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Miscellaneous - 2201 TURNPIKE STREET 4/30/2018
t N 959,E v HOR71� Date.......:.. y. TOWN OF NORTH ANDOVER PERMIT FOR WIRING �This certifies that . i � ............................................G .. f .. Chu �`7I c� has permission to perform ....... ... `�S.f. a ....................... wiring in the building of ........... R(K .�t..... zo1. �-'I-l? lg ......................... at�... %✓`Zeit 5 ................... .. . North Andover, Mass. dd Fee ..... �-r....''.... Lic. NoliSO ........... ............ ...... ' ELECTRICAL INSPECTOR Check # 7 10 t� t.,omnwnweaIg allMadjacof 2.pa tment ol.}cc7ii e Service] BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. �% 15-9 Occupancy and Fee Checked [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /! qu & zj iQ City or Town of: � T k To the Inspector of Wires: By this application the undersigned gives notice df his or her intention to perform the electrical work described below. Location (Street & Number)Q201 1A Rtv PI Ke '57 Owner or Tenant Telephone No. pg4j43 Owner's Address �A M� Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No, of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ,2 -I �5 � S- Com letion o theollow'n t bl b d No. of Recessed Luminaires t No. of Ceil: Susp. (Paddle) Fans th a e m a watve b e Ins ector o Wires. No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. grnd. No. o mergency Lighting BatteFy Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No, of Switches No, of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Tota 2 Tons Z- No. of Alerting Devices No. of Waste Disposers Heat Pum Totals Nmber ........ Tons .'"" "" I KW """"."'""."""' No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers No. of Water Heaters KW Heating Appliances KW No. of No. of Signs Ballasts Security. Systems:* No. of Devices or Ec uivalent Data Wirin No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail J desired, or as required by the Inspector of Wires. 4kh Estimated Value of Electrical Work: " 7C)p-- (When required by municipal policy.) Work to Start: IQ N L� U 2b 10 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND E]OTHER ❑ (Specify:) I certify, under the pains and !ties of perjury, that the information on this application is true and complete. FIRMNAME: Aries Electrical Service and Con_tr.ols LLC _ LIC.N015650a Licensee: Nor and Michaud Signatu.— �— _ ,IC.N0.:4e (If applicable, enter "exempt " in the license number line.) Bus. Tel. No.: 978 h87 0544 Address: 290 Broadway suite 117 Methuen ma 01844 Alt.Tel.No.: *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No, OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: S Date............... ...... ....... ti TOWN OF NORTH ANDOVER PERMIT FOR WIRING ...................... This certifies that ................................................. has permission to perform ........ ....................... wiring in the building of ....................... L ............................................................ 1211,c c— Si`— at ........ .................................... North Andover, Mass. .... Lic. No. E.3?, &.7 ...... ....... C Check # 9338 ti JQ$1 amwnwOffiaaluse - Peek No. / 3 O=Wmcy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ptev. IM71Oew bbnk APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AIl work to be p in wmdaaou with the blues Eecanah Cove Oe)" n7 CMht i2.00 (PLEASE PMUW INK OR 7EAU INFO TIOM Date.City or Town of: ryh n 4 ✓ r To tke hwctor of N w". By this appnadon chic »nom iiii notice of his or her mtertro Ito perform the elemic al work desc rilmd below. Location (Street &Number) a ® u rt7hke Sjreej- Owner or Tenant 0% / Telephone Na Owner's Address 01 Y4 P 9 2jf , 6 �� - X93, b this permit in eogjnuction with a building peruW Yes ❑ No ❑ (heck Appr ep ftx) Purpose of Building -.aE5 i d e tic c Utility Autbovbmdoa No. I,xbft Service Amps / Volts Overhead ❑ Undgrd ❑ Na of Meters Ne Serypm— Amps / Volts Overhead ❑ Undgrd ❑ Na of Meters Number of Feelers and Ampacity Location nod Nature of ProRosed �Wtricalwork: o/ re ©� ......fit o *ji is.o mhlo ».wm hp wnivnd by lho inmmefnr of Woes Na of Recessed Luminaires Na of CS Sasp6 (Paddle) Fans Ta oraos ormers KVA Na of Luminaire Oaths Na of Hot Tubs Generators KVA Na of Luminaires ADOW - Pool d. ❑ d. ❑ ao Batbe Unites Na of Receptade Outlets a of Or7 Bern ALARMS Na of Zones Na of switches Na of Gas Burners of Detection an °`mg Devices Na of Ranges TOUR Na of Air Cond. Tons a ofAlerting Devices Ekkumam ons ntamed Na of Waste Dispceers Tatals: Na of Dishwashers SpacdArea Heating KW Local ❑ Connection ❑ OdW No. of Dryers APPS KW Na of or Equivalent N66 Water ICW a of Ba o� Data Wiring. Him Na of Devices or uivalent unicatious W_ Na Bydrenuo age Bathtubs Na of Motors Total HP Na of Devices or Be OTHER: Aw L..—1Z W.+ 1-4 ... —.4 by thio Ynv tVnr of Mrw_4- Esamatied Valero of Electri wod (When required by mrmicipat policy-) Work to Start: o yA p ) luspectios to be meed in 8ocmaance with MEC Rule 10, and upon completion. INSURANCE 5 GE: Unless waived by the ow=. re pemnit for the performance of ehecarical work may issue unless the licensee provides proof of Habi ity insurance including Meted operation- coverage or its substantial equivalem. no undersigned certifies that such cevmp is in farce, and has exhibited proof of same to the permithqsoitrg office. CIMCR ONE: INSURANCE BOND ❑ OTom ❑ (Specify-) 2— u rl c I con*, ander Ae arulefP�ot , mme ' on A* app is bue and en.�.? p FIRM NAME: .Q- LIC. Na:- fiJ0 Signature LIC NO : !1I 4PP " t�, the Uvemm camber Imp) ), d` D / �.� Bus. I No.;OZE e,.r 7 Address - AIL Tel. *Per f LG.I.. c. 147, s. 57-61, security work requires Dparlmem ofPublic Saf�y "S0 License: Lia No. OWNER'S INSURANCE WAIVER: i sm aware that the Licensee, does not hawe the liabft insurance coverage normally Tequimd by law- By my signature below, I hey warve this regauceneat I am the (check one 0 owns ownees Ownerr//ceAgent Telephone No, PERMIT FEE: $ Date ........ 4 e "°RTM TOWN OF NORTH ANDOVER PERMIT FOR.PLUMBING ,SSACMUSE� This certifies that has permission to perform ....................... . plumbing in the a buildings of . L- ........................... . at U/.. .. , North Andover, Mass. Feel.... Lic. No .......... -..... ............ . PL-U,BIN INSPECTOR Check # s `/V/ 'i ' 9�.� 'MASSACHUSETTS.UNIFORM APPLICATION FOR PERMITTO DO'PLUMBING �/ ,> 1�,'MA"Date 0 Permitk 'City/Town: N D ✓Z . / r` ' ^ -71)d II"a ��� /� Owners Name: ✓ i&) suilding.Location: 6Z Type of Occupancy: Commercial.❑ Educational ❑ Industrial ❑ Institutional ❑ Residential LK `New: n Alteration: ❑ Renovation: ❑ Replacement: Plans'Submitted: Yes ❑ No ❑ A liability insurance:policy ❑ Othertype-of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: i - am aware that the licensee, does not have the insurance coverage required%by Chapter142.ofthe Massachusetts General Laws, znd1hat mysignature on this perrnit application waives thi Check One Only 'Owner ❑ -Agent ❑ Signature of Owner or Owner's Aclent the details and information I have submitted (or entered) regarding this application are true and accurate to the -best of my I hereby certify that -all of Knowledge and that all plumbing ils andnd installations pertormed-underthe.permit issued for this application will be in compliance with,all Pertinent provision of the Massachusetts State Plumbing Code -and Chapter 142 of the General Laws. By Titie Cityrfown Type of License: ste Li Plumber ' r :License'Number: Q ❑Journeyman 'FIXTURES .DEDICATED SYSTEMS z Ou ut ie z �+ u l7 .o a 'W 2 .O. VI -H Y -W Q <0: .Z -� .W ;Z vt .G �Q t7 H 0 :z M .4. .X Q ._ �0 LLJ H Q 7 :3C;N ._ :O: .= .1A .W .y� .]C 0 .Q ,N '0 Q W Q `0 W � J Q = U 'W .ri 'U. 'W �y'�j .0� �� W .� ':Y W - 0 _0 3 0 _ :z .3 >:a x z v, ' > °o 'Q it a a ►- _ a .� Q in "Lo W a¢ L � :3 `L .Q .Q a m m 4 L o 0 = o o a 16 s "g g :� .� .0 :3 3 3 0 SUB BSMT. BASEMENT 1s` FLOOR 2ND FLOOR 3RD FLOOR 4T" FLOOR `S " FLOOR 6 " FLOOR 7I FLOOR ,tlT"FLOOR 222Installing Company Name: / v p 6 / rn Check One Only ❑ Corporation �,.Certificate� City/Town: State: v �r r ' C] Partnership Address:. irm/company Business Tel: acf j Q =Fax: 'Name of Licensed Plumber: Yes. No El INSURANCE .COVERAGE: 'or itssubstantial equivalent which meets the requirements of MGL.'Ch."142 have:a current liabilit insurance policy If you have checked Yes, -please indicate the type of coverage by checking the appropriate box below. A liability insurance:policy ❑ Othertype-of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: i - am aware that the licensee, does not have the insurance coverage required%by Chapter142.ofthe Massachusetts General Laws, znd1hat mysignature on this perrnit application waives thi Check One Only 'Owner ❑ -Agent ❑ Signature of Owner or Owner's Aclent the details and information I have submitted (or entered) regarding this application are true and accurate to the -best of my I hereby certify that -all of Knowledge and that all plumbing ils andnd installations pertormed-underthe.permit issued for this application will be in compliance with,all Pertinent provision of the Massachusetts State Plumbing Code -and Chapter 142 of the General Laws. By Titie Cityrfown Type of License: ste Li Plumber ' r :License'Number: Q ❑Journeyman V� T Ti:e-Commonwealth ofMassactutsetts ' Depart►nent of Industrial Accidents Office ofTnvestigations 600 'Washington.Street Boston, MA OZIII www.mass.gov/dia Workers' Compensation: Insurance Affidavit:.Builders/Contractors/Electricians/`Plumbers Name (Business/Orgabization/Individual): Address: q, Abe- City/state/zip: Re 0a/S/ :Phone#: Are you an employer?•Check the.appropriate.box: 1.-❑ I am a employer with 4• ❑ I am -a general contractor and_I niployees (full and/or part-time):* have hired the sub -contractors 2. Lam a sole proprietor.or partner- listed on.the attached sheet, ship.and.have no employees These sub -contractors have working for mein any capacity. employees -and.have workers' [No workers' comp..insurance comp. insurance 5. ❑ We are a corporation and its required:] 3.0I .am -a homeowner doing all work officers have exercised their myself. [No worlcers' comp. right of exemption per MGL . insurance required.] -t c.1'52, .§1(4), andwe have no employees. [No -workers' comp. insurance required.] Type -of project (required):.. 6. _❑ .New construction '1. ❑ Remodeling 8. ❑ .Demolition 9. _❑ Building -addition 10.❑ Electrical repairs or.additions :1.1.❑:Plumbing-repairs or additions 12.11 Roof repairs 13.❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. '1.Homeowners who submit this affidaviiindicating they are doing all weak and then bim outside contractors must submit a new affidavit indicating such. �Contmctors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. if the sub -contractors have employees, they must provide their workers' comp. policy number. I.am an employer.that isproviding workers' compensation insurancefor my employees. -Below is thepolicy andjab site information. 'Insurance Company Name: Policy# or.Self-ins.-Lic. #: Expiration:Date: Job Site Address: City/State/Zip: - _....._-._..__........- .............-- ._.._......__ .._.._._....—...__._..........--- ----_... .......... ...._...................... ... .......... ..... .............. . —AttAch-a-copy-of-t-he-a►xor-kers'—eompensation-policy-declar-ation-page-(showing-tbe-poiicy-number-and-expiration-date)- Yailure to.secure.coverage.as-required under Section:25A ofMGL.c..152 can lead to the.imposition of criminal penalties of.a The up to -$1,500.00 and/or one-year imprisonment, as well as civil penalties in the.form of a STOP WORK ORDER andd-a fine of up to $250.00-a day.against.the violator. Be advised.thatz copy of this statement may be forwarded to the Office of Investigations ofthe DIA -for insurance coverage verification ' 1 -do hereby cera u//Jy/�(�er.the pains a penalties ofper ury that the information provide�d..anbonve -iss-true and correct. -Phone 4: use only. Do not write in Wiis .area, :to City or Town: or town ofciaL Permit/License # Issuing Authority (circle one): 1. Board of Health 2.BuildingDepartment 3.-City/Town Clerk 4. Electrical Inspector -5.-Plumbing Inspector 6. Other Contact Person: Phone # 1 3 :4F ainleubig Ln C/) CO I- W Nuj m N M Cl) W� O H� N lf1 QIJl C Q - " u' z Q • p LU E +• C J W IM0 s G Q n J i Q to Ln o _ • Ana � �--� � J atN WQ w u � W O Z Q W mp CL . 2W (A LV d o Z mu)> O O C.LU 0: LD N � V zJ Q- H 3 O I- Z O q o�.� U W M Q 3 ACORD rM CERTIFICATE OF LIABILITY INSURANCE DATE 04/08/2010 PRODUCER John M. Bi io Ins A Bg Agency Y 399 Winthrop Street Winthrop MA 02152 - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Speciale, Edward 300 Governors Dr Apt 22 ,WinthropMA 02152— INSURERA: The Hartford INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY I POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500,000 FIRE DAMAGE (Any one fire) $ 300,000 A X COMMERCIAL GENERAL LIABILITY I CLAIMSMADE Fx� OCCUR 08 SBA PNO187 04/13/2009 04/13/2010 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 500,000 GENERAL AGGREGATE $ 1,000,000 04/13/2010 04/13/2011 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 rlPOLICY JECOT LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ BODILY INJURY ALL OWNED AUTOS / / / / SCHEDULEDAUTOS (Per person) $ BODILY INJURY HIRED AUTOS / / / / ' NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY / / / / EACH OCCURRENCE S AGGREGATE $ OCCUR EICLAIMS MADE $ DEDUCTIBLE / / / / $ RETENTION $ EMPLOYERSOMAPBLSn ION AND / / / / TORY LIMITS OER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Town of Andover FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSUREA, ITS AGENTS OR REPRESENTATIVES. AUTHORE TATI Andover MA - ACORD 25-S (7/97) U tj © ACORD CORPORATION 1988 qT INS025S (9910).01 ELECTRONIC LASER FORMS, INC. - (800)327-0545 Page 1 of 2 Jr Location �- f % - No. r Date ",� p 1 o 71 I- 0 ORT" TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ ,> r 1sSAc«Foundation Permit Fee $ �4Otf Pr ermit Fee $ o .O Sewer Connection Fee $ 4. Water Connection Fee $ ''c:,.�. �� TOTAL r $ GN n 1 M✓ �i+sis" 1 Building Inspector Div. Public Works 1 d No. DateCS TOWN OF NORTH ANDOVER 0 s. Certificate of Occupancy $ + Building/Frame Permit Fee $ — ,SSACMuSEt FoundationPermit Fee $ •" " i 41lS7y Gi Other Permit Fee $ •' } �`A ��� ✓ r Connection Fee $ Waterotnecton Fee $ 6; Building Inspector Div. Public Works 1 P'EEtli,�IT�NO.�__ �6 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40.'Og C ZONE LOT NO. I SUB DIV. LOT . _.7 / !usL 2 RECORD OF OWNERSHIP IDATTEE BOOK 'PAGE ©�r; LOCATION -vc ti- PURPOSE OF B OWNER'S NAME C - _ NO. OF STORIES SIZE OWNER'S ADDRESSZ,,,,,,r1 s �� �� MaL BASEMENT OR SLAB (Z �_S_ L� Cht.,�� JIST •2�(a i�� ARCHITECT'S NAME `\_ " C LS'!� SIZE OF FLOOR TIMBERS` �XIO 2ND X I© 3RD '+ e oC BUILDER'S NAME SPAN ' DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET , C S. / .1 POSTS DISTANCE FROM LOT LINES -(SIDES 4d REAR ! T " GIRDERS AREA OF LOT q is 6 FRONTAGE ` HEIGHT OF FOUNDATION / /0/., THICKNESS //O ' IS BUILDING NEW tjPs 1 - SIZE OF FOOTING _ O N X IS BUILDING ADDITION MATERIAL OF CHIMNEY 0Loff-/O C 1� J IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODES IS BUILDING CONNECTED TO TOWN WATER yti O BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER O IS BUILDING CONNECTED TO NATURAL GAS LINE 0 INSTRUCTIONS SEE BOTH SIDES 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 AND APPROVED BY BUILDING INSPECTOR ATE FILED h' ILl ^ Q SIGNATURE O .OWNER O AUTHORIZED AGENT t • F E. E 2 Ci1s� OWNER TEL. 64 PERMIT GRANTED CONTR. TEL, 69 CONTR. LIC. # 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S OulEs MULTI. FAMILY APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL I FIN. B'M'T' AREA _ '/. 1h 1/1 FIN. ATTIC AREA _ NO BMT FIRE PLACES 1 HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS ' CLAPBOARDS B _ 1 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING HARDVJ'D COMMON ASPH. TILE VERT. SIDING STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STIRS. & FLOOR _ I_ CONC. OR CINDER BLK. WIRING STONE ON MASONRY _ STONE ON FRAME SUPERIOR I POOR ADEQUATE _ I NONE 10 PLUMBING 5 ROOF GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.( J_ 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 I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ Io LL 13rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM oFFICEs LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. O Z log 0 O O CC W_ W W O W 0. d A. wl H Z Z z W W O u <W 96 O V Z Z Z 09 Q Qm W m m L C J t L V L m Y rn E c d c W 3 '` C' :3 c O o Q U LL cc LL Q fn E Q U. in fn i u I w OR O Z r- -Ez NAU z r M O C O v 7 y e O U C O C O C O 40 C6 C V 0 C H 3 O q a, m V C O h y 0 U a> s v.. O C 0 C6 d r 0 C of V O r D V w (o �z O� > W O � �X �L.Lj QO 61 C L �. CL O 00 C �C O N w 0 LO LLJ J z�. Ma H Q .y C. L a -o ^� c i c y o a c fA fA OC z �V CL. o c V 0 z � ce _ O h LU IL4 H �'� � V 16 ` 96, O CIO m t LU J t t m m Y o L Q U LL ' ll W Q m LL Q tL E m lA M O C O v 7 y e O U C O C O C O 40 C6 C V 0 C H 3 O q a, m V C O h y 0 U a> s v.. O C 0 C6 d r 0 C of V O r D V w (o �z O� > W O � �X �L.Lj QO 61 C L �. CL O 00 C �C O N w 0 LO LLJ J z�. Ma H Q .y C. L a -o ^� c i c y o a c fA fA OC z �V CL. o c V 0 z N rn w w 0. w cn w 4 0 A O N N M- LU LU w y Y 0. 2 LY MW U J Cn rA A O y rA V w Z a � G7 a o Location �tz5C�J �lX2t�kP! Xl, �T. n. 1 No 12 ��} Date M1 "ORTM TOWN OF NORTH ANDOVER: of �«.e •.��a p Certificate of Occupancy $ 'Buildipgi -/Frame Permit Fee $ d fo -- . o. Foundatiori,Permit'Fee $ -` � Other Permit Fee ? we Connection Fee $ Watef &)4 n Fee $ v- TOTAL' $ 0 s Building Inspector T TC 7 al Div. Public Works .3 Location c�2 a 0% I r'v,� �;, '$ 7— O v No. -3a 7 Date SORT►, 11 TOWN OF NORTH ANDOVER n Certificate of Occupancy $ _ Building/Frame Permit Fee $ 02 S Foundation Permit Fee $ JACMU SE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL [� -Z Building Inspector r• ,, 7,515/99 13:53 � 25. PR D �Div. Public Works I ii X671 I J F y cz 7 7 U C C .— � U z O1 l G � z -X - C L L L • r O C i— C I J F y cz 7 7 U C C .— ZN O s - H � Q � ♦ -e N N O \ H (1) CO r-4 I -0 ,r,'0 i0 O� CO E N \ N 0 O O N O 0 0 •p ( U 0 U � .144-). <r�-t L W M - 0 d (Z Cf 0 UT C CO x OL} I ZC-0E O Lt! .H Ld-Q C-- Z 00 >.i -C O O \0 0_ O M r Qf < f-) \0 0 0 Q C�-11: Q 0 H 07 0 -1 H O 0 L ct� = Lal O0 0.H<1 MZ OU 3 0 4-) . " 3 ::) iT] CO 0 07 > 0 �� L HY N-1 . L "i (1) 1 �' ✓ize 'Caanvritoowsea�i a�.,2iiiaraciucGelt6 ' .. `? 1f BOARD OF BUILDING REGULATIONS +.,_�•._ License: CONSTRUCTION SUPERVISOR Number CS 073367 Birthdate 11/15/1954 f Expires 11 15/2002 Tr. no: 73367 m Restricted To: 00 a' KEVIN WARFORD �i 22 WOLF HILL RD., (•«e-rr i' GLOUCESTER, MA C1930 Administrator'' .� FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approls/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 SEOTi*N APPLICANT ( iI(W 20111 S PHONE 6gz" 84q 3 LOCATION: Assessor's Mao Number / In e C PARCEL el#�) S / SUBDIVISION LOT (S). STREET—r0g-)JA (LZ 40 ST. NUMBER 7Z0 ************************OFF 1 C IAL U S E ONLY******************** �, lC�r�ovE �e40 /Ace ,t e A> L4 R6 t- / O/7�'i1/ !`7�e1� /',ear o fZ sly✓UcTUY�. RECOMM NDATIONS OF TOWN AGENTS: � Ll S&ne CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED ���{ `"`,°'t11L4Y4l��(�� — COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR Revised 9197 jm Lh ;i 91 lilt 6661 DATE North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORUM 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: (Location f Facility) V V Signature or' ermit Applicant qF -"/*-t Gate 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 lnvesticiations Boston, Mass. 02111 Workers' Compensation Insurance AIT -davit Name Pease Print Name r Citi/ rhCna �- I am, a icri ie'Owncr cer c Trod all wc'r*..0 myself. Cam a sole prcYrie cr and have no one working in any cz-cac: I am an emClcyer prcv!dnc %Ncrkers' compensation for i i ,y em,cloyee5 'wOr`.UnG c ti ils jcb. Ccricanv neme• A d d Fe S= A ol CiIOVC' chn:,o # %8 Insurrnce Co. 'D© f/ G+�/ Folic'i T ,I Ccme2nv name: Addres Ci i`r: _-- Phone .-• Insurance Cc. Polic'� T Failure to se --:.,re ccverace as recuirec urcer Se` -,!en 2S.a cr MC -L i 5Z ccn lead to the inccs tdcn ci c.,minal :,enaitiev ci a tine uc tc s1,_C0.00 ander cne years' imcnscnrnen, as we:! as ..:vii penalties in C^e term cr a STOP `NCRK (R .-1 ar.c a ,ir,e 5 00.001 a day acair.sI me. I uncerstanc that a eddy ci ;his s a-ef .ent may ce rcrvarcec to the C� ce ci nvPSilCaticns cr the OIH. rc, ver!ticZ cn. I cc heresy under :he cans and renaities er c Sicn2ture Frint nam e y !hat the inicrmadcn prcvided atcve ;s true and co-ed:. r'cie ` Pfcne e 0-0037 C'"iciai use eniy co nct write in this area to ce ccmciecec cy c:ty cr icwn ^:c a Cty cr Tc'.vn [C`eck .r imr^ediaie res. case is required C rtac: , ersan: =hcne T. culldlnc OepC Lrc:=nslnc �oGrd Sa!ec:m2n's timid re�Itl7 LJCCc.ril7E^r C tither I � PLOT P AF LAND IN , NORTH AN -DOVE R t 11A � - C RD F. KQMINSKI AND ASSOCIATES , INC. e NORTH ANDOVER , MA, TURNPIKE (RTE.1l4) STREET PREPAREp F Rf Property Line ohd Street Line Offsets Shown On This ' PfonAre SpecifiGaI(y For The DOermin0tion Of Zoning LOCATION: In I - - -- f?✓_L :12�fG 11.� �� SCALE:J GATE- O $( PLAN fl FERENCE: BEING, �L_ - , ON A PLAN BY DATED: iq AND RECORDED IN C O U N T Y N bj I The C71V 'Phi Lototed On Lot 154411 located Within Zone A".(area of tOOyr. flood) As Shown On H.U.0. firm Comm. Pon I ° 1-1'7C;769413 OO I r� DotedI*', I Hereby Certify Thot Thr YututyDArio,-j Shown On This Pion Is LOCI ji%o On The ln!i. As Shown And That Its Location Does Conform To The Zoning Laws Of The Town/ City Of_r,�j XOLIJ=When Constructed. �-1999 09:14 Pr -1 ---------------------- I 09�_ 551 OID N P 0 1 DECKED OUT INSTALLATIONS Owner, Kevin Warford 978-590.0037 FAX: 978-282-0036 TO ADDRESS t tj N Vo 'L< e V -c � A TEL (H) 19 R3 19 (w) 103 3 u - r,' DIMENSIONS (,;z MATERIAL RAIL JOIST DECKING POST FOOTING -9 flfjFm FLOOR HEIGHT STEPS LATTICE SEPTIC SET BACKS SIDING PERMIT T : RT[ 1: :::� ACORD,. E:DA TE M M : D. L 1 TY 11�S lJ'F :: .::: (, D/YY) .:::.. ..... TM ::.:.:::::::: :!:::::::::::i:!::::::::::!:::ilii::::i::i::::::::ii::!_::i::isii::::i::::is4i::::::::i::::is:::iii::::::i................>: .::: i::::::::::::::::::::::::::::.:::::::::::::::::::::::.:::::::::::::.:::.::...........:..::::::::::::::::::::.::::::::: iiiiii:.iiiiiii::.: ::: ?:: ::i::i::::::i::::::>:>iiiiii:l:l:i:�::::;.:::i:i:ilii?:::.::: iii:: ii:p:::::.::::.iiii: 02/09/1999 •..:::::::.:::::::::......:::::::::::::::::.::..........................................:::::::: .::::.:::.:.::::::::.•.......:.:...:.:.:::::.................. PRODUCER (978) 744-7110 FAX (978) 741-2059 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Soucy Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. 0. Box 4467 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 201 Washington St. COMPANIES AFFORDING COVERAGE Salem, MA 01970 _ ............ ........................................... -............ .__................. .................. - ......... .... COMPANY Maryland Insurance Group Attn: Paula Geist Ext: A INSURED COMPANY I. B. B. Y. B 22 Wolf Hill Road...... ................................ ............................... ............. ............... ......... - .... ........ ....... COMPANY Gloucester, MA 01930 C __.........._.................................................... .......... COMPANY D ...:.:.: ::.::.::: ... Ct3VRA:OES ....::::::::: <..:::>::>::>:.. r:;;::; I F N RANCE LISTED THIS IS TO CERTIFY THAT THE POLIC ES 0 I SU BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 0 INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _.......:......................................................-....._..................................................................._..............._........................................................_.........................._ __.....__............. _ ................. CO ' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 'i POLICY EXPIRATION:LIMITS LTR ': DATE (MM/DD/YY) DATE (MM,DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2, 000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG : $ 2,000,000 CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 A ............... ....... SCP004573 02/05/1999 :: 02/05/2000 :......... ................................ ....................................... OWNER'S & CONTRACTOR'S PROT : EACH OCCURRENCE $ 1,000,000 ........................... ..................................................... FIRE DAMAGE (Any one fire) : $ 300,000 ............ .......................... ..................................... .:........ MED EXP (Any one person) $ 10,000 �'. AUTOMOBILE LIABILITY ........ > COMBINED SINGLE LIMIT $ ANY AUTO ............................. ALL OWNED AUTOS i BODILY INJURY $ SCHEDULED AUTOS (Per person) .............. ...... HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) <........................................................... `. ' PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO ............................................. OTHER THAN AUTO ONLY: EACH ACCIDENT $ .....................................................: ...................................... . AGGREGATE'. $ i EXCESS LIABILITY: EACH OCCURRENCE $ ::.......: UMBRELLA FORM :.................... ......... ............................. ............................. AGGREGATE $ �'. OTHER THAN UMBRELLA FORM ............ $ WORKERS COMPENSATION AND TORY LIMITS i<.................................. EMPLOYERS' LIABILITY ............. ...... ............. _..._...... .�:...................................::. EL EACH ACCIDENT :$ 4 THE PROPRIETOR/ ......... NCL .......................... ......... ..... ,. ............... ..................... ........ EL DISEASE - POLICY LIMIT $ PARTNERS/EXECUTIVE .................................. .................. ............ ..._....... OFFICERS ARE: EXCL : EL DISEASE - EA EMPLOYEE : $ :OTHER DESCRIPTION OF OPERATIONS/LOCATIONS,VEHICLES,SPECIAL ITEMS For work performed by the insured usual to a. carpenter Town of Danvers ATT: Building Inspector 1 Sylvan Street Danvers, MA 01923 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1p_D6j ,LwVrf'21T � Y6ME6Ef�TjiJ"f I fLDER.NAMED TO THE LEFT, BUT FAILURE TOf�At1J�SUCH NOTICE SHALL IMPOSE NO OdLI'GXi7'ION OR LIABILITY OF.ANY KIND UHON JHE COMPANY, ITS AGENT.WR REPRESENTATIVES. FHORIZED F7FRE NTATIV 4/08/1990 9 .::......:::::::::::::..:::::::::::::........................... ..............................................::::::::::.:::::.:::::::::.::::::::. (978)741-2S 0 9 tLI Ab A MATTER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY Maryland Insurance Group Ext: A .............................;................... COMPANY B COMPANY C COMPANY D Legion Insurance THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TR LTTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE ;: POLICY EXPIRATION. LIMITS :: DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X '; COMMERCIAL GENERAL LIABILITY i ,...................................... ............... PRODUCTS - COMP/OP AGG.$ 2 000,000 CLAIMS MADE i X OCCUR PERSONAL &ADV INJURY j $ 1,000,000 A <>:i::;>:z......> SCP004573 02/05/1999 ;: 02/05/2000 ............. .... ................................. OWNER'S &CONTRACTOR'S PROT : EACH OCCURRENCE ........................ ............. $ 1,000,000 .._. ......... FIRE DAMAGE (Any one fire) ................ I..................................................................... $ 3000.0.0. . MED EXP (Any one person) $ 10,000 AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS ...... .......... .................. BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS ! ,. ... ... .......... _.. ... .......... .......... BODILY INJURY $ NON -OWNED AUTOS I (Per accident) . ......_................................................... i i PROPERTY DAMAGE $ :i GARAGE LIABILITY i AUTO ONLY - EA ACCIDENT $ ANY AUTO...... .................... OTHER THAN AUTO ONLY: . . . . ....................................................... .............................................:::::.::::.:::::::::::::::::.:::::.::: EACH ACCIDENT: $ . .............................................................................. AGGREGATE:$ _........ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM ....................... ................ .......:........................................ AGGREGATE $ OTHER THAN UMBRELLA FORM .............. .._.................... ............ ........ _...... ...... $ WORKERS COMPENSATION AND X :TORY LIMITS : ER< ...................................... ::::G.... EMPLOYERS' LIABILITY .............................:...:: $ 100,000 B WC00004573 THE PROPRIETOR/ 03/23/1999 03/23/2000 ..ELE.aCH.ACCIDENT... .... ............................. INCL : PARTNERS/EXECUTIVE :--....: EL DISEASE - POLICY LIMIT $ .......S00,000 OFFICERS ARE: X EXCL : EL DISEASE - EA EMPLOYEE : $ 100,000 :SCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS For work performed by the insured usual to I. B. B. Y. DBA: Kevin and Heidi Warford 22 Wolf Hill Road Gloucester, MA 01930 carpenter SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN N9,TJC..E SQ JFJE C(tIF{F&TF,HOL�ERTPAjVB 70H€1�,FT, BUT FAILURE TO NTAIC S>�667-9,0418 f/'''��E SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMP -Y,JITS AGENTS OR REPRES TATIVES. AUTHORIZED REPRESENTATIVE Paul K. Soucy i1i d c Q u 2,�j fAmo lKf a� M O z x 44 A ° CO v u LL. e N ) u U)w° z z A ° n a a�' v w c u. PA 4 � a m a�' cow w ow � u � U a son .vV CLC 03 ii O w a z `� :jro a�' w w ¢ A w 0-4 c E crop z cn Q o cn J 0 43 U) 1� O GO 0 _TJ 6 Nav CD Q� C CA 'C CD H O O Ln m CD O Co CL. CD to � CD L CC O d E: Q1 Q y C C !D V C Z tsO V CO) O C �C C cc CO) 0 C Cn crw w w VJ c o :,%L: :mC : o � O N C •: �.+ O .vV CLC �c A m C � : co y is E Q :4D CF Z m o 0ts N Q E c �0_ C CL= : N A �: . m m N CGo Qf to Gm m :03 O : A G Na �p N ED N O � j d C �Q Rct o CDca o H G = O :d ui W C O=..�CD Gr O MDi. cc r co C.2 -0 Q CO2 LLIcm O OlE d -0 O .s y O 2 cv ��� *o =a�m 4 - J 0 43 U) 1� O GO 0 _TJ 6 Nav CD Q� C CA 'C CD H O O Ln m CD O Co CL. CD to � CD L CC O d E: Q1 Q y C C !D V C Z tsO V CO) O C �C C cc CO) 0 C Cn crw w w VJ Location No. / Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ -Foundation Permit Fee $ Other Permit Fee 'AUGS��e��wer Connection Fee06 $ 'V�fater Connection Fee $ IQA Artdpver cofAL 4.0r $ rte' Building Inspector Div. Public Works PERIIIT N2. _ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 1/'PA G E 1 MAP 4-40. ZONE LOT NO. I SUB DIV. LOT NO. 2 RECORD OF OWNERSHIP IDATE �— BOOK 'PAGE LOCATION PURPOSE OF BUILDING OWNER'S NAME A V 1 r> $ v YLU S NO. OF STORIES - SIZE j Z x I OWNER'S ADDRESS Z Z G` TU I'�tllt RIICc S�- �!. iiiv ,� 1� BASEMENT OR SLAB_ - ARCHITECT'S NAME - SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME )"a,%1 LT -Z- CM,TZ 1 A.d a SPAN DISTANCE TO NEAREST BUILDING /001 / DIMENSIONS OF SILLS - DISTANCE FROM STREET DU �- " POSTS DISTANCE FROM LOT LINES — SIDES��� REAR O v '" GIRDERS AREA OF LOT Y �O�eQ FRONTAGES HEIGHT OF FOUNDATION - THICKNESS IS BUILDING NEW V^� bl SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL. OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 15 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 SEE BOTH SIDES 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 AND APPROVED BY BUILDING INSPECTOR Q DATE FILED T" -' / Z SIGNATURE OF OWNER OR AUTHORIZED AGFA4'I^'�� F E E S' OLD— OWNER TEL. # e!7' 3`y,(- 34(y3 PERMIT GRANTED CONTR. TEL. # SP Ff -/eGFr Sl5'� 19 CONTR. LIC. #_ 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST Cj EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDIN INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 NodVL�► A� -1� � Asa o4N'S►sr`� SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FpAI OFFICES LOT LINES AND EXACT DIMENSIONS OF BULLRINGS. WITH PORCHES. GA - APARTMENTS RAGES, ETC. SUPERIMPOSED. "T,HIS._REP:LACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. _ PINE PRICK OR STONE HARDW D _ PIERS PLASTER DRY VJALL 3 BASEMENT UNFIN. AREA FULL FIN. B'M'TAREA- 114 1/7 FIN. ATTIC AREA _ NO 8"M':T - - FIRE PLACES HEAD' ROOM MODERN KITCHEN _ _ 4 WALLS I 9 FLOORS "• - CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH .. ASPHALT SIDING HARDW;D _ _ _ ASBESTOS SIDING COMMON VERT. SIDING'ASPH`TILE'''` STUCCO ON MASONRY —{I_ STUCCO ON FRAME BRICK ON MASONRY : "" -ATTIC STIRS. & FLOOR I - BRICK'ON FRAME _ - '�• _ ,� -' � - CONC. OR CINDER BLK! STONE ON MASONRY WIRING STONE ON FRAME SUPERIORI� POOR < ADEQUATE NONE 5 ROOF 10 PLUMBING I . GABLE. "GAMBREL I HIP .MANSARD BATH 13 FIX.) I TOILET RM. (2 FIX.) IK` FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK --- - SLATE- NO PLUMBING TAR & GRAVEL STALL SHOWER f ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO _ - 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. p J TIMBER BMS. & COLS. STEAM+ STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING . RADIANT H'T'G UNIT HEATERS 7NO. OF ROOMS GAS OIL P'M'T nd ELET 'T 1st N*_ IN C6 yw ! C5 z i CA ta G It LU a. w W a rr QW W = O Q m oc19 a. z z m L Q C E U 76d ii O W a z z J L j O 2 Irg N S ii 0O W d Z -+ u W=1 L O Q V m to .1 lC c U. O t - W H ?LLI L j O Q 1 C U. W C `m 7 [a, 1 X O E co H .y E L s I' 00 C tv O Z y.r A� s C W l-"' !Ebc f%L-Q .�1��oz V> cm. W—V--tAjz-'F=. i E.xl ST �z.�ncs no se c.cAr tTj F"As p, i � ¢21r2�25 s�l.•IiB.13' 3,G�� _ 4s.�-• •.rr..MFs.43' �� • ` 45,3 � • 43.x: 1A528 �'. r r A .ETt000. .i ��Lf+¢.t� �o�J�C, ! ��-v--�-' %�3�21, 4.a►aCT►Fy 'T�+, prF�,g-rr S+t,�w ►„1 ' �te.� r='V-- T'Fli� , l�'S �:. � i�' "S"'1-► �,• � t� 1 e... L7 � wl Cgs � u S i� Ctb w1,�7'``� ') y �- W ►rN THE Zc-uluG ';: �?�-t"�"�w►`��.wJ cxTt.ca�.J _ca FT ,C.4�+ �ti,c3► Q v+ �/ �A�i.l'S CouFoIE✓M T`i�` d2- 1.1o►J GorJ F"o2.AP A. rrI/ . 13(D7Z Ca?aE4" W ISM IZ.L1G`r'1�cr.Y�. AA1N b .�[ �2v sr'� ESD K m �Uust aU�� x t o �Aossit--4 f�e. ,'�' .-a.o'7 7'(joewpIKr' 177 iia 7.4 . / vc CX14 rt +4, e- '/4� x b F I I SuAFAele- -- Fa u T- r t t C, ,5r (I EvJ jet e I ! ou�"alA� AIr���giu+.� x Pr axo®�c 11r9" Pi �1rR �N��,G Erw�I;,n� icuNbA-'t-Io Wousr: T-ouNbA-Ttdpi 14 c 4 b c--tz T-0 /40 fs s '6— ski 5k! ei42 5/yx G� P1 4 Ail Pi` yYY nr Y, is A"C)I S, r- P "L ALvm',`3u h. 1>12f\pp'" 1 It/� /} 3,4}1.17''T" e S' � a'C .4 A Z o 7 rw #&w At j< 6' S7 7. 1 RAIL 0 It `i n. Q M q N k N 4 � iQ� l i,'a `e iV► c IJ ! Opp U � % le., a i'b► i 4 < � q ` �3 A P T' roff i P WL 1 d% . -To 1,s r 7" CS b 4 D XL int t ' #ILL %jJ bO`IS IF,- ALL ftAtLS GA 1. . +Ge 4 W IT4 MAI hP W n I n -C- Ml M a G . x n -C- Ml M a Location !G`/ No. DateU TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ O r �t Check # 17663 /�w `� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPMR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ''. offidw _ BUILDING PERMIT NUMBER: % r DATE ISSUED: SIGNATURE: zzzz Building Commissionerfl drr of 1§uildings Date 1 aM-11UN m-A11L 1I1rVxmAtlVA I 1.1 Property Address: aa0 vrvi Dl ke s� 1.2 Assessors Map and Parcel Z Map Number Number: Parcel Num Signature Telephone 1.3 Zoning Information: Zoning District Proposed Use Address for Service: 1.4 Property Dimensions: Lot Ares Fronts ft 1.6 BUILDING SETBACKS ft 1 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Front Yard Side Yard License Number Rear Yard ReqWred Provide ReqWred Provided ReqWred Provided Registration Number Address 1.7 Water Supply AaL.C.40. 54) 1.5. Public ❑ Pmnte Zone Flood Zone Information: Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System ac%ll%JigA- rKvrEAal 2.1 Owner of Record 2 kc �ar-j Name (Print) ' Address for Service : q78 (8a-,9gg3 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: -Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 1 3.1 Licensed Construction Supervisor: Licensed 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 (XG.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 budding permit. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Work(check all a cable ." New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ N Accessory'Bldg. Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: E" -4JJ I c r l a ttcc4to" of 0 k ci' tOrC�4e I SFCTTON 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) --�� 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 7)y; ' Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS GENT OR CONTRACTOR APPLIES FOR BU LDING 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. —ate .._._ - d, Signifire of Owner 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 r I �i{ Lar -C! tK S Prin ame Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T]MBERS iST 2 ND 3 RD SPAN DIIviENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHD&INEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 14 r / PLOT PLAN OF LAND IN NORTH ANDOVER, MA. _ v RICHARD F. KAMINSKI AND ASSOCIATES , INC. * NORTH /ANDOVER, MA, TURNPIKE (RTE.114) STREET fte� PW PREPAREp FQRF Property Ltne and Street Line Offsets Shawn On This �`! • �t P1on Are SpecificaI(y For The OeterminoIion Of Zonin4 Rrnents Only._ LOCATION:��E 11-4 The LoCoted On Lot_, `SNA 0F�dlap Is 49 _Located Within Zone A"( Gre, SCALE:�� 0ATE.: O $� ���j ��r� of 100yr. flood) As Shown On 11.U.D. f+rrr. �ct"f RKFa N PLAN REFERENCE: % DAVtl7 Comm.Pongl ° 'ZC7l.7G�,1� z201r t2 -. GI✓LAA. Dated: �!t)►JEr -'IF, I9" --~_ '� ` BEINGoy ' Nu. 30757 ON A PL N BY r" �lhL.2*.rf�Cycr5T�4E°4aw NO '" DATED �j lq AND RECORDED IN IA 7�✓ L•iX C 0 U N T Y � L7. t� llz • r'" ' 7 '7 -7 I hereby Certify Thot Thr -F,_- Shown oShown on This Pion Is Loc-I,aJ On The ,:,n•^ As Shown Ana Thot Its Location Does Conform To The Zoning Lows Cf Tne 'fowr • .i� City Of f{N X�dc�/rV—When Constructer ,C - :1 f- 7 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 rd PHONE 5'70 3 LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET go i +' ST. NUMBER '""******"'`**********OFFICIAL USE ONLY ***** RECO ENDATIONS OF TOWN AGENTS: ' CON ERVATION ADMINIST OR DATE APPROVED DATE REJECTED COMMENTS Wd1am,,L orob66'aC -ro i„ 'a TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD I7CTOR-HEALTH DATE APPROVED 7 DATE REJECTED TH DATE APPROVED L4 DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm WW, TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the "reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units ... or to structures which are adjacent to such residence or building" be done by registered contractors, with certain exception, al ng with other requirements. Type of Work: Est. Cost Address of Work �o Owner Name: A - Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s) Work excluded by law Job under $1,000 Building not owner -occupied Owner pulling own permit Other (specify) Notice is hereby given that: For office Use Only Pemit No. Date OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND LINER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name Ems* rA w ., , o � = O � 4u W O a � Z F V Q a p a O FM4 • o z e c o� �3oy .Q �v � = c w� CD o CD y is E a J- c 4. 4DQ d ON : E c O r... :m E all E m VJ 20% V� y O C 0 �J E m o ♦ ao os m m cr O Cf Vt� 7tCOQ �: ♦ m •g mac= m ams0 C3 N O O m C z .. :coo c' Lo a CL c w �/�` m c r = : m 0 ~ �0LJLJ .. COD W A is .r N dt = LU E O =.rave o al .0 g d. m O � _ m 0 `� s O f- z aw m :IN k« O. CO) MAID CD CL G3 c O CD 0 _cc H 0 CO2 O cc _ca d CO2 L O CD CO)CL Ww+ c CM o ,c m m uj W W W ca o � a � a a Z w w a �U2 u• 05 � w° a°' U rS. w w c�° w° w � A'o cn cn e c o� �3oy .Q �v � = c w� CD o CD y is E a J- c 4. 4DQ d ON : E c O r... :m E all E m VJ 20% V� y O C 0 �J E m o ♦ ao os m m cr O Cf Vt� 7tCOQ �: ♦ m •g mac= m ams0 C3 N O O m C z .. :coo c' Lo a CL c w �/�` m c r = : m 0 ~ �0LJLJ .. COD W A is .r N dt = LU E O =.rave o al .0 g d. m O � _ m 0 `� s O f- z aw m :IN k« O. CO) MAID CD CL G3 c O CD 0 _cc H 0 CO2 O cc _ca d CO2 L O CD CO)CL Ww+ c CM o ,c m m uj W W W ca i 9 • 5 • 1 9 APRILM 1855 ; TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS 1%TnmT0W July 13 11 ...... .19. 833 Notice is hereby given that the Board of Appeals will give a hearing at the Town Building, North Andover, on. Monday e.veni 7.g ....... the .8th. day of ......Au.gus.t ........ 19. 8.3 , at. 7 :.lock, to all parties interested in the appeal of ....... I ........ THE..WIL.L0W.S,..i.P1C................. . requesting a xaaWraa xoi $=.x -x x.x.x x x. x x x.x x x.:oi #bye (4q u M PATR"ftfttj?ff #cx Special - - Perrai t. under -Sec-tion ..9.,..Par...9.2-.of_ the.Zo.nin.g.B.y.Law.s.o.a.s.to ..Permit .ih.e. e.nla.rge.e,)en.t. o.f. a..non-o.o.nfo_riri ng ..struc rre.............. .......................... on the premises, located at ... t 5 e.. S a u t.h.e a s. t . s .i. de. o :f. . Wi.l.low..S.t........................................ By Order of the Board of Appeals By: Frank Serio, Jr., Chairman Publish: W.A. Citizen: July 21 and 28 Send bill to: The Willows, Inc. 815 Turnpike St. No. Andover, Mass. Legal Notice TOWN OF NORM ANDOVER BOARD OF APPEALS,. NOTICE NORTH 1 OL ON F p 'SSA US _ July 13, t983 Notice is hereby given that the . Board of Appeals will give a hearing at the Town Building, North . Andover, on Monday evening the 81h dapf August, 1983, at 7:30.p.m to all parties' interested in the appeal of THE WILLOWS, INC. requesting a Special Permit under Section 9, Par: 9.2 of the Zoning By Law so as to permit the enlargement of a non -conforming structure on the premises, located at',the + Southeast side of Willow St. ; By Orderof the Board of Ap- peals. .Frank Serio, Jr. - Chairman Publish N.A. Citizen: July 21 and 28, 1983. L13-800 { Legal Notice ? TOWN OF NORTH ANDOVEEpR BOARD OF APPEALS NOTICE, t,ORTH f A 0 - .- p p . 4SSACHUS 4 Jul Notice is hereby given that the Bard of Appeals will' give a hearing at the Town Building, North-Andover, on Monday evening the 81h day-of August, 1983, at 7:30 p.m. to all parties interested in the appeal of THE } WILLOWS, INC. requesting,a :. Special Permit under Section 9, Par. 9.2 of the Zoning By Law so as to permit the enlargement of a x non-conforming structure on the - premises, located. at' the Southeast side of Willow 5tf By Order. of the Board of Ap peals. Frank Serio, Jr. Chairman Publish N.A. Citizen:July 21 ' and 28, 1983. L13-800 Legal Notice - TOWN OF - NORM ANDOVIrR ` BOARD OF APPEALS_ NOTICE , NORTH , OQ tao '6 O P July 13, 1983 Notice is hereby given that the - Board of Appeals will give a i hearing at the Town Building, North . Andover, on Monday r evening the 81h day of August, 1983, at 7:30 p.m. to all parties interested in the appeal of THE WILLOWS, INC. requesting,a Special Permit under Section 9, ` Par. 9.2 of the Zoning By Law so as to permit the enlargement of a non -conforming structure on the premises, located . at' , the Southeast .side of Willow St. t By Order. of the Board of Ap-. peals. Frank Serio, Jr. Chairman Publish N.A. Citizen- July 21 ' and 28, 1983. L13-800 i N 7, 0 hoo Ell N7:3 .0 LU 7, 0 hoo Ell t% •n r+ a :. (; . (f1•--•� �� V E AFAILTIV S 18t'f.S f l y•., ►, gcriu9�,'� An 23 1 i; PY" °63 �•.,.Y. TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Any appeal shall he filed within '(20) days after the date of filing of this Notice in the Office of the Town Oierk. Date ...... August 16, 1983 ...................... Petition No...... 9 . '. 8 3.... ..... . Date of Hearing ... A u.g U s.t . 8. , , 1.9 $.3 Petition of ..... THE WILL 0 W S , ..INC ; Premises affected , .SQ u.t h e a s t.. s i .d e. o f „W i 1.1. o w.. S t. r e e t ................... Referring to the above petition for a ValiWi6it Frb iAK6 i�ei iii ie d# i� . S.p e c.i. al. P e. r m i t under Sec0.on. ,9,..Pa.ra9.raph 9..2 of the Zoning By L.aw so as to permit soxasxtawpornit .. t.he..en.l.arg.eme.nt..b.f..a .:n.onncQn.formi n.g. sAru.etu.re... After a public hearing given on the above date, the Board of Appeals voted to . G r a n.t .. ; the S: p e c. i. a .1.. P e. r. m .i . t and hereby authorize the Building Inspector to issue a permit to .. t h.e -W. i. l .1.6w s , I n c.. &Y, thtxoondruciiaix )of thexabbw iV6&4 bgsbtd X4561Y 1p6# gxcis#ditfcX : Signed Frank Serio, Jr., Chairman ........................................... .Alfred. E.. Frize.1.1e, Esq., Vice Chairman Ric.har.d_J.. Trepan:ier,.Esq., Clerk Wi3.1ia.m:J. Saul1i_yan - Augus.tine. W.... Ni.cke:rson. Board of Appeals f4 Rivi.i�vED DAME L"!NG Noi;l';` = VER An Z3 i it Fm 183 TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS Mr. Daniel Long, Town Clerk Town Office Building North Andover, Mass. Dear Mr..Long.: Any :appeal shall be filed within (20) days after the date of filing of this Notice In the Office of the Town Clerk. August 16, 1983 The Willows, In.c. . .SE side -of Willow St. Petition No . 39-.'83 The Boatrd of Appeals held a public hearing on Monday evening, August''8,.1983 upon the application of the Willows, Inc. The hearing was advertised in he North. Andover Citizen on July 21 and 28, 1983 and all abutters were notified by regular mail. The following members were present and voting: Frank Serio, Jr., Chairman; Alfred E. Frizelle, Esq.., Vice Chairman; Richard J. Trepa_nier, Esq., Clerk; William J. Sullivan; and Augustine W. Nickerson. The petitioner is seeking. -a Special Permit under Section 9, Par-. agraph 9.2 of the Zoning By Law so as to permit the enlargement of.a non -conforming structure on premises_ located on the southeast side of Willow Street. Mr. Robert Regan testified that the b`uildiing conformed to zoning when it was constructed in 1972 Under the present'Industrial-l' zoning, however; the side setback.requirement cannot be met. He proposes to add racquetball courts as well as fitness and office areas by extending the line of the original building.. Section 9, Paragraph 9.2 of the Zoning.By Law allows such an enlargement with a Special Permit from the Board of.Appeals. Upon a motion made by Mr. Frize.11e and seconded by Mr. Sullivan, the Board voted unanimously to grant the Special Permit as requested. The Board finds that all .of the requirements of Section 10.31 of the Zoning By Law have been satisfied. August 15. 1983 The Willes, Inc. Petition No . 39-'83 Page 2 nt; VED R An 23 t �z X63 Speci fi call'y, the Board finds that, the site is an appropriate lo- cation for such a use, since the pr:o:posed enlargement is a contin- uation of the current use; the use as.°developed, will not adversely affect titre neighborhood; there will.be no nuisance or serious hazard to vehicles or pedestrians; adequate and appropriate facilities will. be provided for the proper operation of the proposed Use; and the use is in harmony with the general purpose and intent of the Zoning 8y Law: Sincerely, BOARDp OF APPEALS Frank Serio Jr., Chairman jw O� NORTh Rece-fwttd by Town Clerk: �O Dates D�QfiQ`F NORTH ANDOVER, MASSACHUSETTS s. BOARD OF APPEALS ;,s•.,.,., LER Ti me NOR C .'FR 4CMUSE Notice: This application must be typewritten 01 03 APPLICATIONS OR RELY Elip THE REQUIREMENTS OF THE ZONING ORDINANCE Applicant e, WICGOW5 , :170L Address 2MPI►trz ET"' 1. Application is hereby made (a) For a variance from the requirements of Section Paragraph and Table of the Zoning By -Laws. 0\(b) For a Special Permit under Section 9 Paragraph -2 of the Zoning By -Laws. (c) As a party aggrieved, for review of a decision made by the Building Inspector or other authority. 2. (a) Premises affected are land and building(s) numbered 8/S '1 -WR Jri" s -r- Street. (b) 0 Premises af'f`�e,;cted ar-e 1pro6perty with front e�ththSoutn (�C)"East (7)+West ( ) si de of (, Street, and knoWh as No. Street. (c) Premises affected are in Zoning District_, and the premises affected have an area of 3,92 and frontage of / s -qua , e-• feet. 3. Ownership (a) Dame and address of.owner (if joint ownership, give all names): I- W ✓l.(.t9t,JS i T),J G• Date of purchase MAr-q' a Previous - Owne.r._ T W W Lza LLL (b) If applicant is not owner, check his interest in the premises: Prospective Purchaser Lesee Other (explain) ro osed QdClT�IV : � 4. Size of /f proposed -g : .57f- C7 front; %/ - feet deep; Height: =�L stories; a2 feet. (a) (b) Approximate date of erection: Si It TLAL /' �, ri.uf6/4 Occupancy or use of each floor: I. n AA-177-n. (c) Type of construction.: 0 C% 5. Size of existing building: gp feet front; 30g�8`'feet deep; Height: storiesfeet. 0 7. (a) Approximate date of erection: �iT' /172 (b) Occupancy or use of each floor: r--r77-_Aj"1g couf2rx , tocvc, Ic It (c) Type of co struc n zi� t us ,a 5714-0 ROV A Has there been a previous appeal under zoning, on these premises? If so, when? 1 13Z (14QwPORT_ Description of relief sought on this petition Deed recorded in the Registry of -Deeds in Book /..2/(o Page 3C or Land",.Co,urt Certificate No. Book Page 0 The principal points upon which I base my application are as follows: (Must be stated in detail) 91-7 Z IL ILI I a �tpay forldv?ftising* ►�n w s a e n d n i e ens9�� incidental nta 1 ex es P P P itioner's Signature Sec. 1 APPLICATIOiN FORM Every application for action by the Board shall be made on a form approved by the Board. -These-forms shall be furnished by the clerk upon request. Any communication purporting to be an application shall be treated as mere notice of intention to seek relief until such time as it is made on the _official application form. All in- formation called for by the form shall be furnished by the applicant in the manner therein prescribed. Every application shall be submitted with a list of "Parties in Interest" which list shall include the petitioner, abutters, owners of land directly opposite on any public or private street or way, and abutters to the abutters within three hundred feet of the property line of the petitioner as they appear on the most recent applicable tax list, notwithstanding that the land of any such owner is located in another city or town, the Planning Board of the city or town, and the Planning Board of every abutting city or town. * Every application shall be submitted with an application charge cost in the amount of $25.00. In addition, the petitioner shall be respon- sible for any and all costs involved in bringing the petition before the Board. Such costs shall include mailing and publication, but are not necessarily limited to these. LIST OF -PARTIES IN INTEREST S 0_ Name Address 3- V -T� e Wt c.L,0 ws, TNS 8� l4 rzfjpi icr s �, Nn - AAjDO veA Ul'b 4r Wif—lcSWS I.AN00M11JiVm— Assoc. P-0, GOX 14� 2 i co(C�.i —3Z - 6-L DRIvC t, !�� �ti C " g.� , P�GPQ27y iAx f��PT �0 Sa3$ �y /Via NJ M�,f + Ja 1 J ;fA1,71TguIr � LA ✓ `? g7 �u 2��r�� S'T. NO A�v� ue2, /'�i� .018 ff 114 /�FSSoe, 7a WM DA07ati1 3 FLuy 'GZi A�DU"_,, HA 01,6/o FFFL2SO (Use additional sheets if necessary),/' -c��-- 9 C Plan of Land to accompany petition Each application and petition to the Board shall be accompanied by five (5) copies of the following described plan: The size of the plan shall be 11 x 17, drawn to scaie, 1 inch equals 40 feet; it shall have a north point, names of streets, zoning districts, names and addresses of owners of properties within a minimum of 200 feet of the subject property, property lines and location of buildings on surrounding properties. The location of buildings or use of the property where a variance is requested and distances from adjacent buildings and property lines shall be verified in the field and shown on the plan. The dimensions of the lot, and the percentage of the lot covered by the principal and accessory buildings, and the required parking spaces shall be shown. Entrances, -exits, driveways, etc., that are pertinent to the granting of the variance shall be shown. All proposed data shall be shown in red. Any topographical feature of the parcel of land relied upon for a variance, such as ledge, rock, peat, or natural condition of water, brook_, or river, shall be shown on the engineering plan. When a variance is requested to sub -divide a parcel of land, the dimensions and area of the surrounding lots may be taken from the deed or lotting plan for comparison of the size of the lots in the neighbor- hood, noted o,n the plan as such, and marked "approximate." The plan shall be signed and bear the seal of a registered surveyor or engineer. Any plans presented with the petition shall remain a part of the records of the Board of Appeals. If living quarters are to be remoddied, or areas are to be converted into living quarters, in addition to the plot plan, five (5) copies of the following described plans shall be furnished: 1. A floor plan of each floor on which remodeling is to be done or areas converted into living quarters; 2. A floor plan showing the stairways, halls, doors opening into the halls, and exit doors of each floor on floors where no re- modeling or converting is to be done; 3. The plans and elevations shall show all existing work. All proposed work shall be shown in red. The size of each plan shall be 11 x 17 or 17 x 22; it shall be drawn to scale, ,, inch equals one foot. All plans and elevations presented with the petition shall remain a part of the records of the Board of Appeals. 4 9 ' r R MAR 30 11 16 '83 MORTM o w H 9 t • • � i TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS March 29, 1983 Mr. Daniel Long, Town Clerk Town Office Building North Andover, Mass. 01845 Re:' Amendment to the Board of Appeals Rules and Requlations Dear Mr. Long: On Monday evening, March 14, 1983, at their regular monthly meeting, the North Andover Board of Appeals, upon their own motion, voted unanimously to amend their Rules and Regulations regarding plan requirements. The following members were present and voting: Alfred E. Frizelle, Esq., Vice Chairman, Richard J. Trepanier, Esq., Clerk, William J. Sullivan] Walter F. Soule, and Maurice S. Foulds. The amendment shall read as -follows: For petitions requesting variations) from the provisions of Section 7, Paragraphs 7.1, 7.2, 7.3, and 7.4 and Table 2 of the Zoning By Law for conveyance purposes only, a plot plan, certified by a registered engineer or land surveyor, of the parcel of land with a structure thereon being conveyed, will be acceptable to the Board of Appeals provided: 1. The dwelling(s), structure(s), or building(s) were con- structed prior to March 14, 1977. 2. The petition is not to allow construction or alteration to the dwelling(s), structure(s), or building(s) which will result in the need for the issuance of a building permit. 3. The size of the plan shall be no smaller than 8z " by 11" and must show the existing area of the parcel, the existing frontage, and the existing setbacks of the dwelling(s), structure(s), or building(s) being conveyed. Mr. Daniel Long, Town Clerk March 29, 1983 Page 2 4. Proper space is provided on the plot plan for the Board's signatures, as well as adequate space for the following in- formation; date of filing, date of public hearing, and date of approval. Would you kindly incorporate this amendment into your records. Sincerely, BOARD -SOF APPEA Alfr d E. Frizelle, Esq., Vice Chairman AEF/jw cc Building Inspector �_�.... � I Mr. Frank Serio Chairman Board of Appeals Town Office Building Main Street No. Andover, Ma. 01845 Dear Mr. Serio: June 23, 1983 ,���E11VIE4 1 During the first week of June I applied to ;the Town's Building Inspector, Mr. Charles Foster, for what we believed was a routine Building Permit for the construction of tt,,o racquetball courts and an aerobic fitness center to be added to the 1;illows Racquet Club. !)% Foster replied that he was unsure as to the legal status of Uillov, Street as it related to side setback and would have to consult with Town Counsel, Mr. John Willis. He said he would be in touch with me in a day or two. He did indicate that even if Mr. Willis inter- -----pre ted --the -1 aw -a s -per tai -n s --to nter- ----preted--the-lay,-as-pertaa-ns--tom the -legal--- status -of __UiU-o.;, Street differently than our own title attorneys, the proposed use was still a permitted one, but we would first have to secure a Special Permit from the Zoning Board of Appeals. Mr. 14i11is'did not respond to Mr. Foster's request until June 15th at which time-�-1 was advised that I would have to seek a Special Permit. Because of the delay in the communications between Town Counsel and kir. Foster I had missed the opportunity to have my application before your Board at your June 14th meeting. The next meeting I was told had been scheduled for July 18th. Yesterday, while speaking with Karen Pomeroy, the Town Planner, she indicated that the July 18th meeting had been cancelled and the next meeting scheduled for August 8th. Mr. Serio, what we believed to be a routine matter has disin- tegrated into a potentially grave situation for us at the Willows. Our nei,., membership season begins the day after Labor Day and it is customary to have all facilities operable at that tine. This is im- possible if we adhere to the above schedule. I know that you and your'fello:-; board members work very hard and have always given your aggregate best for what you believe is in the ultimate best interest of the Town. There is -so much commercial and residential construction either underway or proposed durine the summer and fall construction season, that it seeris to be most in - 815 Turnpike Street (Rt. 114) ' - No. Andover, Ma. 01845 - Tel. (617) 687-0505 -2 - Mr. Frank Serio June 23, 1983 appropriate not to have the Board sit in session, with a voting quorum present, during this active time of year. I respectfully request that a public meeting be scheduled on the originally intended date of July 18th or as soon as legally possible. Thank you for your consideration. Sincerely 10 6rt P. sident RPR/gfk cc: t�9r. Charles Foster