX NORTH REG STRY 1E DEEDS LAWRENCE, MASS.. v 2 ` pCr c A TRUE COQ'S: ATTEST: Y_^ ' FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ***********APPLICANT FILLS OUT THIS SECTION************ APPLICANTPem 4- Oe"x,%e Loo ►�N PHONE(,09/-L5_/7/J0 LOCATION: Assessor's Map Number PARCEL�64/ SUBDIVISION LOT (S)R14.4 STREET d j��A2nn 20 da ST. NUMBER _ *** ** OFFICIAL USE RECOMMENDA T IONS OF TOWN AGENTS: a3Y-24 CO ERVATION ADMINISTRATOR DATE APPROVED -ri U LA DATE REJECTED COMMENTS VV Q. ��� G�C� ti � � �✓�� l� cfe TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERMIATER CONNECTIONS DRIVEWAY PERMIT A FIRE DEPARTMENT RECEIVED BY BUILDING iiNSPECTOR DATE Revised 9197 im 3s'i� ZONINC BOARD LOT 8AA l8 , L1. 328.84' N LOT C L2. 116.86' L3. 85.71' L4. 99.63' 18.00' L5. 50.34' - L6. 350.00' 161.75' - L7. 228.30' L9. 5 5 8' '`� DRIVEWAY EASEMENT•* L10.471.27' \ L11. 77.86' CY) . L12. 78.08' ' NFarm oad .t to scate� / I I CERTIFY THAT THIS PLAN CONFORMS TO THE RULES & REGULATIONS OF THE rn i MASSACHUSETTS REGISTRIES OF DEEDS Fhs#114 ALL DIMENSIONS ON THIS PLAN ARE BASED t ON FIELD MEASUREMENTS. LOT 7B F C.COVIELLO I HEREBY CERTIFY THAT THE PROPERTY i LINES SHOWN ARE LINES DIVIDING EXISTING OWNERSHIPS AND THE LINES OF STREETS & WAYS ALREADY ESTABLISHED & THAT NO NEW ' LINES FOR THE DIVISION OF EXISTING OWNERSHIPS OR FOR NEW WAYS ARE SHOWN. I X50 OF CARMEN I CARMEN A.TES A DATE TESTA No. 18467 9 tO scale I"-40 FdS,� A+iTBR� 80 L v LOT 8AA 164,127 SFf LOT COVERAGE 2% 35'f DECK REGISTRY USE ONLY -� PROPOSED co ADDITION (p / LANDING 2 STORY 1VOOD #126 '— pIZOPOs�p �-IEtC�HT EL�VA'tlOw! 1�j '�0 8E 31 To t'�.oTGH THE / ��� 2� ,0'� E,7L�sTtwsy ST2vc-Tu2E. \ vc o 0 1 � I� o #136 j LOT 9AA SITE PLAN N/F yP.ADAMS (FOR VARIANCE) NORTH ANDOVER HA (126 OLD FARM ROAD) PREPARED FOR R=125.00 PETER & . DEIDRE DUNK I L=50.34' PREPARED BY FARM ROAD NORTHERN ASSOCIATES INC. ,D 342 NORTH•MAIN STREET ZONING DISTRICT R2 ANDOVER MA nATF•NnV_23.19.99 SCALE:1"=40' ORT Town o �� to '. , n over 0 '�yy o, yy ndover, Mass., _ 3o-3) " `T O 1- LAKE T COCKICMEWICK A0RATED P? SSA C H tJ 5� IT FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT .�'ro/,r � P V "./V ..... ..... . ...... ........... ............. ................................................................ .. has permission to excav to & � R `�'� • p and pour foundation at .... ........................................ .............................. it tO�V V for the purpose of. ..� .•............................� '�/. Cpbr-oy 4- al 3 � T � � fir'..w............................ .............................................................. The person accepting this permit must return to the office of the Build' Ins ector a certified lot plan show of building the eon before Foundation will be inspected. T3 I OP A-ouv o R C a i % a IA oma- a �• r a o R �►W c. � g .e'�tA CK .A- n No -'� ♦-i�- 00 VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire bui ding structure will be granted. � 3S � y � //37• -- .. ...... ........................................................ BUILDING INSPECTOR NORTH Town of Andover o No. o '� dower Mass., C3 �3 COCHJCHEWICK C AD'`?ATED P'P 1 S - BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... otl/�+�........ t�/V/V ............................................................................................ Foundation has permission to ere t 49y.1.�."............... buildings on ...14(6 d)Lo(.. :Aro" Rat a.............. Rough • i' to be occupied as..A..........o ......�...ad . Mory....��..�...f7A, �w Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. .Z 8A yJN.-0/' 00 ROOM 075 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ;tear s w* 10#44/lc Rough Irl 3S' PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR P UNLESS CONSTRUCTION S T Rough ........... ...... ................III .................................................. Service *"N*WBUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display. in a Conspicuous Place on the Premises — Do Not Remove Final T No Lathing or Dry Wall 1 o Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. Town .o orih Andover No. / e. North Andover, amass., e3 0' C BOARD OF II �AI.TFI PERMIT TO BUIL.D Food/Kitchen Septic System ! �/ ® c & s � BUILDING I SPECTOR THISCERTIFIES THAT.......... ................. .:�...................................................................................................................... Foundation has permission to ere t .. ................ buildings on..� ....g j A f Rough / o O. ... r �( � • �) ° �"a + Q " �.d aim, a" '. R e}y' }%' Chimne� co 7 �✓t k''1 to be occupied as ..........................> .......................................................... .....................I....................�°.�.......... y J p 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 pl. Buildings in the Town of North Andover. ' " `PLUMBPLUMBING INSPECTOR p VIOLATION of the Zoning or Building Regulations Voids this Permit. t��b � -.. .44. 0o h G `2-il-cel 6a(/-ELECTRICAL INSPECTOR Rough ............................ ......... :......................................................... ervice f BUILDING INSPECTOR x Final— d4 I PECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry (Nall To Be Done FIRE DEPARTMENT Until -Inspected and Approved by the Building Inspector. Burner ry Street No. SEE REVERSE SIDE Smoke Det. h Date. N2 4472 TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING SAGMU`+� ' 'i. This certifies thatG . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . ''""` 'J '`� • . . . . • . . plumbing in the buildings of,.'.'' . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,. North Andover, Mass. Fef6. . . . .Lic. No.. . . . . . . . . . . . . . . . . . . . } �PtUM 144 NSPECTOR Check i WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date 2,; 6 Building Location Owners Name � � Permit Amount p °� T e of Occ an r (� New Renovation 0 Replacement Plans Submitted Yes No FIXTURES 1� w xCn Cra a a g a d x a a w w d W A ►� a x a Fz d a d H A2 A SLR>tEbm R4S9 W MHiOCIR F f M FrmZ Z 6 l 3M RaR 4M HDM sMHIM sMRaR 7MHaR s�>ZoaR / /� Check one: Certificate (Print Company Name�, (� 4 i'4 Corp. Address Partner. a7PF d-2L-2- Business Telephone -- ,Zr P Firm/Co. Name of Licensed Plumber. /'. l ` Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy P Other type of indemnity M Bond ❑ a Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or en )in above application are true and accurate to the best of my knowledge and that aq=son ,f and installations p orm der Permit Issued for this application will be in compliance with all pertinent prs usetts Stat Code d Chapter 142 of the General Laws. By: ► o i ns er T e of Plumbing License Title City/Town License Numner Master El Journeyman APPROVED(OFFICE USE ONLY N° 2425 Date...lP.z5?-.&V......... f NORTH� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING b o•,T.o ,SSACHUS� This certifies that .-f f has permission to perform ........ `off-�- - .. ......... ............................................ wiring in the building of'z ......... .............................................................. M at.../17�7'....... .�..........//ff.. North Andover,Mass. 4Fee-���� , ... Lic.No/-:15' ... �% -.1:C! ..:.r................. -- 'ELECTRICALINSPECTOR Check # S WHITE: Applicant CANARY: Building Dept. PINK:Treasurer T7-LE F]USE77S Permit No. Office Use only 92 � DEA9R71�V1'OFPlJI3IlCSAFE7Y "4 BOARDOFFIREPREVF1V770NREGUTA770NN527Gi1fl?12.00 � 1 Occupancy&Fees Checked APPLICAT10NF0RPE?A1flT TOPERFORIVIELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 p� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. .7's— PARCEL Location(Street&Number) 1,)-6, Qf./ :J/ ) Owner or Tenant Cs,J r Y,: Owner's Address Is this permit in conjunction with a building permit: Yes[Zr No (Check Appropriate Box) 1 �„ Purpose of Building ;�( L„S_%e n ,J� Utility Authorization No. Existing Service Amps / Volts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampaeity (fir , lO g'9 Location and Nature of Proposed Electrical Work + ✓►U� No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting FixturesSwimming Pool Above Below Generators KVA d'V ground ground No.of Receptacle Outlets 37 No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets / No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Loral Municipal Other Cotmections NoAf Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs / No.of Motors Total HP OTHER• - li-a=oeCa�Rastlar8mthere4mmiatsofMamdmgdtC nualLaws IhaNeaci=tLiab&yhn�.>r =P0hCyinc1� CarVi&- COY=WorIIS suit>bale4mla$ YES © NO a Iharesu ii&dmtbdptaofofsa=tDdrOfoe YES ✓ NO F-1 T)uuba%edn1-zdYES,pianenkwedrt peofoaaaWbycimdatlgthe appcpialebcK INSURANCE IJ BOND OTHER F-1 ftmSpacmy) FxFu'arimDae Eslirr&dVakiedBecbml Wade$ Wo&V19tart fiVac6mDateRe Msbd Rater Final . SignedurlrTrP mi&sofpajtay: FIRMNAlvEE kiz G/ �i��-, `I c- LicaM1 Lion= �l?�' / L l ���' Signahae !/ ' / _ �-^ j � / � Blsi<1es,TelNa �7� ddm 773 i,/�hon lr%� J T1-✓�rh J/� 643 t����'3cf AiTeLNa OWNER'SIIVSURANMWAIVER amawatetta&Lioa>sedoesmthaNetheitnmrlo w&mWaritsatsbrtalegrala$asmgmedbyM%mdnB&Ctnmd awS andthatmysigmkirecrifispan tapplim* Wdiu S1wreq=rlart. (Please check one) Owner ED Agent Telephone No. PERMIT FEE Signature of Owner or Agent Date N° 4226 A 0'<".��':��o TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING s o�+ •'s ,SSACMUS� ') This certifies that A— �11-- -/ � '•'. ...".47'11-�. . . . . . . . . . . . . . . . has permission to perform . . .7� . . . . . . . . • • • • . plumbing in the buildings of . .AAf. . . . . . . . . . . • • • • • . . at .4,--?(e. . . . /zV,-North Andover, Mass. Fee-Z , Lic. No.� . . . . . . . . . . . . .L,... . . . . . . . / PIUMBING�i SCTOR d �Cb 7-e) ✓ WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PE IT TO ISO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS ,i Date� l_ 1;0^,_,_T/ Building Location /' ? 9—OwnersName&'r / Permit#� Amount S E� Type of Occupancy New ❑ Renovation Replacement [E] / Plans Submitted Yes No 0 FIXTURES a w x U z a Ix >0 d W) A g CY W W d W W a A A G4 W � Z A A ►�.� H Rl 2 C5 d a F SZEBm l5'T:ILOQt 2rD FIDQt �FIOQ2 4If3I1IDM 5M HJOM M FLOCK • 7M FLOQ2 SIH H-aR v (Print or type) Check one: Certificate Installing Company Name El Corp. Address Partner. 64:Z4a Business Telephone — Firm/Co. Name of Licensed Plumber: Insurance Coverage: ' Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 11 Bond ❑ Insurance Waiver: 1,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature 7 Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and insta tions performed under P it Issued for this application will be in compliance with all pertinent provisions of the M;agsstate P b' ode Chapter 1 neral Laws. By: icens um er Type of Plumbing License Title ! City/Town icense um e �— Master �/ Journeyman ❑ APPROVED(OFFICE USE ONLY t Date 3.883 HOR7: p TOWN OF NORTH ANDOVER 00 PERMIT FOR PLUMBING SSACMUS This certifies that .A.. S. Iel7!�!A. ,F�!t.U, , , , , , , , , , , , , , , , , has permission to perform . . ?. .( . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . 1 e � o. .-D..0 t tp . . . . . . . . . . . rth Andover, Mass. Fee�a,... . .Lic. No.`-�� 3� � . . . . . . . . PLUMBING INSP OR 12/10/98 13:34 20.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING a O, — (Print or Type)) Mass. Date 19Permit # ,F" Building Location Owner's Name if Type of Occupancy �t 5 DC ri r-1�_ y f•` New ❑ Renovation ❑ Replacement R" Plans Submitted: Yes ❑ No ❑ FIXTURES _z ' 2 N N Z Y < O z > H J Y V < W W N z Vl < rt ¢ _ ~ Z O 2 H a O W V W Y < N W V N Q m p N ¢ < y Z ¢ 4 O < 6 x Z O p Q W ¢ < W - O < N Z .Q a ¢ O W (t W W < N N 6 J O p 'JF� M- O • J C W S F- V < x 3 x b 2 x Y d O Z Z < W IL Y W > F- O Vf F z O O N - W f' O U = 3 Y J 07 y O O J 3 x r- vs U. O O < S ¢ m O SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR/� Installing Company Name P1LIELT M A T A e 0 Check one: Certificate Address CL RC hi oit4n) /-,Pj ❑ Corporation jr E%N i ' _ n vl'l A (�t�cl,� ❑ Partnership Business Telephone 7 1 91515 rn/Co. Name of Licensed Plumberr'r3r=,�?r fry 5�,�►� v1�4 tr4►?c�' INSURANCE COVERAGE: I have a current(lability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes [a' No ❑ If you have checked Yes, please /indicate the type coverage by checking the appropriate box. A liability insurance policy ld" Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent C3 I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations ormed under the permit ifor this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e and apter of th7A711 ssu l Laws. LL6 Title Vawre of Licensed Plumber City/Town Type of License: Master % Journeymah C]_ APPROVEDOF_Fl CE US ONLY) License Number 3 3 5 r BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES 1 PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR t. Town Of North Andover Project: Building Department 27 CHARLES ST p Proposed addition 978-688-9545 41 126 Old Farm Rd .a No Andover MA 01845 `'�4no APPLICANT : Peter& Deidre Dunn '$S^�H�S�� 126 Old Farm Rd No Andover, MA. 01845 DATE: 11/24/99 Title of Plans and Documents: as above Please be advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following reasons:- Zoning Use not allowed in District Not in conformance with Phased Development Violation of Height Limitations Sign exceeds requirements X Violation of Setback Front Side Rear x Insufficient Lot Area Insufficient Parking Violation of Building Coverage Insufficient Open Space Use requires permits prior to Building Permit Sign requires permits prior to Building Permit Form U not complete by other departments Not in conformance with Growth By-Law Other insufficient frontage Remedy for the above is checked below. X Dimensional Variance Special Permit for Watershed Review Special Permit for Site Plan Review Special Permit for sign Complete Form U sign-offs Copy of Recorded Variance Information indicating Non-conforming status Copy of Recorded Special Permit Other Other Plan Review The plans and documentation submitted have the following inadequa'c'ies : 1.Information Is not provided,2.Requires additional information, 3.Information requires more clarification 4. Information is incorrect. 5.All of the above. # I I # Foundation Plan I I Plumbing Plans Subsurface investigation Certified Plot Plan with proposed structure Construction Plans 116 Affidavit Mechanical Plans and or details Plans Stamped by proper discipline Electrical Plans and or details Framing Plan Fire Sprinkler and Alarm Plan Roofing Footing Plan Plans to scale Utilities Site Plan Water Supply Sewage Disposal Waste Disposal Other see reverse ADA and or ABBA requirements Administration The documentation submitted has the following inadequacies : 1.Information Is not provided.2.Requires additional information. 3.Information requires more clarification.4. Information is Incorrect.5.All of the above. # # Water Fee State Builders License Sewer Fee Workman's Compensation Buildinq Permit Fee Homeowners Improvement Registration Building Permit Application Homeowners Exemption Form Other Other The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building cbpertment will retain all plans and documentation for the above file.You must file a new building permit ppli • n fo nd begin the permitting process. uil ing Department Official Signature Application Received Application Denied If faxed: Denial Sent Referral recommended: Fire Health i Police X Zoning Board Conservation Department of Public Works Planning Historical Commission Other ' BUILDING DEPT' cc: William Scott Revised 9497 Jm i Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: fiyt ;^�xywya{y 'a*.�V 1{ SJ+.f k.'*rsna.£t7 a::a...r F s'. g. p! r. t`�N a' J!{ ✓�..5. J� t v� l`rR�R� ':Y+�"?�hyjS 1 fi�3n, nN .' u'�, n,� l �ty� " L`ii75? it .�..aj Yt, .?ny116>Xts � �ts� Section 7 Dimensional Requirements/R2 District requires 30 foot front,side and rear' setbacks i Town Of North Andover Project: Building Department OF „ORTt� ? '�:" 27 CHARLES ST o Proposed addition� 978-688-9545 4 : 126 Old Farm Rd } o ooo oNo Andover, MA 01845 APPLICANT : Peter& Deidre Dunn SSACHUS��tg ., 126 Old Farm Rd No Andover, MA. 01845 DATE: 11/24/99 Title of Plans and Documents: as above Please be advised that after review of your building Permit Application and Plans that your Application is DENIED for the following reasons: Zoning Use not allowed in District Not in conformance with Phased Development Violation of Height Limitations Sign'exceeds requirements X Violation of Setback Front Side Rear x Insufficient Lot Area Insufficient Parking Violation of Building Coverage Insufficient Open Space Use requires permits prior to Building Permit Sign requires permits prior to Building Permit I Form U not complete by other departments Not in conformance with Growth B -Law Other insufficient frontage Remedy for the above is checked below. X Dimensional Variance Special Permit for Watershed Review Special Permit for Site Plan Review Special Permit for sign Complete Form U sign-offs Copy of Recorded Variance Information indicating Non-conforming status Copy of Recorded Special Permit Other Other Plan Review The plans and documentation submitted have the following inadequacies : 1.Information Is not provided,2.Requires additional information, 3.Information requires more clarification,4. Information is incorrect. 5.All of the above. # ## Foundation Plan PlumbinR Plans _ Subsurface investigation Certified Plot Plan with proposed structure Construction Plans 116 Affidavit Mechanical Plans and or details Plans Stamped by proper discipline Electrical Plans and or details Framing Plan Fire Sprinkler and Alarm Plan Roofing Footinq Plan Plans to scale Utilities Site Plan Water Supply Sewage Disposal Waste Disposal Other see reverse ADA and or ABBA requirements Administration The documentation submitted has the following inadequacies : 1.Information Is not provided.2.Requires additional information. 3.Information requires more clarification.4. Information is incorrect.5.All of the above. Water Fee State Builders License Sewer Fee Workman's Compensation Building Permit Fee Homeowners Improvement Registration Building Permit Application Homeowners Exemption Form Other Other The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department wil!retain all plans and dorumentation for the above file.You must file a new building permit ppli n fo nd begin the permitting process. uil ing Department Official Signature Application Received Application Denied Iffaxed: Denial Sent Referral recommended: Fire Health Police X Zoning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT cc: William Scott Revised 9197 jm Town Of North Andover Project: Building Department a4 NORTH LSD 27 CHARLES ST o? o0 Proposed addition 978-688-9545 *^ :* 126 Old Farm Rd No Andover, NIA 01845 APPLICANT : Peter & Deidre Dunn �1SSAC4iU`'�t�g 126 Old Farm Rd No Andover, MA. 01845 DATE: 11/24/99 Title of Plans and Documents: as above Please be advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following reasons: Zoning Use not allowed in District Not in conformance with Phased Development Violation of Height Limitations Sign exceeds requirements X_ Violation of Setback Front Side Rear x Insufficient Lot Area Insufficient Parking Violation of Building Coverage Insufficient Open Space Use requires permits prior to Building Permit Sign requires permits prior to Building PermitForm U not complete by other departments Not in conformance with Growth B -Law Other insufficient frontage Remedy for the above is checked below. X Dimensional Variance Special Permit for Watershed Review Special Permit for Site Plan Review Special Permit for sign Complete Form U sign-offs Copv of Recorded Variance Information indicating Non-conforming status Copy of Recorded Special Permit Other Other Plan Review The plans and documentation submitted have the following inadequacies : 1.Information Is not provided,2.Requires additional information, 3.Information requires more clarification,4. Information is incorrect. 5.All of the above. Foundation Plan Plumbing Plans Subsurface investigation Certified Piot Plan with proposed structure Construction Plans 116 Affidavit Mechanical Plans and or details Plans Stamped by proper discipline Electrical Plans and or details Framing Plan Fire Sprinkler and Alarm Plan Roofing Footing Plan Plans to scale Utilities Site Plan Water Supply Sewage Disposal Waste Disposal other see reverse ADA and or ABBA requirements Administration The documentation submitted has the following inadequacies : 1.Information Is not provided.2.Requires additional information. 3.Information requires more clarification.4. Information is incorrect.5.All of the above. Water Fee State Builders License Sewer Fee Workman's Compensation Building Permit Fee Homeowners Improvement Registration Building Permit Application Homeowners Exemption Form Other Other The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new building permit ppli ' n7W/ nd begin the permitting process. cep uil ing Department Official Signature Application Received Application Denied If faxed: Denial Sent Referral recommended: Fire Health Police X Zoning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT cc: William Scott Revised 9197 jm i Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: .. sH�'��R�t�"z�r tryObie�ic;. �, ��' qq i?. k4sP Section 7 Dimensional Requirements/R2 District requires 30 foot front,side and rear setbacks i r- Town Of North Andover Project: Building Department f "°"'" o 27 CHARLES ST F A Proposed addition , 978-688-9545 . _ 126 Old Farm Rd No Andover, MA 01845 APPLICANT : Peter& Deidre Dunn ass^c►+u5°� 126 Old Farm Rd No Andover, MA. 01845 DATE: 11/24/99 Title of Plans and Documents: as above Please be advised that after review of your building Permit Application and Plans that your Application is DENIED for the following reasons: Zoning Use not allowed in District Not in conformance with Phased Development Violation of Height Limitations Sign exceeds requirements X Violation of Setback Front Side Rear x Insufficient Lot Area Insufficient Parkin Violation of Building Coverage Insufficient Open Space Use requires permits prior to Building Permit Sign requires permits prior to Building Permit Form U not complete by other department Not in conformance with Growth By-Law Other insufficient frontage Remedy for the above is checked below. i X I Dimensional Variance Special Permit for Watershed Review Special Permit for Site Plan Review Special Permit for sin Complete Form U si n-offsCo of Recorded Variance Information indicatingNon-conformingstatus Co of Recorded S ecial Permit Other Other Plan Review The plans and documentation submitted have the following inadequacies : 1.Information Is not provided,2.Requires additional information, 3.Information requires more clarification 4. Information is incorrect. 5.All of the above. # # Foundation Plan Plumbing Plans Subsurface investigation Certified Plot Plan with proposed structure Construction Plans 116 Affidavit Mechanical Plans and or details Plans Stamped bv proper discipline j Electrical Plans and or details Framin Plan Fire Sprinkler and Alarm Plan Roofing Footing Plan Plans to scale Utilities Site Plan Water Supply Sewage Disposal Waste Dis osat Other see reverse ADA and or ABBA requirements Administration The documentation submitted has the following inadequacies : 1.Information Is not provided.2.Requires additional Information. 3.Information requires more clarification.4. Information is incorrect.5.All of the above. # # Water Fee State Builders License Sewer Fee Workman's Compensation Buildin_Q Permit Fee Homeowners Improvement Registration Building Permit Application Homeowners Exemption Form Other Other The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to Provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled'Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above rite.You must file a new building permit 1ppil n f nd begin the permitting process. uil ing Department Official Signature Application Received Application Denied If faxed: Denial Sent Referral recommended: Fire Health i Police X Zoning Board Conservation Department of Public Works Plannin Historical Commission i Other BUILDING DEPT' cc: William Scott Revised 9197Im Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: a�„'�efycr t .,:.: -. .-• �e'. 'E - r•� � k'7' :w: y: , a 3 W b Section 7 Dimensional Requirements/R2 District requires 30 foot front,side and rear' setbacks i i I