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HomeMy WebLinkAboutMiscellaneous - 35 EVERGREEN DRIVE 4/30/20186-'-- -:041 X'- �?. is •,� ''a'N' Y ;17e�'pAc "7-: ,.y,:,,�� s# ..Fi-: r mow.• .r •:r� s � 1�J'--�. } ; Building/Frame Permit Fee $ v 1'�s' •�� Foundation Permit Fee. $ . sAC MUSE Other Permit Fee )1,5N_U $ v2� s Sewer ConnectionFee $ ►�- ;, Water Connection. Fee $ZA TOTAL-_'- �i�7�7 11i u Building=!-9orp 01 22;;lm Diva Public. 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SCOTT Director Town of North Andover of NORTH OFFICE OF 3? y.�' `' °'6 �< COMMUNITY DEVELOPMENT AND SERVICES 60.- 41 - 146 .- 146 Main Street • "s North Andover, Massachusetts 01845 ,_ ° Ovv In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit p Number is that the debris resulting from this work shall be disposed of in a er y icensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: \�• I �,� •a. iAIH (o ation of y1fityl Signature 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. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 r N2 3345 SA US This certifies that Date .... A ...� ...... k ......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING .............................................................. has permission to perform— ............................................................................. wiring in the building of .. .................................... ...... .......................... at .... ...... ................... .. . North Andover, Mass. ........................... Fee7� ............... Lic. 'No E-- C--r-RICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealth of Massachusetts Official Use only �' - - — Department of Fire Services Permit No. 6, 49 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 leave blank ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MECO 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMA77011 Date: q-61-61 City or Town of: n6,0 Vt(- To the Inspector of Wires: By this application the undersignedgives notice of his or her intention to perform the electrical work described below. Location (Street & Number) w{ E t e�,. mr T (-k „p Owner or Tenant � Wr MSIJ \+`• Telephone No. T( -. Owner's Address Is this permit in conjunction with a building permit' Yes No (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps ! Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r- ro Completion orthe collo tab! b ed .ek -7519 No. of Recessed Fiztnres `No. nR of Cei1-Susp. (Paddle) Fans a may a wary by the Inspector oOrtres. No. of Total Transformers KVA No. of Lighting Outlets INo. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ in- ❑ rnd. grnd. o. ol hmcrgcnvv cgnung Battery Units No. of Receptacle Outlets INo. of Ort Burners FIRE ALARMS INo. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices O No. of Waste Disposers Heat Pump Totals Number Tons ICW No. of Scifontained Detection/Alerting Devices No. of Dishwashers Space/AreaHcating KW Local ❑ Municipal ❑ Other Connection No. of Dryers No. of Water Heaters KW Heating Appliancesccunty b -VP o. of No. of Siatrs Ballasts vby stcros: No. of Devices or Eouivalent �S Data Wiring: No. of Devices or Eouivalent No. Hydromassage BathtubsNo. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER attaai aaa1110nai detail !rdesired, oras required by the Inspector of {fires. 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 odtibited proof of same to the pertnit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work $ (When required by municipal policy.) (Etpiranon Date) Work to Start q -as-01 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties ofPerjury, that the information on this application is true and complete FIRM NAME: ADT Security Services_Dr.,,J.o11 ks NH 03049 LIC. NO.: 1533C Licensee: John S. Bassett Signatu IC. NO.: - 1533C (If applicable, enter "exempt" in the lieensenumber line.) Bus Tel. No.:_503 594-5900 Address: Alt Tel.No.:_603 594-5928 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 _ Signature Tc qc one No. PERMIT FEE:.S 35' VU Date. . A 3?�epR7.��aL TOWN OF NORTH ANDOVER CL O t Y PERMIT FOR PLUMBING Y off. ♦. SAcwUS x. This certifies that o l ...................... �. has permission to perform .. A7-J4i. (.'q0 .... .0. !. o plumbingin.the buildings of ..!T. .�!;1 ...... p1 .............. {•. at. ....:�% V, y.� ... I� G2........ , North Andover, Mass.CU Fee . 5. .:. Lic. No... 75. . ........................ Vl PLUMBING INSPECTOR -3,7 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer .e:�:„1;..-5�-.,�_<#..;.-_.,�..-.._•�r-1....�.....r....-,s..w..�..,�,..:.."'.r _,-+..z Z::ei.`�...,.,-. �s'1 :� �r,�__�= �-„x.x�"?nt�..w _.w,....,,�:k. e _,�.. ..-.......,_ .�„_. _w.. .,...._ ►SSACHUSETTS U141FORM APPLICATIOWFOR PERMIT; TO 'pLuMg�ry� , (Type or Print) ' r ? :,• , ,; NORTH ANDOVER ,Mass. ..':�:<: ` `• • Date. V! Building Location b�, Lv��C� aw ��,u r Permit I T. Owners Name 2) New D Renovation Replacement Plans SVbmitted l=1YT11RFC ':.. (Print or Type) Installing Company Name La , Zlpvv, Address Business Telephone 67 7 7- 73 S 3 Name of Licensed Plumber: Check one: Certificate (� Corp. Partner. Cj Firm/Co. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy E] Other type of indemnity E Bond Insurance Waiver: I, the undersigned, have been made aware -that the licensee of 1 this lication doe n t have any o of the above three insurance coverages. r h Signature of owner agent of properW Owner AgeneN 0, ) I timbr C'eltify 9441 all of die details and inforntalion 1 have submitted (Or cntctcd) in ahmc application ale floe attd sale to Uta bast M Mir —• - knowledge and that all Plumbing walk and intlallatinni locr(nrntcd undo percent 1%sucd for this Wlkalioa taiU be k toNt(tWgp Wilk ay palkw* Ps.,i visloea at *A Massaeltusells Slate Plumbiag Code and Chaplet 142 of lite Genual UW r • • , .I* By. Title• City/Town: .AnoPr)vrn 7eFFICF USE ONLYI Signature of,Licensed Plumber Type of Plumbing License License Number ® Master ❑ JourneygAmtl Z :. z z 0 Y . N . w Y V3 O V z a a rn - z of _moi 4 P cc • .a tL = � fa •' O 010¢ X a. c o— w t- W a, 1-..0 Q W a4 at x z a: U. Z 2: • . O Z O C2 7' aCC a W¢ < a w z a 4 a z a s W, 10 w OC w W z< W � m O 0 Z 7C K m a cc - J 4 3d O w D st w >e W • i t- V Y 7C N O CL O . t!f z O s p (A z z < W k" O V x N N S1.18-nBSMT. BASEMENT 1ST FLOOR t 2HO FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR ' STH FLOOR (Print or Type) Installing Company Name La , Zlpvv, Address Business Telephone 67 7 7- 73 S 3 Name of Licensed Plumber: Check one: Certificate (� Corp. Partner. Cj Firm/Co. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy E] Other type of indemnity E Bond Insurance Waiver: I, the undersigned, have been made aware -that the licensee of 1 this lication doe n t have any o of the above three insurance coverages. r h Signature of owner agent of properW Owner AgeneN 0, ) I timbr C'eltify 9441 all of die details and inforntalion 1 have submitted (Or cntctcd) in ahmc application ale floe attd sale to Uta bast M Mir —• - knowledge and that all Plumbing walk and intlallatinni locr(nrntcd undo percent 1%sucd for this Wlkalioa taiU be k toNt(tWgp Wilk ay palkw* Ps.,i visloea at *A Massaeltusells Slate Plumbiag Code and Chaplet 142 of lite Genual UW r • • , .I* By. Title• City/Town: .AnoPr)vrn 7eFFICF USE ONLYI Signature of,Licensed Plumber Type of Plumbing License License Number ® Master ❑ JourneygAmtl Location No. Date 40*Tpl TOWN OF NORTH ANDOVER O 10' Certificate of Occupancy $ .rS CHUS Building/Frame Permit Fee $ Foundation Permit Fee $ 1:� 3C) Other Permit Fee '44 $ TOTAL $ 30 Check # 17345 Building Inspector TOWN OF NORTH ANDOVER - BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING u BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: (( Building Commissionerfl for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 357 471496nf,&N brz. 1.2 Assessors Map and Parcel Map Number Number: Parcel Number Iv ` 4 N/Uyi-2 1.3 Zoning Information: Zoning District Proposed Use Address for Service: A� 4&t)1, V f, {l k"r4 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS ft 2.2 Owner of Record: Front Yard Side Yard Rear Yard Required ide Required Provided Provided #54) SECTION 3 - CONSTRUCTION SERVICES —Required 3.1 Licensed Construction Supervisor: 1.7 Water Supply M.G.L.C.4 Public ❑ Private ❑ 1.5. Flood Zone Information: Zone Ontside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service: A� 4&t)1, V f, {l k"r4 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: Z License Number SbVAAJ73A./ 6tllk-e meJ ti Address 7,F0' 7604—ytS2>D Expiration Date Signature Telephone X3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date St nature 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 ....... 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 t 1` Brief Description of Proposed Work: &-e et If- evpl I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed b permit a licant ISE@(+1I:Y d� 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, 79-yij� hAl 69n1J' z1 Z£Ao?-111— ,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 &4&A– Pr tN me ature tf Owner/A ent Date / NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvMERS 1 2 ND3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS 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 i The Commonwealth of Massachusetts Department of Industrial Accidents office ofiolvestigalioos 600 Washington Street Boston, Mass. 01111 Workers' Compensation Insurance Affidavit Il ljs ..J own" w city phone x ❑ 1 am a homeowner performing all work myself. ❑ I aro a sole proprietor and have no one working in any capacity am an employer providing workers' compensation for my employees working on this job. C0mnanY naBmc: A>= I—F-,--x4 N R4,t zy z-,'f/V�A- addt'ess: 1.315;7 _FPV4N7-01✓ JT city: / yl"- l✓fS %l /L M4 !/Zif o phone tf: 79A 7,-24- �IA Dy ittsntattct co. A 7 / , policyif 701z) i zI G C) /Z ,-, L L (] I am a sole proprietor, general contractor, or homeowner (circle one) and have hired the contractors listep below who have the following workers' compensation polices: cQmnanv narne; address: city: phoneg insurance co. j1011 :f Attar a aitsoa■ _i_ tsiatecman Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1S00.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a COPY of this statement may be forwarded to the Office of Investigations pf the DIA for coverage verification. • 9 I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Print name _�, N� �l a/\.�— Phone q %W /- 11'aJ - �LD b i--> official use only do not write in this area to be completed by city or town official CIry or town: O check if immediate response is required contact per -son: (....e.d IMS PIA) permit/license K —Building Department oLiccnsinQ Board OSeleetmcn's Office OHealth Department phone p; mother BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 060219 B i rt h d ate : 04/27/1954 Expires: 04/27/2005 Tr. no: 9542 Restricted: 00 MARK TRAI NA _ 33 HANFORD RD STONEHAM, MA 02180 Administrator 4 -E r —4� 0U) (D CD T M z T C: 0 2) C) (D y co 0 mem m m Z C) G) M 4 z 0 m 0 (0--l- CD QLZ�(A = . 2 0 (D m 0 (n m CD 3 0 O M -CL'' 0 C> -h- 5D< z CD 0 - PVCL 0 M > 0 m m -1 -j� , r* (D -:3':0-3• -0) Z 0 = -..-- -- It Z =M-Q)cf) Z K 0 6D. 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Building Inspector t:, TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING >r x BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/IES=tor of Buildings Date SECTION i- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map umber Parcel Number Norm /) n 1'bo veK r ,� 114 • /� i 11 J 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Required Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: Public 0 Private 0 Zone Outside flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSIIIP/AUTHORIZED AGENT 2.1 Owner of Record PAuL V. T>AViS ZI J-V1,,%2ffAZf,) DR)✓j-, N ��yej2 Name t) ('^(, \\� 7���n X^• Address for Service 94 ' �' (� C�✓�/✓tl V r�� �� �� 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: R-7 3 /.j7� / /1 � Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone OR 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 ....... 0 SECTION 5 Description of Proposed Work(check a[I applicable) New Construction ❑ Existing Building 0 Repair(s) ❑ FAlterations(s) ❑ 7tion 0 Accessory Bldg. ❑ Deinolition V Other ❑ Specify Brief Description of Proposed Work: EX04V/ RF A Na 7ro p15�y 2) 49 past 0P nl i N 6'ro VIVb SWiMrAN - DOL. 61meNsims l,F'X 36") &MOte &/i�V[l/,11'ill. LA)k EPOCC, OeoAely o NTJt Jlln(L_ t;1Vc, _ ANP All Acc 01-i�e5 . Fd J «i, 6,fAbJ-AoV p �reSS lv % zoo '41V.7 sno . SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY. 1. Building (a) Building Permit Fee Multiplier 2 Electrical 7 (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 OWNERSAGENTOR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner/flutho rized Agen)of subject property Hereby authorize to act on My behalf; in all ma e ttve to work authorized by this building permit application.. Si ature o 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/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TUVIBERS 1 ST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CFMV1NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i r y FORM U v LOT RELEASE FORM 0 U t 0 N CQ Poo 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 :��� ZOVOPHONE �S. .51 - //// LOCATION: Assessor's Map Number /0 % PARCEL SUBDIVISION ' �il/s/ �j��OIPJ�OT (S) �kTREET L V� �i�L ��(� IOts /,'S'T. NUMBER 2-1 **********OFFICIAL USE ONLY*********************************** RECQMMENDATIONS OF TOWN AGENTS: ___1 C SERVATION ADMI ISTRA COMMENTS DATE APPROVED % MV /4" DATE REJECTED TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm E 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 MGL c 11, S 150 A. The debris will be disposed of in: e v r o r/l -14raCl�6 Location of Facility) �- Signature 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 CA m m m x m m y d C � ■ _ _ CACD St Z vs 06 O F. O CL y "0-1 o p CD CD o CL d CD CD o CD Imm C CD y� ac y C I S v CO2 O 1CD Z St CD CD F �I C/) n O C W � o =r --q O C y O Q y = aocm .o CO) m dC09 m Z yOtC Er -c y o O m .•� m y m O O y 0-0 O O -* IE ?O 7 O O y co �. p O Oz S. In k In O y O . COD � Q:� ►�.1 C �.7��JJ CL ��_ '_- O C �: ...� CO O O y :O c 1 CL m 'G ` OL mi� la l•� y o m y y ©CL FEZ C CL J^ m WCLa. co S O y : C Cn y (n m 0 P.M oc O O 0. - ---� ZCA.v •C O �� O • C/) CD : CV) :O cn.ate13/11:3 W C Ogr: t C-2 G 0 C O �• o 0 v io omi 0 91 O o Qq ** o o ti G G 't7 Q I� -A rA H � 7d 7d io omi 0 91 v a 0 c O ** _0 ti OD �' I� -A v a 0 c < In ;u 1. 5- 5- N 2 0 F- u H Ul Z 0 i 0- Z 0 <t me 00 0.1 u W � L N Z Z O W C � t9 Z G o » , W O 0 F I • p W . 0 < Z 0 Z O • f » 0 G W W W J FF _C 0 J 0 J G ti I < 0 • » x 1► �► N V W Z I yy1I •U 0 L 17 L W W k < S L 0 i 5• 0.1 CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number 515 Date August 13, 1998 "THIS CERTIFIES THAT THE BUILDING LOCATED ON 35 Evergreen Drive MAY BE OCCUPIED AS Fami 1y siii rp IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TOJnhn k Donna A rm e r r nn a 7° ADDRESS" Every reen Dr No. Andover MA 01845 �_"`""°`� Building Inspector 9C� r. 0 c� r-bmq-""- . o m� . CC3 % ej : C H O C � O GJ d C ev ea m C of o "� a N thQ Q f E_ y-; ` :mC E ai=. c. N �p m m m � C � � m O w: t � y y C C E m v a v rm CD a ;Nm e cr `C dC t m a CO V y O i •' Z O ci �C d C C `�hmc c m :neo N ,o � m W C A52=. Mi S Z wE coa-mIDy o U a o om=c g o•- CA cm ►— CD G.=.,. m T i1 0 ►•ter N O .E L co C O co V WE L O C.) CD CL y C O O� C D � cc m �� o0 CY o, R w w a z�` a, H w r� �20-3 a ri ch z t ° � U w O W O G . o m� . CC3 % ej : C H O C � O GJ d C ev ea m C of o "� a N thQ Q f E_ y-; ` :mC E ai=. c. N �p m m m � C � � m O w: t � y y C C E m v a v rm CD a ;Nm e cr `C dC t m a CO V y O i •' Z O ci �C d C C `�hmc c m :neo N ,o � m W C A52=. Mi S Z wE coa-mIDy o U a o om=c g o•- CA cm ►— CD G.=.,. m T i1 0 ►•ter N O .E L co C O co V WE L O C.) CD CL y C O O� C D � cc m RECC11'Eu JOYCE BRADSHAW AORTil TOWN CLERK NORTH ANDOVER L' T Ps is to certiiyr trw fwetri+,� (2G} c' !vs o — 1, elapid from daw of �:fL APR � :cut fil.rtg pf an Date /t 0?3 /A9 JnyCe A. Cia :3 Baty s .•. , ism C�:..,, SA TOWN TOWN OF NORTH ANDOVER MASSACHUSETTS i BOARD OF APPEALS Any Appeal shall be filed within (20) days after the date of filing this notice in the Office of the Town Clerk NOTICE OF DECISION Property 35 Evergreen Drive John & Donna Armstrong Date: April 24, 1997 35 Evergreen Drive Petition: 008-97 North Andover Ma 01845 Hearing: 4/17/97 The Board of Appeals held a regular meeting on Tuesday evening, April 17, 1997 upon the petition of John and Donna Armstrong requesting a Special Permit under Section 4, Paragraph 4.12 (17) Table 2 in R-2 District of the Zoning By Law so as to construct a family suite at property located at 35 Evergreen Drive. ` The following members were present and voting: Walter Soule, Raymond Vivenzio, John Pallone, Robert Ford, Scott Karpinski, and Joseph Faris. Oxy The hearing was advertised in the North Andover Citizen on Marytf"hF; 1997, & April 2, 1997 all abutters were notified by•regular mail. Upon a motion by Robert Ford seconded by Joseph Faris the Board voted unanimously to Grant a Special Permit as requested under Section 4, paragraph 4.12(17) for the construction of a family suite. Voting in favor: Walter Soule, Robert Ford, Raymond Vivenzio, John Pallone, and Scott Karpinski, 'The'pe.titioner has satisfied the provisions of Section 10.31 Paragraph. .1 of the 'oning Bylaw and that the granting of this Special Permit Will, -no ad1ersely affect the neighborhood or derogate from the intent anti' purpos-e• of the Zoning Bylaw. Note: The `granting of the Variance and/or Special Permit as requested by the apiDlicant does not necessarily ensure.the granting of a Building pezrait as the applicant must abide by all applicable local, state ani"federal building codes and regulations, prior to the I. issuance of.a building•permit as required by the Building Commissioner. n r Ct Zoning Board o Appeals, 1.� William Sullivan, Chairman .A2'ke Cc -.y pfd ESSEX NORTH REGISTRY OF D DS LAWRENCE, MASS. A TRUE COPY. ATTEST REGISTER OF DEEB . FORM U - IAT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments havin have been obtained. This does not relieve the applicant and/or. landowner from compliance with any applicable 1 cal'orstate/1 w, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: r Phone LOCATION: Assessor's Map Number Parcel Subdivision Lots) Street7 St. Number v� **********************Official Use Onl ************************ C, an Q /�� RECO DAJONS OF TOWN AG` F:NTS Date Approved Conservation Administrator —�' {� ��/� J 9I�'y/ d( I Date Rejected Comments / lD VVL. /C /.[.-f ,. )%�/'� /D U 1 A_ -i 41Az„ d% A (A l' Date A Town Planner �, pproved Date Rejected Comments --k-70- E _ , . Food Inspector -Health Date Approved ., Date Rejected Septic Inspector -Health Date Approved d Date Refected Comments i Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date ..mac. +� T I !1 • . • i. � � � location: ctty phone # C] I am a homeowner performing all work myself M rain i -sole proorietorand have no one workine in anv capacity am an employer providing workers' compensation for my employees working on this job. the following workers' compensation polices: who have one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. do hereby certify under the pAs and peVIlies of perjury that the information provided above is true and correct -✓ // c-� Date /0- Print 0^ Print name TO Phone # S --09-'Y5- 3"g official use only do not write in this area to be completed by city or town official city or town: O check if immediate response is required contact person: (revised 3/95 PIA) permit/license # OBuilding Department C]Licensing Board C]Selectmen's Office pHealth Department phone #; 00ther sv. Information and Instructions 1 } 1ti 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 contract 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 receiver or 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 therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or 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 snail withhold the iouance 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, 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. er �h f n r. ��_.. .y ., k•.. r.:y kr g f a.r5�.a r d�a EZl�, 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 as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. r+y.100-11 �'n ri r n,ss4a 't>.°f s' MON N. ., City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. Department's address, tclen`;cu:-: and The zc'ni v; .. �.ms €;i1�E�� tl� �1lUe�iC9,3114@lli.'°i 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone 4: (617) 727-4900 ext. 406, 409 or 375 15'X10'SHED APPROX. LOCATION W tO LOT 2 4+ 47,300 S. F. f -P I� �! EXISTING GARAGE., i TO BE RAZED .p O rI*i r EXISTING HOUSE W 4.09 ,,-15.60'�P 34.35Ln r (q PROPOSED ADDITION / T 131.00' S.B. L 70.14' �j FOUND S.B. FOUND —w - _-;� 4.i 0 40' 80' .. vio; .'r �--� PROPOSED PLOT PLAN t� ''ber — LOT 2, 35 EVERGREEN DRIVE NORTH ANDOVER MASSACHUSETTS BOUNDARY INFORMATION WAS OBTAINED FROM A PLAN ENTITLED, PREPARED FOR: JOHN &DONNA ARMSTRONG SCALE: 1" = 40� DATE: MARCH 12, 1997 "PLAN OF LAND LOCATED IN NORTH ANDOVER, MASS. PREPARED FOR MARK HENRY, DATED MARCH 17, 1988 J.J.B. ASSOCIATES, NEW ENGLAND ENGINEERING SERVICES INC., INCORPORATED." 33 WALKER ROAD NORTH ANDOVER, MASSACHUSETTS #' 105 B W.D. BYE R.C.T. & B.C.O. JR. (508) 686-1768 d z W W cz O C C7 C. o w a 0-4 h J a v, H � a o w V)ro vp cn w p w v C U C w" GL p a C w U W p w G CX C C7 Cd �:. w o �i ' O o r m c c o 0 :.. o OC.) m m :mc :.c o :o E 4C .c m W,4 s y .:Ec k :c� j t t; cm : CMDCD CD C ' N A : � N tm s m c = c co LQ E CD 0 CLC _ m c 'Not. �► Q N V •H O OCL I.ASw o CD = m mrt...p CZ rO. W cm =... fl t ti 0 4- c H- y •= = m W•E C3 V .N C.3 O v m . CA y CL m O:8 S A h CZ Z m E E N L yr N O N c 0 m c Ca m 0 co c_ C N D w 0 Z O g 0 z O U fi � c cm O•- 0 COD O O • m CD 0 CD �3 O G O ev O a ca C '� c c O CA) 'C C. O yco ca C Z a) 0 CL V CO) O � C C C. h J suolloaS/veld uollepunoj :01111 10045 801' A7�.1-41 eoo�ovouazrxxr e.ocvarta. °LOCO *"@*A.N •.N 'POPS l."S wn CCl .1; . 4.....14 ,O..Puv 44,.N euluuald Pu l . 04-40u3 • ejnlw1142JV .AI,O ..a°.A3 :asa�PPV ioa(oLdxxx 1N3MId013A30 ONOHISWHV 'O :Laj paLedWd zzx VIV 1001140JV 401°°PLeMIS PIA°a I°Of NN a 0NOI1140V 9NOHISWHV :eweN loatoLd v, P..° N N O U/ n. > 0.e 0 no V C 0 U)N Q c N ��W C c > .0 ® � .100■O U)L. 0 0 0 0 0 C (D > 0 0 a) c U) 0M LU >C '- 0' — E 0 � L Lo 0 at w. m <mz Lo a� 0 Rw V �y wO:),Iov lx31rx8r NOC'92.'C09 09ri'.6.000 UOCO •14••W11 w.N 'w•I•g J-19 •Pw COL auluueld Pu0I • 5ulja.ulsu3 • 91n1o9114»y viv 1091!42JV yo;eMJeApS Peed mor N 0 w MINES w O _� N R� X c 30 00 rot MENEM V O vLow 0N 0 My C— �0O3 Q0 .�.+ M..0 z Maio W L L -0 0003 .or W%- 9 suolIOaS/ueld uopepunaj :ellll l004S 611•.n4 ..... Lr '—p" 41+ON :SSelppV P8101d 9AP0 u.w81.A3 1N3WdOl3A34 JNOa1SWHV '0 :loj paledald NOI110av 'JNOl11SWUV :aweN IOa(Old 9a-scgar �•N 1= •�a Mix .0-15./L al.l8 `• ' xxx xxx Nw :v.A., r 8 Nw :-4140 �+ sar ,..,a «s L6/lZ/C :NOISIA3H x e Eli bg � M sa x444 ISN A C W CL c 0 c 00 LL c m E M m ,11 a ej �; II // g fi gar C � C � _ w O g - rn N � b 0 r.. C W CL c 0 c 00 LL c m E M m a ej C C � r C W CL c 0 c 00 LL c m E M m woq-iovwlx3l.x.. ■■o■v3rm oa►►►.■vo. .LOCO •,V.d—H �" '•i•Pg l••HS mw tv1 oulw■Id pun 61ryw.v1Ev3 al4aolryary VIV 1001141JV 471•wwM1S PN•Q loot 0 0 w w O�M11 N v N .O.O 0 C V 0 0 Cy 013 N� 0 .06 M0 t0 " .� CO m.-0 +.C+ 0 � /�) M. W^ wQ CL L.0 V/ 0 .O O•C- •• 3a N0�0 L p0 0 NN ow Z M 00 W4acC 0 0•- Oc Q o Suald Bulw.id :91111 i••4S .a.u.1a.•.■Na,e .ssalPPV 7—(ald 1N3WdOl3A3O ONOHISWHV 'Q :loj paisdald NOI11O0V `JNOHISWHV :eweN ioalald II i GeSC-"r ---N P -1-,d .o-u.►n ,N.3. Y J nx 'xxx Hw a'••. v Nw :"M..43W Q Sur --q M• L6/lb/e :NOISIA3H 01 00% C 0 E N U. w E 0° 0 V 0� 0 L vW 0 � 0 c � N E LL N 0 0 LL O V •- co 0 E N 0 Q. .s m C E J 0 LLZJ` °o Wp N a LL pQ U. o LL Town Of North Andover Pro'et: ' BuildingDepartment" 146 Main St. Town Hall Annex 508-688-9545 , APPLICANT: 7�ow '6,o 1-z fie, u m owt-ir, RE:. r3 "i L 6 i m ar` ►J+✓ -7 Title of PlansandDocuments: Please be advised that after review of your Building Application is DENIED for the following reasons: Zoning Application and Plans that your Use not allowed In District r I 4 - Violation of Setback Front Side Rear Insufficient Lot Area Town Of North Andover Pro'et: ' BuildingDepartment" 146 Main St. Town Hall Annex 508-688-9545 , APPLICANT: 7�ow '6,o 1-z fie, u m owt-ir, RE:. r3 "i L 6 i m ar` ►J+✓ -7 Title of PlansandDocuments: Please be advised that after review of your Building Application is DENIED for the following reasons: Zoning Application and Plans that your Use not allowed In District Not in conformance with Phased Development Violation of Height Limitations Sign exceeds requirements Violation of Setback Front Side Rear Insufficient Lot Area Insufficient Parkin Violation of Building Coverage Insufficient Open S aceser vires permits prior to Building Permit Sign requires permits prior to Building Permit V Form U not complete by other departments Not in conformance with Growth By -Law Other Remedy for the above is checked below_ Dimensional Variance Special Permit for Watershed Review /special Permit for Site Plan Review Special Permit for sign Com lete Form U sign -offs Copy of Recorded Variance Information indicating Non -conforming status Copy of Recorded Special Permit Other Other Plan Review The plans and documentation submitted have the following inadequacies: 1. Information Is not provided, 2. Requires additional information, 3- Informetinn rentiimq mora Hwifiratinn d Infnrmatinn is inrrvrnrf A All i f fk- I--- # # Foundation Plan Plumbing Plans Subsurface investigation Certified Plot Plan with proposed structure Construction Plans 127 Affidavit Mechanical Plans and or details Plans Stamped by proper discipline Electrical Plans and or details Framinq Plan i Fire Sprinkler and Alarm Pian Roofin Footing Plan Plans to scale Utilities Site Plan Water Supply Sewage Disposal Waste Disposal Other ADA and or ABBA re uirements Administration The documentation submitted has the following inadequacies: 1. Information Is not provided. 2. Requires additional information. 3- Infnrmatinn raniiirP_c mrva riartfir-nfinn d Infnrmnfinn is inr.v 4 Q All ..i #k—".e The above review and attached explanation of such is based on the plans and Information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new building. permit application form and begin the permitting process. Building Department Official Signature Application Received Application Denied q—_24— g Z If Faxed Denial Sent j Referral recommended: i Fire Health Water Fee Vj I State Builders License Sewer Fee V I Workman's Compensation /Building Permit Fee Homeowners Improvement Registration Building Permit Application rJ c Homeowners Exem tion Form Other Other A N Se_ N The above review and attached explanation of such is based on the plans and Information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new building. permit application form and begin the permitting process. Building Department Official Signature Application Received Application Denied q—_24— g Z If Faxed Denial Sent j Referral recommended: i Fire Health Police,Zoning Board onservation V Department of Public Works Planning Historical Commission Other cc. vvnuarn ocutt t iff r T Y 'r Pian Review Narrative The following narrative is'Vovided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: �cidela M R®t�r�hc�L �.Ir/;iRYt;lY(j�� d " �n}'Qi�1V ii t Y,{'� a4�u cI fl.+SLr{TSi��f ME'1�4 i`.tk�d.ximRi +�*+�rar��ir�FG�,�t e�5 ': liI ��5 aI 1 i a7 $3 y4ky JJy 1 �. -,.;^ 1 ..�1,a Ii. �.41, 4�!4 .. �.rt r..'G -.;. 91"�.' ^.�'.`6'�7:,?S" . eFt;..t31e..dy { r 1 i q, .. i ,