HomeMy WebLinkAboutMiscellaneous - 169 BOXFORD STREET 4/30/2018 (2) 169 BOXFORD STREET
2101106.A-0086-0000.0
Commonwealth of Massachusetts
= City/Town of
System Pumping Record
Form 4
DEP has provided this form for use=by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using.this form, check with your
local Board of Health to determine the form they use.The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Location: Left�ont of h e Left/Right rear of house, Left/right side of house, Left/
Right side of building, Left/Right front of building, Left/Right rear of building, Under deck
Address
City/Town (I State �J Zip Code
2. System Owner.
Name
Address(if different from location)
Citylrown StatVgo ._� �e
Telephone Number
r`
B. Pumping Record
1. Date of Pumping Date 2. Quantity Pumped: Gallons 1
3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No.
' 5. CondAitio'n of Syst{em� U\�
REt:0VE
6. System Pumped By:
Neil Bateson F5821 NOV 'I 2013
Name Vehicle License N tuber
Bateson Enterprises IncTOWN OF NORTH ANDOVER
Company HEALTH DEPARTMENT
7. Location where contents were disposed:
Cx.L MHaule
Lowell Waste Water
Sign a Date
t5forrM.doc•06103 System Pumping Record•Page 1 of 1
Commonwealth of Massachusetts
City/Town of Roo'
System Pumping Record 4 polo
Form 4
MI TOWN Oft NONN ANDD
DEP has provided this form for use by local Boards of Health. MSI Nom, b t the
information must be substantially the same as that provided here. Before using Is orm, c eck with your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Location: Left front of house, right front of house, left side of house, right side of house, Left
rear of house, right rear of house, left side of building, right rear of building, under deck.
City/Town State Zip Code
2. System Owner:
Name V
Address(if different from location)
City/Town Stat i Code
Telephone Number
B. Pumping Record
1. Date of Pumping pate 2. Quantity Pumped: canons
3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes D--90 If yes, was it cleaned? ❑ Yes ❑ No
5. Condition f System:
o is
6. System Pumped By:
Neil J. Bateson F5821
Name Vehicle License Number
Bateson Enterprises Inc.
Company
7. Locati ere contents were disposed:
L.S.D. 4ell Was e
—10
Signature ler Date
t5form4.doc•06/03 System Pumping Record•Page 1 of 1
FEB-25-2007 06 : 11 PM LARRY OGDEN 978 352 2858 P. 01
LAWRENCE$, OGDEN,F.E.
198 EAST MAIN STREET"
GEORGETOWN,MA 01833
978-3524318 fax 978—332-2856
pager 978-502-8921
February 24,2007
Mr.Kevin Murphy
' 169 Boxford Street
North Andover MA. 01845
RE: Daigle Residence 457 Bear Hill Road,North Andover,Ma.
Dear Murphy.
Per your request I visited the above site to review the LVL Beam consisting of 4.
1.75"*9.25"LVLs in the existing(Garage that spans 12 feet and supports the downer roof
and attic storage,and the LVL Ridge beam consisting of 4.1.75"*18"LVLs over the new
Family Room that spans 24 feet.
I have reviewed the design of these LVL beams used in the structure and can
certify that the beams are acceptable and meet the loading conditions required by the
Massachusetts State Building Code.
Should you have any questions please do not hesitate to caII.
Yours truly,
i�
4
wrence H. Ogden,P.E. Structural 27755 �'t,�,p�T�i OF A��� _
LA WRENcE
ROLA
G4E n�r�
�0 A�, 0�>>:•' r
LAWRENCE H. OGDEN,P.E.
198 EAST MAIN STREET
GEORGETOWN,MA 01833
978-352-8318 fax 978—352-2858
pager 978-502-5921
April 15,2007
Mr. Kevin Murphy
169 Boxford Street
North Andover MA. 01845
RE: Residence Mr. Jeff Kutz, 151 Boxford Street,North Andover,Ma.
Dear Mr. Murphy
Per your request I visited the above site to review the LVL Beam consisting of 4-
1.75"*9.25"LVLs supporting the second floor, span 12.5 feet and supporting the LVL
Ridge beam consisting of 2—1.75 5"*11 7/8"LVL,the 2— 1.75 * 9.25 LVLs supporting
the ridge and 2'-1.75* 7.25 LVL window header.
I have reviewed the design of these LVL beams used in the structure and can
certify that the beams are acceptable and meet the loading conditions required by the
Massachusetts State Building Code.
Should you have any questions please do not hesitate to call.
Yours truly,
"I
(1'\ OF AMIA
o� LAW EN E
cn r
L wrence H. Ogden,P.E. Structural 27765 a o.vLs �F' 13-/
y.
,o P 2776 c
Ss/0 Nnl Er
E NORTH q
� �TLFo �6• tiO
O A
h
Arav
CHUSEt�y
CONSERVATION DEPARTMENT
Community Development Division
October 16,2006
Mr. Kevin Murphy
169 Boxford.Street
North Andover,MA 01845
RE: SITE INSPECTION- 169 Boxford Street,North Andover,MA
Dear Mr.Murphy,
At your request,the North Andover Conservation Department conducted an inspection to
determine if there were any jurisdictional wetland resource areas within the limits above-referenced
property. Based on out discussion,you are proposing to construct an addition that would connect
the three-stall detached garage to the single-family house.As you know,there is a Bordering
Vegetated Wetland (BVW)with an associated floodplain that traverses along the southern property
line,most of which is located on the abutting property. On Friday,October 13,2006 I measured the
approximate edge of this resource area to be about 260' from the right rear corner of the garage.
Therefore,the 100'Buffer Zone does not extend within the limits of the project area.As such,you
would not be required to obtain a permit from the North Andover Conservation Commission
ACC .
I trust this information is sufficient for your needs. Should you have any questions or comments
regarding this letter,please do not hesitate to contact the undersigned at your earliest convenience.
Respectfully,
NORTH ANDOVER CONSE NATION DEPARTMENT
Pamela A. Merrill
Conservation Associate
1600 Osgood Street,Building 20,Suite 2-36,North Andover,Massachusetts 01845
Phone 978.688.9530 Fax 978.688.9542 Web www.http://www.townofnorthandoversom/conserveLhtm
LocationK1-tX�dQ�
r�io. t�v Date �� Q4
- o
4
NORTM TOWN OF NORTH ANDOVER
cAa& p Certificate of Occupancy $
Building/Frame Permit Fee $ 2(0o
cHu
tFoundation Permit Fee $
ss� sE
CM
Other Permit Fee $
Sewer Connection Fee $
0
Water Connection Fee $
TOTAL 3 to
ullding Inspector
7542
542 Div. Public Works °.
PERJfI'i'"iv 35 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP d40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE
ZONE I SUB DIV. LOT NO.
-OCATION t 6p� �� 5�.� PURPOSE OF BUILDING �°�lC,
OWNER'S NAME .�,f_ vn ^ NO. OF STORIES T SIZE i U"j IL 2-6
OWNER'S ADDRESS `y[•i I q (� •`T' �c•�.� BASEMENT OR SLAB �As F- .r
Q 7A C✓
ARCHITECT'S NAME l O 'l `•'(J SIZE OF FLOOR TIMBERS IST _K� 2K, 2ND 2 W`V
T1 3RD r—
BUILDER'S NAME 1 i v,� rj SPAN 1 1 1 --
DISTANCE TO NEAREST BUILDING l Y�Iy DIMENSIONSL OF SILLS
DISTANCE FROM STREET 6'9 1 "' POSTS 1/,� L-A1 f s
DISTANCE FROM'LOT LINES SIDES .P �� REAR qs'1/, GIRDERS L./ `l 1i 1+
It
AREA OF LOT "� e�. �' \�•,/ FRONTAGE `L�J�r 1 HEIGHT OF FOUNDATION �j�,.l ` L6/`+,�^' LTHICKNESS 1 `-� 11
IS BUILDING NEW L e�-'� d SIZE OF FOOTING L X ( V
IS BUILDING ADDITION C/A MATERIAL OF CHIMNEY
IS BUILDING ALTERATION �(CACI, IS BUILDING ON SOLID OR FILLED LAND o ] L
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER NJ
o
BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER ,V
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES
EST. BLDG. COST
Tu om
PAGE i FILL OUT SECTIONS 1 - 3
EST. BLDG. COST P Q. 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
DATE FILED -
3 mulEbING INspKCTOR
SIGNATUR OF OWNER OR AUTHORIZED AGENT
ICO® .� OWNER TEL.# ���^ ✓
FEE
PERMIT GRANTED CONTR.TEL.#
Lo asp- 19 CONTR.LIC.# Q 3 O ` )
H.I.C.# ( U
N
I
BUILDING RECORD `
1 OCCUPANCY 12
SINGLE FAMILY Si ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE 3 t 2 (o
CONCRETE BIL —PINE
BRICK OR STONE HARDW
PIERS PLASTER
_ DRY WALL
UNFIN.
3 BASEMENT
i
AREA FULL FIN. B M TAREA _
'/ 1/1 '/, FIN. ATTIC AREA _
N_O B M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDWD .
ASBESTOS SIDING COMfdCN _
VERT. SIDING ASPH. TILE -
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER ELK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR I� POOR
ADEQUATE NONE
5 ROOF 10 PLUMBING
GABLEHIP BATH (3 FIX.) /^
GAMBREL MANSARD TOILET RM. (2 FIX.) f'
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK _
SLATE NO PLUMBING
TAR & GRAVEL STALL SHOWER
ROLL ROOFING MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. &COLS. STEAM
STEEL BMS. & COLS. HOT W'T'R OR VAPOR #'
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G -
UNIT HEATERS
7 NO. OF ROOMS GAS R
IL
O
B'M'T 2nd _ ELECTRIC
3rd NO HEATING 'NO HEATING
1 *ONNM ot oft. Anctover
X35 0
.�._
o A Tort- - dover, Mass., S 1 A 4
A- COCHICHEWICK
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
CERTIFIES THAT..e . .....ROW-
THIS ......................................................................
Foundation
has permission to erect..)h.A.I+.I*QOZ�...Stuildings on .... (Q ...�..m ....�—.r..................... Rough
-to be occupied as Z. ........... .... .......� .....
Chimney.......................
ofprovided that tho pers5n acceting this permit shall in every respect con orm to the terms the Application on file in
Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in.the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS CONS Cr O ST T
Rough
. ..... .... Service
BUILDING IN CTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FI NAL DRIVEWAY ENTRY PERMIT
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****section*****************APPLICANT: Phone 68 9) - ,j
LOCATION: Assessor' s Map Number Parcel
Subdivision Lot(s)
Street (-�� St c� �� S+ St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
K Date Approved 1 S
Conservation Administrator Date Rejected
Comments
1<,G (t�� 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
- driveway permit p
Fire Department
s
Received by Building Inspector Date
.s
;
T
1
N LOT 2
N �
EXI5T. 7Avr"
Ny.
�T 3`1yP Go 18
X
A W
_ 17500'
Q
"TRIS IS TO CERTIFY THAT I HAVE INSPECTED
THE CONSTRUCTION OF THE SAID DISPOSAL
SYSTEM LOCATED AT LOT 2 - O0lfA) lav,
N. ANDoVGr� MA. THE GRADES ARE AS
SPECIFIED IN THE PLANS AND SPECIFICATIONS
DATED / f`'HX-HARCf(IONDA & ASSOC., INC.'
ELEVATION TO TOP OF PIPE s FAiit_
D1fELLING:
TANK IN: r; s
TANK OUT: 15-5.O2 ?> qi r
D—BOX IN: 154. G to
-
D-D 0 X OUT: A 154.4-7 �,�a•v� '
I3 154.4G DATE
C � •
D AS BUILT' SEWAGE DISPOSAL
END OF DISTRIBUTION r
LINE.
• A s SYSTEM PLAN
4 /
H 154.13 - .
�.
C IN N. AMpDUE/� M� ( L;7; 2 /3.-.,���,rt� p .)
D AS PREPARED FOR
SCALE 1"=.¢0' DATE 6119 �7
�tfARCITIONDA & ASSOC., INC.
ENGiNEERMC AND PLAIIIII14G CONSULTANTS
D0 1(AP(.F. STREET R F.D. 18 '
STONEHAU, HASS. 02160 11A1lC1f) STER 1(1( 03103 ,
(617) 436—(1121 (603) 4:14-6725
351-�,
NRY OR WASE CONSTRUCTION `MATERIAL.
X
'MICH MAY CRUSH OR DISTURB THE Al,GNMENT OF PIPE
)SAL-SYSTEM SHALL NOT BE ALLOWED OVER ANY PART OF
;HALL BE DOUBLE WASHED GRAVEL STONE.
BOTH SOLID AND PERFORATED, SHALL BE POLYVINYL
.V.C.), SCHEDULE 20, UNLESS OTHERWISE SPECIFIED.
1T SHALL BE USED ON 4LL PIPE JOINTS. CONNECTIONS
T' �
E SHALL BE MADE M H H YD KA,ULIC CEMENT AND MORTAR
h
ROOF TAR SHALL 110 T BE USED.
OF rHE LEAC ^1G P 4C!l jTY SH ALL
r
PERCOLATION RATE = S•DniN,
DAILY 'LOW = a
TRE'1CH �E i i+: ;JSE 7 ) ;o'iL•` - _
(TOTAL _EACHf>J.^. lN; A
_ fj - lL
SIL tVYA i. bYl F r1l = L s a
—1 SAI. ,P4-_' Y
= x
a x z g
J- CL
r—
p i -t, -- s
rF
a
s
y
A
X' /
Y
3
M. A. No. 351 — 0 1
40' 20' 0' 40� SHEET { OF I
~- OcTA/L TNOMAC E.NEVE AfSOC/AYES. /NG a#//71C PLAN OF L.ANO
NOTro U[E EN /NEER9-SuRVEyp aa-
SO LAND(/fG PLANNERS
�� 3bI L2 16 OLO BOSTON ROADU
/N
TopfF/iL O, MwasAeauaC rTa-O/9BD Qat'•
4j.O/3 EC.SB / CER r/PY THAT 7N/g PLAN WAS PREPARLO �✓�V
" - NORTH ANDOVER. MASS:
It a, 8 (ENO) IN CONFORMANCE WIT m / OWNED BY
1- .T N THE RULES AND \ A-A A"—A--
/ REG ULATIONS Or THE REG/SreR OF DEEDS `
��/�� ���• ANTHONYJJA#FRANCESE.SZELEST
�" l <. DRAFTSMAN t PREPARED FOR }
_a. �y 3 On���1.R,b,'Vj.Jam` n Q <� DATE PROF LAN03UR✓EYOR DAVID A KINDRED
A-1
Y
D.N 4P Ztt: 44
L (fT0) O ny ��. <, o bµ, SCALE P•IO' FEBRUARY/1,1990
_ ^ Q _
V � LO k C•' as0 T/
PJ Dor TIL St�E2 h y
S.
LO 40 80 /ZO
<Q` ZON/NG D/srR/CT-R•J-RES/DENCQ l D/3r/t/CT
+ t1t�'� ?.�I► b
'0.02' AN .g' Sry r3.ep,
rOh '�. � F ASSESSORS MAP 106-A,PARCELS 1,2,3,85 t$6
a N
(ON-. 965 .�N
GND) wEL / 4.0�- /S
Dp � <' `j O �O REFERCE
(\ T, <4 EMV q' 7 SEE PLAN AI D/S /N THE REGISTRY OTY 03 /N -
i ^ `ty S VH-E<
4C.)
e'23, fN B�FND NORTHERN DISTRICT ESSEX COUNTY
Z! GRA �DNotAre n/k HNF rIR .nil ®d �lri. � < Q �3a<- l •�
SrkEBAR.i/^��/1�ie
WZ 4� W '' /r/ � c. 0 X9.3 R.
az LOT'# N ♦ 4iETr V fCb'�.p9`''.. 6 FS 330
4 - 87/t/ GMPr.
ZOO ACRES 4't'G nl �<• Ffi \ P�
J tip UPLAND•B7,/L/f �,� 3T 1. CQ_ \ t� N
0�
LAND
W U BLK 4b_
�C
: F BARN WETLAND < .� OL
ON „I DE TA/L 3ESGuRc /:AEA <e y.,_! C. 1
`/1 D hUT T
41
O.IO. wLE •A
to p SHED
� o ry Lot 2
y 87 Be/ap Fr L OT'3
m r.oEACREs
as,e+esaFr q .\0� o `F
P uPLAND•B'/700 Z.03 ACRES 4 U.V W 4..
P `!� w o,/;• "I n� A ,!' NORTH ANDOVER
A UPLAND.61500 V4 Y\o/ 7 y 0 Ot PLANNING BOARD
LOT aro "l �•� APPROVAL UNDER THE
J y 87.170 SQPT. O SUODIV1510N CONTROL
l N
L.00ACREg h �. LAW NOT REOUIREO.
�f T AND
W BOUNOAR/ S C / UPL.AND �fOO� \.p0 V
O.O•JJ \ IOD YEAR FLOOD PLAIN !O•s w J 0' .� CONTAINED WITH/N
WETLAND BOUNDIRI6' ^
"Lv �5 SP' !! AS SHOWN. LOT 117 b
j O b
87,/ZO SAA Fr.. C
O.N 9 Z.00 ACRES �. DATE: —ZI/S�7o
�`^- W c•
> � Ire• _ o
9A '0 j LSV
O St e` A.
> o p
'88's, y 5 e.
hp Y Y�
c z LOT.B 0
ie7,leo go.Pr. ° v
1 q S GJ'/ •33 p 67. Lh 'yEl Wil/ Z.00 ACRES
j' Oq r UPL.ANO•87/4 V O a'
r 3979$.
2 it
J1 JL /
v
O N
'LOCUS MAP- E { Q LOT=S �•o
O N34i" ZO/,S03 SO.FrLOT
if
aWp'^2 1+2 w Liry6 "N1•r. •rS 5 r p\
c
_ 1.• V v
TE 2 4 a _MATCH LINE(SEE 3N1ET-1 OF2)
9l`G// 7f4 I t SHE T'IOF2
943
OD
6-0
-----------------
On
1% 3
41"1
3 j J's
qvi �j
0
K)n
N.)t,14
7 25 Z
64;
C
J CkIS4
x �
c p
eu� �� �L
i
i
E
I
> i
i j r
I
77
' t
I f
f
i I
� f t
V c i I II L-JI
i -
� � i 1 r ► cam ; ,.i,:i i31u��: ��,,�
11AX
SP, j i
'Y Sa ! 1c t
t
2—q 12 (ti1A i fJi2+av�� S J
VL
Zx�0
O.C .
r
Icy
21,x, t 21,5 .
Ao
.7's
P
tL t/1'7)Jr,r fY1 � l
rrrrsT�Y j�!fes" ^ COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY. i
OF 1010 COMMONWEALTH AVE. '
3
MASSACHUSETTS BOSTON,MA 02215
CAUTION
/ r r
�t
EXPIRATION � � .
ION DATE C'
a y ^ r r FOR PROTECTION AGAINST
EFFECTIVE DATE LIC NO. THEFT, PUT RIGHT THUMB
v - RESTRICTIONS PRINT IN APPROPRIATE
,.
BOX ON LICENSE. i
o
BLASTING OPERATORS
j MUST I UDE PHOTO. i
NCL �•;,
m
PHO70(BLASTING OPR ONLY) FEE:
NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
�r L STAMPED-OR-SIGNATURE OF THE COMMISSIONER I
r. HEIGHT:
DOB: cl
l l
SIGN NAME IN•FULL ABOVE SIGNATURLINE
THIS DOCUMENT MUST BE ATURE OF LIC NSEE
CARRIED ONTHE PERSONN
_ THE HOLDER WHEN EN- COMMISSIONER
GAGED IN THIS OCCUPATION. .r{
OTHERS-RIGHT THUMB PRINT
�/ee�o�wmonu,ealDiC�✓�aeaac/ua� '
HOME IMPROVEMENT CONTRACTOR _
i rr Registration 101874
Type - INDIVIDUAL
Expiration 06/29/96
Kevin Murphy
' Kevin W. Murphy
>ti
Boxford St _
r-
�%
ADMINISTRATOR . Andover MA 01845
STR TOR
4; <;n
Location
No. 3S G Date
p. 40RTH TOWN OF NORTH ANDOVER
- 3r • �ao ,•,ti�O
a Certificate of Occupancy $
Building/Frame Permit Fee $
�ssAG14 Foundation Permit Fee $
{ Other Permit Feeotu
( $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ ZS�
GACA Building Inspector
77- 1204194 09:16 25.00 FAIL
7792
g
r ` 7 9 2 Div. Public Works
9 �,Wiy ti
KAREN x.P. NELSON � �' Town of 120 Main Street, 01845
Director (508) 682-6483
• NORTH ANDOVER
BUILDING '- '° •.. °
CONSERVATION
s'•��� DIVISION OF
HEAL
PLANI NG
NPLANNING & COMMUNITY DEVELOPMENT
PLNI
CHIMNEY APPLICATION AND PERMIT
DATE f�Q.(/�// / PERMIT3SC-
LOCATION
OWNER' S NAME
BUILDER' S NAME
MASON ' S NAME
MASON' S ADDRESS
MASON' S TELEPHONE
MATERIAL OF CHIMNEY
INTERIOR CHIMNEY Z/ EXTERIOR CHIMNEY
NUMBER AND SIZE OF FLUES
THICKNESS OF HEARTH/ -P-�
Will chimney or fireplace conform to requirements of the code and
have rules and regulations been received: jli--< '
DATE / �~
1 kko
SIGNATURE OF MASON CONTR. LIC. #� /�- ��T�
EST. CONSTRUCTION COST/CONTRACT PRICE
PERMIT GRANTED l Z Q j, FEE
ROBERT NICETTA, BUILDING INSPECTOR
INSPECTED
REMARKS
SOLID BRICK REQUIRED
THIS PERMIT MUST BE DISPLAYED ON THE PREMISES
No. < y Date
140RTh TOWN OF NORTH ANDOVER
Of,.10 '.�M
OAw.
A Certificate of Occupancy $ J
Building/Frame Permit Fee $ } 5
Foundation Permit Fee $ ~�
MuMill se
�.� Other Permit Fee $
NOR iHM;DuJERCOLLECTC'Ler Connection Fee $
Water Connection Fee $
TOTAL $
MAR
A M" ' Building Inspector
Div. Public Works
PERMIT NO. * (J�isr� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /AGE 1
f�
MAP+40. LOT NO. 2 RECORD OF OWNERSHIP 'DATE BOOK 'PAGE
ZONE SUB DIV. LOT NO.
LOCATION + /_ v` vf'rQc��' PURPOSE OF BUILDING
OWNER'S NAME �`6`•�IL ®x C'aR.� +� NO. OF STORIES SIZE
OWNER'S ADDRESS V BASEMENT OR SLAB W,-L L
ARCHITECT'S NAME n ` _p SIZE OF FLOOR TIMBERS IST -2 2ND 3RD
BUILDER'S NAME C ,AV+�+.,, L~ SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET { POSTS
DISTANCE FROM LOT LINES-SIDES 1 REAR Soo GIRDERS >L`i
D IL
AREA OF LOT . a o a. ✓�C .O. FROa NTAGE !"j / HEIGHT OF FOUNDATION i THICKNESS
IS BUILDING NEW ► ` 0 !• SIZE OF FOOTING ! % 1
IS BUILDING ADDITION`/ � \ MATERIAL OF CHIMNEY rL
Vim+ u
IS BUILDING ALTERATION \f p.S IS BUILDING ON SOLID OR FILLED LAND so
�l.0 `1
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE [' IS BUILDING CONNECTED TO TOWN WATER A \
BOARD OF APPEALS ACTION. IF ANYh lt-C,Jo` IS BUILDING CONNECTED TO TOWN SEWER `Nv
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES EST. BLDG. COSTA
PAGE 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
R ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED a -
BOARD OF HEALTH
SIGNATURE OF OWNER OR AUTHORIZED A ENT
FEE -0
PLANNING BOARD
PERMIT GRANTED OWFIER TEL.�#_6� -5335-
11141d%?J�All e
TEL
is
BOARD OF SELECTMEN
� 71
�/ f7 BUILDING INSPECTOR
+ v
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILYS 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 8 INTERIOR FINISH
CONCRETE 3 1 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER 1 1
DRY WALLto
_� ;_ _ � ��C� �►.-.�'
3 'BASEMENT I
AREA FULL FIN. B'M'TAREA _ ` _ `++ ` •.�
'/. 1/1 °/ FIN. ATTIC AREA _
NO BMT FIRE PLACES
HEAD ROOM _ MODERN KITCHEN }J
4 WALLS I 9.. FLOORS
CLAPBOARDS B 1 _-2 3
DROP SIDING CONCRETE I_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDNrJ'D _
ASBESTOS SIDING _ COMMON
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY •ATTIC STRS. 8 FLOOR
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR I POOR _
ADEQUATE NONE _
5 ROOF 11 10 PLUMBING +*•
GABLE I HIP BATH (3 FIX.(
GAMBREL MANSARD TOILET RM. (2 FIX.(
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER - - -
ROLL 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 VAPOR ,
WOOD RAFTERS �14-_ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OI l
B'M'T 2nd ELECTRIC
1st 13rd I NO HEATING
�j' ' �/te�om�nar:wea�l�r o�✓�.auac�iuoeCla
18 QiIO MOH1A39MT, -------- HOME IMPROVEMENT CONTRACTOR
Registration 101874
!.1.7 .s Type - INDIVIDUAL
i
0e-9 fe -9e " 1 Expiration 06/29/94
s6-ba-90''.'°. ecsae^ Kevin Murphy
;�sN�n s.aan:aQ; Kevin W. Murphy
'•— - 169 Boxford St
ADMINISTRATOR N. Andover MA 01845
-
i
U31,10ISSIWW00 00950 NO1IVdn000 SIHI NI 330V0 1NI8d emi-i,1HOItl-SH3H10
N3 N3HM 8301011 3H1
3N113tl01VNISIS 3AO13V 1103 NI 3WVN NOIS 33SN Oi1303klf11V1 dONOStAd 3H1NO03188VO
l � 38 1Sf1W 1N3Wf1000 SIHl
:800
83NOISSIW WOO 311130 3Hf11VN01S-80-03dMiS -1H013H
AIIVIOId30(INV 33SN30Il A8 03NOIS 11INn OIIVA ION
•- � ' �• k..I"� �;_i,.('..;,..; 333 i.1lN0 kldO ONI1SV191010Hd
OlONd 3aniONI 1Sn11V ,: ..
SUOlb'83d0 CJNIlSt/l9 o i :-!`:Ii H•% 1`; <'.i ;';:..I:: o
<
3SN301� NO X013 9 <
3-LV1ddOdddV NII1NIUdevy
SKIVE NO1ii lnd d UO 'ON-01l 31VG 3N103333 SNOUDIELLS38
1SNIb'Jb'N0110310>3d a03
. .I.i'1 :':::1:_11..1.,' .. :_L.C.;.."t 14'...i,..I i.(l
NOI1fIV0 � . .. ,. . 31V0 N011b'8IdX3
9&ZZ0 VW`NO1S08 S113snHOVSSVW
'3AV H11V3MN0WW00 Mot j0
A13AVS 3iiend d01N3WJLUVd30 H11V3MN0WW00 ®
� a
'92 07/21 14:07 a 1 508 660 1457 COMM ENGR ASSOC 01
i�
r
i
e
i
30
LOT 2
A 8 7,88 1 s,f. w
BARN �.
.0
m M
N
LOT 3 LOT I
N
- ZO
N �
io -
aa
r
0
32
Ift O
?6 ry
i
t70 1s 00'
kF0
�O R a dg r � 0tia
to
6
I Certify that the structure shown on this plan is located as shown and when built
conformed to the building and zoning requirements of North Andover.
I certify that the structure shown on this flan does not lie within the flood hazard
area as shown on the FIR Maps for the Town of North Andover.
Community-Panel Number 250098 0010 B June 15,1992
This. plan was drawn for conveyancing purposes only and is not to be recorded or -
construed as an instrument survey.
Deed Refuen0es Hoo 3100 Page 250
PLOT PIAN OF LAND IN NORTH ANDOVER
Scale: 1" 40' July 17,1992
COMMONWEALTH FNGfNEERING ASSOCIATES INC.
16 OLD POST ROAD EAST WALPOLE, MA.
OFFICE (508) 668-53.36 FAX (508) 660-1457
C ,.pwty
OFFICES OF: . o °
TOWII Of 120 Main Street
APPEALS :.�.-�-u>' NORTH ANDOVER North A11dover,
BUILDING M)1Sti:1c11USC!(S O 1845
C:UNSL'iZV/\'1'tUN DIVISION OF 685-4775 �
H EALI'H
PLANNING PLANNING & COMMUNITY DEVELOPMENT
i
KAREN H.P. NELSON, DIRECTOR
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as def)ned by MGL c 111, S
150A.
The debris will be disposed of in:
(Location of Facility)
ignature of Permit Applicant
Date
VOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
i
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary ,
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
rr
APPLICANT: Phone S 3 3.5
LOCATION: Assessor's Map Number Parcel
Subdivision Lot(s)
Street t�jZ Sfi , St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
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
- driveway permit o
Fire Department CAa
Received by Building Inspector Date
i
Iry
1'' 1 n
7 e7
o 'p p o
CIL
__ N
+ +
i i + -
f f h I- 1 ! I i
I
+ I h � I—;—'� 1 r -i f i f- —+--
h
h I ! r—T—+ i -r
� I r r I -f
I I
I� f I
� 1 I I I ! + I 1 f i 1 I 1 r I I f f t 1 ! F
I � I
1 a-r-
i i
1
+
I '
i I � I I
I I I I I + I -
-i - t __} ._� .�---� .
I I r � + I
I I
I
_ �—f h- ! ! I 1 '�--f -�--F_—r_i '
I i ; I i I I ,
I 1 i � �------�--1 I i JIJ I I a I—i--
' ' I I � I i I
� I I l � � � I { 1 1
I I ` I- - - I - --�--�---
i � r tt I t ! ! i 1 -+- -+�- —+—+- -* 1 1�-
� I I I I I i
I + �- I � I I
-7�-1 -
--+
I
I I 1 I 1 � I I ( + �-
��_�� ._ _. - t-+ I - +- +-. .t-
I �_ +-_
1 1 + 1
' i � I � �
` I , ,
' - t - -�--- - ---�---} - + t- -t -+ -
i I I -f----r---�---- I I
I I I � �
I �- � I ! +
I
i I 1.. T� I
+
. I i
I I I
+ � � i � I
+
+ -+-+-- --�-+-i�---s--+-- � �--+ -r- -+-
+ 1 I
1 t I 1 r--t--+ + -I t i t +
I + I � I
I �
- —+---i- h—�—�—I +- -�—' -�--- +-- r�-t e , F i I i 1 I I I r !—
I I
1 I I I f
1 i I
._-*. �...- .�___ 1 � 1
I + �
+ � I
j I I ,
I i � I � , I + � I 1
I
i I � + { I T
1+ � I I i
I '
1
y t
1
1
1 �
�tn Adi s� 1
. v
� �k
- - - - - l - � - - -�
t
i �� � +
- - � � � t �
� :
- + +- - --�--t- - f
- - - - - + - - t -- ---i- � -� t
--� � } � � �
-- — -- - - - - ---{- - I ' ' t � - - a
_ - - - - - - -- — - -- —+- +- �- - f -
� t �
t t t � � t . t � �
__ _ _ _ -- _ -_ -_ _ _ � _ � _ _ __ _ � � __ t _+ .
t � t + - I -i - - f-
- - — - — - - - - -- - t + - —i-- - � a
_� F
-- - � _ �
- - -- -- - -+- - - - }- -�---t - }
_ ��� � � {I. � i �
- - - - - - _ - - +- + -1 -� - I I t' --+ ' -
i �� � I � �
_ _ _ _t _ t _ _ _ _ _ , �_ _ _�_ �._ t �;. _ f
t f -+_ - t �-- �-_+_ �---�_t
- - - - - - - - - t � - - - � - - � +---t---t-� - � --+
� 1-- .-� - t � --�--f. �-
t - - - - - - -
� ,
t � -�.— + - t-- t
I �
p i a5
�F I
k
T i
I
fi I
/ I�
t
+ + t41.
I I
NORTH
Town of ,, And1 over
`^
o�A o� ,� wdover, Mass.,_
o to 19
RATED PPR �C?H
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT......... .�i� 0.##*..
........... ......... .................................................................... Foundation
has permission to erect.440490WA... buildings on ../t.9.... ..... ... •• Rough
to be occupied as.......... .0. ..S....... 5'., .. ... �/�/ /(.. .... Chimney
e
provided that the person ccepting this permit shall in every respect conform to the terms of the application n file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
111 Rough
'ZI
................ Service
BUILDING INSPECTOR Final
Occupancy Permit Required to- Occupy Building
GAS INSPECTOR
Display in Conspicuous Place on the Premises — Do Not Remove Rough
P Y a p Final
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
PLANNING FINAL CONSERVATION FINAL Street No.
W.-4i�_- Smoke Det.
es
QCIAMP /%AiATPR FINAI t-4/! DRIVEWAY ENTRY PERMIT
Location
No. -� Date
TOWN OF NORTH ANDOVER
3?o�4t`1D-••,M��
wamimmidkp Certificate of Occupancy $
•
°> _ Building/Frame Permit Fee $
r 'ss„C,,sEt Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
(n TOTAL $
v IBuildin ector' T 01/24/97 11:47 25.00
.- 9. 00„44
;i Div. Public Works
i�
P)2rr.�flT i6o. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 1/ PAGE 1
MAP KJO. LOT NO. oo 12 RECORD OF OWNERSHIP (DATE BOOK ;PAGE
ZONE I SUB DIV. LOT NO. �I
LOCATION PURPOSE OF BUILDING AR- / ` �m_�
OWNER'S NAME �,A , l._ 1 NO. OF STORIES ' SIZE L� br
OWNER'S ADDRESS v6d',
C BASEMENT OR SLAB S'1
ARCHITECT'S NAME i V+�� J SIZE OF FLOOR TIMBERS 1ST l� 2NQ-7-4, 3RD
BUILDER'S NAME I�l 1 SPAN
DISTANCE TO NEAREST BUILDING OX wu DIMENSIONS OF SILLS _��L ---
DISTANCE FROM STREET t "' POSTS
DISTANCE FROM LOT LINES-SIDES ZS 1 REAR O "• ' GIRDERS
AREA OF LOT J��, �p J FRONTAGE L-7 S HEIGHT OF FOUNDATION 1` `v/1 1{ THICKNESS ( /1
IS BUILDING NEW / CC SIZE OF FOOTING % \ `/
IS BUILDING ADDITIONI�. l� MATERIAL OF CHIMNEY
IS BUILDING ALTERATION ►`J IS BUILDING ON SOLID OR FILLED LAND f z.ti
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �s IS BUILDING CONNECTED TO TOWN WATER •XJw
BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER Na
IS BUILDING CONNECTED TO NATURAL GAS LINE I`/()
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES EST. BLDG. COST
�v d
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT.
,��
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FI ED AN/p APPROVED BY BUILDING INSPECTOR
DATE FILED
nUILDING INSPECTOR
SIGNATOR O�OR IZE 7t
F E E OWNER TEL.#
PERMIT GRANTED J�'CONTR.TEL.# y�+-J A z` 4
' Z 19 CONTR.LIC.# 573 611
�O� H.I.C.# \ V l -7 �r/
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA-
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE J
2 13
CONCRETE BL'K. PINE
BRICK OR STONE HARDW'D PIERS PLDRY VJALLASTER
_ _
UNFIN.
3 BASEMENT
AREA FULL FIN. B M'TAREA _
'/. '/t 3/ FIN. ATTIC AREA _
N_O BM'T FIRE PLACES _
HEAD ROOM _ MODERN KITCHEN
4 WALLS I 9 FLOORS �—
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE ——�—
WOOD SHINGLES EARTH
ASPHALT SIDING HARDVJ'D _
ASBESTOS SIDING _ COMIACN _
VERT. SIDING ASPH.TILE
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR _ I
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR POOR
ADEQUATE kj NONE l G l`�--- �'•
5 ROOF 10 PLUMBING
GABLE HIP BATH 13 FIX.)
GAMBREL MANSARD TOILET RM. (2 FIX.)
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPE LESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. &COLS. STEAM
STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR
WOOD RAFTERS AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T 2nd _ ELECTRIC
1st 13rd 11 NO HEATING
NORTjr
Town o over
No. 021
-T LAKE over, Mass., /,e C�_ 9
C!"Ic-HEWICK
i?ATED
BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT. T
BUILDING INSPECTOR
THIS CERTIFIES THAT..................... .............. ..... ..... . ...................................................... Foundation
10"_�- ..................
. . ....... bUildin ......... ........ Rough
has permission to eiect... .......4n4.ff,tZ gs on.......... 60.. ............ .....
0/ 0 C) 0 .4-R 44.e Chimney
to be occupied as.......................................I............. to the terms of the application on file in
provided that the person accepting this permit sl��_ -_/i4e-ri...respect s-.p-.e-.c--t...conform.-.--.-- ...............I..... eration and Construction of Final
this office, and to the provisions of the Codes and By-Laws relating to theinspect,10, An
Buildings in the To,,-In of North Andover. PLUMBING INSPECTOR
VIOLATION,of th61-aning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAT. INSPECTOR
UNLESS CONSTRUCTION STAR Rough
Service
...................................
DING 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.
Smoke Det.
Town of North Andover a AORTN
OFFICE OF 3�0`t a o tiDOL
COMMUNITY DEVELOPMENT AND SERVICES p
146 Main Street _ +�
North Andover, Massachusetts 01845 �,9"�•,,,, P'��5
COTT SSACHUS�
it
i
II In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be disposed of in a
properly licensed solid waste disposal facility as defined by MGL c 111, S 150A.
The debris will be disposed of in:
A.
(Loca ion of Facility)
Signature of Permit Appl nt
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION _
688-9530 HEALTH 688-9540 PLANNING 688-9535
L
Town of North Andover N°RTN
OFFICE OF r°;`"°� °,�°°
COMMUNITY DEVELOPMENT AND SERVICES .' p
t
" 146 Main Street
North Andover,Massachusetts 01845
WILLIAM J.SCOTT �SSACMUS��
Director
In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be disposed of in a
properly licensed solid waste disposal facility as defined by MGL c 111, S 150A.
The debris will be disposed of in:
(Loca ion of Facility)
Signature of Permit A 1 nt
g PP �
2
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Location 16 Y A( S/ �
No. r ' �z 7 Date 3V l
�oRTM TOWN OF NORTH ANDOVER
A Certificate of Occupancy $
.p ; Building/Frame Permit Fee $
cMustt Foundation Permit Fee $
JW ""Ob 'If ofI-
R�( �Otl;er Permit Fee $ 5 C�
b , e �o Fee $
':';41 Water Connection Fee $
� TOTAL1991 $
o. ^
Andov@p X01
ll@ctor Building Inspector
Div. Public Works
PER111T NO. �' APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1
—I AP ON G- LOT NO. 2 RECORD OF OWNERSHIP IDATE (BOOK ;PAGE —
ZONE I SUB DIV. LOT NO. F
'LOCAT ON / PURPOSE OF BUILDING
OWNER'S NAME/. NO. OF STORIES SIZE-A 964�pr _
_ 1/
BASEMENT OR SLAB r1
OWNER'S ADDRESS C
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST + ND �y 3RD
-
BUILDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING DIMENSI S O 'l-LIS � -�
DISTANCE FROM STREET 1 ' POSTS
DISTANCE FROM LOT LINES-SIDES I REAR _t\ GIRDERS l (�
AREA OF LOT �C,/ FRONTAGE ) HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING l V X
IS BUILDING ADDITI MATERIAL OF CHIMNEY -
� G
IS BUILDING ALTER ON SIM 1' IV IS BUILDING ON SOLID OR FILLED LANDUI L
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE L! A IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY ►, b S+� IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES
C9
ov� EST. BLDG. COST
V rG EST. BLDG. COST PER 8Q. FT.
PAGE 1 FILL OUT SECTIONS 1 - 3 v j
0
PAGE 2 FILL OUT SECTIONS 1 - 12 D� �/�j•Jl 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 F LED -
� BOARD OF HEALTH
SIGNATURE OF OWNER OR AUTHORIZED AGENT
F E E 52 5N� OWNER TEL.#
CONTR.TEL.# S PLANNING BOARD
PERMIT GRANTED CONTR.LIC.# '5-2 y`L
BOARD OF SELECTMEN
R
BUILDING INSPfiCTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY S-0 IES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE B 1 2 I3_
CONCRETE BL'K. PINE
BRICK OR STONE HARDWD
PIERS PLASTER
_ DRY VJALL, _
UNFIN.
3 BASEMENT
AKA FULL FIN. B M'TAREA _
V: 1/1 1/ FIN. ATTIC AREA _
NO B M FIRE PLACES _
HEAD D ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE
WOOD SHINGLES EARTH _ ✓— 'i
ASPHALT SIDING HARDV✓'D
ASBESTOS SIDING COMMON
VERT. SIDING ASPN. TILE
STUCCO ON MASONRY
STUCCO ON FRAME I 1
BRICK ON MASONRY ATTIC STRS. & FLOOR I i
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING s
STONE ON FRAME — SUPERIOR POOR
I�
EQUATE
ADNONE
5 ROOF 10 PLUMBING
GABLE I IP BATH (3 FIX.(
GAMBQELMANSARD TOILET RM. (2 FIX.) _
FLAT I SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK _
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER L
ROLL ROOFING MODERN FIXTURESTILE FLOORTILE DADOAl
6 FRAMING I 11 HEATING "
WOOD JOIST PIPELESS FURNACE MDQ �7
_ FORCED HOT AIR FURN., y�/i�0+00 1�
TIMBER BMS. &COLS. _ STEAM
STEEL BMS. & COLS. HOT W'T'R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING .t
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS y�
IL a / Av�j��lVW�
B'M'T 2nd EOLECTRIC[`
1st 13rd 11 NO HEATING
Seo iii? Ymfi/ A I LAB _ _ 9 L®�t7`al4� - - ' ov
�.s-� :--.z. W �e't+B\3oC a%J*J� F a {/ems> ?
N
OR
TnW
n of6 .. pL zcr
rc�j
0
DRIVEWAY
6 L, ► V e Y -- � r C tCn er, ass9
K
PERMIT 7 L
D BOARD OF HEALTH
THIS CERTIFIES THAT... .. r. ... ... oo 0 , ....
��. .•••� � BUILDING INSPECTOR
has permission to ct .co....... buildings on .. .. ........ Rough
to be i
occu ed as... • • Chimney
p � ' .... � . �� � g Final
provided that the person accepting this permit shall in every respect conform to the terms of the application 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
UNLESS CONSTR CTION STARTS Rough
Service
• Final
.... ...... ...... .... ............
BUILDING 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 ,
i
TOAT
of
OFFICES OF: p
+ °a Town of 120 O Nt un S1rY'Pt h
APPEALS : ,. NORTH ANDOVER NI>rtl) ,�I,(I(�vr.
BUILDING �,'`°.... 4� M ISStu:h(IS('tIS(>1847,
CONSERVATION SsACHU 4 1)IVItiION OF ((i 17)6873 4773
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT '
KAREN I I.P. NELSON, I)IIZI ( IY)R
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S
150A.
The debris will be disposed of in:
(Location of Facility)
Signature of Permit Applicant
Date
nNOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
Location �1 � x
No. i Date Id 12,
1r
N°RTh TOWN OF NORTH ANDOVER
C O� t�ao ,a,ti0
F A Certificate of Occupancy $
* ; ; Building/Frame Permit Fee $
• .
'�/1"°�ao•Et� Foundation Permit Fee $
Wher Permit Fee $
U, ection Fee $
NQ ft"?r Connection Fee $
'4114,er TOTAL $ /o
CoAd
wow Building Inspector
Div. Public Works
PERMIT NO. I¢g APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE
MAV gi4O. I LOT NO. 2 RECORD OF OWNERSHIP DATE (BOOK !PAGE —
ZONE SUB DIV. LOT NO.
LOCATION I �4 �Ox S7-YL �' PURPOSE OF BUILDING
OWNER'S NAME 1i J� �L' b � NO. OF STORIES - 'C7SIZE �.��j
OWNER'S ADDRESS �S BASEMENT OR SLAB_ � ��,�✓-� �1
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST' /,�- �J"� 2ND •�z �j 3RD
BUILDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS r�
DISTANCE FROM STREETt t -��. POSTS `�� � tL
DISTANCE FROM LOT LINES-SIDES ` REAR TO •' GIRDERS
AREA OF LOT •� "g)-
� .•77 FRONTAGE 1 4�C•/ I HEIGHT OF FOUNDATION %iNw' '"� THICKNESS ,I«�
(ice -edreF Cam��`1..�1i
IS BUILDING NEW C� _, SIZE OF FOOTING X
IS BUILDING ADDITION `k3 o MATERIAL OF CHIMNEY ` ,
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND A
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE \(r � IS BUILDING CONNECTED TO TOWN WATER 1, l]
`
BOARD OF APPEALS ACTION. IF ANY l�3 n ` IS BUILDING CONNECTED TO TOWN SEWER `VA (�
IS BUILDING CONNECTED TO NATURAL GAS LINE \V
3 PROPERTY INFORMATION
INSTRUCTIONS p • =
l% ,SI Y211'�� 1C C— 200 CPZt$/S I)LJCZL./� LAND COST
SEE BOTH SIDES / EST. BLDG. COST
®, S►.�.ST74'G-C 2' �r l�l.�4ct'�c'7uT'
PAGE 1 FILL OUT SECTIONS 1 - 3 tWS EST. BLDG. COST PER 8Q. FT.
PAGE 2 FILL OUT SECTIONS 1 - 12 �, LsSTl4LC. I /fir/" '�C"7�1 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
y 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
BOARD OF HEALTH
4
SIGNATtYrJklE OF OWNER OR AUTHO IZED AGENT
OWNER TEL.#bflf-'i'S 3��
CONTR.TEL.# r�rx bm e
. FEE CONTR.LIC.#may:. C):'i"(__ PLANNING BOARD
PERMIT GRANTED
BOARD OF SELECTMEN
BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12 ,
SINGLE FAMILY _ISTORIES I THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
- 2 FOUNDATION _ 8 INTERIOR FINISH
CONCRETE B 1 2 3
CONCRETE ECK. PINElz
BRICK OR STONE HARD--D
PIERS PLASTER _
_ DRY V✓ALL _
UNFIN.
3 BASEMENT
AREA FULL FIN. B'M'TAREA _
V, 1/2 V. FIN. ATTIC AREA _
NO B M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN .—y-
. 5 WALLS j, 9 FLOORS ` I•E'L'�
CLAPBOARDS Z B 1 2 3
DROP SIDING CONCRETE
WOOV SHINGLES EARTH
ASPHALT SIDING HARDW'D _
ASBESTOS SIDING _ COMMCN
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. 8 FLOOR
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR I-I POOR
ADEQUATE NONE
5 ROOF 10 PLUMBING
GABLE HIP BATH 13 FIX.) —
GAMBREL I MANSARD TOILET RM. 12 FIX.)
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER
ROLL ROOFING MODERN FIXTURES
TILE FLOOR 1
TILE DADO
'✓G,{f ism �l' "'ti ��101. T% l/G/�
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 GOAL
B'M'T 2nd ~ ELECTRIC
1st �.� 13rd I NO HEATING
SEWER/WATER FINAL vv'vo"' v ri ' - -
---- � Np R T►y 9 -
ti s
Town of ndover
No. 14 3o _, ..:..
)RIVEWAY ENTRY PERMIT � C - er, Mass.,
AKEWICK
OR Qac
SS
BOARD OF HEALTH
T 0
PERMIT
THIS CERTIFIES THAT............. N.....04441.
p .. 1�.... ......��• ••.• .�•..• BUILDING INSPECTOR
has permission to b�! . buildings on .... • Rough
to be occupied as s 41 [9%2"t-•XMSTA41... Chimney
Final
provided that the person accepting this permit shall in every respect conform to the terms of the application 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 M NTHS ELECTRICAL INSPECTOR
Rough
UNLESS CONSTR T Service
Final
. ...... .. .. ... ......... ..... .. .........
BUILDING INSPECTOR GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Final
Display in a Conspicuous Place on the, Premises
FIRE DEPT.
Do Not Remove Burner
_No LeA ing to a done � til. lnsp cte and ApP'roved by Smgke Det.
Buil inn inspeodt#. �,
. .v lr'V J sa v ti`s: �4..,r.' 'Si:•-E s?�. i_'.+�rr3 w:��� �`� .
Name D e p a r t m e ;yumJer
L 7 c 1, ,i� 1 �� ^!1� 1`� ^� �;_r
YEAR: i 3 5: O i ' 1 .... . C� � _ � i
i JANUARY
FEBRUARY
t
I i �
MARCH
f I I
APRIL
I i
I
MAY
JUNE
JULY
AUGUST
SEPTEMBER
I
i
OCTOBER
NOVEMBER
DECEMBER
ABSENCE CODES
YEARLY TOTALS
A = Accident at Work FI = Family Illness L = Leave of Absence
AH = Accident at Home H = Holiday LO = Layoff STARTING DATE
D = Disciplinary Layoff I = Illness P = Personal Reasons TERMINATION DATE
FD = Family Death J = Jury Duty V = Vacation This record should be filed at year end in the
X = Unknown Cause employee's permanent record file.
TOPS FORM No.3284
LITHO IN u 5 n
NORTH
OFFICES OF: Town of I_�tr,�l,iitr Lii i t '
APPEALS NORTH ANDD V Lli
BUILDING •'S6^:::,'ate �Uiti�tn I�iis;i ILti�r'Itt-I
CONSERVATION ."°"°°` I)1VINION()1- I;t r;}V;.I 77;
J
HEALTH
PLANNING PLANNING & COMMUNITY 1JI:VE:L0P111I:N'F
KAREN 1 I.P. NELSON.N. I)II W(: ( A t
In accordance with file provisions of MGL c 40, S 54, a condition of Buildint; I'crnril
Number is that the debris resulting horn this work shall he
disposed of in a properly licensed solid waste disposal facility as defined by NIGL c I I], S
150A.
The debris will be disposed of in:
SLS !
(Location of Facility)
i
ibnatu►e of Permit Applic:iut
I
Uate
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
I
TOWN OF e ,
SYSTEM PUMPING RECORD
DATE:
SYSTEM OWNER& ADDRESS SYSTEM LOCATION
fik-kc P (example:left front of house)
DATE OF PUMPING: _ 3 QUANTITY PUMPED : GALLONS
CESSPOOL: NO T YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE
EMERGENCY
OBSERVATIONS:
GOOD CONDITION FULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER(EXPLAIN)
SYSTEM PUMPED BY: Bateson Enterprises, Inc.
COMMENTS:
I
CONTENTS TRANSFERRED TO: G.L.S.D Lowell Waste
I