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HomeMy WebLinkAboutMiscellaneous - 13 BELMONT STREET 4/30/2018 (2) 210/010017-0000.0 ' _- - ----- -- ----- I Claim # Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner c/ Board of Health or Inspector of Buildings Board of Selectmen Town Hall Town Hall North Andover, MA 01845 North Andover, MA Re: Insured: Gary Laurendeau ' Property address: 13-15 Belmont St. North Andover, MA 01845 Policy #: 1848103 Loss of: 2014/10/10 File or Claim No. AD 1558 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass._Gen._Laws,_Chapter_143, Section_6 to be applicable. If any notice under Gen—Laws,—Ch.-139—Sec.-3BMass_ 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 and claim or file number. Glenn Guarente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 10-15-14_ Signature and date Claim # Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health df Inspector of Buildings Board of Selectmen Town Hall Town Hall North Andover, MA 01845 North Andover, MA Re: Insured: Gary Laurendeau Property address: 13-15 Belmont St. North Andover, MA 01845 Policy #: 1848103 Loss of: 2014/10/10 File or Claim No. AD 1558 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1, 000.00 or cause Mass._Gen._Laws,_Chapter_143,_Section_6 to be applicable. If any notice under Mass_Gen_Laws,_Ch._139_Sec._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 and claim or file number. Glenn Guarente Title: Adiuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 10-15-14 Signature and date I Date... ............. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION .............................. This certifies that ................................... .. has permission for installation (?.,4 I I T ........................................ in the buildings of.gc d. .C9-0 At ......I...Aq........ ...... .............................., North Andover,Mass. L No. .13.!2 .... L6�............ .............. 4C .......................................... GASINSPECTOR Check#-A6?2 A 89,97 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY /� l A _ MA DATE PERMIT# JOBSITEADDRESS11 A e/ot-lO�°11Z' ��� OWNER'S NAME G'kl�� �:�U/�2QG'.G 2) GOWNER ADDRESS L TE FAX TYPE OR OCCUPANCY TYPE COMMERCIAL® EDUCATIONAL RESIDENTIAL PRINT' CLEARLY NEW:[j RENOVATION:El REPLACEMENT43 PLANS SUBMITTED: YES[,( N4 APPLIANCES 7 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER _ BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE - GENERATOR r GRILLE �- INFRARED HEATER LABORATORY COCKS �I MAKEUP AIR UNIT OVEN L� POOL HEATER - � ROOM/SPACE HEATER GOOF TOP UNIT � FEST -- - —. � ( - I - _� - - -- - UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER - _ --F — INSURANCE COVERAGE I.-Pave a current liability insurance policy or its substantial equivalent which meets the requirements of MOL.Ch.142 YES f 1 NO q� IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF CO ERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY BOND. OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. S CHECK ONE ONLY: OWNERF—] AGENT © S SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true an urate to the t of my k wledge and that all plumbing work and installations performed under the permit issued for this application will be in comp e h in o ' ion the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME LICENSE# VSI ATURE — MP MGF JP JGF LPGI 0 CORPORATION Q#©PARTNERSHIP©#�- _T LLC D#E COMPANY NAME:& ADDRESS > _ J CITY I STATE ZIP 6sf�� TEL FAX CELL /3 EMAIL 1 ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ V/ts s `/ 107 , , FEE: $ PERMIT# PLAN REVIEW NOTES f The Commonwealth of Massachusetts Department ofIndustrial Accidents Office of Invesfigations kvi 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leessibly Name(Business/Organization/Individual): �l�6'e: pplklA 91— Aex_ Address: �� 14 � City/State/Zip: �� / Phone# 3 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 (fall mp to full and/or part-time).* have hired the sub-contractors y 7. Remodeling 2 I am a sole proprietor or partner- listed on the attached sheet. ❑ g ship and'have no employees These sub-contractors have S. ❑Demolition workingfor me in an capacity. workers'comp.insurance. 9 y p ty. ❑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 all work right of exemption per MGL 1 Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12. Roof repairs insurance required.]t employees.[No workers' M❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i Homeowners who submit this affidavit indicating they aie 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: 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 required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP.WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for'insurance coverage verification. I do hereby cern e t e an Ille perjury that the information provided abo a is true)and correct. Si ature: Date: JL S Phone#: l Gtr C �s 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#: d 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 may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum 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 Comzxtonwealtb,of Massachusetts Department ofindustriai.Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-877:MASS.A.FB Revised 5-26-05 Fax#617-727-7749 www.mass.govfdia r F MASSACHV N EpTHO k o k ` \ o GpSFITTERSgER iib- 13ERS NPLUPw SA MASTER TO OVE LICENSE C LACE ISSUES THE AB N MCCABE X �� EN M. : . OAD P"0ORF, 3 0038-420 � NH �" Y • 05/01/14 .� 13562 1 Date. e7l . . . NORT1y ' .o;.�tiooL TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 40 CHUS This certifies that . . . . . . . . . has permission to perform !�. 1 :/ ( . ld��./<- . . . . . . . . plumbing in the buildings o,. rt:Jam. . . . . . . at . / . . . . . . . ., North Andover, Mass. Fee. J: . . .Lic. No..ef'�.J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a PLUMBING INSPECTOR Check # �.e 6167 'MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO.DO PLUMBING -- - (Print or Type) ' t 012'Il� A Ill�d� , Mass. Date s`' O. Permit# X07 � .,._ I; BuUding Location J- �f.�.VN�J� S�- k}'owners Name L14utQfcN/�f�14cJ of occupancy 2SlDfcrilGi� New ❑ Renovation O Replacement. ,Plans Submitted: Yes O No �3f F&TURES dd V z v vi O z W Y J N t V Z 0 D Q ¢ m z N < rL ¢ _ ¢ N z .}. V = W < Ha < z z �- ¢ o z ¢ N ¢ < W N ¢ V.4 C J ¢ O < 1 = 3 9CL 0 ,u LL Y W z o CW o¢ N S Yz. < o < J J < ¢ ¢ r. < O < �' in v o o .� = t- vr. y, v a < 3 ¢ m o i. S Ua—B S MT. BASEMENT 1ST FLOOR 2ND FLOOR SRD FLOOR 4TH FLOOR STN FLOOR 6TH FLOOR 7TH FLOOR j 8TH FLOOR Installing Company Name "r7 _ PluAA&&K A W"Yt&6 Check one:. Certificate Address Pa 6 a 72A- Corporation 1A VAQ0 UE*t L4A X n I A ` ❑ Partnership - Business Telephone JS ❑ hrmlCo. Narne of Ucensed Plumber 04e jz—P4.A"CL7`A- INSURANCE COVERAGE: " 1 have a currerl iiabllity insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes No El If you have ecked es. ease indicate the rcovera e b checking the y � a type.coverage 9 Y 9 appropriate box A liability insurance policy L, Other type of indemnity: ❑ Bond 13OWNER'S INSURANCE WAIVER:I1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General taws. and that my signature on this permit application waives this requirement. Check one: Owner O Agent❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issred for this application will be in compliance with.all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General taws. eY , : g�.�.Q , e mature of Vicensed Plumber - Title Type of license: Master Journeyman 0 / City/Town �1 APP�'i7VED LO IC SE Nl License Number ASCI 7i . Date. . . . ...... ... . . . . ... ai MONTH Of o f9 TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �9SSACMus _. This certifies that . .. . ..�. . . . . has permission for gas1'nstallation in the buildings off . . . . . . . . . . . . . . . . at ., �L . . . . . . . ., North Andover, Mass. / GASINSPECTOR Check# f 6 9 1-7 rf 4828 _ k MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING { (Print or Type) W NO.--AMOAA,, Mass. Date) o' 30 _ 12 Permit # o7S� + v Building Location Iy. AS Owner's Name t0,U *. J OeIA .) Type of Occupancy S�° ° New ❑ Renovation ❑ JReplacement Plans Submitted: Yes ❑ No 4` I !• � a: W (n to U H = Q v) Er Z w ¢ W Q 8 Z Z M M w O W Q ¢ a: 0 D 0 Z F- cn CCN C7 W W U) z COp > w Q FW-� Z J H Z W W 0 > LL' H U J H W cc J F- } Z W Cr z 'o 0 z W o 0 g ° g > o g P o SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name W JfUAN &A-6006%0 Check one: Certificate # Address C a & 'jL�i Corporation tA NO • �ou�x, W A OI ��� ❑ Partnership Business Telephone in -92sS • 4-2.49 ❑ Firm/Co. Name of Licensed Plumber or Gas FitterX 0$LI�iT .g(.A"gttr4, INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes L-r No F-1 t If you have checked Yes, please indicate the type coverage by checking the appropriate box. l A liability insurance policy. Other type of indemnity El Bond El OWNER'S INSURANCE 1I17AIVER: 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 1:3 Agent ❑ 1 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 installation performed under the permit issued for this application will be in compliance with all pertinent.provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. n By Type of License: Nf Plumber r���4QQ xetle.t �V. Title 11 Gasfitter Signature of Licensed Plumber or Gas Fitter Master " City/Town Journeyman License Number GL ' APPROVED(OFFICE USE ONLY) I1! � Date:-� N° 4355 MORT/� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 41 ,SSACMUSE� This certifies that has permission to perform -'. :... . . . . .d. .. . .. . . . . . . plumbing in the buildings of . ,��.<r - . . . . . . . . . . . . . . . . at.4'. . . . :. . . .^ . . . . . . . . . . . . y. . . . . . . , North Andover, Mass. Fee`�k. .. . . .Lic. No./� . . �. :_,%._._,, . . . . . . . . . . . . . . . . . . PLUM aNG)JNSPECTOR J WHITE: Applicant CANARY: Building Dept. PINK:Treasurer l MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date p Building Location w Owners Name t, -fwo%G - Permit# 3 Amount Type of Occupancy /l��d�CC New Renovation Replacement Plans Submitted Yes No FIXTURES Gn� CnGnw F w � E QCn a w acn 0 0 SZ MEa BPMMW ISC E1.0(R zqn FILM 3M FIOCR 4M FLOCR 5IR HnM 6MFUM 7IH°FIOOR 47 811NOR OR (Print or type) c Check one: m^ Certificate Installing Company Name Corp. !L� Address �� ° R7Z� Partner. Allo , AAAM��'I� Business Telephone `r78 — 97 K-- 4-ZQ 2 El Firm/Co. Name of Licensed Plumber. RCA OJ 6k5K Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate bor- Liability insurance policy Other type of indemnity El Bond 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 rgnature 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 installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Plum in?Code and Ch ter 142 of the General Laws. By: S-ig-n=oi lucenseaer Type of Plumbing License Title 8-=L. City/Town License u'mbF Master Journeyman APPROVED(OFFICE USE ONLY Location �No, � Date t TOWN OF NORTH AND VER NOPM, p�t��a° Certificate of Occupancy $ * -Building/Frame PermitFee $ Foundation Permit Fee $ ' . cHus, Other Permit Fee $ R Sewer Connection Fee. $ Water-Connection Fee $ g { TOTAL Building Inspector ? jnein t '`r' 7547 ioie % og-.42 ro. P��y'w Dublic Works �� .1%rte'=1• APPLICATION FOR PERMIT TO j3UILD — NORTH ANDOVER, MASS. " PAGE'1 MAP d40. LOT � NO. ,. 3 � ,1 2 RECORD OF OWNERSHIP IDATE BOOK iPAGE — ZONE R4 I SUB DIV. LOT NO. LOCATION 1b b,,!A` on0 cJ.` - PURPOSE OF BUILDING 'r W\P� �- OWNER'S NAME .l m*%Re-- � 11� �V�11 �e���a NO. OF STORIES l �\ SIZE OWNER'S ADDRESS kb b C] �\rnQt„l1 c BASEMENT OR SLAB bq%"y e�l� r� ARCHITECT'S NAME \� -C E.J SIZE OF FLOOR TIMBERS IST(A . 1642ND �x1e� �a ,I((J.3RD \�` BUILDER'S NAME , o SPAN - ,0 I 1,J 1� l-,w.1r 1 •1•DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS tiDISTANCE FROM STREET `� ;i ., POSTS ;�,II ', -G DISTANCE FROM LOT LINES-SIDES K= REAR '�1_.�A• GIRDERS AREA OF LOT 37�'� FRONTAGE yJ1j�v HEIGHT OF FOUNDATION r7Cx-�1 THICKNESS iOa IS BUILDING NEW ,� �y L,p� SIZE OF FOOTING &%II x ' %I X IS BUILDING ADDITION `V •1`W MATERIAL OF CHIMNEY CSU M IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED'LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE `,CJC IS BUILDING CONNECTED TO TOWN WATER `�es BOARD OF APPEALS ACTION. IF ANY `J J IS BUILDING CONNECTED TO TOWN SEWER V IS BUILDING CONNECTED TO NATURAL GAS LINE 7 INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES - EST. BLDG. COST h _ PAGE / FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER BO. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 4 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILEED�ANDD APPROVED BY BUILDING INSPECTOR OA FILED C/ mulumma INSPECTOR SVJNATURE OF O ER OR XlUTHORIZED AGENT F E E �G OWNER TEL.# PERMIT dRANTED CONTR.TEL.; CA19 CONTR.LIC. x OCT 41994 f 1 H.I.C.N 21c, Ar - - i 'p BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SiOkIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY oFFlces LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 1 2 (3 CONCRETE BIL K. PINE _ _ BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY-WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ 'L '/v '/. FIN. ATTIC AREA NO B M T FIRE PLACES HEAD ROOM _ MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW D ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON.FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME Ia. SUPERIOR I-I POOR _ e ADEQUATE NONE 5 ROOF 10 PLUMBING r GABLE IX HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES X LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ,+ ROLL ROOFING MODERN FIXTURES _ iuxp, ILE FLOOR ILE DADO A- ,. 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G F f UNIT HEATERS 7 NO. OF ROOMS GAS OIL $ B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING ' r 4- Townof orftt ., o_ ver { �}�} .,. ,�•- bpd i.; �� aTl No. 43 F 11North f -Andover, Mass., Off19114- of .' •lr��� BOARD OF HEALTH I L D Food/Kitchen PERMIT TO Septic System 1 &LLY. BUILDING INSPECTOR THIS CERTIFIES THAT.. a.1-tTE... ... ....... l�R. 'lD.l, Id,U...................................................... Foundation has permission to erect ..................... buildings on .... .3... t-' ,... ............................ Rough to be occupied as... ..U►t6t.�... tY1!. p �c �iYtG,...�t�."f�....&Cli1"...la+w�il t.�.1C�....A.;�.� Chimney provided that the person accepting this peribit shall in every respect conform to the terms of the application bn file in ko 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 PE.t�.MF� F,V�'���a�'' , it I I'✓1! 11 � I o �� Final t 0 7,84 *021-94v L � t' .,.,� �, ELECTRICAL INSPECTOR C(t'Z,� Rough ... ... ... ..... .... ...... ................. .......................... Service BUILD G INSPECTOR Final oc ul"ar1.Cy' .l-("mil(. �(�'(.j'l.�tt('� (�� ( ?�, ,,i P111, 1i�1F� GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final � No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner I PLANNING FINAL CONSERVATIONFINAL Street No. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Smoke Det. -7 S-4-7 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 local or state law, ' regulations or requirements. ****************Applicant fills out this section*****************1* APPLICANT: raft 0Lki (f,n6Z_CLU_ Phone LOCATION: Assessor's Map Number 6 Parcel Subdivision Lot(s) Street Y�,��CY1Dn� cJ� . St. Number �3 ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved ZL)-- Gf— --.o " ervation Administrator Date Rejected Comments I K,.p ct&u Date Approved lq!�J Town Planner Date Rejected Comments PP Date Approved III Food Inspector-Health Date Rejected Date Approved / Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway perm_'t Fire Department Received by Building Inspector Date OCT 41994 • 1 � l 1� • E/Q1"/F/ lzol� ED PLOT PLAi'V ,Q- Rdj;2V PREPARED FOR RY LAURENDEAU 1 ' AT /3 BEL MONT STREET NORTH ANDOVER, MA. NO- ESSEX REG IS TR Y OF DEEDS.' BK. /,032 PG 403 PLAN.'NO. IZ 355 8 033 Z ONE.' R-4 ASSESSORS.' MAP /8, PARCEL /7 SCAL E.' / 30' DATE.' JUNE /6, /994 DATE OF FILING.' DATE OF HEAR/NG.' N/F BOARD OF APPEALS DA TE OF APPROVAL.' DEMERS DATE-S /00.00 1 20.0' , 32.4' /6' 36.3' PROP. 6 /2' WOOD 37.8' DECK 34 PROPOSED 24' 2 STORY \ 01yELL/NG SS T 5 9, N/F. 3T.7 EX/ST/NGS N/F MORSE O LOT Q DAG\ BEL MONT STREET TRUST O /01000 SF¢ ,No. 13� o 4i - /00.00, 6ELAfON; STREET JON M. ABAG/S, PA PREPARED BY.' JOHN ABAG/S 8 ASSOCIATES, PROFESSIONAL LAND SURVEYORS 137 CHANDLER ROAD, AND 0VER, MA. (508)688-4899 J , y„ ri�Y ePPPaI sha!1 be filed �6•:1. t �. . +1r within (?n) +he o a�: a c► `, .: ci �` OU :otice EP 57 th ui i ice of the Town ; i 157 o SCEP I <5 �9SSAC'HUSES TThi�is 10 c tt►at twenty(20)days 11eweMpMdhmWeOtdeCigionfllYd TOWN OF NORTH ANDOVER AT wont= � C.iMk A. MASSACHUSETTS Town Clerk BOARD OF APPEALS Gary Laurendeau * DECISION 13 Belmont Street North Andover, MA 01845 * Petition #029-94 * The Board of Appeals held a regular meeting on Tuesday evening August 9 , and then a special meeting on August 30, 1994 upon the application of Gary Laurendeau requesting a Special Permit under Section 9, Paragraph 9 . 2 (1) of the Zoning Bylaw so as to permit construction of an addition to a non-conforming structure on the premises located at 13 Belmont Street. The following members were present and voting: Walter Soule, Vice-chairman, Robert Ford, Clerk, John Pallone and Scott Karpinski. The hearing was advertised in the . North Andover Citizen on July 20. and 27 , 1994 and all abutters were notified by regular mail. Upon a motion by Mr. Pallone and seconded by Mr. Karpinski, the Board voted unanimously to GRANT the Special Permit as requested. The Board finds that the .applicant has satisfied the provisions of Section 10, Paragraph 10. 3 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming use to the neighborhood. Dated this 12th day of September 1994 . BOARD OF APPEALS Walter Soule Acting Chairman .b Y I REGISTER OF DEEDS ,/Any appeal shall be filed Fn. i✓-'uAW" 3. , withitt (207 days after thw •�: A..nr• TGW`, -`'•x , •� � NGRTFt 4�•OJER date of filing of this Notice. f•.,1M in the O�fice of the Town ''t*�chu $EP Z �2 57 PM Clerk. TOWN OF NORTH ANDOVER MASSACHUSETTS AAXIM Ttde is b�y 9wtrwrdy(20)days have alepesd haft debofcfef deon Wad TMOW WWWa eMBOARD OF APPEALS �jA1e' •" eiadMir Toon� NOTICE OF DECISION Date . . .September. 12.,. .1994. . . . . Petition No.. . . .029-94. . . . . : . . . . . . Date of Hearing. .August. .9, .1994. . August 30, 1994 Petition of Gary Laurendeau . . . . . . . . . . . . . . . . . ' Premises affected 1,3 Belmont. Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Special Permit under Referring to the above petition fora . .Section .9, . . . . r• b C�. Paragraph 9.2(l) of the Zoning Bylaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �3 so as to permit construction of an addition. to. .a .non-conf.orming. s.tzucture... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . . GRANT . . . the Special Permit as requested and hereby authorize the Building Inspector to issue a permit to Gary Laurendeau. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . fIi�EH - The Board finds that the applicant has satisfied the provisions of Section 109 Paragraph 10.3 of the Zoning Bylaw and that such change, extension or alteration shall not be substaintially more detrimental thatn the existing non-conforming use to the neighborhood. Signed Walter Soule, .Acting-chairman Robert. Ford, .Clerk. . . ... . . . . . . . . . . John,Pallone . . . . ... . . . . . . . . . . . . . . . . . . Scott .Karp.,n&ki. . . . . . . . . . . . . . . . 3 r3 r'/M()NT S—fi Board of appeals . . . . . . . PJU . P/44,dVtr ryliq y � C C RECEIPT NUMBER: 8985 DATE: 09/30/1994 TIME: 12:46P Essex County North District,MA OFFICE OF THE Register of Deeds ISSUED TO: GARY LAURENDEAU ~ AN ;✓ q6 INST NO. TYPE DOC TOTAL PL/C 1.00 28346 PLAN 10.00 11.00 CHARGE 0.00 CHECK ( ) 0.00 CASH 11.00 CHANGE 0.00 THANK YOU! Thomas J Burke Register of Deeds -s 4 f SUBd c r A LLA Ria CON (TIOU G DANSCO ENGINEERING,I.A. 0AWSmed by Qat* GAby dots j.. __ _..._ .r ....'.._ _.... ..._. ._.. ....: _. 17 io F r • i • i • .. - .. .�. .. - - wlyy:�•;•,.j.:L.1+ii1i7. 7• .I ... _. ........ ....i... i �3.f t) ..:._. � 6 It 7-1 tr IS _'�.._.... a �^J '�" L S _`..'�, .7F�i' in3. � �h3 • P.O. Box 3916 Apollo Bca'ch, Floridaida 33572 t913) 646-0166 Z0' d T00' ON 00:6 MU f10N 8696-Sb9-£T8: aI bd9NIN33NI9N300SNa - -- -_ — -,F .p �.:,..areF+<.e, .,.�.�..-�.:.,ti„,,,,�,,,,,u��,« T•.,«..,. „...,,,..M.- �....,....«> .r•..,...�,.r ..•...•..Mr.a»>rtxwv.� - .„y .�..,,.a,.:»..,..-.,«.+sn„w... ..z-,.,.«..x.a.,..,P.a,�n,. ..,.<.,,,.:.,,>.,�...��. +.� y gg, t p •q S L �•,.,. C M4.�'3.t:?,r��'�d'�1�'d`g'�€��..F+ 4,kFt.Skx4•x.�'•.:b�f4, .Y a.»�..��•t`-+.6-+rya .. .,.,„.m.. ,-„•.... 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[(5;. �,...r.,7 C Mi.� a•M?.....i«e- .:,.a..r.: .3+.'. �,....-# rm.:,,..:, ., ...�:.nlf.. r ,• .,� 4 �q Y :7� 1„+� r £n {A}• ,=rna.. «r aacv:«...«,.., r ., - •- ..g.} o-' ..� y' �!! .�, re f yt C �. 1 �♦Aww.+A-a.i-r.Fi+y>i -”4y'i �+�.-aa "•p1.�' M- d ,a_ ....t_...M- J"+-. r •ey. eb✓. - 1 E '[..F.:i f s-°� aw”' rw 'S a u,F �.. - vr+' v s t.M 1, �{+t, r` � Vit•& �. �^” �s` , @ � 1 71 r �, x �w...,,6..w.�a+u.+:«w.r..ru rr.,r. wwe...+r.....ter,.'.-.e.,.-.,,r....,.r.u�n .v. ."..`..�ra...a-_.......r.-=-•�..J<.....r-..,.w.v r-•.rw. ..,.h,.....•rsv.w S ..1..::-a�snrpr.,. ! ..}....,..ra-r.rdw.-r.>r:.i � 1 l �D i C:`C� ( ,�s i `•a�E'. i.47a5�'. ;ii:�f; JL4 ilk(.;A C' t.� '�r ! x-•i ;w •f�}'r ^� � �,i s,x f„'!"�� E'j Y..if? ,�`� ti# '•� 7- F:�4.1 »��{l e�• -i'7 CERTIFICATE OF' USE & OCCUPANCY Tin of NorthAndaver Building Permit Number 43 (1994) Date IANIJARY 19, 1995 — THIS CERTIFIES THAT THE BUILDING LOCATED ON 13 BELMONT STREET MAY BE OCCUPIED AS CONVERSION OF SINGLE FAMILY DWELLING IN ACCORDANCE TO TWO-FAMILY DWELLING WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Gary Laurendeau 13 Belmont St. ADDRESS North Andover 7 mA Building Inspector is I own of North Andover No. 439 North Andover, Mass., 19 BOARD OF HEALTH Food/Kitchen Septic System RMIT TO BUILD PE BUILDING INSPECTOR THISCERTIFIES THAT.......:.............:.......................................................................................................................................... Foundation to[-Z-1��Uc E) has permission to erect......................................... buildings on .............................................................................................. (�o g1� to be occupied as............................................... ....................................... Chimney ........... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in. Cin a)l 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. RQg I 1 01 "/2'Z7ao,� j, ELECTRICAL IN;SPETO 0 ................................................................................................................. Service BUILDING INSPECTOR tnal /��/ �, � f GAS 11�Sp TO� Display in a Conspicuous Place on the Premises — Do Not Remove 01161 61V No Lathing or Dry Wall To Be Done FIRE KE RTMENT Until Inspected and Approved by the Building Inspector. Burner ",% I I N PLANNING kVtQRAL CONSERVATION IrO FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Abe 6A(Z �-68 cc"a e �. uA � `J /a , • EI�T/F/ED PLOT PLAN oll PREPARED FOR.' f • RY LAURENDEAU AT /3 BEL MONT STREET ��•� � NORTH ANDOVER, MA. NO.- ESSEX REGISTRY OF DEEDS.' BK. /,032 PG. 403 PLAN.-NO. IZ355 8 033 Z ONE.' R-4 ASSESSORS.' MAP /8, PARCEL /7 SE. CAL ' / 30` DATE. JUNE /6, /994 DATE OF FILING* DATE OF HEARING.* V/F BOARD OF APPEALS DATE OF APPROVAL: DEMERS DA TE.'q) e /00.00, 20.0' � 32.4' 16' 36.3' PROP. 6 /2' WOOD f 37.8' 1-"-qAr- 34' PROPOSED 24' 2 STORY \ DWELL ING ..� 5.s N/F 377 EXISTING N/F MORSE p `? STY. BELMONT STREET TRUST o Lor A ���\ o /0,000 SFS` .No. /3� QJON �. /5. c `� 100.00 w BEL AfONT STREET J N M. ABAG/S, P S. PREPARED BY.' JOHN ABAG/S 8 ASSOCIATES, PROFESSIONAL LAND SURVEYORS /37 CHANDLER ROAD, ANDD VER, MA. (508)688-4899 � /v4i% o7 A i ei AN o.� 01 IL V. fl1�tl� Any appeal shall be filed 's�s•..,,,.�, within (20) days after the •rtr� J date of filing of this -5 NTom OF NORTH ANDOVER Notice in the Office MASSACHUSETTS of the Town Clerk. BOARD Of APPEALS NOTICE OF DECISION Q 19 4 Date .December . . .9 . Petition No.. .060-94. . . . . . . . . . . . . . Date of Hearing.December 13, 1994 Petition of Gary Laurendeau Premises affected 13 .Belmont _Street, North. Andover,. MA i Referring to the above petition for a variation from the requirements of . Sec.tion. 7... . . . . Paragraph i.3. .and .Table. .2 .of_ the. Zoning Bylaw. . so as to permit construction .of, a deck,which .would. require. ten .feet, of. ,relief. . . . from the 30-fPot ,rear, setback. on .the. premises. at. .1.3 .Belmo.n.t. .Street. . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to .GRANT the Variance and hereby authorize the Building Inspector to issue a i permit to Gary Laurendeau . . . . . . . . . . . I . . . . . . . . . . . . . . for the construction of the above work, based upon the following conditions: the Board voted unanimously to GRANT the variance as reqested as shown on the plan with the condition that 6-foot high fencing or shrubs be planted providing screening along Laurendeau's property line, whichever the homeowner prefers. The Board finds that the petitioner has satisfied the Signed provisions of Section 10, Paragraph 10.4 of the Zoning �/ G � Bvlaw and that this variance may W"i lam J. Sullielan, Chairman be granted without substantial Walter Soule, Vice-Chairman. detriment to the public good Ravmond Vivenzio, Clerk and without nullifying or John Pallone substantially derogating from Scott Karpinski the intent or purpose of the Zoning Bylaw. . . . . . . . . . . . . I . . . . . . . . . . . . Board of Appeals • h ERT/F/ED PLOT PLAN PREPARED FOR.' j 4.: ... :._�..._, RY LAURENDEAU AT 7 /3 BEL MONT S TREE NOR H ANDOVER r A A , M . NO. ESSEX REG IS TRY OF DEEDS.' 8K. /,032 PG. 403 PLAN.-NO. /2,355 8 033 ZONE.' R-4 ASSESSORS.' MAP /8, PARCEL /7 SCALE.' / "= 30' DATE. JUNE /6, /994 DATE OF FILING.* DATE OF NEAR/NG.' " WF BOARD OF APPEALS DATE OF APPROVAL. DEMERS DATE.'S s /00.00 - 20.0' 32.4' /6' 36.3' PROP. /2, WOOD 37.8' DECK 34 PROPOSED 24' 2 STORY 37.T' DWELL/NG ,.� 5.Y N/F EXIST/NGS N/F. ,2 `SrY. MORSE p , , SEL MaVT STREET TRUST LO r A \DwG. o /0,000 SF¢ .NO, /3 o /00.00, w BE MONT STREET ,ION M. ABAG/S, PIS t PREPARED BY JOHN ASAGIS 6 ASSOCIATES, PROFESSIONAL LAND SURVEYORS F 137 CHANDLER ROAD, ANDO VER, MA. (508)688-4899