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HomeMy WebLinkAboutMiscellaneous - 142 BOSTON STREET 4/30/2018/ 142 80570N STREET 2101107.B-0036-0000.0 it I i I I I k w TOWN OF NORTH ANDOVER Office of the Building Department � NORT1i � Community Development and Services c? - ° h' *° 1600 Osgood Street, Bldg. 20, Suite 2035 $- .' 70 North Andover, MA 01845 «� 978-688-9545 O HCHU`�F��y Gerald Brown, Inspector of Buildings January 23, 2014 To: Keith and Stacy Steves Fr: Gerald Brown Re: 142 Boston Street, North Andover MA Dear Mr.and Mrs.Steves, This is a follow up letter to our letter dated July 24,2013, regarding the illegal use of two apartments located within your single family home. To date we have no plan from you to rectify this situation. As stated in the previous letter according to the North Andover Board of Appeals Decision#008- 92 dated April 27, 1992 a family suite was permitted under the owners at the time, David and Margaret Riccio.The family suite permitted under David and Margaret Riccio has expired as ownership has changed and the family suite must be de-occupied immediately as it is in violation of Zoning regulations, Section 2 Definitions,2.37.1 Family Suite, and section 4.121 Permitted Uses,#17 Family Suite a. b. &c. Failure to respond as stated in Section 10.13 of the Town of North Andover Bylaws states, "Whoever continues to violate the provisions of this Bylaw after written notice from the Building Inspector demanding an abatement of a zoning violation within a reasonable time,shall be subject to a fine of three hundred dollars ($300.00) . Each day that such violation continues shall be considered a separate offense." At this time six(6) months have passed since our initial letter. Our office needs from you either necessary Building Permit(s)to remove the illegal units or an intent to appear before the Zoning Board of Appeals. Starting on January 25,2014 a $300.00 per day fine will be assessed until the violation(s) is rectified. rald ly, Brown Inspector of Buildir Cc: Chief Andrew Melnikas Curt Bellavance 1 TOWN OF NORTH ANDOVER Office of the Building Department q o� pORTI�►�tLEo ,6 do Community Development and Services F A , - A 1600 Osgood Street, Bldg. 20, Suite 2035 North Andover, MA 01845 *�o .^ 978-688-9545 40 ? cxw.c«awK« .1`e �9SSACHU`+���� Gerald Brown, Inspector of Buildings January 23, 2014 To: Keith and Stacy Steves Fr: Gerald Brown Re: 142 Boston Street, North Andover MA Dear Mr. and Mrs.Steves, This is a follow up letter to our letter dated July 24,2013, regarding the illegal use of two apartments located within your single family home. To date we have no plan from you to rectify this situation. As stated in the previous letter according to the North Andover Board of Appeals Decision#008- 92 dated April 27, 1992 a family suite was permitted under the owners at the time, David and Margaret Riccio.The family suite permitted under David and Margaret Riccio has expired as ownership has changed and the family suite must be de-occupied immediately as it is in violation of Zoning regulations, Section 2 Definitions, 2.37.1 Family Suite, and section 4.121 Permitted Uses,#17 Family Suite a. b. &c. Failure to respond as stated in Section 10.13 of the Town of North Andover Bylaws states, "Whoever continues to violate the provisions of this Bylaw after written notice from the Building Inspector demanding an abatement of a zoning violation within a reasonable time,shall be subject to a fine of three hundred dollars ($300.00) . Each day that such violation continues shall be considered a separate offense." At this time six(6) months have passed since our initial letter. Our office needs from you either necessary Building Permit(s)to remove the illegal units or an intent to appear before the Zoning Board of Appeals. Starting on January 25, 2014 a $300.00 per day fine will be assessed until the violation(s) is rectified. rSince ly, erald Brown Inspector of Buildings i Cc: Chief Andrew Melnikas Curt Bellavance i TOWN OF NORTH ANDOVER OORTH Office of the Building Department 4. Community Community Development and Services J , A 1600 Osgood Street North Andover,Massachusetts 01845 '"�q,T[D h* AC us Gerald Brown Telephone(978)688-9545 Inspector of Buildings FAX(978)688-9542 November 5, 2013 To: Keith and Stacy Steves Re: 142 Boston Street,North Andover, MA RE: 142 Boston Street On July 24th you were sent a letter stating the illegal use of two apartments located within your single family dwelling as stated by your real-estate agent. . To date we have not heard from you as to a rectification of the complaint. Please call the office to set up a meeting within the next 10 business days or we will seek a correction method through the court system. According to the North Andover Board of Appeals Decision#008-92 dated April 27, 1992 a family suite was permitted under the owners at the time David and Margaret Riccio. The family suite permitted under David and Margaret Riccio has expired as ownership has changed and the family suite must be de-occupied immediately as it is in violation of Zoning regulations, Section 2 Definitions, 2.37.1 Family Suite, and Section 4.121 Permitted Uses, #17 Family Suite a. b. &c. Failure to respond as stated in Section 10.13 of the Town of North Andover Bylaws states, "Whoever continues to violate the provisions of this Bylaw after written notice from the Building Inspector demanding an abatement of a zoning violation within a reasonable time, shall be subject to a fine of three hundred dollars ($300). Each day that such violation continues shall be considered a separate offense." Please contact our office so that we may begin the process to remedy this issue in a timely manner. i Rce' rely, d B Zwn Inspector of Buildings TOWN OF NORTH ANDOVER NORTy Office of the Building Department 3�0�,"" �`�"°L Community Development and Services ° . 'A 1600 Osgood Street North Andover,Massachusetts 01845A°.•� <��• '� 4SS�CHUS�t Gerald Brown Telephone(978)688-9545 Inspector of Buildings FAX(978)688-9542 July 24, 2013 To: Keith and Stacy Steves Re: 142 Boston Street,North Andover, MA RE: 142 Boston Street Our office received a complaint on May 16, 2013. The complaint stated that multiple families are residing in the dwelling along with multiple vehicles. According to the North Andover Board of Appeals Decision#008-92 dated April 27, 1992 a family suite was permitted under the owners at the time David and Margaret Riccio. The family suite permitted under David and Margaret Riccio has expired as ownership has changed and the family suite must be de-occupied immediately as it is in violation of Zoning regulations, Section 2 Definitions, 2.37.1 Family Suite, and Section 4.121 Permitted Uses, #17 Family Suite a. b. &c. Failure to respond as stated in Section 10.13 of the Town of North Andover Bylaws states, "Whoever continues to violate the provisions of this Bylaw after written notice from the Building Inspector demanding an abatement of a zoning violation within a reasonable time, shall be subject to a fine of three hundred dollars ($300). Each day that such violation continues shall be considered a separate offense." Please contact our office so that we may begin the process to remedy this issue in a timely manner. Brian Leathe, Local Building Inspector, can be reached between the hours of 8:00-10:00 am, Monday—Friday at 978-688-9545. Sincerely, Gerald Brown Inspector of Buildings CL Cc: Chief Andrew Melnikas C� V-0 Curt Bellavance f 6U AyNk 1O� R VY\ 6Zt-N't? _ . t 1 TOWN OF NORTH ANDOVER Office of the Building Department � r►ORT/� q o x,%-11 ti Community Development and Services 03 „ - - 1600 Osgood Street, Bldg. 20,Suite 2035 North Andover, MA 01845 978-688-9545 ��SSACHU`����y Gerald Brown, Inspector of Buildings January 23,2014 To: Keith and Stacy Steves Fr: Gerald Brown Re: 142 Boston Street, North Andover MA Dear Mr. and Mrs. Steves, This is a follow up letter to our letter dated July 24,2013, regarding the illegal use of two apartments located within your single family home. To date we have no plan from you to rectify this situation. As stated in the previous letter according to the North Andover Board of Appeals Decision#008- 92 dated April 27, 1992 a family suite was permitted under the owners at the time, David and Margaret Riccio.The family suite permitted under David and Margaret Riccio has expired as ownership has changed and the family suite must be de-occupied immediately as it is in violation of Zoning regulations, Section 2 Definitions,2.37.1 Family Suite, and section 4.121 Permitted Uses,#17 Family Suite a. b. &c. Failure to respond as stated in Section 10.13 of the Town of North Andover Bylaws states, "Whoever continues to violate the provisions of this Bylaw after written notice from the Building Inspector demanding an abatement of a zoning violation within a reasonable time, shall be subject to a fine of three hundred dollars($300.00) . Each day that such violation continues shall be considered a separate offense." At this time six(6) months have passed since our initial letter. Our office needs from you either necessary Building Permit(s)to remove the illegal units or an intent to appear before the Zoning Board of Appeals. Starting on January 25,2014 a$300.00 per day fine will be assessed until the violation(s) is rectified. yald ely, Brown - Inspector of Buildings - Cc: Chief Andrew Melnikas Curt Bellavance f — Any appal S"'ll be filed s ta86��y(r Within r?^; +.�r tin Vii.CHU ..... date of ii:, ." �' ��;• in the Oitice or TOol�fi OF NORTH ANDOYMN Clerk 1IA89ACF1USLrI'r8 %�� 1+oi�4;pili a r r u WARD OF APPMU t)+"` u ; ) NOTICR OF DICISION Date—April.27....1492__........ Pa""M N&...QAk-42............ ' Date of RsuWg..APr4. 1 Psddm of...... b!Xiaret,Riccio l Astrisas afkiand ..142.)>oAR4P.St.rt4t............................................ 1 H+hnftL to tba ahem pedflam for a varbtloa hoes lbs teanirsmsnb alMltl..Bactine R..... ParAgcsPh.4.411(17}.o.0.tie.Zoning.Sylax........ .................................... C so"to Yan a ..a Pawily.suite.................. ................... Aha a puNk bearing giro as the above date,lbs Hoard at Appals voted to..GLWT_...do Special Permit. . ....... aM bsssby astbodta lbs Building fuoyaetos to boa a r.: panait to ..David,and.Xargaret luccio..... .. for the construction o1 the:boor work,breed upon the homing conditions: 1. the premises be occuped by John R. Ficcio; u 2. the special Permit shall expire at the time that John kicclo ceases to occupy `Z the Family Suite; 3. the Special Permit shall expire at the time the presises are conveyed to any person, partnership, trust, corporation or other entity; 4. the applicant, by acceptance of the Certificate of Occupancy issued Signedr x pursuant to the Special Permit, h grants the Building Inspector or Ftank Serio, Je., CNkttwan his lawful designee the right to inspect the premises annually. William Su111yaa,,Vice-Ck��itwan Walter.$Q44e,%C}erk.._.... ....Anna O'Connor �. 7 �. ' BitS880 .` 207 i Len b ' LOT 10 E�j "IN141" POOL PavRf!>E AVCMTIOW W , ToralaerlwA I4ouslc LOT Q 141.0 V-1,0 40 - , ` A ©O14 © a s• pogm I _ I >~7 BOSTON STREET 77:arm"» wpE � • 7KEp11pNf{{]-fi71 .. 11011: 1M NMittYtYt/YN 1M0140K�Nf01011001174Y\l1�NNtPlll.bgOiYR OMRtt/OttlHYNIw16/0►/Mt10�hN tMtG . Mwr[�io M11iNtt MtMMiMIn,4Nt!'Mti i rYwOrM►tMOM1 t3Y A1MM11!00!/00Y n!10UMMY lON\h r'YNM�TO k"" i�twraesr�rw.t��rwa���weofrwrwNaw�+'t��Ma�Marrnw I . aiMIC*t►•It,1A7MtaMNt*IMP lMIt L'4rl00nlO 70 l/lt t0�0LM/ yl��Mtt y�tx,Afl�/M11l1t MM/M" . _ !Wlt01lNM17t0GitOi11.11R tNtY/M�1t�00 Mgly or" O.AdbM1ER UMlyCM . n�vlotr wwe ToTIIEFIR5T ESSEX SAYINGS aANK lo o"K. AND TITLE INSURERSItWE, . .. R ' r•7u7ta�g MORTGAGE INSPMION Iroixius . wr 142 8a�l►��MA: � i i i f NORTH pF tFo "'9tip ' 32 h° pc y qTFD..P '�5 �SSACHU5Et Any appeal s!lt!1 be fii!ed Within (20) (',^v� n"`,, s TOWN OF NORTH ANDOVER ,.� �.he dlat'e of il.;;;'; -,f •i, . i---,0iCe MASSACHUSETTS ill the On iL;e ol, C BOARD OF APPEALS i s�F.s+;l;a..k;t�.,{ I David & Margaret Riccio * Petition #008-92 142 Boston Street North Andover, MA 01845 * DECISION * The Board of Appeals held a public hearing on Tuesday, April 14, 1992 upon the application of. David and Margaret Riccio requesting a Special Permit under Section 4, Paragraph 4.121(17) of the Zoning Bylaw so as to allow a family member an in-law apartment located at 142 Boston Street. The following members were present and voting: Frank Serio, Jr. , Chairman, William Sullivan, Vice- Chairman, Walter Soule, Clerk and Anna O'Connor. The hearing was advertised in the North Andover Citizen on April b 1 and 8, 1992 and all abutters were notified ifed y regular mail. the Board 1 motion b Mr. Sullivan and second b Mr. Soule, � Upon Y p Y voted unanimously to GRANT the Special Permit as requested subject to the following conditions: 1. the premises by occupied by John R. Riccio; 2. the Special Permit shall expire at the time that John R. Riccio ceases to occupy the family suite; 3 . the Special Permit shall expire at the time the premises are conveyed to any person, partnership, trust, corporation or other entity; 4. the applicant by acceptance of the Certificate of Occupancy issued pursuant to the Special Permit, grants the Building Inspector or his lawful designee the right to inspect the premises annually. { t NORTH ANDOVER BOARD OF APPEALS DAVID & MARGARET RICCIO - DECISION The Board finds that the petitioner has satisfied the provisions of Section 10, Paragraph 10.31 of the Zoning Bylaw. Dated this 27th day of April 1992. BOARD OF APPEALS Frank Serio, J . Chairman Y w °o�rto Any apnea( r . • IS55 > ATTEST' 1 be fled A True COPY within he >;sgcriisg�,•" . gyp. • date of i•i.;r,; �, • �• TOWN OF NORTH ANDOVER in the Office or MASSACHUSETTS Clerk. Town Clerk BOARD OF APPEALS NOTICE OF DECISION Date . . April. 27•,• ,1992, , , • . . . . . . Petition leo.. . . QQA—.92. . . . . . . . . . . . Date of Hearing. . April, 14,• 1992 Petition of . . . . . .David• and ,Margaret Riccio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . Premises affected . .142 Boston Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . Cj Referring to the above petition for a variation from the requirements of . .Section• 2,• . , • . N Paragraph• 4...1.21(17)• of .0e. Zpning•Bylaw• • • • • so as to permit . .a..Family.. .Sup.te... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . ... . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . I . . . . . . . . After aublic hearing p b given on the above date, the Board of Appeals voted to . . GRANT. . , . the t Sp.e.cial.Permit . . . . . . . . . . . . . . . . . . . . . and hereby authorize the Building Inspector to issue a permit to . .David.and. Margaret. Riccio. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work based u pon the following conditions: .—.. 1. the premises be occuped by-John R. Riccio; 2. the special Permit shall expire at the time that John Riccio ceases to occupy the Family Suite; 3. the Special Permit shall expire at the time the premises are conveyed to any person, partnership, trust, corporation or other entity; 4. the applicant, by acceptance of the Certificate of Occupancy issued Signed / pursuant to the Special Permit, grants the Building Inspector or Frank Serio J . , C man !: . . . . . . . . . . . . . . . his lawful designee the right to inspect the premises annually. . . . . . . . . William Sullivan•,• Vice-Chairman Walter Soule Clerk Anna O'Connor . . . . . . . . . . . . . . . . . . . . . . . . .• Board of Appeals TOWN OF NORTH ANDOVER F FORTH 1 ,� Office of the Building Department 3a ,6 ,.`" •°,6tioL Community Development and Services 1600 Osgood Street North Andover,Massachusetts 01845 '� '+e•�----- �'� �R�rso'rF qy 9SSwrmuS�� Gerald Brown Telephone(978)688-9545 Inspector of Buildings FAX(978)688-9542 July 24, 2013 To: Keith and Stacy Steves Re: 142 Boston Street,North Andover, MA RE: 142 Boston Street Our office received a complaint on May 16, 2013. The complaint stated that multiple families are residing in the dwelling along with multiple vehicles. According to the North Andover Board of Appeals Decision#008-92 dated April 27, 1992 a family suite was permitted under the owners at the time David and Margaret Riccio. The family suite permitted under David and Margaret Riccio has expired as ownership has changed and the family suite must be de-occupied immediately as it is in violation of Zoning regulations, Section 2 Definitions, 2.37.1 Family Suite, and Section 4.121 Permitted Uses, #17 Family Suite a. b. &c. Failure to respond as stated in Section 10.13 of the Town of North Andover Bylaws states, "Whoever continues to violate the provisions of this Bylaw after written notice from the Building Inspector demanding an abatement of a zoning violation within a reasonable time, shall be subject to a fine of three hundred dollars ($300). Each day that such violation continues shall be considered a separate offense." Please contact our office so that we may begin the process to remedy this issue in a timely manner. Brian Leathe, Local Building Inspector, can be reached between the hours of 8:00-10:00 am, Monday—Friday at 978-688-9545. Sincerely, Gerald Brown Inspector of Buildings rr� l.X-t 2c�lI Z—) kNa-J Cc: Chief Andrew Melnikas Curt Bellavance V, - 1 • .10RTy' 0LDap� ATTEST: apnea( ,i, *%be filed •�i., 1855 ,g Withinn '►�SgcHug``�'• A True COPY (` f`,f the ►► ,i date of 9-i.;;;� �,, � .. �•f in the Office or TOWN OF NORTH ANDOVER �,•_ (� Clerk. MASSACHUSETTS Town Clerk BOARD OF APPEALS NOTICE OF DECISION Date . . April, 27.,. .1992. . . . . . . . . . Petition . . . . . . . . . . . . Date of Hearing. . April. 14.,. .1992 Petition of . . . . . .David and .Margaret .Riccio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected . .142 Boston Street . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition for a.variation from the requirements of4U ,Section, 2,. , Paragraph. 4..,1.21(17), of ,the. Zoning.Byjaw . . . . . . . . . . . . . . C� . . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit . .a..kama ly. .Suite... . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . After aublic hearing ' P b given on the above date, the Board of Appeals voted to . . GRANT. . . . the —+ cam, Spe-cial.Permit . . . . . . . . . . . . . . . . . . . . . and hereby authorize the Building Inspector to issue a permit to . . David .and. Margaret. Riccio. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work, based upon the following conditions: -� 1, the premises be occuped by-John R. Riccio 2. the special Permit shall expire at the time that John Riccio ceases to occupy the Family Suite; 3. the Special Permit shall expire at the time the premises are conveyed to any person, partnership, trust, corporation or other entity; 4. the applicant, by acceptance of the Certificate of Occupancy issued Signed �.n ursuant to the S ecial Permit grants the Building Inspector or • • . . . . . . Frank Serio . . . . . . his lawful designee the right to inspect the premises annually. • • • . . . . . William. Sullivan., Vice-Chairman Walter Soule, , Clerk . . . . . Anna.O'Connor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Board of Appeals Location � No. Date HORTh TOWN OF NORTH ANDOVER ` Certificate of Occupancy S s i a �SJwcNust�� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ i TOTAL $ Check # 17349 Building'Inspector 01, TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. J DATE ISSUED. n _D c� J ic SIGNATURE: __4 Buildin Commissioner/I for of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: i 4X4 l cf.,A on S; ® D('"4�A_ A n A O' 1 c� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: �,\ Zoning District Proposed Use Lot Areas Frontage ft W 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public, ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SEQ.TION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 11isturt strict: Yes No M 2.LOwner of Record 5A-e,,, ✓2.5 7 05 c O�✓ Y Name(Print) Address for Service: ijp te�e4 4' Signa re Telephone 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Mn Address C> Expiration Date = Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number Address r Z Expiration Date /1 Signature Tel hone V� � I 4 SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Workcheck all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be " EI F ILIAL TISE01, ' �T$ Completed bV permit a licant 1. Building (a) Building Permit Fee Multi Tier 2 Electrical (b) Estimated Total Cost of Construction o7s�• 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 BUH DING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My be all natters relative to work authorized by this building permit application. (! -PO/y4�/e�/ Signature of Owner Date SECTION 7b OWNER/AUTHORIZED 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 c � � Print N o r'2a y 0 e-1 Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRVMERS 1 2ND 3 SPAN DINIENSIONS OF SILLS DIN ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 2s- � LOOT 1 J 46,,ca 80 S.F. y r� Z STS-' 1/✓FO �C345 TO l� S T,e E=- I hu1rRaBr cnrmr m im Alis ssuROR AND PLOT PLAN TO I= BAAFK FHAr r9E DULLING IS LOC_ArSD OX IN ros Lor AS Sirovw AND rmf it DOss cOXFORm aM Ms ID~of^,o.V"14 w--re SOMXG Racuunams Hole7H 1191-1covCIe,l-1i9s-5, RRGLRWMG SMA Rat smaars & Lor mmsS I FURnma CA' rBAr ims DVSwma Is mor DRAWN FOR LOCAM 81 .9 FLOOD ,f AZM ARRA AS SIIOWX OX i!'YP"AL zscao48 Ke 7H d 57t9CCY STCEVES F2E� � sus,�r/ DUF�NE' 4-1 srleP sa. sR.,Ls. t)ArR l"=sD ri�J2cH3 mis PLAN FOR moamAG.C.06MSBS - mor FOR 6 PA BouNDARY DaraRMIXArIOF.' Bouximr Npol mmi)x 8IACK FNGINXL�'R1NG SERVICES FROM BXISVINC R$CORDS. BB PARK .S?'R1�ET r> � zIAAfDOVRR, MASSACNUSEM 01810 OORTEt Town of North Andovera'a%'t��o Building Department 27 Charles Street North Andover, MA. 01845 �ss�� , D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE4 1'74O JOB LOCATION ( Gl� OS�©/f� l/�/t /9F/V duel[ Number Street Address Map/lot "HOMEOWNERt Name Home Phone Work Phone PRESENT MAILING ADDRESS / 7� ,Ud5&,1 lly,�dyel� City Town State Zip Code The current exemption for"homedwners"was extended to include owner-occupied dwellings of two 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 108.3.5.1) DEFINITION OF HOMEWOWNER: 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 or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than onehome in a two-year period shall not be considered a homeowner. 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 No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirement . HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL ' FORM U v LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. **************'*ff**************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT Sfe..e-VCOS PHONE iI�r a LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET C�01.� �5' ST. NUMBER 4�a *****************************************OFFICIAL USE ONLY*********************************** RECO NIENDATIONS OF T, WN AGENTS: I S /CO SERVATION ADMINIST OR DATE APPROVED o� 1/ DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED . DATE REJECTED COMMENTS OOD INSIDE EALTH DATE APPROVED DATE REJECTED S IC NSKE&OR-HPALTF DATE APPROVED DATE REJECTED COMMENTS S PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm n North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision 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 properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: �1 (Location of Facility) Signature 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 NORTH Town of Andover v No. 7/3 dower, Mass., .�' o?r/"ad0 !/P O CO C MIC ME WICK AERATE D C'P I `s U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System We i , BUILDING INSPECTOR THIS CERTIFIES THAT........... . ... ...........7%................is. 1........................ .... Foundation has permission to erect...PPI �........ buildings on Rough ......... y......... ............ . ... .............. . . . . . . ..... to be occupied as..... C N S +� OOO ` 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 relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 0 /' G O �� PLUMBING INSPECTOR 33 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS -UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough .......................................... .. .. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING -o--•- BUILDING PERMIT NUMBER. ^-� DATE ISSUED: ^a © x ic SIGNATURE: In c Building Commiss—loner/Inspector of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: � q,2 t3 osfovl 1 -07, 6 V1, 107,f30 34 -•46a00 D Map Number Parcel Number (� 1.3 Zoning Information: 1.4 Property Dimensions: ?) :i-41 0 �J Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RegWred Provided R 'red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSIIIP/AUTHORIZED AGENT M 2.1 Owner of Record c b �D f��r sk S Name(Pnnt) Address for Service: f •� Sigltature 2.2 Owner AofRecLoIcation y No. Name Print Date p��q Signature � NOtith 1�1 SECTION 3 0?o•� 0 TOWN OF NORTH 3.1 Licensed( i A' N pO VER Licensed Cot �'�J+.*.,..:SSy; pCertlflcate of Occupanc O 4cmust t3uiidi Y ,`' ng/Frame Permit Fee D � T� Address Foundation $ Pefmit Fee $ �� OTef Permit Fee $ r' Signature AL 3.2 Regis Check # Compan p�p� 1�1 755 r Addres 1 > �BLilding Ins - Pt6r Si nature Tele'r1ut,v-�,:,,.v,,, ' I 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.......❑ No.......❑ SECTION 5 Descri t'on of Proposed Work check au applicable) New Construction Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Ltcr 9 0oV13,*A,'4 &.*je SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFF'IC�-TJS�"0 Completed b ern a licant 1. Building (a) Building Permit Fee -�� Multiplier 2 Electrical (b) Estimated Total Cost of / �— Construction 3 Plumbing Building Permit fee(e)x(b) f' 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 h as Owner/Authorized Agent of subject property Hereby authorize to act on , My behalf 1p all rs r laVe t work authorized by this building permit application. Si a e of Ener Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name SiNature of Owner/A ent Date I, NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT + 1 1 IG PHONE -C3R.9- SuSgy, PQQ - R LOCATION: Assessor's Map Number //I7, PARCEL 1 D /v7, ,6- 0° SUBDIVISION LOT (S) STREET YJ D 5�'O h ST. NUMBER I y A *****************************************OFFICIAL USE ONLY************************ REC MENDATIONS OF TOWN AGENTS: CONSERVATION ADM STRATOR DATE APPROVED 0 DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSECT -HEALTH DATE APPROVED DATE REJECTED r r ,.SEPTiP ECTO -HEALTH DATE APPROVED Z. DATE REJECTED COMMENTS�L Gts��s e� lr��z � __ Zzi PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm 2s- LOT v CP CA. t7 0J �•6i Z srs VvFo - 53'Y $F/yz Tj 60S7-0 I mR=r cmrz" m rm Arra D]msUROR ",o PLOT PLAN ro rHr MNK WAr rM D/BLWc is L MnW oN IN MR Lor AS SMIN MM nUr rr Dors CONFOW IIIrII Mr op,-0 HNQa.EIe EONINc Rrc Uffoms Rfa"U fma StmamROY smars & Lor lame J • t FUeriaR ter rms Dl►rL6INc Is Nor DRA FOR LOCArrD 1N a FLOOD MEARD IRU AS sHO�rN ON F PnxaL zsap98 9e17-H d STgCC Y STEE vEs DABS =50 MIS PLAN FOR MONlC iWC :16tposrs - Nor FOR BOUNDARY DXIZWNArloW BOUNmRY INFORluirom )AWRRIMACK ENGINEERING SERVICES rA1fEN FROM rXISrING RECORDS. 88 PARK SMERF H-/&28,s IAAFDOVRR. HASSrlCHUSMS 01810 s �%ueBw ' Town of North Andover �a` =U Building Department . 27 Charles Street North Andover MA. 01845 Andover, Se$r D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION /'D . 13O©p 0 Number Street Address Ma /lot 1'Se:r-+iV 12 . T�c�ves r7 ge �/r� "HOMEOWNER 1c�/)/, 6391 a 5 u S a r P, moa n`NameS'Fge�st Home Phone Work Phone PRESENT MAILING ADDRESS �e RosTo Aj 9- AA City Town State Zip Code The current exemption for"homedwners"was extended to include owner-occupied dwellings of two 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 108.3.5.1) DEFINITION OF HOMEWOWNER: 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 or two family dwelling, attached or detached structures ac- cessory 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. 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 No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE i APPROVAL OF BUILDING OFFICIAL a , 4 .......... ..........•..,.,........... ,•:..•..,.............................. . .. 1 • t . 4 j 4 a. ' : C , Y, ; 1 I i E 4' OV/' F i' "i : .3,- ........................- :.......................:... ..... ..... : : r s'1. A 8 t t.: .. ..... ..... ....... .... ...... ...... ..........• i...........:............:...........' ....j...........;............j...........;............:.. ... ...... ...... ...... .. ...... .. .. .. - ...0 ..... t............. 5....,.. y �,., {i .y... P,-114 y'3 A 4 ti ,•t :. 3 . i i i ...... ... ... .... ... ...... Cg..y.� y...........:...........•,..........•t...........i... ...4..... Jyt r..,,.^,t ,.:..> .......t. ........3...........<............3.......... .....3...........:. .. .tt ..i.. ..i... ....... ...... ....... ...... ... ...... .. ...... ......... Y l Y4y F > <......................................j.. ..;... ..j.. y S ^fit I ........... ........... .........v....................... ...... ........ ........ ........ ...... : 7 uP ?hc i t t # ... ... .. :...........:............:...........:................ .::,. fir#s+c: .... ...... ,...... ....... ...... . .,,... ri- i t, t !. t ,.i••. ......F,.... ...>.> .eiN�.lr`•1+w,pi �F>r i t•r.i )r ..j...;.,•..... t •;........• i' 5... i,.,-. t ...... y „;.'x-•'�-z. *`t�'�x..i Ys o r. y fs { .�,I- `x3r+•w-.'.3't+ -* ..%Fsi'i t: i "{' � 'tF r, 4 ci .l •i 3e k,;. '' a c �K,a de < ...........i►. i. fy a Ls ey? ;z '4 . a w m s. t ...cam f :915 'x' 9�'4q� I # 12 .. ................ ....... ...............•..'r•. .........:...........:... 1 ela.,.i ..�v^^'J�c'°� T^I(F�^1f r _ •............. , ....,..... ... ...{ 1 IJ't�'e .f�' Y '00,4a I 77 �� - - -- � - � � . _ y r . , , ' � , i I . . , i I � �� � i I � � _ I I � I I � ; _ .. _ i ' 1 I ' ' 1 I - I ' � i , � ' ' , I ' , I i ! j i , I i I '. I � I I I - � I } I � I ' i i � � � i � i 1 ! � ' � I 1 I � i i � � ' 1 ' � � , � I � ' i � � �. I ' 1 } L . _i - + - .. 1 � - . . .' � - f �.1ORTly Town of _ Andover p No. z^ _ 'Per O - LAKE AKE dover, Mass., S COC MICMEWICK y�. �ie�oRATED lv ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT F ;�P( / Do...... .�.... .... .. .................................................................... ................... Foundation has permission to erect.....1.9........4.3:........ buildings on...../...All9.......A89* �......s�'................... Rough to be occupied as la 6 N/�/ f0/`�►� +� �0� N �"e , �'` y ? /' y ..... ......,., ........ ....................................... .................. 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 relatin to the Inspection, A eration and Construction of Buildings in the Town of North Andover. ��7 3 ` G PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION S AELECTRICAL INSPECTORRTS Rough ........ ................................. ..C. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Date...... TOWN OF NORTH ANDOVER --WOW PERMIT FOR WIRING 4g is SACMUS T This certifies that ..... ......... ......................................... has permission to perform ...... ......ee+.�... ...................... wiring in the building of..... ................................ 0& , ....... .North Andover,Mass. :qb?ue- Fee.......... .......... Lic.No. ............. ............................................................... ELECTRICAL INSPECTOR Check # 5426 THE COMMOATREALTHOFAIASSACHUSETISOfsce.V O,P DEPARTAfEWPLl&1JCS*FETY Permit No. BOAROOFFIREPRE[bMONREMAHONSR7aMl2 W _G Occupancy&Fees Checked APPUCA71ONFOR PERMIT TO PF"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 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perfon�the electrical w$tk described below. Location(Street&Number) ��'a �ostr,&\ SAL AJ- 610-pno -e Owner or Tenant Owner's Address �f Is this permit in conjunction with a building permit: Yes® No (Check Appropriate Box) Purpose of Building C p(�A�A 'C–o 2 '�)Z)h L Utility Authorization No. Existing Service Amps _Volts Overhead M Underground No.of Meters New Service Amps Volts Overhead =3 Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal � Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydra Massage Tubs No.of Motors Total HP OTHtR- hmaaiceQfttap Rrmt>oLIE te40MZ dMffisad1NMOalaalL3ws ItmeaamentLwbM[yhmrareloicyittdXkgCmT CawaWorgsa*93IWapwdbt YES NO ri Ihm&brniwdvafidptoofofsame6odrOfoe YES ffywhawdEciedYES,plemh&MtdrtypecfwmWby bcot INSURANCE BOND OTH R a ( r2wSpiy) /9. f L:�y Ill lc,r,n �- h�S •v r_ EvilaliMDW dcoo Stat I O Esti 8Wd Valle of)~b=al Wdk$ Wo D& Ratgh Final svrdun&rTrPbraltiescfpaw FIRMNAME _ LicerwNo. Licame `t Siglme Licwse l% ��7,!5`1 qq Bush%Tel.No. arHhr�ec l G--fq D-D)W P� ST' G,�(r/v&J r �f� .S � �1 C'i n.S— Alt Tel.Na OWNEA'SML ANCEWAIVER;IamawarethattheLioeWdotsintheredleinsurane.,eagecritsa*sUlWegttiwalmtasmglmdbyNlassahmMGalemlLaws atrldAaiy signahuecn dtispmillappbcabm wars ft mgx'ana t (Please,check one) Owner Agent �J Telephone No. PERMIT FEE$ signature or Owner or Agent TBECOMMONWEAL771OFMASSACHUSEM Office Use guly I" DEPA1T111E7VT 0FPWLJCSAFE7Y Permit No. B0 ARDOFF7REPMNREIGUTATlON55 l7C�1R1�{D G Occupancy&Fees Checked APPLICARONFOR PERMIT TOP ; ORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MA$ AS CHUSSTS ELECTRICAL CODE,527 CMR 12:00 'moi (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover t To the Inspector of Wires: The undersigned applies for a permit to perform►the electrical work described below. 0 Location(Street&Number) � . ,rfJ /7 Owner or Tenant A�)n RQ e— SiC U Li r Owner's Address A f Is this permit in conjunction with a building permit: YesEM No a (Check Appropriate Box) Purpose of Building C p,('s w ti w -1�o 2 V)n t,L. Utility Authorization No. Existing Service Amps �Volts Overhead Underground No.of Meters New Service Amps�� Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round and No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners 0 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 Local Municipal Other Connections -- ler Heaters KW No.of No.of Signs Bailasis -Ile, Tubs No.of Motors Total HP Pl>�v>artbthetequQerlfrtsofMa�>u�usGataalL�ws Y � Y� lg�' orilssubt ala}tivaimt YES NO Validploofofsamebthe0l�YES If)mWwdwckBdYES Piwmgdca�ftMxefoovaageby boot BOND OIEM' EswwdVatl��F 1W d$ j-1 3 (� C rnspactiortDe�itagl>t d Rt�ugh Fmd 7$1 y PalaT6esafpeljuty. L;oe7seNo. stg�aa>� L mwNo zJ 7 grl &tsa=Tel Na Ar Tel Na C'S7NSURANCEWANER IaznmmdutheLioatsedommiharetheM r = orits Ysgr>dtaernthispearldapptic�u►wai%rsthisragtmerrlalt o° aksWUqmvW=am4dbYC,aleralLaws lcheck one) Owner M Agent Telephone No. PERMIT FEE$ signature o I Owner or Agent s. �yl CD �, 0_ o o 57- V e MW* ;.`v v S te-- C D\Aivz w 4 07- l 2- 0 r- n Date............... .......... ..... N. RTF TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ e......... .... ........ .... has permission to perform ..... wiring in the building of....... ............................ at..... ...... N A Andover, s. ..........i�y 00 Fee.... ........ Lic.No%�/&a/( ....... ....... - W�CTOR "0' ']�- RICZ&S Check # 4. 539 Official Use Only Permit No. 7 �� 1 Vo-r' °�?�ud[�Sa�et*y Occupancy&Fee Checked i BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 12: (Please Print in ink or type all information) Date C/ D To the In ector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. l Location(Street&Number / �/ _/lC _b �'=6:7, 9 Owner or Tenant Owner's.Address__,Z> / 4,-74Z, Is this permit in conjunction with a building permit Yes ❑ NO (Check Appropriate Box) Purpose of Building �ii�P - ' Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd El No.of Meters 3+ Numl,of Feeders and Ampacity S k) 4 6 / 2-11 � S Loca:.ibn and Nature of Proposed Electrical Work 1 Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No.of Emergency lighting No.of Receptacles Outlets No.of Oil Burners Batt Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat -total Total No.of Di sal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No. f Dishwashers Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (PI a Specify) /�} (Expiration Date) Estimated Value of c S � S Work to Start Inspection Date Resquested Rough Final Signed under the P9611 perj ' n FIRM NAME l.5 LIC.NO. Licensee Signature LIC.NO. / Bus.Tel No. 7 SO J Address ,0 / / Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does n have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) l/ � / _ Telephone No. PERMITTEE a • (Signature of Owner or Agent) 1 The Commonwealth of Massachusetts u'. ,F , d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 °,M 5,• Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for rry employees working on this job. Company name: Address s City: Phone#- ! Insurance.Co. Policv# "r Company name: Address City: Phone* Insurance Co. Policy# Faikwe to secure overage as required.under Section 2M or MGL 152 can read tothe imposition of criminal penalties cf.afte upto 31.500:00 and/or one years'imphsonrrientas well as_cad penalties-o-theform-f aMDPYADW-ORDER arx!afiae of ]JW"-a understand that a copy of this statement may be forwarded to the office of Investigations of the DIA for coverage verificationte 1 . do hereby cerW tindar the pams and penalties of perjury that the 94bar bM provided above is&w and correct. Signature Date Print name Pbone- Official use only do not write in this area to be completed by city or town offidw- City or Town Perr Ad icensinq Building Dept (]Check if immediate response is required 0 UCensing Board p Selectman's Office Contact person_ Phone# Ej Health Department D Other i 1 Location No. _i 7 y "Date // / NORTH TOWN OF NORTH ANDOVER O?O••t`,o 1.1h00� p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ sACOW t���-OtherPe mit Fee $ '�� W Sewer Connection Fee $ 'Water Connection Fee $ •NOTAL ` $ �T I`1•r+ r.l t . r, e r Building Inspector Div. Public Works PERIt[T n110. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP KJO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE •ijZONE I SUB DIV. LOT NO. -' LOCATION ' PURPOSE OF BUILDINGy OWNER'S NAME NO. OF STORIES wSIZE 1� OWNER'S ADDRESS f' ' BASEMENT OR SLAB ARCHITECT'S NAME `•l . SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME f SPAN DISTANCE TO NEAREST BUILDING dv 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 EE BOTH SIDES EST. BLDG. COST PA'IiE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. 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 S D FILED / BOARD OF HEALTH SIG URE OF OWNER OR AUTHORIZED AGENT FEE _3 PLANNING BOARD PERMIT GRANTED 19 BOARD OF SELECTMEN BtDPING INSPECTOR 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 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDWD PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ y, 1/1 �/ FIN. ATTIC AREA _ NO B MT 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 FO&ME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR INDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I-I POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT I 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 OL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING s ,� i AL PLANNING_ FINAL CONSERVATION FINAI SEWERIWAT —FIN NORTil F cown ofe OL ndover o. �- RIVEWAY ENTRY PERMIT C H HEWIC er, Mass., .19f/ A0R PPER I / `SS IT U BOARD OF HEALTH 44 .. ....... ... ... .�'� THIS CERTIFIES THAT................. ............ ........... BUILDING INSPECTOR has permission to ......... .......... buildings on ! e Rough 1? ® Chimney tobe occupied as... ..... .. .. .. .. ... ... ........ Final provided that the person accepting this permit shall in every respect con orm to the terms of the appli tion on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION START Service Final ............ A. .. .. ......... ... BDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner .FIRE DEPT. No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector