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Home My WebLink AboutMiscellaneous - 248 BRIDGES LANE 4/30/2018 (2)SSACHU`+E Y Permit N0: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received: 2,4 IMPORTANT: Applicant must complete all items on this page LOCATION!�VL t �,i(^' ('� G� Print PROPERTYOW R y-v1c �v '_ Irl Print n . MAP NO.. PARCEL: ZONING DISTRICT: 'rvor .NT" ITQ!V nu nim nmr- I-11gTnPtr nKTRIfT VES F TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building Addition Alteration One family - Two or more family No. Of Ulllts: j Industrial Repair, replacerimit Demolition Assessory 131do Commercial Moving (relocation) >( Other 0c.( l- Others: Foundation only DESCRIPTION OF WORK IO BE t'KEMKNILU Identification Please Type or Print Clearly) OWNER: Name: � ` ' `�� C i a,`�a � t} 1, �1P a t �F' � � �'t� � �,� Pllorle: (10 Address: �'—` r+ �? 's t r'l r t �� i e N,\ CONTRACTOR Name: l,J i I ►�CC� ��i k cc' �.�•y�, `�c ,,,c� Phone: Address: Supervisor's Construction License:yqZ N ) Exp. Date: f.iy *I tome Improvement License: Exp. Date: ;ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. PEE SCHEDL'LF_: BtULDLVG PER,IIIT: 51201/ PER 51000.00 OF THE TOT4L EST1Jf4TED COST BASED ON S125.00 PER S.F. Total Project Cost :$ 510 x10.00=FEE:$ JV Check No.: Receipt No.: 1�1-Je`� C�Ocu.ti_1 TYPE OF SEWARGE DISPOSAL Swimmin'T Pools Tanning/Massage/Body All Public Sewer r? Tobacco Sales Food Packaging/Sales Well Permanent Dumpster on Site Private (septic tank, etc. 1-116 Electric Meter location to project NOTE: Persons contraefing-wtut unregistered contracIOPS [[O rroi nave uccr» w uir gmmi11111y.1 wic Signature of Agent/Owned t LU Zr;Jignature of Contractor Plans Submitted Plans Waived E Certified Plot Plan P Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS DATE REJECTED �I J Water Shed Special Permit [JSite Plan Special Permit ❑ Other DATE REJECTED ri t✓ DATE APPROVED DATE APPROVED i! DATE REJECTED DATE APPROVED HEALTH L! Z12-_��` G - COMMENTS Zonin'T Board of Appeals: Variance. Petition No: ZoninL=, Decisionireceipt submitted yes Planning Board Decision: _ Comments Conser"ation Decision: Conunents Water & Sewer connection signature date Temp Dempster on site yes_noFire Department signature/date Building Permit Approved and Issued by: Date ....�. d .. 7 U /.ao e•° O TOWN OF NORTH ANDOVER Oh. PERMIT FOR GAS INSTALLATION K - This certifies that ... . ..i.. ...... .. `.......... .... . has permission for gas installation ... 5 4- ?!� ...... in the buildings of . ��.C. f, t' n .�' et y.�'.�!` i'".? .. ....... , North Andover, Mass. Fee.. L�.�'�/.. Lic. No..�.�.�.�...... GAS INSPECTOR Check # 3 r 4 46,ir MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITfING --_� (Print or Type) 'q 7 Mass. Date ! (/ / 200 J Pe 4 # ` Building Location 7� Zler qe,,k �.?9� Owner's Name i %01 11 10�— Type of Occupancy New Renovation^ {; Replacement ❑ Plans Submitted: Yes❑ No installing #Company N Address FEWOO �.ON W11"N Business Telephone cl,7,f Name of Licensed Plumber or Gas Fitter .e0 Co ;Checktone: ' i . Corporation ❑. Partnership ❑ Firm/Co. Certificate ' C,dl- ISURANCE COVERAGE: j' live a current lrability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. \yJ Yes [� No ❑ if you have checked Vis. please Indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Owner[] Agent ❑ Signature of Omer or Owners Agent I hereby certify that all of the details and information I have submitted (or entered) in abg6e applicatwn are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit isoed for this applica will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge ai to By T of license: umber Signature of Licensed tuber or Gas fitter -TiVe asfitter Master License Number City/Town ❑ Journeyman APPPOVED(Q I . NL Date... !0q- .. ..0 .3... . pi „io ,eye O TOWN OF NORTH ANDOVER p a PERMIT FOR GAS INSTALLATION This certifies that ..t'.01 J V'j ... g I has permission for gas installation ............. in the buildings of ..� r .c . .............................. at .... ...��`., North Andover, Mass. Fee. .4.b Lic. No. a � ... -I: �I oz7 , /� Ni �✓ s GAS INSPECTOR Check # 3 �55� Massachusetts Uniform Application For Permit to do Gasfitting /� (print or type) ,r No' kUll"assachusetts Date:_ /a) - Ll '200-3 At: Location: d !tX bri d4e,*.) Lv^-c Owner ern a,�- New N/ Plans Submitted Permit # Type of Occupancy:G'a % Renovation ❑ Yes ❑ Replacement ❑ No @--I' �r•nn v� . yN�� Cneck one Cert. # Installin gCompany Name: C ratilcion AddressC ��hJ�F-ie�r = ❑ :Partnership =: City] State /Zip: G 1n� ❑ . Firm / Company Business Tel. #: - PRIN Name of L eased Plumber: 4s Insurance Coverage: I have current liability insurance policy or its substantial equivalent, which meets the requirements of M.G.L. Ch. 142. Yes ❑ No ❑ If you have checked es, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ Other' type' of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not Have the insurance coverage required by Chapter 142 of the Mass. General Laws x} Check One r. Si nature of Owner or Owner's Agent owner ❑ Owner's Agent❑ I hereby certify that all of the deiads and uiformation I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed underPermit issued for this applicatio be in all pertinent provisions of the Massachusetts State Gas Code and Chapter .142 of the General Laws. Type License .By M Title ❑ Plumber Signature of lieased plumber / gasfitter City/ Town �D Gasfitter APProved ❑ ivtaster Q� r Y _ ❑ sTOUrileyIDan License Number f ®m®®®®®-®®®mmmmmmMS®®®®® ' • • MMMWMW®M®®®M®®®®MMWMMMMM • • MWMMMM==®®SMM®MMMMMMMM=M • • MWWMM®®®® ®®®®®®MMMMWMMM �r•nn v� . yN�� Cneck one Cert. # Installin gCompany Name: C ratilcion AddressC ��hJ�F-ie�r = ❑ :Partnership =: City] State /Zip: G 1n� ❑ . Firm / Company Business Tel. #: - PRIN Name of L eased Plumber: 4s Insurance Coverage: I have current liability insurance policy or its substantial equivalent, which meets the requirements of M.G.L. Ch. 142. Yes ❑ No ❑ If you have checked es, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ Other' type' of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not Have the insurance coverage required by Chapter 142 of the Mass. General Laws x} Check One r. Si nature of Owner or Owner's Agent owner ❑ Owner's Agent❑ I hereby certify that all of the deiads and uiformation I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed underPermit issued for this applicatio be in all pertinent provisions of the Massachusetts State Gas Code and Chapter .142 of the General Laws. Type License .By M Title ❑ Plumber Signature of lieased plumber / gasfitter City/ Town �D Gasfitter APProved ❑ ivtaster Q� r Y _ ❑ sTOUrileyIDan License Number f t%O?T "e Zoning Bylaw Review Form k i K Town Of North Andover Building Department 27 Charles St. North Andover, r, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street_ yB R/�G' - Is �AV-E- Date: Pleas Zoni 0 M 0 Ell0 0 0 0 0 0 1-;� / 1 112) t: ioyD it: as X oZ sv r e be advised that after review of your Application and Plans your Application is / DENIED for the following Zoning Bylaw reasons: Item Lot Area Lot area Insufficient Lot Area Preexisting Lot Area Complies Insufficient Information Use Allowed Not Allowed Use Preexisting Special Permit Required Insufficient Information Setback All setbacks comply Front Insufficient Left Side Insufficient Right Side Insufficient Rear Insufficient Preexisting setback(s) Insufficient Information Watershed Not in Watershed In Watershed Lot prior to 10/24/94 Zone to be Determined Insufficient Information Historic District In District review required Not in district Insufficient Information Notes Item F Frontage 1 Frontage Insufficient Lie S 2 Frontage Complies 3 Preexisting frontage 4 No access over Frontage 5 Insufficient Information G Contiguous Building Area 1 Insufficient Area 2 Complies �1e S 3 - Preexisting CBA 4 Insufficient Information H Building Height 1 Height Exceeds Maximum 2 Complies 3 Preexisting Height 4 Insufficient Information I Building Coverage `fes 1 Coverage exceeds maximum 2 Coverage Complies 3 Coverage Preexisting I e_ S 4 Insufficient Information J Sign 1 Sign not allowed 2 Sign Complies 3 Insufficient Information K Parking 1 More Parking Required �S 2 Parking Complies 3 Insufficient Information Remedy for the above is checked below. Item # Special Permits Planning Board Item # Site Plan Review Special Permit Access other than Frontage Special Permit Frontage Exception Lot Special Permit Common Driveway S ecial Permit Con re ate Housing Special Permit Continuing Care Retirement Special Permit Independent Elderly Housing Special Permit Lar a Estate Condo Special Permit Planned Development District Special Permit Planned Residential S ecial Permit R-6 Density Special Permit Watershed Special Permit Notes yes e_ S Variance Setback Variance Parking Variance Lot Area Variance Height Variance Variance for Sign Special Permits Zoning Board Special Permit Non -Conforming Use ZBA Earth Removal Special Permit ZBA Special Permit Use not Listed but Similar SRecial Permit for Sion Other Su I Additional Information S l�ecf c lr-" a Pam - >-Ctc- Vtide-r% y.JQ.► fI� The above review and attached explanation of such. is based on theplans, request for or information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for this action. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shalt be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentaon for the above file, u' din��epart�ment Official Si nature ' v 9 Applj6atio Received App icatiorx Denied Denial Sent : If Faxed Phone Number/Date: A . % A FLOORPLAN Bdlower; David P. and Katherine M. Bemat File No.: bridges Property Address. 248 Bridges Lane Case No • Complete/Summary Cdy. North Andover State: MA Zip: 01845-2223 Lender. JC Mortgage Corp. Sketch NOT to Scale 52.0' Sketch by Apex IV Windowsn" AREA CALCULATIONS SUMMARY rirat Floor Area ;; Name of Area -; ;;Size Tatals a?7!1 First Floor 1428.00 2.0 x 1428.00 P/P Porch 168.00 .Poreb 396.00 1352.00 564.00 67x2 Second Floor 1428.00 4 Areas Total (rounded) 1428.00 TOTAL LIVABLE (rounded) 2856 14.0' FIRST FLOOR (O r` 13 G N I35� ag6 0 14.0' N LIVING AREA BREAKDOWN Breakdown Subtotals rirat Floor 26.0 x 52.0 1562.00 2.0 x 38.0 76.00 Second Floor 26.0 x 52.0 1352.00 2.0 x 38.0 76.00 4 Areas Total (rounded) 2856 *t AYLR,C1 7 RmtAIDedcaz AppPa&ai9CIdces FLOORPLAN vwwrror. ►Javlu F. and namenne m. memat File No.: bridges Property Address: 248 Bridges Lane Case No • Complete/Summary City. North Andover State: MA Zip: 01845-2223 Lender. JC Mortme e Cor . Sketch NOT to Scale Second Floor 52.0' Bath C Bedroom Bath v Bedroom C 0 0 N C C C CV v Bedroom Bedroom f --- - 0 14.0' 38.0' Sketch by Apex !V Windows'"' ^vtAme icsnAppraisal9e viiss � �urNe1 £S")a1�e9 w6kw i6 / I ge�bAc.K �I �I i I �0- aa�ag \^^ s 0 Se S _ _� 30 vtst 6f.5/ I CERTIFY TO THE ANDOVER BANK AND ITS TITLE INSURER THAT THIS PLAN DEPICTS THE RESULTS OFA CURRENT EXAMINATION OF THE PREMISES DESCRIBED IN RECORD BOOK ZSESS PAGE 2.7� OF THE NO. ,FSSEX ' REGISTRY OF DEEDS AND THAT THE PERMANENT BUILDINGS ARE LOCATED ON THE GROUND APPROXIMATEL YAS SI >OMHEREGM. I. THIS PLAN WAS PREPARED FROM COMPILED INFORMATION AND WAS NOT MADE FROM AN INSTRUMENT SURVEY. IT IS NOT FOR RECORDING PURPOSES. THE PLAN SHOWS THE CONDITIONS EXISTING AS OF THE DATE SHOWN HEREON. CERTIFICAT10N IS FOR MORTGAGE PURPOSES ONLY. PROPERTY LINES AS SHOWN ARE APPARENT ONLY, 2. THE PREMISES DO NOT FALL WITHIN A FLOOD HAZARD ZONE, PER FEMA MAP X50 F�,WsL ACL ZONE: C- 15 Jurt B3 3. THE PREMISES DID CONFORM WITH LOCAL ZONING SETBACK REQUIREMENTS AT THE TIME OF CONSTRUCTION, r�' rra■rrrr� L MORTGAGE CERTIFICATION SKETCH FOR D4V1DWT14E--PJNG" 24-B .8�/Z>S.E-7S L�C� SCALE: /"-'DATE: 2pacG91 PREPARED BY: !-C' KING ASSOCIATES 17 WILLIAM ST. ANDOVER, MA. pro 05,11 UI nW) '` v In 0 s 0 Se S _ _� 30 vtst 6f.5/ I CERTIFY TO THE ANDOVER BANK AND ITS TITLE INSURER THAT THIS PLAN DEPICTS THE RESULTS OFA CURRENT EXAMINATION OF THE PREMISES DESCRIBED IN RECORD BOOK ZSESS PAGE 2.7� OF THE NO. ,FSSEX ' REGISTRY OF DEEDS AND THAT THE PERMANENT BUILDINGS ARE LOCATED ON THE GROUND APPROXIMATEL YAS SI >OMHEREGM. I. THIS PLAN WAS PREPARED FROM COMPILED INFORMATION AND WAS NOT MADE FROM AN INSTRUMENT SURVEY. IT IS NOT FOR RECORDING PURPOSES. THE PLAN SHOWS THE CONDITIONS EXISTING AS OF THE DATE SHOWN HEREON. CERTIFICAT10N IS FOR MORTGAGE PURPOSES ONLY. PROPERTY LINES AS SHOWN ARE APPARENT ONLY, 2. THE PREMISES DO NOT FALL WITHIN A FLOOD HAZARD ZONE, PER FEMA MAP X50 F�,WsL ACL ZONE: C- 15 Jurt B3 3. THE PREMISES DID CONFORM WITH LOCAL ZONING SETBACK REQUIREMENTS AT THE TIME OF CONSTRUCTION, r�' rra■rrrr� L MORTGAGE CERTIFICATION SKETCH FOR D4V1DWT14E--PJNG" 24-B .8�/Z>S.E-7S L�C� SCALE: /"-'DATE: 2pacG91 PREPARED BY: !-C' KING ASSOCIATES 17 WILLIAM ST. ANDOVER, MA. Location a y 6 N r i j yrs �atit No. 1,5-41 Date NORTN TOWN OF NORTH ANDOVER F R 9 41 Certificate Occupancy of $ Arm*. SSACMusE` Building/Frame Permit Fee $ a V Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a 3 '� Check # / 3 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: _ o2,0 0,3 C SIGNATURE: lqlt� Building Comniissioner/IEWtor of Buildings Date SECTION 1- SITE INFORMATION Property Address: 1.2 Assessors Map and Parcel Number: j1.1 f Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: A Zoning District Proposed Use Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provi R 'red Provided Required Provided t u 1.7 Water SupplyM.GL.C.40.154) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private 0 Zone Outside Flood Zone Municipal ❑ On Site Disposal System SECTf6 2 - PROPERTY OWNERSIIIPIAUTHORIZED AGENT 2.1 Owner of Record e Tint) Address for Service: tP,0-,� Telephone r►�� 2.2 Owner of Record: Name Print # Address for Service: Signature Telephone SECTION 3'- CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed ConstructionSu isor. 0 J j U �l License Number ddre u-7� Expiration Date Signature Telephone 3.2 Registeretl Home Improvement Contractor Not Applicable ❑ Company Nak»e V Registration Number Ad - ress � Q IJ L Expiration Date Si nat�t re Telephone Ma rn X W O z rn 90 0 Mn ic r rn r r Z Q k The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print City i Phone # QI am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. city. 6L K Ll �,— Phone#:_ 5-3 � J Comaany name: Address Phone #: Failure to secure coverage as required under Section 25A or MGL 152 can lead tvthe urpositim of criminal penalties of;aTrne up to $?„ and/or one years' imprisonmenLas_well as_axil.RenalNesJoIbeloanxi-aa,STOP MORKDRDERAxLa foe-6€($iQG-W)aliayjagahmtme understand that a copy of this statement may be forwarded to the96ce of Investigations d the MA for coverage verftation. / do hereby 4fy u nS —w-&Wnalbes 9f pe7Jwy, 6" Me k0 am oprw ded above is true aW correct_ Print name C Fi v ► r.J Official use only do not write in this area to be completed by city or town d5dar City or Town Permit[Licensin4.. Su tiling Del ]Check if immediate response is required .0 Licensing Bp p Se%tman's Contact person:. Phone # L] Health Depal l] Other n NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. The debris will be disposed of in: L �b 0V�,,0- gyp - (Location of F Signature of Applicant l ��y y Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector IQ O ri W W 0 E * *♦7*, %, � 10J. o o �— I cc , w° J v 4co U w a o w c r�. a w o G a�4 o G w w rA cn v cn E * *♦7*, %, � 10J. o o �— 0 i.J . O cm CD y CD '= m m CD 0 CD CD Q L O O d C Q OCc = C v �'v .0 Z ts CD 0 CL C.2 h � c CL c COD 0 0 U) U) w W crw !!^ U) J o O O � C co Uma y: = O m Ci 00 � o n r6 ES 0 f.: o $ L: ; C t o.S E O H `Z c to m •� z m W C �CLC.) m cm cm O Off"' y 8yz o C:, a C CD.o mr c = m CO.= : F- N to •d= C H H .E V v .y Z O U O p m. C � V! a O "a o = Co Z � =4-a=mom � 0 i.J . O cm CD y CD '= m m CD 0 CD CD Q L O O d C Q OCc = C v �'v .0 Z ts CD 0 CL C.2 h � c CL c COD 0 0 U) U) w W crw !!^ U) Q, n1 O Lu O� O co �NW� Co 'CO J CO � W > �W c c Z Cocov RNV7 S30(71,V8 Q Q °zo°W m ° Q Qoo6 Z u Q J � O RNV7 S30(71,V8 Date TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ............................... has permission to perform .......... plumbing in the buildings of ................. at ... . Y. ... ............. North Andover, Mass. Fee) . Lie. No.`.')-. v .. ..... .. 41-�,-. .......... PLUMBING INSPECTOR Check # //)7)- 6274 /)7)- 6274 MASSACHUSETTS (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location New 1:1 Renovation q APPLICATION FOR PERMIT TO DO PLUMBP Date/'- 1�-6 ners Name Permit # 462 7 Amount of Occupancy cement Plans Submitted Yes❑ NoEl FIXTURES (Print or type)n Check one: Certificate Installing Company Name AA 81 Jr /v 4- 14- ❑ Corp. Address S klo 0 d h d fZ d Partner. WI% A4 4 usmess Telephone ':n e — Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy® Other type of indemnity Bond11 Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts . at Plumbing Code andAapter 142 of the General Laws. y: D (OFFICE USE ONLY. Type of Plumbing License qPM cense 114UMOCT Master n Journeyman ❑