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HomeMy WebLinkAboutMiscellaneous - 137 HIGH STREET 4/30/2018 137 HIGH STREET 210106000.0 Date... ...... zr f NORTH, �" o °off TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSAC1/US r , This certifies that .. .,....::.~' :�` �'� *5 0 ' has permission to perform wiring in the building of.. ., .. at/.. .7 ....... ... "�.�:................... .North Andover,Mass. Fee.7:.�.....-....... Lic. -��� �.. . :.�.1� � 4�.:.................. ELECTRI jAr NSPECTOR -Check # '6747 A Commonwealth of Massachusetts 67 /Z Department of Fire Services Occuranc\ ind Fce Chccked BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOW 111 ,\ork[o iie I,ert'onlied in icc;w&HICe\t il 11 the\IWCIt, 1:1W rical Codc I\11':C). i 2 7 C`.I R 121.1',0 i I'L E.ISE PRLN r LN, INK OR TYPE.I LL 1A FOR.1 I ITION) Date: Ch (')r Town of: 'ro iiie 01 ff'i BY Illis ,tpplication the undersi-i C Ot*llis 01-her 61tcIlti011 to Peft'A"ll ille Jecti-io:al %m-k de-Ai'111CLI 11CIOV1. Location (Street& N uniber) Owner or Tenant ji-,relephone No. Owner's Address A Is this permit in conjunction with a building permit? Yes 2r No El (Check Appropriate Box) Purpose of Building 0? Utility Authorization No. Existing Service amps Volts OverheadEj UndgrdE] No. of Meters New Service Amps Volts Overhead ❑ Undgrd No. of Meters Number of Feeders and Ampa*city" Location and Naturf oRroposed Wlectrical Work: c No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KNA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of above In- N o.o F E m e r-g-e-ni-e-y-T Luminaires swirriminiR Pool hiting grud. 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 Tota No.of Ranges No.of Air CTonsl ond. No. of alerting Devices "eat Pump Number Tons 1.KW -No.of Waste Disposers P No.of Self-Contained Totals: DetectioniAlerting Devices No.of Dishwashers Space/Area Heating KW Local FlMunicipal Other KConnection No.of Dryers Heating Appliances W Securitystes:* 'W No.of Water No.of Appliances of ..0�60Svmev ices or Equivalent KW Da Wiag: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs 'No.of Motors Total tip -M—ecommunications Wiring: No.ul'Devices or EquiNalent OTHER: F,.tiin;itt:d VALic of Flectrical Work: i\k hen required 17N, 1111.1il'icipal pulic,' \k ot k to Marr. Ill:pcctions to be requested In ACL;0I-&ljlCe with \l EC Rule !0, ajcl LIpjjIj completion. I;NSL RANC E COERACE: I tNak-A by (Ile uk,,licr. no permit t'(111-the WI-k illtiy i'-AIC l.ilik. i1r.all-:111u: Includill'! -ompIctt:d(�peration­ yits ll�] tImt Jlcll coo p-oct ':,Irlc it" tile 1'Crnllf r .11111, ()ltwv. I TR li 'JiS J' %J/1 _101 ctnsce: LV A,Idress: wo 'FAC-0A a N'_ DMI. Irl. "o. -it M�0ti Ion/_,rntrtctor IJ(;'Ji",_, It:,. tl)f[hk 'Irplicable.'.1itel Lilt: 1AVNFR'S UNSURA.V-E %V\IVER: I tjl,,tt Ill, I,' iuquirud liI�, lwv, By 111;\ ',_,n;tturL bo,+,�, I I 0"n e r,gent :"aatu IT C9 r ai t I Location 12,-) `[l1C h S �r.✓t•'t�"' /-1- a No. b Date �ORTM TOWN OF NORTH ANDOVER SOL F p # Certificate of Occupancy $ sACINSBuilding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ ",;V TOTAL $ Check # /y I- 19252 Building Inspector Str. t Str. C.A.T. DAT Acct. No. _. Phone# y No. "� No. ` . (�� No. l t�G� T PRODUCT ORDER FORM Where family fun begins SOLD TO �l STREET n"8 CITY _ i ¢}'�(, � STATE € :rT !_ 0EIDEP 15/28 IQLt HOME PHONE NO. = :+".,:(IiIvT ,;,;r-nl 9 6742, )14 DK Fil BUSINESS PHONE NO. �I J "�i�? ZIP 0"?27 18 + ;±AY I ESM FE 44 tl i!)t� t}rl I.ii �i' I i },tat• DUAN. EDP# DEPT. MODEL#/DESCRIPTION '"Sa no E D S�-�Q t11 I iCJ t AI_ c ' # DL 5/'C. 1. r"1 ` Q 1JI IA C i t 1 goo.cjr l 1J f q . 99At3tll , ,3C7i�;� ; ,`Torr; ` I"`I.'.!.. tsl.- !:!F:rJ •: .'.n1t1I. ,��{� e i •1 L Sub Total Tax (" Total Less Deposit Balance Due BUYERS SIGNATURE: X + CUSTOMER COPY I HAVE READ AND UNI ERST�OD ALL'POLICIES ANU CONDITIONS ON REVERSE SIDE. PLEASE READ STORE POLICIES AND INSTALLATION SUGGESTIONS ON REVERSE PLEASE READ LIMITATIONS AND EXCLUSIONS OF WARRANTIES ON REVERSE HORT" Zoning Bylaw Denial Building Town ®f North Andover g De partment 27 Charles St. North Andover, MA. 01845 Phone 978488-9545 Fax 978-688-9542 Street: Map/ ot: 47 / .7 f i Applicant: "7-!A4?1C/dScldcc a- Request: 3�,x qD'._. .. _ _ . o? aP ..UNI-A 4q/ Date: Please be advised that after review of your Application and Plans that your Application is DENIED for the following.Zoning Bylaw reasons: Zoning Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting a 5 2 Frontage Com lies ''-I eS 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 NI/a 2 - Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required y 5 3 Preexisting CBA 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 YcS 3 --PreexistingHeight gt 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient des I Building Coverage 6 Preexisting setback(s) e S 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies g p s D Watershed 3 Coverage Preexisting 1 Not in Watershed c 5 4 Insufficient Information 2 In Watershed Sign /V 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District I( Parking 1 In District review required 1 More Parking Required 2 Not in district e S 2 Parking Complies i e 5 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parkin Remedy for the above is checked below. Item # Special Permits Planning Boardi Item # Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special,al Permit Height Variance Congregate Housing Special I Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit S ecia) Permit No—n-Conformina Use ZBA Lar e,Estate Condo-Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit, Special Permit Use not Listed but Similar Planned Residential Special PermitSpecial Permit for Sign R-6 Density Special Permit — Special Permit preexisting nonconforming Watershed Special 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 anew building permit application form and begin the permitting process. . o0 Befilding Department Official Signature Application Received Application Denied f 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: J f� r/N- COiV,fiD/'�'I iti vC_ r�r� d�rki�jiti CU4 r\ .e a f- ti z Referred To: Fire Health Police zoning Board conservation De ortment of Public Works Other PlanningHistorical Commission Other BUILDING DEPT e TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .. p t, F W ` lfbl',� IAX BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: ic Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION I A Property Address: 1.2 Assessors Map and Parcel Number: s e 4r Map Number Parcel Number 1.3 Zoning Information: _ZD /-Z",4 Zl✓ /11 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 3090 ' ao' co l A? 1.5. Flood Zone Information: 1.8 Sew a sal System:1.7 Water Supp Z.L.C.40. 54) DiTpo ys Public 4 Private ❑ Zone Outside Flood Zone Municipal On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name(Print) Address for Sefvice Signature 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 Address Expiration Date ic Signature g e TeleP hone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address a� Expiration Date Signature Tele hone SECTION 4-WORKERS COMPENSATION(NLG.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.......0 SECTION 5 Descri tion of Proposed Work check aID a hcable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: e /'S Ofd ver ON eACxi "&/002• Ale 4w"ti -4 Co"X'e/ /G 7ye�Mr� ,,`iC�i� fOl,� ..� gA/�9� �n�o �DdiT�JaN w,Jll/moi ,oC1 eCon� G> 1044114 V- �1JI,O 4,,eGJ/l� rd ee a?- Zvi/ cJ ff�i 71XC SIOe-dy-lia? c�/ ,Z {'faa/�s Qt'fY, S7�ce Gait" e2 fT,�„✓ V----e P,t'iJ�i 4 oN� SECTION 6-ESTIMATED CONSTRUCTION COSTS D '2 E eve dam/ Item Estimated Cost(Dollar)to be UF1F'ICIAL USE®NLY Completed b permit a licant s 1. Building (a) Building Permit Fee Multi Tier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(n) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SOWNERS AGENT OR CONTRACTOR APPLIES FOR BU -7 ECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN II.DING 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--7,b AGENT DECLARATION 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 Print Si nature o wner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CI II VINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Al 1 T: r-0/. 1 r/ d oO / e.,,eis � D/crt v 11 LU o� �cc N ? PA-P. 3X FouN-AhoN Aobifi�00 lop I . 7 30 � � i t sp+y VA u twt w VG NA. CEPT: IED PLOT PLAN � � �L�w�T+oi+a•,O 1t gi01�suo OF LAND W M ` wart Pwro�ea au.Y. �[Q_ �4xJ D�✓�c 1L ,� �' d v&M 61664"m As M49wN. / As DRAWN FOA OWM a/ t acau r • 20 SAM 4t 144 ,-vn MO SOCK 4(v/f -LOCATED AT ARS PLAN'4o3t'8 Pum ASUSION MAP ` `:-, 1, r BLOCK R.A.M. ENGINEERING LCT u° FMIsTT VML � - I -gOFt7i� t Zoning Bylaw Review Form p O� Town Of North Andover Building Department �° =`�• 27 Charles St. North Andover, MA. 01845 .q °gAry°♦fi, ssACHUPhone 978-688-9545 Fax 978-688-9542 Street: 6-5- Map/Lot: 40 — r7 Applicant -F .I c, a- C ZC C Z Request: LaQ,1X�_t4o,* e Date: -� = o Please be advised that�after review'of your'Application and Plans your Application is /DENIED for the following Zoning Bylaw reasons: Zonin , Item Notes Item Notes A Lot Area F Frontage 1 Lot area.Insufficient y f=S 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information N�S B Use 5 No access over Frontage 1 Allowed 41 `1 e.5 G Contiguous Building Area ti A 2 Not Allowed. 1 Insufficient Area 3 Use Preexisting 2 -Complies 4 Special:Permit Required )-He,S 4 3 ' Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 I Height Exceeds Maximum 2 Front Insufficient 4eg 2 Complies 3 Left Side Insufficient 3 Preexisting Height 4 1 Right Side Insufficient 4 Insufficient Information y S 5 1 Rear Insufficient ( Building Coverage N/A 6 Preexisting setback(s) `IeS 1 Coverage exceeds maximum - 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed `(cg 4 Insufficient Information 2 In Watershed d Sign 3 Lot prior to 10/24/941 SiA gn not allowed 4 Zone to be Determined 2 Sign Complies 1 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District.review required 1 More Parking Required 2 Not in district `�e S 2 Pa ' rktn Complies g es 3 Insufficient Information RemedY for the above is.checked below. --------------- Item # S ecial Permits Planning Board. Item# Variance Site Pian Review S ecial Permit C-a Setback Variance Access other than Fronts e S ecial PermitParkin Variance Frontage Exception-Lot S ial Permit Common DrivewayS ecial Permit Lot Area Variance Congregate Housin .S ecial Permit Hei ht Variance Continuing Care Retirement Special Permit Variance for Si n Inde endent Elderl Housin S ecial Permit S ecial Permits Zonin Board S ecial LPermit Non-Confo.. Use ZBA ar a Estate Condo S ecial Permit Planned Develo merit District S ecial Earth Removal S ecial Permit ZBA Planned Residential S ecial Permit S ecial Permit Use not Listed but Similar R-6 Densi S ecia!Permit Special Permit for Sign Watershed S ecial Permit Other Su I Add itionallnformation pre ex�5+w rvon� e; tir �,.(VII 40 a�cl', .oro o I_ a AePcli �cva( un�� S The above review and attachedexplanation of such is based on the plans,request for or Inforrnatlon 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 this action. 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. wilding�qepart�mentOffici ��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 the action on the property indicated on the reverse side: G �` i4! 5 1�11k$ � 1 t Rl���(•`4se�'3Y� }BAyR`Y'�' ,At tit ff Y / ecia� ��mIT Jaf� � 4e,y .e&S10IV CO ,..� (SA)0A,?-CO1Va0MIA C Slruc T L,r r�ry ne- �rJtrru' ons-Coiftc rY►�in� Lo+ c)u,,- 4a STrvc` ovreS C,^0 Cvnnser` � c� 5 f p U1reci �v Ave- 010` 5��6Ael�. oti% Sick-e S}rra'� aNcl I ii _I a u I P U t f KQ aha {� Stn e c 1 r- dCXIXI��U'!�CII �Cw� ���� util� �j � O db 1ti ry cy u r`e t ea a Cly Aa i +d-off u� r ( aNC� �u►� �J ` arvCk Ur57r�C+ O(U Cvj\iUv(� S +v oZO . A,C- �r,�vv� �,e.. St � S'� r-ems , SSC ' 1 Cl? tee` G�iv�e�/l.vc r�.tiiT arm I I Referred To: Fire Health Police ZoninI Board Conservation Department of Public Works PlanningHistorical Commission Other BUILDING DEPT ZoningBylawDenia12000 �I Town of North Andover, Zoning Board of Appeals APPLICANT'S PROPERTY: list by map, parcel, name and address (PLEASE PRINT CLEARLY, USE BLACK INK) MAP PARCEL NAME ADDRESS 7 7/ ABUTTERS PROPERTY: list by map, parcel, name and address (PLEASE PRINT CLEARLY, USE BLACK INK) MAP PARCEL INAME ADDRESS .cJoig l/9 Ll!¢ fT, 46 ✓T, � M o c✓.c./o �a �eii Avg Z-,WA--- �o v 12- THIS INFORMATION WAS OBTAINED AT THE ASSESSOR'S OFFICE AND CERTIFIED BY THE ASSESSOR'S OFFICE: BY: _ DATE: SIGNATURE,ASSESSOR, TOWN OF NORTH ANDOVER Required list of es of interest Page one�_of rd of Ass or Ando - i PAGE=2 OF 4 Date &Time ____ Stamp N CSD K W _ Application for a SPECIAL PERMIT' Nfl . . .." . North ANDOVER ZONING BOARD OF APPEALS �OOI - - 1.`Petitioner: Name, address and telephone number: r. 1 - � / 27 O p7 'The petitioner shall be entered on the legal notice and the decision as entered above. 2. Owners of Land: Name, Address and Telephone number and number of years under this ownership: Aw 0 - � v 8 Years Owned Land:. 3. Location of Property: p rtY: a. Street: 134. H I Cq Zoning-District RA b. Assessors: Map numberLot Number: ( c. Registry of Deeds: Book Number 5]�(ad Page'Number. �4a 4. By-Law Sections under which the petition for the Special Permit is made. � ;1 - Gars- t4A , 148 a ad ( Ia unite Refer to the Permit Denial and Zoning By-Law Plan Review as supplied by the Building Commissioner. 5. Describe the Special Permit equest: -The_ add i+io�n a �- Un lf5 I -�U &C� i f i ' in Ci.5—one - �j bu i( in a *The above description shall be used for the purpose of the legal notice and.decision. .A more detailed description is required pursuant to the Zoning Board Rules and Regulations as cited on page 4 of this application. Page 3 of 4 Application fora SPECIAL PERMIT " NORTH ANDOVER ZONING BOARD OF APPEALS 6.a Existing Lot: Lot Area Open Space Percent Lot Frontage Parking * Minimum Lot set Back' Sq. Ft. Sq. Ft. Coverage r_ • Feet Spaces Front Side A Side B Rear 4 Corner— It % b. Proposed Lot (S): Lot Area Open Space Percent Lot Frontage Parking * Minimum Lot set Back' Sq. Ft: Sq. Ft. Coverage Feet Spaces Front Side A Side B Rear a o� c. Required Lot: (As required by Zoning By-Law) Lot Area Open Space Percent Lot Frontage Parking Minimum Lot set Back' Sq. Ft. Sq. Ft. Coverage Feet Spaces Front Side A Side B Rear 3 ' tam % �� 30' 7. a. Existing Buildings: Ground Floor Number of Total Use of Number Square feet Floors Sq.feet Building" of Units z- *Reference Use Code numbers and Uses from the Zoning By-Law. State number of units in building. B. Proposed Buildings: Ground Floor Number of Total Use of Number I Square feet Floors Sq. feet Building' of Units 1a.8� a-- 25�o Re-si�e.ntia� 2, 'Reference Use Code numbers and Uses from the Zoning Orbinance. State number of units in building. 8. Petitioner and Landowner signature (s): Every application for a Special Permit shall be made on this form which is the official form of the Zoning Board of Appeals. Every application shall be filed with the Town Clerk's Office. It shall be the responsibility of the petitioner to fumish all supporting documentation with this application. The dated copy of this application received by the Town Clerk- or the Zoning Board of Appeals does not absolve the applicant from this responsibility. The petitioner shall be responsible for all expenses for filing and legal notification. Failure to comply with application requirements, as cited herein and in the Zoning Board Rules and Regulations may result in a dismissal by the Zoning Board of this application as incomplete. Signatures I Type above name W here plb,r tc,(.4 i' - I Page 2 of 4 JOYCE BRADSHAW .;Ak - pli'c'., a.wi t"i"4o's'�n�fofsc"ra�V,.',•ARIANC ��'"•r•` 'It; .; ':s3.6;4� ..• r Fc..;kit .arm. 2 ., ._-.,..: -.,t4� . ...'�''k`f`, .t ,�:av�a,�^ .�w;aY"��/euY `.' .a��f..��sNa.iv&ts�''w...�w.,a:u.,!�xc^�?•;�f� ` m fa ye Zoning Board of Appeals- 2001 MAY 10 A 11: 1 q I. Petitioner: Name, address and telephone number: _ 'The petitioner shall be entered on the legal notice and the decision as entered above. _2.' Owners,of Land: Name, Address and Telephone number and number of years under this ownership / / / ' Years Owned Land. 3.1 Location of Property: a. Street:_ 131 ► !Q[ sTRE-C-_T Zoning District R4' b. Assessors: Map number 6-t Lot Number:_ f+ c. Registry of Deeds: Book Number 5!;<06 Page.Number: 14� 4. Zoning Sections under which the petition for the Variance is made. t�a% . o Refer to the Permit Denial and Zoning By-Law Plan Review as supplied by the Building Commissioner Q 5. Describe the Variance request - Fie-ex�stin T IKEA F ►� r s�T�AcK ;� _, . : f 'The above description shall be used for the purpose of the legal notice and decision. A more detailed description is required pursuant to the Zoning Board Rules and Regulations as cited on page 4 of this application.Failure by the applicant to clearly describe the request may result In a decision that does not address the intent of the applicant. The decision will be limited to the request b the licant.and additional items not included above. y PP will not involve 6a, Difference from Zoning By-Law requirements: Indicate the dimensions that will not meet current Zoning By-Law Requirements. (A and B are in the case of a lot split) Lot Area Open Space Percent Lot Frontage Parking' Minimum Lot set Back Sq. Ft. Sq. Ft. Coverage Feet eet S aces Front Side A Sided Rear A. B. E { I Page a 3,of,4 a � Application fora;---VARIANCE ,. - � i- + Zoning Board of Appeals i r 6. b. Existing Lot: Lot Area Open Space Percent Lot Frontage Parking Minimum Lot set Back• Sq. Ft. .. Sq. Ft. Coverage- Feet Spaces. Front _ Side A Side B Rear 35•s ' 6 c. Proposed Lot (S): f Lot Area Open Space Percent-Lot Frontage Parking ' Minimum Lot set Back• Sq. Ft. Sq. Ft. Coverage,;. Feet Spaces Front Side A Side B Rear d. Required Lot: (As required by Zoning By-Law) f Lot Area' Open Space Percent Lot Frontage Parking Minimum Lot set Back' Sq. Ft. Sq. Ft. Coverage. Feet Spaces Front, Side A Side B Rear 5 7. a. Existing Buildings: Ground Floor Number of Total Use of Square feet Floors Sq.feet Building* "AV,n+ f 'Reference Uses from the Zoning By-Law.State number of units in building. , b. Proposed Buildings: Ground Floor Number of Total Use of Square feet Floors Sq. feet Building' - aao ao _ ac is 'Reference Uses from the Zoning By-Law.State number of units in building. 8. Petitioner and Landowner signature (s): Every application for a Variance shall be made on this form which is the official form of the Zoning Board of Appeals. Every application shall be filed with the Town Clerk's Office. It shall be the responsibility of the petitioner to furnish all supporting documentation with this application. The dated copy of this application received by the Town Clerk or the Zoning Board of Appeals does not absolve the applicant from this responsibility. The petitioner shall be responsible for all expenses for filing and legal notification. Failure to comply with application requirements,as cited herein and in the Zoning Board Rules and Regulations may result in a dismissal by the Zoning Board/thiapplication as incomplete. Silwature �• Type above name (s) here 7q�p.-rP— I Ace,— A� r anKry� Zoning Bylaw Review Form ... t Town Of North Andover Building Department ° All. ° 27 Charles St. North Andover MA. 01845 �9 4 '�`� SS"`HU Phone 978-6884545 Fax 978-688-9542 Street: 4 . Ma /Lot: rj A licant: t c z C ze c Z Request: �' r Dates Please be advised thatafterreview of your'Application and Plans your Appl>tcation is f DEINIIED for the following Zoning Bylaw reasons: Zoning Item Notes Item Notes Frontage A Lot Area F 1 Lot area Insufficient Y S 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information y E,5 B Use 5 No access over Frontage 1 Allowed , Lip_'5 GContiguous Building Area ,?l A 2 Not Allowed. 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required ye-5 4 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient" yes 2 Complies 3 Left Side Insufficient3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information y S' 5 Rear Insufficient l Building Coverage 6 Preexisting setbacks) `1e5 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting I Not in Watershed `fes 4 Insufficient Information 2 In Watershed Sign 3 Lot prior to 1612494 A 1 Sign not allowed 4 Zone to be Determined 2 Sign complies 5 Insufficient Information 3 Insufficient information E Historic District K Parking 1 In D'Istrict.r ,view required 1 More Parking Required. 2 Not in district `1 e S 2 Parking Complies 3 Insufficient Information ye RemedY for the above is checked below. Item # Special Permits Plannin Board, Item# Variance EFro Plan Review S eclat Permit ess other than Fronts e S eclat Permft C_a Setback Variance ts aExee tion Lot S.eclat Permit Parkin Variance mon Driveara S ecial Permit Lot Area Variance Con re ate Housin .S ecial Permit He( ht Variance Continuing CareRetirement Special Permit Variance for S.i n S ecial Pe ' Independent Elder( Housin S ectal Permit rmtts Zonm Board Lar a Estate Condo S ecial Permit S eclat Permit Non-Conformin Use ZBA Planned DeveIo'Ment.District S ecial..P.ermit Earth Removal S ecial Permit ZBA S Planned sintieclat Permit ecial Permit Use not Listed but Similar Redeal S R-6 Derisi S eo at.Permit S eclat Permit for Si n Watershed S eclatPer Other mit Su I Additional Information ire exSf � NoAN C' r.,�: 29oP, •oro ®1• � A�c➢i swat uNS The above review and attached explanation of such is bas review and or advice shall ed on the plans,request for or Information submitted. No definitive 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 this action. 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 fitted°Plan.Review Narrative"shall be attached hereto and incorporated herein by reference. The building'department will retain..all.' and documentation for the above file, uilding Department Official Signaturea6, �ived Application ReApplication Denied Denial Sent: � If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for the action on f indicated on the reverse side: the property { ecia/ Ore- ey(S/r 1 II ��e-eKr�7iti` ons-Cotifor �v,e .'tom S4rvc`Fvr.e ' 6 S V i �" p C p reCS �� o9O' a N> L,061 ( rw vtr a re d S eciai er-w,i� U UA `j l O of ib ^e�'QS4°N ej i)Ari '4UC`.e �p* U JtrvCCl)�pS I y � U°NeCt C) �/�L)L, lc ---------- K-3 0? t�a�Kati S dode es ` Al AC--/ k/- ru er%J Referred Ta: Fire Police Health. Conservation Zonin ;:Board Plannin De artment of Public Works. Other Historical'Commission BUILDING ZOnin9By1awDenia12000 DEPT TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING s BUILDING PERMIT NUMBER: DATE ISSUED: s a SIGNATURE: Building Commissioner/I tOr of Buildin2 Date SECTION 1-SITE INFORMATION 1.1 Property A dress: 1.2 Assessors Map and Parcel Number: J Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning strict Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided C 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ a SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Namel.P-j`nt) Address for S&6ice 4 d Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 - E Licensed Construction Supervisor: C License Number Address Expiration Date am Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number r Address EM 2 Expiration Date Signature Telephone a SECTION 4-WORKERS COMPENSATION(IbLG.L. C 152 § 25c(6) ' Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to pnWde theaffidavit will result in the denial of the issuance of the building rmit. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 DescriptiSM.of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. 1❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: ee�'iAl� V ale- SECTION ltSECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be Completed by permit applicant I. Building (a) Building Permit Fee 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 1+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 pplication:Signature of Owner Date SECTION 7b OWNE (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 Print Name Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIlvIBERS I ST 2ND 3RD SPAN DEV ENSIONS OF SILLS DIlvIENSIONS OF POSTS DUvIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE rN2 16 6 6 Date..�,l...�//1.....1 t NOR7►,, TOWN OF NORTH ANDOVER PERMIT FOR WIRING $AGMUS�� This certifies that .. ..... .......... '. .4.Q .. ..................... has permission to perform ....... 4 ... ..... ............ ....................................... wiring in the building of.... ................................................. at.......I�.. 7....... � ` ........................... North Andover ass. Fee../'5'.A).... Lic.No. , / .... ® ........... ... ELECTRICAL INSPECTOR G\� 1427199 11:33 15.00 PAII- WHITE:Applicant CANARY: Building Dept. INK:Treasurer 7EC0Mh10NW 4LTHOFM4S"C ffV,3E7T5' Office Use only DEPARTAflDNfOFPUBLICSAFETY Permit No. �. l BOARD OFF7REPREVE7W0NREGMTI0AS527CMR 12:00 Occupancy&Fees Checked ug- PPLICATIONFORPERNff TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 5 tz— 5 — 22 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. 10 Location(Street&Number) 7 Owner or Tenant j Owner's Address Is this permit in conjunction with a building permit: Yes No [ / (Check Appropriate Box) Purpose of Building 4Je-rG G G- Utility Authorization No. , Existing Service Amps / Volts Overhead O Underground ® No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work //US��yLG No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total _ KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.ofSwitch outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW LocalMunicipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER- lrstm=Cu-t RistrantiD the m4malfflits dMasmidiseas CkryrA Lam Ihaw aamatLiability hrL==Polic indxiing Canplete 0 aborisCovaagvcrtsskstffltdeqrvaifft YES NO IhaNcabTmedvaWpmfofsametotheOffic-YES NO F1 IfjwhawdrdcedYES,pke sendicaetheNxofwn�bycfteddnthe INSURANCE BOND OU11R E] (PS m Spey) E#atim Dam ak�srart � ESt dVahredBmtlidWokS W Tns�onl�Fgt Rargh Fstal Sued ta>dr��iePertal�s ofperjuty. FIRMNAME I eNn Liter /C.�G� � L�•�� � ' � Lice�seNo f/��.3 /� `` &sires Tel.Na (003 -3 �� -a 9.A--f Ad �1�/� ����.�tiU ��/�G � ,T/!//�C� �/ AIL TeL Na OWNER'S INSURANCE WAIVER,Iamawatethatthelicmdomnot t thec�uranoeco or�ssul It mal�asrac�r¢adlry t>s Genaaiiaws and thatmysign tmenthispumieppfiatomwanesthisrac�na;t. (Please check one) Owner M Agent Telephone No. PERMIT FEE$ Ar COMMONWEALTH OF MASSACHUSETTS OF ELECTRICIANS r EGIST°ERED MASTER ELECTRICIAN ISSUES THIS LICENSE TO i , M ROGER K LEMIEUX '. 61 HIGHLAND DRIVE t DANVILLE NH 03819-5134 — �i I 16223 A 07/31/01 745425 _r w COMMONWEALTH OF MASSACHUSETTS �k . OF ELECTRICIANS AS A REG JOURNEYMAN ELECTRICI i } ISSUES THIS LICENSE TO , ' @ t ROGER K LEMIEUX m IFn 61 HIGHLAND DRIVEit DANVILLE NH 03819-5134 is 07/31/OI 745426 s 20366 E :j • •i _ J Y ... ., .. v Location /3 f v No. /-� Date a No RT)l , TOWN OR NORTH ANDOVER n Certificate of Occupancy $ Building/Frame Permit Fee $ 9ss�cMu,Ec Foundation Permit Fee_ $ �^ Other Permit Fee�tN-��$ S Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 1 3 L) 31 � Building Inspector Div. Public Works 1'1'l2mrr NO. ® �� AI'P1,ICATI 0N FOIZ PE,IZM IT TO I I U I 1 1)****/*NZT1I AN1)0VV-11) MA n)(1'NU. ) I.Of.NU, h o 2. HUMID MID Ok MWiL)2SHIP DATE 11001: 11AGIF il)nk: suBun'. LOrNu. V ' Jp �G1 `C T d) ------ I'llitl'CJbI:Ik=UUIi IlI1JC; V1A1 X/ 512 J V�S -�... "Te//M O\\'NEIL'S NAt`iL c7 �7//Y I V/ JTy(T�/I/� �)�,i c..) CIA L. t � PJ(>.(x�Sf(xtIL:S �/(..(,L_ G�-� J �/ SIZE JI L,{I�: t)WNLR'S ADDRESS S/q/�)F_ UASIiJILN F OR SLAB AR(1III ECI'SNtip. 5171(N:II OOR IIMl3ERS IST 2T45 3� A BIJII DER'S N.AhIL DA ) 12 - �,)s J/ p ���V l_ f / SPAN DISIANCEIONEARESI 3UIIDRJG DIMENSI(XISorsl .1.S PIS I-ANCL FROM S I MA:I DIMLNSII x4S(N:IX16I S I)ISIANCEFROM LOFLINES-SIDES REAR DIMENSIONS 01:GIRDEItS AREA OFLOr rR(xlIAGE IIEIGI11lB FOUNDA110x+ T11ICKNI:SS IS Lit)ILDING NEW SIZli OF I(XJI ING X IS Ut/ILDING ADDI I I(NJ MA I LItIAI.017 C111MNLY IS BUILDING AL1 L-RATI(N1 E IS 13UILDING ON SCUD ORT II I ED LAND WILL BUILDING CONFCAIM TO R/LCX ItREMEN I S 01 CODE F YES IS UUII.DING CONNECI ED 10 1OWN WA ER C)OARDOAPPLALS ACTION, IF ANY IS B(JIL.DiN(i C(N4NECI k:D 1()[O\V)J SEWER IS BUILDING CONNEC I LD TO NAI URAL GAS LINL INS'FII('TIONS 3. PROPER TYINFORNIAIION LAND COSI ESI. 131IX;. COSI 7 PAGE I FI1.1.CXIrSECNJ II( S 1-3 1Cy �3(1�j/ EST. BLIXi. COSI'PERSQ. F"1. ESI. BI D6. COSI I'LItRIXN.i V 111 ECIRIC METERS Ml1S I BE ON 001 SI DE OF BUILDING SLI'I1C PLR1.11 T t40. Al-1 ACI ILI)GARAGES MUS-ICONFORM'10SIAILFIREREGI ILA IIONS a. APPIlO1'k.0 BY: PLANS IAUSF BE 111 LO AND APPROVED BY HI)ILDRJ(i INSPLcr(N2 BUILDING INSPE(:I'Oil DAIF1'11I]) y OWNERS IEI n CONIR.I I:I!r ,IGNAI M F(N-t)\VNI.Rt R Al I I 1 I1R1/I'D Alit NI 111 �s/ � I'I IM11 I l{ILAN I I I . a 1 — �AQRTH 0VM Of ,.� ®ver No. '1* T Leo dover, Mass. COCr l E� TE1) BOARD OF HEALTH Food/Kitchen PER Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... ... ....0 � Foundation has permission to erect . l... ............ buildings on ......1.3....l.............. .. ....... . ..... �.......... Rough tobe occupied as...... .. ....................... ................................................................................................................... Chimney provided that the person accepting t ' ermit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of t 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 PEIIZ v1 1 EXPIRES IN 6 N/10 V THS Final UNLESS CONST .UCTIO.I� S �� (y ELECTRICAL INSPECTOR 1 A. .7, /4 �� Rough .............................................:................................................................... Service BUILDING INSPECTOR Final Ocatpancy Permit Required to Ocmpy Building 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 Street No. SEE REVERSE SIDE Smoke Det. Location 4 \6m , i No. 3�3 Date 2 �. rit M E. y. M°RT" TOWN OF NORTH ANDOVERl p Certificate of Occupancy $ ~" Building/Frame Permit Fee $ C" E h Foundation Per 't F e $ s�cNus< — Other Permit F k$ '-r j Sewer Connection Fee $ Water Connection Fe $ TOTAL Building Inspector 8678 Div. Public Works PERMIT NO. © APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PACE i MAP 4-40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE SUB DIV. LOT NO. I LOCATION f.37 /j�/�� ��y�- 1, �jIr/��/1^;V �� PURPOSE OF BUILDING OWNER'S NAME f J �F7 J`� ��/ rI/V(/C/[�C/C NO. OF STORIES .0 SIZE 3Ck ,Gik1 SjleO /)e OWNER'S ADDRESS ! 7 �j� ,/ �...� �dJAI/Ci7 nA�/1 BASEMENT OR SLAB '466 G O C ARCHITECT'S NAME /'7` �� �6Yl�CJC �a"4/"-, SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME /i,+,/d!L!) SPAN -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—.SIDES ;;REAR " GIRDERS AREA OF LOT """",�.�,����,,,,pppp FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW €� SIZE OF FOOTING _ % IS BUILDING ADDITION '"' �LC S' MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ��� IS BUILDING CONNECTED TO TOWN WATER ' BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION SEE BOTH SIDES r.sre1=042-tesT 6X PAGE I FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 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 FILE A APPROV D BY BUILDING INSPECTOR ✓DATE FILED V BUILDING INGPKCTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E LIE' OWNER TEL.# (0 Uf -6)6� PERMIT GRANT CONTR.TEL.# 19 i CONTR.LIC.# H.I.C.# '0991995 BUILDING RECORD 1 OCCUPANCY 12 F SINGLE FAMILY _ S'ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES 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 d I 2 I3 CONCRETE ECK. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/, '/, '/, FIN. ATTIC AREA _ t!0_8 M 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 _ COMMCN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASON Y ATTIC STIRS, & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH )3 FIX.) GAMBRELMANSARD TOILET RM. I2 FIX.) FLAT J#SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR . TILE DADO 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 UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd 1st 1-3rd I NO HEATING 1 " ORT Town o E Andover 0. 303 yC, i-t dover, Mass.,bury 2� j 199 5 t T O LAKE COCH ICMEWICK ORATED E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.;1fJP.".. . 4AZr.r. ............................................................................ ........................................ Foundation has permissioon... n to .�D.�I�. buildings s .. .. ...... . r tA.....&T............................................. Rough �•• � to be occupied as. 1�. JCS..eko...$ ......� Q.I�r�l................... .............:............................................ Chimney provided that the per n accepting this permit shall In every respect conform to the terms of the application on file in Final 'r this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRE - M THS ELECTRICAL INSPECTOR UNLESS CONS S Rough . Service BUILDING SPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough p y p Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. SEWER/WATER FINAL. DRIVEWAY ENTRY PERMIT I a U LoT �sZ goo I83 � I84- �^ NEW DECK CACI` 6C, � � o LOFeANED�4• °- Fa, . 0 oo. 49 ST JEff�v,QTT o�� ,A/Ew DECK /37 LTJ Q� 8xf 6' ,q,V DovEk .11x4 �F CoSf ySo•°' a!�y5 4� a 6�x XB ' Cosr aso.a JUN 2 3 1995 0 TOWN of NORTH ANDOVER AFFIDAVIT H3re IPmVMant GMt attar law awlmmnt to Tit inAication Mei.c. 142 A negAres that the ' , altoatim, iamaticn, repair, mx1md7ation, oanrsiun, inptvvment, mal, dmht tan, or canstrirtiut cf an a l im to any pce- enstug aGtxr-ooaped bml" irg ocntair&g at least one but mt mxe thanfar dellirg units...cr to struchres finch are adjacent to strh residEK p ar hri]&W'be dme by r gistasd antt�, -Ath certain acepticm, slag wth other i14Arm f1ts- Type of Work: / s] u x/ey !w< S/,i�/� Est. Cost�� Address of Work ST .I)V- W/Upo I.&Z Owner Name:- Zc c ldv/Z7`7- Date of Permit Application: d3 I hereby certify that: Registration is not required for the following reason(s): Far offine Use Only Work excluded bylaw RmdtPb. �7ob under $1,000 Date Building not owner-occupied pulling own permit Other Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WrIH UNREGISTERED CONTRACIORS_- FOR APPLICABLE HOME DffWVEMENT WORK DO NOfr HAVE ACCESS TO THE ARBITRA- TION PROGRAM OR GUARANTY FUND UNDER MGI, c. 142A. Signed oder penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: o? Y Date 0 ner Name i JUN 2 3 E;� Town of . North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE JOB LOCATIONz,116Y i Number Street Ad ress Section of town "HOMEOWNER" �'� esu Name Home Phoneork Phone PRESENT MAILING ADDRESS City Towel State Zip code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code, Section 109 . 1 . 1) DEFINITION OF HOMEOWNER: Person(s ) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended to be , a one to six family dwell- ing , attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official , on a form acceptable to the Bulding Official , that he/she shall be responsible for all such work performed under the building permit . (Section 109 . 1 . 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes , by-laws , rules and regulations . The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she ,will com 1y with said procedures and requirements . HOMEO�tiNER' S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note : Three family dwellings 35 ,000 cubic feet , or larger , will be required to comply with State Building Code Section 127 .0, Construction Control . JUN 2 3 1995 i 3 J �► Sf' cation ,,tt 1,46. Date lU � �. .fi N W NORTH TOWN OF NORTH ANDOVER 0 p Certificate of Occupancy $ •i Building/Frame Permit Fee $ 0 y Foundation Permit Fee $ ��Ss+cMu"Et o Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ r TOTAL $ LA Building Inspector 7598 Div. Public Works °� 1 PERMIT NO. 1 /() APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP KJO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAME NO.dQ NO. OF STORIES SIZE OWNER'S ADDRESS A�ll BASEMENT OR SLA 6,f5re d6 7 ARCHITECT'S NAME SIZE OF FLOOR MBERS IST 2ND 3RD BUILDER'S NAME SPAN 4 DISTANCE TO NEAREST BUILDING DIMENSI S OF SILLS JF DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE EIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION S IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST EST. BLDG. COST PER SQ. FT. PAGE I FILL OUT SECTIONS I - 3 ®� PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS I PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED �UILDINO INiPECTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E /L57 06- OWNERTELJ PERMIT GRANTEE CONTR.TEL.# 19 CONTR.LIC:#\ ,s H.I.C.# I L . BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I STORIES THIS SECTION MUST SHOW EXACTDIMENSIONSOF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ '/. 1/2 1/1 FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"J'D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONIC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I--d POOR 71 ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.( GAMBREL MANSARD TOILET RM. 12 FIX.( _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM ~ STEEL BMS. 8 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE Idl Ar JOB LOCATION /37 sr Number Street Address Section of town "HOMEOWNER" c Name Home Phone Work Phone PRESENT MAILING ADDRESS 7 61-1 57-- V _ 4,1V,0vEi 18 City Town State 'Lip code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor . (State Building Code, Section 109 . 1 . 1 ) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended to be , a one to six family dwell- ing , attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official , on a form acceptable to the Bulding Official , that he/she shall be responsible for all such work performed under the building permit . (Section 109 . 1 . 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes , by-laws , rules and regulations . The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department min ' um inspection procedures and requirements and that he/she will c mply with said procedures and requirements . h'O ,,EO? NER' S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note : Three family dwellings 35 , 000 cubic feet , or larger , will be required to comply with State Building Code Section 127 .0, Construction Control . I ' own aover r No. 47G �C fd`i��Z �t'�19 9Y _ Tort Andover, Mass., <0 - 1. U 4 BOARD OF HEALTH 'PERMIT TO , a Food/Kitchen Septic System ILD BUILDING INSPECTOR THISCERTIFIES THAT...........��..�'..�.�•�•�.°Y. .........�......�.�1�! . ..�.............................................................. Foundation has permission to erect.....5 C-.k buildings on ........2... ....... ��' ••••••• '�•••• Rough to be occupied as.......... . °S..,...................................................................................................................................:......... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 6.�e eyc n JG� vv�R ,e w q�f�� PLUMBING INSPECTOR I VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMI 1 EPllEs IIMONTHS ELECTRICAL INSPECTOR UNLESS CONSTRIJCT1( S] TS Rough i Service ....................... BUILDING INSPECTOR Final Occupancy P6-rnit Required to Occl.tipy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT i Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street N°• Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT :+u.tt^+:"�.�..�:tAif.s:S'+-'',i'%+ra��'+v.'.+tr.i=-3+.'.�+........«✓•a..�..ra,r._«.-��-.....—:i�".r'."'�ti+-' Location No. 311- Date N°RTh TOWN OF NORTH ANDOVER Ot�.�ao O? •, a O^' „ Certificate of Occupancy $ • . 5v + ; + Building/Frame Permit Fee $ ACMUS< Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Ff// � Building InspGor 319 0$; 32.50 PAID rTO 7488 f '� Div. Public Works r;' -'-"T NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �` r i� MAP 440. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE .ZONE SUB DIV. LOT NO. r - LOCATION 19 / PURPOSE Q C�,Q` r,4154-3 -1nRos1� (vuelL) OWNER'S NAME l ! �_ NO. OF STORIES 'two SIZE 7 OWNER'S ADDRESS iY pQ i4 I\ �� w BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD ILDER'S NAME SPAN -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET [Cr� � "' " POSTS LS DISTANCE FROM LOT LINES—SIDES PREAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION - THICKNESS .. IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY �I IyB.I�'ILDING ALTERATION y.0 IS BUILDING ON SOLID OR FILLED LAND .. I/,,,"WILL BUIIDING CONFORM TO REQUIREMENTS OF CODE Y f IS BUILDING CONNECTED TO TOWN-WATER l/�5 i' OARRDD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN.SEWER yes r F IS BUILDING CONNECTED TO NATURAL GAS LINE eS INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES T. BLDG. COST $' 000. PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PE SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS i - 12 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 FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED Ali!} IJC,,* BOARD OF HEALTH SIGy(1TURE 9F= THORIZED AGENT tau FEE 3'LS�o PLANNING BOARD PERMIT GRANTyyE��D�� /'f�Lr• 3 19 9 BOARD OF SELECTMEN r OWNER TEL.# ® 7/ �C CONTR.TEL.# BUILDING INSPECTOR CONTR.LIC.# Z r BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION J 'n( 5 �� inl`�2 'c) r? 2 FOUNDATION $ INTERIOR FINISH geg 6e- W 1 ve� G / CONCRETE _I dC CONCRETE BL K. PINE — — 2 3 _—I ^` �i5 WOC IS `� p(�l f I� JCC'c7�� BRICK OR STONE HARDW D Q�� VJ `V�Ow.S o PIERS PLASTER _ Yom' /� 1 "1 r ,( n //n 1✓� DRY WALL 1 `�YG„ 4 �—' (J\(� I1�V T-6 &( 4(zo &c(1 00 — — — rd� �. o 7 �1 / UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ �N "sIN � �'f � \(S +,M� '/. 1/e 14 FIN. ATTIC AREA NO BMT FIRE PLACES _ HEAD ROOM — MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �— WOOD SHINGLES EARTH ASPHALT SIDING HARDWD ASBESTOS SIDING _ COMMCN _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY, _ STUCCO ON FRAME' BRICK QN MAS N Y IC STIRS. & FLOOR _ - BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR POOR UATE — ADEQNONE 5 ROOF 10 PLUMBING GABLE I HIP, BATH 13 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) _ FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE 9 NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DA-90 6 FRAMING I 11 HEATING s 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 UNIT HEATERS 7 NO. OF ROOMS GAS ISt 12nd El C 1st 3rd REIMINA ' r 7� 4 Town of �oXAORTk _ over No. 316 - J 4 o ` forth Andover, Mass., �• 3 19 ' C„( 11� )YgrEo P S a 1 BOARD OF HEALTH Food/Kitchen Septic System PERMIT T LDBUILDING INSPECTOR THIS CERTIFIES THAT..................1>!......I. •••• """""' Foundation has permission to gre•t..... ............. buildings on ...... � ...... ... ...............:. ..• Rough to be occupied as.......-1-1!x..1 ! `.... .�..oN3....TP... ........... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION RTS RoughOWN— a ..... ...................... Service BUILDING INSPECTOR Final �w Occupancy Permit Required to Occupy Building GAS INSPECTOR ] --- Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final Nb Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL street No: Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Town of North Andover - BUILDING DEPARTMENT Homeowner License ExesnDtion (P'_ease print) DATE A� � - 3 JOB LOC.yTION NumcEr Street Address Section of town bc>-,,5q1ka,,j 7/73 home Phone Work Phone 7'i� i�:'.iL7\G ADDRESS C1,Ow11 State Zip code Tr:e c.:rrant exe^cti "homeowners"for homeownerstt was extended to include owner -occ1Ed df. ellinzs of six units or less and to allow such homeowners to en,, -e an individual for hire who does not possess a license , provided tha_� t::e owner acts as supervisor . (State Building Code , Section 109 . 1 . 1 DEF_'211 ION OF HOMEOwtiE11%. PE-so-,( s ) who owns a parcel of land on which he/she resides or ince^cis to res ice . on which there is , or is intended to. be , a one to six family dwe '' ing , at :.ached or detached structures accessory to such use and/or farm s ��uc� :res . A person who constructs more than one home in a two-ye. r period shall not be considered a homeowner . Such "homeowner" shall sucm� _ to the Building Official , on a form acceptable to the Buldin7 Offic�a' , t�.a_ -e/she shall be responsible for all such work- performed under the buc,rtg Der:,_ - . ( Section 109 . 1 . 1 ) ` 1 _ E ur:CErsl°nE "nomE^.'.dnEr" assumes responsibll� t� for COmCllanC` +� � �a _c Du__dii .rodE and Otiier a of cable codes by-'Laws , rules ane " ce_ t_f_es that he/she understand., the Tc• 11, o e �..dersign�d nomEc•.�ner r :vcr _: .�neovcYDeoare:^. t ml:lmum fns^veCt-on prOce^usyn,- that hE�Si:e w�-- COmDIy with said prOCc^.11r_S ai1Ci Zeer Or lar_er sec ..-on I orrtc r ur: North Andover. APPEALSU-sr NORTH ANDOVER Massachusens o Isar BUILDING DIVISION OF (617)6854775 . CONSERVATION HEALTH PLANNING & COMMUNITY DEVELOPMENT PUNNING KAREN H.P. NELSON,DIRECTOR In accordance witht e provisions of MGL c 40, S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a pre eriv licensed solid waste disposal facility as defined by ti1GL c 111, S 150A. The debris will be disposed of in: FT (Location of Facility) ` .I I Signature of Permit Acpiicant —�- Date I NOT-: Demolition permit from the Town of north kndover must be obtained for this aroject through the Office of the Building Inspector. .'r'-c'.ld••,rP....--eve'.Y r:'ti'o"'r+Vii.'.1;•.1-r-'^rt�._._.r...1:�.�,.;'i..'r:..,i=�.rvL_•'�..1:s a...v....ti:.`..•�..-w.-.�.`f` k Location /3 ?yir^,-/� No. SSS Date - V10RT►f TOWN OF NORTH ANDOVER ot,,�.o 3� •��'_ ' • roc WML p Certificate of Occupancy $ i41 s dv �o Building/Frame Permit Fee $ CNUS c�' Foundation Permit Fee $ G. Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ _ TOTAL Building Inspector (:PM*og:is 50.00 PAID M2 8099 Div. Public Works PERMIT NO. 3 9T APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP NO. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. �) LOCATION ? �/I�7 9d Mrl� J PURPOSE OF BUILDING [� n� c}P �� ('QO v�bWNER'S NAME J Yr4 R NO. OF STORIES ^ SIZE &1/0— r/OWNER'S ADDRESS ' r? �o" } BASEMENT OR SLAB -- �/ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD UILDER'S NAME Ay`�i SPAN 4i` ? or-�c Lnpy C�r�• ---- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST /,5'0(3.r 00 FT COST PER SQ BLDG. . . PAGE 1 FILL OUT SECTIONS 1 - 3 EBT. - EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 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 FILED AND APPROVED BY BUILDING INSPECTOR D E FILED s 4q q _ BUILDING INSPECTOR SI TU F OWNER OR AUTHORIZED AGENT _. F E E SOS^ OWNER TEL.# w PERMIT GRANTED CONTR.TEL.1/ S _ 19 CONTR.LIC.q. Sut�ht I,� Q (it1 IU L--re W H.I.C.# c.c f�7Z. �► Pr°B bt' 1 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I ES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER - _ DRY—WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T AREA _ 1/1 1/2 °/ FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDNIJ'D ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC SIRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING - GABLE HIP BATH (3 FIX.) — GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET,. _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING r WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN, TIMBER BMS. &COLS. _ STEAM STEEL BMS. 8 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OI l B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING - - ,\ORI � Town of 0 RAndover 0 "k v. -113 No. ? 10rti( '� dower, Mass., 5f ' S. 19?f— Q J' LAK A- COCHICHEWICK A0RATE0 PPa,�'�� a, . i ' r S L BOARD OF HEALTH Food/Kitchen ^r Septic System PERMIT T D BUILDING INSPECTOR _� l,t tua .,�2:'F.r � IQ ' '. THIS CERTIFIES THAT.....:........................................................................ .1:........................................ r�, .................................... Foundation 3 a („ �� buildings on ....:...1.3..7.�`�'/.Q' Rough has permission to vest...l�.. ................... . $ t .. • , �x to be occupied as. t T+�,O� !SV�/V -" 1 V¢- ....... Chimney provided that the person accepting is permit shall m every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS U-)NSTRUCTION ';T/\RTS ELECTRICAL INSPECTOR • Rough (+rp1.��T• Sec(�e�72 qmc- Sce Irbme�C� .............................. ............ ... BUILDING INSPECTOR Service Final $:30 r – 9�9/9�. ee ' , -v Permit Required to Occl.c _Buildin GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. cFlArFR /IA/ATFR FINAI DRIVEWAY ENTRY PERMIT ° 0-0 OFFICES OF: . Town of� ° ` 120 Main Street a APPEALS ► NORTH ANDOVER North Andover, 111,111.1-)INC ^�'.e Mi1tiS:1('l1UtiCl15 t)Iti4 i CONSERVATION s, DIVISION OI: HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT it KAREN H.P. NELSON, DIIIEC-1.011 i I I I In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number _ ?y29" is that the dcbris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. 71e dcbris will be disposed of in: le zmv4s S 566C01y1cc Location of Facility) Stn cure of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. I s Town of North Andover BUILDING DEPARTMENT Homeowner License ExecnDtion ('_ease print) DATE. JCB LOCATION Number Street Address Section of town ,Name Home Phone Worh Phone a=7 5 :; i1, iL1:1G ADORES., / e� n— /1 Jrr Ct �Towi e at i 'JZip code Tr:e current exemption for "homeowners" was extended to include owner -ccs sed d:•;ellin2s of six units or less and to allow such homeowner-s to en<a2e an individual for hire who does not possess a license , provided that� the owner acts as supervisor . (State Building Code , Section 109 , 1 . 1 ) OEF_;.I—ION OF HCMEC;vNr— Persons ) who owns a parcel of land on which he/she resides or inte.^.us to reside , on which there is , or is intended to. be , a one to six family 1n. , attached or detached structures -accessory to such use aiid/or farm s :ruct::res . A person who constructs more than one home in a two-ye-nr period shall not be considered a homeowner . Such "homeowner" shall sucmi = to the Building Official , on a form acceptable to the Bulding Official , t't.a_ he/she- shall be responsible. for all such work. performed ul:der the b u_4 _di:,g per:�,J t . (Section 109 . 1 . 1 ) ...n er r Ili yt r" C C C 1 _hc C _ 5i�r1E._ C10,T,E ,ii,e_ a.,SL1,T,E re pOnSibl 1t;J for COmLllanc= -_ �Llidinv Code and other applicable codes , by- laws , rules and :C -mac- i lc '�tlO,T;EO`riie- Ce_ ;i _ e0 t:tat —J .s the ,ir,'.�'i O_ .Vcr =.. Iidover 3,ung Depart:;,ent ln4mum inspection procecures an,-, `c. __ e71Eras and t` a_ hE!she �i ' convo y with said procedure= avid avid ^ t -- - -•- 0 F ..0 == . _.._ c_ d'.vc__-n�S _� �iLQ CLiCic feet , or. Lar_Fr , ',v___ -O` _ nz C u d e Sec ion 1C% . 0 , Cans _ - - I r n SEP 91994 (� j 7. kt ..r;ANT 3182 Date. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION a N 9 ,SSACMUSEt This certifies that . . ?/r's:«.". . . . . . . . . . . . . . . . . . . . . . . . • . has permission for gas installation . . . !-7/. . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . at '. •?. . . . . . . . . . .. North Andover, Mass. Lic. No.. ?,fir l,, . . . . . . . . . . . . . 45/27/99 11:33GASINSPECTOR .C_- r PAID WHITE:Applicant CANARY:Building Dept PINK:Treasurer s o MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING ype or print) Date 4— 2- 1959, NORTH ANDOVER, MASSACHUSETTS Building Locations 1 I'I G N S 1 Permit# r2- Owner's Name Amount /�/. (�,.•ra�,�ir� C ' New❑ Renovation ❑ Replacements Plans Submitted ❑ e� �. Z Z G z -t ;4 = '-tZt w x i U w N � Z i C W z C z C v SUB -BASEM ENT BASEM ENT IST. FLOOR 2 D . FLOG R 3 R D . F L O O R VTH . FLOG R FLOG R 6TH . FLOOR ------- 17T 11 . F L O O R 8TH . F1, 00 R (Print or type)n Check one: Certificate Installing Company Name t (Ar^��i�X L�h HZ ❑ Corp. Address �`� cT.Y✓ ❑ Partner. Business Telephone bs� ) 11 Firm/Co. Name of Licensed Plumber or Gas Fitter S M RJ,✓ PA/ 5�1'-S INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 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 Massachuse�A State Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber . l'Z y 6 - City/Town ❑ Gas Fitter License dumber ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman q°RTIJ Zoning Bylaw Denial a a Town Of North Andover Building Department 4 q„p, �� 27 Charles St. North Andover, MA 01845 s"`��5� Phdne"97688-9545 UN 3'6 '8=9'542: - --Street ' s 8p plicant. a:Cc<4 Re nest: Vn„ q Date: t. _19-1p�R r2 p i Y om, f Please be advised that:after review of your Application and Plans that your Application is DENIED for theafollowrttg ZoningBylaweason`s:M' Zoning Item A Lot Area Item Notes F -Frrontage- 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Pre Xrstt6 ,. : ......_ �: , 1. 2 Frohtage Com lies Lf S'. 3 Lot Area Com lies ;3 -Preexisting frontage 4 Insufficient information 4 Insufficient In B Use _ u. i . .,5; ..,No access'over.Frontage I 1 Allowed Contiguous Building Area N A 4 Not A1Iowed`: -- - 1' Insufficient Area 3 Use Preexisting-_., , 2. Co ies - 4 Special Permit'Re uired �e " `l 3 Preexisting CBA 5 Insufficient-Inform ation 4 _Irtsuffici.ent Information C Setback H Building Height 1 All setbackscom-.t-: . y -Hei ht"Exceeds Maximum 2 Front Insufficient _ 2 Complies 3 Left-Side Insufficient- - ;°S" "3F 3 Preexisting Height 4 Right Side Insufficient nt 4 _ _Insufficient Information 5 Rear Insufficient' -j e S I Building Coverage 1 Coverage exceemPreexistrn sO... aximum 7 Insufficient Information 2 Coverage Com ies Q Watershed- 3.. Coverage Preexisting 1 Not in Watershed `t S k -C...-Insufficient Information 2 In Watershed 3 j Sign Lot.prior.to 1110/24/94 --' - 1 Sign not allowed 4 Zone to be_Ophermined 2 Sign..Complies _ . 5 Insufficient-Information 3 Insufficient Information E Historic District - I IK, : -Parking. _. . 1 In District review required 1 More Parking Required 2 Not in district.. -5--2 - Parkin Com lies 3„ Insufficient e S 3 Insufficient Information Pre X1 Parkin Remed for the above is checked below. item # Specrai;Permits�Plarnin ""Board- Item# Variance Site Plan Review S ectal Permit Setback Variance Access,ott er thaneEionta e S ectal Permit - Parkin Variance Frontage Exception Lot S ecial Permit Lot Area Variance.. Common Dnvewa .S ecial Permit- - Height Variance Congregate housing Special Permit Variance for Si n .Continuing.:Care.Retirement-Special Permit Independent Elderl Housin -$ ectal Permit $ eCial Permits Zoning Board S ectal Permit Non-Conformin Use ZBA Large.Estate Condo S ectal Permit,­­' Earth Removal Special Permit ZBA Plann 11314Planned-R ec t. al Perm ict, saIaI Permit ! `...`'S ectal Permit Use not Listed but Similar 110 Special Permit for.Sinn en R-6 Density Special-Permit.. . - S ectal Permit reexistin nonconformin i Watershed-S eclat Permit The above review and attached explanation of such is basil 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-Anyi�taccuracies'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 deparfrnent will retain all plans and doeumentation=for the"above file.You must file a new building permit application form and-beginthe permitting process ^'" VQ 611t9�1 13 ui ing Departm nt.gffrclal Signatu"re Applicatlon.Reived. Application Denied Denial Sent: If Faxed Phone Number/Date: I 4 A1C N- INA{ t UFM Plan Review Narrative i � : °� �x The following narrative Is provided to t`urther,explatrreasons for detail ford'the applicatio r; permit for the property indicated on the reverse side; zk /AP s - `Y a ! �7 r� c : , ON CcJ� .t •1. - - ...�~. Y,. ReferredTo: pit-• " •. Fire Heatth°' x Police ZoninBoard` Conservation De rtment of Public Works Planning Historical Commission Other BUILDING DEPT - �Ar Town of forth Andover f ,,ORT„ Office of the Zoning Board of Appeals Community Development and Services Division Heidi Griffin, Division Director VL . •' 27 Charles Street �'SsACHU North Andover, Massachusetts 01845 D. Robert Nicetta Telephone (978)688-9541 Building Commissioner Fax (978)688-9542 i Any appeal shall be filed Notice of Decision =�r=Z c within'(20) days after the Year 2002 �, -P,�*_;0 r`; date of filing of this notice CD rr,o M in the office of the Town Clerk. Property at: 137 High Street < � m v NAME: Patricia A. Sciacca DATE: 2/22/02 ADDRESS: 137 High Street PETITION: 2002-006 North Andover, MA 01845 HEARING: 2/12/02 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday,February 12,2002 at 7:30 PM upon the application of Patricia A. Sciacca, 137 High Street,North Andover,MA requesting a Variance from Section 7, Paragraph 7.3 for dimensional relief of rear and front setbacks of a corner lot within Table 2 and from Section 7,Paragraph 7.1 and Table 2 for lot area to construct a proposed addition;.and a Special Permit from Section 9,Paragraph 9.1 for the extension of a non-conforming structure on a non-conforming lot within the R-4 zoning district. The following members were present: Robert P.Ford, John M. Pallone, Scott A. Karpinski, and Ellen P. McIntyre. Upon a motion made by John M. Pallone and 2°d by Scott A. Karpinski,-the Board voted to allow the petitioner to Withdraw her petition Without Prejudice. Voting in favor: RPF/JMP/SAK/EPM. Town of North Andover and of Ap Obert P.Ford,Acting Chairman`, Decision2002-006 BOARD OF YPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 3924 P I Date...... .7. ......... ............ 0 TOWN OF NORTH ANDOVER 0 6- PERMIT FOR WIRING 4g -4 D CHUS This certifies that ............. .................... .................... has permission to perform . ............ ... .. ................................ viriring in the building of.........u�...le.11... ..........C)................................... ......... ...... .... 7 ate.......... .................. .................................... orth Andover, a9s'r/- Fee...,7�.'d..... Lic.No..6.2.K. ELECTRICAL INSPECTOR Check # 1 Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 2 CMR 12.00 (PLEASE PRINT IN INK OR TYP A IN ORMATION) Date: p l\ City or Town of: To the Inspec or of Wires: By this application the undersigned ves not" -e f Asor her i tention to perform the electrical work described below. 4Z I Location(Street&Nu her) Owner or Tenant /In Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system I, Completion of the ollowin table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ n- ❑ o.o mergency Lighting rnd. 2rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection an Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons f No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KeSecurity Systems: No.of Devices or Equivalent No.of Water KW No.o No.o 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. 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:) r (Expiration Date) Estimated Value of E ct 'cal Work: A�l (When required by municipal policy.) Work to Start: M 6 9— Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the pains andpenalties ofperjury, that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: John S. Bassett Signature LIC.NO.: 1533C (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 603 594 5928 Address: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Li , see does not have the liab"lity 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: $ �� 410NT14 F p c p NORTH ANDOVER BUILDING DEPARTMENT 400 Osgood Street 'sACHUs� Tel: 978-688-9545 Fax: 978-688-9542 BUSINESS FORM FOR TOWN CLERS DATE: I1i( ,E /diG'D S NAME: ��'�'����1 r' xln ell ✓/' ADDRESS: X37 ',�� ZONING DISTRICT: TYPE OF BUSINESS: BUILDING LAYOUT PROVIDED: YES NO AVAILABLE PARKING SPACES: e Y ZONING BY LAW USAGE: S NO BUILDING INSPECTOR SIGNATURE Revival 11.5.04 BUSMS FORM FOR TOWN CLERK