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Home My WebLink AboutMiscellaneous - 189 CARLTON LANE 4/30/2018 189 CARLTON LANE - 9 210/107.A-0206-0000.0 r f pORTh O «IL 0". � L � A 9 NORTH ANDOVER BUILDING DEPARTMENT 1600 Osgood Street North Andover Tel: 978-688-9545 Fax: 978-688-9542 BUSINESS FORMFOR TOWN CLERK ?SATE: NAME:_ ADDRESS: A Al IF L� ZONING DISTRICT: TYPE OF BUSINESS:_/e'r,. BUILDING LAYOUT PROVIDED: YES NO AVAILABLE PARKING SPACES: l ZONING BY LAW USAGE: YES NO BUILDING INSPECTOR SIGNATURE BUSINESS FORM FOR TOWN CLERK The Commonwealth of Massachusetts 6 City or Town of NORTH ANDOVER, MASS. 01845 Criminal History Systems Board Firearms Record Bureau State License Number: F .NOH 000009398 Expiration Date: JULY 9th, 2007 License to Sell, Rent or Lease Firearms, Rifles, Shotguns or Machine Guns In accordance with the provisions of Chapter 140 section 122 & 123 of the General Laws, and amendments thereto, LICENSE is hereby granted to JOSEPH T. QUINN dba: AARDVARK, LTD. to sell, rent or lease firearms, shotguns and rifles in the building at 189 CARLTON LANE , in the NORTH ANDOVER , county of ESSEX and Commonwealth of Massachusetts. Number Street City/Town General Laws Chapter 140 Section 123,as amended,provides"THE LICENSE SHALL BE EXPRESSED TO BE AND SHALL BE SUBJECT TO THE FOLLOWING CONDITIONS: First,That the provisions in regard to the nature of the license and the building in which the business may be carried on under it shall be strictly adhered to. Second, That every licensee shall, before delivery of a firearm, rifle or shotgun, make or cause to be made a true, legible entry in a sales record book to be furnished by the executive director of the criminal history systems board and to be kept for that purpose, specifying the complete description of the firearm, rifle or shotgun, including the make, serial number, if any, type of firearm, rifle or shotgun and designation as a large capacity weapon, if applicable, whether sold, rented or leased, the date of each sale, rental or lease, the license to carry firearms number or permit to purchase number and the identification card number in the case of a firearm or the identification card number or the license to cant' firearms number in the case of a rifle or shotgun,the sex, residence and occupation of the purchaser, renter or lessee, and shall before delivery,as aforesaid,require the purchaser,renter or lessee personally to write in said sales record book his full name. Said book shall be open at all times to the inspection of the police.Third,That the license or a copy thereof,certified by the official issuing the same,shall be displayed on the premises in a position where it can easily be read. Fourth,That no firearm,rifle or shotgun,or machine gun shall be displayed in any outer window of said premises or in any other place where it can readily be seen from the outside.,Fifth,That the licensee shall,submit a record of all sales,rentals and leases forthwith at the time of such sale, rental or lease via electronic communication link to the executive director of the criminal history systems board. Sixth, That every firearm, rifle or shotgun shall be unloaded when delivered.Seventh,That no delivery of a firearm shall be made to any person not having a license to cavy firearms issued under the provisions of section one hundred and thirty-one nor shall any delivery of a rifle or shotgun or ammunition be made to any minor nor to any person not having a license to carry firearms issued under the provisions of section one hundred and thirty-one or a firearm identification card issued under the provisions of section one hundred and twenty-nine B;nor shall any large capacity firearm or large capacity feeding device therefor be delivered to any person not having a Class A license to carry firearms issued under section 131 nor shall any large capacity rifle or shotgun or large capacity feeding device therefor be delivered to any person not having a Class A or Class B license to carry firearms issued under said section 131 provided,however,that delivery of a firearm by a licensee to a person possessing a valid permit to purchase said firearm issued under the provisions of section one hundred and thirty-one A and a valid firearm identification card issued under section one hundred and twenty-nine B may be made by the licensee to the purchaser's residence or place of business subject to the restrictions imposed upon such permits as provided under section 131A. Eighth,That no firearm shall be sold,rented or leased to a minor or a person who has not a permit then in force to purchase,rent or lease the same issued under section one hundred and thirty-one A,and a firearm identification card issued under the provisions of section one hundred and twenty- nine B,or unless such person has a license to carry firearms issued under the provisions of section one hundred and thirty-one;nor shall any rifle or shotgun be sold,rented or leased to a person who has not a valid firearm identification card A provided for in section one hundred and twenty-nine B,or has a license to carry firearms as provided in section one hundred and thirty-one;and that no machine gun shall be sold,rented or leased to any person who has not a license to possess the same issued under section one hundred and thirty-one.Ninth,That upon the sale,rental or lease of a firearm,subject to a permit to purchase issued under the provisions of section one hundred and thirty-one A,the licensee under section one hundred and twenty-two shall take up such permit to purchase and shall endorse upon it the date and place of said sale,rental or lease,and shall transmit the same to the executive director of the criminal history systems board;and that upon the sale,rental or lease of a machine gun shall endorse upon the license to possess the same the date and place of said sale,rental or lease,and shall within seven days transmit a notice thereof to said executive director.In case of a sale under the provisions of section one hundred and thirty-one E the licensee under section one hundred and twenty-two shall write in the sales record book the number of the license to carry firearms issued the purchaser under the provisions of section one hundred and thirty-one,or the number of the firearm identification card issued the purchaser under the provisions of section one hundred and twenty-nine B, whichever is applicable under the provisions of condition Eighth of this section.CONTINUED ON THE REVERSE SIDE. Issued By: NORTH ANDOVER POLICE �DEEPAR/'/L/ TMENT CA It 'Wino Harp of rcal,c.• JULY 9th. 2004 Aiifh� r;t.r /1�1 _ �/3v�.� 4f/iC1 o Date. /6,r�.j.�. ... . ,AORTH of ,��o ,ti0 3= O �` TOWN OF NORTH ANDOVER F 9 40 • PERMIT FOR GAS INSTALLATION o s .•` G �,SSACMUS, h This certifies that . .V17. .f. has permission for gas installation . . //�. , lfr.{r . . . . . . . in the buildings of . . . . at . . ./ G . .�fi� �. . . . . . . . . . No�th Andover, Mass. Feer?: . . . . Lic. No.7.9,.5. . . . . . . 4R. .. . .� %GAS INSPECTOR Check# i MASS APPROVAL # 6:-3 -),?o-3 '3 Z, MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTING (Print w Type! . 00C Mass., Mass. Date/0 0 Permit et 3 d ? Building Location Owftt:.'s Name U Type of Occupancy New ❑ Renovation Cd' Replacement❑ Ptaru Submitted: Yes❑ Ndtr'- a tc z C ori V W W W. ¢ O y m = m C Z O u t ¢. O 0 O' h G us e7 v v = W W a 'd Y '� W y�j O p W k F tJ J W n r = ~ = r Z W SIJO-@3�T. BASEMENT �8T FLOOR " 2ND FLOOR 3RD FLOOR 4 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR `TH FLOOR Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN. STREET IX Corporation 103C MIDDLETON, MA 01949 [. Partnership Business Telephone 9 7 8—7 7 4=2 7 10 = Firm/Co. Name of Licensed Plumber or Gas Fitter WILLIAM R, •1ARRTS INSURANCE COVERAGE: __- . •. I have current liability Insurance policy or its substantial equivalent which mee%the requirements of.MGL Ch. 142. Yes IR No ❑ If you have.checked yL, please indicate the type coverage by checking the appropriate box A liability Insurance policy (3 Other type of indemnity O Bond ❑ OWNER'S INSURANCE WAIVER:.I am aware that the licensee does nct 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: � Signature of Owner or Owner's Agent - Owrx{,j Agent O I hereby certify that all of the details and information l have submitted for entered)in above a>�pticn are true and accurate to best of my •knowledge and that all plumbing work and installations performed under the pemut' for this with all pertinent provisions of the Massachusetts State Gas Code and Chapter 112 of UwG Laws fay Tj of license: Plumber gnature Plumber or rtter Title Gas fitter Master License Number 3785 Oty/Town Joume)man NL Location__ Ca No. Date ; i pORT�y TOWN OF NORTH ANDOVER ` O?O: ..o '•,BOOR i}r p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s�CHust i Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL 7t� -/ Building Inspector' I �04/274i89:55``' 25.00 7PAID �GpN Div. Public Works Location No. ^' _ Date i "ORT" TOWN OF NORTH ANDOVER 1 41 p Certificate of Occupancy $ Building/Frame Permit Fee $ 1 cNuSEtry Foundation Permit Fee $ Other Permit Fee $ ' Sewer Connection Fee $ Water Connection Fee $ TOTAL $ • •5 q.. Building Inspector � ,- .-'Div. PublicWorks s , •ERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 - V rtAYIP 4-40. 107 OT NO. ao6 F /j 3 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE SUB DIV. LOT NO. (JJ�— LOCATION ST Curz?4,m / PURPOSE OF BUILDING �O {r L7/ Leh Saeerac 314 y � OWNER'S NAME NO. OF STORIES SIZE WNER'S ADDRESS 116Cam *#L / w BASEMENT OR SLAB ARCHITECT'S NAME 4 SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS - DISTANCE FROM STREET oe POSTS DISTANCE FROM LOT LINES -SIDE!3S &) REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X 19 BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CO \ IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS I - 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 FILED AND APPROVED APPROVED BY BUILDING INSPECTOR DATE FIL D G T' ILDINa INSPLCTOR •IGN URE OF ER OR AUTHORIZED AGENT 7 F E E — "' OWNER TEL.N PERMIT GRANTED Q CONTR.TEL N 19 CONTR.LIC.N ., H.I.C.N T40R Town of - over No. /o?9 _ - _ - - ._.,, * Z0 dover, Mass., 19 LAKE '9�COCNICME WICK i`�"�• E o SS BOARD OF HEALTH U PERMIT T D Food/Kitchen Septic System 1ft THIS CERTIFIES THAT............................ . ,S .Q.. ,E.p1l.................. BUILDING INSPECTOR . Sla. . .1�1............................................................ Foundation hasermission to erect......................I................ buildings on .........1.QQ Q .A. .7-Q1q....... P g G7.7............... ............ Rough tobe occupied as............................................................ .............S...Af. -E.4............................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of 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 Final • PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough ........ . ....... Service ... . .. .. .. ... .. ....... ........ ........ BUILD G INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. _ Burner Street No. Smoke Det. FORM U - LOT RELEASE FORM 10 r" w INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and L-partments having jurisdiction have been obtained. This does not relieve j the applicant and/or landowner from compliance with any applicable or requirements. *****APPLICANT FILLS OUT THIS SECTION T APPLICANT h v T ri PHONE 7 # LOCATION: Assessors Map Number PARCEL t SUBDIVISION LOT (S) 1 STREET_C ST. NUMBER IOFFICIAL USE ONLY ` REC ENDATIONS O TOWN AGENTS: . • CONSERVATION ADMINISNATOR DATE APPROVED to DATE REJECTED COMMENT S ✓� f141PA') /UAIA k TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS r FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED i INSPECTOR- LTH DATE APPROVED 1 DATE REJECTED COMMENTS -;7L- PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE u 13 0ro kp L01 3 4 A , A o --- �J7 B - P�43 0 ACS, ANo�RSou, 0. \ g A t� 5k t \ j N EXIFOVNOA 44 N kp 150.00, CARLTON LANE 50' WIDE i u e � TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 77 BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/1for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: [--- / v 7.9 o aG Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Reqwred Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record oS ' '� h ,tel f� j Or1lv!T Lh_, Al Aaalllan- Name(P ' t) !� Address for Service: T Sig re P, Telephone 2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number 11 Address Expiration Date ic Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name m Registration Number r Address r Z Expiration Date n Signature Telephone v' 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT_ / -1`-----V-� - ----------- PHONE_9Tg'! 7, 3�II LOCATION: Assessor's Ma Number / / W Map ________ PARCEL SUBDIVISION--------------------------------- LOT(S)-------- STREET_CQ1/-& --_ZA.------------------ ST. NUMBER-1,O_/ ************************************OFFICIAL USE ONLY*********************************** on J4REMMENDATIONS OF TOWN AGENTS: ; ERVATION ADMIN RATOR DATE APPROVED ff DATE REJECTED___,�I� Q V COMMENTStt�a+,d S a � t�oo NO d,Aj ,e- 5`0 n o 6 TOWN PLANNER DATE APPROVED ---------------------- DATE REJECTED_______________________ COMMENTS-------------------------------------------------------------------------- FO INSPTO -HEALTH DATE APPROVED DATE REJECTED___________ S TIC INSPECTOR-HEALTH DATE APPROVED r (9 DATE REJECTED COMMENTS__ tN1—(vr-� - ------------- ---------------------------------------------- PUBLIC WORKS-SEWER/WATER CONNECTIONS ----------------------------------------- DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197jm M oR rCA C E iNSPE c -10 AI PLOT PLQIU L OCA TED /N : _ W A,JuWr& , & BUYER C)U I N N SCALE ': _ I" -y0' DATE. ; loo IAV , q B Io poi 3�"A L-or _54-A nor 3�'A 37-A 0 \ 2 StoRY W oDD i 1�- I� \ 1 1 I I�0 Oo1 LA KL:J-o�j TO 4Cuplvey NAfIC)AAL PjAAJ AND ITS TITLE OECD R£F. INSURERS : I I-IEREBY CERTIFY THAT / HAVE EXAMINED eK. THE PREMISES AND THAT ALL BU1LOWC,5 ARE LOCATFD ON THE CROUAID AS SHOWN, ANO THAT THEY Do ( ) ,-1-AAt NO. : q7�0 COA/FORM TO THE ZOA/IA/C BYLAWS hINEA/ COA/STRUCTED. BK. ALSO CERT/FY THAT THIS PROPERTY /5NOTLOCATE0 �A/ P4. THE FLOOD HAZARD AREA, 1M a J i1/OTE : Tf/IS CERT/FICATIOAI 15 BA5£O OA/ SURVEY Town of North Andoverx Building Department p 27 Charles-Street ; North Andover, MA. 0184544 D. Robert Nicetta �s '' Building Commissioner ' (978) 688-9545 978 688-=9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATES Joe LOCATION /Izer 4,h Pe-s- A O: Number Street Address Map Mot "HOMEOWNER �I0 h iJ i (j' -g' = I 1/-- ame Home Phone Work Phone PRESENT MAILING ADDRESS fqlG/` �, 4w . City Town State Tip Code The current.exemption for"homeowners"was extended to include owner-occupied:dwellirigs of two units or.less and to allow such homeowners to.engage an indWualfior hire who:does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 1 08.3.5.1) .DEFINITION OF HOMEWOWNER, Person f s)who owns a parcel of land on which he/she resides or intends.to.reside,on which there is, or is irrtended to be, a one or two family dwelling,attached or detached sbuctu' ac- cessory to such use and/or farm.structures. A person who constructs more than pnE.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.And BuildingDepartment minimum ins ecbon P p procedures and requirements and that he/she will comply with said procedures and requir ts. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision 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 c11, S150A. The debris will be disposed of in: T� (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02919 Workers'Compensation Insurance Affidavit Please Print Name: J to Location: Q11 40V A- L ti Citv /V I Ail.d/d LU- moRd 01?"VS— Phone am a homeowner performing all work myself. am a sole proprietor and have no one working in any capacity F1I am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone# Insurance Co. Policv# Company name: Address City: Phone#• Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the Imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herby certify er the pains and enalties of duty that the information provided above is true and correct. Signature [L Date s�,O''"O' Print me Phone# ?� Official use only do not write in this area to be completed by city or town official' ❑ Building Dept []Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION Al- � c 1 01 i .514 Ir� i . pot s 0 u 45