Loading...
HomeMy WebLinkAboutMiscellaneous - 1264 SALEM STREET 4/30/2018 1264 SALEM STREET \' j 210/106.A-0187-0000.0 I I LaMarche Associates 5 North Road, P.O. Box 250 Chelmsford, MA 01824 800-349-1525 Fax: 978-256-8590 February 25, 2015 Building Commissioner/Inspector of Buildings North Andover, MA 01845-4910 Board of Health/Board of Selectmen North Andover, MA 01845-4910 NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Claim has been made involving loss, damage or destruction of the property captioned below, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and LA file number. Insured: Carrie Rainen & Kyle Rys Loss Location: 1264 Salem Street North Andover, MA 01845-4910 Policy Number: HP639407 Date of Loss: 02/24/2015 Cause of Loss: Water LA File Number: MA-2-26802 On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Tyler Rawlings Adjuster LaMarche Associates,Inc.-600-349-1525 Page 1 of 1 Date..Z/ .' ................... OF r10ri7M,� TOWN OF NORTH ANDOVER 9 PERMIT FOR WIRING T%- 0 8`4�CHU` This certifies that .. /( . .......................�.14,�.��.�.................................................. has permission to perform -6..!rM..... "--f-k?Odd.................................. wiring in the building of.......... ....... SS 4 ................................................................................. at ... Cn �5 ?............................ . orth An over,Mass. ... ............... ........-.7 r. Fee Lic.No)/N ..... .......... ....................'`. ........... ............ . . ..... ... EL CAL IN ECTOR Check# �� e- it 6co eL4-tA. -�,\& IAA,M NAS I e�, -� n, A nly commonwealth of Massachusetts official Use o �- Department of Fire Services Permit No. 1 ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leaveblank �•M APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NBC),527 CMR 12.00 s (PLEASE PRINT IN HK OR TYPE ALL MFORMATIM Date: // City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) z - Owner or Tenant ,�. Telephone No. q Owner's Address�Z �S AZ Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. - Existing Servic!/yao Amps p / Volts Overhead K] Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table maybe waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o mergency ig tmg No.of Luminaires Swimming Pool rnd. ❑ rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No. of Ranges Tons Na.of Gas Burners No.of Detection and No. of Switches InitiatingDevices No.of Air Cond. Total No.of Alerting Devices . Heat Pump Number.. Tons...,,..,......................... No.of Self-Contained No. of Waste Disposers Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection [IOther Heating Appliances Security Systems:Y No. of Dryers g pp KW No.of Devices or E uivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs -Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Fires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC-Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) .I certify,under the pains and penalties ofp Jury,that the information on this application is true and complete. FIRM NAME: . LC LTC.NO.-_L7 7 5 Licensee: � �� ,/' i�-; �Signature )2.LD LTC.NO.: (If applicable,enter "e e "in t e h nse nttrrlber line) Bus.Tel.No.: T, Address: Alt.Tel.No.: N *Per M.G.L c. 147,s.5 -61,sec ty work re ares Department of Public Safety"S"License. Lic.No. OWNER'S INS CE W R: I are that the Licensee does not have the liability insurance coverage normally required by law. B y signa below,I reby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/AgentPERMIT FEE.$ Signature Telephone No. I ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed k, on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an t electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the r notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. F ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass M Failed 0 Re-Inspection Required($.) ElInspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass Failed 0 Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass 0 Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INECTION: Pass M Failed Re-Inspection Required($.) ❑ Inspectors Co ments: ^�2 �/� Inspectors Signature: Date: FINAL INSPECTION: Pass Failed Re-Inspection Required($.) ❑ Inspectors C mments: --r Inspectors Signature: , Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com ,f h 4 . ry The Commonwealth of Massachusetts - Department oflndustrialAccidents Office of Investigations 600 Washington. Street Boston,MA.02111 www.massgov/dia Workers' Compensation Insurance Affidavit:Budders/ContractorsfElectricians/Plumbers Applicant Information Please Print LeR bly Name(Business/Org an ization/Individual): Address: c ffi � l `YY1 d -X- i L c� - City/State/Zip: r26 x m o y✓i D Phone#:_6 / it Ja— d(2? Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(fall and/or part-ti"me).* have hired the sub-contractors 2.[9' am a sole proprietor or partner- listed on the attached sheet. �• [1 Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9, ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner,doing allwork right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.)i employees.[No workers' q ] 1311 other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. 7 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or S elf-ins.Lie.#: Expiration Date: Job Site Address: l_� S 4� 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 requiredunder 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. Ido hereby certto under the pains a d penalties ofperjury that the information provided above is true and correct. - Si afore: Date: _ Phone# 7 4t f-2 O 6 L-7— Official Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other - Contact Person: Phone#: r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-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 carry workers'compensation insurance. If an LLC or LLP does have 1 employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and datethe affidavit. The affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill.in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current Policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc)said person is NOT required to complete this affidavit. The 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 Commouwoalth of Massachusetts Mpaz`tmeat of Industrial Accidents Office of avestigations 600 Washixt&u Stroet Boston}M.A.0 111 Tel,#617-72.7-4900 est 406 or 1-877�MASSAFFS Revised 5-26-05 Fax#617-727-7749 XVWw_mace an-uhl. a a Q COMMONWEALTH OF MASSACHUSETTS BOARD OF ELECTRICIANS ISSUES THE: FOLLOWING LICENSE AS A REG I.STERE'D MASTER E# ECTR I CJ ANl� CQ ;ELECTR IC INC , C>ARtOS A QU f NTERO � r %-• r 51 H I LLS I°DE ST APT;;2 x ROXB'URY MA 02120 3308 17350 07/31/16 70914 VIZ_VI-1, vv,,� V , ev-U�2j. Jo Date.. kkio...... 2.`) J "p aD TOWN OF NORTH ANDOVER p .���tip ♦ 0 31 i .�. pp PERMIT FOR PLUMBING This certifies that.....!........... n ..... ............................ .. ok6 ..... .. .. ... ... has permission to perform.............: .........✓..e `Q ........................................ plumbing in the bu\ildinngs of..... �..p..!. .,..c..�1.�........................................................... -at.......�2... T......: .!!.Y. ......... North Andover, Mass. Fee �.: ..Lic No.�V.;.. M ' ......... . .......... .................................................................. PLUMBING INSPECTOR Check# , �� ` 310 - ►�- i �Z� 3 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ^ CITY 1 MA DATE PERMIT# i 16Z- /2 3 JOBSITE ADDRESSS—L , II OWNER'S NAME Cs s�i P OWNER ADDRESS lain 9 1' TEL JIFAX TYPE OR OCCUPANCY TYPE COMMERCIAL © EDUCATIONAL © RESIDENTIAL J PRINT CLEARLY NEW: M RENOVATION:® REPLACEMENT: ® PLANS SUBMITTED: YES Q NOW FIXTURES'l FLOOR--> BSM 1 2 3 4 5 6 7 8 1 9 10 11 12 13 14 BATHTUB 1 ____.`s= 1 ( __.__._.f I ..____ J I= _ __( 1 CROSS CONNECTION DEVICE �I __J I====—= -._j DEDICATED SPECIAL WASTE SYSTEM =--(= I _i ._._ ( I = DEDICATED GAS/OIL/SAND SYSTEM _ �I _ I .______} DEDICATED GREASE SYSTEM � I _i I L--Al ( _.__ DEDICATED GRAY WATER SYSTEM f DEDICATED WATER RECYCLE SYSTEM I ___.._.-� _-_.__I ___ _-.__� ._T. ( ____I —j DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER I FLOOR/AREA DRAIN _-_ ._j .. —( ------j INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK I --- _( I —j TOILET URINAL P __( -._--T J ( f _--__{ ' . I ( .._...__� I _.__. WASHING MACHINE CONNECTION WATER HEATER ALL TYPES _ I f i I 1 I ^ I _ _ F I WATER PIPING _ I ' ( ( i I i ._-... .( .-.-___I OTHER 1==== 1 INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES[I NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY BOND Qf OWNER'S INSU NCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mastac u etts neral Law , d that my * ,lure on this permit application waives this requirement. CHECK ONE ONLY: OWNER Qr AGENT 101 SIGNATU E OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this applicati re true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will b in omRliance 7F�11 P rtine ovision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAMELICENSE# O SIG ATURE iVIPE1 JP;4 ' CORPORATION D#©PARTNERSHIP®#I lLLCQ#I . N COMPANY NAME�? �Cy -- D; ADDRESS CITY � 'ISTATE _j ZIP FAX E ELL ` EMAIL ' ROUGH PLUMBING INSPFeCTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES � !3 Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES 1 - The Commonwealth of Massachusetts ` Department ofIndustrigl Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UV www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/lndividual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): .1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. �• E]Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. g, E]Building addition [No workers' comp.insurance 5. El We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]i employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box41 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees Below is the policy anal job site information. Insurance Company Name:. Policy#or Self-ins.Lie.#: Expiration Date: Job 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 requiredunder 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 DTA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Signature: Date: 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 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who.has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' , compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials • Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each ._ year.'Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. r 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 Mqssach-vsf,-tts Department of Industrial Accidents Office of luvestigations 600 Washington ftoot Boston,MA,02111 Tel,#617-727-4900 oxt 406 or 1-877:M'ASSAFE Revised 5-26-05 Fax#617"727-7749 wwwxnass,gov1dia 1 ' 1 � • era.,`µ\:� �:',�,i •�i .� 1-.: A�' jj.. AEST 5-09 IdY,- r. _ �t ;•r 4 4: �b'e ANIEL EIK R Y DRIVE A�"' 'ti z r -° ;'i s' .,• I WESTaoaoUDH,M ' 4f r:M1 .� ::n: y " 1 ":C• '1 30 •01691- iw :Y "R2�is _ �'t r•.I�'(:;.�L. " ~` 1BERS AND ,loURN�YIJA ".s „IJES.TkiE Abd/�. .:, ti•. . r 5'•ri _•yi'.: 't'P•y:a. r,`.e:%�:.�''`a Z- °gip • OR MAY.B.ERR . ,;,.. ;'F,,�. :� ���.j�� �,.:.•..-� ,:� .t. F�'.��E S T R t]I�0: _ �;-:v r•:;3 :" _:i v ;:,30042 u I Fcdd,Tsionb•�a�n�long'i+0�'er(Ora OAS . Date . . . 77.�q"1Z. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . . . . . . . . . . . . . has permission to perform . . Z. TPS. . . . G�, ys�Q/� /.��0-1r...- wiring in the building of . . .Vii .S.S./ . . . . . . . . . . . . . . . . . . . . . . �. at . . . . . . I.?-: y. ,3,7z?a?. . . . . . . . . , rth Andover Mass. Fee S . Lic. No. . . . . . . . ELECTRICAL INSP,ECTO Check# '7 3 7 Cj 10972 C,ommoruuealth o� a99ace Official Use Only cc��rr�� Permit No. O e^ Apart d W Wire Servicee 7 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYP,ALL INFORMAT ON) Date: �I " 7- L I City or Town of: ® j' 1 lh� Ove To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the elerical work described below. Location(Street&Number) ��4� i kL✓) e 51 re Q, Owner or Tenant �(� y� of l�/ S�4 , Telephone No. Owner's Address set Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building / yes )C��Vi c Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (C Of,Vj ec- 7-Dv) A H) (` Completion of the ollowin table may be waived by the Inspector of Wires. 14 No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA i ' No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting nd. nd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges N .of Air Cond. Tons Total 2— No.of Alerting Devices No.of Waste Disposers Totals: tuber I Tons ' No.of Self-Contained Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local[I Connection ❑ Other Connection n No.of Dryers Heating Appliances KW Security Systems:* �' No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: QJn.f-()e) to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERXGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov rage is in force,and has exhibited proof same to the permit issuing office. CHECK ONE: INSURANCF OND [IOTHER ❑ (Specify:) r /� � s `.-e3 k� r I certify,under the pains a penalties of perjury.that t e information on th' applicat<on is tr(�e and complete. FIRM NAME: LIC.NO.: Licensee: Signature t_ LIC.NO.: applicable,enter" t"in he license. umber li �7 7 (If PP � � n ) Bus.Tel.No.:,� Address: f x 7"'( � � k� 7'"'d► 61�-e11/ Alt.Tel.No.: *Per .M.G.Lr.7,s.57-61,security work requires Department of Public Safety ieS"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Commonwealth of Massachusetts g City/Town of NORTH ANDOVER, MASSACHUSETTS System Pumping Record Form 4 DEP has provided this form for use by local Boards of Health. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information -� -+ Important: When filling out 1. System Location: JAN 10 2005 forme the L I S-f. OVER computer,use only the tab key Address �;�H�TMEN to move your �� `�Oy2,� i� � O!g LIS cursor-do not City/Town State Zi Code use the return P key. 2 System Owner: qC'n✓flC, y'ejSG.I - — — Name Address(if different from location) City/Town State Zip Code _fig_- Telephone Number B. Pumping Record C�ja 1� 1. Date of Pumping Date O 2. Quantity Pumped: Gallons 6y 3. Type of system: ❑ Cesspool(s) 9 Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes 2� No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: a Va I,.e _ J+gd M ri Name Vehicle License Number Company 7. Location where contents were disposed: _ ��k/7P Signature of Hauler Date http://www.mass.gov/dep/water/approvals/t5forms.htm#inspect t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Date?���/�.`. . . . NORTH TOWN OF NORTH ANDOVER � Of�••1O '•.+�0 } p PERMIT FOR PLUMBING s o� _ •'s SSACMUS� This certifies that e . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . at. . . . . . . . . . .. . . .`. . . . . . . . . . . .. North Andover, Mass. Fee. 7. . . . .Lic. No..'2m3. . . . . . . . :�-n'1�1)... . . . . . . . PLUMBING INSPEtCTOR Check # �' t 84t-,U M4SACHUSETTS UNIFORM APPLICATION FOR.PERMIT TO DO PLUMBING (Print or ype) Mass. ; at 20�[ 0 _ Pe mit# J Building Lobation ��L .Owner's bla. Type of Occupancy New 0 Renovation 0 Replacementlid"^ Plans Submitted: Yes 0 No 0 ~` FIXTURES B.P.•# :: SEWER# SEPTIC# . Z z z � - � I- N Z Q U �¢- U )- Ln uj U-1 z p z w a O .-1 W il! N 1� = Of N u- Z a Z Q uj b LL w O w ¢ Z) >z g Q w Ln z o O Q = O Z N37 Y a O H Z z it u_ Y j w > 1- O cn cn z O O cn t�i O U O _ 'S m U) ¢ n u C¢7 D D Q of m o O SUB-BSMT BASEMENT a 1ST FLOOR 2ND FLOOR - 3RD FLOOR t 4TH FLOOR - 5TH FLOOR 6TH_FLOOR 7TH FLOOR 8TH FLOOR nstalling Company Name Check ong: Certificate address 1 0 Corporation 0 Partnership iusiness Telephone /- �rmlCo. lame of Licensed Plumber or Gas Fitter_ e�`� ��('(� /2 n - INSURANCE COVERAGE: - have a current liability insurance policy or Its.- ,h-f-4-1 -- ' V_- k Town of North Andover w.J E NORTH of the Zoning Board of Appeals 0 - r Development and Services Division t r 27 Charles Street north Andover,Massachusetts 01845 'SSACHUSE� ,v : ,-.; tr'.d C. ,e=_ins to certify'hat twenty(20)day.: Telephone(978)688-9541 fs=•e=: ar'Yt•. =3t`t:';` !-' Fax 978 688-9542 Street lapsed from date of decision,iit � ( ) of Commontfiling ofan peaf< ltn ''•"`}_;"!=_. '''=tea h-USe''-� 7y??�_, - Date � a10 Joyce R,-':9*h-iw This is to certify that twenty(20)days 03 Town Clerk have elapsed from date of decision,filed without filing of an appeal. Date - I :; ___. Notice of Decision Joyce A Bradshaw _.. Year 2003 Tom Cl@fk _ ... 4i(1-_._ ...__.._ 44 ivlr_._ .- - r:;` C. r` Pro a at: 1264 Salem Street ;: r_�_- R' urn HEARING(S): July 8,2003 ti'G PETITION: 2003-026 t" F- 01845 TYPING DATE: 7-14-03 r mis held a public hearing at its regular meeting on Tuesday,the 8`h of ```-` �`- -` r Center, 120R Main Street,North Andover upon the application of _ z 11"irke m Street,North Andover requesting a Variance from Section 7, - f of the rear setback on an existing deck;and a Special Permit from r•,e_.ds i'''-`y'-' er misting,non-conforming lot for an existing deck built without open deck at the Registry of Deeds. The said premise affected is property with frontage on the Northeast side of Salem Street within the R-1 zoning district. The following members were present: William J. Sullivan,Walter F.Soule,Ellen P.McIntyre, and Joseph D.LaGrasse. Upon a motion by Joseph D.LaGrasse and 2nd by Walter F. Soule,the Board voted to GRANT a dimensional Variance from Section 7,Paragraph 7.3 and Table 2 of 151rom the rear setback of a pre- existing deck;and a Special Permit from Section 9,Paragraph 9.2 for an existing 30'x18'deck built without recording Variance 116-90 at the North Essex Registry of Deeds on a pre-existing,non-conforming lot per Plan of Land Located in No.Andover,MA.,prepared for Christopher&Prisca Brown, 1264 Salem Street,No.Andover,MA.Date: 6/10/-3,6/11/03 by Michael J. Sergi,P.L.S. #33191,Christiansen.& Sergi, 160 Summer Street,Haverhill, MA.01830. Voting in favor: William J.Sullivan,Walter F. Soule,Ellen P.McIntyre,and Joseph D.LaGrasse. The Board finds that the applicant has satisfied the provisions of Section 10,paragraph 10.4 of the Zoning Bylaw and that the granting of this Variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw, and satisfied the provisions of Section 9,Paragraph 9.2 of the Zoning Bylaw that such change, extension,or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Q - C TTEST: Page 1 oft 4 -_�` `; �`\f.. A True Copy Cj_ =,y Town.Cc'xl. VJ i Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530' Health 978-688-9540 Planning 978-688-9535 i I Town of North Andover of the Zoning Board of Appeals 0?0'-'r"� 1 Development and Services Division 27 Charles Street r� Vorth Andover, Massachusetts 01845 �'-+s°"Area 'tom S 1cmusE "=s {lor th 1Poun`v Regisbry '-z T_,eea= to certify that twenty(20)ria;,,: Telephone(978)688-9541 81 #'r,.r,,r,,or, street lapsed from date of decision, ii.(• Fax(978)688-9542 I'n==a h ase t is _11 ,� t filing of an peaf Dat!_4z Joyce A,: _ _... Y �Orddjhaw °/ ,. V..) Town Clerk This is to certify that twenty(20)days have elapsed from date of decision,filed without filing of an appeal. Notice of Decision DateJoyce A.Bradshaw -; - Year 2003 T60 CIrHt U R r; ; Property at: 1264 Salem Street wn HEARING(S): July 8,2003 PETITION: 2003-026 01845 TYPING DATE: 7-14-03 mis held a public hearing at its regular meeting on Tuesday, the 8`h of r Center, 120R Main Street,North Andover upon the application of i' k "i±.! !fh p,i.a5 T_ ��ar'Re m Street,North Andover requesting a Variance from Section 7 Re-C41-4,<_tar of f =-d_ f of the rear setback on an existing deck;and a Special Permit from ;xisting,non-conforming lot for an existing deck built without open deck at the Registry of Deeds. The said premise affected is property with frontage on the Northeast side of Salem Street within the R-1 zoning district. The following members were present: William J. Sullivan, Walter F. Soule,Ellen P.McIntyre, and Joseph D.LaGrasse. Upon a motion by Joseph D.LaGrasse and 2nd by Walter F. Soule, the Board voted to GRANT a dimensional Variance from Section 7,Paragraph 7.3 and Table 2 of 15'from the rear setback of a pre- existing deck;and a Special Permit from Section 9,Paragraph 9.2 for an existing 30'x18'deck built without recording Variance 116-90 at the North Essex Registry of Deeds on a pre-existing,non-conforming lot per Plan of Land Located in No. Andover,MA.,prepared for Christopher&Prisca Brown, 1264 Salem Street,No. Andover,MA.Date: 6/10%3,6/11/03 by Michael J. Sergi, P.L.S. #33191,Christiansen & Sergi, 160 Summer Street,Haverhill, MA. 0 183 0. Voting in favor: William J. Sullivan, Walter F. Soule,Ellen P.McIntyre,and Joseph D.LaGrasse. The Board finds that the applicant has satisfied the provisions of Section 10,paragraph 10.4 of the Zoning Bylaw and that the granting of this Variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw, and satisfied the provisions of Section 9,Paragraph 9.2 of the Zoning Bylaw that such change, extension,or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. cn 0 ATTEST: Pagel oft c= n A True Copy - �1�w<-/. ��#^%�r��u•�- CS" ?��`r-Cts:... Town Cjenrk <_1UCl) 1;J rr��z Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530,Health 978-688-9540 Planning 978-688-9535 MASSACHUSETTS UNIFORM APPLICATION FOR.PERMIT TO DO PLUMBING f�- (Print ;otrype) Mass. ' at20 _ Pe mit-W"# Building ovation Owner's ame Type of Occupancy New a Renovation O Replacementile� Plans Submitted: Yes O No D FIXTURES B.P.• SEWER# SEPTIC# z Z Y " tri to Z Z z > V) to � (n �- 0 Q Ln � Ur W LU UJ tY Ln Z to Q w to z Ott z z z a uj O Yz W = 0Q > F- o o a z o o a Qo Al W 0 0 � � z to u_ 0 ¢ S r= of I m 0 1O SUB-BSMT BASEMENT s IST FLOOR 2ND FLOOR 3RD FLOOR I r-n i FLOOR - STH FLOOR 6TH_FLOOR 7TH FLOOR " 8TH FLOOR ! �F � 1 nstalling Company Name � �' O"�" Check ong: Certificate address I- ! O Corporation 1A A04 . - p 1,061-? O Partnership lusiness Tele hone lame of Licensed Plumber or Gas Fitter *-Ko '12 // _,2a 1-7) INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent, which meets the requirements of MGL Ch. 142. Yes NO . O t If you have checkedyes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy P_1__ Other type of indemnity O Bond O OWNER`S INSURNNCE 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 O Agent O hereby certify that all of the details and•informatlon 1 have submitted lox entered)in above-application are true and accurate to the best of .y knowledge and that all plumbing work and installations performs nd r the permit iss5q for this application will be in compliance with .1 pertinent provisions of the Massachusetts State Plumbing Code a t 142of the eras Laws. By Sl na ure of Licen ed lumber -Lice � � Ciryao,hm Type of License: Ip�lV ter ElJourneyman APPROVED(OFFICE USE ONLY) q License Number Location No. Dated HORTp TOWN OF NORTH ANDOVER 3?O•tt`•o •,h0 F w �o ; : Certificate of Occupancy $ cNuBuilding/Frame Permit Fee $ tSf s► sE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �6 67 i Check #=\ i �j' Building Inspector// • TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Y4"Y T BUILDING PERMIT NUMBER: DATE ISSUED: c SIGNATURE: Building Commissioner/12T=or of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: SO G ►qU Zoning District Proposed Use Lot s Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard RequiredProvide Required Provided Required Provided 30 O 530 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Infomntion: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record Chr i- pher 4 Phsc; _&zLA_Yi DL cpy 54 Le m S-}- Name(Print) Address for Service: FG-(03() Sign re Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number •w Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No......)C J SECTION 5 Description of Proposed Work check all Ucable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify SEC Brief Description of Proposed Work: I�x .3�� ��C�. ►"mac' ��19'Yl SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be - Completed b permit a licant ` s :: z 1. Building COST in 1 q q$ (a) Building Permit Fee $155 Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC 5 Fire Protection — 6 Total f-+2+-3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, R 1SC R �t.A 1 ,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 C,/�- I sc 14 C ,--BY7)L)–n Print e C. Ute-- 1 i s I o3 Si nat re ofOwner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 2 3RD SPAN 91 DIlvIENSIONS OF SILLS DIMENSIONS OF POSTS DiNIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHINWEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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 APPLICANT PHONE --^--� �3 LOCATION: Assessor's Map Number_ I Flo A PARCEL SUBDIVISION LOT(S)-A STREET SPitsm St- ST. NUMBER ******** ********** *** ***OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS 4� TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE-REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ Revised 9197 jm ti own ofAndover O .4H` ..Y 0 No. /43 o� oCH,� w dover, Mass., ORATED PP�\,��C� S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT................................... .... ............................. ........................................................... Foundation has permission to erect.............:......... ............... buildings on ../Z&. .. ....... .............. .. ...e................ Rough to be occupied as.... Nai ?/........... Chimney ' ... .. . provided that the person accepting this permit shall ' very 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 ST T ELECTRICAL INSPECTOR Rough .............................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final 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. #01" 44f Ct t�`�� � �O0L doer w. F — n of North An o f Appeals •on i T.ow zoning Board ervices Divisl *�''ss;►�► office ►��� °f the t and S e�elopmen les Street 9�8)688-9541 mrnlunl ' v Char ehusetts 01845 Co Andover,Massa Telephone(91S)69S 919)688-9542 North enty 120) ' rtity that wen twenty 1201 days led This IS to from date of de��sicF}, �-3 08101 adte of decision, have elap. peal c This is t0 from fCetta of an P 0 elapsed eal. D Robert N r withoutfili pate have tvin9 of an app e3 Joyce A' }haw withou pate .0shaw QUildin8 Joyce A. TOO� TOM 00% Notice of Decision year 2003 03 shall be filed Street July 81 20 Any appeal aY after the 4 Salem G(S)� is notice at: 126 HE 2003_026 within(20) pro e pETITIoN; of� k. 14.03 date of filingof the Town Cler own TypnlG DATE. 1 m the offices Caristoplrer 1.Br Street nice ,g on Tuesdal��eon of N AME Salem 01845 gular the app ADDgESS: N°firth Andover,MA eld a public hearing ,North AllVax' ce from er lip section it from d of A for lC�' 120R Main reAu�m as and a SPec Without to�ti,Nod'Andover existing deck built th Andover M the S existing affected is 2003 at :30 p n 1264 Salem Str rear setback on lot for an e sajd premrse July er 1.Brow ' for relief°f thenon-conforming of D� I coning distrix Cbri�topb and Table 2 re-existing at fe Registry the R M e, paragraph P33rall 9.2 for for an°pen deckof Salem Street With ' F Soule,Ellen p. clntyr Section 9, Variance 116- 140rth t side Walter � J.Sullivan registering. frontage Once William toGT a property embers were print: the Board voted of a pre- , The followhlg n° nd W alter F Sp°loin rear setba built asse• and2 by of 15 fr the 30 x18 deck Conforming LaGr LaGrasse 2 and Joseph D' Zoseph D paragra h 13 an Tap e9.2 for an e,"-'sting�eXi§Lmg'�1264 Salem Upon a motion by Section on q�paragr . h of Deeds h &prisca Brown, &'Sergi al V anance from it from o Essex Refiled for Christop 03 1 d a SPceial perm ,Prep Serge,p•L'S' 319 ,Chr dimension k, 116-90 at the LaGrasse. dec iance dover,l`M' lchael3 lVlclntyr d Joseph D. th existing �rding`ar ted No. 6111103 by M e, e v�thOQt r of Land 1'Oce te:61101-3 Elly'P• h 10.4 of lot Per plan dower,lv '.Da MA-01830• Walter F.Soule, io110,PinagraP or derogate Street,No. 'street,Haverhill' 3 Sullivan' sions of Sem neighborhood a h 9.2 160 Sum Str favor WrUl e TOS °f s mental nl the paragr Voting 1T1 satisfied th t dversely affect ection 9, nds that the apPlicans Variance w111 not fied the pr°visions tially in detn The Bo d iha e t e�f- Bylaw,o alteration�a11 not�substan at th ' Zoning zoning Bylaw to and purpose of th extension, from the inter law mat such Chang ood lie' ghb°rh of the zOnurg By stsue to theP the existing c V r Of page 1 o �� M r ATTEST: W A True C°Py .r= Clc:.�k 918-699-9535 r�°`+.'11 954 Planning 60-9530 Health 9'18-688- l 95ConseNa�ion 9'IR" 541 $A1lding918-688- 45 - goard of APPea1s 9jg-688"9 t t v Town of North Andover ' , %40RT#1 Office of the Zoning Board of Appeals 0? •'.' ` '' °p Community Development and Services Division ss : 4 27 Charles Street North Andover,Massachusetts 01845 'SSACHUSE` D. Robert Nicetta Telephone(978) 688-9541 Building Commissioner Fax(978)688-9542 Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the grant,it shall lapse,and may be re-established only after notice, and a new hearing. Furthermore,if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2) year period from the date on which the Special Permit was granted unless substantial use or construction. has commenced,it shall lapse and may be re-established only after notice,and a new hearing. Town of North Andover Board of Appeals, William J. ivan,Chairman Attached: 116-90(2 pages). Decision 2003-026. Page 2 of 2 w - f Cj O rr. Board of Appeals 978-688-9541 Building 978-688.9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 o. &.-. I� RE EL�GHG appeal S! all be filed r• APAILT►+ :P,� �QR#41 pl�00 1855 ��er the s • 0 (20) 2�# c:.. O a _�fl+,r of tl}is Notice CH 35 35 u9�,t . .. L a ice' o�I -jri--mg .. + in the Office of the Town TOWN OF NORTH ANDOVER Clerk. MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Christopher Brown 1264 Salem Street Date . .August• •1.5; •1990• . . • • . . . . . .N. Andover, MA 01845 Petition No.. . 116-90 Date of Hearing. . .Aupust 14, 1990 Petition of . • Christopher .Brown Premises affected . . . 1264 •Salem. Street. . . . . . . Referring to the above petition for a variation from the requirements of-Uu .S e c t ion .4.12 , • Paragraph 4.121 and Table 2 of the Zoning Bylaw . . . . . . . . . ._. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit .relief. .Qf.setback.variance.f or. .open.deck .o£.apprAi �.,Pateiy .�6'. . . . . . on the.premises. located.at. 1264.Salem .Street. . . .. . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . .GRANT. . . . : the variance as requested , and hereby authorize the Building Inspector to issue a permit to . . .Christopher Brown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work, tdX :1J• Signed rank S io, Jf. , Chairman . _ . _ Walter. Soule,. Clerk . . . . . .Raymond Vivenzia Anna O'Connor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Board of Appeals l � REQ r) t&ORTN be shall mfiled ° °m Y a peal the 1� 35 rul te. a �6 \1,1ithin ( Of t►pis f lotic •;�: .. '�=::� " dut:= n of ;i'::n� T°wacHuse n �•.;...•.��g in the Office Of the �Ss Clerk. TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Christopher Brown 1 * Petition: 1116-90 264 Salem Street * North Andover, MA 01845 * DECISION * The Board of Appeals held a public hearing on Tuesday evening, August 14, 1990 upon the application of Christopher Brown requesting a variance from the requirements of Section 4.12, Paragraph 4.121 and Table 2 of the Zoning Bylaw so as to permit relief of setback variance for open deck of approximately 16' on the premises . located at 1264 Salem Street. The following members were present and voting: frank Serio, Jr. , Chairman, Walter Soule, Clerk, Raymond Vivenzio, Anna O'Connor and Louis Rissin. The hearing was advertised in the North Andover Citizen on June 20, 1990 and June 27, 1990 and all abutters were notified by regular mail. Upon a motion made by Mr. Vivenzio and seconded by Ms. O'Connor, the Board voted, unanimously, to GRANT the variance as requested. The Board finds that the granting of this varience will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Dated this 15th day of August, 1990. BOARD OF APPEALS rank erio r.° , 1 Chairman /awt (AA. I I0?.._ r i , r Town of North Andover } of the Zoning Board of Appeals o y Development and Services Division * i 27 Charles Street * 00 North Andover, Massachusetts 01845 �HU �'Ss"CH a<� AS +'^� 4 r 'is to certify that twenty(20)riay:• Telephone(978)688-9541 Essex Ilrr't h �011inL;� Re:-i=try o, Deeds elapsed from date of decision,ii;,a� -81 C`trli+lonStreet out filing of an peat; Fax(978)688-9542 LatL eni-e� riassach usRT rs 01840 Date 4F, �OlJ3 _... Joyce A..E;{WR t►haw Town C18rk This is to certify that twenty(20)days .18,,Opp Oy have elapsed from date of decision,filed without filing of an appeal. i Date Notice of Decision Joyce A.Bradshaw r_ Year 2003 Tdo OWN ?-'c" '''semk. rope at: 1264 Salem Street :_;,C-0Brown HEARING(S): July 8,2003 ret PETITION: 2003-026 MA 01845 TYPING DATE: 7-14-03 n7K 1=.a,,1:�;. .i?+ �� }� Appeals held a public hearing at its regular meeting on Tuesday,the 8`�of - Senior Center, 120R Main Street,North Andover upon the application of ;; f;F ,;,,: _ ,Salem Street,North Andover requesting a Variance from Section 7, - ho+ji``{ T "= '°=' relief of the rear setback on an existingdeck;and a Special Permit from h°t',___e. r; �,aeL � p t pre-existing,non-conforming lot for an existing deck built without ;or an open deck at the Registry of Deeds. The said premise affected is properry wiuu nvntagv.,u.,..;;Northeast side of Salem Street within the R-1 zoning district. The following members were present: William J. Sullivan,Walter F. Soule,Ellen P.McIntyre, and Joseph D.LaGrasse. Upon a motion by Joseph D.LaGrasse and 2nd by Walter F. Soule,the Board voted to GRANT a dimensional Variance from Section 7,Paragraph 7.3 and Table 2 of 15'from the rear setback of a pre- existing deck;and a Special Permit from Section 9,Paragraph 9.2 for an existing 30'x18'deck built without recording Variance 116-90 at the North Essex Registry of Deeds on a pre-existing,non-conforming lot per Plan of Land Located in No.Andover,MA.,prepared for Christopher&Prisca Brown, 1264 Salem Street,No.Andover,MA.Date: 6/10%3,6/11/03 by Michael J. Sergi,P.L.S.#33191,Christiansen&Sergi, 160 Summer Street,Haverhill,MA.01830. Voting in favor: William J. Sullivan,Walter F. Soule,Ellen P. McIntyre,and Joseph D.LaGrasse. The Board finds that the applicant has satisfied the provisions of Section 10,paragraph 10.4 of the Zoning Bylaw and that the granting of this Variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw, and satisfied the provisions of Section 9,Paragraph 9.2 of the Zoning Bylaw that such change, extension,or alteration shall not be substantially more detrimental • than the existing structure to the neighborhood. q C. ATTEST: Pagel oft ;.;_.. A True Copy Town Clerk VJ rn r Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 • TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DA ISSUED: SIGNATURE: BuilFn—g Commissioner/Inspector of Buil I Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: Map and Parcel Number: b4 197 N ber Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 50 95q l5�-) Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 3o 1 1 53 3L> �s O 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zane Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record K(T�L �2t,�eg gra t 2-C q Name Print) Address for Service: 1_2e ('e- U Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number -h Address - Expiration Signature Telephone Date r 3.2 Registered Home Improvement Contractor Not Ap livable ❑ Company Name `� M Regis<I r fratton Number r Address _ � j t f^. f Y) Signature Telephone n Date SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) , Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: e t° X 30 wo SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building 4'55W.— (a) Building Permit Fee Multiplier 2 Electrical _�� (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee tel X (b) 4 Mechanical HVAC ---1 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUELDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge - and belief C FT.�I.IA/l Print Name Z Signature er/ ent Date NO, OF STORIES ` SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DI-WNSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHiMNgY IS BUILDING ON SOLID OR FII LED LAND IS BUILDING CONNECTED TO NATURE'' r 1NE nano. y : I �O ✓L� AP I v ( I� ,� r� ��2.`�-'� r�p�kE k7 ��Q � S � G3o � � � �a�l `�� �, 1 " ! I _��.� i �� �, { � ; � � a�� j � ,a�`� , i � � f I I i I { i ti i i � � �X� B��vr, 8' � ' 1 w�-n..� a�� Jorsu I , 5�'T►�� ori Tv� � 1 �� f j �i i� i I � t I i � I � , � �i j DQE` � ! � t ,� - .tic e'� e' .i.i. E h•. . • �'t��'T/f/�D ��OT f�C�.4N ZOT /0 LGi rEO //V ,qORTy ANDOVER,M�4. ��- /98.0/ .S�'.d 1�� 40"D,r1TE•�9!lG..3.t.� /9�8 X.94 N-SEN FAWNEER G. INC Zld. .r1VE, ,!/.4f�E� W11-L, A,5.4. LOT 3 177 K'� yc7�r • i LCT /G L OT ,4 = 50. 3 9¢ MICHAEL G o J. SERGI � � n. 191 «• �PUBL /L-- ✓,4 RIA,BZ F W/07N>5,4 Z EM l 5 T CC/ENT• r� . =:.`. ..... -. '`. .. . . ............. ......... .... ....... ... .. ...... . . .. ... .... ... . / CEleT/FY 771;4T TWE Off5ET5 5WOWN .4.eE FL e TW/5 LOT B11/LD/N� .511owN OM rwls Z4N/Ne? OETE,eN/Nd T/ON /5 No,;T /N PL dN CONFORM TO Tf/E ONLY dND AeE NOT TO BE 4 FLOOD ZONING B Y -Z-4W5 OF TrS/E U5 ED TO E57,40, /15# PeO - /lA2-deD 70WM rF /V A!!!4�����MA• PFETY L/NES. ZONE W�1EN CONST2lJCTE-O. �o✓'%' ;!ofrr �. •.. �ti RED•- D�iG • �it apical shall be filed IL . �•. �8�5 M,9p ,, � � �s �,#�ni� the ,�s �. Lr,i.� (20, e..., .,SacHu9�,�' 6 `Q 35 r this Notice .,,t`v"'. p�61 c a�� 01 n� of in the office of the Town TOWN OF NORTH ANDOVER Clerk. MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Christopher Brown 1264 Salem Street DateAugust. -15; •1990• • . • . . • . . N. Andover, MA 01845 116 90 Petition No.. . . . . .- . . . . . . . . . . . . . Date of Hearing. . .August 14, 1990 Petition of . . Christopher Brown. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected . . . 12. ,4 ,Salem, S•treet. . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . Referring to the above petition for a variation from the requirements of) i6 .S e c t i o n. .4..12,. Paragraph 4.121 and Table 2 of the Zoning Bylaw . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . so as to permit .relief. .Qf. .setback .variamce .for. open..deck .of .apprANN Mate,.y. .16'. . . . . . on .the. premises. located.at. 1264 .Salem .Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . .GRANT. . . . . the variance as requested . and hereby authorize the Building Inspector to issue a permit Christopher Brown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work, f } pDiX Signed �ic.zz-r-� � rank S io, J4 . , Chairman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Walter. Soule, Clerk . . . _Raymond. Vivenzio . . . . . . . . . . . . . . . . . . . . . Anna O'Connor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Louis. .Riss inn. . . . . . . . . . . . . Board of Appeals 40RTH n O n t r r _ i �7J 3A US� TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Christopher Brown 1264 Salem Street N. Andover, MA 01845 .Jan«ary 22, 1991 Dear Mr. Brown As you know, the Board of Appeals has granted a variance for land at 1264 Salem Street Since twenty (20 ) days have elapsed without an appeal of this de- cision being filed, your plan has been endorsed by the Board . This plan, along with a certified copy of the Board ' s decision , must be recorded at the North Essex Registry of Deeds as soon as possible . Please pick up your plan at the Board of Appeals office at your earliest convenience. The certified copy of the decision may be obtained from the Town Clerk . If you have any questions , please call the Board of Appeals office W- � 1 G !r� y I � TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS DIRECTIONS FOR FILING AN APPLICATION FOR TH FULM41NG: VARIANCES, AND SPECIAL 1'E1U11'1'S PARTY AGGItE1VED 1: Five (5) copies of the application. 2. Five (5) copies of the plot plans, one my.lar and four paper. 3. North Andover Citizen will bill you directly for publ.ishinl; Ole legol. uutice. 4• Check for $25.00 for filing fee, made cut to the 'Town of North Andover. 5. You will be billed for postage for sending out legal notices and decisions to you and all abutters. 6. The applications must be time—stamped by the Town Clerk before acceptance by the Board of Appeals. 7. The petitioner or a legal representative must attend the public Bearing. 8. A copy of the plot plan must be submitted to the Building I.nSpcctor one week prior to the meeting. 9. Any applications involving State highways, such as Koute 114 , Route 125, etc. , must have a copy of plot plans submitted to PIr. Joseph 1)'Aiiglelu at the MA Dept. of Public Works, District 5, at least one week before the scheduled meeting. >f, .Received by Town Clerk: l • j TOWN OF NOR'Cll ANDOVER, MAiSAC11USF.'1"I•S 4� BOARD OF APPEALS j APPLICATION FOR RELIEF FROM THE REQUIREMENT'S OF THE ZONING ORDINANCE � f II `�I 1 Applicant 12 Y1 ��ej Address `a-(d•� Ltfvj 1. Application is hereby made: aFor a variance from the requirements of Section !'r�r �yralh and Table * of the Zoning By Laws . b) For a Special Permit under Section--Paragraph_—Of the Zoning - By Laws. c). As a Party Aggrieved, for review of a decision made by the i Building Inspector or other authority. 2. a) Premises affe ted are land_ and building(s )--nu❑11)C- _--- b) Premises affected are l)rop(!rty with frotit.:,rje`il t:hfr Ilf-th ( ) South ( ) East ( ) West ( ) side of — Street, and known as c) Premises affected are inn_``i,�,n,�� District and the I�rcmiscs affected have an area of�V�V_square feel' and Iruntalc of feet. 3. Ownership a) Name and addressof owner (if joint ownership, give all name; ) : --- X17- . Previous ' Date of Purcliase_�1 =� _�-�---� - b) If applicant is not owner, check his/her interest in the preuuses: Prospective Purchaser Lcsce Other (explain) 44 Size of proposed building: _30 front; feet deep; ^ .Height _stories; -_feet . a) Approximate date of erection:_—_����_ b) Occupancy or use of each floor:_fA•_--_-_ jc.) Type of construction: JALL 'r 1 S. Size 0i ex sting building: i--_ feet front; t feet . • '# lleightstories;_��_ a) Approximate date of erection:____�� ____ b) Occupancy or use of each floor: - -�--p-- c) Type of construction: G. Has there been a previous appeal , under zoning, on the c Pr""" "n? �j — If so, when?_____ t ..r Description of relief sought on this petition I: 9' t'1,�. t.IC7E'1d k"', , � e1A CI Deed recorde in the Registry of .Deeds in Book"1q�' 1,age t: Land. Court Certificate No. Book Page he principal points upon which 1 base ,my application are as follows: ' must ``be,statcd in detail) ��...I ,f 1'C"�1 ���� `���.• f.�.� ��' 4 1 � � 1..�; ,�' '�% i►"\`•ham Z w ��F.. �•., i r. w U di T •-,�.L 4~ , v� �_..1< � .e�'�:.Fz�►-,.T, • �-f'C � Lir e�__-- mak`" --=�-1� t,.�.<i Q� � ' j agree to pay tie filing fee, advertising in newspaper , and incidental ---- Srgna'tu'rc of• PeErtloi!er(3) 1 j .,very application f action by the Board shitll be made on a form aipproved Y. the Board . These forms shall be furnished I,y the Clerk ut)011 rc(lucst . ny communication purporting to be an application 311,111. ))e trrnted as otice of intention to seek relief until such time as it is made on h te , £ficial application form. All informatign called -for by tho form shall e furnished by the applicant in the manner tihercin,. prescribed. i very-application shall be submitted with a list: of "I'artics In [ntcrest" . hich list shalL •include .the petitioner, abutters , owners of land directly pposite on any public or private street or wny, abutters to .tile butters ;within' three hundred feet (300' ) of thr: I�r.op�rt'.y Liuc of tl1e, etitioner' as they appear , on the most recent aIIIA icaIll(! tax lint, otwithstanding that the land of any such owner is located in another city x town, the Planning Board of the city or town,, and the Planning Board of very. abutting city or town. Every application shall be submitted with an application r_harge cost he amount' of $25.00. In addition, the petitioner nhall he responsible ; or any. and all costs involved in bringing the petition before the hoard . uch, costs shalt include mailing and publication, but are not necessarily, invited to these. very application shall be submitted with a Plan of land aPl,r0v0d by the %•,i oard.• No petition will be brought before the 1loard unless said Platt leas •een submitted . Copies of the Board' s rcgnir.cments rcl:ly(Iing P1a"s are ttached'hereto or are available from the Board of AI)Peals upon request. t LIST OF PARTIES IN 111TERES'1' Name Address . 1 i (use additional sheets if' necessary) LIST OF PARTIES OF INTEREST /MAP # PARCEL # NAME ADDRESS Glc te,00 rA �� O �'CA eq ` ` ' • ' �" PLAN OF LAND TO ACCOMPANY PG'rinoN Each application and petition to the hoard shall be accompanier) by five (5) copies of the following described plan: The size of the plan shall be ll x 17, drawn to scale, I i itch i equals 40 feet; it shall have a north point- , name, of st.roctn, ' zoning districts, names and ad,lresses of owners of propnrt:ir•: within a minimum of 200 feet of the subject property, property i lines and location of buildings on surrounding properties. The location of buildings or use of the property where a variance is requested and distances from adjacent buildings and property Lines shall be verified in the field and shown on the plan. The dimensions of the lot and the percentage of the lot coverer] by the principal and accessory buildings and the r.cquired parking spaces shall be shown. Entrances, exits, driveways, etc. that are pertinent to the granting of the variance shall be shown. All proposed data shall be shown in red. Any topographical feature of the parcel of land relied upon for a variance, such as ledge, rock peat, or natural condition of water, brook, or river, shall be shown on thr_ ongineering pl, n. when a i variance is requested to subdivide a parcel of land, tlrc dimerr- si"ons and area of the surrounding lots may be taken from the r1^ed or lotting plan for comparison of the size of the lot, in the 3 neighborhood, noted on the plan as such, and marked "approximate" . The plan shall be signed and bear the seal. of a registered surveyor or engineer. Any plans prosented with the petition shall. remain a part of the records of the Board of Appeals. If living quarters are to be remodeled, or areas arc to be ..� converted into living quarters, in addition to the plot plan, five (5) copies of the following described plans shall be furnished: 1. A floor plan of each floor on which remodeling is to be done or areas converted into living quarters; 2. A floor plan showing the stairways, halts, doors opening into the halls, and exit doors of each floor or floors where rro re- modeling or converting is to be done; 3. The plans and elevations shall show a1.1 existing work. All proposed work shalt be shown in red. The size of each plan shall be it x 17 or 17 x 22; it shall be drawn to scale, t/4 inch equals one foot. j All plans and elevations presented with tine petition shall remain a part of the records of the Board of Appeats. For petitions requesting variation(s) from the pr.ovisio-1, of Section 7, Paragrpahs 7. 1, 7.2, 7.3, and 7.4 and 'ratite 2 of th- Zoning By Law for conveyance purposes only, a Irl.ol: plan, certified by a registered engineer or land survoyor, of tile parca!t r)f lar)rl - ' with a structure thereon being conveyed, will be accept-able to lire Board of Appeals provided: j1. The dwelling(s), structure(s), or building(s) were constructed prior to March 14, 1977. ''•''"' ` 2. The petition is not to a1.1ow construct ion or• a terat ion to the dwelting(s) , structure(s) , or huitddnj(,) which will. re- sult in the need for the issuance of a building permit. "''':` '"' `•' 3. The size of the plan shall he no smaller than A 1/2 x I I inches and must show the existing area of the parcel , the existing frontage, and tine existinj s^t )acks of the dwelling(s), structure(s), huildin](s) being conveyed. 4. Proper space is provided on the plot plan for tl,r, tlnard's lig signatures, as well as adequate space for the fotlok information: date of filing, �3atc of public )rearing, and date of approval. OONrh - cFt..D 6aa d°�' _ •�� Zoning Bylaw Denial Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 s„CN°s� Phone 9794688-9545 Fax 978-688-9542 ._Street e.. Ma /Lot: A licant: (,acs Fr + �� sC�.__._..k� cta /Q Reguest: MtA)t tc� to«o y0 toe oto bs - Date. �.. �_..� Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zonin Item Notes A Lot Area Item Notes F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexistin2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA e S 5 Insufficient�Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient l Building Coverage 6 Preexisting setbacks 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting S 1 Not in Watershed 4 Insufficient Information 2 In Watershed Sign 3 Lot prior to 10/24/94 r� 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District Y Parking 1 In District review required 1 More Parking Required 2 Not in district F`a 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-exlslllg Parkin Rernedy for the above is checked below. Item # special Permits Planning Board Item # Variance Site Plan Review S ecial Permit Setback Variance Access other than Fronta e Special Permit Parking Variance Fronta a Exception Lot Special Permit Lot Area Variance Common DrivewayS ecial Permit Height Variance Con re ate Housing Special Permit Variance for Si n Continuing Care Retirement Special Permit Inde endent Permit Eldel l Housin .S ecial Special Permits Zoning Board S ecial Per Von-ConformingUse ZBA rmit Earth Removal Special Permit ZBA Large Estate Condo S ecial Pe Planned Development District S ecial Permit Special Permit Use not Listed but Similar Planned Residential S ecial Permit S ecial Permit for Sign R-6 Densityspecial Permit Special Permit preexistingnonconformin Watershed S ecial Permit 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 application form and begin the permitting process. ilding Department Official Signature a d 9 Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the application/ permit for the property indicated on the reverse side: �'� .ty�a b �s�,.ry' �.• „9�,,,r ,�-�al���wur<, .���e'h�.,��7�f ' Fd'. � t �7 sal��vA�v Shy � �r t�,;. r•,�'. ,mhb ti eY"+r� �'' Q���n�y���.r h»9.f:.�y�a��k.�v�`i�>,4�t.Tt`k �6�'� 3'� 5� � �.�,.,S��A� � �'�{n�,"�'; �pn,J - ever �i .�ti �iD� C�N•�l'� l` S'� dor..= Le -T ur•(,) C'O Referred To: Fire Health Police oning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT Date......... ..... . .............. �• r10R71{ °�,�``°:•1"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �7SS^CMUSEt / This certifies that .. .......................................... �..t. n has permission to Perform .�. :... ............4-.. f wiring in the b 'lding of .:. ! ! ........................ / �at............... Q �:. . ................� ... ... . ,No--rth Andover,Mass. Fe,6--- ... Lic. j�lS f ... ELECTRICAL INSPECTOIE Jryy ' Check # 1717 Commonwealth of Massachusetts �' � Permit No. Department of Fire Services BOARD OF FIRE PREVENTION REGIJ TIONS Occupancy/1 9and Fee Checked (leave blank APPLICATION FOR PER T PERFORM ELECTRICAL WORK All work to be performed in accordance th the hnsetts Electrical Code(MEC),527 CMR 12.00 (PLWE PRINTININK OR TPPEALL INFO T N) Date: rgj�la ovcs' City or Town ofi N . o m o atter To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)IQ ray' 5AL g/tel cS Owner or Tenant A NAN G 1/.E SJ.4 L Telephone No.97d' Owner's Address 102( V cs'l3LZ-1i <1:,; X , A-m 0ozew 197.-,f lJ Is this permit in conjunction with a building permit? Yes ❑ No-R (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps / Vohs Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: on of the lowi table may be waived by the or of Wires. Na of Recessed Fixtures No.of Ceil.Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tabs Generators KVA rgency No.of Lighting Fixtures Swimming Pool e d e ❑ In-zrnd. ❑ Battery UNo.of nits lighting No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Na of Switches No.of Gas Burners Wo.—oTl3etection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices ipal No.of Dishwashers []Heating KW tA=l ❑ Co n Connection 11 Other Seca , Co No.of Dryers Heating Appliances KWSystems Na of Device:s or Equivalent No.of Wa—ter KW No.of No.of Data Wiring. Heaters Sims Ballasts No.of Devices or Ivalent Na Hydromassage Bathtubs No.of Motors Total HP Telecommunications.ofDevices ofiring: � Na of Devices or aivalent OTHER: Attach additiond derail ifdesireg or as required by the hiweaor ofWires. ' INSURANCE COVERAGE: Unless waived by the owner,no permit for the performarhee of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof ofsame to the permit issuing office. CHECK ONE: INSURANCE-E3. BOND ❑ OTHER ❑ (Specify:) �� kp 6/6^�ec (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to State(,'fi;� Inspections to be requested in accordance with MEC Rule 10,and upon completion. I caen*,under the pains and penalties of perjury,that the information on this gpplictrtion is true and conolete. FIRM NAME:SS/JXLIC.NO.: Licensee: D Signature�ir/Z;- 4 c2 —i UC.NO.:Eya,S c?� (!f applicable,enter"exempt"in the license nwnber line.) Bus.Tel.No.�1:b�'d Jct] Address:,d'6 Lat,.cll cf— 0-7� d 2'01'er Alt.Tel.No.; OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERWT FEE. $ 0201,cO V ,-7-6e CGf��I Town of North Andover , MpRT,4 Office of the Zoning Board of Appeals Community Development and Services Division 4 �- 27 Charles Street ` °+ -:` °• North Andover, Massachusetts 01845 �CMUg D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 Any appeal shall be filed Notice of Decision within(20)days after the Year 2003 date of filing of this notice in the office of the Town Clerk. Property at: 1264 Salem Street NAME: Christopher J.Brown HEARING(S): July 8,2003 ADDRESS: 1264 Salem Street r PETITION: 2003-026 North Andover,MA 01845 TYPING DATE: 7-14-03 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday,the 8a`of July,2003 at 7:30 PM in the Senior Center, 120R Main Street,North Andover upon the application of Christopher J.Brown,1264 Salem Street,North Andover requesting a Variance from Section 7, Paragraph 7.3 and Table 2 for relief of the rear setback on an existing deck;and a Special Permit from Section 9,Paragraph 9.2 for a pre-existing,non-conforming lot for an existing deck built without registering Variance 116-90 for an open deck at the Registry of Deeds. The said premise affected is property with frontage on the Northeast side of Salem Street within the R-1 zoning district. The following members were present: William J. Sullivan,Walter F. Soule,Ellen P.McIntyre, and Joseph D.LaGrasse. Upon a motion by Joseph D.LaGrasse and 2nd by Walter F. Soule,the Board voted to GRANT a dimensional Variance from Section 7,Paragraph 7.3 and Table 2 of 15'from the rear setback of a pre- existing deck;and a Special Permit from Section 9,Paragraph 9.2 for an existing 30'x18'deck built without recording Variance 116-90 at the North Essex Registry of Deeds on a pre-existing,non-conforming lot per Plan of Land Located in No.Andover,MA.,prepared for Christopher&Prisca Brown, 1264 Salem Street,No.Andover,MA.Date: 6/10/-3,6/11/03 by Michael J. Sergi,P.L.S. #33191,Christiansen&Sergi, 160 Summer Street,Haverhill,MA.01830. Voting in favor: William J. Sullivan,Walter F. Soule,Ellen P.McIntyre,and Joseph D.LaGrasse. The Board finds that the applicant has satisfied the provisions of Section 10,paragraph 10.4 of the Zoning Bylaw and that the granting of this Variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw,and satisfied the provisions of Section 9,Paragraph 9.2 of the Zoning Bylaw that such change,extension,or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. ti d Pagel of 2 cr i�`i-cc; T1 z -Jv�, Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530'Health 978-688-9540 Planning 978-688-9535 1 IA Town of North Andover NORTH Office of the Zoning Board of Appeals F? Community Development and Services Division 27 Charles Street 0 4roo `1' North Andover,Massachusetts 01845 'SS CHUS D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced,it shall lapse and may be re-established only after notice,and a new hearing. Town of North Andover Board of Appeals, William I Ullivan,Chairman Attached: 116-90(2 pages). Decision 2003-026. Page 2 of 2 57 Ci_jC72 V \;JC�c": i— Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535