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
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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
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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
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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
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V 6172272995 P03
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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
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101,
Ile
100,
lol
/
/
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LOT 12
33.8'
EXIST.ENO.
T.O.F.=141.8'
r �
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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
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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
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OTHER:
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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
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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
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See attached
. � m v-
crc
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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
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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:
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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
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