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HomeMy WebLinkAboutMiscellaneous - 195 WEBSTER WOODS 4/30/2018NORTH ANDOVER BUILDING DEPARTMENT 1600 Osgood Street North Andover Tel: 978-688-9545 . Fax: 978-688-9542 BMWESSFO" FFOR TOWN CLERK DATF,-. NAlM: e i^ cect Aojzf AMMSS: R A 1�(e b �P E _ TYPE OF13USIIESS: 6YL� l ✓t BU.IL,1)7NGLAYOUT PROVIDED: YES NO AAit1ARLHPARKMG SPAS: ZONMGFYLAWUSAGE: _ 'YES NO BUSINESS FORM FOR TOWN CLERK .. • 1 � 4 2.40 Home Occupation (1989132) An accessory use conducted within a dwelling by a residegi who resides in the dwelling as his principal sec address, which is clearly ondary io the use. of the building for living piuposes. Home occupations shall Scli dq, "but not'limited to the following uses; personal services such as funushed by an artist or instructor, but not occupation involved wifl2 motor vehicle repairs, beaa4, ,parlors, animal fennels, or the conduct of retail business, or the manufacturi ig o£goods, wbich impacts 6 residential nature of the neighborhood, 4. For use of a dwelling in any residential district or multi -family district for a home occupation, the following conditions shall apply: a. Not more than a total of three (3) people may be. employed in the; home occupation, ono OF whom shall be the-ow.oer of the hbme occupatiou anal resitting ift said dwelling., b. The use is carried on strictly within the principal building; c. There shall be no exterior alterations, accessory buildings, or display which are not customaw with residential buildings; - d. Not more Than twenty- five (25) percent of the existing gross floor area of the, dwelling unit . so used, not to exceed one thousand (1000) square feet, is devoted to 'such use. In connection with such use, there is to be kept no stock in trade, commodities or products which occigr space beyond these limits; e. There will be no display of goods or wares visible from the street; f The building or premises occupied shall not be rendered objectionable or detrimental to the residential character of the neiOborhood due to the exrtedor appearance, emission of odor, gas, smoke, dusk noise, disturbance, or in any other way become objectionable or detrimental to any residential use within the neighborhood; g. Any such building shall include no features of design_ not cust6m ry in bulfts for residential >�ignatuz-e '77' -Date ... (0 7 - aY ........ .................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... e/.Iyw ........... 4. Z-\' t . ........... has permission to perform ..... .......... wiring in the building of ..... Fke ....... ........................... 444" North Andover, Mass. at ... IV ..... W .... 6.,.. .................................... . �g .............. Fee.. ................... Lic. No . ..1...3 .. .�. '�' ELECTRICAL INSPECTOR 17,3 Check# SAAR M 1� Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ic�(ty '.— This certifies that . T 7 ...... t 7.7.77777'77.;T ............. . has permission to perform .. r. `. ! .................... . filumbing in the buildings of .. �............................... at .. 1 `5r.. .S. t. ? -, . .)........... North Andover, Mass. Fee. Y.? .... Lic. No.2! . .. , .� PLUMBING INSPECTOR Check !/ � ��_ 6510 MASSACHUSETTS UNIFORM APPLICATION FOR (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 11 /'6 - WZCA/ > Owners Name DO PLUMBING Date /, —' Y" -0-s' Permit Amount Type of Occupancy New Renovation Replacement ❑ Plans Submitted Yes No a FIIKTURES •, r (Print or type)//� f�' Check one: Installing Company Na=161/�l�J�i/2as 3 Ll l�� Corp. Partner. Firm/Co. Certificate Name of Licensed Plumber: (tet J) I %Qy L f Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ 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 El Agent 11 I hereby certify that all of the details and information best of my knowledge and that all plumbing work �f compliance with all pertinent provisions of the Mr sa City/Town APPROVED (OFFICE USE ONLY (or entered) i (above application are true and accurate to the o,,��ede-de Permit Issued for this application will be in fnb�ut nd Chapter 142 of the General Laws. Type of Plumbing License icense NumDer Master Journeyman DEPARTMENTOFPUBLICS4MY Permit No. J t� BOARDOFF7REPREM M70NRWU ATIOAN527CiYfR12im Occupancy & Fees Checked APPT.:ICATIONFOR PEUff TO PERFORM ECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACI USSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datg co `" 2 - Town Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street 4 Owner or Tenant To the Inspector of Wires: Owner's Address 'SAME Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building w e,V \r 01,— Existing Utility Authorization No. Service 2 O Ams 20 /?40volts Overhead Underground No. of Meters �SZ p. je �' New Service Amps Volts Overhead M Underground Q No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures O Swimming Pool Above Below Generators KVA 3 ground oround No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets 2 No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHE Irstaa =C0Mage R=a1ttpthete# n 1sdMmKksttGataALzm Ilmestttxr &dvdkptot£ofsanebthe0ffM YES a NO r )1 K ANC BOND OTI M Werk DSlat 10 '"Z•% b_ ltspettiorlI�eleRegttestad Sigttedttnd TrRl tfpajuy. 1`\Eiec. r'� C FIRMNAME •�• Limm �A\t>na2.\ ramgLi a YES NO Ifjcuha%edtedWYES, Pkmm&*thetAietfwmaFbydtedrtgthe ft= ,&&n ledVakrc EbtW Wade $ •.5 x Rho '7-• k-01-1 FirW Li =No. 1�;=�.t�►_AA LioelseNo 934 S� �rlil� Blsine�Td.Na (0 0� �°1 d (o f S Z AItTd.Na L i)3 3$� !oS 31► OWNER'S rVSURADKEWANER;Ianaetaettlatthetdioesnott tnea>su'attoet ecr�s >�uer tzastegt�duoyt�rmoa�.r,�D.,a,�e,�.� aodtlntmy aeatthispmdWpictmwaimesd ismpi mot (Please check one) Owner Agent Telephone No. PERMIT FEE $ DkPARTMENTOFPUBLICSAFETY Permit No. J O BOARD 0FMEPREVENI70NREGU AT10ASSZ7CNR 12:f10 Occupancy &Fees Checked APPLICATIONFOR PERMITTO PERFORMELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSAcHuSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datgjo `" Z "% " 05 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. J .� Location (Street & Number) \!O� oO-AiS L --&N Owner or Tenant Owner's Address SA M IGS Is this permit in conjunction with a building permit: yjo No (Check Appropriate Box) Purpose of Building Z w to \T\ qr __ Utility Authorization No. Existing Service 2_O _ Amps 2.O /240Volts Overhead Underground No. of Meters New Service Amps volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Owlets No. of Hot Tubs No. of Transformers TotW KVA No. of Lighting Fixtures 3 O Swimming Pod Above gro Below d Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets 2 No. of Gas Burners FIRE ALARMS No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Disposals No. of Heat Total Total Pumps Tons KW No. of Dishwashers Space Area Heating KW Detection/Sounding Devices Local Municipal Connections Other No. of Dryers Heating Devices KW No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHE � Ptisuattbthetagtiana>�afNGalaalLaws Iha%eaalmtliablityhta ==Pobcynix*gCatFi* COAZWarisakswntWaFiwl it YES El NO Ihanealbmilladm&pto£afsarebtheOffKz YES I�...J NO r7 f>fyuhmd=WYES,plemific*die%rofaomWbYdadagi e bcpL E NRYANCBOND MM ® ft=Sparify) 5tim*dVatleotf]maWWdk$ �•S x� WakbSW ReWelled Ralgtl ?" 1' O - - Final ciW�tePtrlalbescfpe�CaY FIRMunNAME . � M' �,ec� Y' L. Iio=No. 013 or S 1� FtRM Lioatsee ��\C�ae.� �'adGrnex�e.. _)WNER'S INSURANCEWAIVER, _ LimeNo q34 SR Bt,t4l sTd.Na (a o 3 � °I D (o f S? . AkTd. ,h .1& 0�.3 W=td ld&la"mpzdbyMmahzmGalaaliaws aodC tmysigna ant &pan tappfi:MMW iASfttCglMenat (Please check one) Owner 1:3 Agent Telephone No. PERMIT FEE $ OOK eg le. f l��-� t) k / 0- X7-.6 l� ��--� 0 a, N2 3004 Date ... ...... NORTH 04 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING .7 This certifies that.. J7,,—e '1U'**' ...... I ................................................................. has permission to perform ..... '/ tom I --,//) ...................................................................... ..... ............................... wiring in the building of ... a .* ........................... at ................ .......................... North Andover, Mass. Fee. .. . ..... Lic. Nol-9.D.Ifi ......... .......................... (I "EN ecrNacnt N -S' P**E* C*TOR Check # 2", WHITE: Applicant CANARY: Building Dept. PINK: Treasurer NeUx000471-ANY-P LAM DEPARTMENT OFPIIBLICS4FB7'l <' BOARD OF FIRE PREVEN770N REGUL4TI0AS 527 C W R 12.0 ...! ten, -11y Permit No. 20 ay Occupancy & _ s Chec� ■ PPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work described below.,/ .. Location (Street & Number) Owner or Tenant _ � 5V LO Vet'/ -1 d /7 /vc Owner's Address o23 ( f :�i - - -- - Is this permit in conjunction with a building permit Yes [EfNo Purpose of Building 4ec, Existing Service New Service 200 Amps Volts Amps/ -)-0 /I,t- o Volts Q (Check Appropriate Box) To the Inspector of Wires: ,L d 7' / Utility Authorization No. I of 9 I Overhead . Underground r7 Overhead Underground 0y No. of Meters No. of Meters I Number of Feeders and Ampacity . Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below 17 Generators KVA ground ound No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total �— Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW / No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local Municipal E Other Connections Jo. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER - '1 : <: �' li Iv: •" ' 11 61 all 1,61 , ■:��li (�, I �`r ' • '0 f' 11 i'r' WokioStan `�o2c� —0 D*RaWeshl. Sigt�edunda�ieP�tlbesafpejtay�'> FIRM NAME 3voritsakslaiiale4.rivalat YES �190 Is F JIf)auhmdmdmdYEySpimeudc* thetypeofooAWbydxckirgthe ll wespe "J) EVirAm Dole Estes VaAteid Wadc $ Rough ./J Z C LiarseNa 7� �� Ami. Q 0 L- U/ / -�c'./—" z// T // (rF AiTeLNa OWNER'SINSURANCEWAIVER-,I.amawmhttlelitmdmnot itutratneaaerageorGssubt >trale a>tasn byM Ga�a'aiLaws anddiatmysigah un ttispemtit mvai%Csthistetpasrtat (Please check one) Owner ED Agent El 41 N Telephone No, PERMIT FEE 2 __ WA ' oonry o ` . ' Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: d PROJECT: 0 &&ge'FrWDATE: 16-111" UNIT NO REMARKS: FLOOR: WING: BUILDING NO.: 1 . 1,6 /o a"-a[k4ep GUdc)1%S eM Excavation - depth and soil conditions Framing - Other: �e11 Sw/ippip . Date: Date:- 3- d Date: �r �`y/ Inspector N 4d �rZ:�� Inspector A '� Inspector Footings and foundations and drains - Insulation - Other: Date: Inspector Date: Inspector ----4 41 Date: Inspector ,.f%k( � Electrical - rough - Plumbing and/or gas - rough - Other: Date: ' d Date: y" 3�� �� Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: d( Inspector % Date: - L G - G) Inspector Date: Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certifica of Use and Occupancy Date: `8 0� Date: 7 ` �� C of 0 # InspectorInspector Zw / - 110 ( Inspectir-- Form X995 Action Press, 685-7000 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number bd / Date �` y _C5700 /o• -y-00 ! THIS CERTIFIES /THAT _ THE BUILDING LOCATED ON 4 )1) A/ 9� (r),e b4Q� s "�- MAY BE OCCUPIED AS�- Vh i I I ` 1 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 1 D P00 rn S; 3 r S_,�� A i h S a 54 a // :ASC `i � c" f NORrM CERTIFICATE ISSUED TO ill to /! p��s� k /, C ADDRESS /o o q,v lvv-el� Building Inspector 'O IMM4 0 0 i 0 CD CLy C O CM C CD m H C O O CO) LLI Q U) U IrW W Irw U) ,me CD Cl C N O r 'ate .jL m v �� o c� 0 J fti: i' V o ad* cn oo i 0 CD CLy C O CM C CD m H C O O CO) LLI Q U) U IrW W Irw U) ,me CD Cl C N O r 'ate .jL m �. y C �� •:mcg.. fti: i' V o ad* E.C CL= E y � � o �3Q= I.� m ap � y =gip o ,,Now, •; M ADZU O O CLU m c cm- e �:ooa m o12c �r o+ C Q C .0 O _ �awact or- : ~ W g @z.. Z �E vy°�y O U a m.00 cm 5 vi��y= O r ` = F=- i 0 CD CLy C O CM C CD m H C O O CO) LLI Q U) U IrW W Irw U) Town of North Andover* tAORTN qti Building Department?0��t�e 27 Charles Street 0 North Andover, Massachusetts 01845 4 (978) 688-9545 Fax (978) 688-9542 � CO<MK wwKR ' �9SSgc HuSti��� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS &6 itJii1 S} -&Y egoor,& �� e_ - LOT NUMBER SUBDIVISION Cjrd�lf�7 �s 74' DATE REQUEST FILED -711010 DATE READY FOR INSPECTION '7123101 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE SmUCTU DO S NOT MEET ALL APPLICABLE CODES. SIGNATURE ROUTING CONSERVATION I DATE PLANNING DATE 'L G D.P. W. — WATER NITER 6 DATE I tJ e7X41 L E D 7-7 _p/ D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR T INSPECTION REQUEST DATE. / 7 SIGNA / DPW AUTHORIZATION 4,f It J /95— �b-e � 49 AMA Location No. OZr7 Date A �oR,h TOWN OF NORTH Of�t�o ANDOVER ,1ti 0 9 ` Certificate Occupancy $ of a • orb. s:� �`,� �' ,•°' . Building/Frame /Frame Permit Fee CHust 9 $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 14401 ((0- , , , f / 'Building Inspector a1-7 CEg7IFIED PL 0 T PlAJ'1s' Io_,�-©0 SE. CUMMAWS & ASSOCIA MS 7-Pa�vsArvud P.a eox year PLAISTOW, N.H. 088.65 Hv v g -e - L TELEPHONE (60S)-382-5065 FAX (808)-J82-5218 OF�jgf �y ALBERT. T. G� TRUDEL N /� No. 36869 0� / ISTER``� �r LOT 10 1 908 SF `M Z(CB68,835 SF) 1 i 67.1 \�� `�� s� ';°N 1 r. O 4 WW -5 a� O � �� r WW -6 M Z. WNl--7 8.:175.00' ww-s x.:.35.00' SCALE 1" = 60' W W-5 : t W-4 W-3 t\ —4 W-6 tl — ll W-2� w '-3 ^ W-7 d�lc t i`l1t W—lN t tw-2 Q) —a W—i 6 t,;t, ww—t tii, all. >_ W— ww— tl, to11 ft! -s w -i W-13 W-94 W-12 206.78' S6821'10"W rri_U.a I 1-1-1 VVVVU3 LH1VC I HE"RE8Y CERTIFY TO TOWN OF NORTH ANDOVER, MA BU/LD/NG DEPARTMENT THAT THE EX/ST/NG FOUNDATION DRAWN ON THIS PLAN IS LOCATED AS SHORN AND THA T IT DOES COWL Y TO THE MINIMUM BUILDING SETBACKS TO PROPERTY LINES. EDGE OF FLAGGED WETLANDS DATE. JANUARY 22, 2001 TAX MAP 109-A /LOT 10 CAMPBELL FOREST NORTH ANDOVER, MA. MINIMUM SETBACKS FRONT - 30FEET S/DE - 30 FEET REAR - 30 FEET V r� o © Mc Al:am.._ w E� ** rs m — : dMI� o }I<uF v a o. riD c o aa LL JPGo�Q y ° G C JP N Q' Z N in O . m c c m M � o 411; 0 ' o u .va m do E• -c a Q'�o �rn u m mOa.o oc Q �' oE o r u O) _ Q. ° c(cti° m c� a) L � � Q o V W� 'y O ° c �� �O a Cc N x V — N, LL aj n 0 Ln LU H H A- �� 41 -FL N t ►- O %- 4- t cO �Z '- a �� 0 03 g �` o�,1 g a) z > I --m TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 1.1 Property Address: BUILDING PERMIT NUMBER: DATE ISSUED: ;2- Lot SIGNATURE: Building Commissioner n ctor of Buildings Date SECTION I- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ;2- Lot Number 62 %9S w�bsfe� Woods fin• /° Map Parcel Number 1.3 Zoning Wormation- 1.4 Property Dimensions: ��� s� •� rl/� ; ; C� 5 �a 910 ao ZoningDistrict Pr osed'fJJse Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 3v/.5y' :30/ (3 ' 30' o' 1.7 Water Supply M.G.L.C.40. 54) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private 0 Zone Outside Flood Zone 0 Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record & 7 , let- Name(PrinK Address for Service �4�, Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Li�censseedd,Construction Not Applicable ❑ %Suupervisor: j `SSS c' ` —J Licensed Construction Supervisor: i' G ,23y - License Number Address e 41,1 � e - < 65 7 ". 3Q0 9�ob1 Expiration Date Signature Telephone X657— 3,2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature'' Tele hone M M X ic N. Rt a 0 SECTION 4 - WORKERS COMPENSATION (KG.L C 152 6 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 it. Signed affidavit Attached Yes ...... V No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: c2 SfaYy Ct&ni-A� z b a &P r6 Q,4�i cZeJ9 Vy' ag -e A-kC 74�*e r bdr-& eti e'," l 7 x,-2cf f'am PIA, %? X /D EV ✓I Woo -m , � k Z � `-ref Pa rck em �ra,c w. a-e,o C W,ee wood cffOe- SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY . 1. Building O (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction / 3 Plumbing Building Permit fee (a) x (b) + / qIra— 4 Mechanical(HVAC) 5 Fire Protection 6 Total 1+2+3+4+5 a Check Number rl r) 19r SECTION 7a OWNER AUTHORIZATIQrq 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 0,Amer Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 1� -i /`/AJS s �! as Qww/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 / / f i` Print Na Si ature of Owner/A e Date NO. OF STORIES SIZE 7 3 BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 'y `` 7 _" 211Dis � 3 SPAN b DIMENSIONS OF SILLS to DIMENSIONS OF POSTS e -e / DIMENSIONS OF GIRDERS 12,-, S e t c HEIGHT OF FOUNDATION )'Q THICKNESS Id <r SIZE OF FOOTING X MATERIAL OF CI EVINEY Gv D 6 41 IS BUILDING ON SOLID OR FILLED LAND 5?e e, IS BUILDING CONNECTED TO NATURAL GAS LINE CS vrmr- z m ) umi : o �' � alo n (i ^ a "'� O I Z 'V rm o r ? o ?paj o U1 �p C O :r H H 0 01 7_ W c 0 3 ;d l� -w Caj d H V EF E O :3N 0 • • - ro y m �+ 1 0 _ O O rr W ' K(D D M — Q'3 x M CDC 7 03 C C @ r CL O O tD 91 u3 n M pno CL � r: o o'c �e m E < m ''c TO = acr Ln m In y CDD d D �° o a s o O ^ m D ` ' a E a n $4.1 _ ➢ Fs �� C r•F O :� :� ® 3 m EL 0 r r V 1 � m Ole v� � y TO Ar sz jr0pr =, a PAte, o O o l 0 m W cn fesn mrnS••a �9 ..{ 40) C GO) 1 Cl) m M m m m 0 m Oaz CD O ., .'o. d ,da .p O o p CL c CCD O X71 CO) 10 CD 0 p CA su O CA .0 n O CO) C7 CD O r� CD CD 3 CD. CO2 0 CD CD W 0 O —•vi0Q N CLO 4C.0 1 y CL C o C') y C! CZ O r17 Z 0,.'•r •O -$. O =r m CL 0 nod O H C9 O O CO) p oi o o�a o a PIP 0CACR 0z 1 O H C7 W ;& O O C =rO� H a aOm s ,3 U2 o i CD D CD mom ON- O CL 4ap' d 3CD C.0, N . N O. �:p CS C C � W H O� O :� O �- m C, co) c 7 d H t� 3 �m �c C40) _46• o C' CA;: Sr Sr CD o CO)Aft -C7 O ..r A CD 6*6_ = CO) 2 �• • :� s 0 0 dab CD /r 4 C/) 77- d cn ^ o w ti CD z �n aGn H �n �= cn r° ;n p oda O �, p 0 OQ � r" a O m G 0 w O � � r 0-' z o 'O ^ c n N�w O O x yy z a GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipe/stone/fabric filter/cover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed w/ hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. Girls - solid brick or steel plate bearing at foundations '/Y " air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode S/R wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - !Finish Smooth parging, clean joints, 8" solid @ combust. Surf. DECKS: Separate permit required: Lag to house, provide flashing. Rails min. 36 " high, Baluster max space 6" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $25.00 (Be Ready). Certificate of occupancy required prior to occupying structure. Location �o� epi/ skr, Uk2o D No. Q � DateaLx c� TOWN OF NORTH ANDOVER Certificate of Occupancy $ S-0' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Check # r,6: S '13 13603 114( —�---- Building Inspector 0 _r Location %9,1, � No. 711 Date 0/- 4-< TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Eta Building/Frame Permit Fee $ sACMUs Foundation Permit Fee $ Other Permit Fee $ TOTAL $ cSrO Check # 1P 44 i831I y' Building Inspe(A6r • TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAK RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER:/ DATE ISSUED: SIGNATURE: jW, Building Commissioner/1 or of Buildings Date , SECTION 1- SITE INFORMATION 1.1 Property Address: i%--hk.6fly1r 466ds Lq� 1.2 Assessors Map and Parcel Number: Ib6l-), a Map Dumber Parcel Nu ber j / A ��O v- RIA v v t � /sem... '7 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area Fanta 8 1.6 BUILDING SETBACKS 11 Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Required Provided 1.7 Wder supply M.G.L.C.40. 54) Public ❑ Private ❑ 1 1.3. Flood Zone Infouns ies: Zane Onside Flood Zane ❑ 1.8 SewaW Disposal system Municipal ❑ Oo site Disposal system ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT i -'tf!Ct: ",/n NO 2.1 er of Record ame ( nt) - Address for Service q�8` Signature Telephone 2.2 Owner bf Record: i%fca. oNarint _ Address for Service: i 'J Ainnature, Telephone SECTION 3 - CONSTRUCTION SERVICES fy3.1 Licensed Construction Supervisor: • icensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (1VLG.L C 152 B 25cf6) 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 ....... 0 SECTION 5 Description of Proposed Work eheck a bie New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition 0 Other pecify Brief Description of Proposed Work: ))rr , ��✓]i S�t SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OMCIAL USE ONLY ,. 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (e) t 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO 19E COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, A & r e Q,lA`_ 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 ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are t.*ue and accurate, to the best of my knowledge and belief Print 6 f fid of Owner/6 Date i NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRADERS iST 210 3KU SPAN DM ENSIONS OF SELLS DINIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE N m m m OCm CA m N v m C2 y COD C � d 'v O CD cm) Z y o 06 �, m o Co CL q �• y a� '0o 000 CL o Q�s •C d 0 CSD o C CCD y. CL t= CO) CD sC ��a q p, 0 • CO) Imo m c-) L 3 m Zo •y a?d O 4O • N p CD a _O 7 o 0 0 o, Zsc R r Cn a aam:a:t -� �, :46 m o�_Z'� V/�J O O N v :� cn O n � Ccs �. z y 3 BL :cr MO- C io C/) O > =r � m y ' C/)y _ � � CD 0 0� O o 0 � �o =rC. 3 Ib �. va z %Ono- Or CD CD Cy dIF CD w aM � ? _ � > b: o o ° r p m n p- c� o rl b o o 0=3 0 I~ N 10 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 g6a # �1'I'LLuI� PHONES 7y --& oV LOCATION: Assessor's Map Number PARCEL SUBDIVISION , / LOT (S) STREET I R� W e�J'fe'' VV U S ST. NUMBER Iq S— I — USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS, DRIVEWAY PERMIT FIRE DEPARTMENT_ DUMPSTER PERMIT RECEIVED BY BUILDING INSPECTOR DATE FORM U - Revised 6.05 JMC 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 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: ✓ � �5C6�+2S �J (Location of Facility) U J sigtimre of Permit Applicant Fire Department Sign off: Dumpster Permit — / -- os— Date 978-688-9545 978-688-9542 Fax NORTq /0- f TOWN OF NORTH ANDOVER BUILDING DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER MA 01845 HOMEOWNER LICENSE EXEMPTION Please print i DATE (4,'11 aS U'_5 JOB LOCATION ber t uVcell l-. vt -e Street Address Map/Lot HOMEOWNER 96(we vi 1�-avtL -�p ( 1 1 `1 7`a 3Z-3 Name a"J3 Home Phone fWork Phone PRESENT MAILING ADDRESS V Y e �5 ``CxA� City/Towri rdd_ QJV&t ki� d l 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 HOMEOWNER: 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, one or two family dwelling, attached or detached structures attached or detached structures accessory 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 North Andover Building Department minimum inspection procedures uirements and at he/she will comply with said procedures and requirements. HOMEWOWNER'S SIGNATURE APROVAL OF BUILDING OFFICIAL � y �, v42 w v U o o o tl o z A w a H U •o �04 w W z� Ln V<0 �o a O w Q� 2 un O O� Z -n U �:W 0I. Z w0 � J Q � Wx O -No �z H U •o �04 W LU N LU O ON F— V<0 O -.4- 2 00-0 Z -n U IF J 00 V r� 0I. 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G _.D x C, 'o U cl `2 2 Z O O D O 0 0 O r 0 C Co AD o Om v 0 Z i D S o Drm � 0 m S co x m O m X m A OND A ZDm =-z 0 O O D co o O D n A -Um K W x -Di rpt 0 rrm r - U)2 S D --j O m M A 6'-8" m 0 Z A 0� p Z OOR: Zon A > � --4 ;rq u m -u A D . G _.D x C, 'o U cl `2 2 Z O O D O 0 0 O r 0 C Co AD o Om v 0 Z i D S o Drm � 0 m S co x m O m X m A OND O n O o m =-z 0 O O D co o I R1 m O m Oo Wm c v A -Um K W x p > Z D O o r ? m Dm O v) co C 0 O m S A m < m I I II z CO o D�> II I I 0 D D S Or Z ADO M D _Tm rr- SOD m Z A 1 p0U) m Ll £CJ D S o m � > A A >M cn m mD O ro 0 / I it > Z D rf o U) A 0m-im A r D K Z O m A% < -0 I I II - D I M ZOo- o CA II I I 00 ADOD n S M D _Tm rr- m m m D0OA 0 p0U) S A0Z m � Z 00000 m mD O r x m zm0 G-) I Z \ UI U m m (i D O z 6 m D C C (D �7 4" , 4" Oz� z o m cn A Om0 m A O O 0 O w O W O D O In m m O v x O< Z AUl Fri C D Z O �Z-< 000 A X�-1-I rm-- rri z m - V A 0 Z 5j z S z SDZ z Zo m 0 A m 0 D�0 0 S Z I C )n OO 0Kcn 0>2 pSz oO x OX > O U)r z� OD -i M A -I TI z =zm Ao O C S U =0� OZO )DS O r A DN r D m m A ID cnD*O Z z D U m AOrm`2 I F> 0 Oro 0 <z mm_ )DOA Z 0OFri O pD0 m D m �O -1 C) O 0 zo �o BRITT BASEMENT 195 WEBSTER WOODS LANE NORTH ANDOVER, MA 01845 U S O -1 0 O m_ y C m mo I O Z O D�mAD A A D zi mOrb m Zp -A m 2 � O A U)6z0 17 0 A v C O A 0 00 4 C N C i Z C 0 D 1 0 ci r O Z 0 Z m D O m Dz< zmm U) Z u) nOz OZ Dx 0 n D mSF r O U) z O > A D A m OD F- c O cn m m U) >—Z Zv m O U) x m mom SOD z� > m Ur O M m m � D S O z2 I Dld D A a AA C m0c d Z = WOO Z �; s f BUILDING PERMIT NUMBER: TOWN OF NORTH ANDOVER BUILDING DEPARTMENT IR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING nQ%� DATE ISSUED: / 14), 1 - o© SWApe.LL SIGNATURE: Building Commissioner/I for of Buildings Date SECTION I- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Signature Telephone SI 6 v; - - 10$d L�t 3.1 Licensed Con truction Supervisor: - e, ll Licensed Construction Srvisor: u% Address _ 7 '. � via o Signature Telephone Is;t���-T��U Not Applicable ❑ d6�.23 /9,5- toe bsfer4looA h• /Q Map Number Parcel Number Not Applicable ❑ 1.3 Zoning Information: 1.4 Property Dimensions: Address // / 29 �IC� Expiration Date Signature Telephone Zoning District ProposedTise Lot Area so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 03 Std' /601 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 1 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record �,�--- C`i���/� �o7"�sT' � � C! ��� cS'z�;�L�l ��. S��-�,� �2 /U. /r�t?a� ✓P Name (Prin4 Address for Service i--4, Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Con truction Supervisor: - e, ll Licensed Construction Srvisor: u% Address _ 7 '. � via o Signature Telephone Is;t���-T��U Not Applicable ❑ d6�.23 License Number Expiration Date 3; 2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone 00 M X ic z z M 90 mn 0 r M r r s zA Y/ SECTION 4 - WORKERS COMPENSATION (NLG.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 ...... V No ....... ❑ SECTION 5 Descri tion of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) 0 r Addition 0 Accessory Bldg. ❑ Demolition 0 Other 0 Specify Brief Description of Proposed Work: tarti CO�en� a G w/ 3 baA %dro no s 2 Car Q4i--a.c.J-eol.9V--e A& ac4r bdra ner, l7x,2y �' fes►, Pe-rc,4 em �ra,, c e e-�,e -P. s good cl-eoe. SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building O (a) Building Permit Fee Multi lier O rQfie' 2 Electrical (b) Estimated Total Cost of Construction (/� �y h /`� �/ / i 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total 1+2+3+4+5 a Check Number SECTION 7a OWNER AUTHORIZATICK 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 77b OWNER/AUTHORIZED AGENT DECLARATION I, / �� yi j` �S 5 Eel as gmw/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 Na Signature of 0wner/A e Date NO. OF STORIES SIZE i BASEMENT OR SLAB SIZE OF FLOOR TI1v1BERS 1 'y "77; ,V 2 ND`?i 3 SPAN b e DIN ENSIONS OF SILLS (o DIMENSIONS OF POSTS 0 5,- -e e/ DIMENSIONS OF GIRDERS 12,,,t s- B e L HEIGHT OF FOUNDATION ° l0 THICKNESS <' SIZE OF FOOTING d X Ze •' MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND S' e L; IS BUILDING CONNECTED TO NATURAL GAS LINE V trs y it SWA F FORM U - LOT RELEASE FORM INSTRUCTIONS: This `arm 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. t ** *{ ************,***APPLICANT FILLS OUT THIS SECTION{ s;*�,e4!t 6.76-77 - 5776 APPLICANT S%� �D�/�'sfT Gee PHONE (e Y,7 -53'o,0 LOCATION: Assessor's Map Number %O 9W PARCEL v2 -v;2 SUBDIVISION_ 0,2W. Ae.1% r -07-f-6 f LOT (S) A) STREET W PSS -�P/ t.)Ot4 Ga�.e ST. NUMBER l �S� USE ONLY*** t**t**t*t*t* *****t******* RECOMMENDATIONS OF TOWN AGENTS: n r Z_C0ZEh_;T1ON ADMINISTRATOR DATE APPROVED iO4 COMMENTS DATE REJECTED Ccs, I-riA A) COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE REJECTED DATE APPROVED DATE REJECTED_ DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERMATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR Revised 9197 jm DATE —oD U FROM MCKENZIE ENGINEERING GROUP,INC PHONE N0. : 6179412662 ' mWT � G F�• SLA ' Jun. 30 2000 11:04AM P2 �A�o The .Commonwealth of Massachusetts Department of Industrial Accidents Office cf Investigations Boston, plass. 02111 Workers' Compensation Insurance Affidavit F—Name Please Print ! Name: Location: City Phone # ❑ 1 am a homeowner performing all work myself. F7I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my /employee_s working an this job. r`mm�nr %j nomma- / '�7..�e.i%L't®i// / A I- I C f e Z- � / �"�- L�'.S/ T / �c�7J � �,fl7 Address ,-�2 ,3�1 S0 Mer, -7 �7L• S v t f e - City' /V O Ty� I�W- de Vi /' a 0 �� �5 Phone - �928) G $ 7 Insurance Co LJdi eQ� �c� c/ 1�ic Sd�S Crr� Policv #Ay 10 3 9"x/5/ Comoanv 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 cf ($100.00) a day against me. I understand that a ccpy of this statement ma be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under pains a d penalties of pe ury that the information provided above is true and correct. Signature ` Date / <7 Print name �vt S� G/ Phone #7 �S G Official use only do not write in this area to be completed by city or tcwn official City or Town Permit/Licensino 11 Building Depi ❑Check if immediate response is required p licensing Board E] Selectman's Office Contact perscn: Phone 9: ❑ Health Department F-1 Other BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a property licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: urn sfer No r'-f'h ZF:? S -i A nLc Location of Facility Sie o ermit Applicant d- d Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of,North Andover Growth Management Bylaw. The building applicant shall provide all of the necessar/ information as requested 'below. Name of Applicant an Building Permit (below) Address of Property far Per=mit (below) Le I fS- Gueb s)�-e,i wo6W r Cate Map and Parcel :raO Purpose of Application (check below) Phone Number ofApplicant Single Family Two Family I the undersigned applicant fqr the above property attest that the attached building permit for which this form is =mpleted does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the wilding Permit. Further I understand that my interpretation of the E:XEMPTiON status is subject to review by the Building Department and is only ofitctally accepted when the Building Permit ig issued. Based an section 8.7.6 of the North Andover Growth Bylaw the above [at and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit far the enlargement, restoration, or recanstruc^icn of a dwelling in existents as of the effective date of this by-law, provided that no additional residential unit is created. 0 The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Secicn 8.7 of the Zoning ylaw. This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6.r are met and/or represents Dwelling units for senior residents, where eccupane/ of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Secdon "senior' shall mean persons over the age of 55. .I This application is a part of a development project which voluntarily agreed to a minimum 401'a permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable aces and permanently designated as open spaca and/or farmland. The land to be preserved shall be protected from deveiepment by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common cwnership with an adjacent parcel on the effective date of this Sectian 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit an the Parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information checking off of anabove item which does not comply, whether done to my knowledge or at, is rounds fo refusal by the Building Department to issue a Building Permit. / /oa Signature of wner a th Agent who signed the Attached Budding Permit 0ate This form must be attached to the Building Permit upon application for such permit. ;, �-=�' � ✓fie �'aavnwnueal>fl o�'✓�aaoae�uaet�a ' BOARD OF BUILDING REGULATIONS _ . License: CONSTRUCTION SUPERVISOR elNumber: CS 069234 � I Birthdate- 05/09/1954 Expires: 05/09/2002 Tr. no: 23903 Restricted To: 00 ALAN G RUSSELL _ 400 MAIN STS GROVELAND, MA 01834 Administrator A2 949 APPLICATION FOR WATER SERVICE CONNECTION �n North Andover, Mass. ,Le�l� z Z .1-9--- Application -9`'Application by the undersigned is hereby made to connect with the town water main in u/�Cl�el �jU'�� 1iD/ St�eet� subject to the rules and regulations of the Division of Public cWorks. The premises are known as No. ,� l J 6IN1 y�eG'� L�CJrDe� G cf dl P Street or subdivision lot no. Owner Address Contractor Address Applicant's Signature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to to make a connection with the water main at lio�� /� subject to the rules and regulations of the Division of Public Works. Inspected by Date Z-6C Board of Public Works By :/:Z:;&/ �z z( ?:C See back for rules and regulations �� dee 67 C( L,� �,�1 �w� �wz2 5 /IDCz ep fI 1485 APPLICATION FOR SEWER SERVICE CONNECTION �L Zia North Andover, Mass. Fe22 — Application by the undersigned is hereby made to connect with the town sewer main in �`7�e�GVoc�S G f'l Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. l (� vV �� �nG'� '�/DDl`� Li�z Std or subdivision lot no. / Ci Owner Address Contractor Address Applicant's S' ature PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to GD to make a connection with the sewer main at ��� a er subject to the rules and regulations of the Division of Public Works.. Inspected by Date Division of Public Works By �uZ G� See back for rules and regulations See 19'54 dzra ( ('771 `li `7�ioZ r', o- ��1�7ne6�'� -? -� 1-4 r"s 4� TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone (508) 685-0950 Fax (508) 688-9573 jDate: �PZ-) 2 z , 20o0 LOCATION:/ e� ��l �o��LS W6 BUILDER: phone: lOWNER: LL0 phone: LW- ado The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the grade and set -back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: Mesiti Dev Group Fax:978-5578160 Jul 17 2000 13:54 P.01 TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 Mr. Kenneth, Grandstaff, President Mesiti Development Group 231 Sutton St. Suite 2 F North Andover, Ma. 01845 July 14, 2000 Re: Conditional Operation of the Campbell Forest Sewer Pumping Station. Dear Mr. Grandstaff- The Division of Public Works has inspected the sewer collection system and sewer pumping station, and appurtances on Campbell Road related to the construction of the Campbell Forest and Lyons Way subdivisions. We hereby grant conditional approval for use of the system and pumping station subject to the following: 1. Completion of items 1 through 15 as listed on the July 10, 2000 letter to Mr Dennis Bedrosian from Maurice Harpin of Mesiti Development Group, a copy of which is attached. The work will be completed within 45 days of acknowledgement of the receipt of this Letter. 2. Satisfactory completion of an as -built plan for the Campbell Road sewerage system. 3. Submittal for our review and approval a copy of the preventive maintenance contract for the pumping station. 4. A performance guarantee shall be provided in the amount of $25,000.00 to insure the proper maintenance and operation of the pumping station. 5. The Division of Public Works will be allowed access to the Pumping Station Mesiti Dev Group Fax:978-5578160 Jul 17 2000 1354 P.02 6. Mesiti development shall reimburse the Town upon demand for the reasonable costs of emergency repairs to the Pumping Station. 7. Mesiti Development Group and its successors or assigns sball indemnify, defend, and save harmless the Town of North Andover and its Division of Public Works and their respective employees, officials and agents against all suits, claims, judgments or liability of every name and nature arising at any time out of or in consequence of the acts of the "Town" or its agents, employees and officials in the performance of the access purposes covered by this grant of conditional use or the hAure of the developer and its successors or assigns to comply with the terms and conditions of this grant. Very T . y ours, I 1.Willim Hmurc' .E. Director of Public Works The undersigned acknowledge the receipt of and agrees to the terms and conditions of the above grant ofSonditional use. Ulao - a c� s a)o �o nm Z D� Ql Erb o o L; (D 0 A m c �,� roc 3 0 co3a H, CL o °«' 0 d �% � o' rn r=r W �� 0 ® = O tD C !� A D m' ` Q 7 8C o Q 3 a *43 a� �. o@ < ?:� H n m � C c a3 a C Ln .r O 9 O m E C (D ''' : "*MOPTO 91 4000 m 0 (p p) N cr Ln 5' o '�' -a ,�°' m ani y o aj Vo A 2r Oo CL �1 _CD a Lp (oCL s (D 0% �c mJU ® O (D CL Cc '�► 04. x: � Cl) M C m Cl) 0 m W C Z CD O ar d � CL a� .p O o p CD Q CD 0 _o d d n CD 0 .7 CD CD a, y CD CO) CCD 0 CD 67 I O • y O Q• CO) 00 . O m :0 77 O m � .dry CL n m CO CoMO m � y _ :16: • O y ... CCv - m � ci•v '• O m � C O/ O S .-s- d :� d d C : r/ Er Q, H O m 0 p y ate• w N -q O S m mCD � 2 O =' :x OyO•� o O Z 5.� O y C � `as 00 . O m :0 77 O m � .dry HT1 46 V.= � 7d _ :16: X17 to � m o ; m y CDco - C � ci•v '• O m � C O C 0 O Ot y :� d d C : r/ dw �o =m Cn 0 O Crt z�, ° C � `as T� � y N 1 1 su 77 O m � .dry HT1 46 V.= � 7d _ :16: X17 mo: mo + � 3 :*• �'. n ? �, JWCD O C 0 0. 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CL d :w CD � r- � Z �q cn a D C rB o 7 ►� w Pi 0 G w. o G ® ?'_ o G r Go w x o G o G a C7 M 0 b x O x 1 oNq 0 9 0 c i NORYN FO 9 ,SSAGMUS� This certifies that .; ... has permission to perform .! plumbing in the buildings of at t.Ah Fee�O,' �.,� .�!! Lic. No. Check # 6301 Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING .. ..-...,�1�v................... ei`.,7�� .X47-; 64 -Andover, Mass. ................................ PLUMBING INSPECTOR Mx MASSACHUSETTS UNIFORM APPLICATION (Print or Type) ,Mass. Date If f 91 Building New ❑ Renovation ❑ FOR PERMIT TO DO PLUMBING �3 r `�/ 2_ve Permit # OdI' A044s Nam,- j _Type of Occupancy, ':1-51 -D M FIXTURES Plans Submitted: Yes ❑ No ❑ Installing. Company Name A0,'3EeT cjP(rmATA?-7 Address 7)r-� C:R(14mt4r,) Pj Business T Name of Licensed Plumber Check one: Certificate ❑ Corporation ❑3 Partnership 2--,h m/Co. INSURANCE COVERAGE: I have a current illty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ ' If you have checked Les, please /indicate the type coverage by checking the appropriate box. A liability insurance policy ►d 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 ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e and apter 7of the eral Laws. gy '�. L re o cen Plumber Title Type of License: Master % Joumeymab ❑ Cdy/Town FI ONL License Number 233 5 Y • • • • Installing. Company Name A0,'3EeT cjP(rmATA?-7 Address 7)r-� C:R(14mt4r,) Pj Business T Name of Licensed Plumber Check one: Certificate ❑ Corporation ❑3 Partnership 2--,h m/Co. INSURANCE COVERAGE: I have a current illty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ ' If you have checked Les, please /indicate the type coverage by checking the appropriate box. A liability insurance policy ►d 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 ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e and apter 7of the eral Laws. gy '�. L re o cen Plumber Title Type of License: Master % Joumeymab ❑ Cdy/Town FI ONL License Number 233 5 N m A � m 4 m A O Z O Z m O � •1 -1 O O O r C m Z Q