HomeMy WebLinkAboutMiscellaneous - 30 PROSPECT STREET 4/30/2018 (4)1�1
rj
Date.�/. ........
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ... ;�� C. '/. . .'/�/ ..... ..................
has permission to perform . . . . . � -,-7 At io� . ..............
plumbing in the buildings of .... C c-,, ?( ......................
at.. 30 .. ................. North Andover, Mass.
Fee. ... Lic. No../ ?J. C.? .. .....
PLUMBING INSPECTOR
Check
6812
A
Jan 11 06 06:34p Pete ; r D. Cox 978-975-8230 p.4
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(rype or prirlt)
NORTH ANDOVERL MASSACHUSE'rTS
40
BWIding Location -30 lee -,,7 —Owners
30 Type of Occi
New [:] Renovation Ur Replacement 0
FIXTURES
D -le -1 — /:;z - 0 5 --
Permit#
Amount
Plans Submitted Yes No 1:1
(Print or type) Checkonc- ate
I stalling Company Name -2
rL orp. --
Address 01 "�-p
0 Partner.
Business Telephone oj,/ X3 Z- 0 Firm/Co.
Name of Licensed Plumber: Lgz 4
Insurance Coverage: Indicate the ty Of iiisurance coverage by checking the appropriate box:
Liability insurance policy V Other type of indemnity 0 Bond
1, the undersigned, have been made aware that the licensee of this application does not have any one of the above
ffirce insurance
Signature I Owner [] Agent n
I hecky certify Lhat all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installatio��A�rmcd under Permit Issued for this application will be in
compliance,Arith all pertinent provisions of the Massachusq1ts-St%e-Plumbing Code anA�CWaiDtcrt2CI-6r-tTi��.enemi T
-rn T)!pe of Plumbing License
0AU Z KO 7 2-
114umuer Ma,
OVED (OFTICE USE ONLY ster El Journeyman
JAN 11,2006 07:20P. 978 975 8230 page 4
Date
- "". 0 "
40�
/W TOWN OF NORTH ANDOVER
1-01 M"
PERMIT FOR GAS INSTALLATION
This certifies that ... e�. ..............
P U (--�
has permission for gas installation .....................
in the buildings of .... (:;� -�? .............................
at t.-". ........... North Andover, Mass.
Fee.� ....... Lic.
L I N. SP'DECTOR
Check# �31. 3
5433
ee U
�5-0 2)
(0 5q —
al 0
NMSSACHUSEM UNUORNI APPUCATUN FOR PERNUTO DO GAS FMING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Locations :-�io
�ffl gj 'D so
New Renovation
Date /_//_7—
Permit #
Amount S
s Name-.,
Plans Submitted
I
(Print or type) Clkg&k one: Certificate Installing Company
Name_ V V1,_ 10 L^' -\ 01 orp. 0?
UC
Addre Partner.
Business Telephone Firm/Co.
Name of Licensed Plumber or Gas Fitte r -BO bef, e 4-61�
INSURANCE COVERAGE - Check one: NoO
I have a current liability Insurance policy or it's substantial equivalent. Yes13
If you have checked yes, please i��e the type coverage by checking the appropriate box.
Liability insurance policy 0 Other type of indemnity 13 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 perrnit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner 1:3 Agent 1:1
i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
le
VED(OFFICE USE 0NLY)
Signature of LicWsed Plum T Gas Fipr
Plumber
4 - W 6z
icense iNuml
Gas Fitter ")er
i
C
I faster
Joumeyman
§1
j-STFL 0 OR
14TH. FLOOR
(Print or type) Clkg&k one: Certificate Installing Company
Name_ V V1,_ 10 L^' -\ 01 orp. 0?
UC
Addre Partner.
Business Telephone Firm/Co.
Name of Licensed Plumber or Gas Fitte r -BO bef, e 4-61�
INSURANCE COVERAGE - Check one: NoO
I have a current liability Insurance policy or it's substantial equivalent. Yes13
If you have checked yes, please i��e the type coverage by checking the appropriate box.
Liability insurance policy 0 Other type of indemnity 13 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 perrnit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner 1:3 Agent 1:1
i hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
le
VED(OFFICE USE 0NLY)
Signature of LicWsed Plum T Gas Fipr
Plumber
4 - W 6z
icense iNuml
Gas Fitter ")er
i
C
I faster
Joumeyman
§1
Location
No. Date
r
T
TOWN OF NORTH ANDOVER
4L
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee
$
TOTAL
Check #
18699
'—Building inspecfo/
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUELDING PERMT NUMBER: DATE ISSUED: 16
SIGNATURE: A// A4
Building Commissionerfln�k6etor 6f Buildings Date
SECTION I- SITE INFORMATION I
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
Map Number
Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
i2u hn e 4-, Y �-,-n
-Area
i�o—ntge
Zoning Distnct Proposed Use
Lot (so
(ft)
1.6 BLqLDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide— Leg�!red
I Provided
Required
J Provided
157"'
1 IF, V -1,2-r
1
.2�
1.7W&ter ly M.G.L.C.40 1.5. Flood Zone Infortnation:
�r
1.8
Sewerage DispoW System:
0
Public Priv zone
Otitside Flood Zo. S(
Muiipl
On Site Disposal System
SECTION 2 - PROPERTY OWNERStUP/AUTHORMED AGENT I H0LUi1',,Li10L11UL. IVO IN Q y-
2.1 Owner of Record
A7,"r /* - -A,5A,&r
NamclPrint) Address for Servic'e":
Telephone
2.2 Owner of Record:
Name Print
Signature Te ephon,e...._
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
,9 hdt' -A �&
Licensed Construction Supervisor:
?0 , .; �, -
Address
Signature Telephone
3.2 Registered Home
Company Name
Address
Address for Service:
Y C7
ell c7l?-36 —41'9�
I
Not Applicable 0
License Number
—2
Expiration Date
Not Am3licable 0
Registration Number
Expiration Date
SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) I
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 ....... V No ....... 0
SECTION 5 Description of Proposed Work (check afl appllc:.b:k�
New Construction 0 Existing Building 0 1 Repair(s) 0 Alterations(s) 0 Addition ie
Accessory Bldg. 0 Demolition Other 0 Specify
Brief Description of Proposed Work:
e
I R�E!
I SFCTION 6 - FSTIMATFn rnNRTU1TrTTnN rn4ZTQ f i
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
7 OFFICIAL USE ONLY
I . Building
(a) Building Permit Fee
Multiplier
2 Electrical
S;
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
5 Fire Protection
:��11+1+4+1)
Check Number
JAJ or, %-%JiVWJ1r1 I rlu W"-El,4
AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as ONNncr/Authorized Agent of subject property
Hereby authorize to act on
My behalf, inall matters relative to work authorized by this building permit applicittion.
Signature of Ovaier Date
SECTION 7b OWNERIAUTHORIZED AGENT DECLARATION
1, P—, as ONvner/Authofized 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 be] ief
Pri=" 1A
/U
Si6at— of Owner/Agerit Date
10.0-M
5"
NO. OF STORIES
SIZE OF FLOOR TD,4BERS_
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS 7�-' OQ A, xx
DIMENSIONS OF GIRDERS
HE, IGHT OF FOUNDATION TYUCKNESS
SIZE OF FOOTING x
MATERIAL OF CHNINEY
IS BUII.DING ON SOLE) OR FILLED LAND
IS BUII.DING CONNECTED TO NATIJRAL GAS LINE
u e— ow.
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 landownerfrorn compliance with any applicable or requirements.
***APPLICANT FILLS OUT THIS SECTION****NAQ****"
APPLICANT
PHONE 5;�f
LOCATION: Assessoes Map Number PARCEL
SUBDIVISION— LOT (8) 7,:5��,f-
ST. NUM13ER 2C,,2
'OFFICIAL USE ON
----------
CONSERVATION ADMINISTRATOR DATE AP OVED
DATE REJECTED
COMMENTsk- Ugfl",�-p
TOWN PLANNER OATE APPROVED
DATE REJECTED --------------
FOOD INSPECTOR -HEALTH DATE
DATE REJECTED
SEPTIC INSPECTOR -HEALTH DATEAPPROVED
DATE REJECTED
PUBLIC WORKS - SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR
RevMW IV jM
North Andover Building Department
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by IVIGL
c 11, S 150 A.
The debris will be disposed of in:
(Location of Facility)
Z t - 4. ,. 0 .-- -
Signature of Permit Applicant
6 Z-/ 2 �e5: �7,
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
% N
i he Commonwealth ofMassachusetts
Department of Industrial Accidents
9-13 Office of- Investigations
1V
600 Washington Street
Boston, MA 02111
www.mas&gov1dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibi
Name (Business/Organization/Individual): /19e 1_1�_r P
Address: - -.1 -/ -z -.r-
City/State/Zip: egLl/�� Phone 417011'1-6'7,�2
Are you an employer? Check the appropriate box:
1. El I am a employer with _ 4. El I am a general contractor and I
employees (full and/or part-time),* have hired the sub -contractors
2. Fj I am a sole proprietor or partner- listed on the attached sheet t
ship and have no employees
working for me in any capacity.
[No workers' comp. insurance
required.]
10rI am a homeowner doing all work
myself [No workers' comp.
insurance required.] t
These sub -contractors have
workers' comp. insurance.
D We are a corporation and its
officers have exercised their
light of exemption per MGL
c. 152, § 1(4), and we have no
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. E] New construction
7. EJ Remodeling
8. ETDemolition
9- Eg"building addition
10. El Electrical repairs or additions
I I - El Plumbing repairs or additions
12 -El Roof repairs
13.[:] Other
uuA tt, -1 Mso rin ouitne section below showing their workers, compensation policy information:
Homeowners who submit this affidavit indicating they air doing all work and then hire outside contractors must submit a new aiflidvit indicating su I ch.
lContractors that check this box must attached an additional sheet showing the name of the sub -contract
ors and their workers, comp. policy inforTmtion.
I am an employer that is providing workers'compensation insurancefor my employees. Below is the polky andiob site
information.
Insurance Company Name:
Policy # or Self-, ins. 6c. #:
Expiration Date:
Job Site Address: city/State/Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500-00 and/or onew-yealrImprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
"M", der th,
I do hereby cert4& u der the pains andpenalties ofperjury that the information Provided above is tr e and correct
ture.
Si ature: -11-71
T)!3tp X / 11
MMSMIJIMMAM
. Official use only. Do not write in this area, to be completed by city or town officiaL
City or Town:
Issuing Authority (circle one):
1. Board of Health 2. Building Department
6. Other
Permit/License #
3. CitY/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
Contact Person: Phone #:
information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their. employeest
pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral Or writtm."
An employer is defined as -an individual, partnership, association, corporation dr 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
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
use having not More than three apartments and who resides therein, or the occupant of the
owner of a dwelling ho do maintenance, construction or repair work on such dwelling house
dwelling house of another who employs persons to cause of such employment be deemed to be an employer."
or on the grounds or building appurtenant thereto shall not be
MGL chapter 152, §25C(6) also states that "every state or local licensing agency shal ' I with ' hold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally, MGL chapter 1529 §25C(7) states "Neither 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 of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers"compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) Of
insurance. Limited Liability Companies (LLQ or Limited Liability Partnerships (LLP) with no employees other than the
members or Partners, are not required to carry workerst compensation insurance. if an LLC or LLP does have
employeesq a policy is required. Be advised that.this affidavit may be submined to the Department of Industrial
ff * it 1h ffi vi
Accidents for confin-nation of insurance coverage. Also be sure to sign and date the a Idav . e a da t should
be retained to the city or town that the application for the permit or license is being requested, not the Department of
industriaf Accidents. Should you hive any questions regarding. the law or if you are required to obtain a workers'
at the number listed below. Self-inswed companies should enter their
compensition policy, please call the Department
self-insurance license number on the appropriate line.
City or Town OtTicials
tto
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bo in
you to fill out in the event the Office of Investigations has to contact you regarding the applicant
of the affidavit for er which will be used as a reference number. In addition, an applicant
Please be sure to fill in the permit/license numb
that must submit multiple pennit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in ---�—(city Or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid afff4jvit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of InvestigationS
600 Washington Street
Boston, MA 021 It
Tel. # 617-727-4900 ext 406 or 1-877-NIASSAFE
Fax # 617-727-7749
Revised 5-26-05 www.mass-gov/dia
,%CRT,,
.13t.
8 cow
Raymond Sanfilli,
Interim Community
Development Director
Town of North Andover To . wn Clerk Time Stamp
Community Development and Services Division
Office of the Zoning Board of Appeals RE -'C E IV E 0
T 0 7,,; -N! 01 L LF R K'S 9 F F I C 97
400 Osgood Street L'.
North Andover, Massachusetts 01845
Any appeal shall be filed within
(20) days after the date of filing
of this notice in the office of the
Town Clerk, per Mass. Gen. L. ch.
40A. 417
Telephone (9 78) 688-9541
Fax (978)688-9542
Notice of Decision
Year 2005
NAME: Peter D. & �Eleanor M. Cox
ADDRESS: 30 kjj�St�reet �
North Andover, MA 01845
Luuo btr z I FM 4: 18
T OWN, 0 F
NORTH ANDUP
MASS ACHUSE fl- c!
This is to Certify that twenty (20) days
have 61086d from date of decision, filed
without filing of a I
g�p �ea
Date
-)OYCS A. Bradshaw
T80 tift
at: 0 Prospect Street
—7—HEARING(S): August 9 &September 13,2005
IPETMON: 2005-022
TYPING DATE: September 21, 2005
The North Andover Board Of Appeals held a public hearing at its regular meeting in the Town Han top floor
meeting room, 120 Main Street, North Andover , MA on Tuesday, September 13, 2005 at 7:30 PM upon the
application of Peter D. & Eleanor NL Cox, 30 Prospect Street, North Andover requesting a Special Permit
from Section 9, Paragraph 9.3 of the Zoning Bylaw in order to raze an existing garage and breezeway in.�rderr—
to construct an addition to a pre-existing structure on a pre-existing, non-confonning lot. Said premise a4ectec
is property with frontage on the West side of Prospect Street within the R4 zoning district. Legal noo'c'eg were.
sent to aff abutters and published in the Eagle -Tribune on July 25 & August 1, 2005.
The following members were present: Ellen P. McIn Richard J. Byers, Albert P.
Webster, and Thomas D. Ippolito. tyre Manzi, III, Davii.R"
The following non-voting member, was present: Daniel S. Braese.
Upon a motion by Richard J. Byers and 2nd by David R- Webster, the Board voted to GRANT a Special &rmiC
from Section 9, Paragraph 9.3 of the Zoning Bylaw in order to raze an existing garage and breezeway aAd
replace them with a garage addition to a pre-existing structure on a pre-existing, non -conforming lot per Plan of
Land in NorthAndover, MA No. 30 Prospect Street Owner/Applicant: Peter D. Cox, Permit Plan Addition, 7-
27-05 [by] James W. Bougioukas, R-L.S. #9529, Bradford Engineering Co., 3 Washington Sq., HaverhW, MA.
01830 and Proposed Addition to the Cox Residence, 30 Prospect St., North Andover, MA, 6/13/2005, [by]
Andrew S. Bradshaw, Registered Professional Structural Engineer #45173, AFAB Enterprises, P. 0. Box 916,
Burlington, MA 01830.
- _3
Voting in favor: Ellen P, McIntyre, Richard j. Byers, Albert p. Manzi, I", and Da d R- Web er. Vo g
against: Thomas D. Ippolito. vi st tin
co
The Board finds that the proposed replacement garage addition, as shown by the above Plan of Land, is within
the setbacks granted by Decision No. 040-95. The Board finds that the applicant has satisfied the provisions of
Section 9, Paragraphs 9.1 & 9.3 of the zoning bylaw and
addition. The Board finds that the use as developed win that this site is an appropriate location for the proposed
not adversely affect the neighborhood, nor cause
nuisance or serious hazard to pedestrians or vehicles; that this addition shall not be substantially more
detrimental than the existing structure to the neighborhood.
Page I of 2
,\TTE
ST:
True Copy
Tf..)wn Clerk
f3o;irdol'.�pptals9"?S-(,98-�)541 fluilding978-6SR-9545 Con:cnation978-688-9530 llealth979-688-9540 Kinning9'78.('88-9535
„ONTO#
Raymond Sanfilli,
Interim Community
Development Director
Town of North Andover
Town Clerk Time Stamp
Community Development and Services Division RECEIVED
'i -PK'S OFFIC
I f� . ('E
Office of the Zoning Board of Appeals Tr1,'--J!,.
400 Osgood Street
North Andover, Massachusetts 01845
Telephone (978) 688-9541
Fax (978) 688-9542
2005 SEP 27 PM 4*- 19
TOWN OF
NORTH A,R'00V�:' '
MASS ACHU"SdETT -55
Note: The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily
ensure the granting of a building permit as the applicant must abide by all applicable local, state, and federal
building codes and regulations, prior to the issuance of a building permit as required by the Building
Commissioner.
Furthermore, if the rights authorized by the Variance are not exercised within one (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 lapse and may be re-cstablished only after notice, and a new hearing.
Town of North Andover
Board of Appeals,
Ellen P. McIntym, Chair
Decision 2005-022
M81P30.
Page 2 of 2
13,)ardof.kppe.ilsl)78-�389-9541 Building9-78-688-9545 Cow,cr-ation978-688-9530 H,:a1tfi978-(.38-95-10 Planning978-(,,88-9535
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REFERENCES
ESSEX NORTH DISTRICT
REGISTRY OF DEEDS I CERTIFY THAT THE FOUNDATION AS SHOWN WAS
PLAN BOOK 230, PAGE 600 LOCATED IN THE FIELD AND COMPLIES WITH THE
DEED BOOK 2810, PAGE 277 VARIANCE GRANTED BY OF THE TOWN OF NORTH
DEED BOOK 882, PAGE 124 ANDOVER.
gNOFIIgq
DEED BOOK 1466, PAGE 260
DEED BOOK 781, PAGE 191 JAMES
w
y<
ASSESSORS
MAP 20381 PARCEL 30 LOT 157&158 JAMES W. BO �I52E� DATE
ZONE; R4
SUM
NOTES:
SEE ALSO PLAN OF LAND
LOCATED IN NORTH ANDOVER, MA
OWENED BY PETER D. COX FOR
VARIANCE DATED JULY 13, 1995
BY BRADFORD ENGINEERING CO.
SEE ALSO PROPOSED ADDITION
TO THE COX RESIDENCE 30
PROSPECT ST. NORTH ANDOVER,
MA DATED MAY 30, 2005 BY
AFAB ENTERPRISE.
ALFIO FINICCHIARO MARGARET A. 8 WILLIAM D. O'CONNELL
#25 WENTWORTH #33 WENTWORTH
90.00'
i
I• LOT 157 & 158
7.845 S.F.
22'
28.4'- IgTING N 4.6'
_EX
12.5' DECK o P'
CA
--- i
------ 9.3'
N......... /
.......'
KENNETH A. &MARGARET °---------.STING 1/1 N TOM 8LIGo
SA BURKE � EXI
LAMBERT a' RYWQOD W #42 PROSPECTgYO
#22 PROSPECT CN,,r
- - ----•-_-
g.0 / '
_.- —
12.0' 0 18.6'•37.56 —19..4
o0
FOUND TIONI 5.1
I ONLY PETER D. COX
°°i NI #30 PROSPECT
0I r''I
� I
�— 90.08'
PROSPECT STREET
P L A N OF LAND
,qH OF�R�
N
NORTH ANDOVER, MA
z JAMEF
B,UGIOUK~
a
- _ , o
NO. 30 PROSPECT STREET
JAMES W. BE 9529 DATE
OWNM/APPUCAN .. PETER D. COX R4
AS-BUILT #4
DESIGN®: DL
BRADFORD ENGINEERING CO. SHEET 1 OF 1
3 WASHINGTON SQ. REVISIONS BY
HAVERH I LL MA. 01830
DRAWN: DL
CHECKED:
AP
JWB
PINE 978 373-2396
( �
FAX' 978 373-8021
� �
E- L
bradford.engr®verizon.net
SCALE:
1 = 20
DAZE: NOVEMBER 15, 2005
ME IE �AVERHILL\DWG\30PROSPECT STREET.DWG
FILE NO: 58263
> Arc
40Zoning Bylaw Denial
Town Of North Andover Building Department
400 Osgood St North Andover, MA. 01845
Phone 9784U41546 Fax 9789889542
Street:
please
� 3 n OS, P 9 e S.
Ma Lot:
D
Applicant:
f CW)r
Request ues
�emvu� � F� A(aCe
Date:
oS
1 P711 a /0-5—
Please be advised that after review of your Appucat ion ana mans umi your owi nn•• was .4P
DENIED for the following Zoning Bylaw reasons:
7nninn )F -
Item
Notes
Site Plan Review Special Permit
Item
Notes
A
Lot Area
Lot Area Variance
F
Frontage
CongreWe Housing Special Permit
1
Lot area Insufficient
Special Permits Zoning Board
1
Frontage Insufficient
Large Estate Condo Special Permit
2
Lot Area Preexisting
S
2
Frontage Complies
R-6 Density Special Permit
3
Lot Area Complies
3
preexisting frontage
'-- S
4
Insufficient Information
4
Insufficient Information
B
Use
5
No access over Frontage
1
AllowedG
Contiguous Building Area
2
Not Allowed
1
Insufficient Area
3
Use Preexisting
2
Complies
4
S alPermit Required
y s
3
Preexisting CBA
e s
5
Insufficient Information
4
Insufficient Information
C
Setback
H
Building Height
1
All setbacks comply
1
Height Exceeds Maximum
2
Front Insufficient
2
Complies
�s
3
Left Side Insufficient
3
Preexisting Height
4
Right Side Insufficient
4
Insufficient Information
5
Rear Insufficient
I
Building Coverage
6
Preexists setbacks
s
1
Coverage exceeds maximum
7
Insufficient Information
2
Coverage Complies
D
Watershed
3
Coverage Preexisting
c 5
1
Not in Watershed
y e- s
4
Insufficient Information
2
In Watershed
j
Sign
ar
3
Lot prior to 10/24/94
1
Sign not allowed
4
Zone to be Determined
2
Sign Complies
5
Insufficient Information
3
Insufficient Information
E
Historic District
K
Parking
1
In District review required
1
More Parking Required
2
Not in district
S
2
Parks Complies
s
3
Insufficient Information
3
Insufficient Information
4
Pre-exisfing Parking
Remedy for the above is checked below.
Item 4 Special Permits Planning Board Item 0
Variance
Site Plan Review Special Permit
Setback Variance
Access other than Frontage Special Permit
Parking Var�nce
Frontage Exception Lot Special Permit
Lot Area Variance
Common Driveway Special Permit
Height Variance
CongreWe Housing Special Permit
Variance for Sign
Continuing Care Retirement Spectral Permit
Special Permits Zoning Board
IndepwWord Elderly Housing Special Permit
Spwial Permit Non -Conforming Use ZBA
Large Estate Condo Special Permit
Earth Removal Special Permit ZBA
Planned Development Distrid Special Permit
Special Permit Use not Listed but Similar
Planned Residential Special Permit
Special Permit for Sign
R-6 Density Special Permit
Special Permit prewdsting nonconformin
Watershed Special Permit
b
i
The above review and attached mpIanation of such is based on the plans and information submiMed. No definitive review and
or advice shall be baaw an verbd sal, " 1 r - by the a *Mw t nor shall such verbal explanations by the appbcard serve to
Provide deferitivs armftm ioMrs sbave n ww for DENIAL. Any inaccuracies, mials" g irforiraW , or odw subsquerd
changes to the infornrrion SL&nitsd by the applicant Uri be grounds 4or this review to be voided at the discretion or the
g DaPartrrrerrt. The dtachad dourrrratd tW@d *Rnn Review Narrative' shall be a WdW haraitio acrd incorporated herein
by reference. The buildkV daparknu t wiM ralain d plans.and doua mMlon for the above fie. You mwt Me a new building
Parft application form and begin the permitlirg procaas
-Building Department Oficial Signature
zm s,-1;711
Applickfion Received Application Denied
Denial Sent: If Faxed Phone Number/Date:
IM ONlalins
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uass!wuXYJ IBDUGis!H
suluusld
qmM o!Igod to VAwPKI9a
UOMMOsuoD
Pm9 Buluoz
"10d
4WwH
OWAI J
:01 POAMWII
:ep!s GMABl etpl uo powNpul Avedoid e4i Jol pLLued
/uo!modde e4l jol le!uep jol suosM eyl uleWe jetWnl of peplAo)d sl GAIMUou Bu!mollol 841
AAPaLMN MAIAGH U91d
/,I /Y 0111
/�
No, -V' �.�� 5�9, a ✓iv� //J a .i /n d./
47 q 144 V
:ep!s GMABl etpl uo powNpul Avedoid e4i Jol pLLued
/uo!modde e4l jol le!uep jol suosM eyl uleWe jetWnl of peplAo)d sl GAIMUou Bu!mollol 841
AAPaLMN MAIAGH U91d
,;� -1
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAI$ RENOVAT!� OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUELDING PERMIT NUNMER: DATE ISSUED:
SIGNATURE:
Building Commissioner/IRELmctor of Buildings Date
SECTION 1- SITE INFORMATION.
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
Map Number -Parcel Nurnbcr�
1.3 Zoning Information:
1.4 Property Dimensions:
9 _�;j
�r �W,_n I
-1
—A
Zoning District Proposed Use
_Z�
Lo('Area (sf) Froritage (ft)
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide LeT-red Provided
Required Provided
1.7 War. ;rly M.G.L.C.40. 54) 1.5. Flood Zone Information:
zone
1.8 Sewerage Disposal System:
Public Private 0 Outside Fl.M Z.. V'
muniip.1 On Site Dispml System 0
SECTION 2 - PROPERTY OWNERSHW/AUTHOR ZED AGENT
01strict: res _1qu
2.1 Owner of Record
N=5�(Prin!) Address for Servicf:
i/�
-nature'
"Sig Telephone
2.2 Owner I of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Not Applicable 0
Licdnsed Construction Supervisor:
License Number
Address
Expiration' Dat6
Signature Telephone
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
Regi aion Number
Address
Expiration Date
I Signature Telephone
r;i
�0
j,
I
I _"
SECTION 4 - WORKERS COMPENSATION (MG.L. C 152 § 25c(6) I
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 ....... V No ....... 0
SECTION 5 Description of Proposed Work (check all applicable)
New Construction 0 1 Existing Building 11 1 Repair(s) 0 Alterations(s) 0 1 Addition
Accessory Bldg. 0 Demolition V Other 0 Specify
Brief Description of Proposed Work:
11111 M!"N I I 1 11111111 111 111VOW12
FF
I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
1M, "t, Sk 44
AV g".
51;
1. Building
Q
(a) Building Permit Fee
Multiplier -
2 Electrical
S_).
(b) Estimated Total Cost of
Construction
Plumbig
o'
Building Permit fee (a) x (b)
-3
4 Mechanical (HVAC)
Fire Protection
-5
6 Total (1+2+3+4+5)
11164_0e;16;
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
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 _J
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
D _L
I, 4e- 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
Prin
Si at7-- -of Owner/A.4ent Date: 7-
-NO. OF STORIES SIZE
BASENMNT OEMW ND
SIZE OF FLOOR 11NMERS is�' .22W2
SPAN
DRAENSIONS OF SILLS
DINIENSIONS OF POSTS az'QI&
DRSAENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHININEY
IS BUILDING ON SOLID OR FHLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE