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Home My WebLink AboutMiscellaneous - 289 STILES STREET 4/30/2018Town of North Andover Health Department Date: �'Oj' — gm, (Indicate Address, if RoOdtritial, or Name of Business) Check #: TyRe of Permit or Ljg!g�fise: (Circle) > Animal > Dumpster $ > Food Service - Type: $ > Funeral Directors $ > Massage Establishment $ > Massage Practice $ > Offal (Septic) Hauler $ > Recreational Camp > SEPTIC PERMITS: Q Septic - Soil Testing L) Septic - Design Approval $ Ll Septic Disposal Works Construction (DWC) $ U Septic Disposal Works Installers (DM) $ > Sun tanning $ > Swimming Pool $ > Tobacco $ > TrashlSolid Waste Hauler $_ > Well Construction $ > OTHER- (Indicate) Health Agent Initials 698 White -Applicant Yellow -Health Pink -Treasurer 02/ 1-1/2005 _111 33 978HH47E HEALTH PAGE 03�03 TOWN OF'VORTH ANDOVER. Office of COMMT-T41TY D EVELOPMENT AND SERVICES HEALTH DEPARIMENT 400 OS,. -MD STREET 91F,48E.9540 Phone NORTI-1 ANDOVET.MASSACHUSSTTS 01945 9-ig.588.8476 - FAX Susan Y. Sawver, RUHS/Rg hea tL4�t.-ptCe.,to%,vnofnorthandover,ocn.i. Public. Faalfhbirectnr wwwtownotorthand over. com Aninml Permit Form The underg:.yncd harn�-, applics tbr a pornpil to ' UEP CEMIX .4,N,7,k,.PLS AjV0 MaS" ivithin the Towr 'of Morth Andme,-., in ac_-ordance wiih Chqpterlg. Section 1J. 131 aaW 143 qf,1;e Goneral Univ, ano' su�ject io ihe rules and regulahons of the hxa� Eocd-d and Zoning P.,rh7wv, 289 Stiles Street North Andover 0 JFNEh"SA DD RZ,3,',V;,,-0C,,i 770�VIF DIFr. E?L, JVT Samg_q_s�_AbgvQ Deptler: Yes TOTAL ACRE.AGE,__ 12 Adult Young (mimbor o-� Cattle (Adult 2 year. & over,) -- ----- Dai*, F Beef 7.p()Ultl-y: ChickLxis Stcc:s/Oxcn 2. Go= (Adult = I year & over'. 3. Sbeep (Adult = I yeat & over� 4. S-vvinc. Breeders FUMOT,S 5. 'Llamas "Alpacas 6.'Equi-ncs; sfa&3 use: Pri'vatc Horsn's 11 pcnizs Donkeys � i'vlule,3 B'cevding L/ Dlaimhzg J T.enqons .7. Mary Hoehn iTa_,�e -of Applicart (PT 2 8, Rabbits: 9, OtfieT_. p RECEIVED FEB'4� 31129��. TOWN OF NORTH ANDOVER HEALTH DEPARTMENT COT)tact Phone �4vmbers eel,, 978-688-6652 Home FEE! N:25.00 Pleascm.ake-checkpayable to,., Towm -)f Nott]l Andover (mail to above @dJrcss) IMARCS-1 P" y y , OS50.0 njLL BE DQUBLERj X) 01DOmmen'l (Ind 111,T'ICOMMERCIAL PERH1TS)P,?rMj 1ftf6171Wj0Pj M4tjaVj,,d by Ike I)ep,7 r1mentr? Agri; 2/7nblls III) Aw 'r Town of NCrth Andover Healthbepartmen Date: C-� Ica - Location: (Indicate Address, if Residential, or me of Business) Check #: / 49,/ / bTe of Permit or License: (Circle) > I > Dumpster $ > Food Service - Type. $ > Funera I Directors $- > Massage Establishment $ > Massage Practice $ > Offal (Septic) Hauler $ > Recreational Camp > SEPTIC PERMITS: El Septic - Soil Testing $ El Septic - Design Approval $ U Septic Disposal Works Construction (DWQ $ El Septic Disposal Works Installers (DW[) $ > Sun tanning $- > Swimming Pool $ > Tobacco $ > TrasWSolid Waste Hauler $ > Well Construction $ > OTHER- (Indicate) 702 Health Agent Initials White - Applicant Yellow - Health Pink - Treasurer ,tORTH TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT C U 400 OSGOOD STREET 978.688.9540 — Phone NORTH ANDOVER. MASSACHUSETTS 01845 978,688.8476 — FAX Susan Y. Sawyer, REHS/RS healthdept@townoffiorthandover.com Public Health Director www.townofnorthandover.com Animal Permit Form The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with ChaplerlIl, Section 23, 131 and 143 of the General Laws, and subject to the rules and regulations of the local Board of Health and Zoning Bylaws. A DDRESSIL OCA TION OF ANIMALS: o wNERs NA pol n J,^ A F-R—ECEIVE 0 WNER'S A DDRESSILOCA TION IF DIFFERENT: I MAR 0 1 2005 TOW�N �OF NGR fill Dealer: Yes �yo ITT, D No—z Adult Young (number of) 1. Cattle (Adult 2 years & over) Dairy Beef 7.Poultry: Chickens Steers/Oxen Turkeys 8. Rabbits: 2. Goats (Adult I year & over) 9. Other: 3. Sheep (Adult I year & over) 4. Swine: Breeders Feeders 5. Llamas / Alpacas 6. Equines: Horses / Ponies Donkeys / Mules Stable use: e Private APO/' Boardinge Training 17 Rental 0 Lessons 0 Name of %plicant �(PLE 4KE PR�INT) 4ignat!reof A�pplican�t�� Contact Phone Numbers (indicate cell; home; work, etc.) --f 71 4�0 k� -/ 5 (e P FEE: $25.00 Please make check payable to: Town of North Andover (mail to above address) IF NOT RENEWED BEFORE MARCH 1ST, THE FEE WILL BE DOUBLED TO $50.00 C.11)ocuments and Setfingslpdellech�My Documentsi COMMERCIAL PERMITSIPermitlPermit ApplicationAAnimal Application-Rev-2005.doc — Information requested by the Department ofAgricultural Resources Bureau ofAnimal Health —Form 74-500BKS— 7103-4DBSBBI-Createdon 211012005 12:31 PM Date ...... V ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... /K//z /..111111111.1e�l ................ .... ............. .. .... ....... .... ......... has permission to perform ...... / ........... ................. .. .................. wiring in the building of .... �� .X ............................. at....-'/// ..... V ........... ..... North Andover, Mass. Fee ...... ...... Lic. No . ............. ................ Check it 4 �0-11 6 9 Commonwealth of Massa usetts Official Use Only Permit No. Depadment of Fir Se, es ic Occupancy and Fee Checked ITIO BOARD OF FIRE PREVENTIO EGULATIONS [Rev. 11/991 (leave bla�*L- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (NEC), 527 CMR 12.00 (PLEASE PPJWT IN INK OR TYPE ALL IN770W TION) Date: / ? 6,p C ?oo-� City or Town of: No -r-1 Ud&Ve� - To the Inspector of Wires: By this application the undersigned gives notice of li�,s or her intention to perform the electrical work described below. Location (Street & Number) es Owner or Tenant Ix Telephone No. 666- 6� —�Z Owner's Address Z eq `�Tlle S 57M -r - Is this permit in conjunction with a building permit? YesEl No E]"' (Check Appropriate Box) Purpose of Buflding_Dwe, It , Y -,C-,- Utility Authorization No. 1q,5 -(9c)1 Existing Service / CU Amps J 20- / 1-+-, Volts Overhead V�r Undgrd No. of Meters New Service IM Amps 12,b /2AU Volts Overhead Ej-- Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 0 Co letion ni'the --;--,4 1- 4- No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans -.r Y "m -�Pntur UJ rr tr t�N. No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above [] In- grnd. grnd. El . of Emergency Lighting Battery Units No. of Receptacle Outlets iNo. of Oil Burners FIRE ALARMS ---;;n FNo. of es No. of Switches No. of Gas Burners No. o Detection —and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: I �N No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local 11 Mun'c*PP' El Other I Co ct No. of Dryers No. of Water Heaters KW Heating Appliances KW No. o -F— No. of Signs Ballasts Security Systems: No. of Devices or E uivalent Data Wiring: No. of Devices or guivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additionai detau Y desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,,and has exhibited proof of same to the rrmit issuing office. CHECK ONE: INSURANCE W BOND F1 OTHER [:] (Specify: 4 [a . -Z � Estimated Value of Electrical Work: q (When required by municipal policy.) (Expiration Date) 4-0-2 Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I cetWfy, under the pain Pid penalties ofperjury, that the information on this application is true and complete. FIRM NAME: d --I LIC. NO.: Licensee: ro-��u Dy- Signature LIC. NO.: Z��-77 (If applicable, enter ."Vxempt " in the licensnnumber line.) I OWNER'S IN� required by law Owner/Agent Signature URANCE WAIVER: I am awa-re that the �Licensee does By my signature below, I hereby waive this requirement. Telephone No. 71 Bus. lel. No * A I . Tel. No:. -'172, - not have the liability insurance coverage normally I am the (check one) F] owner El owner's agent. PERmiT FEE.- s --F I E)OG)dqew jno/� "or) a4rlleu6m 04 J014qualo, I V ; Onbiun Wiao,3j 6 Town of North Andover Office of the Planning Depal tment Community Development and gervices Division Planning Director. J. Justin Woods July 9, 2003 27 Charles Street North Andover, Massachusetts 01845 bttp:/ /www.townofnorthandover.com Gene Willis, Arjuna Construction 76 Boston Hill Road North Andover, MA 0 1845 p�Loods;Rtaw—nofnorthandover.cozn P (978) 688-9535 F (978) 688-9542 SENT USPS VIA CERTHIED MAIL RETURN RECEIPT REQUESTED Cz� RE: Plan of Land on Stiles Street, ANR Form A Denial Dear Mr. Willis: > CD > p At the regularly scheduled meeting of July 8, 2003, you presented the above -referenced Form A App)kati6ji j6 u) c:J � -��r the North Andover Planning Board. The Board voted unanimously to deny the Form A ap . , a- PKCSR�6n because the plan does not comply with the provisions of MGL Chapter 41, Section 81P OKyrith the provisions of the of the Town of North Andover, Mass�lphusetts Planning Board Rules and Roplations Governing the, Subdivision of Land dated November$�k�'2000, last Amended December 2002 (North Andover Subdivision, Rules & Regulations), for the following reasons: 1) The Private way known as Stiles Street DOES NOT meet the indicative criteria for the determination of frontage in accordance with Section 3.3 and Section 3.3.1 Of the Town Of North Andover Rules & Regulations. Specifically, the way is not paved and is not adequate to accommodate public safety access. 2) The Planning Board deten-nined that the lot DOES NOT have frontage on a way that in the judgment of the Board, has sufficient width, suitable grades and adequate access to provide.for the needs of the vehicular traffic and public safety access in relation to the existing and proposed use of land abutting thereon or served thereby and for the installation of municipal services to such land(s) and/or buildings erected or to be erected thereon. 3) The Planning Board determined that the subject plan is a subdivision, as defined by MGL Chapter 4 1, Section 8 1 L. You may re-subinit the plan to the Planning Board for approval under the Subdivision Control Law and you are hereby notified that should you disagree with this decision, you have the right, under MGL Chapter 41, Sections P & BB, to appeal to this decision within twenty days after the date this decision has been filed with the Town Clerk Please feel free to contact me if you have any questions. ;Si r ly, 'y' .tin'WLoods I BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH688-9540 PLANNING 688-9535 Is Location c,28q '-��4, 1,Q No. Date &ORT#1 TOWN OF NORTH ANDOVER Certificate of Occupancy $ 3 Building/Frame Permit Fee $ 0 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 168'14 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REM RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING Pill—; BUILDING PERMIT NUMBER: DATE ISSUED: 3 — ::;; -7/ SIGNATURE: . . '104( Building Commissioner/IEELWor of Buildings Date SECTION I- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Number Parcel Number AMap 1.3 Zoning Information: Zoning DisUict— Proposed Use 1.4 Property Dimensions: Lot Area (sf) Frontage (11) 1.6 BURDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide - Required Provided —R��red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public 0 Prhwe D Zone Outside Flood Zone 0 1.9 Sewerage Disposal System: Municipal 0 1 - On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Namefrint Address for Service: Signatun Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable 0 License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable o Compan)tNaime Registration Number Address Expiration Date Signature MU M M z 0 M 7 N 0 z M 90 0 mn r M z G) Tel: 978-688-9545 0 Town of North Andover Building Department 27 Charles Street S C US North Andover MA 01845 HOMEOWNER LICENSE EXEMPTION Please print. DATE 141 A� 1:�' !, JOB LOCATION C�) E 5F .5 Number Street Address Section of Tc "HOMEOWNER 15' PRESENT MAILING ADDRESS - City Town '? 2,�- -- / , Home Phone State Work Pho Zip The current exemption for "homeowners" was extended to include owner -occupied dwellings of 1 or 2 units 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 (1108.3.5. 1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which of two there is, or is intended to be, a one family dwelling, attached or detached structures accessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 108.3.5.1) 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 he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requiremfints. HOMEOWNER'S SIGNA APPROVAL OF BUILDING OFFICIA Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control. Revised 4.30.03 Home owner Exemptions Form NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-954 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 I 11, S. 150 A. The debris will be disposed of in: (Location of Facility) Ai;�ture of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained. for this project through the Office of the Building Inspector 6 V� t C/) z 0 IND 4 C/) Cf) z 0 u C/) Cf) I% u 0 E z CA co ca E co CD CD 0 cc 10-M CO) A2 CL. CA cc CO) C ts co CL. CA CM CD .c 0 CO z ts co CL C40) c LLJ LLJ (1) Ir LLJ LLJ (r LLJ LU U) 0 0 C/) Cf) 0 u w 00 V, u x x 0 V) —co tz: ZW 0-4 CE -6 z V-) 0 C/) C/) z 0 IND 4 C/) Cf) z 0 u C/) Cf) I% u 0 E z CA co ca E co CD CD 0 cc 10-M CO) A2 CL. CA cc CO) C ts co CL. CA CM CD .c 0 CO z ts co CL C40) c LLJ LLJ (1) Ir LLJ LLJ (r LLJ LU U) 0 L3 co C,2- CCU oil ci� CD 0 0 CL E E CM "m CD ICLA ci t4i �, ca m c2 CA CD :IN 3: CD #1414%. 0 COD E CD 0 CM cm Salo Cp �L A CD CD 0 'COL CE I= I-- LAJ LLA OLD E C=L:E z w . cD cm cm C.3 L- CD 0 a -S? C.C= C COD CL 0*5 C:a CL C/) z 0 IND 4 C/) Cf) z 0 u C/) Cf) I% u 0 E z CA co ca E co CD CD 0 cc 10-M CO) A2 CL. CA cc CO) C ts co CL. CA CM CD .c 0 CO z ts co CL C40) c LLJ LLJ (1) Ir LLJ LLJ (r LLJ LU U) 30,67 � — "')j - 61 -2 , Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......... ............ ........ ...... ........................ has permission to perform ........... ....... ................... . .................... wiring in the building of ........... ............................................................ at ...................... . North Andover, Mass. Fee.�� ........... Lic. No . ............. . ..... -C- A --L- N --S- P --E- C --T- 0-- R. ................. Check # 9—"2 . COmnie�,:,�#ealfh Of lWassachusetts DePartmen t -n- f Fire Services BOARD OF FIRE PREVENTION REGULATIONS 7__'41-16al_tis�c _0111y Permit No. Occupancy and FCC Checked ,Rev. 11/991 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL W RK All work to be performed in accordance with the Massachusetts Electrical Code (MEQ, 527 CMR'12.00 (PLEASE' PRINT IN INK OR TYPE, ALL INFO&WTJON) Date: �S_ur�e_ 2pal City or'lrown of.. No rl)\-. ApV doV I er To the Inspector of Wires: By this application die undersigned gives notice of his or her intention —to perform the electrical work described below. Location (Street & Number). le S 51 tec 1, Owner or Tenant /)cL Owner'sAddress 2Re Telephone No.7JU - _C9 8 - fcsl Is this permit in conjunction with a building permit? Yes F] No V4'0' (Check Appropriate Box) Purpose of Building 70 rc-,[ -4, Utility Authorization No.0 170 (Z 13 Existing Service — Amps volts Overhead 11 Undgrd 0 No. of Meters New Service JQQ Amps 11�_/2-40V(ilts Overhead 0 Undgrd [:1 No. of Meters Number of Feeders and Ampacity Location and -Nature of Proposed Electrical Work: 6 LuiLd%y\ _joa §'�Phd_t� V rthe r,11l n1l - —A-4 h- #L No. of Recessed Fixtures NO. Of Ceil.-Susp. (Paddle) Fans lllapeClur 01 No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool t—bo EJ In- E] No. of Emergency Lighting ndye grn grnd. �grn, Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. oftRanges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers H Pum !T1:ot:a11]s:!tq!ff� Numbe. No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local E] Municipal ConnectionEl Other No. of Dryers Heating Appliances KW Security S stems: No. No. of Water Heaters KW No. oF Mi. —of of9evices or Equivalent Data Wiring: signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total UP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail i(desired, or as required by the Inspector of Wires. 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 operatioif' coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEEI BONDE] OTHER [] (Specify:) Estimated Value of Electrical Work: q0 0 (When required by municipal policy.) (Expiration Date) WorktoStart:2-4 C)IInspections to be requested in accordance with WC Rule 10, and upon completion. I certify, under the pains andpenalties of perjury, that the information on this application is true and complete - FIRM NAME- d ze (b v LIC. NO. —bvq 17 :�L Signature LIC. NO. 07 Licensee: C5 &R/;^�-7 (Zmeo-b (if applicable, enter eXenlDt "in the license n lber 11 e.) Address: 1'�_ Bus. Tel. No., TA el � .7 eeUt—t), N A 6) SO Alt. Tel. No. YR OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hme the liability insurance coverage normally requiredbylaw. By my signature below, I hereby waive this requirement. lamtlie(checkone)EI owner El owner's agent. Owner/Agent Si gnature Telephone No. PERMIT FE, E: $