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HomeMy WebLinkAboutMiscellaneous - 188 SALEM STREET 4/30/2018N 'z Date �'<"_� �T :�10 TOWN OF NORTH ANDOVER r PERMIT FOR PLUMBING This certifies that .. !'...�'g,'`' .... . Y; has permission to perform . .1.. � t.c.... ...t..... , plumb11ing in the buildings of . )4 ..... ............. . at .. ................... , North Andover, Mass. Fee. 3.3.... Lic. No ....... ....... ... ......L .. ......... PLUMBING INSPECTOR Check# 793 MASSACHUSETT3�UNIFORM APPLICATION FOR.PERMITTO DO PLUMBING W 2� (Pr'nt XLL�Wklass. ate 20X-k- Permiit #<S Building Lo ation , ��-Owner's am 1 Type of Occupancy New U Renovation O Replacement"" Plans Submitted: Yes O No O FIXTURES B.P..# SEWER # SEPTIC nstalling Company Name I +ddr iusiness T61ephone Cheek ong: Certificate Q Corporation 0 Partnership lame of Licensed Plumber or Gas Fitter a- INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142. Y es (�'� No. G t If you have checked yes, please indicate the type of coverage by checki=ng the appropriate ,box. A liability insurance policy Other type of indemnity 0 Bond 0 OWNER'S INSURNACE WAIVER: I am aware that the.Iicensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check bne: Owner 0 Agent p hereby certify that all of the details and -information t have submittedentered) In above -application are true and accurate to the best of y knowledge and that all plumbing work and installations performed?d r the permit iss for this application will be in compliance with .1 pertinent provisions of the Massachusetts State Plumbing Code a pt 142 of the a eral Laws_ By Si na ure of Licensed lumber T ith! ttt CitylTown( Type of License: BYMaster OJourneyman 1 P.PPROVED (OFFICE USE ONLY) License Number zyy Z :!e <L LO Y to Z O Z ui ZW Z)C7 W w Ln to i C3 in U) LL z •- U sn ;: U, U, } ¢ �- V,z t'� 0 z _' � ;. Q 0 >3 O: W. it Z �' p u U> _ 1— ; O to (Jr) z: _. Q _j z a p p p to Q z z )- O U z LUQ fl= trr u_ C7 :D Q <uriZ o' m O SUB-BSMT (_ BASEMENT I: L 1ST FLOOR 1. 2ND FLOOR 3RD FLOOR 1 i 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR I I 8TH FLOOR nstalling Company Name I +ddr iusiness T61ephone Cheek ong: Certificate Q Corporation 0 Partnership lame of Licensed Plumber or Gas Fitter a- INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142. Y es (�'� No. G t If you have checked yes, please indicate the type of coverage by checki=ng the appropriate ,box. A liability insurance policy Other type of indemnity 0 Bond 0 OWNER'S INSURNACE WAIVER: I am aware that the.Iicensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check bne: Owner 0 Agent p hereby certify that all of the details and -information t have submittedentered) In above -application are true and accurate to the best of y knowledge and that all plumbing work and installations performed?d r the permit iss for this application will be in compliance with .1 pertinent provisions of the Massachusetts State Plumbing Code a pt 142 of the a eral Laws_ By Si na ure of Licensed lumber T ith! ttt CitylTown( Type of License: BYMaster OJourneyman 1 P.PPROVED (OFFICE USE ONLY) License Number 14ORTpl 49 Date.. TOWN OF NORTH ANDOVER - PERMIT FOR PLUMBING �HU51' This certifies that. -A: .. ......... ........... I ............. has permission to perform..-� ................................. plumbing in the b ildings of .................. ........ North Andover, Mass. LIic. No. . �4 Fe -,"l c --R ..... � X IN . P .............. N PL MBG INSPECTOR Check # 7340 3R`& MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) !V N/Qo Ue✓� Mass. Date 0 2007 Permit# 17 /3,/0 9) ith Building Location e m Owner's Name 1'-Ghelj/ Type of Occupancy Re<i "etvr te New ❑ Renovation ❑ Replacemen Plans Submitted: Yes ❑ No LlFIXTURE Check one: installing Company Name Stark & Cronk Plumbing & Heating, Inc. g p Y iffi Corporation Address 308 Main Street, Groveland, MA 01834 ❑ Partnership ❑ Firm/Co. Business Telephone 978-372-6981 Name of Licensed Plumber �'�. j�Vr✓;Nr,oLc i 7r� Certificate 2486C INSURANCE COVERAGE: I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes g No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy X Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: -I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or e the best of my knowledge and that all plumbing work and installations erfor be in compliance with all pertinent provisions of the Massachus a Plui Y B _ Check one: Owner ❑ Agent ❑ we plication are true and accurate to b ermit issued for this application will and Chapter 142 of the General Laws. Title Signature of Licensed Plumber City/Town Type of License: Master 0 APPROVED (OFFICE USE ONLY) License Number . 11027 Journeyman ❑ V S 9' BIG m*1 Check one: installing Company Name Stark & Cronk Plumbing & Heating, Inc. g p Y iffi Corporation Address 308 Main Street, Groveland, MA 01834 ❑ Partnership ❑ Firm/Co. Business Telephone 978-372-6981 Name of Licensed Plumber �'�. j�Vr✓;Nr,oLc i 7r� Certificate 2486C INSURANCE COVERAGE: I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes g No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy X Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: -I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or e the best of my knowledge and that all plumbing work and installations erfor be in compliance with all pertinent provisions of the Massachus a Plui Y B _ Check one: Owner ❑ Agent ❑ we plication are true and accurate to b ermit issued for this application will and Chapter 142 of the General Laws. Title Signature of Licensed Plumber City/Town Type of License: Master 0 APPROVED (OFFICE USE ONLY) License Number . 11027 Journeyman ❑ V S 9' 4 r c 9 CO z G) z 0 n i u D m m O z I m v S w c D v r n D O z m O m m 0 0 O r C z G) z O M z D r Z a m c� O z cn A m n m m m m Y - Date ... ......0 .... 7 .... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . ............................ . .......... has permission for gas installation ........ ................... in the buildings of .......................................... at..... ...................... Porth Andover, Mass. Fee ......... Lic. NO.. ............ PP :il GAS INSPECTOR Check # 5950 T, 7t rA L MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Al �N�O Vet ,Mass. Date -3/3" 2007 Permit # �y Building Location Owner's Name 14Ghe0l Owner Tel# New ❑ Renovation ❑ Type of Occupancy 6C Q dl PNCC Replacement AX FIXTURES Plan Submitted: Yes ❑ No ❑ Installing Company Name STARK & CRONK PLUMBING & HEATING Address 308 MAIN STREET, GROVELAND. MA 01834 Bu11 siness Telephone # 978-372-6981 Check one: Certificate 40 Corporation 2486C ❑ Partnership ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter �•. Wc°_IN�l01 6�; 7 i,,0 '�) INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch, 142, Yes A No ❑ If you have checked yts, please indicate the type coverage by checking the appropriate box. A liability insurance policy lip Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ A6ant ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in knowledge and that all plumbing work and installations performed under the permit is City/Town APPROVED (OFFICE USE ONLY) is State Gas Code and Chapter 142 of theGe V�--STg—nature sType of License:�•Plumber ' of Licensed Plum • -Gas fitter • -Master License Number 11027 • •Journeyman 1111111 ' _ • ■■■■■■■■■■■■■■■■■■■■■■■■■■ ...■■■■■■■■■■■■■■■■■■■■■■■■■■ Installing Company Name STARK & CRONK PLUMBING & HEATING Address 308 MAIN STREET, GROVELAND. MA 01834 Bu11 siness Telephone # 978-372-6981 Check one: Certificate 40 Corporation 2486C ❑ Partnership ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter �•. Wc°_IN�l01 6�; 7 i,,0 '�) INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch, 142, Yes A No ❑ If you have checked yts, please indicate the type coverage by checking the appropriate box. A liability insurance policy lip Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ A6ant ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in knowledge and that all plumbing work and installations performed under the permit is City/Town APPROVED (OFFICE USE ONLY) is State Gas Code and Chapter 142 of theGe V�--STg—nature sType of License:�•Plumber ' of Licensed Plum • -Gas fitter • -Master License Number 11027 • •Journeyman nd accurate to the best of my be in compliance with all alas F to m 0 O a O A m G N m 0 2 r T o s m o m o 0 N 0 m D c ro X a z m 0 O � -1 O ' o O fl D N -1 -1 . Z D to m 0 O a O A m G N m 0 2 r 4 Date...! ..... o ., TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......Zr � K. e5..... 5 ... . 5 ........................... has permission to perform l% �!� ��G%,��' Pn zo .................... ................................................... 'wiring in the building of ........ P.K.(4 ......... t.../c.-/?.�°. `��................... G�/.� /f'sti �- .,;at ../. „/ , t? ........................... ............................... . , North, And6er,/ ass. Fee.. .......... Lic. No.'•/of •• `/ ... ��......................... ELECTRICALINSPECTOR Check # s� 4977 r_ Z10 -v a 4 P BOARD OF FIRE APPLICATION FOR P All work to be performed in acc (Please Print in ink or type all information) Town of North Andover ULATIONS 527 CMR 12:00 Official Use i Permit No. Occupancy &�OChec fi TO PERFORM ELECTRICAL WORK with the Massachusetts Electrical Code 527 CMR 12:00 Date e To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below Location (Street & Number_ / � - -CA= 11.4 all, S-7 . Owner or Tenant /� era "Y"Vt i4 r A(r ' Owner's Address Ie. Nl _7 Is this permit in conjunction with a building permit Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps 1_ Vofts Overhead 0 Undgrnd 0 ... No. of MetE New Service Amps Voits Overhead 0 Undgmd 0 No. of MetE Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 1 O INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I' have a current Liability Insurance Policy includin mpleted Operations Coverage or its substantial equivale YES NO have submitted valid proof of same to the Offic Y; = NO - If you have checked YES please indicate the type of poverage by checking the appropriate box. INSURANCE - BOND OTHER (Please Specify) / o/�/ L 6 S--�U " Estimated Value of. ectri al ork$ (Expiration Date) � Work to Start• / Signed under the enattie of perjury: FIRM NAME Inspection Date Resquested Rough Final LIC. NO. - LIC. NO. j 'Bus. Tel No. / %cf­ 76 - 7QY Address_ �,Ui,S o,(J 010--4��� �J�� IAU Att Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Mass; General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) (Signature of Owner or Agent) Telephone No. PERMITEE ` Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA o Above 0 In 0 No. of Lighting Fixtures S Swimming Pool gmd 0 gmd 0 Generators KVA. No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone _ No. of Detection and Total No. of Ranges No of Air Cond Tons initiating Devices _ Heat Total Total No. of Diposal No. Pumps Tons K1N No. of Sounding. Devices _ NoJ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices 0 Municipal 0 Other No. of Dryers Heating Devices KW Local Connection No. of y No. of Low Voltage No. of Water Heaters KW Signs Baikases Wiring No. Hydro Massage Tuds No. of Motors Total HP INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I' have a current Liability Insurance Policy includin mpleted Operations Coverage or its substantial equivale YES NO have submitted valid proof of same to the Offic Y; = NO - If you have checked YES please indicate the type of poverage by checking the appropriate box. INSURANCE - BOND OTHER (Please Specify) / o/�/ L 6 S--�U " Estimated Value of. ectri al ork$ (Expiration Date) � Work to Start• / Signed under the enattie of perjury: FIRM NAME Inspection Date Resquested Rough Final LIC. NO. - LIC. NO. j 'Bus. Tel No. / %cf­ 76 - 7QY Address_ �,Ui,S o,(J 010--4��� �J�� IAU Att Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Mass; General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) (Signature of Owner or Agent) Telephone No. PERMITEE ` The Commonwealth of Massachusetts Department of Industria! Accidents Office. of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Name Location: 603 F-- FF 7S - tam am a homeowner performing all work myself. �� , 7� _ 7ay9 /1 am a sole proprietor and have no one working in any capaaty 1 am an employer providing workers' compensation for rry employees working ort, this jot Company name: ; Address Qph- r . Polim # / ,de `r / (J 9,re 7 Cornua!& name: . Address :A Fae7we to secase coMerage as regwred under Sy ` . 2M-4ota4GC 1S2 can kadto the *vosNm of aWaw pem androrone years' irnprisonrr�nt !lett as�aai_� �u2heSamsa�Z+1?t? fenelaf,S understated that a copy cf this statement may rwarded to the OfSee bf Investigations of the M for coverage, / do hereby certify w,der the Wd caorrmt �iarraiure/ _ Datei Print name_ I Official use ony 6'3-16-5ir- FS-)j— do not write in this area to be completed by city or town of dW F1 Ott Location/ /�e —IT No. Date ��✓ ��'� Check # T is- 5165 s - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Le Foundation Permit Fee $ Other Permit Fee $ TOTAL 51d5 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE O` R�TWO FAMILY DWEL4LING BUEL,DING PERMIT NUMBER:_ DATE ISSUED: (10 SIGNATURE: *� Building Conunissioner/Insmaor of Buildings Date I SECTION 1- SITE INFORMATION I 1.1f �Property Address: 1.2 Assessors Map and Parcel Number: 2. Z Map Number Parcel Number /V 44e f V� 1.3 Zoning Information: iQ3 �wpiuL,. Zoning District Proposed Use 1.4 Property Dimensions: l0 Lo�eaAr sf) Fronta e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided a $ 1.7 Water Supply M.G.L:C.40. 94) ,, 1.5. Public 0 Private ❑ Zone Flood Zone Information: Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of R/e�cord .�r4. h s104,44 /f "� s /e •., s� � Name (Print) Address for Service 1 96732- Signature 6732Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensi 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 Tele hone 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 resu4. in the denial of the issuance of the buildina permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check au a ticable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify Po axJ4- Brief Description of Proposed Work: I SE.CTTON 6 - FSTIMATFID CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed b permit a licant "O ICIAI. USE CI1�'I.' r' .; ���> 1. Building n ° (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 6sW"a2 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 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 I, 7 ` ' " ��� vl 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 .12"k 14. Print Name Signature of Omer/Aent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DUvIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Na FORM - U — a Lk" kELEASE FORM INSTRUCTIONS: This form is used to verify that allnecessary approval /permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ............................................................................ APPLICANT �` e,/� - PHONE ASSESSORS MAP NUMBER 32 D -- LOT NUMBER 2 2 SUBDIVISION IVIA LOT NUMBER STREET STREET NUMBER ........................................................................... OFFICIAL USE ONLY ............................. WE ■........... \ .........................1111 ■ . REcowAENDATIONS OF TOWN AGENTS DATE APPROVED iC0SdMVATn10N ADIRSTRATOR COMivIEM DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED FOOD INSPECTOR -'HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS . DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CONIIvIENTS RECEIVED BY BUILDING INSPECTOR MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS IV PF 1 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL (978)475-3555,373-5721 • FAX (978) 475-1448 • E-MAIL: merreng@aol.com July 27, 2001 Mr. Robert Nicetta, Building Inspector BY FAX Town of North Andover 27 Charles Street North Andover, MA 0.1845 RE: Keith Mitchell Salem Street North Andover, MA Farmers Porch Construction Dear Mr. Nicetta: Relative to the subject, please be advised that I have reviewed the plans of Mr. Mitchell to install aTarmers porchon`.his house. The plans will allow for infiltration of the water runoff from the 'farmers porch "roof into the ground, and as such, no change in peak rate of runoff from the site or water volume runoff from the site will occur from installation of the porch. In addition, since there is no source or pollution and the only runoff will be from the roof itself, there will be no degradation of any surface water quality as a result of the construction. Given the above, please do not hesitate to contact me should you have questions or comments. Very truly. ENG Stephen E a 'n ki, Project or ' to cd cc: `'Mr Keith Mitchell . Ms. -Heidi Griffin (by fax) = G SERVICES ,.. AIL, . 3.r1 - s uui L BUILDING NE -PT. MERRIMIACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS ® PLANNERS 66 PARK STREET • ANDOVER MASSACHUSETTS 01610 • YEl (970) 47&3555.373.6721 • FAX (976) 0751448 • E-MAIL menenp@ool.com July 27, 2001 Mr. Robert Nicetta, Building Inspector BY FAX Town of Notch Andover 27 Charles Street North Andover, MA 01845 RE: Keith Mitchell Salem Street North Andover, MA Farmers Porch Construction Dear Mr. Nicetta: Relative to the subject, please be advised that I have reviewed the plans of Mr. Mitchell to install a farmers porch on his house. The plans will allow for infiltration of the water runoff from the farmers porch roof into the ground, and as such, no change in peak rate of runoff from the site or water volume runoff from the site will occur from installation of the porch. In addition, since there is no source or pollution and the only runoff will be from the roof itself, there will be no degradation of any surface water quality as a result of the construction. Given the above, please do not hesitate to contact me should you have questions or comments. Very truly. Stephen Project i cd cc: Mr. 'Keith Mitchell Ms..Heidi Griffin (by fax) SERVICES Ill CD 0 � C/) ° ?p p7 P v 9d y � I "X n C 0 w � Qv y O C7 Z O y CL n. O C. y O 0 CD coCL o cr %< d CD !CD O CD mm 9 C CD y. CD O: O y �C CD v CO) O � Z CD o CD 0 CD <_ r � p ? 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VJ m H :� m CS) n D C G . a ,�• o m C, =r o U aero y ClCD r- I �• vJ H H CO zCD bdCDr P. ;w co') r CD CKCK a _ n C M:CD o a S,: O z�i drr t7l IzT N pGQi• "z �1 T G C17 W M z� W z n G d Z O CD d o x omq 0 0 c 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 ��. —4 Please print] DATE (� i1i D I JOB LOCATION Number Street Address Map /lot „HOMEOWNER l moi /-�a� y Name Home Phone Work PRESENT MAILING ADDRESS MY- S-r- �� ; /Yo- Dl 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 for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory'to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner' assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulabohs, The undersigned "homeowner' certifies that he/sh!�:'undersfaads the Town of No. Andover Building Department minimum inspection procedures and requirements and that hashe will e comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Date..:.. N° 4521 :otic TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ti 'SSAc HUSE` This certifies that ....�t....��....... ......... r! j has permission to perform ....f .�. ........................... � plumbing in the buildings of .. 2!+.0 ..................... at.. ...... , North Andover, Mass. Fee.Lic. No.... : <3 ........,,.f-�5�1� ... . LUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLU G (Type or print) NORTH ANDOVER, MASSACHUSETTS / /,, /J Date:2 00 Building Location �� S (�P �� Safi Owners Name � t' � �( -e Permit # Amount Type of Occupancy New [—] Renovation [:] Replacement 0 Plans Submitted Yes ❑ No El (Print or type) Installing Company Name Address (`y L3 U X ✓yL U —jaA Check one: Corp. _ Partner. , Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 13- Other type of indemnity ❑ Bond ❑ Certificate Insurance Waiver: I, 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 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 installationsrm der Permi Issued f this appli tion will be in compliance with all pertinent provisions of the Massachusetts to u e and apter 1 of the eral L By: Mg—nature ot Licenseaum er T oe of Plumbing License Title City/Town Icense NumFer Master El- Journeyman ❑ APPROVED (OFFICE USE ONLY .•- - X71 Location i. No all Date V L o D TOWN OF NORTH ANDOVER ot,"° 6 Certificate of Occupancy $ � I -Building/Frame Permit Fee $ SA04 Foundation Permit Fee $ Other Permit Fee $ . Y Sewer Connection Fee. $ Water Connection Fee $ TOTAL$0f` _ 'r. a:•. li Building Inspector 3 O `d Div. Public Works PEaAtT No." I 1 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAG> i— ISCAP ilo.37D I LOT NO. 22 2 RECORD OF OWNERSHIP (DATE BOOK 'PAGE ZONE R3 SUB DIV.. LOT No. n/a Reith & Nancy Mitcheli 7/30/90 3141 � 79 LOCATION 188 Salem Street PURPOSE OF BUILDING Addition- • I C12.r— OWNER'S NAME Reith & Nancy Mitchell NO. OF STORIES 2 SIZErr6-32_ sq. ft. '�T'�' OWNER'S ADDRESS 188 Salem Street BASEMENT OR SLAB Slab ARCHITECT'S NAME Gerard E. Welch SIZE OF FLOOR TIMBERS IST n/a 2NDT.J. 3RD 2X8 BUILDER'S NAME Dennis Doherty SPAN n/a 24 ft. .12 ft. DIMENSIONS OF SILLS 4X6 POSTS n/a DISTANCE TO NEAREST BUILDING 65 ft. - DISTANCE FROM STREET 42 f t . "DISTANCE FROM LOT LINES - SIDES14.6/32.5REAR 14 ft. GIRDERsn/a AREA OF LOT 10/000 sq.ft. FRONTAGE 100 ft. HEIGHT OF FOUNDATION 4 ft. THICKNESS 10 inch IS BUILDING NEW NO SIZE OF FOOTING 2 X 12 IS BUILDING ADDITION YeS MATERIAL OF CHIMNEY IS BUILDING ALTERATION Yes IS BUILDING ON SOLID OR FILLED LAND Solid WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YeS IS BUILDING CONNECTED TO TOWN WATER Yes BOARD OF APPEALS ACTION. IF ANY Attached IS BUILDING CONNECTED TO TOWN SEWER NO —ZGA — a ,+ IS BUILDING CONNECTED TO NATURAL GAS LINE Yes WSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E 00 PERMIT GRANTED y 19 { 1995 P s I4 3 PROPERTY INFORMATION LAND COST n/a EST. BLDG. COST �I EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY 0 BUILDING INSPQCTOR OWNER TEL. # 689-7832 617-273-5956 CONTR. TEL. N 029282 CONTR. LIC. 114259 H.I.C. # 7: L BUILDING RECORD I OCCUPANCY 12 SINGLE FAMILY SLORIES MULTI. FAMILY _ OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION ^ X71 8 INTERIOR FINISH CONCRETE PINE 3 2 13 CONCRETE BL'K. BRICK OR STONE HARDW D _ PIERS PLASTER - DRY WALL —x _ _ UNFIN 3 BASEMENT AREA FULL '%. 1/2 FIN. B M'T' AREA FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS x CONCRETE EARTH B 1 y 2 3 �_ _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARD"' D COMMON ASPM. TILE STUCCO ON MASONRY STUCCO ON FRAME "-' BRICK ON MASONRY BRICK ON FRAME' ATTIC STRS. & fLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I I POORX � — ADEQUATE NONE 5 ROOF GABLE HIP 10 PLUMBING BATH 13 FIX.) L GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES X LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL ROLL ROOFING STALL SHOWER MODERN FIXTURES X TILE FLOOR TILE DADO 6 FRAMING II 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 OIL B'M'T 2nd 1st Z 13rd I ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM t LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. /V�F H.9KT t �A� Tiot/ oc-cr Ih J WF IQ ,PV'Z To Er/STZ/Z h 29 25' iU.F.D h �0 a 10 7# ZZ We O EO A.PEA= /O, 000 .F A UqL APEq = /O, 3 t S.E To Tak,N /000' iP'350' 3.5" G/. 7.5' R= 7100. �T EET 188 SALEM STREFT 19u2 ESSEX COUNTY LAi`T —OR/f�/NAL LINE OF OIUf/EPSf//P�SToNEKiALC� a � t 1r� -71 2 O J a z c � o a: LL O H o 0 C.3 G-7 � � CL. � U w a z cc N E ct O D � c o •- w w :ACL h COD w Q O W Z O O Z V r da cm : m C w 2 -ii m m p �` N w c O O =m T O 'D � O �2 CD •a . m �� :mo aC o O O . ..,, c CDQ � Q .00h N O �p v _ �• `rte.. C _ W U O rr c�A W cn a cz c W W "n z z njz m v o m bo E to 00 eo w° cn U w ° 0 a cn °L.p C.3 'Q ?i 2 E 0 4 O J a z c � o C3 LL O H o 0 C.3 G-7 � :ate CL. :m= •t o cc N E ct O D � c o •- Q w :ACL h COD w Q O W m O O CL) m m V r da cm : m C w 2 -ii m m p �` N .� c O O =m T O 'D � O �2 CD •a . m �� :mo aC o O O . ..,, c CDQ � Q .00h N O �p v _ �• `rte.. C _ W C Co O rr Q W C3, V J w � = W "n z z njz m E 0 4 J a z o LL o � LLJ O C _ � c o •- Q w COD w W y '� CL) m m � z w O �2 CD •a • �+ o V � Q C3 Q vca� Cc Q C. o CD J w � c Z Q z v C0 R C CL N2 C.3 'Q ?i 0LU z \ w a -U) P 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***************** APPLICANT: Reith A_ Mitchell Phone FRg-7R32 - - -- LOCATION: Assessor's Map Number 37D Parcel n/a Subdivision n/a Lot(s) 22 Street Salem Street St. Number 188 ************************Official Use Only************************ :RE:C;O;MMMENDAT�NS O TO AGENTS: Date Approved Slv ,/Conservation Administrator Date Rejected / Vy (�!` &49 QS s aj , T E� A 1� Comments " � Town Planner Comments V r vvu 1.iiZDN=�_ l_U L C1 _L l.11 /�P,eptic Inspector -Health (/Comments Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected ,/Public Works - sewer/water connections - drivew��a��y permit ✓ ' re Department V1. -1i' 1 L�; !✓ /r' Received by Building Inspector Date } a o cn o 0 x z m 0 Z 0 c �� Z m 0 Z D r x z S 19 C: T C)=n m i t� = T ( m -1 G1 T (A �) 0 m oxm° 200 fv C O om o i{ 00 O a mz� �Jry Z m of o u -j0 -n t+ U Z ° z c u.,� Cr• m 6) m ;° dam DM Mc va� D� a' .s D • �Z �o = corn til 0 0 c' tv v z z t <. 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AND R.I. 1-800-322-4844 1-800-225-4977 DIG SAFE CALL CENTER UNDERGROUND PLANT DAMAGE PREVENTION SYSTEM JOYGIEZ AW • °:�n• : TO'A"i NORTHCH c ^•f�• OC 1 16 3 39 PV '9q TOWN OF NORTH ANDOVER Any appeal shall be filed MASSACHUSETTS within (20) days after the date of filinc, of this Notice BOARD OF APPEALS in the Office of the Town Clerk. NOTICE OF DECISION This is Date 10-18-94 have elapsed from date of decision riled without filing of an appeal. Date �i/�UFmB£i? 9, 1011" Petition No........ 049-94............... Joyce A Bradshaw GIl3 Town Gerk O` Date of Hearin 10-11-94 g................... Petition of Keith Mitchell ............................................................................... Premises affected 188 Salem Street ........................................................................ Referring to the above petition for a €fti�f�fh� .SPECIAL, PERMIT under. Section 9, Paragraph 9.2 (1).of,.the,Zoning Bylaw ..................... so as to permit construction. of. an addition .to, a. non -conforming .structure. at. _ ... . 188 .Salem. Street. ..................................................................... After a public hearing given on the above date, the Board of Appeals voted to .. GRANT .... the SPECIAL. PERMIT . . and hereby authorize the Building Inspector to issue a permit to Keith .Mitchell ..... ............................. for the construction of the above work, based upon the following conditions: subj e c t to erosion controls (haybales; etc.) during construction and permanent drainage per the Building Inspector's Specifications. The Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.1 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non -conforming use to the neighbrohood. Signed William J. Sullivan �. ........................................ ATTEST:. ATrue Copy Walter. Soule . ....................... Raymond A. Vivenzio Town Clerk Scott Karpinski ................................. Board of Appeals e ° L a filed Any appeal shall b * i s after the °` within (20) day � °'�•F° . 9SSACHUSE't date of filing of this Notice in the office of the Town TOWN OF NORTH ANDOVER Clerk. MASSACHUSETTS BOARD OF APPEALS * Keith Mitchell 188 Salem Street North Andover, MA 01845 * ******************************* C [_ C OCT 16 3 40 PF '94 DECISION Petition #049-94 3 The Board of Appeals held a regular meeting on Tuesday evening September 13, 1994 and continued to October 11, 1994 upon the application of Keith Mitchell requesting a Special Permit under Section 9, Paragraph 9.2 (1) of the Zoning Bylaw so as to permit construction of an addition to a non -conforming structure at' 188 Salem Street. The following members were present and voting: William J. Sullivan, Chairman; Walter Soule, Vice Chairman; Raymond A. Vivenzio, Clerk; and Scott Karpinski. The hearing was advertised in the North Andover Citizen on August 24 and 31, 1994 and all abutters were notified by regular mail. Upon a motion by Mr. Karpinski and seconded by Mr. Soule, the Board voted unanimously to GRANT the Special Permit subject to erosion controls (haybales, etc.) during construction and permanent drainage per the Building I_nspector's Specifications. The Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.1 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non -conforming use to the .neighborhood. Dated this 18th day of October, 1994 BOARD OF APPEALS Wi liam J. Sullivan o, Chairman Any appeal shall be filed within (20) days after the date of filing of this Notice in the Office of the Town Clerk. is s is tc c:;ndy that tweny (20) uays . have elapsed from date of decision filed without filing of an appeal, Joyce A Bradshaw Town Clerk a � Ar�Kln 1853 :, TOWN OF NORTH ANDOVER MASSACHUSETTS 0 z o BOARD OF APPEALS o -+ NOTICE OF DECISION - Date ...:........ 10-18-94- . .. . L Petition No....... 049-94 ........ Date of Hearing...10-11-94....... Petition of ....Keith Mitchell.......................................................... Premises affected ...18.. Salem Street .......................................................... Referring to the above petition for a variation from the requirements of ffe . secti,00. 7,.... . Paragraph 7.3 and Table 2 of the Zoning Bylaws ......................................................................................... so as to permit relief. of S..4 .feet..from. the. minimum. side .setback. and. lb..feet ....... from the minimum .rear. s.etback.. on..premiees..located, at ,188, $ahem ,Street........ , . . After a public hearing given on the above date, the Board of Appeals voted to .GRANT...... the Variance.... .. and hereby authorize the Building Inspector to issue a permit to Keith Mitchell ..... ............ ........................................ for the construction of the above work, based upon the following conditions: Subject to erosion controls (haybales, etc.) during construction of the addition and permanent drainage per the -Building Inspector's Specifications. The Board finds that the petitioner has satisfied the provisions of Section 10, Paragraph 10.4 of the Zoning Bylaw and that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the.Zoning Bylaw. • Signed William J. Sullivan, Chairman ................................... AMS1% Walter Soule, Vice -Chairman ATrue Copy .. ..... .. I ............................ .Raymond Vivenzio, Clerk Town Clerk Scott Karpinsk...i ..................... Bard of A ......... . Board Appeals 4 DU i 0 z o BOARD OF APPEALS o -+ NOTICE OF DECISION - Date ...:........ 10-18-94- . .. . L Petition No....... 049-94 ........ Date of Hearing...10-11-94....... Petition of ....Keith Mitchell.......................................................... Premises affected ...18.. Salem Street .......................................................... Referring to the above petition for a variation from the requirements of ffe . secti,00. 7,.... . Paragraph 7.3 and Table 2 of the Zoning Bylaws ......................................................................................... so as to permit relief. of S..4 .feet..from. the. minimum. side .setback. and. lb..feet ....... from the minimum .rear. s.etback.. on..premiees..located, at ,188, $ahem ,Street........ , . . After a public hearing given on the above date, the Board of Appeals voted to .GRANT...... the Variance.... .. and hereby authorize the Building Inspector to issue a permit to Keith Mitchell ..... ............ ........................................ for the construction of the above work, based upon the following conditions: Subject to erosion controls (haybales, etc.) during construction of the addition and permanent drainage per the -Building Inspector's Specifications. The Board finds that the petitioner has satisfied the provisions of Section 10, Paragraph 10.4 of the Zoning Bylaw and that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the.Zoning Bylaw. • Signed William J. Sullivan, Chairman ................................... AMS1% Walter Soule, Vice -Chairman ATrue Copy .. ..... .. I ............................ .Raymond Vivenzio, Clerk Town Clerk Scott Karpinsk...i ..................... Bard of A ......... . Board Appeals e Any appreal s"a--1 be filed within (20) days after the date of filing of this Notice in the Office. of the Town Clerk. TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS * Keith Mitchell 188 Salem Street North Andover, MA 01845 ********************************* TG OCT 18 3 41 Py '9q DECISION Petition #049-94 The Board of Appeals held a regular meeting on Tuesday evening, September 131, 1994 and continued to October 11, 1994 upon the application of Keith Mitchell requesting a variation of Section 7, Paragraph 7.3 and Table 2 of the Zoning Bylaws so as to permit relief of 5.4 feet from the minimum side setback and 16' from the minimum rear setback on premises located at 188 Salem Street. The following members were present and voting: William J. Sullivan, Chairman; Walter Soule, Vice Chairman; Raymond A. Vivenzio, Clerk; and Scott Karpinski. The hearing was advertised in the North Andover Citizen on August 24 and 31, 1994 and all abutters were notified by regular mail. Upon a motion by Mr. Karpinski and seconded by Mr. Soule, the Board voted unanimously to GRANT the variance subject to erosion controls (haybales, etc.) during construction of the.addition and permanent drainage per the Building Inspector's Specifications. The Board finds that the petitioner has satisfied the provisions of Section 10, Paragraph 10.4 of the Zoning Bylaw and that the granting of this variance will not adversely affect the neighbprhood or derogate from the intent and purpose of the Zoning Bylaw. Dated this 18th day of October, 1994 BOARD OF APPEALS William J. Sullivan Chairman _ --�; Northern District of Essex. County • f Registry of Deeds Northern District of Essex. County Lawrence, MA 01840 12/01/94 111:EITH t ITTCHE! I CT Inst •� Pe t_.tai iG [to Jj # 163 Rec:time 034t�• Type NOT 10°00 Inst 3;x;1 .. s �Jstage 0.58 II n 164 Rec:rime 0747 Type PLAN Inst 383== Copies 3x00 Total 40.16 lu 1 Payment Check� 40,11 THANK 'DLI! 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