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HomeMy WebLinkAboutMiscellaneous - 16 BEAVER BROOK ROAD 4/30/2018 1 0"0000�6£ZO-8'90 L/0 LZ � Location No. Date N°RT►, TOWN OF NORTH ANDOVER Oftt.a°,a1'b0 „ Certificate of Occupancy $ ` " Building/Frame Permit Fee $ ,SSACNUS S Foundation Permit Fee $ Other Permit Fee $ F Sewer Connection Fee $ Water Connection Fee $ j TOTAL $ V 6� / Building Inspector 0(*@?,9710:19 150.00 PAID Div. Public.Works PER'Ml§i' NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP K-40. 6 lj LOT NO. �r n > � 2_. RECORD-OF OWNERSHIP DATE BOOK 'PAGE — ZONE ( 1� I SUB DIV. L07-NO. /�2 e I /3j-S I S7 LOCATIOq PURPOSE OF BUILDING /1/J BC ✓P/— Y�J n p OWNER'S`N MENO. OF STORIES SIZE 2 ,6 OWNER'S ADDRESS /y� BASEMENTC1rlM-*S vCJ ARCHITECT'S NAME ��n SIZE OF FLOOR TIMBERS IST �t 2ND A of v 3RD BUILDER'S NAME SPAN „( /l F� DISTANCE TO NEAREST BUILDING a 01 �„ DIMENSIONS OF SILLS�� O -- DISTANCE FROM STREET a ••!J V POSTS 10 ,_ DISTANCE FROM LOT LINES-SIDES /, 7 " GIRDERS r �� r4f��� �J�4S AREA OF LOT A ,/1�l FRONTAL 3 11,�r/- HEIGHT OF FOUNDATION JfL /'� THICKNESS 3 IS BUILDING NEW jCe 7f SIZE OF FOOTING X IS BUILDING ADDITICW4 MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �S,ig C IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER 442 IS BUILDING CONNECTED TO NATURAL GAS LINE e C a INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST + EST. r PAGE 1 FILL OUT SECTIONS 1 - 3 BLDG. COST PER SQ. � c 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 FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED 2 NUILDING INSPECTOR SIGNATURE,5t /,IQP "ENT �j G F E E /J OWNER TEL# PERMIT GRANTED ��"-' `� "—` CONTR.TEL.#19 CONTR.LIC.# 126 H.I.C.# • T � ` BVILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY -�IocS;ORI S 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 AGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d 1 2 b3 CONCRETE BL'K. PINE BRICK OR STONE HARDW'D _ 17 f/ _ PIERS PLASTER _ _ DRY VJALL _ UNFIN. V 3 BASEMENT AREA FULL ;'T' FIN. B'M'TAREA _ 1/4 1/1 �/, FIN. ATTIC AREA _ NO B M'T I FIRE PLACES L HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDVV'D _ ASBESTOS SIDING _ COMMON _ r VERT. SIDING ASP H.TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK N MASONRY ATTIC STIRS. L 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 HIP V BATH 13 FIX.) GAMBRELMANSARD TOILET RM. 12 FIX.) FLAT A SHED KWATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK L SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER LL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR6 A� WOOD RAFTERS AIR CONDITIONING arQ/ �. I19h RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC lst 13rd 11 NO HEATING t4ORTfy 01*1 Of over No. 20 s � 199, o- SAKE over, Mass., '9 COtNICNEWICK y7',• Ap r •9s gArED �G BOARD OF HEALTH PERMIT T Food/Kitchen Septic System —t-� - BUILDING INSPECTOR .E THIS CERTIFIES THAT........................................... .E.K...........pA..(...pAnt5.1........................................................... Foundation has permission to erect.................. ................... building4 on....... ..........�Fw v e..��...��t .�1 ................. Rough tobe occupied as..............................................:..... .C. .......... .. . .................................................. Chimney provided that the person accepting this permit shall in every respect conform to the rms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspecti n, 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 STARTS Rough ............................ S ... .. . . ...... ......... ervice.................................. UILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. -------------- �,••`-`• N•� `✓ltG 1�0�l�U77'f6�ulIEl�GI/2 C1�,%4GCrJJ�C✓7uJ['�.GJ � . OEPARTHENT OF PUBLIC SAFETY I CONSTRUCTION SUPERVISOR LICENSE Nuaber: Expires: Birthdate: CS 068988 10/11/2000 10/14/1958 Restricted To: 00 ALBERT C COUILLARO 85 CASABLANCA CT ' HAYERHILL, HA 01832 j I I i I ' I ti FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: eaj �C e Phone me<_ 3 Z 6 LOCATION: Assessor's Map Number ZOf, )3 ParcelIti1 Subdivision r,--,-& 4rjs-.A4des Lot(s) /-2 Street &I °-e-7-J roo A XZ St. Number ************************Official Use Only************************ RECO ATIONS OF TOWN AGENTS: 5--7- -7 Date Approved- / Conservation Administrator Date Rejected Comments fAi-0-4 hl� CUAA0 2) Cd lug-9- Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections Z Q - driveway permit Fire Deppartmente jl'CJ Y- lYe� &5Z—e2 Q S(-1Lio .4 rj P3kr ��y 'Roon(K Gc/ 3l x(19'7 Received by Building Inspector Date Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit (below) Address of Property for Permit(below) gap and Parcel : Purpose of Application (check below) PhgciWn7pr of Aniat: Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement,restoration,or reconstruction of a dwelling in �existe as of the effective date of this by-law,provided that no additional residential unit is created. lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots), below the density, (buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building perni all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXE TION as cited above. Further I understand that the submittal of misleading and or inaccurate inf a ion, or the checking off of an above item which does not comply,whether done to my knowle a or not, i`s gro n s or refusal by the Building Department to issue a Bulldin Permit. -7I Signatu In or Authorized Agent who signed the Attached Building Permit Date This fo Ir must be attached to the Building Permit upon application for such permit. MASSACHUSETTS UNIFORM APPLICATION FO PR ERMI (Print or Type) T TO DO PLUMBING _ �0w /y a, 6,2 a l/-,4✓e Mass. Date2 v 19 Permit# :C Building Location -1OT0/Q— Owner's Name � ��u r /1414 ` a -P �ii^o� ' . /tel. S/ �t T19 nr i( {` TYPe of Occupancy New ®,' Renovation ❑ Replacement ❑ Pians Submitted Yes ❑ No ❑ FEATURES z C0 z � Cl)-j C0 } v .z z w w CQ Z Cl) -CO v Q O z_ o. UN CO)m X x } Q H CO Y oC a. LL 0- z z3. Q w x g Q rn z. o ¢ an c7 iL p LL W x a i 3 O z x Y n' Cr F- ¢ x w cc o Y w ¢ 0 ~ O X .(Li D Q I-' z O .O Z Z :� O U x Q x O ¢ ;,� Q ac cr cc ¢ O ¢ F- �. Y m cn .� 0 x I- co u. c�: o a 3 :¢. m o SUB-BSMT.. BASEMENT. 1 ST FLOOR I . 2ND FLOOR f i 3RD FLOOR 4TH FLOOR STH FLOOR: 6TH FLOOR 7TH LOOK 8TH FLOOR Installing iiing, Company me . �LR/� Eo T ' Check _ one: Certifl cafe Address �7(�EA! cJ O R AVG- ------- f Corporation -- 04�E�� /✓1 A, d/.4S'�- __ 1.1 Partnership . Business Telephone, Cl Firm/Co. Name .of Licensed Plumber_ fi !J INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes EY"- No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability Insurance policy �� Other type of indemnity ❑ Bond ❑ OWNERS 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., . �.y Check one: rI SI natur of Owner or Owner's Anent 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 the permit issued for this application will be in compliance with all pertinent provisions f t"Massachusetts a Plumbing Code and Chapter 142 of the General Laws. By igna rer Title T License:Master �" Journeyman ❑ City/Town License Number�'1/d O� APPROVED OFFICE USE ONLY) FEE NO: APPLICATION FOR PERMIT .TO DO. PLUMING OWNER: NAME &. TYPE. OF:BUILDING LOCATION :OF`BUILDING: r PLUMBER OR GASFITTER: LICENSE N0: PERMIT GRANTED_ DATE: 19 PLUMBING INSPECTOR Date./-,:,..4: 3582 TOWN OF NORTH ANDOVER $ CL PERMIT FOR PLUMBING ,SSACHUS� �p 4 M This certifies that. . . . . . . . � �?f . . . . . . . . g m has permission to perform . plumbing in the buildings of . . . . at. . . . . . • • • • . • • • • . . . . . . . . . . .. North Andover, Mass. i Fee. . . . ` . .Lic. No�kJ lks V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer r _ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFiTTING Print or Type) 'l l �:;..• , Mass. Date �` V i g9�.Permit# r' 79� Building Location Owner's Name L CC U/& , Type of Occupancy New ca� Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No ❑ Cn WW tri Yco 0 0 cc CC 0 co Lu Z C6 C7 J (n w U ~ FCn - m Z cc m W oC X 0 D 0 Z �W- 0 H Z —� I— Z W W 0 9 LL W U y Z Q W '� Q 0= 1= F- } W m Z O Z W 0 1— W. ix: =O 0= LL 3 p aJ J U CCC > d H O SUB-BSMT. BASEMENT 1 ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOORT �+ Installing Company fName /Q -r.V(J Check one: Certificate Address ZjF/� t a� a R AVE ❑ Corporation n (l i~I m q. O l 8�" ❑ Partnership Business Telephone-5 O g y S aZ J� S'S" ❑ Firm/Co. Name of Licensed Plumber or Gas Fitterr�F'S v. 1 4A E � R F � INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes 11-0"' No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy L�^ Other type of indemnity ❑ Bond ❑ OWNERS 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: v i nature of Owner or Owner's Agent Owner ❑ Agent ❑ '1 hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best-of my knowledge and that.all plumbing work and installations performed under the permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License Title umber e ❑ Gasfitter i nature of Lic s d Plumber o as Fitter CIt�/Town W-Waster, APPROVED OFFI E S NL ❑Journeyman cense Number__-/W/O.rO y 1 Date. ./.. . 'A 0 0 e NpRTH TOWN OF NORTH ANDOVER P 3=p`t��ao ,sa 4, p A' PERMIT FOR GAS INSTALLATION ti 9 SSACH U5E p, co This certifies that . :: !!. .` !�. . .: . .:r . . . '' . . . • . has permission for gas installation . . . . . . . in the buildings of . . .. . . . . . .!. . . . .'... .. .. . . . . . . . . . . . . . . . . . . . at . :... �. ....`: . � :. . . • • ' f• • •, North Andover, Mass. Fee �� . . . Lic. No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r_. GAS INSPECTOR r WHITE:Applicant CANARY: Building Dept. PINK:Treasurer CERTIFICATE OF USE & OCCUPANCY r •. Town of North Andover Building Permit Number_ .•�� Date 6119 41, S THIS CERTIFIES THAT THE BUILDING LOCATED ON 160- MAYBE 60-MAYBE OCCUPIED AS1�4IN ACCORDANCE ��• WITH THE PROVISIONS OF THE MASSACHUSETTS S ATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.' MORT1r ,f' CERTIFICATE ISSUED TO, ADDRESS CM„s�` - B g Inspector 1 i f FORM U - LOT REALSE 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--,G Gr ' _ r PHONES t//LOCATION: Assessor's Map Number ' G f3 PARCEL SUBDIVISION_z - -/,/&C;g LOT(S) /STREET ST. NUMBER '************OFFICIAL USE ONLY**** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED I DATE REJECTED COMMENTS i TOWN PLANNER DATE APPROVED 0 DATE REJECTED COMMENTS i, • S � ? FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED 1� SEITbFi SPECTOR-H LTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE i T0VM' oover 3 No. � On * Z � p dover, Mass., (9 192" LAKE j COCH ICMEWICK i�'�• 1 �9A pR�Eo-,.�A`�. BOARD OF HEALTH PERMIT T Food/Kitchen Septic S7e- BUIL-15KG INSPE . OR .��................ipc ..(.. .......................... THIS CERTIFIES THAT..................... Foundation has permission to erect...................II................... buildin on �< v P F g� j:.. .......... ..... ....��tL�. ��.�:TJ/ ...........:.... ou to be occupied as.................................................... .�- t c ey ... ... .......f. . .... ........................................ provided that the person accepting this permit shall in every respect conform to the rms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspect! n, Alteration and Construction of Buildings in the Town of North Andover. PLUMBIN S VIOLATION of the Zoning or Building Regulations Voids this Permit. u 444' 0 t PERMIT' EXPIRES IN 6 MONTHS `n F y ELECTRICAL - UNLESS CONSTRUCTION ST TS . . .................INy UILDG INSPECTOR Final Occupancy Permit Required to Occupy Building - GAS INSPE44UR Display in a Conspicuous Place on the Premises — Do Not Remove F No Lathing Wall To Be Done Until Inspected and PPro ed b the Building Inspector.or. �FIRYE DEPARTMENT Bumer Street No. 4r1 Smoke Det. S e � T- V 6172272995 P03 �4 / t a f i - r f LOT 12 ' EXIST.f ND. ! ��= T.6S.-141,8' r f f f 43.9' BEAVER BROOK ROAD s .�. FOUNDA TION LOCATION PLAN ?RMMr00AL J e AF"9NOrt Low LW S TJ APPLICARE ION/NTJ BY-LAWS IN EfFECr WIEN CONSIW CTO, (THIS CERTYrATNW 84ES NOT COV9W ANY OTWR RESWnOMS SUCH AS C0VFWANMi0'E' AW EASEA"M CLIENT.• BABU PA TEL ORam of CONoIww.m.) na DI wma SHALL NOT Df USED 6Y THE aXXr ETM ANY TNS C£RTItICANON IS MADE AND LIMITED RAWSF On" THAM THAT OUTTIMFD ARnW rrFFr mm TNl N7RITTFN PERWsm OF CNRlsrtuim t sm W- TO THE ABOVE CLIENT: FUTTHENUM THL3 DRAWWS /S THE COPYRWWM PROMUM OF CNNSnANE1 & NMI W. AND ANY UNAUTTIpYP= tW M PYrWWTrl).rAWgr1AMSFN * % J TAKES MO WSAdVS/B I" t FOR THE UNAUTNl1RIND USE OF NIS ORAWIN6 OR ANY 1NFOR- U TA7M CONTAINED HEREON. LOCA TION:L OT 1.2 "EVERGREEN ESTATES" NORTH ANDOVER,kA. IF AES SCALE: 1"=80' DATE: 619197 E •' 4 1 CHRI S TIA NSEN &SERGI LAND SURWYM PROFU510NAL ENGINEERS D S t 160 SUMMER ST. HAVERNlL IA4, oiaW TFL 303-373-0310 �tss7 by CNRriTAANsfN A• 3ERdl INC. DWG.NO.: 940.36076 j V 6172272995 P02 V 101, Ile 100, lol / / / LOT 12 33.8' EXIST.ENO. T.O.F.=141.8' r � i i BEAVER BROOK ROAD �0 _ ' yO �,pOO t JB.d 1b- FOUNDATION LOCATION PLAN WWW MY" `EM M O&OMW fl) lfiM APRX.AAE ZOMW 01'-"MS IN OPEW MM►C01071RWM MM CWRMAilOMf DOES MOT C MRIWWANr 01M BA BU PA TEL "�"�AS C0�x EA90MM 014 L101A mNsl m) CtCLIENT.- OF TM fiRAV c WMLL Mf BE LMM ffr TPK cYrar►RAR ANY TN/S CERnFICAnON /S MADE AND L/MIrEOMWM on" n bW YMr O1f11/NM A M ERMY WW M M ME ABOVE CtfENK FURgyres MUMU 0 W SOP17R/Dff M AVWWM OF GYfnM05011!AM ML AND AW fpMtfnM= W Is ISM m"Mo lwymomm r sEA01' Mal mo mcwamm&ny M TW U MAunfaN M USE OF nNS MOM OR ANr MW wt�or r�fMrAa+m!!f KM LOCATION:LOT 12 "EVERGREEN ESTATES" NORTH ANDOVER MA. O � f . SCALE: l"=50' DATE: 619 "LL 0 41997 1 1 CHRISTIANSEN &SERGI LAIM MAMEYM fi0 StAplfp$r EMM WM4*4. 018M la 3011-373-0310 9 rssr ar amaummsEK a sma ar- DWG.NO.: 94036076 014t &m=nweulih of Badu rtw 01111111:111w. Mrpartmirat of Public *afctg oowpency a Fie r BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3fso Pun bwnN APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO i' All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00/ RIC (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date N / or Town of NORTH ANDOVFR To the Inspector of Wires: The udersigned applies for a permit to perform the electricw work described below. gl Location (Street b Number) zo /'Z Owner or Tenant jOwner's Address 1 Is this permit in conjunction with a 1building permit: Yes _ No: (Check Appropriate Box) Purpose of Building Utility Authorization No. /�� /� a Existing Service Am — ' Ps —J Volts Overhead Undgrnd L r�! No. of Meters • New Service Amps �Z7/2Z—VoIts Overhead Undgrnd � No. of Meters Number of Feeders and Ampaclty Location and Nature of Proposed Electrical Work ILII No. of Lignting OutletsI No. of '-lot -cs No. of Transformers Total KVA No. of Lighting Fixtures I Aocve.— ,n- g 9 I Swimming P:.oi r" grro. _ grno I Generators KVA t' No. of Receotacie OutletsI No. of Emergency Lighting No. of Oil Eurners I Battery Units No. of Switch Outlets I No. of Gas -:-urgers FIRE ALARMS No. of Zones No. of Ranges ( No. Cf Air C,:r.c. otai No. of Detection and chs Initialing Devices No. of Disposals I No.ol Heat o:ai -otai Purr::S No. of Sounding Oevicas No. of Dishwashers I No. of Serf Contained S oacerArea �ieauro 'r,v OetectionliSounotng Oevices No. of Dryers I Heating Cev-cesK\N Local — Municioai Connection -Diner No. of VU Ji Low Voltage q No. of Water Heaters KWI S gns �a las:s Wiring I No. H ydr0 Massage - woe � ' I No. of Moicrs II. I H �oia� P �i. OTHER: i i'• INSURANCE COVERAGE. Pursuant :0 ins reouirements of '.tassacr..users ;enerat Laws IN: I nave a Current Liability Insurance Policy inctuainq C mc:etec Ccerations Coverage or its substantial equivalent, YES NO = 1 have submitted valid proof of same to the Offics. YES = VO = It you nave checked YES. please indicate IM type of coverage o cnecking the approariate Cox. ag y INSURANCE = aONO = OTHER = (Please Scec:�w) Estimated value of E!sctncal Work (fa0uation Octel S Work to Start Insoec:ion Date ;;acues:ec: Roti n � 4 Final Signed under the Penalties of perjury: FIRM NAME hicenue AV, LIC. NO. 'd S,gra: re LIC.NO. v �l G Address Bus. Tel. No. ' Alt. Til. No. OWNER'S INSURANCE WAIVER: I am aware trial the u:censee coes roi ave ins insurance coverage at its substantial"utvialenl as re•i, quirea by Massacnusetts General laws, ana that my signature on :nis zerma aopucation waives this require n me 1 Owner (PIeaN Check Oriel• AQMI • •- lS.gnaturs of Owner or Agentl 'sieonone No. PERMIT FEE S y N, J v G Date. ..�:..2f ............... 4 � p� NG oTN�ti0 TOWN OF NORTH ANDOVER o PERMIT FOR WIRING EE ,SSAGMUs� _ J This certifies that ................................................ has permission to perform ........ :-!�-A- .::. ...... ............ ................. wiring in the building .? M at... ............. ..:-' ::� `' North Andover Mass 1-1 Fee.��. n....�y.. Lic.No.� �=�5 ............................ ...............'....... 0 ELECTRICAL INSPECTOR L.,Jool� �G WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Date. of tORTH-1 TOWN OF NORTH ANDOVER 0 0 PERMIT FOR PLUMBING This certifies that . . . . . . . . . . . . . has permission to perform #. . . .. . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . ... . . . . . . . . . . . . . . . . NorthAndover, Mass. Fee-47e. . . . .Lic. No. 3C . . . . . . . . . . . . . . . . . PL IVIQ�n INSPECTOR Check # 8126 - MASSACHUSETTS-JNIFORM APPLICATION FOR PERMIT TO DO GASFITTING- tpri for e! V I L� i€2 F)a 21� P it uiu nldIng L anon L era erase r CG Type of occupancy New Renovation p Replacement 21-11 Playas Submitted: Yes p 14o O UJ u1 ix > i LU Enz Q � G L sUB-BSMT I BASEMENT 3S€'FLOOR { x f { 2ND FLOOR { I -- 3RD FLOOR { 4TH FLOOR ( f f ! STH FLOOR 6TH FLOOR ( I { 7TH FLOOR, { t ! { STH FLOOR ( { ! ( ( ! ! s 1 { n t ; Check one: certificate installing Comp-ny Nam (. � �� �� Acadress Q Corporation p Partnership sus€ries Telephone f t r•.ame of Licensed Plumber,or Gas Fitter F"iNMSURANCE COVERAGE: i have a currentl bility insurance policy or its Substantial equlvalent, which meets the requirements or MCL Ch. 142. Yes filo O If you have checked yes please indicate the type of coverage by checking the appropriate box. A liability Insurance policy Cather type Pf indemnity O Bond p OWNEKvS INSURtIACE WAIVER: I arra aware that tit-licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws, and that racy s€glature on this permit a -plication v�alves this requirement_ check one: S€gnatrre of owner or owner's Agent Owner p Agent p o t of r tri_bes � ve sub tte enteres3l an sleeve application are true ens!accurate m F detaaas and Information i;ha mi d lar PPI hereby certi.y that all 0. Itis my knovsAedge and thatal€plumbing worlt and Installations performed under the ase is ued for this appllcatio €l be in comp€lace vAth all pertinent provisions of the Massachusetts s tate cas c ode and c hapter 142 of the G ree €L Type df License: 6 By p Plumber '-MgKature of Licensed PlErrAber or Gas Fatter Title ❑G E`er cirfrrown ; "r License tlumbar ' a...) APPROVED(OFFIC USEOI4Uf) p.ioumteyman I notice to APPUGAW/. V CLERK and Certification of A on of rlanning Board Definitive Subdivi icor, Pian entitled: Evergreen Estates By: Christiansen & Sergi dated nPt-am„P,. ;u 19 94 The North Andover PlanningBoard has voted to APPROVE said plant subject to the P � � following conditions: 1. That the record owners of the ',Ject land forthwith execute and record a "covenant running with the land", or otherwise provide security for the con- struction of ways and the installation of municipal services within said sub- division, all as provided by G.L. c. lel., S. 81-U. 2. That all such construction and installations shall in all respects conform to the-.governing rules and regulations of this Board. 3. That, 4s re4 i.red by the North Andover Board of Health in its report to this Board, no building or other structure shall be b --Ut or placed upon Lots No. as shown on sa4r ' "lan without the prior consent of said Board of Health. l`. 'Other .conditions: :GW C :L See attached . � m v- crc cr' In the event that no appeal shall have been taken from said.approval within twenty days from this date, .the North Andover Planning Board will forthwith thereafter endorse its formal approval upon said plan. The North Andover Planning Board has DISAPPROVED said plan, for the following reasons: • i NORTH ANDOVER PLANNING BOARD Kir Date: August 15, 1995 By: 4a JosepiL V. Mahoney, Chairman Evergreen Estates Definitive subdivision Conditional Approval The Planning Board herein APPROVES the Definitive Subdivision Approval for a twenty-two (22) lot subdivision known as Evergreen Estates. This application was submitted by Robert Messina, Messina , Development Corp, 805 Winter, North Andover, MA 01845 on January 24, 1995. The area affected contains approximately thirty-five (35) acres in a Residential -2 Zone off of Salem Street. i The Planning Board makes the following findings as required by the Rules and Regulations Governing the Subdivision of Land: A. The Definitive Plan, dated December 28, 1994, rev. 6/1/95 includes all of the information indicated in Section 3 of the Rules and Regulations concerning the procedure for the submission of plans. B. The Definitive Plan adheres to all of the design standards as indicated in Section 7 of the Rules and Regulations. !I C. The Definitive Plan is in conformance with the purpose and intent of the Subdivision Control Law. D. The Definitive Plan complies with all of the review comments I submitted by various town departments in order to comply with state law, town by-laws and insure the public health, safety, and welfare of the 'town. I, Finally, the Planning Board finds that the Definitive Subdivision complies with Town Bylaw requirements so long as the following conditions are complied with: 1. Prior to endorsement of the plans by the Planning Board the f applicant shall adhere .to the following: A planting plan for the stormwater treatment area and the wetland replication area at the entrance to the subdivision must be submitted for review and approval. The planting plan must include a mix of trees and shrubs if possible. b. Additional storm water storage must be provided on Lots 21 and 22 where the 100 foot contour meets with the V7 wetland boundary. CV cThe detention basin dikes should conform to ASCE standards. The plans and typical cross-section must be revised to reflect a five (5) foot grass strip in the area beyond 1 ' n. All drainage, water, and sewage facility designs shall be approved by the North Andover Division of Public Works. Provisions for water intrusion mitigation shall be included in the design and shown on the construction schedule required in Condition 1(f) . .� o. All application fees must be paid in full and verified by the Town Planner. A full set of final plans reflecting the changes outlined above, must be submitted to the Town Planner for review endorsement by the Planning Board, within ninety (90) days of filing the decision with the Town Clerk. q The Subdivision Decision for this project must appear on the mylars. All documents shall be prepared at the expense of the applicant, as required by the Planning Board Rules and Regulations Governing the Subdivision of Land. Endorsement of theo roof s lans i p p f satisfaction of the above conditions. 2 . ::%e o any work on site: approved plans must be endorsed by the Planning Board and recorded by the applicant at the Essex North Registry of Deeds. �r�Andover The applicant shall post (per agreement with the North Planning Board) a Site Opening Guarantee in the amount of fifteen thousand ($15,000) dollars to be held by the Town of North Andover. The Guarantee shall be in the form of a check made payable to the Town of North Andover and will be placed in an interest bearing escrow account. This amount shall cover any contingencies that might affect the public welfare such as site-opening, clearing, erosion control, and performance of any other condition contained herein, prior to the posting of the Performance Security described in Condition 3 (d) . This Site Opening Guarantee may at the discretion of the Planning Board be rolled over the cover other bonding considerations, be released in full, or partially retained in accordance with the recommendation of the Planning Staff and as directed by the vote of the North Andover Planning Board. All erosion control must be in place and reviewed by the Town Planner. 3. Prior to any lots being released from the statutory covenants: 3 w to the public health without further testing. No building or structure shall be placed upon these lots without consent by the Board of Health. b. Due to the large amount of rock on the site which may interfere with the amount of parent material available for leaching, the Board of Health will require that the leaching area for each lot be completely excavated to insure that there is the requisite four feet of parent material present throughout the entire location proposed for the leaching area. c The applicant must submit to the Town Planner proof that the FORM J referred to in Condition 3 (c) above, was filed with the Registry of* Deeds office. d. A plot plan for the lot in question must be submitted, which includes -all of the following: i. location of the structure, ii. location of the driveways, location of the septic systems if applicable, iv. location of all water and sewer lines, V. location of wetlands and any site improvements required under a NACC order of condition, vi. any grading called for on the lot, vii. all required zoning setbacks, viii. location of . any drainage, utility and other easements. e. All appropriate erosion control measures for the lot shall be in place. Final determination of appropriate measures shall be made by the Planning Board or Staff. F' f. All catch basins shall be protected and maintained with hay bales to prevent siltation into the drain lines during construction. g. The lot in question shall be staked in the field. The location of any major departures from the plan must be shown. The Town Planner shall verify this information. h. Lot numbers, visible from the roadways must be posted on all lots. 5 . Prior to a Certificate of occupancy being requested for an individual lot, the following shall be required: a. A stop sign must be placed at end of Pheasant Brook Road ewhere it intersects with Salem Street. b ' A driveway easement -a-cr-oss-Lot--22-must be granted to 'I'a 5 ambulance) 7 . Prior to -the final release of security retained for the site by the Town, the following shall be completed by the applicant: T a. The boundary between Pheasant-Brook Road_and_the property 4q owned "bji Ian and Denise Danis must b-15 "screened. �W Z dy er a reement between the applicant and the Danis' and as v� ,approved by the Town Planner. b. An as-built plan and profile of the site shall be submitted for review and approval. ti C. The applicant shall petition Town Meeting for public acceptance of the street. Prior to submitting a warrant for such petition the applicant shall review the subdivision and all remaining work with the Town Planner and Department of Public Works. �The Planning-Board shall hofd--�;77a=portion-of..-.the;_s�� v-i:&n�bond forncont-inued mr tenance anzt`"�op`r tions until such time-as---Town � iki � Meeting-ha acceptedj(-or rej ect`ed-iri"favor of private ownership) th-e roadways•p It shall be the developer's responsibility``to-insure that all proper easements have been recorded at the Registry of Deeds. d. The Town Planner shall ensure that all Planning, Conservation Commission, Board of Health and Division of Public Works requirements are satisfied and that construction was in strict compliance with all approved plans and conditions. a . The following requirements of the Division of Public Works must be adhered to: a. The spacing between the top of the vertical curve and CB #12 and CB #13 is acceptable. b. The_precast;`csncte`arch brdge_and -related walls-should Abe designed--and-stampedl�y astrucur 1-engineer. Shop ayJ �dAws,ngs�_of--the -bi-dge----•and-,headwalls -In the-~proper configuration must=be submitted-to_the_DPW. for=r- view and app r6val-priorto manufa�c_tur-e �------ - - ,-- -- - C. P r its for utility;,and-roadway extensions will not__be� gr6aa--ptedd—unt l a set of plans _:and"copies of.the_dec signs of-both--tlie Planning Board:.and_ Conservation Commission are-on file:-at the Division- of- Public- Works-. /(�( 9 . The sewer extension for the subdivision will be subject to the policies of the Division of Public Works regarding the mitigation of groundwater infiltration into the existing 7 E decreasing the amount of erosion and siltation on site. 18 . The utilities must be installed and the streets or ways constructed to binder coat by August 14, 1996 (two years from the date permit granted) . If the utilities are not installed, the streets or ways are not constructed to binder coat and an extension has not been granted by the Planning Board by the above referenced date, this definitive subdivision approval will be deemed to have lapsed. 19 . This Definitive Subdivision approval is based upon a Special Permit granted in accordance with Section 4 . 125, 10. 3 and 10. 31 of the North Andover Zoning Bylaw. The Special Permit and Definitive Subdivision approvals are both based upon the following information: a. Plan titled: Definitive Subdivision Plan . Evergreen Estates Located in North Andover, MA Record Owner: Jean F. Smith & Helen Gorman 270 Marbleridge Road North Andover, MA Applicant: Messina Development Corporation 805 Winter Street North Andover, MA Prepared by: Christiansen & Sergi 160 Summer Street Haverhill, MA 01830 Dated: December 28, 1994; rev. 6/1/95 Sheets: 1 through 15 b. Document titled: Supplement to the Definitive Subdivision Plan of Evergreen Estates in North Andover, Mass. Prepared For: Messina Development Corporation Dated: December 20, 1994 Prepared by: Christiansen & Sergi 160 Summer Street Haverhill, MA 01830 C. Engineering review comments by Coler and Colantonio Inc. , dated February 21, 1995; June 23 , 1995, July 18, 1995, and July 24 , 1995. d. Memo from the Board of Health to the Planning Board dated July 16, 1995. CC. Conservation Administrator Director of Public Works Health Administrator Building Inspector Police Chief 9 i