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Miscellaneous - 182 HIGH STREET 4/30/2018
"` NORTH ` OLD '6Ati 1�?�'�'- •6 O O L ?, e° w -O C"'Cn�iwKw 1. 7,o q�RAreo J,Pa`�q� PUBLIC HEALTH DEPARTMENT Community Development Division September 16, 2008 Mr. Anthony Reynolds 182 High Street North Andover, MA 01845 Dear Mr. Reynolds: I am in receipt of your letter requesting verification that you paid for your shingles vaccine in cash on 5/7/08. Your receipt shows that = Receipt number 3307 dated 5/7/08 in the amount of $25.00. This letter reiterates the same. If you have any further questions, please call the office at: 978.688.9540. Sincerely, Pamela DelleChiaie Health Department Assistant Enc: Copy of Receipt 3307 —Dated 5/7/08 —Paid in Cash —for Anthony Reynolds 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 Fox 918.688.8416 Web www.townofnorthandover.com .i ` /�, 4j d1- tie,l-k, SEP ?0v8 TOWNc R NEALir Li i < TN 3307 Town of North Andover HEALTH DEPARTMENT CHECK #: _J�► D TE: J %'l,'' LOCATION: %r H/O NAME: CONTRACTOR NAME: ❑ Animal ❑ Body Art Establishment ❑ Body Art Practitioner ❑ Dumpster ❑ Food Service - Type.-- 0 ype.❑ Funeral Directors ❑ Massage Establishment ❑ Massage Practice ❑ Offal (Septic) Hauler ❑ Recreational Camp ❑ Suri'tanning ❑ Swimming Pool ❑ Tobacco ❑ TrashlSolid Waste Hauler ❑ Well Construction SEPTIC Systems: ❑ Septic - Soil Testing ❑ Septic - Design Approval ❑ Septic Disposal Works Construction (DWC) ❑ Septic Disposal Works Installers (DWI) ❑ Title 5 Inspector $ $ $ ❑ Title 5 Report $ $ .(Indicate) Health Agent Initials White - Applicant Yellow - Health Pink - Treasurer /- Date.� .z..... p -to ,eye �L TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION This certifies that Rl..-.`........�A... � .w. has permission for gas installation / S2 ° ... ,% .....E ' !�- in the buildings of ..� �/ W Q (.�. ............. ...... at ..% .�!.... .�.? .... ." ..... , North Ando er, Mass. Fee. .7. Lic. No. .�.�. .. .......................... GAS INSPECTOR Check # 12- � 8272 -` MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS hTTING WORK GOWNER TYPE OR PRINT CLEARLY CITY DATE PERMIT # JOBSITE ADDRESS �_Z ��„ . ^_ OWNER'S NAME L� _►� ADDRESS TEIr� LIIFAX[ OCCUPANCY TYPE COMMERCIAL E] EDUCATIONAL RESIDENTIAL NEW: [l RENOVATION: REPLACEMENT: E-9- PLANS SUBMITTED: YES [Il NOQ APPLIANCES Z FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 111 12 13 14 BOILER I � BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR � ,.�--.._. t I! 1 I�_.I �--I - I._-1=----=_� --==a : I —1 GRILLE INFRARED HEATER(___ LABORATORY COCKSI�-Lf_-__� __. r_f I__ 1;, __ ___ ;__ I ---I MAKEUP AIR UNIT S I 1--1 [ ._-T-1 -- 11- 1- j I. - ►1: - _ L I �. _ OVEN �_.....---.�_.. --.. _-.--i-_-�I-- 1I_ J —_: POOL HEATER(� J -�_.. I 1—j ....I .__ 1 I_n--I _ .- .T f I - —j -) f I ROOM / SPACE HEATER ROOF TOP UNIT. TEST UNIT HEATER h -1 L- UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch.142 YES 1[94O E] 1 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [2� OTHER TYPE INDEMNITY 0 BOND !-_( OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER DI AGENT 0 SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true and that all plumbing work and installations performed under the permit issued for this application will be in complis Massachusetts State Plumbing Code and Chapter 142 of the General Laws. rate to the best ony knowledge all Pertinent pr ion oLt ie PLUMBER-GASFITTER NAME �, 5,e •�- _ I LICENSE # fl��_{ S GNATURE MP ["MGF [- JP n JGF 0 LPGI CORPORATION [�# � PARTNERSHIP 0#= LLC # COMPANY NAME: -&V _ �- _� _J ADDRESS CITY. c�-v �i�-.___� _......, STATEI A4:iqZIPDY]TEL FAX MAIL '� o o N Eli W w w U- The Commonwealth of Massachusetts Department of IndustrlqlAccidints Office of Investigations 600 Washington Street Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):_ < [ 5 j[�"Yc� .P f 14 Address: PO /3 o k S— ct Y City/State/Zip: -.-7 o. A It%dl o o -e- -- Phone #: 9 7F R 0 F -z.-o Are yyou an employer? Check the appropriate box: --Z- ❑ Type of project (required): 1.9 I am a employer with 4. I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* 2. ❑ I am a sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. �• ❑Remodeling ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. [No workers' comp. insurance workers' comp. insurance. 5. ❑ We are a corporation and its g• ❑ Building addition required.] officers have exercised their 10.❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, § 1 (4), and we have no 12.E] Roof repairs insurance required.] t employees. [No workers' 11[i Other comp, insurance required.] 'Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. T Homeowners who submit this affidavit indicating they aie doing all work and then hire outside contractors must submit anew affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. _2i (7f; e, C-0 Policy # or Self -ins. Lic. Expiration Date: Job Site Address:_ / 9A Z -f it r/4 CZ -1t City/State/Zip: —1-1 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date) Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one=year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a Pipe of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby cer 9Y'un er thepains(/a/�ndpenalt'es ofperjury that the information provided/ / above isIrue and correct Signature: � '�/ nntP• —7 / .? / —)-- Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current polity information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or torr)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Gommonwoalth of Massachwetls Department of ladustrial Accidents Office of Investigations 604 Washington Street Boston, M,A. 02111 Tel, # 617-727-4900 eyt 406 or 1-877-MASSAFB Revised 5-26-05 Fax # 617-727-7749 wtvWMass,8oV1dza f_ NOR71{ � P SCHU Date .......?.�.... 3 ..................... . TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .................................................... (%OCAI.txXj........"��fiG ................ has permission to perform! .....�.. jy................ .......... .............. ........ wiring in the building of AvoL at .............Z.........!j?....��.�......................... ,North Andover, Mass. pa Fee.... ....s......... Lic. No....... 40� Z . ...............,,./......... ................ ELECTRICALINSPECTOR" de Check # 6569 1�$�s Q r " Commonwealth of .1V.tassachusetts Department of Fine Se"kes . 4.610, _,Y BOARD OF FIRE PREVENTION•REGULATIONS PermitN'o._1� Occupancy and Fee Checked APPLICATIQN `FOR •PERMITITO -PERFORM ELECTRICAL WORK work to be performed in -accordance with the Massachusetts Elecaioal Code (IvIEC), 527 CMR ]2.00 (?'LEASEPRINTBVI1WORTYPEALLIVFORMATjoA1 Date - City or atesCity"or Town of:y� �, d d u G r� To the'Inspector of lyres: BY this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number)�- Owner or Tenant JR �, ld. . Telephone No, Owner's Address Is this permit in conjunction With a building psi mit? Yes No ❑ (Check Appropriate Box) Purpose.6f Building _ g e ; .c,,? C f_ Utility Authorization No. Existing Service Amps . Volts Overliead [P-" Und d bR' ❑ No. of Meters New Service Amps /Volts Overhead ❑ Undgrd ❑ No, of Meters Number of Feeders and Ampaclty . Location and Nature of Proposed Electrical Werk: n Com letion of the ollowin table be waived h, V the Iort tv ec o trey. No. of Recessed Luminaires No. of Cell,-Susp: (Paddle) Fans a. o Transformers "KyA No. of Luminaire Outlets a No. of Hot Tuba Generators KVA No. of LuminairesSwirnmin Pool ove - o. o mer en cy g / g 0 mud. n rnd ❑ Butte . Units No, of Receptacle Outlets X63- No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners : No. of Det on an 'Initiating Devices No. of Ranges No. of Air Cond. Total Tons No, of Alerting Devices No.. of Waste Disposers ce T P um er. Tons o. of e - entaInto Detection/Alertin� Devices No. of Dishwashers S adeJArea Heatin iCW anleipa Space/Area g Local ❑ Connection Other No. of Dryers Heating Appliances XW Secu ems: N6. of Water . No. of ]�evices or E aivalent a of o. o Heaters ]KVV Signs Ballasts Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs No' of Motors Total gip Wcommuntca ons_ g; names aaautonat aerau 9 aestrea, or. as required by the Inspector of Wires. Estimated Value of Electrical Work: o (When required by municipal policy.) Work to Start: _22-- 6—,q L Inspections to be requested in accordance with MBC Rule 10, and upon completion. INSURANCE COVERAGE: -Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) 1"certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: W. B Stockwgod Tnr Licensee: LIC. NO.: X46,)9 _ R � X h a r rl C t n n k TJ �a �_ Signature ,� LIC. NO,:_ f 3(�(c •°� (If applicable, enter "exempt " in the license number line.) Bits; Tel, N0. Address: 31 Sixth Road Woburn MA 01 fill _ *Sec . riiy. System Contractor License required for this work; if applicable, enter the license number here: No. OWNER'S INSURANCE WAIVER: I am aware. that the Licensee does not have the liability insurance coverage normally. required by law. By my signature below; I hereby waive this requirement. I am the (ch.eck one ❑owner ❑ owmer's agent. Owner/Agent Signature Telephone No. PERMlT FEE; names aaautonat aerau 9 aestrea, or. as required by the Inspector of Wires. Estimated Value of Electrical Work: o (When required by municipal policy.) Work to Start: _22-- 6—,q L Inspections to be requested in accordance with MBC Rule 10, and upon completion. INSURANCE COVERAGE: -Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) 1"certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: W. B Stockwgod Tnr Licensee: LIC. NO.: X46,)9 _ R � X h a r rl C t n n k TJ �a �_ Signature ,� LIC. NO,:_ f 3(�(c •°� (If applicable, enter "exempt " in the license number line.) Bits; Tel, N0. Address: 31 Sixth Road Woburn MA 01 fill _ *Sec . riiy. System Contractor License required for this work; if applicable, enter the license number here: No. OWNER'S INSURANCE WAIVER: I am aware. that the Licensee does not have the liability insurance coverage normally. required by law. By my signature below; I hereby waive this requirement. I am the (ch.eck one ❑owner ❑ owmer's agent. Owner/Agent Signature Telephone No. PERMlT FEE; a i S 6 ................ Nor+rM "° TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACOMW This certifies that •%QGi� I.t?Cx?l?....rti�..:....................... .................... ......... has permission to perform ................................... wiring in the building of ..... �= ` /t/D L/� at ..........0Z............1 a9 ....5.`17 ........................... North Andover, Mass. 11, Fee .... '''' Lic. No..4%. ,�� ?Z2 ................ ELECTRICAL INSPECTOR Check # LrO_7 0 6506 7,- l ommonweuCfh of fassuc4usells Official/Use Only cc77 2eparlmenl o�J`'ire �ervice9 Permit No. Pr C, C4,irt �,� ��2, Occupancy and Fee Checked BOARD JOF FIRE PREVENTION REGULATIONS I (Rev. 11/99) (leaveblank) 6X APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 I (PLEASE PRINT IN INKOR TYPE ALL INFORMATION) Date: - 9 -,n ,L City or Town ofd To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & NumberjS- i Owner or Tenant Owner's Address Is this permit in conjunction Purpose of Building Ne—, Existing Service 6 UCS New Service Number of Feeders and Aml Location and Nature of Prop No. of Recessed Fixtures No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets No. of Switches No. of Ranges No. of Waste Disposers No. of Dishwashers No. of Dryers No. of Water No. Hydromassage Bathtubs T' OTHER: Telephone No. a building permit? Yes ❑ No C7% (Check Appropriate Box) 4UVolts Volts Utility Authorization No. Overhead Q/ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Electrical Work: c f Comp! No. of Ceil.-Susp. (Paddle) Fans No. of Hot Tubs Swimming Pool No. of Oil Burners No. of Gas Burners No. of Air Cond. Heat Pump -Numl Space/Area Heating Heating Appliances No. of KW Signs No. of Motors Total 1 me Jottowtng table may be waived by the, No. of Transformers Generators ] ❑ JjNo. of Emergency Lighting ttery Units RE ALARMS No. of No. of Alerting Devices No. of Self -Contained Detection/Alerting Devices KW Local ❑ Mul Conn KW Security Systems: No. of Devices or No. of Data Wiring Ballasts No. of Devices or Total HP Telecommunications' No. of Devices or 01 RK �..�.. uelau g aesuea, or as required by the Inspe for of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue t n the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (��� �(Expiration Date) (When required by municipal policy.) Work to Start: 0 Ir -1 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, tinder the pains and penalties of perjury, that the information on this application is: true and complete. FIRM NAME: _W R tprkrinnrl Tnr A4622LIC. NO.: Licensee: -Walter B.—Stockwood Signature ' (If applicale, enter "exempt, in the license number line.) Address: 31 Sixth Road Woburn, MA 018:01 Bus. Tel. No.:J8l-915-$181 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required B y law y my -935-81.82 2 signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent Owner/Agent Signature Telephone No. PERMIT FEE: Date... ? . cj,,� ...... ...... ... .. .. ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING /2 This certifies that .................. �/. ...... .............................. .......................... has permission to perform ....................................................................... wiring in the building of ........ at .......... .. .................... ............:�....................................................... ..... . North Andover, Mass. ....... .... ...... ' Fee ..................... Lic. No. ............. ..........._..!%J . .. ?..� ............ .... .... ............... ELECTRICAL INSkCTOR Check # 6522 l_.ommoncuealth of 14/aj3ac4u6el1a Official Use Only c� Permit No. a1Jep finenfro��ire �ervices � 3% Occupancy and Fee Checked_ "76 BOARD OF FIRE PREVENTION REGULATIONS I(Rev. 11/99) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 i (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ` O , City or Town ofc �., Y,R� �'1 �e>f ,e�.. To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Owner or Tenant %\ .Q_ v 2, n Owner's Address Is this permit in conjunction Purpose of Building _A9_,L Existing Service _J( t7 New Service 1a -Q__ Number of Feeders and Amr Location and Nature.of Prop a No. of Recessed Fixtures No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets No. of Switches No. of Ranges No. of Waste Disposers No. of Dishwashers No. of Dryers No. of Water Heaters No. Hydromassage Bathtubs a building permit? Yes ❑ Telephone No. No ®/ (Check Appropriate Box) _ Utility Authorization No. Js^ 1lehVolts Overhead Q/ Undgrd {] No. of Meters yevolts Overhead 5�1 Und d �' ❑ No. of Meters Electrical Work: Com No. of Ceil: Susp. (Paddle) Fans No. of Hot Tabs COM, Swimming Pool No. of Oil Burners No. of Gas Burners No. of Air Cond. Heat Pump Num E of rhe following table may be waived by the, No. of Transformers Generators l In No. of Emergency Lighting grnd. Battery Units FIRE ALARMS No. of No. of Detection and Initiating Devices t No. of Alerting Devices _ _ _ KW_ _ No. of Self -Contained Detection/Alerting Devices Local.❑ No: ofbevices or a Win ng No. of Devices or 'communications' No. of Devices or U Attach additional detail if desired, or as required by the Inspe for of Wires. INSbRANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless) the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exh;�BOND itedroof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ OTHER M (SDecifv:) Estimated Value of Electrical Work: -;z• D(Expiration Date) (When required by municipal policy.) Work to Start: — / D - ;g Inspections to be requested in accordance with MEC Rule 10, and upon completion. 1 certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: i2 C NA 4 6 2 2 LIC. O.: Licensee: a l t e r R t o kw o d Signature (If applicable, enter erempJ" in the license number line.) • NO.: E E 3 3.4 4Address: 31 $ i x t h Road Woburn, MA 018.01'. Bus. Tel. No.: 8 l — 9 T S — $ 1 $ 1 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my $ z Signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent Owner/Agent Signature Telephone No. PERMIT FEE. $ Space/Area Heating KW Heating Appliances KW No. of No. of KW Signs Ballasts No. of Motors Total HP Local.❑ No: ofbevices or a Win ng No. of Devices or 'communications' No. of Devices or U Attach additional detail if desired, or as required by the Inspe for of Wires. INSbRANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless) the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exh;�BOND itedroof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ OTHER M (SDecifv:) Estimated Value of Electrical Work: -;z• D(Expiration Date) (When required by municipal policy.) Work to Start: — / D - ;g Inspections to be requested in accordance with MEC Rule 10, and upon completion. 1 certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: i2 C NA 4 6 2 2 LIC. O.: Licensee: a l t e r R t o kw o d Signature (If applicable, enter erempJ" in the license number line.) • NO.: E E 3 3.4 4Address: 31 $ i x t h Road Woburn, MA 018.01'. Bus. Tel. No.: 8 l — 9 T S — $ 1 $ 1 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my $ z Signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent Owner/Agent Signature Telephone No. PERMIT FEE. $ Date ............. -1 ,AORT" TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING 40 SACHUS This certifies t h a t ................. has permission to perform plumbing in thebuildings of ............. at. .. ...... .... North Andover, Mass. Fee-.� ..... LiNo./'� -- .............. PLU 87G INSPECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS /- -710 r - Date Building Location 'A s-�-_ Permit Amount Owner p i • � i -op ' .. ' • �' • d • (Print or type) Installing Company Name PRO —Cra R e � A3C Check one: Certificate Corp. Partner. Firm/Co. lame of Licensed Plumber: d���, P sirs A. _ ,S% Lil Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 9 Other type of indemnity D Bond D Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent El I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuse State Plumb' e a d Ch ter 142 of the General Laws. �= " 27=0� By: Signuture of Licenseuum er Title Type of Plumbing License City/Townice se u�� Master Journeyman D APPROVED (OFFICE USE ONLY Location& -2_ No. Date i r SSACHUSE� TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL Check # J6 } 17408 E3 /w//// , A/w&A) wilding Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING V31, _.' .:'. .. BUILDING PERMIT NUMBER:/ DATE ISSUED (% (O SIGNATURE: Building Commissio for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /l.� >e , /�J /1/ !/G� Map Number Parcel Number 1.3 Zoning Information:T/ 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record '6A-- S -r— /L/a. A010 lame (Print) ( fLb� Address for Service: Signature Telephone 2. Owner of Record: ff-i✓ �� � �y,�°mss j�Yjt��� S7— No, Amb D ��. Name Print Address for Service: © Sin re Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration' Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone T M z O SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 & 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. -Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Description of Proposed Work check all a licable - New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SC/�� C N i/V �xt sTr�c/ K /6 �X SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant O +I'J�'ICIAL_USE'+<2NLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Siratmre of Owner/A ent Date PIE NO. OF STORIES SIZE 13ASENMNT OR SLAB SIZE OF FLOOR T /93ERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FR LED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE r+ U) m m m m m mm c H C � o. CODCD o C9 Z CO) Cl) O �� C CZ =' y "r[ CD O CDCL O cr •C d CD CD CD C CD y� CL v `OCD ) O. O i0 CD Q e.y O C', y �< ® y _ mElmCL C2 m O CO) C) = Z =r-0 N CD „y o a=r= m CD -� O O N p ? m O Oo O OfGOi. G . oy b w Ero i C Er CA R a e :o Cn g r� O O n CL c rn H ' ® C W m Ocn �7t o+ C o H r CCD �. cn i m A ti CA CD cn CA- CD LQ o A Aw Ido: CD C c CD b : c H 0 9 o n Iz r b O O 182 High St ee v Nab til Dov, Massachusetts Scale': 111 r 3()"t Date: July .29,,, 3.971 W /d Xa-a ., $CQE�hi ifVL�lizj k�jkwyyrr ,x X,q * Y U :1 `hereby certify-%. that. the building y is located as shown OD gj8jj�. O�OV4'ed'tom the Building end ZoXI ng, Laws of the Th� North Andover when construct" . C� .. iL�iy�r,:+Liy vyi3y;Wi1.:f.7i.,,7�i:y,:.i }}{{^^�+�yyyy�'-LY�q��v}�Qy':JgT. y'' LL�Ne.. D. Robert Nicetta .Building Commissioner (978) 688-9545 . , (978) 688-9542 Fax Town of North Andover Building Department 27 Charles Street North Andover, MA. 01845 HOMEOWNER LICENSE EXEMPTION Please print DATE JOB LOCATION /So2 /'Ifs S� Number ou-eer Haaress Map / lot ,.HOMEOWNER cS���96Dit% /� ��L�� �%O �60�J� D/ 7,-0 Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of two units or less and to allow such homeowners to engage an individual ke hire who does . not possess a license, provided that the owner acts as supervisor. (State Binding Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached stntctures ac- cessory to such use and/or farm structures_ A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The _undersigned "homeowner" certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements_ HOMEOWNER'S SIGNATURE 71— APPROVAL OF BUILDING OFFICIAL 4 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: /76,3 DATE ISSUED:/ /� Q . SIGNATURE: InIO Building Commissio for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: S-- asa v�i� /�� Map Number Parcel Number j 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area (sq Frontage R 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Regaired Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSIIIP/AUTHORIZED AGENT 2.1 Owner of Record , -o /-/�yTr�iri✓ ',y �� �c/ i � i � �f s �-- Ne>. WA01 0 ame (Print) �� D� Address for Service Signature Telephone 2. Owner of Record: �f✓7"f����� i'���Nn�-�--S /(�y/�.G'ff j"`��—'— /✓r7, ,9�(/t�� c/t'�.. Name Print Address for Service: Sin re Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration' Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Si nature Telephone M M /X z O v M 6N r-. SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......0 No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: lig`��( �G ' SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant -` O IC AL t SE ONE", 1. Building �,_— (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e) X tbl _ 3v 4 Mechanical HVAC 5 Fire Protection 6 Total (1+2+3+4+52Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Si �attue of Owner/A ent Date 11l NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3PD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE m m m m N m y m :. O CD CD LTJ CA .7 d O H .0 C O C N! CDd O S CD a y CD CA O -• M O I? N a c O ® CO) mCl 0 m 171 O N R7 d C2 Z ?'C CO) O• .�.e m 0 T 06 C/2 CD C:j m N O --I CD ®? = m O m �0 . r -d LA. m CA CA B'D Qpm CD m D C/) 1 C7� l J M =": :C CD oO N N CA CL c t+a C. ft CIS H m A o C y R� �A o. rn -3`C=® �- 00 �. • O CD N W C=Dr W A :A.m Qn ca .� N Nko CD Cj A m� 810 ' 06 N_ rot :IRL O )Mq 0 9 0 c ��pp fD •� .7 �- 0 SS a, r 0 x m p �' CL n y O .5.. O )Mq 0 9 0 c �,a .O f.. AP111L711 ::9 .� } 185`3 . �• P6 ,� • �� ,�� � •^, TOWN OF NORTH ANDOVER MASSACHUSETTS �:j I ., BOARD OF APPEALS November 25, 1974 e0 20 Anthony Reynolds 182 High Street Petition No. 17 -'?4 Mr. John J. Lyons, Town Clerk Town Office Building North Andover, Ata. Dear Sir: A public Bearing was hold by the Board of Appeals on October 21, 1974 upon application of Anthony & Sharon Reynolds as parties aggrieved by a decision of the Planning Board under Sec. 9.22 of the Zoning By—Law. This is an appeal from a decision of the Plan— ning Board pursuant to the.provisions of G. L. Ch. 41, Sec. 81Y and 81AA in which the Planning Board, on August 19, 1974, granted consent to Idr 1 ouse,� 1$8 High—Stxeet, under Sec. III F of the Town of North Andover "Rules & Regulations Governing the Subdivision: -.of Land'; effective January 1, 1973. The following* members were present: Frank Serio, Jr., Chairman; Alfred E. Frizelle, Vice Chairman; Dr. Eugene A. Beliveau, Clerk; Louis DiFruscio, and William N. Salemme. All members voted on the motion. The heari,ag was advertised in the Lawrence Eagle Tribune on October 5 & 12, 1974 and all abutti�rs were duly notified by mail. The Woodhouses own a parcel of land on High Street. There are two buildings situated on the parcel. One is used as a dwelling, the other (the building in question) is a 26' x 16' building which has been used as a store. Woodhouse decided that he wished to convert the store into a one bedroom apartment. The area is zoned R-4 and the store is a non—conforming use. The proposed conversion would -thereby nullify the non—conforming; use and the building would conform to the zoning district. Application was made to the Planning Board for consent under Sec. IIIF, supra, and consent was granted. Petitioners are abutters and feel that the action of the Planning Board is inconsistent with the provision of the Zoning By—Law and cite verious sections ~' y • November 23, 1974 Anthony Reynolds Petition of the By -Law in their application. At the hearing,the alleged zoning infractions were argued and emotional arguments re;;a,rdinS the affect of the conversion on the neighbor- hood were made. . This Board construes the cpiestion before it as being that of whether the action of the Planning Board under the provision of Section IIIF was proper. On a motion made by Member Frizelle, seconded by Member DiFruscio, to sustain the decision of the Planning Board the Board voted four in favor and one vote against. Although some arg►zments of the petitioner were persuasive with regard to the application of provisions of Zoning By -Law to this case, the Board was unable to act since the matter properly belongs before the Zoning Board of Appeals and not before this Board sitting as the Planning Board of Appeals. Very truly yours, BOARD OF APPEALS Al red E. Frizelle, Vice Chairman AEF :gb John J. Lyons, To"vm. Clerk Town Office Building North Andover, Ka.ssachusetts Derr Sir: Amur+ TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Augist 27, 1974 AUG r?: - jo74 JOHN J. LYCIvS IVuR�4 ANDr,�I`�f Nuillia.m N Somerville 91 Clkdwick Street Petition No. 13-'74. A public, he aring eras held by -the Board of Appeals on July 3, 1974 upozA applic �tiori of William F. Somerville who requested a variation of Section 6.1 and 6.2 of •Glee Zoning By -Law so as to permit the division of land with building thereon for -the purpose of conveyance as shown on a plan of land located at 91 Chadwicl- S4. The following members were present and votinE: I+rank Serio, Jr., Chairman; Alfred Frizelle, Vice Chairman; Dr. Eugene A. Bel.ivea,u, Clerk; William N. S le,mme and Louis D:iblruscio. The hearing was advertised in -the L-1wrence T"' gle-Tribune on Julie 2.2 sand 291 1974 and all abutters were duly notified by regular mail. The land is located at the s oath side of Chzidfrick Street and the ii -est side of r;oody Street and consists of 23,166 sq. ft. Me petitioner desires to divide the land into two parcels consisting of Lot A (11,466 ;q. ft.) and Lot B (11,700 sq. ft.). Lot A has a 2-1- story wood dwelling; and a wooden garage located thereon. The area is zoned R--4, having a: lot area, minim"m of 12,500 sq. ft. and c.treet froil tage minimum of 100 ft. The Board. fi.nids that since both Lots A & D lutve si.ifficient street frontage that no variance is needed and, therefore, does not p s^ on this reque-st under Sec. 6.2 of the By-Lww. On the question of Sec. 6.1 a vznxia.nce is necessary. At the hearing the petitioner stated that he ha.s owned the laird for appro.:icma.tely 35 years. The lots have essentially maintained a separate identity, with 1.0t B presently overgrown. The petitioner is elderly and retired and wishes to sell Lot 3. The Board, in reviewing the provisions of Section 9.5 of the Ey-Law, finds that each. of the provisions therein have been met. There are numerous other ,_mall lots in the area ky r John J. Lyons, To"vm. Clerk Town Office Building North Andover, Ka.ssachusetts Derr Sir: Amur+ TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Augist 27, 1974 AUG r?: - jo74 JOHN J. LYCIvS IVuR�4 ANDr,�I`�f Nuillia.m N Somerville 91 Clkdwick Street Petition No. 13-'74. A public, he aring eras held by -the Board of Appeals on July 3, 1974 upozA applic �tiori of William F. Somerville who requested a variation of Section 6.1 and 6.2 of •Glee Zoning By -Law so as to permit the division of land with building thereon for -the purpose of conveyance as shown on a plan of land located at 91 Chadwicl- S4. The following members were present and votinE: I+rank Serio, Jr., Chairman; Alfred Frizelle, Vice Chairman; Dr. Eugene A. Bel.ivea,u, Clerk; William N. S le,mme and Louis D:iblruscio. The hearing was advertised in -the L-1wrence T"' gle-Tribune on Julie 2.2 sand 291 1974 and all abutters were duly notified by regular mail. The land is located at the s oath side of Chzidfrick Street and the ii -est side of r;oody Street and consists of 23,166 sq. ft. Me petitioner desires to divide the land into two parcels consisting of Lot A (11,466 ;q. ft.) and Lot B (11,700 sq. ft.). Lot A has a 2-1- story wood dwelling; and a wooden garage located thereon. The area is zoned R--4, having a: lot area, minim"m of 12,500 sq. ft. and c.treet froil tage minimum of 100 ft. The Board. fi.nids that since both Lots A & D lutve si.ifficient street frontage that no variance is needed and, therefore, does not p s^ on this reque-st under Sec. 6.2 of the By-Lww. On the question of Sec. 6.1 a vznxia.nce is necessary. At the hearing the petitioner stated that he ha.s owned the laird for appro.:icma.tely 35 years. The lots have essentially maintained a separate identity, with 1.0t B presently overgrown. The petitioner is elderly and retired and wishes to sell Lot 3. The Board, in reviewing the provisions of Section 9.5 of the Ey-Law, finds that each. of the provisions therein have been met. There are numerous other ,_mall lots in the area �w Adgust 27, 1974 Hilliam P. Sol�erville Pell-ition and, in :[act, some are smaller than the land in question. In granting this petition the zoning district will not be adversely affected in light of the present make --up of this area. To denythis application, in -the opinion of the Board, 1;'ould create a substantial 1kirdship, finwricial or otherwise as the petitioner and the Hoard is mindful in granting this petition of tho provisions of Sac. 6.8 of the z;; --Lasa wlhioil i ranto exceptions in certain iirstanaes. Pur ,her, to re(pzire the land to remain in its present state would create an undue lurdea upon -chis;, ,ctiti.oner. The intent of the By -Lava would not be nul,.ificO nor substantially derogated in light of the relatively sma' a. amount of arca for which the variance is granted. Upon the motion of .Dr. Lagene Deliveau, seconded by Mr. Dir'ruccio the Doa.rd voted unanimously to =IT a variance under Sec. 0'.i of the Zoning ley -Law with the stipulation that the land be used only for the construction of a single-family- home. Very traly yours, HOARD OF AFaMILS Alfred E. Friz2 Vice Chairman AE': gb k'—N oar, 7t - TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Date Aui��!Xst. .27z .1974 — . ... . ....... Petition No.. .1.3.-974 .............. Date of Hearing ... July. 8., .1974.. . Petition of . �Iilliam F. Somerville.......... .... I ............... .................... Premises affected . 91 Chadwick. Str.e.e.t.... I .................. ................... . Referring to the above petition for a variation from the requirements of the ................. North .11mdo over Zone ng Fjpq.. 6,� ........... ... .. . . . ................ — ........ so as to permit the. division, of. land with. for. :t.hlp of ..... conveyance .... ........ ........................................ I ......... I .................... After a public hearing given on the above date, the Board of Appeals voted to . GRUTTI. the variance ..... ..... ............. and hereby authorize the Building Inspector to issue a permit to . �-Jil]liam.F.. S.oMexville ............. .......................................... for the construction of the above work, based upon the following conditions: the lot mmy be used only for construction of a single—family dvielling Signed Franlc Serio, Jr. j Chaixmam ....... .. ..........I .................. Alfred E. Frizelle, Vice Chairman ..... I ............... ............. ........ Dr. Digene A. Beliveau, Clerk ....................................... Louis DiFruscio I . .......... ........................ .... William N. Salemme ................... I ............. ........ Board of Appeals c� Si REFS riotES: Lo -r GA. t-o•rs ' i #r2 oN N.E.PUD- Vi -AN At 34 L-c:,•r G r-OCtrknal-v Ste. NE.RS). puAV4 1*34 R- 4 Z o r+ %s,/ op — 10 cl' F 20 rA-r.&o•E , 1 2, r 00 f � 99�3p-co c x L O -r A �2 YYof*Y Aaeo►= It,.4�� � `o Nk � `(> C Dwcl.v. f ti 4o=ver-4o" , 1frs+a� wdeq 1 4o c4 -2o" 1v 0 0 1 Zv , 4 L CIT B J o Acte., _ 11, 7 oo a o ul Pos-r { RML. F>:Mc.E 9b t i3- Oo " 84-55-Oo" Q 117.0k' S^[ 4K>< - r M riotES: Lo -r A' FOQM6GtLV t-o•rs ' i #r2 oN N.E.PUD- Vi -AN At 34 L-c:,•r G r-OCtrknal-v LO-rs e-46 off NE.RS). puAV4 1*34 R- 4 Z o r+ %s,/ op — 10 cl' F 20 rA-r.&o•E , 1 2, r 00 f w ,Fo, {{ r r FRP Io r GEL AS No 1 28 C e y�hat'�`4 1 MA < FRAN`c � .t ( S PLAN OF LARD Loc.►Tav 2a No T w AmDOVEFZ,,MASS,. Ow"so 13Y WILLIAM /A. SWASRVI LLE Sc.At.e: ca. 40, Tu*iE 20, iQ•74- 9,ANK G. &&LIMAS CIVIL f:MGltlea t MOR -TN AHOOVER1) M&SS. D,wre or-f-ti-imc, no0.T1A b,"i>CVER 15o&9 -v or- APPEALS (Jea4&j-Z e I? _ IjPPaovA%-c.: 71x0 ro�i.C�id DATL oc APPaoVdI,