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HomeMy WebLinkAboutMiscellaneous - 26 DUFTON COURT 4/30/2018Date .. 7 7 hi � 1.77 �ao ,e.e O TOWN OF NORTH ANDOVER F PERMIT FOR GAS INSTALLATION This certifies that ... C 0 1--.L' Y'! . ? ! .. !; !a S .. C 0 .... has permission for gas installation.AL.e.-TrN.. �. Q:,wX.(.(_ in the buildings of ..................... at .. s ..1 ? .�` �. to -t .. �. (......... , North Andobe, ass. Fee. 2 5coo Lic. No.3- - 5... ....T C . GASINSPECTOR Check # �jrj� -19 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ' �InrrrN AIJD(wg- , Mass. Date (/ Permit # Building Location Owner's Name GAL13LLR-0 NO>�ifl AN190V62-, ( Type of Occupancy,QESIXIMAL- -S1f &Lg G 14 New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ Installing Company Name COLUMBIA 6&5 qF MASSACHUSETTS Check one: Certificate # Address 55 MARSTON STREET X3 Corporation 1862 LAWRENCE, MA 01841-2312- ❑ Partnership Business Telephone q 7 $' 69) - 64'0 6 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have acu ntrent liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. No If you have checked res, please indicate the type coverage by checking the appropriate box. A liability Insurance policy K 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: Signature of Owner or Owner's Agent Owner❑ Agent El I hereby certify that all of the details and information I have submitted (or entered) in abo pplication are true and accur�ie to the best of my knowledge and that all plumbing work and installations performed under the permit iss i r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. .� (/ % f L By T e oicense: Plumber Signature of censed Plumber or Gas Title Gasfitter Master License Number 374'5 City/Town PJourneyrnan APPROVED (OFFICE S _ ONLY 7 1 it RN MEENMEM EMMONS NOW .. . ■EMENERIENEE101010 ■O■ MEN MEN Installing Company Name COLUMBIA 6&5 qF MASSACHUSETTS Check one: Certificate # Address 55 MARSTON STREET X3 Corporation 1862 LAWRENCE, MA 01841-2312- ❑ Partnership Business Telephone q 7 $' 69) - 64'0 6 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have acu ntrent liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. No If you have checked res, please indicate the type coverage by checking the appropriate box. A liability Insurance policy K 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: Signature of Owner or Owner's Agent Owner❑ Agent El I hereby certify that all of the details and information I have submitted (or entered) in abo pplication are true and accur�ie to the best of my knowledge and that all plumbing work and installations performed under the permit iss i r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. .� (/ % f L By T e oicense: Plumber Signature of censed Plumber or Gas Title Gasfitter Master License Number 374'5 City/Town PJourneyrnan APPROVED (OFFICE S _ ONLY w W S vl w Y N C..' n N N z W cc O x I O S O h' 1. 0. J N 1 I ' c� M a z O m F- V r LL a o a N Q J O C7 O O W led m O N a x F„ = J � w OJ IL 0 px IL a p O U. &L 3 z G 0 h W m a � J IL IL Q w W L. w W S vl w Y N C..' n �I z a J x h S O h' p J N a. M a O m V a o a cc O O W led m O W x V = J Z OJ IL 0 Date ....... O TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that ..............Y..<<G.............................................. &Ze- has permission to perform .....,!r C`J 4A11C4.. wiring in the building of�.-.t..-........... G :........................................... at .......c�.I .......lr'U !. p e'er , North Andover, Mass. ............................................ Fee3r Lic. No...... t% .............. 2 r�./ -lam! 1.ca...... ............ LECTRICAL INSPECT& Check # 8271 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leaveblank 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: .71301-606 City or Town of: NORTH ANDOVER To the Inspector 6f Wires: By this application the undersigned ives notice of his or her intention to perform the electrical work described below. Location (Street & Number) G (1 TC � n Cha Owner or Tenant Owner's Address S V%smt -e Telephone No. q%y 9 a e..19.6, q1 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building 8 /1 /f P Utility Authorization No. Existing Service Amps / Volts, Overhead ❑ Undgrd ❑ No. of Meters _ New Service 100 Amps 0-d /&I t(y Volts Overhead ❑ Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 100 A" S,Jf 0�0ett-e / tcyl, Comnletion of the following' table may be waived by the 1wmPrtnr of Wiroc No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above In- ❑ ❑ o. o Emergency Lighting rnd. rnd. Battery 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 Initiatin Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Number ........""""" Tons KW ............. No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW No. of of Data Wiring: Heaters BNo.al Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 213o103 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 cover is in force, and has exhibited proof of same to the permit issuing office. RMNDE] CHECK ONE: INSURANCE OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the'informadon on this application is true and complete. FIRM NAME: 0_,W -r �51,e G% /c / LIC. NO.: Licensee: �, f /,Aq, w�N Signature IC. NO.: r! (If applicable, enter "exe t" m the license number line.) y� Bus. Tel. No.. --g72 3L0 V 7 Address: rc yH Ski ire /C,( / ' [ %y ,e- % Alt. Tel. No.: *Per M.G. 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 PERMIT FEE: $ Signature Telephone No. r Nn 0 '' z 10s'Z l l vs N 0 0 0%0 0 x >o c \N -T1 X91 l 0 0o v N 1Ls'6i, > D Z Z a 'v° g � �N a 0 0 • r 3)Nz D ^ z D ` J --I 0 n;i -c N c w to 100.1 t l co N �Z Z -1 rn Z C cp n a oZ D CL ! Q o o �oZ �I 3F m z>v zNO o �c o m 0 -1 vv Z ' S D o n Voly 0:.*-< n a oZ c Q TM a ��`� w m b C� /\J O o Q ry 3ym oo v Za n200 o to s Go r n DU cz S,o 41�s D� ��Z t0 z F vCO rn g:o N pogo �A� o 0 Location No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Check # Building Inspector Gf TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER:/ DATE ISSUED: / 00 SIGNATURE: C Building Commissioner/InTector otBuildings Date I SECTION 1- SITE INFORMATION I 1.1 //PropertyAddress: / (O 61/li ��oYl (tel>y V, 1.2 Assessors Map and Parcel / (O Map Number Number: /- D �- 0 Parcel Number _ 1Yr�s 1.3 Zoning Information: / L j Zoning District Proposed Use Signature Telephone 1.4 Property Dimensions: JD, a 13 Ak?- Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Signature Telephone Front Yard Side Yard 3.1 Licensed Construction Supervisor: Rear Yard Required Provide Required Provided Required Provided r v , ( , ads 1.7 Water Supply M.G.L.66 54) 1.5. Public X Private . ❑ . Zone Flood Zone Information: Outside Flood Zone ,$' 1.8 Municipal Sewerage Disposal System: � On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record _ 1Yr�s Name (Print) Address for Service: Signature Telephone ' 2.2 Owner Rec d: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ l /" �1%1/✓i S ' /%i 11� UGl%%Z Pi/� Licensed Constructi n Supervisor: License Number Address a Do An cN, 464► v- A4 Expiration Date Signature Telephone %� -- 9 3.2 Re M tered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Tele hone SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this aB in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ;C Existing Building 0 Repair(s) ❑ Alterations(s) ❑ I Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: eb"Id I SECTION 6 - ESTIMATED CONSTRIiCTION COSTS I f will rd,�lt I , Item Estimated Cost (Dollar) to bVg e��%I+kTIAL Completed by pennit applicant U EONLY� . ` �a 1. Building 1 :si, [rid 0 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 2 NU , 2/h 3KD 3 Plumbing Building Permit fee (a) x (b) /* 4 Mechanical(HVAC)a.. 5 Fire Protection 6 Total 1+2+3+4+5 (' Q Check Number SECTION 7a OWNER AUTHORIZATION .TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building pennit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE c2o 1 ' ><X1 BASEMENT OR SLAB/a/)— SIZE OF FLOOR TIIvMERS 1 >olo 2 NU , 2/h 3KD SPAN ;16 1 DM ENSIONS OF SILLS F" DIIv ENSIONS OF POSTS - — /6" Con e rt w� 2 DRvIENSIONS OF GIRDERS Al /4 HEIGHT OF FOUNDATION THICKNESS /0 " SIZE OF FOOTING VA a ' )PI X . u MATERIAL OF CHIMNEY /V `9 IS BUILDING ON SOLID OR FILLED LAND Sd IS BUILDING CONNECTED TO NATURAL GAS LINE A 1A /7 Y 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. ******************�*********J***APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT 6)(2f i?UV'WS PHONE LOCATION: Assessor's Map Number. SUBDIVISION f/e�ll� ll STREET z)0? 7"oy1 G7" PARCEL LOT (S) a ST. NUMBER o?(P *****************************************OFFICIAL USE ONLY*********************************** NS OF TOWN AGENTS: ERVATION ADMINISTRATOR COMME � 0 �_ (V /('IN TOWN PLANNER COMM FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED ';711 -'l OI DATE R JECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTION DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9\97 jm TE D. Robert Nicetta Building Commissioner (978) 688-9545 .-(978) 688-9542 Fax Please print DATE JOB LOCATION �I Number "HOMEOWNER t_3ar N� PRESENT MAILING ADDRI /V A4 Building Department 27 Charles Street North Andover, MA. 01845 HOMEOWNER UCENSE EXEMPTION DU AG 7� Street Address Home Phone a 6, c+ City Town 7 s'+c►+uset Map / lot Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108. 3.5. 1)' DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or it intended to be, a one or two family dwelling, attached or detached structures ac- cessory• to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner" certifies that helshe understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that helshe will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFI North Andover Zoning Board of Appeals 27 Charles Street North Andover, Massachusetts 01845 VED JOYCE IRADSHAW RK NORTH ANDOVER 1000 AUG I5 P 1: 58 This is to certify that two* (20) d" have elapsed from date of dedslion. feed without fling of an ap 00 0 .oar �. Joyce . sdeh" Tam CMdt Phone (978) 688-9541 Fax (978) 688-9542 Any appeals shall be.filed NOTICE OF DECISION within (20) days after the Year 2000 date of filing ofthis notice Property at: 26 Dufton Court in the office of the Town Clerk NAME: Gary Burns DATE: 8/10/2000 ADDRESS: 26 Dufton Court PETITION: 028-2000 North Andover, MA 01845 HEARING: 7/11/2000, & 8/8/2000 The Board of Appeals held a regular meeting on Tuesday, August 8, 2000, at 7:30 PM upon the application of Gary Burns, 26 Dufton Court, North Andover, MA for a Variance from the requirements of Section 7, Paragraph 7.3 for relief of side setback, in order to remove existing detached garage and replace with a larger detached garage in approximately the same location. Petitioner is requesting a Special Permit from S9, P 9.1 & 92 in order to alter a pre- existing non -conforming structure on a non -conforming lot within the R-3 Zoning District The following members were present: William J. Sullivan, Walter F. Soule, Raymond Vivenzio, Scott Karpinski, Ellen McIntyre. Upon a motion made by Walter F. Soule, and 2nd by Raymond Vivenzio the Board voted to GRANT a dimensional Variance from S7, P7.3 for relief of 6' for a side setback, in order to remove existing detached garage and replace with a larger detached garage approximately 20' in height in the same location. The Board voted to GRANT a Special Permit from S9, P 9.1 & 9.2 in order to atter a pre-existing non -conforming structure ori a non -conforming lot, in accordance with the Plan of Land dated 8I2I2000, and m accordance with the elevation plan dated 526/2000, by Joseph D. Simon PLS, # 37059, Clipper City, Newburyport, MA, Voting in favor: WJS/WFS/RV/SK/EM The Zoning Board of Appeals shall have power upon appeal to grant variances firom the terms of thin Zoning Bylaw where the Board finds that owning to circumstances relatingto soil conditions, shape, ortopography ofthe land or structure and especially affecting such land or structures but not affecting generally, the zoning district in general, a literal enforcement ofthe provisions ofthis Bylaw will involve substantial hardship, financial or otherwise, to the petitioner or applicant, and that desirable relief may be granted without substantial detriment to the public good and without nullifying or substwtially derogating from the Intel or purpose ofthis Bylaw. Furthermore, ifthe rights authorized by the variance are not exercised within one (1) year ofthe date ofthe grant, they shall lapse, and maY be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) year.period from the date on which the Special Permit was granted unless substantial use or construction has commenced, they shall lapse and may be re-established only after notice, and a new hearing. By order ofthe oning Board of Appeals, ml/decisions2000/32 William J. Sul l' , Chairman a _� ialadppe" Registry of Deeds Northern District off Essex County Lawrence, "A 01840 i:.. 04/00/00 GARY BURNS KB D 37 Rec; Inst 14855 Type NOTC 10.00 Total 10.00 * i8 payment Check 10,00 THANK YOU! Thomas J. Burke Register of Deeds @a 5 .� n mZ m -,V rq. C3 aj -ft 'o- 'py N �r 'co-, CL n OC O c 3rm m :3 fb c 0 0- x ro m cr ° ? 4c D H . �-r a Ei °_ =0 > Cm c ate. a C a a, } I to .0 Qj C O 00 oc-c C /� m N W �' Or E E a L+ C 3 d cr � 9 0 =. m x �A j N CD CD 4 fl; a a O C E M a c '� .'V c 6,% T � _W - r� r0 +: 4 �a, r �a� d m x n 0 z O C Z v 0 z cm C CL Cl) m :0 m Cl) m v y C � �rt ' - d o ci Z co) co d C d �• CO) n� O d C o J= CD CD o Q� d CD CD 0o co C OCD d O y co S y O CD Z O CD 0 CD �i qj y 0 0 c o z oil 4 ynCA l G G G ro ]C 7d �i qj y 0 0 c Location No. Date TOWN OF NORTH ANDOVER Check # ( � r/ 1. ' Building Inspector ,. Certificate of Occupancy $ — Et<' swNus C Building/Frame Permit Fee $ _ Foundation Permit Fee $ 1 Other Permit Fee $ TOTAL $ Check # ( � r/ 1. ' Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ���17�`i"laa3Ltk®iia ^a �;. BUILDING PERMIT NUMBER: / DATE ISSUED: ` _3 SIGNATURE:114 r( Building CommissioneE for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2( Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimatsions: Lot Area (sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zane Information: Public ❑ Private ❑ Zane Outside Flood Zane 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSE"/AUTHORIZED AGENT 2.1 Owner of Record ll Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: I Address Signature Telephone Not Applicable ❑ License Number _Z16-0 Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name l✓jJ V �/t Registration Number Address` Expiration Date Signature ` Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Pro osed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ 1 Alterations(s6A I Addition . ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief do of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be om leted by Rennit applicant :ONLY � 1. Building(a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property. Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Sr attire of Owner/Arent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvMERS IST 2 053 PW SPAN DIMENSIONS OF SILLS DIIAENSIONS OF POSTS D`NIENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE The Conunon wealth of Massachusetts Department oIndustrial Accidents mce v/tnyestigatlons 600 fi"ashington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit i Fnilure to secure coverage as required under Lection 25A of MCL 152 can lend to the Imposition of criminal penalties of a fine up to 51,500.00 and/or one years' Imprisonment as well as civil penntties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that ■ copy of this statement may be forwarded to the Office or Investigations of the DIA for coverage verification. J do hereby certify under the pains a penalties ofperfury that the information provided above is true a d correct. Signature�`' r �1 <C (2 t Date Print name Phone 0 official use only do not write in this area to be completed by city or town official city or town: permit/license p -Building Department check if immediate response is required pLicensing Board pSelectmen's Office contact person: 011enith Department phone k; -Other 0"ited 3/95 PJA) � ,R j I Tel, 682-4266 ,STRICONE ROOFING & SIDING CO. 31 Court St, No. Andover, Mass. 01845 A0, 00 CO m m m m 0 m C c CD av CD H 'O CD O CA d Cdo O ..0 n O CO) d CD O rM CD CD y� CD CO) O CCD O CCD I \ / O Vr �• N O Q fA a _So 5.m "o y 0=mC2 CD Cl) Z y H d 0 3 m �-C y -1 =r aCL .. CD O m y G y N 0=m 2 > > m o m �, p O OZ y C'! cc O EL - Qom C _ mc m ?�(A- cl, A m N d �.ym O CO.) .0 � D1 H H d d ;?Q o •Co - .'` a CDy m ''^^ .• :Em cop) VJ y H -1,: f Q IN m H O aN •''� tC w O O =r CD O : OS -9 zCAC3 CD � N CD E -r o CD*b C&� cw=* j., =: CD. o = m z m cn cn -� n x z n 77 FT cn n O d z d � H � b H O b 0 n x H 0 g. O C CD Location Na 3 Date TOWN OF NORTH ANDOVER Certificate Occupancy $ . ;� • , of �'�s'^••°' Ett' s^CHus Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ " Check # V �( 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: SIGNATURE: Building Commissioner/In for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Add r s: V �u Ifo G10� 1.2 Assessors Map and Parcel Number: �o Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area (sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Rapired Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service: Signature Ar— Telephone 77F-6 2.2 Owne of Record: t Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 LiC-ensed Construction Supervisor: Licens%d Construction Supervisor:_ Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Horne Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Work check all a Ucable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed b permit a licant t - UFICIAt, USE OI+jL'4tAl- €� } .. . 1. Building S Sd (a) Building Permit Fee Multiplier 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) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Q S as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in , ll,patters r la i ve to work authorized by this building permit application. Signature of gnerV Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2 ND 3RD SPAN DDAENSIONS OF SILLS DIMENSIONS OF POSTS DRvIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax Town of North Andover Building Department 27 Charles Street North Andover, MA. 01845 HOMEOWNER LICENSE EXEMPTION Please print DATE I a g D I JOB LOCATION .�C� dJ✓(D Number "HOMEOWNERS Narrie PRESENT MAILING ADDRESS City Town cl. Street Address 6 r� 9 Home Phone State Ito /© 0,2 Map / lot Work Phone Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner' assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner' certifies that helshe understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATUR APPROVAL OF BUILDING OFFI I Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 DEBRIS DISPOSAL FORM NORTH �9 0 f ttlt0 16760 O \AM• cee�ec�y •+�cr 7' 4 ��SnR1ren In accordance with the provisions of MGL c 40 s 54, and.a condition of Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: Facility location S ifnatuVof Applicant 2ZQJ Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. FORM _ - _ I,T - LOT RELEASE FORM INSTRUCTIONS= This form is used to verify that all -necessary approval /permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. .............................................................................. APPLICANT .S PHONE A--TS-,y ASSESSORS MAP NUMBER _ LOT NUMBER SUBDIVISION ' .L LOT NUMBER STET -Dv C-- 0 v\ Cov ✓' I STREET NUMBER d6 OFFICIAL USE ONLY ............................................................................ Rg;OMMENDATIONS OF TOWN AGENTS . 7..... .................... ■ ............................. ■ ■ . ■ ■ ........ ■ DATE APPROVED Z5 ERVATION ADMINISTRATOR ✓� DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED CONRVIEENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR Phone (978) 688-9541 Any appeals shall be filed within (20) days after the date of filing ofthis notice in the office of the Town Cleric NAME: Gary Burns ADDRESS: 26 Dufton Court North Andover, MA 01845 North Andover Zoning Board of Appeals 27 Charles Street North Andover, Massachusetts 01845 NOTICE OF DECISION Year 2000 Property at: 26 Duften Court DATE: 8/10/2000 PETITION: 028-2000 RECEIVED , JOYCE BRADSHAW TON NORTH ANDD ER 1000 AUG IS P 1: 58 This is to certlfy that tW" CM days have elapsed from dab d dec9t m tlled without filing of a �n00 Taeat�'ede Fax (978) 688-9542 HEARING: 7/11/2000, & 8/8/2000 The Board of Appeals held a regular meeting on Tuesday, August 8, 2000, at 7:30 PM upon the application of Gary Burns, 26 Dufton Court, North Andover, MA for a Variance from the requirements of Section 7, Paragraph 7.3 for relief of side setback, in order to remove existing detached garage and replace with a larger detached garage in approximately the same location Petitioner is requesting a Special Permit from S9, P 9.1 & 92 in order to alter a pre- existing non -conforming structure on a non -conforming lot within the R-3 Zoning District The following members were present: William J. Sullivan, Walter F. Soule, Raymond Vivenzio, Scott Karpinski, Ellen McIntyre. Upon a motion made by Walter F. Soule, and 2nd by Raymond Vivenzio the Board voted to GRANT a dimensional Variance from S7, P7.3 for relief of 6' for a side setback, in order to remove existing detached garage and replace with a larger detached garage approximately 20' in height in the same location. The Board voted to GRANT a Special Permit from S9, P 9.1 cit 9.2 in order to alter a pre-existing non -conforming structure on a non -conforming lot, in accordance with the Plan of Land dated 8/2/2000, and in accordance with the elevation plan dated 526/2000, by Joseph D. Simon PLS, # 37059, Clipper City, Newburyport, MA, Voting in favor: WJS/WFS/RV/SK/EM The Zoning Board of Appeals shall have power upon appeal to grant variances from theterms of this Zoning Bylaw where the Board finds that owning to circumstances relatingto soil conditions, shape, or topography ofthe land or structure and especially affecting such land or structures but not affecting generally the zoning district in general, a literal enforcement of the provisions ofthis Bylaw will involve substantial hardship, financial or otherwise, to the petitioner or applicant, and that desirable relief may be granted without substantial detrimeritto the public good and without nullifying or substantially derogating from the intent or purpose of this Bylaw. Furthermore, ifthe rights authorized by the variance are not exercised within one (1) year of the date ofthe grant, they shalt lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained 4 herein shall be deemed to have lapsed after a two (2) year.peaiod from the date on which the Special Permit was granted unless substantial use or construction has commenced, they shall lapse and may be re-established only after notice, and a new hearing By order of the oning Board of Appeals, William J. Sun , Chairman ml/decisions2000/32 IdI(DdfM' Registry of Deeds Northern District of Essex County Lawvnce, MA 01840 04!08/00 GARY BURNS KB # 37 Rec: Type NOTC 10.00 Iasi 224855 Total 10.00 # 38 Payment Check 10.00 THANK YOU'. Thomas J. Burke Register of Deeds I Mol 9* Idyn Q dqA ol 0 r N rn 'd cn rw .r'► S •pro' � �.�z fii O v ao co°Ni �D�C O `fl 0 AO'[tt o m m 4Ar �N O� v zcn -4 60 y 8 o�c' su CZIO'l 9r ddw o� Urn •ab JNIN3=H3 Ct WaNwMHOS z z z zft Arl A A A >� z T ? N z c -i n z O -c z m 1 .� a z fav D 3 70 o Ag0 CC >;u r- M > 0z 00 � a � • m M 7) C/) 0 m • v y C � � O CD C! z y CL C3 go CD. 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Robert Bennett 20 Aegean Dr. ADMINISTRATOR Methuen MA 01844 •.+✓EALTH MAI DEPARTMENT OF OF PUBLIC SAFETY n I r? SSACHUSETTS ONE ASHBORTON PLACE BOSTON, MA 02108 r� EXPIRATION DATE _ I CONST1?LL%p 1 GAS/Q2/i49bll BJPYF�� RESTRICTIONS ti iw ON £ EFFECTIVE DATE LIC -NO. r -c7'17 k � SS >5 025—?2-4k '� Z ' -1£r � �'ENNETT _V.�T�1l1r'A,r;'�ADR'�44T 1 z m O J r m � I � HEIGHT; NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY I s STAMPED . OR _ SIGNATURE OF THE C DOB: OMMISSIONER x I I15/Q2/��? j THIS DOCUMENT MUST BE CARRIED ON THE N OF THE HOLDER WHEN O EN- GAGED INTHIS OCCUPATION. ATURE OF LICENSEE hf SIGNER FJ z cn m x D O z T z D r C O CA 10 CD C") Z CD O C r d O Q �. .p O o p CL cCO CD o - V) .a CD .O-« O 7 O CO! 7� C C 0 c CO) d CD O r� CD CD CD CO) 0 O CCD O C CD C_ cc 5= m 2. 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NELSON, DIRECTOR t2o Main Street North Andover. Massachusetts O 184-5- (617) 8x5(617) 685.47175 In accordance with the provisions of MGL e 40, S 54, a condition of Building Permit Number -.41),6 is that the debris resulting from this work shall be disposed of in a properiv licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: (Location of Facility) .Aa,4.e ?,- Co'. Wo / — 999y tgnature of Permit Applicant Date NOT7-: Demolition permit from the Town of North Andover must be obtained for this orojec` through the Office of the Building Inspector. Cm C m � z D c '0 CD CL r cam' CD m � III T -0 O 2-7 CD r C7 Z y T z cn 0 CD CL r cam' CD m � III a� 91 CZ y r" O � GoCL r- a O o cntz CLIm d v CD CD. 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