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Home My WebLink AboutMiscellaneous - 197 BRIDGES LANE 4/30/2018 (2) 197 BRIDGES LANE f - 210/104.D-0108-0000.0 Z�L_ Commonwealth of Massachusetts GW City/Town of North Andover System Pumping Record M SV a e Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping �e.swbmttpd,to the local Board of Health or other approving authority within 14 days from th pu t�vPt accordance with 310 CMR 15.351. A. Facility Information TOWN OFNORTH AP�tDGVEF� Important: HEALTH DEPARTFMENT When filling out 1. System Location: . forms on the �� computer,use only the tab key Address to move your No.Andover Ma 01845 cursor-do not use the return City/Town State Zip Code key. 2 System Owner: VQ quo, SIP Name fe"0f Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record — 1 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) j;2"'Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. M3Puped By: loonia-d Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: wart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 ---rn ature o au a Dat Signatur eceiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 Location AG I` No! 3 Date z, jr "°R'" TOWN OF NORTH ANDOVER p Certificate of Occupancy $ + -- -�— Building/Frame Permit Fee $ Foundation Permit Fee $ sACMUs t Other Permit Fee $ Sewer Connection Fee $ ti Water Connection Fee $ TOTAL $ o2— Building Inspector/ PC. .00 PAID Div. Public Works y Locatioi- d G 5- Of No. (5 3.:� Date 9� N°"T" TOWN OF NORTH ANDOVER c? .. 0 Milkp Certificate of Occupancy $ s i Building/Frame Permit Fee $ cwusE` Foundation Permit Fee $ Other Permit Fee $ x t Sewer Connection Fee $ �. Water Connection Fee $ M E TOTAL �a= T Building Inspector 10659 Div. Public Works 3 .. ,. "."'�%-'--+a:..,w...:vs;S 'byp'..-�.---:.it:., . •yam.^s-.�:nw.-,•!-+--;�-..,..y_,,.+[.::v.-..w— Tom-:....�-. .,.>t.T. Location Date f/ co N°RT„ TOWN OF NORTH ANDOVER - �, Certificate of Occupancy $ , Building/Frame Permit Fee $ '°-rye''• � r,. Ss+cMus`� Foundation Permit Fee $ Other Permit Fee $ _ T Sewer Connection Fee $ . � (7 Water Connection Fee $ Q F, .TOTAL $ 'Jdi ,nsp r ' ' 9 I e7 Div. �u r Orks Pr;amrr No. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP KJ.gn.. /o g! LOT NO.-L/n 2 RECORD OF OWNERSHIP (DATE BOOK PAGE ZONE SUB DIV. LOTSLNIO). JI 2v-�7122c2r1 � 1< LOCATION �, �j 1T.e PURPOSE OF BUILDING OWNER'S NAM NO. OF STORIES Z SIZE lA. OWNER'S ADDRESS ^ BASEMENT OR SLAB t ARCHITECT'S NAME l SIZE OF FLOOR TIMBERS IST 2ND 3R i ,.0 BUILDER'S NAME /^ SPAN DISTANCE TO NEAREST BUILDING + DIMENSI NS OF SILLS DISTANCE FROM STREET q0 I POSTS DISTANCE FROM LOT LINES—SIDES Sol REAR Sol GIRDERS r ` '1 J AREA OF LOT lY ^� FRONTAGE V,�/\ T HEIGHT OF FOUNDATION �j• THICKNESS /b t I IS BUILDING NEW y�3 SIZE OF FOOTING 6 X ' 1 IS BUILDING ADDITION �1 MATER:AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER vP, BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER �,V e► 11 ` IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST 0— SEE BOTH SIDES EST. BLDG. CO T� m, LL4 p�_1 PAGE t FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. j 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 i ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BYBUILDING INSPECTOR DATE FILED xl �j. SUILDING INSPECTOR { SIGNATURE OF OWNER OR AUTHOR ED AGENT 1 i FEE OWNERTEL.# PERMIT GRANTED x� �` O� / CONTR.TEL.#19 f R � CONTR.LIC.# 0(0 i EM H.I.C.# , o � � y f � r BUILDING RECORD'% 1 OCCUPANCY 12 i SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICE'S LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS --RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. , CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 1 2 I3 CONCRETE BL'K. PINE BRICK OR STONE PIERS PPIASTLAST RD ER t DRY WALL UNFIN. 3 BASEMENT I ! AREA FULL FIN. B M AREA _ 1/1 1/1 FIN. ATTIC AREA N_O BM'T FIRE PLACES HEAD ROOM _ MODERN KITCHEN _ 1 .. 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D _ ASBESTOS SIDING COM/.ICN VERT. SIDING ASPH.TILE STUCCO ON MASONRY _ STUCCO ON FRAME - BRI K N MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING 1 GABLE I HIP BATH Q FIX. _ GAMBRELMANSARD TOILET RM. 12 FIX.) I FLAT SHED WATER-CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO T 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. T TIMBER BMS. &COLS. STEAM -, STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR t I WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G 6 ,_ r UNIT HEATERS 7 NO. OF ROOMS GAS OIL � B'M'T2nd _ ELECTRIC 1st 13rd NO HEATING . i ' NORT�y Town. over t NO. Y9 * Z doves, Mass., O'9 COAKE CNICME WICK E o►PA`y �q BOARD OF HEALTH Food/Kitchen P.ERMIT D Septic System nBUILDING INSPECTOR • .......... ` ..Q.....,f.'............................................... THIS CERTIFIES THAT .....................0�,,... U..t.. Foundation has permission to erect........................ R �••• ' Rough ................ buildings on .......... .....`�..,....�. .. / ........ ............... t l i Chimney tobe occupied as......................................................... �. .. '.............................. ... provided that the person accepting this permit shall in every respect conform to th erms of the application on file in Final this office, and to the provisions of the Codes and By-Lays relating.to the Inspection, Alteration and Construction of Buildings 10-the Town of North Andover. PLUMBING INSPECTOR VIOLATION hof the Zoning or Building Regulation,; Voids this Permit. Rough Final PPP NArr P74I TR P� TN yi F 1ONT 4S 1 `l.u " ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rough .................................... ............................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in. a Conspicuous Place on the Premises Do Not Remove Final No Lathing or Dry Wali To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. I Smoke Det. sem. t • r a U 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 necessary information as requested below. Name of Applicant on Building Permit(below) Address of Property for Permit(below) k- 6 (;e4-1 ? 2 Map and Parcel :/o NTL)- Purpose of Wcation (check below) Pho4p Number f Applicant: Single Family _Two Family 7o Z�/ L I the undersigned applicant for the above property attest that the attached building permit for which this form is completed 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 Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot 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 for the enlargement,restoration,or reconstruction of a dwelling in ex:istence a of the effective date of this by-law,provided that no additional residential unit is created. rThe lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%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 acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development 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 ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Der lopment Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. his 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, or the checking off of an above item which does not comply,whether done to my knowledg or not, is s for refusal by the Building Department to issue a Building Permit. i atu a of Owner or Authorized A nt who sign-4d the ched Building Permit ate 'This form must be attached to the Building Permit u on application for such permit. M t s � FORM U - VERIFICATION 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***************** 44 APPLICANT: `��1' Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) .$'g Street RC, e1NeS I�1�-�- St. Number ************************Official Use Only************************ RECO DA ONS T WN AGENTS: 1 Date Approved / Conservation Admin strator Date Rejected i Comments Date Approved 11 W Town Planner Date Rejected i Comments Date Approved Food Inspector-Health Date Rejected /✓ �� Date Approved AQ� Septic Inspector-Health p Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department p `,x Received by Building Inspector Date TN S OF Ppm v �/ 'yDv�k` v - • 7' IV 15)0 5 1X ' f- OleT T � 71 w eke. �. -- o rF--F� . N iso •�' '��7 \, \<f''� � J' FES 25 ' LOT 58 N89.56'13"w ca N o I 514.46' Z 19� LOT 58 0}p >� p o / 45,524 S.F. 1.445 Ac. D co 30.0' 422.20* j� N WI S 12`E LOT 60 !AS IE �I I aF -A MT4 rAS-BUILT FOUNDATION PLAN F 3 s , �; LOT 59 BRIDGES LANE NORTH ANDOVER, MA. SCALER'=60' FEB.24,1997 ibis Plon Is The Result CJf K survey PREPARED BY Performed 8: Munumeniotion Found On 2f i0/97.The Foundation ComplieS NEW ENGLAND ENGINEERING SERVICES,DdC. With 'The Yard Requirements Oi 'The 33 WALKER ROAD No. ANDOVER, MA.01845 Of The Town Of No. Andcver.Ma. (506)686-1768 g `Aft ERTIFICATE aF USE & OCCUPAN,Townr N'A of North �T 9� ��-�3F � 9"� t+x Andover 1X Building Permit Number S` " � z Date ✓f �� f THIS CER T 'D'IE�S THAT THE BUILDING LOCATED ON LOC MAY BE OCCUPIED AS U � d IN ACC QRDCE Ctt $t WITH THE PROVISIONS OF THE MASSACHUSETTS STATE % SUCH MAY BUILDING COD 'y'h ",AND '- ';� i ... OTHER REGULATIONS AS APPLY. , of 7 ,•••';�,� CERTIFICATE ISSUED TO • ADDRESS CHU wilding ctor �k =' S x i �YfT i i�P! ya its r is r e. Y ..::.— u.c�<�..: ._ �,..�,.. ,-+:- ..,�.,,£. .i..'',}`.,.�,,,,o`x'"".y�+•-.4U Y3r► _..d.-,r..^.•w_ w... _ _ Ki'�'�.°z'..f' '"`ce•�' � r.,,s z "��,='-•R_ +�. - �.i' :'`.-q^`k£-�x » i O O r` o - - r ve No. o � L Zz. 1- * - _ IRKE -Y.� Mass., _ Aq- over, 19 A '�4 COCHICMEW,CK i. '�• '7 044 TED v �G BOARD OF HEALTH M_ PER Food/Kitchen MIT Septic System)/T /�� >; BUILDING INSPECTOR THIS CERTIFIES THAT .. . C.�� Foundation has permission to erect................. buildings on / 0.&/P.0.9. &. . tobe occupied as................................................... �t �� ,�........ .I`.�....... .............................. Chimney provided that the person accepting this permit shall in every respect conform to the4erms of the application on file in inai this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of 4 Buildings In the Town of North Andover. PLUMBING INSPECTUR VIOLATION of the Zoning or Building Regulations Voids this Permit. !*U PERMIT EXPIRES IN 6 MONTHS ' z ELECTRICAL INSP UNLESS CONSTRUCTION ST TS Rou 3l3 t�9' ..................................... .... . .... ................................................ Servi /� . BUILDING INSPECTOR - Occupancy Permit Required to Occupy Building dAS INSPECTOR Display in. a Conspicuous dace on the Premises — Do Not Remove Route No LathingD Wall To Be Done F J 1 or Dry FIRE DEPARTMENT ¢ Until Inspected and Approved by the Budding Inspector._ Burnet Street No. _ t (L/ - Smoke Let. LocationS N No. Date ,aORT1TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ _ Other Permit Fee 51DO-Q $ TOTAL $ �� Check # 3 q 14420 Building Inspector tv TOWN OF FORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING -t�x ice„mv�n �-:� -�� °�� .�.s � g � �Yx�Y:. M., k4i --.f a f.% BUILDING PERMIT NUMBER: / / DATE ISSUED: ic CEJ C'� C SIGNATURE: BuildinCommissioEaLnsZctor of Buildings Date SECTION 1-SITE INFORMATION . 1.1 Property Address: 1.2,""Assessors Map and Parcel Number: 'Mi ` Y ' t . t lj a ��`: ' �' 1/� � •�; 4 Map Number Parcel Number • u 1.3 Zoning Information: u 1.4 Propeaiy Dimensions: V ` Zonin District Proposed Use Lot Area(sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided / 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record ` Name(Print) Address for Service I Signature Telephone 6 a- � (-� Rap p) /1-7 �U_697Q . � t� 1® laxw (C� I 2.2 Owner of re - f Name Print Address for Service: Si nature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ N Licensed Construction Supervisor: License Number Address ,i 1 ' ic Expiration Date ic Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone C e SECTION 4-WORKERS COMPENSATION(1VLG.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. Si ned affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Workcheck aIl a ticable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition 0 Other ❑ Specify Brief Description of Proposed Work: G � � 4?- ft'w Pte. � .�- w -s -�u�,�. N o oTm.r f'P V`,e M 'S I til IZZA %o.e. Lk Sa.CC �02 SECTION 6-ESTIMATED CONS'T'RUCTION COSTS Item Estimated Cost(Dollar)to be .� OFFIC �L0LY 4RCompleted by 2ermit applicant ,. y 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC cs► 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, G as Owner/Authorized Agent of subject property Hereby authorize_ to act on My behalf,in al is ers relative to work authorized by this building permit application. Signature of Zwr Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name SiNature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 Err2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY - IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH Tol"M0 E No. ri C'�,S �OCLIII C AEW W C Codover, Mass., ADRATED .i? C7 S BOARD OF HEALTH Food/Kitchen - PERMIT T D Septic System THIS CERTIFIES THAT.... , ......�...... ......./.. .�� .1•v. s BUILDING INSPECTOR ..... ..... .. ........... ..... .... .........5................ Foundation has permission to ereet.....1 NS .1,..,.,., building on ......... .. /PI�� Rough 0 to be occupied as.............�.:....� � V 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. /W d 040/40 8 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. a S� Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR ASAt Rough 604�.�.../.�..............................................-....... ........ .............. Service . BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. S EE REVERSE SIDE smoke Det. MOOD STOVE INSTALLA SON CHECKLIST Permit A building.permit is required for the installation of any solid fuel burning appliance. The building permit and instailation inspection are limited to the stave installation and not to the stave construction. ;.� Stove A. New Used 8. Type/radiant Circulating C. ManufacturerT4lT t.�. rib.No. A NS(t u t. 73 7 �'- f Y f!a Name/Model No. 'n.%L e s°O Cnllar size 7 u Ofinensions/Height 9.) u Length a8 V Width Chimney A. New Existing B. Size(flue area) C. Other appliances attached to flue(Number and flue size) e- 0. Prefab(Manufacturer—name and type) Lj/ E. Masonry/Lined Fiue liner nt. _ ,type A manuiaci ef) F. Height(refer to diagrams) _%L_ cap I: a'JEZ IC i S Miry ,o, M I N. xl\ 1 . HEARTH Ix CHIMNEY HEIGHT Hearth(non-combustible) A. Materials OR r F"A t(I B. Sub-floor construction C 0 W6 r e-fie. C. Minimum dimensions(refer to aiacram) Clearances and Wall Protection(see s,cve in-,allat:cn c!earances chart) A. Type of wall protection provided SAN e-. so A-1-6 kS. Uj*LL �f B. Clearances(refer to diagrams) St0%e" lit I� I FIREPLACE ":Z60Rf•IER WALL'CENTER. Y 13 LAf ± - 4 - /Z� LAJ 0�� jk- OL 4-- o;r -- . ,dam.. . _ f - q -