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HomeMy WebLinkAboutMiscellaneous - 215 HICKORY HILL ROAD 4/30/2018p t " •by'NO _ Town of North Andover * D.B.A. — Zoning Compliance Form �y978-688-9545 AATtD This form must be reviewed with the Inspector of Buildings. Office Hours are Monday -Friday 8-10 am, and 1-2 pm Monday -Thursday. Applicant Name t I d S" rv"t s Name of Business: M rk++i'e `5 S-tu d l v Address of Business: 7 1 S kill e n d Zoning District : Y� Map C 2- Lot Q l __'D Phone: Co i 1 -7,5 o t l ft 2 Email wn r-, S NY, aS y a K o a. c oVLA_ 01 Do you own this property? Yes ✓ No If no, written permission is required from your landlord. Will you have clients coming to this property? Yes ✓ No Will you have any employees? Will you have any major deliveries? Yes No V Yes ' NoV_ Description of Business Activity (Must be Completed) Par-tYa;-t P1noTo ry„ Signature of Applicant_,,� For Signage Refer to North Andover Zoning Bylaw Section 6 . is .+ a, , :�a • .� *�� �`rp�"'' 4%.�' S`�^ ` �' '. �'„�1�•�,9 !'n r r - �,�' � .i_'�.w^�-� •' •a��td� \ �4�r} � ""' SC'��+.y,'. ... orxr�`��•��'a,.�'r� • �i��_����,,. . s.,�' J�� l+{l,`�.'�' ��� � � i! � r `'+ A'.-�' •� `FS''t` r�!'�`J'� 7 �. s � A [� •' yl -�tl! r. l � ..r ✓ ..,- s1�` °` • fi i r 3^:y€ �i i T. i'' ; ,��� J t �y 1� A, �' /'.�r; R�',yt'.r �� � xd' 7''��'p J.,r�1 ,.Y {'i'� ;t• `•`�j�pF'` J 1° y $+. ,fi> Y - r;. y �5�r4[•-_ri`" I �eY� Y'"t �y �'` .�.. Swam41 i V t ''%' M' i:9J+r. - � 4 +.,��•. -_ `�` F'.et�.'�� `�'Yt,�j. "`' °�p��. 4 �s j � a.�f'. .=K='= _�, l ,. y � IV`�y(s'�{�..e''n �. f�: ,.r,�s rv�a ,T -.e.Y �s:.'`f, f yin - -y �1.,'S t •�1i'' -�"' J �. ` ' 1 1 i 1 1 F�5i�! r J � S� t�ic:;,.x`.- t-���,.. J� � - � � r ''� •1• :moi r - ! .+i ff �. -. - "`t� v •. 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Locatio'n. 14 1jeje 367) 0 D a t e 7///j A 0 TOW TOWN OF NORTH ANDOVER J; MML Certificate of Occupancy $ 136ilding/Frame Permit Fee Foundation Permit Fee C14US W�Wpermit Fee Sewer Connection Fee Water Connection Fee TOTAL jp,42,Auilding inspector 25-00 PAID ------ "IN 7453 Div. Public Works 70, 'Locatio 4K 1�16s Z� Date Y_,�& - ze TOWNOF NORTH ANDOVER 0 �C ertificate of Occupancy $ Building/Frame Permit Fee $ 'Foundation Perlpit Fee $ C.0 -other Pe $ 2ts c) c) Sewer Connection Fee Wat-, r' nnection Fee %TAL 2 C) C) Building Inspector Div. Public Works 723-8 TOWN OF NORTH ANDOVER Certificate of Occupancy Buildi ng/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee Y $ A Water Connection Fee TOTAL Building Inspector 05/11/94 o9:45 Div. Public Works 01-ocation .2 Z No. 12f ,6 Date &OR TOWN OF NORTH ANDOVER 0 6 0 Certificate of Occupancy $ 1i jo;,aa 4, Building/Frame Permit Fee $ a_ 'i.. Mus Foundation Permit Fee $ z Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ Q), 6)- G; TOTAL $ 1A Eiuilding' Inspector !O�:' 1-2o6 7115 Div. Public Works Location 3-45 No. Date -3-2-94 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Alo g;37 Sewer Connection Fee $ /z*4 0 Al 3.�;/ Water Connection Fee $ TOTAL 0"6 04/11/94 12:01 Buh&W inspector 6930 Div/.ub)kWarks t � t Irk^ER�fIT NO. CJ�,��_ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.,[/ji/�j ���% PAGE 1 Mll�1�0. �''� —I LOT NO. 2 . RECORD OF OWNERSHIP DATE BOOK ;PAGE ZONE '� SUB DIV. LOT NO. -3 tr. 75 at 4 LOCATION 6:& PURPOSE OF BUILDING 1 _ OWNER'S NAME CALo NO. OF STORIES �J - SIZE �}� C _Z G', cj� 1-051, SS J OWNER'S ADDRES - BASEMENT OR SLAB -. �Vc _ 6V,2 ARCHITECT'S NAME xwd s h 7a h ri a4 1/ o' .SIZE OF FLOOR TIMBERS(g IST �/� /� 2ND % y / p RD GJ�i(!� BUILDER'S NAME SPAN j q/ AA-3e � DISTANCE TO NEAREST BUILDING T DIMENSIONS OF SILLS 6PT DISTANCE FROM STREET ✓ "' "" POSTS S / /zee DISTANCE FROM LOT LINES — SIDES /y. REAR %mac/t "' "' GIRDERS —7 AREA OF LOT �9 1 ��'(„/ - FRONTAGE/� '? ✓ / G' HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEWGG.-.. y�S SIZE OF FOOTING X T V IS BUILDING ADDITION U6 MATERIAL OF CHIMNEY I?kIC IS BUILDING ALTERATION �J6 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF BUILDING CONFORM TO REQUIREMENTS OF CODE�s IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY ,( /i -IS BUILDING CONNECTED TO TOWN SEWER' IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES I A SO eo-v PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED A.ND APPROVED BY BUILDING INSPECTOR ,a, DATE FILED `4 e F E E PERMIT E OF OWOR AUTHORIZED AGENT ���aq� 3� OWNER TEL 06f'�,�'$ " CONTR. TEL. #4?—✓�.e CONTR. LIC. #1 X11-12 19A rv4�� 3 PROPERTY INFORMATION LAND COST 46 0- CIA,4 EST. BLDG. COST �� '2 S 66 EST. BLDG. COST PER SQ. FT. / '-06 EST. BLDG. COST PER ROOM �yvf IJL SEPTIC PERMIT NO. N,4 by- 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN Nu ILDI NO INSPECTOR ra OCCUPANCY SINGLE FAMILY I foe S i 0 RIES MULTI. FAM-ILY, ��OFF I C E S APARTMENTS CONS TRUCTION 2 FOUNDATION CONCRETE CONCRETE BIL K. BRICK OR STONE_ PIERS � 8 INTERIOR PINE HARDW D -KASTER bRY WALL UNIF l�_ FINISH -e 3 BASEMENt AREA FULL FIN. B M T AREA FIN. ATTIC AREA FIRE PLACES 1/1 1/� 1/1 NO BMT HEAD ROOM MODERN KITCHEN 4 WALLS FLOORS CLAPBOARDS B 1 2 3 DROP SIDING WOOD SHINGLES CONCRETE .,EARTH. 'HARDW D COMMON ASPH. T ILE ASPHALT SIDING_ ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY, STUCCO ON FRAME BRIC.K*,ON'MASONRY. BRICK ON. FRAME ATTIC STRS. & FLOOR CONC. OR CINDER WIRING 60 MASONRY 67 if6- N FRA:ME 'SUPERIOR POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE -- GgAMBIRE]l I lt HIP BATH 13 FIX.) -;�ANSARD TOILET RM. (2 FIX.) FLAT 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 6 FRAMING 11 HEATING WOOD JOIST h-,/ PIPELESS FURNACE FORCED HOT AIR FURN. TIMBEI(BMS'2 OOLS— %,oO'. STEAM STEEL BOT.-CCOLS,01 v '' HOT W T R OR VAFOR WOOD RAFTERS X7 AIR CONDITIONING RADIANT H*T G UNIT HEATERS 7 NO. 0 ROOMS !OIL GAS B'M'T 2m . 1 ELE CTRIC II T., - Id 3,d NO HEATING BUILDING RECORD 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM -LOT LINES AND EXACT DIMENSIONS -OF "BUILDINGS.'WITH PORCHES.GA- S I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOTPLAN. IIL i cq ., r FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out %,this section***************** APPLICANT: / ki a' a -s D. � Ao(u,' o Phone LOCATION: Assessor's Map Number 6� Parcel Subdivision tC'/,�Ij/lI % Lots) Street ! i GUe� 01 (1( a � St. Number 61 ************************Official Use Only************************ RECO DATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments (� Q Town Planner Comments Date Approved Date Rejected Li Date Approved C -`��� Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway permit -3-Z Fire Department Received by Building Inspector Date PROPOSED SITE PLAM 1.-07 t C K 0 PLY HILL. NPA D I" = 4()/ H 14 I q t4 I Ole S 26' .3 Ilu CERTIFIED FOUNDA TION PLAID LOCATED IN NO. ANDO.VER, MA SCALE:/"- 4 DDATE: 4--.15-94 Scott L. Gi/es R. L. S. 50 Deer Meadow Rood North Andover, Moss. L O N 21,814 S. F. I 1 LOT 34 1 Ff" ,, L O T 36 -I�iS,-60� 0 „ N 20.8' /92 ag, I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE Of THE OFFSETS OF THE BUIL DING /NSPEC TOR ONLY SHOWN COMPLY AND SUCH USE IS FOR THE $� WITH THE ZONING DETERM/NATION OF ZONING u o. 13972 0 BY LAWS OF CONFORM/TY OR NON- COIVFOR1141TY s'p.�Ct51E���JP�`� NO.ANDOVER.WHEN CONSTRUCTED. LL Laab� WHEN BUIL T. 4- (W1=1(:Ia OF: 13l 111.1)IN( i (:( )NSI :1(VATION ATE. )CATION Town of NORTH ANDOVE It �`'''� •J�� I Ii%'1:;11 IN 111' (;()I1IAMN1'I'1' DE"VLI.UI'AIi:NT KAH-EN 11.1'. Nl :l a( )N. 1)110 i A OI t CHIMNEY APPLI(.'AI-ION ANO I'EI:MII' ,611411�� .. - .. - J I:'l I Mail :41(4.1 N�uUTAIitIt1%f,�:. t,t: I!;C: a t11 �•:1 •rl•; 11 tt1•t ' 11;1 Nlilm-1 i i!; PEKMl'I'. #_ UNER'S. NAME: JILDER'S NAME:_' Tke"-s SONS ME: • a %SON'S ADDRESS: ax n vl L le. ti ISDN' S TELEPHONE: ,TERIAL OF CHIMNEY: +BC IFERIOR CHIMNEY: �c-�c� _ EXIERIOR CIMINEY: ll�IBER AND SIZE OF FLUES: 0 8>r IICKNESS OF HEARTH: :U civDiiney on 6i4ep.Cace con(anul to 411e. .the cu(le and have nuCe.5 (III(( :gutati.ow been necebed:TE: .GNATURE OF MASON: -RMIT GRANTED:5 - / FEE 7-5,00 'BERT NICETTA !ILDING INSPECTOR SPECTEO: _ :h1ARKS: _ SOLID BLOCK ItE(jUlltm) 9,;2 y, THIS PERMIT MUSF GE VISPLAyEO 014 111E ITLMISLS If agME-,A-" �. d m 11 F m ... � m Y` Cp y Ca co = O H m I O •D � � z<C2 I O C2 = y ; L COCL= O ��. 7 m m y C") =0 On m i �. r tOA.=' Dl NY C=L d cr W rCDm 1 �t -C CD I : CD W i wCD O O ...r CD O C. o CD :. � CD r�ny:a� C7 T "' 0o O C ; go COO O O ...r _ .prOC O ^ cc cn O T cnCJy o rz d H �}7 w "jJ C x CC tz � '^r7 y Cn CD < 70 C x r Crf H orf w G m - '� ' C) x n r r cn b y * Oca y o s VJ l J fy x ►1.�' / cn r. 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CD co H tz (j) o � CD bo o k -A Q CD z� ?7 TJ '= O O a S C ID O it °= °'— < rro Ct1 CD °'_ GO °= ago ^ ^ a n �6 ?v -`f wdj r v Cn En M ~ Ci ?7 TJ '= '77 (n '�+ O O a S C ID O it °= °'— < rro Ct1 CD °'_ GO °= ago ^ ^ a o ro eb tz 4o ��: m � 0 O n M Ofl O r p hM W Y I�� d m m mz � z al CA C� z C � m � C � z CD O D �r r Q =. n� .a O MqCDv CL cr n CD O C) Cm C GD C m � CD D <CD av z o �' CD CA -v CD CD ` ( CA M3 O O C y C� CD O .7 CD CD CD CA O 0 CD 0 G CD N'1 OC Cy o CT, N CO ; O o yeic2 3ML Z S'p N '� ow ^► C ..r m O T CD d= 191 CD O m 'C'a -� 0 o1*4 CD oNo -�-1 CD o c y. W � o W � O m a nom Y Cc CSI-" .. �.] W CD W N 1 mnr0 . co 0 0 c Cz 9 CD m N .�-► o03N C. o bj C �C N N y CD W so N so`V {rc T O . o o y• CD O O NCD :��;o� m �a� Jr, �a ce 41 ?j 000 CD�o o� v CSLon • �� CD (!r O O c + Cy rD U o 1, rn r 3:p O- ro O � a, x v a G m OC Cy o CT, N CO ; O o yeic2 3ML Z S'p N '� ow ^► C ..r m O T CD d= 191 CD O m 'C'a -� 0 o1*4 CD oNo -�-1 CD o c y. W � o W � O m a nom Y Cc CSI-" .. �.] W CD W N 1 mnr0 . co 0 0 c Cz 9 CD m N .�-► o03N C. o bj C �C N N y CD W so N so`V {rc T O . o o y• CD O O NCD :��;o� m �a� Jr, �a ce 41 ?j 000 CD�o o� v CSLon • �� CD (!r O O c + Cy rD U o —• z O �� O z VCil O O r. O O a Q ?; C ro O � a, x v a G NZ Date .... 1. P /0. Q /.0. �( TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .—t� . . C, .w.,&e4!sj:-Ne ........... has permission for gas installation IR. >—J�. 177�. in the buildings of * C� 4 ,!at . C.A5 .. ...... North Andover, Mass. fee. Lic. No. 5?.� ;r- -D !(?":k 1 .1. )Kq�(O.V. w" -- GASINSPECTOh Check # MASSACHusETIS UNIFORMAPPU FORPERIVIlTTODO GAS FMING (Type or print) Dated ��• NORTH ANDOVER, MASSACHUSET S 9 Building Locations l / �� Permit # Amount $ � S /'5 e-?eTl--1 ner's Name / t�% yllf � New Renovation ❑ Replacem t ❑ Plans Submitted ❑ 04 U P4 Oki O a z z O H H W dH .Ti 0 O a a a Gz aw a z 0 o .a 0 SUB-BASEM ENT BASEM ENT 1ST. FLOOR 2ND . F L O O R 3RD. FLOOR 4TH. FLOOR 5TH . F L O O R 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or ty�e Chec one: Certificate Installing Company Name f /�� CSS �i��i'>f3>' �% �.y� Corp Address 0 Partner. =-mess Telephone ®-- " / — / ©-Arm/ Name of Licensed Plumber or Gas Fitter 74 - OVERAGE 4 - OVERAGE Ch Gk on I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate bo ❑ Liability insurance policy 1:1. . Other type of indemnity 1:1 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ _.,a .. ..«.... «l.� I hereby certify that all of the uetai=s ana mrormauon I navc �u�,,,,«�'j '� �,,,�....� �_..., ... .YY.. -•- best of my knowledge and that all plumbing work and installati ns pe ed under Pe ed f this application will be in compliance with all pertinent provisions of the Massachusetts tate Code and Cha _e General Laws. 1jy: Title City/Town OVED (OFFICE USE ONLY) Vgnature of Licensed Plumber Or Gas F ter ❑ Plumber Gas Fitter=cense Number ❑ Master Journeyman