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Home My WebLink AboutMiscellaneous - 28 BERKELEY ROAD 4/30/2018 (3)6 C3 C> jo CWZ Aoorr(ON 6 Date ... ......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING �<? . 6110 This certifies that ........ .............................................................. ..................... has permission to perform ..... ......................... wiring in the building of ....... . .................................................... ................ ... at .................. A NorthAndover Mass. Fee�;-; ............. Lic. No. .................. . .... . ",ELECTRICAL 1� �Sp�--' Check # /!!�Z 19 8624 A Vamac" Official I i�e Only Permit No. .4 2Z. -- occupancy and Fee Checked dv BOARD OF FIRE PREVENTION REGULATIONS �Rev.1/071 (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEQ, 527 CMR 12.00 (PLEASE PREVT N MK OR TYPE ALL MFORAIATIOA9 Date: _.? Al -...0J City or Town of: No�e;r-H P/V'&t/C-k- To the Inspector of Wires: By this application the undersigned gives, notice ofhi- or her intention perform the electrical work described below. Location (Street & Number) a� Owner or Tenant A/ 0 Telephone No. 65o? Owner's Address Is this permit in conjunction with a building permit? Yes E] No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps volts Overhead [] Undgrd No. of Meters New Service Amps volts OverheadEl Undgrd No. of Meters Number of Feeders and Ampacity 0!:�42,, J ewexA70k _ �9 1,7 /,�v Location and Nature of Proposed Electrical Work: /,P_/A/6 I Heating Appliances KW or ?,quivalent No. of Dryers or E 'vale"' No. of Water No. of Data Wiring: _ I KW Ballasts No. of Devices or Equivalent a ons i Heaters Signs Telecommunications "or E iva H te _Vill"Ten ?1. t Hy om Tota HP 1 No. of Devices or Equiva en rNo'. Hydrromasrssage Bal litubs No. of Motors JOTHER: Attach ad*tional detail if desired Or as req f the I-Pector of Wires. Estimated Value of Electrical Work: (when required by municipal policy.) Work to Start: inspections to be requested in accordance with NEC Rule 10, and upon completion - INSURANCE COVERAGE: Unless ,vaived by the owner, no permit forthe performance of electrical work May issue unless the licensee provides proof of liability insurance including -comp leted operation- coverage or its substantial equivalent. The undersigned certffles that such coverage is.in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE[:] BOND D OTHER [](Specify:) t1lat tile informado this cation is true and complete. I celWfy, under the pains and penalties ofterjuty, LIC. NO.: A-ZI&E419 0,5 (2 - FIR . M NAME: D7)0,% LIC. NO.-.,:;,? Signature Licensee: (Ifapplicable. enter "exen;pf' " 'in the licenss nwnber line.) Bus. Tel. No..., 61� -Address: - /6 X ;�?-"5 Alt-JeLNo.;__ *Per M.G.L. c. 147.. s. 57-61, security work requires Departm of Public Safety "S-Lice.ase: Llc . . No. ally OWNER'S INSURANCE WAIVER:. I arn-aware that the censeedoes not have the liability insurance coverage norm required . by law. By my signature below, I hereby waive s requirement. I arn'the (check one) [] owner [3 owner's agent. Owner/Agent TeIephoneNo.___.�__ FPERWT FEE: $,]�f - Op Signature CompLetion oLtheLoIldwing We may be waived b, the Ins ctor of Wires. 0. of Tota17 No. of Recessed Luminaires No. of CeiL-Susp. (Paddle) Faw Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators 7 KVA .......... 0bove _r -i In- 0 I .irriffliE1,11115, ig ng No. of Luminaires Swimming Pool L_J a_md- ffrud. �� units No..of Receptacle Outlets Wo. of Oil Burners Al -ARMS No. of Zones FIRE S I �=�apd NN o. of Detec on and 'it es �No. of Switches: 0 0 w No.:of Gas. Burners. No* o' bdo -Devices - . I No. of Ranges � I ' ! � ;rO No. of Air Cond.' Tons No. of Alerting Devices H Number ons KW Heat Pump No. of Sel ontained Detection/Ale rting Devices No. of Waste Disposers I I 1 .1 Totals: I KW 21 [] Municipal C] Other LOc - w as No. of Dishwashers Spacie/Area Heating Sp Connection Heating Appliances KW or ?,quivalent No. of Dryers or E 'vale"' No. of Water No. of Data Wiring: _ I KW Ballasts No. of Devices or Equivalent a ons i Heaters Signs Telecommunications "or E iva H te _Vill"Ten ?1. t Hy om Tota HP 1 No. of Devices or Equiva en rNo'. Hydrromasrssage Bal litubs No. of Motors JOTHER: Attach ad*tional detail if desired Or as req f the I-Pector of Wires. Estimated Value of Electrical Work: (when required by municipal policy.) Work to Start: inspections to be requested in accordance with NEC Rule 10, and upon completion - INSURANCE COVERAGE: Unless ,vaived by the owner, no permit forthe performance of electrical work May issue unless the licensee provides proof of liability insurance including -comp leted operation- coverage or its substantial equivalent. The undersigned certffles that such coverage is.in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE[:] BOND D OTHER [](Specify:) t1lat tile informado this cation is true and complete. I celWfy, under the pains and penalties ofterjuty, LIC. NO.: A-ZI&E419 0,5 (2 - FIR . M NAME: D7)0,% LIC. NO.-.,:;,? Signature Licensee: (Ifapplicable. enter "exen;pf' " 'in the licenss nwnber line.) Bus. Tel. No..., 61� -Address: - /6 X ;�?-"5 Alt-JeLNo.;__ *Per M.G.L. c. 147.. s. 57-61, security work requires Departm of Public Safety "S-Lice.ase: Llc . . No. ally OWNER'S INSURANCE WAIVER:. I arn-aware that the censeedoes not have the liability insurance coverage norm required . by law. By my signature below, I hereby waive s requirement. I arn'the (check one) [] owner [3 owner's agent. Owner/Agent TeIephoneNo.___.�__ FPERWT FEE: $,]�f - Op Signature J-7 State of Rhode Island and Providence Plantations Rhode Island Department of Labor and Training ELECTRICAL COqTRACTbR-A-004260 JOURNEY ET, JOHN M BARROS 164 EAST STRELOV-�:",.. FOXBORO MA 0 2 0 6 L3jDJ-2DD-9- Administrator Expiration Date Date. ........ ,ORTH 0 0 TOWN OF "GATH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that 4-atx� �� ...................... ................. has permission for gas installation ............ in the buildings of ............................... at ............. ...... North Andover, Mass. Fee�� .... Lic. No.. GAS I'N PiC�;DWZ Check # 6715 By cneCKmgTn15 DOX Uj I nUFUUY VW1L1JY UICIL CBS th . - 1 lied for this'application will be In accurate to the best of my Knowledge and that all plumbing work and installatiops performed under e permit ss dq and C"pf§r 1 the'Ganeral Laws... Mmpli ahce with all Pertinent provision of the Massachusetts State Plumbing ;�O/ Type of License. "ay Plumber Tifle Gas FMer si#nittire o LEicen�s�edl�umber/Gas Filter Master Journeyman FF -City/Town. License Number: /-,� �� 'APPROVED (OFFICEM LP Installer ------- 7- -SE ONLY) 4 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING CIWITown: IVOe Permit# pl\14011)EV�_ Datw. BufldingLocatic Owners Name - Type of Occupancy: Commercial Educational' Industlial lnstitutional� Residenfial b/ q.5 New:� �/ Alteration: Ren-ovationt Replacement... Plans Submitted: Yes. No�. By cneCKmgTn15 DOX Uj I nUFUUY VW1L1JY UICIL CBS th . - 1 lied for this'application will be In accurate to the best of my Knowledge and that all plumbing work and installatiops performed under e permit ss dq and C"pf§r 1 the'Ganeral Laws... Mmpli ahce with all Pertinent provision of the Massachusetts State Plumbing ;�O/ Type of License. "ay Plumber Tifle Gas FMer si#nittire o LEicen�s�edl�umber/Gas Filter Master Journeyman FF -City/Town. License Number: /-,� �� 'APPROVED (OFFICEM LP Installer ------- 7- -SE ONLY) 4 Ir uj W Ui a: z 0 0 it Ul M X z z UJ ' 5 0 Ul Ix 0 1-- D 0 z W us W W < M 0 0 U- > W it Z Co 0: uJ W Lu W x W 0 F- W X Z W it U. W W > W z W Zj 1- < i= 0 Z _j 0 < M W 0 z W > 0 > Z Z z 0 0 W x W 4 0 < 1 -.1 11 0 W z W > 0 SUB BSMT. BASEMENT 1�171-0011 —iw-FLOOR Vu FLOOR 41H FLOOR 6'" FLOOR -F'r-PLOOR 7TH FLOOR TRW LOOR CheckOne.0n.ly_ Certificate # Installing Company Name: corporation ? Address: /1�;"v /,,z- State:% MA City/Town:- Partnership Business Tel: "_:Zlv_'��-511<11 FirmlCompany.- Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: MGL. Ch. 142 Yes Ao I have a current liability nsurance policy or its substantial equivalent which meets the requirements of If you have checked Yes. please indicate the type of coverage by checking the appropriate box below. 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement Check One Only Owner Agent Signature of Owner or Owners Agent ---- --- --A —Minn 4ht-- annucation are true and By cneCKmgTn15 DOX Uj I nUFUUY VW1L1JY UICIL CBS th . - 1 lied for this'application will be In accurate to the best of my Knowledge and that all plumbing work and installatiops performed under e permit ss dq and C"pf§r 1 the'Ganeral Laws... Mmpli ahce with all Pertinent provision of the Massachusetts State Plumbing ;�O/ Type of License. "ay Plumber Tifle Gas FMer si#nittire o LEicen�s�edl�umber/Gas Filter Master Journeyman FF -City/Town. License Number: /-,� �� 'APPROVED (OFFICEM LP Installer ------- 7- -SE ONLY) 4 a z CC < TA. A COMMONWEALTH OF MIASSACHUSE IN PLUMBERS AND GASFITTE LICENSED AS A MASTER PLUMB ISSUES THIS LICENSE TO KEVIN M LEHANE 80 PERRY ST APT 205 PUTNAM CT 06260-22�', -- 12868 05/01/10 441011: ETTS I IT A I ilTn-F MASS CH, S kc 0 N, KEVIN LEHANE 5ARROS coMPANIES INC 80 PERRY ST CT 06260-225 PUTNAM 2853 05/01/10 44101i� w-sm 0� G- m -=M- Dsmaw-3 MMONWEALTH OF MASSACHUSETTS IN PLUMBERS AND GASFITTERS LICENSED AS A JOURNEYMAN PL B E F, ISSUES THIS LICENSE TO KEVIN.M LEHANE 80 PERRY ST APT 205 PUTNAM CT 06260-22 21619 05/01/10 441013'\ V Date ... ... . TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .............. /-.5.) 1.?. R. om has permission to perform ....... .............................................. wiring in the building of .......... ....... In -. ILI at .... ........ North Andover-Mass,o, Fee ... Lic. No . . ......... ..... .......... r . ............. ........ .... .... 7 .... = —. n Check # tLECMICAL INSPECfOR 4433 TIMCOWON"ALTHOFMAMMIMM Office Use il -,-� -7 DEWTMEW OMBLIMMY Permit No. BOAM OFFREPREVEWONPEGUL4HOAN527CM 12-M Occupancy & Fees Checked VA APPLICATION FOR PERNff TO PERFORM ELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELEC-MCAL CODE, 527 CUR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date-AI0141 � 51 0-3 Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) &O'P 1(lel- y Owner or Tenant rl& / To the Inspector of Wires: Owner's Address zfel�� Is this permit in conjunction with a building permit: Yes Co No r7 (Check Appropriate Box) Purpose of Building .3-SeASOIV se,,V emm' Utility Authorization No. Existing Service Amps Volts Overhead 0 Underground 1:3 No. of Meters New Service Amps Volts Overhead r-1 Underground M No. of Meters Nurnter of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. ofl-ighting Outlets No. ofHot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground &round No. of Receptacle Outlets No. ofOil Burners No. ofEmergency Lighting Battery Units No. ofSwitchOutM 0 ovke ej No. of Gas Burners Zzle 4 FIRE ALARMS No. ofZones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. ofSounding Devices No. of Dishwashers Space Area Heating KW No. ofSelfComained Detection/Sounding Devices Local Municipal Other' Fre'. of Dryers Heating Devices KW E] Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER -Iha%eaammtLdx*bnm=PobLynidngCmVWOpaaf"sComao:crdsakswWapvdiat YES [:ZJ NO Iha%esubrrWbdvafidp=fb(same1otheOffim YES M NO r7 F)mha%edwdwdYESpimemk*tctypecfomeaWbydukingfe Mxcpi*bcx lr,s�E: ED BOND OTHER ftmSp,* I AW7 1-1,7,1 .. -- 41ld->- EAim*dVakrCfEkdriCalWC1k $ WdkiDStwt InspedmDEftRapested Rwgh Ftial I'VIi'll CA/6 FIRM NAME L/ r ix ��y Sign� ZVO L=wlb BusinessTdNh 6�pq xr-i-1,69, 22 IkI.Ily 4o-, /M. AIL Tel. Nh OWNIER'SPsSURANICEWAIVER,IammvmdUtheLjoemedomiO theiimo=ammWords%*sbrtdeqmdertasmqmedby&immftEmCexrjLmks aodt"sgEftmeonftp=*WpkEdmwr'Asdwmw'mnffi — J o (Please check one) Owner Agent ED Telephone No. PERMIT FEE $ -- - Name The Commonwealth of Massachusetts Department of Industiial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensafton Insurance Affidavit Please Print Name: Location: CqY Phone # I 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 nTy employees wvrking on this job. Company name: Address city- Phone Insurance Co. Pollcv Company name: Address CLity Phone Insurance Co. PolicV Faikre to secure coverage as required under Section 25A or MGL 152 can lead to -the WroosMon of crirninal penaftles of.a fine ancf/oromyews'irMrisornvmg-as-we�Las-cbm-penaftiesjn-tbelwnzfA-STDPYjKM-ORDRR,wdafte-cf(Simm) UP to $115W.00 44 _,ajday--Kjainstn%-_ I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage wrilication. do hereby certify under Me pains and perieffies ofperjL#y that the informbon prowded abche As fte and correct. Signature Date Print name Pbme.# Official use only do not write in this area to be completed by city or town officiar City or Town EW__rrd4Jcensin E]Check Y imnmdiale response is re I quked El EluildVW Dept E] Licensing Boarc( Contact person: Phone* Selectman's Office E] Health Department Other Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Aridover, Massachusetts 01845 D. Robert Nicetta. Tejephone (978) 688-9541 Building Commissioner Fax (978) 688-9542 Any appeal shall be filed within (20) days after the date of filing of this notice in the office of the Town Clerk. NAME: Gerald J. Bruno Notice of Decision Year 2002 at: 28 Berkeley Road I DATE: September 13, 2002 ADDRESS: 28 Berkeley Road I PETITION: 2002-039 L_ North Andover, MA 01845 1 HEARING: 9/10/02 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, September 10, 2002 at 7:30 PM upon the application of Gerald J. Bruno, 28 Berkeley Road, North Andover, MA requesting a Variance from Section 7, Paragraph 7.3 and Table 2 for relief from left and right side setbacks, and rear setback in order to enclose an existing 12' x 16' open deck of a non -conforming structure on a non- conforming lot, and a Special Permit for relief from Section 9, Paragraph 9.2 (1) in order to extend a pre- existing, non -conforming structure on a pre-existing, non -conforming lot by enclosing an existing 12' x 16' open deck, within the R-4 zoning district. The following members were present: William J. Sullivan, Walter F. Soule, Robert P. Ford, John M. Pallone, Scott A. Karpinski, Ellen P. McIntyre, George M. Earley, and Joseph D. LaGrasse. Upon a motion made by Walter F. Soule and Td by John M. Pallone, the Board voted to GRANT a request for dimensional Variance from Section 7, Paragraph 7.3 and Table 2 of 2.2' left side setback, 2.2' right side setback, and 5.4' on rear setback per Site Plan for Variance in North Andover MA, 28 Berkeley Road, prepared for Gerald & Joyce Bruno by James A. O'Day, Registered Professional Engineer, Civil #22733, 599 Canal Street, Lawrence, MA 0 1840-1233, dated 7/11/02. The Board finds that the applicant has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw and that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Voting in favor: William J. Sullivan, Walter F. Soule, Robert P. Ford, John M. Pallone, and Scott A- KarpinskL Upon a motion made by John TvL Pallone and 2d by Walter F. Soule, the Board voted to GRANT the Special Permit from Section 9, Paragraph 9.2 to extend a pre-existing, non -conforming structure on a pre-existing, non -conforming lot in order to enclose an existing 12' x 16' deck for a sewing/sitting room per above Site Plan by James A. O'Day, dated 7-11-02 and Drawing no. Al, Job no. 3764, dated 4-14-02 by JB, G. J. Bruno Associates, Architectural Designers, 28 Berkeley Road, N. Andover MA 01845. The Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 92 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Voting in favor: William J. Sullivan, Walter F. Soule, Robert P. Ford, John M. Pallone, and Scott A. Karpinski. Roart" of Avpeai.c; 6,2,,-�-9541 Buildnig 622-954� Con5�e,-Vilticm 688-95.30 Healr1h 6S",-9540 Plmminig 4,28-9f;.3 Pagel of2 Roart" of Avpeai.c; 6,2,,-�-9541 Buildnig 622-954� Con5�e,-Vilticm 688-95.30 Healr1h 6S",-9540 Plmminig 4,28-9f;.3 .'t' . , '% 'T�-W - q) _�; I o f N o -ealb - And e-) v e Off'- ce of the Zovidn. g &-oard of Ap-p�f-alE115 LAO-Iffl, XUIR. jl�'I pn-en um -7 Garles Mr, A -1 -do -ver, �t!, Cri47 CRUS D. Ro'II)(-',,rt (978) 688-19541 Faw', (9*78) 6 2 8 Furthermore, if the rights authorized by the Variance are not exercised within me (1) year of the date of the grant, it 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, it shall la� and may be re-established only after notice, and a new hearing. � A Decision2002-039 Page 2 of 2 Town of North Andover Board of Appeals, William I kullivan, Chairman �. I J B-oarllofAppeals 6M-9541 Bulldljig688-9545 H-1ald-,68-9-1d() A Location,--m�l No. Date 01 14ORTII TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 12 CHU Foundation Permit Fee $ Other Permit Fee $ TOTAL s I -el C h e c k # 7 /,/,� sl", 1 5�'61 e"�uflding Inspe 2%00" TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUELDING PERMIT NUMBER: DATE ISSUED: 1.4 11 SIGNATURE: -/V1 /IV, Building Commissioner/InNwor 7tBuildings Date SECTION I- SITE INFORMATION t A Property Address: 1.2 Assessors Map and Parcel Number: q Q '-7 Ive 4"-� d - ,O� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property sions: .6-0 0 le -14TV _1jr 0 c D 1p, , 4,) a( Zoning Naz�c—t Proposed Use Lot Area (sf) Frontage (ft) 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Required :4— Provided 5C 3Q. (4 t n, I k 30 4,(" 1.7 Water Supply M.G.L.C.A0. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private 0 Zone Outside Flood Zone Municipal 19—::� On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT I 2.1 Ownerof Record e, vuy 4 5�> - Name (Print) Address for Service -7 (57 a Sig)naturc Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed gonstruction Supervisor: Not Applicable 0 0 L� 0'2 - Licensed Construction Supervisor: -7 15-1 License Number Address 5 Ilel Expiration Date 103 Signature Telephone /11 .. 1 7 6 � 1 V 2 5 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name 6 8'7 ?17 Registration Number Address 1,4z, <� 7,F Z/ 7,5� Expiration Date Signature Telephone 00 10 SECTION 4 -WORKERS COMPENSATION (MG.I. C 152 *§ 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this —affidav-it will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .... .a No ....... 0 SECTION 5 Description of froposed Work (check all aDDlicable) New Construction 0 Existing Building 0 Repair(s) El Alterations(s) Addition 0 Accessory Bldg. [I Demolition 0 Other 0 Specify Brief Description of Proposed Work: ,,-Vo�d Ott &-J(/YrJ)7q -45 A 1�6 A 4A /% ^ I SECTION 6 - ESTI-MATRn COMIRTRUCTInN MQTQ I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFIC I LkL USE ONLY I Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction -3 Plurnbing 1.0,0 rJ Building Permit fee (a) x (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2 3+4+5) 741- Y, 5 a 6 Check Nurnber ar,%-J11%JJ1 IV ISE UUMFLISIEV WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUHDING PERMIT 65:,�, as Owner/Authorized Agent of subject property Hereby authorize 60 J M) e4 107W e -10-1h ft 60 o act on My behalf, in a iatters relative,�4w,ork authonzed by this building permit application. ZZ4 — �/ // :� Zo gp. Signature of WiLer d ' — Date SECTION 7W OWNEWAUTHORIZED AGENT DECLARATION 1, 6tj ) ///—A. "*— Ili-, ?'/%& � as Owner/Authorized Agent of subject property' ' 8 Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief 6o I /// t� h... /V�, �_ 1e, I t, Print Name -42 A, 0 Signature of Owner/Agent Date NO. OF STORIES SIZE _BASENIENT OR SLAB -SIZE OF FLOOR TIMBERS I ST 2N]) 3RD -SPAN -DIMENSIONS OF SILLS DRAENSIONS OF POSTS -DIMENSIONS OF GIRDERS -HEIGHT OF FOUNDATION THICKNESS -SIZE OF FOOTING X -MATERIAL OF CHEVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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 f\ PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET ST. NUMBER USE I REC-OWF;NDA�PIONS OF TOWN AGENTS: I ,___C6/NtERVA` COMMENTS TOWN PLANNER Comm INISTRATOR FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9\97 Im E_ m 0 z 0 p U- CC w 8 -, (b c ed jo m c H 3: < 0. z 9 C E U -i 2 z LL ") 0 c o CL a: m Z3 O� z Cl - 0, X Z.5; VT OL �-gm 0 . gm CC Z'5 u c L L m u L F= x —0 6 -o E cD �8 0 CL r- 12 0 (L c LL V) cli s -6 A, c 0.0 -6 a.. o- ST C\i C6 (Z� I�j \j 41 Q) LL co cc u C T IL L d A z C6 OF w Z (.) 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I am a sole proprietor and have no one worldrig in arn an employer providing workers' compensation for my employees worldng on this job. ------------ . 2 .,ddt*3s-. �dw- ?;Icy 2J' F,1:2 0 -7 so LJ I am a sole proprietor, general contractor, or homeowner (cirde one) and have hired the contractors listed below who have FWhwe to secure coverage as required under Section 25A of MGL 152 cam land to the Imposition of crimind penalties of a fine up to S1,500.00 anwor one years, Imprisonment as well ascivil penalties in the form of a STOP WORK ORDER and a fine o(3100.00 a day against me. lunderstandthats copy of this statement may be forwarded to the OMee of investigations of the DIA for coverage verldcation. r do hereby cerWfy under the pains and penafties ofpajury th" informadon provided above is &w. and correct 3ignature Date Print name # -,2,P IF oflicial use only do not write in this area to be completed by city or town official city or town: permit/lIcense N _OBuilding Department OLicensing Board check if Immediate response is required OSelectmen's Office (311ealth Department contact person: phone#; _L00ther Information and Instractions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their % employees. . As quoted from the "law", an employee is defined as every person in the service of another under any cqntr= of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the*legal representatives of a deceased employer, or the recerver c trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than �three apartments and who resides therem, or the occupant ofthe dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or ori the grounds oi building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or z�enew of a license or permit to operate a business or to construct building3 in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neftb the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements ofthis chapter have been presented to the coutzacting authority. Applicants please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the DepartmeM of Industrial Accidents for cOnfitluatim Of coverage. Also be sure to sign and daft the affidavit. The affidavit should be returned to the city or town that the application for tho permit or kcase is f yoi being requested, not the Department of hidusaW Accidents. Should you have any qmdons regarding the "law" or i: are required to obtain'a workers, compensation policy, please call ft Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of th affidavit for you to fill out in the event the Office of hmstigations has to contact you regarding the aPPliCz1L Please be sure to fill in the p6iiMicen� number which wM be usR as a mfirencinii6er. The affidavits may be rcturitR fe- the Department by . mail or FAX unless other have been inade. 1he Office of Investigations would like to thank you in advance fbr you cooperation and should you have, any questions. please do not hesitate to give us a call. The Departments address, telephone and fax munber: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of 1=3912does 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 M .04/17/02 To whom it may concern: We authorize William Hurley of EMH Construction Corp to act as our agent and to supervise the home improvement project as set forth in plans and specifications supplied to your office. Thank you, "'J BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 052262 Birthdate: 05/14/1959 Expires: 05/14/2003 Tr. no: 10879 Restricted To: 00 WILLIAM A HURLEY 9 BARTLETT ST #102 -x- ANDOVER, MA 01810 e� --A-d�min,st,at,, HOME IMPROVEMENT CONTRACTOR Registration: 106898 Expiration: 7128102 Type: Private Co(poratio E.'M,H. CONSTRUCTION CO. Oilliam Hurley � Bartlett Street, Suite 1 ADMINISTRATOR Andover MA 01810 MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 TITLE: pl 451 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: I or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 4-17-2002 DATE OF PLANS: 4-17-02 PROJECT INFORMATION: addition COMPANY INFORMATION: BRUNO ASSOC 28 BERKELEY ROAD N. ANDOVER MA 01845 COMPLIANCE: Passes maximum UA 33 Your Home 29 Permit # Checked by/Date The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value ------------------------------------------------------------------------------- U -Value UA CEILINGS 183 30.0 30.0 3 WALLS: Wood Frame, 16" O.C. 64 13.0 13.0 3 GLAZING: Windows or Doors 24 0.350 8 DOORS 18 0.330 6 FLOORS: Over Unconditioned Space 183 19.0 0.0 9 HVAC EQUIPMENT: Furnace, 95.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date 0 TITLE: pl 451 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 4-17-2002 Bldg. Dept. Use CEILINGS: 1. R-30 + R-30 Comments/Location WALLS: 1. Wood Frame, 16" O.C., R-13 + R-13 Comments/Location WINDOWS AND GLASS DOORS: 1. U -value: 0.35 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? Yes No Comments/Location DOORS: 1. U -value: 0.33 Comments/Location FLOORS: 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: 1. Furnace, 95.0 AFUE or higher Make and Model Number AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. when installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): HEATING SYSTEMS: Low pressure/temp Low temperature Steam condensate COOLING SYSTEMS: Chilled water or refrigerant CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 any 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): NOTES TO FIELD (Building Department Use Only) ------------------------- PIPE SIZES (in.) NON -CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 0-1.25" 1.5-2.011 2.0+11 170-180 0.5 1 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 NOTES TO FIELD (Building Department Use Only) ------------------------- Town of North Andover %&01?rFj .6 Office of the Zoning Board of Appeals 0 Community Development and Services Division 27 Charles Street Nordi Andover, Massachu'sefts 01845 D. Robert Nicetta Btill,ii;�,a.Coi7iini,��si(?i?ei, Any appeal sha 11 be filed within (20) days after the date of filing of this notice in the office of the Town Clerk. r NAME: Gerald J. Bruno S: 28 Berkeley Road North Andover, MA 0 184 5 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, Septeml>er 10, 2002 at 7:30 PM upon the application of Gerald J_ Bruno, 28 Berkeley Road, Norffi Andover, NIA requesting a Variance from Section 7, Paragraph 7.3 and Table 2 for relief from left and right side setbacks, -confo g s e on a non - and rear setback in order to enclose an existing 12' x 16' open deck of a non rmin tructur conforming lot, and a Special Permit for relief from Section 9, Paragraph 9.2 (1) in order to extend a pre- existing, non -conforming structure on a pre-existing, non -conforming lot by enclosing an existing 12' x 16' open deck, within the R-4 zoning district. The following members were present: William J. Sullivan, Walter F. Soule, Robert P. Ford, John M. Pallone, Scott A. Karpinski, Ellen P. McIntyre, George M. Earley, and Joseph D. LaGrasse. Upon a motion made by Walter F. Soule and 2 d by John M. Pallone, the Board voted to GRANT a request for dimensional Variance from Section 7, Paragraph 7-3 and Table 2 of 2.2' left side setback, 2.2' right side setback, and 5.4' on rear setback per Site Plan for Variance in North Andover MA, 28 Berkeley Road, prepared for Gerald & Joyce Bruno by James A- O'Day, Registered Professional Engineer, Civil #22733, 599 Canal Street, Lawrence, MA 01840-1233, dated 7/11/02. The Board finds that the applicant has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Byiaw and that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Voting in favor: William J. Sullivan, Walter R Soule, Robert P_ Ford, John M. Pallone, and Scott A- Karpinski. Upon a motion made by John Ni Pallone and 2 d by Walter F_ Soule, the Board voted to GRANT the Special Permit from Section 9, Paragraph 9.2 to extend a pre-existing, non-conforin, ing structure on a pre-existing, non -conforming lot in order to enclose an existing 12' x 16' deck for a sewing/sitting room per above Site Plan by James A. O'Day, dated 7-11-02 and Drawing no. A I. Job no- 3764, dated 4-14-02 by JB, G. J_ Bruno Associates, Architectural Designers, 28 Berkeley Road, N. Andover MA 0 1845. The Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.2 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Voting in favor: William J. Sullivan, Walter F. Soule, Robert P. Ford, John A Pallone, and Scott A. Karpinski. cz;D 71. F Page I of 2 A,TTEST: .ft True Copy own CIP-1-1., ,Poa; d o+�A T-.! ezl;�..� -6FR-9 � 4� Conc�t -, ai;ol,, 6SF-9 �1.) H.2.. ; , _—U i I 6 -9 CHU Tois:is to certify that twenty (20)M 11 ne (978) 688-9541 have elapsed from date of declsionl,e ?a- (978) 688-9542 Wkhout filing off a I Date Notice of Decision Joyce A. Bradshaw Year 2002 Town Clark rty at: 28 Berkeley Road T September 13, 2002 --- ±DATE: E P�T T ITION: 2002-039 H H I E�ARINC : 9110/02 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, Septeml>er 10, 2002 at 7:30 PM upon the application of Gerald J_ Bruno, 28 Berkeley Road, Norffi Andover, NIA requesting a Variance from Section 7, Paragraph 7.3 and Table 2 for relief from left and right side setbacks, -confo g s e on a non - and rear setback in order to enclose an existing 12' x 16' open deck of a non rmin tructur conforming lot, and a Special Permit for relief from Section 9, Paragraph 9.2 (1) in order to extend a pre- existing, non -conforming structure on a pre-existing, non -conforming lot by enclosing an existing 12' x 16' open deck, within the R-4 zoning district. The following members were present: William J. Sullivan, Walter F. Soule, Robert P. Ford, John M. Pallone, Scott A. Karpinski, Ellen P. McIntyre, George M. Earley, and Joseph D. LaGrasse. Upon a motion made by Walter F. Soule and 2 d by John M. Pallone, the Board voted to GRANT a request for dimensional Variance from Section 7, Paragraph 7-3 and Table 2 of 2.2' left side setback, 2.2' right side setback, and 5.4' on rear setback per Site Plan for Variance in North Andover MA, 28 Berkeley Road, prepared for Gerald & Joyce Bruno by James A- O'Day, Registered Professional Engineer, Civil #22733, 599 Canal Street, Lawrence, MA 01840-1233, dated 7/11/02. The Board finds that the applicant has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Byiaw and that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Voting in favor: William J. Sullivan, Walter R Soule, Robert P_ Ford, John M. Pallone, and Scott A- Karpinski. Upon a motion made by John Ni Pallone and 2 d by Walter F_ Soule, the Board voted to GRANT the Special Permit from Section 9, Paragraph 9.2 to extend a pre-existing, non-conforin, ing structure on a pre-existing, non -conforming lot in order to enclose an existing 12' x 16' deck for a sewing/sitting room per above Site Plan by James A. O'Day, dated 7-11-02 and Drawing no. A I. Job no- 3764, dated 4-14-02 by JB, G. J_ Bruno Associates, Architectural Designers, 28 Berkeley Road, N. Andover MA 0 1845. The Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.2 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Voting in favor: William J. Sullivan, Walter F. Soule, Robert P. Ford, John A Pallone, and Scott A. Karpinski. cz;D 71. F Page I of 2 A,TTEST: .ft True Copy own CIP-1-1., ,Poa; d o+�A T-.! ezl;�..� -6FR-9 � 4� Conc�t -, ai;ol,, 6SF-9 �1.) 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