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Home My WebLink AboutMiscellaneous - 35 MERRIMACK STREET 4/30/2018I �� LOOZ/6Z/Z' , INOOMO uoislAia swlelO vnldW -aagwnu any jo wielo pue ssol to alep 'aagwnu Aollod 'uoileool 'painsul pauoildeo aql of aouaaalaa a apnpui pue aal!jm aql to uollualle aql of li Imp aseald 'aleudadde sl 8£ uoiloaS 6£ 6 aal eq0 smel lejaua0 sllasngoesseW aapun aoilou Aue ll -algeogdde aq of g uolloas £til. aal eqO smel leiaua0 sllasngoesseW asneo jo 00.0006$ paaoxa jaglia Aew golgm '}iadoid pauolldeo anoge aql to uoilonilsop io eBewep 'ssol BUTAlonul epees uaaq seq wiel0 OS£8£Z :aagwnN wlelO LOOZ/06160 :ssoi;o wa wiolspuiM :ssol adAi 8LL06LO :aagwnN Aollod Sb860 t/W '83AOaNd Hi2ION '1S �iOVhld I3W L£ -S£ :ssaippd Alaadoad 011 31NOH Wd3Wn W NOW3W N3388 :paansul :ail NRAOGNV F AOI looz L z 83d 8£'oaS 6£6'gO sMel -uaO -sseW aapun Buippq of ssol AllenseO to 8011ON to UN Sb860 b'W N3AOaNV H12i0N llt/H NMOL d3A0aNd H12i0N 1d34 H1Td3H 213AOONd H1�ION VZb8-6S8 (008) Xd3 '8069-26£ (008) AIuO LW 008£-£ZL (L 69) b066-806ZO spsngoesseW `uo)so8 ezeld Ja;uaO onnl NOIldI00SSV 9NlllNMN3ONn 3ONnnSNl 11INUONd S113snHovss 'W The Commonwealth of Massachusetts North Andover ( City of Town ) Department of Fire Services Office of the State Fire Marshal P. O. Box 1025 State Road, Stow MA 01775 PERMIT Permit No ( If Applicable ) In accordance with the provisions of M. G.L.14 8 Chapter_]_a_ as provided in section—U-1--C-MR 34 This Permit is granted to: / ! ,/y 7 Y Date: /d, — zxYS Dig Safe Num er Start Date /� Full name of person, Finnor Corporation Permissionto locate dumpster for construction/renovation/demolition of building Comments: dumpster must be. 25' from structure if unable to place with required Restrictions: clearance dumpster must be covered with plywood or tarp end of work 'day at c� 5 / LL IfA'�' /%✓ %C' /Z- c J ( Give location by street and no., or describe in such manner as to provied adequate identification of location ) FeePaidS 50.00 / Fire Chief This Permit will exire p �� tit �� (Signature of offical grantmg permit) Offical granting permit (Title ) IPF.R-m r NO. 6/(0 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP KBO. D I LOT NO. 0 d 0 1 2 RECORD OF OWNERSHIP iDAT�IBOOK PAGE ZONE SUB DIV. LOT NO. — LOCATION 2-5- me rr'I- S-�., a", ,, y PURPOSE OF BUILDING+ J -)=-X40 GYIr I I OWNER'S NAME _ �$�G �� - p /,,��f��l•l/J NO. OF STORIES SIZE OWNER'S ADDRESS 2G�I-, _ . / BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME _ SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY, IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS , SEE BOTH SIDES /.cT-z'7' SI' I DE'cyao�(:NG PAGE 1 FILL OUT SECTIONS 1 - 3 pJH �� e�pu� as�cR'oto/'-C. PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS `/PLANS MUST BE FILED AND /jAPPROVED BY BUILDING INSPECTOR I D E I L E D i - . TURE OF OWNER OR FEE�� AGENT PERMIT GRANTED QQ//' Aw 3 PROPERTY INFORMATION LAND COST ,'EST. BLDG. COST?jw U . 6v EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPlCTOR OWNER TEL. #/.7 d 6 �o 3 t/ CONTR. TEL. # CONTR. LIC. # H.I.C. # Ck* r�t83 / o �'� BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH 3 I 2 ( 3 PINE CONCRETE CONCRETE BL'K. BRICK OR STONE HARDW— PIERS PIASTER _ DRY YJALL UNFIN. 3 BASEMENT AREA FULL FIN. B M'TAREA 'J. 1/1 % FIN. ATTIC AREA _ N_O B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 3 �_ _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING HARDW D COMMCN ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MAS N Y ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. WIRING SUPERIOR 1.1 POOR _ ADEQUATE NONE 10 PLUMBING STONE ON MASONRY STONE ON FRAME 5 ROOF GABLE GAMBREL I� I HIP BATH (3 ) MANSARD TOILET RM.M. ( FIX.) _ FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR 6 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR _ TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GOA` B'M'T 2nd _ lit 13rd I ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. -1-i ON 7-4 W cd w 0 u � U z acu� c v 9a U w x W w w x W a rx c iw 00v o w G w x � cg z � V) v E cn 0 E ir N t N :O O N C cm m D7 c m O ca C QC N O t_ O z 0 g O M �z �a wo P-4 O Z 0 O I CO) a) y E a, L- CD CD Q _cc CL CO) 0 V .y C O V cc C CO)cts CL c o V V d� ' d C O C �o 'C c CDM � E o0 MV gy�pp: Y': y cm N- W m � m J l •lC vle: cla p • , y C � y �F o f ` c mci m � t c s� N y ca z i y C IrDO F- CO) W C ms~ r=•+ Z7 L i A W A C N �EN Z w Lu a roc CO3 = Go> O0 N lCl d= m E ir N t N :O O N C cm m D7 c m O ca C QC N O t_ O z 0 g O M �z �a wo P-4 O Z 0 O I CO) a) y E a, L- CD CD Q _cc CL CO) 0 V .y C O V cc C CO)cts CL DEMOLITION OF BUILDING AFFIDAVIT 120 Main Street, 01845 (508) 682-6483 DATE �,�-e c'" ` /�c�i Id, J g y 4 OWNER' S NAME & ADDRESS 1 i? 6 E A) �4 ,k.4e OL/ 3.1- ni c c r,'rn tee. k S ,d Amada 1 ntA - o �-1 �- LOCATION OF PROPERTY TO DEMOLISH DESCRIPTION CONTRACTOR'S NAME & ADDRESS DEPT. OF GAS G ELECTRIC TAXES DEPARTMENT SIGN—OFFS WATER: SEWER• GJ A PUBLIC WORKS — "'EXTERMINATOR DUMPSTER — ON/OFF STREET_ �v>/,+ DIG SAFE NUMBER DATE RECD BLDG. INSPECTOR KAREN H.P. NELSONr DirectorApIllth s Town of NORTH ANDOVER BUILDING �,' ••::.; �-;• •'"" CONSERVATION e DIVISION OF AL PL NINNNG PLANNING & COMMUNITY DEVELOPMENT DEMOLITION OF BUILDING AFFIDAVIT 120 Main Street, 01845 (508) 682-6483 DATE �,�-e c'" ` /�c�i Id, J g y 4 OWNER' S NAME & ADDRESS 1 i? 6 E A) �4 ,k.4e OL/ 3.1- ni c c r,'rn tee. k S ,d Amada 1 ntA - o �-1 �- LOCATION OF PROPERTY TO DEMOLISH DESCRIPTION CONTRACTOR'S NAME & ADDRESS DEPT. OF GAS G ELECTRIC TAXES DEPARTMENT SIGN—OFFS WATER: SEWER• GJ A PUBLIC WORKS — "'EXTERMINATOR DUMPSTER — ON/OFF STREET_ �v>/,+ DIG SAFE NUMBER DATE RECD BLDG. INSPECTOR r Town of North Andover NCRTN OFFICE OF 3� o; `•' �,o L • COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT s,r,o 9S ACNUS Director In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number (o!(o D 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 111, S 150A. The debris will be disposed of in: I � ajc.L-t�- (Location of Facility) Y'It� n7 Signature of Permit Applicant 1-7- //(, /y G Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. 1 OARD OF APPEALS 688-9541 WELDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Terminix Invoice One Month's FREE Pest Control Service See Attached Card For Details. c Total Due Amount Paid ❑ Cash ❑ Check Retain this copy for your records. Service/Inspection Report ❑ Initial Service ❑ Regular Service Extra Service Branch Account Rt. Telephone 194 1sAmount Grid S. Day F Production Time scheduled I In/Out 32"6361 -800 -TELL (1-800-835-5869) OR CONTACT US BY E-MAIL ❑ Check terminix@www.terminix.com ❑ Cash Service Property At Kry 1$ 31 Qn Service Center K j --c n/ 3 W A 1C fl S /Y ii u p Operator Name & Certification Number Supervisor Name & Certification Number Target Pest(s): C, T1 Carpenter Ants LIT2 Cockroaches ❑ T3 Ants ❑ T4 Fleas ❑ T6 Silverfish ❑ T7 Spiders T8 Ticks ❑ T9 Wasp Nest /T18 Rats T19 Mice ❑ Other: ❑ Other: Service Areas: Inspected Treated Pesticide(s) to be applied MFG & EPA Tic Amount Equip. ❑ R1 Kitchen: ❑ ❑ ❑ H24 PT 279 Engage (Chlorpyrifos) 0.5% WHITMIRE ❑ R2 Bath(s): ❑ ❑ ❑ H38 Roach Flushing Insecticide (Pyrethrins) 0.5% PARAGON 4758-125 ❑ R3 Living Area(s): ❑ ❑ ❑ H4 Dursban Pro (Chlorpyrifos) ❑0.25% ❑0.5% D627ELANCO Ll R4 Basement: ❑ LI❑ H11 Conquer (Esfenvalerate) L30.027% 00.05% 1021-16419-166 1-6 076 ❑ R5 Attic: ❑ ❑ ❑ H13 Catalyst (Pro Petamphos) 0.5% 27 aDOZ ❑ R6 Crawl Space: ❑ ❑ ❑ R7 Garage: ` 9 NZ. Ii H23 ❑ H6 Tempo 20WP (Cyfluthrin) 0.05% Ficam W (Bendiocarb) ❑0.025% 00.5% BAYE o r, X/j 6 AGREVO 45639-1 ❑ R8 Exterior Areas: ❑ ❑ ❑ H21 TKO (Diazinon) 0..5% WHITMIRE 499-330 ❑ R9 Other: ❑ ❑ ❑ H7 Gentrol (Hydroprene) 0.125% 272SAN7D050809 Supervisor's Comments _ n � N % 7 /[ G A A A G c 'T V R t. N 4 �1' j� 51 G IV �%% b y 5 �%` ` -7 o R 0 N -7 A L -tel V1 -T y . f i n n -7 6 C, 1t 04., LI/, (-Tf- f7 1 \ R RU ISE N7 G LN -7R c, ❑ H12 Precor (Methoprene) 0.008% SANDOZ 2724.352-50809 ❑ H2 Drione Dust (Silica Gel 40%/Pyrethrins 1%)AGREVO 4816-353AA ❑ H5 Ficam D (Bendiocarb) 1% ass 9v0 LJ H3 Dursban G (Chlorpyrifos) 0.5% suRECG 769-662 ❑ H8 Maxforce Roach Bait Stations (Hydramethylnon)1.65% LO eOi ❑ H27 PT 310 Avert Roach Bait (Avermectin) 0.05% 4 IT294E ❑ H58 Zone Defense (Orthoboric Acid) 64% 4475° 3 ❑ H48 Rozol Parafin Blocks (Chlorophacinone) 0.005% L7173 TECH ❑ H2O Talon G (Brodifacoum) 0.005% 0ENECA 1182-336 H49 Maki Mini Blocks (Bromadiolone) 0.005°% LIP732E02H FG ❑ H18 Maki Bait Packs( Bromadiolone) 0.005% LIPHATECH 7173-188 Treatment Code: C = Crack & Crevice S = Spot G = General B = 3' Band SP = Space V = Void ❑ H16 Glue Boards Equipment Code: F = ULV B = Bait Stat. B & G = Comp. Air T = Trap HD = Hand Duster A=Aerosol = LIH 17 Ketch All/Tin Cat (Curiosity Trap) ❑ H19 Snap Traps ❑ H99 Insiders Special Service Instructions: ❑ Treat for infestation/Preventionr or inspect /aN Y GvN URNS GAt L 1�SG0) T CUSTOMER COPY lgnature Date SeAh�7UNR�ESOLVED j x 1-26 194 1sAmount PROBLEMS? Paid� CALL 1 TMX -800 -TELL (1-800-835-5869) OR CONTACT US BY E-MAIL ❑ Check terminix@www.terminix.com ❑ Cash Kry 1$ 31 Qn 0 "YOUR TERMINIX PROFESSIONAL WAS HERE... and I've performed all of the services checked on the other side of this report. You can be confident that you have just received the most professional pest control service available. Thanks to my training and experience, backed by Terminix, the scientific leader in pest control, I know how to spot trouble before it turns into a problem. I know what to look for, and what to do about it." "1 like to feel that you and I are22rtners in keeping your home environment free of pests. Since prevention is the first step in effective pest control, here's a 6 -point checklist I think you'll find useful. If you take just a few minutes to use this checklist around your home, you'll be helping us both keep out 'unwelcome pests'," C C . 6 -POINT PREVENTION CHECKLIST C) TRASH CANS COVERED AND PROPERLY STORED? Uncovered trash is just the invitation flies and rodents need, 0 WINDOWS SCREENED, ALL SCREENS IN GOOD REPAIR? Otherwise, bugs can crawl 0 through holes or around loose -fitting sides, FOUNDATIONS OR STEPS CRACKED? Mice and rats are attracted to dark, warm places 0 i under the house, Repair holes found in external or internal structure. C/ LUMBER OR WOOD PILES KEPT AWAY FROM HOME? Wood stacked against exterior walls provides hundreds of hiding places for pests, who will soon find their way indoors. SHRUBS AND TREE BRANCHES TRIMMED BACK? Foliage brushing against the house is a perfect "bridge" for spiders, ants, and other pests to gain easy entry, PET FOOD DISHES LEFT OUT? Exposed pet food dishes in dog houses, dog runs or indoors are like any other uncovered food, and pose the same threat of pest infestation. sprva,e rocnnioar) - RoMove part I 1-10,o wntmo ;n ;,orrmloltl spc:tmn Comments Ceill 1 -800 - It" T'STSVE SERVICE TECHNICIAN'S SrGNA h—d �,Anccar, I wmc 1,4"id A L,6cation I No. O Date 2-1.5 `15l tfi a tw l' 7032 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ SS;U v Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ w BuildingInspector Div. Public Works Dation No. 40.� Date MORTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee . $ Foundation Permit Fee $ J s�CHust Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ X fU • U/U Building Inspector 6 8 A Div. Public Works RER11IT-NO. n 0 c2 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS ./�y/-' ,p it T MAP MSO. �� I LOT NO. G; 2 RECORD OF OWNERSHIP DATEBOOK 'PAGE ZONE / UB DIV. LOT NO.—I��S I (��jS-7 LOCATION 3S s�7C / f PURPOSE OF BUILDING Qs;ner�t a7 OWNER'S NAME �, NO. OF STORIES /�OtF /2 !✓1C N IZE tip��C 7 OWNER'S ADDRESS 3S�R�I � I BASEMENT OR SLAB Q NJ��/0( dL/ !/ G�%� ARCHITECT'S NAME /J % SIZE OF FLOOR TIMBERS 1ST.;2_x g 2ND 3RD BUILDER'S NAME wt7 �C/ pE SPAN DISTANCE TO NEAREST BUILDING •-7 J DIMENSIONS OF SILLS �( (` �% DISTANCE FROM STREET/�,,qL POSTS •"• DISTANCE FROM LOT LINES - SIDES3. S/C ado VRFAR GIRDERS AREA OF LOT FRONTAGE / ✓ HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING /0X A (� IS BUILDING ADDITION �I!) C MATERIAL OF CHIMNEY IS BUILDING ALTERATION - IS BUILDING ON SOLID OR FILLED LAND •� G' WILL BUILDING CONFORM TO REQUIREMENTS OF CODEG' J IS BUILDING CONNECTED TO TOWN WATE "r BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE / S INSTRUCTIONS SEE BOTH SIDES i4 FCL Q /�� PAGE 1 FILL OUT SECTIONS 1 - 3 tm FN EEE • 1 [ / G ' U d PAGE 2 FILL OUT SECTIONS 1 - 12 DU E PERMIT $ JAS' Zj ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ,--DATE FILED j[_J/v_7/'9.-3 SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E S(J �U C5 OWNER TEL. PERMIT GRANT CONTR. TEL. #Tap S �v. 19 CONTR. LIC. # G/ t f1FG 2 7 Iol-q 3 PROPERTY INFORMATION LAND COST TEST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN r F BUILDING RECORD 1 OCCY PA NCY 12 SINGLE FAMILY STORIES _ MULTI. FAMILY OFFICES _ APARTMENTS CONSTRUCTION 2 FOUNDATION CONCRETE CONCRETE BL'K. BRICK OR STONE PIERS _ 8 INTERIOR 3 PINE HARDW D PLASTER DRY WALL UNFIN. FINISH 1 2 13 3 BASEMENT IL AREA FULL 1/1 Vl '/, N_O B MT V, HEAD ROOM 4 WALLS I FIN. B'M'TAREA _ FIN. ATTIC AREA _ FIRE PLACES _ MODERN KITCHEN 9 FLOORS CLAPBOARDS DROP SIDING B 1 2 �_ 3 CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING ASBESTOS SIDING HARDW'D COMMON VERT. SIDING _ AS H. TILE STUCCO ON MASONRY STUCCO ON FRAME _ _ ATTIC T S. b FLOOR I_ BRICK N MASONRY BRICK ON FRAME CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR ADEQUATE NW 5 OOF 10 PLUMBING GABLE HIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED 7WATER CLOSET ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR _ TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT H TERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ Is, 1 -3rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. 0 NAM o w a 2 4 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: LPAP �� -SIe hone 0S r LOCATION: Assessor's Map Number Parcel Subdivision Street % &r f -I Yn Lot (s) St. Number ************************Official Use only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections �� - drivewav hermit � Fire Department' Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Received by Building Inspector Date C 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: LPAP �� -SIe hone 0S r LOCATION: Assessor's Map Number Parcel Subdivision Street % &r f -I Yn Lot (s) St. Number ************************Official Use only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections �� - drivewav hermit � Fire Department' Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Received by Building Inspector Date OFFICES OF: APPEALS BUILDING CONSERVATION HEALTH PUNNING TOWMO 4. NORTH ANDOVER DIVISION OF PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR 120 Main Street North Andover. Massachusetts O 1845 (617) 685-4775 . In accordance with the provisions 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 liccnsed solid waste disposal facility as defined by MGL c 111, S 150A_ The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant d t Date VOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. K (Please print) DATE JOB LOCATION Number Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption Street Address ection of town "HOMEOWNER" ('Ache uE_\A. (0y--)-)SL� le Mame Home Phone Work Phone PpESENIT `MAILING ADDRESS a)S r'i��2rZ �"�SCK Sr City/Town State Zip code The current exemption for "homeowners" was extended to include owner -occupied dwellinzs of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code, Section 109.1.1) DEF ;NITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwell- ing, attached or detached structures accessory to such use acid/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, on a form acceptable to the Bulding Official, that he/she shall be responsible for all such work..performed under the building permit. (Section 109.1.1) 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 Tows of :forth Andover Building Department minimum inspection procedures and recuirements and that he/she will comply with said procedures and ecuirements . `MIA�p�� AP n_RCV.A.L OF BGILDi:'G OF FICIAL Nlcta. Three _An_ " dwellinVs 35,000 cubic feet, or larger, will be _2Cu1=cd to ccmo_ 1, .dith State Building Code Section 1/27.0, COnstruc ion DEC 2 7 IQ9q 0 O O z ON r-4 r i J H A �r C 41 v w° v a O W zz z Q 10- s cz p U C° w O z " a � U w I'D 7 O cn x o a o z w w x w C o co v Q c'ioin p nCf) I gy a c cs �Cd CO o * °- ,o m 59 as . CD c. N E c as S $ 1' 0 co CS ?-Ice N 0i Qf � C_ y C � C -• � a � = '+ C N � y v a� N ' �. 9 c .c as o � �Z CD h 0=3 C = m � a� c F- wC+ N =CD*- F - w c eva.c N .y _ �=0 • C LL .E 5-0 V N V m C.2 m C o Z ccE F- z 0- CL*- W W tea. i 0 CD 0 CD oc 0 Z O D y coM CD i O C O C.3 m ,-s7 CA O 0 .Q CO) C O V d CO) 0 0 co 0- y C a� CM C 0.— IMM •-GM M m J z LL Z 0 Q > cc LU U) Z O U PE� cc w cc F- 2-7 LU Q w > oc 0 J Z LL cc W Q W W U) uw -::ww;.Wwwl CERTIFICATE OF USE & OCCUPANCY 7o*rin of North Andover Building Permit Number 002 THIS CERTIFIES THAT THE BUILDING LOCATED ON 35 MERRIMACK STREET Date SEPTEMBER 29, 1994 MAY BE, OCCUPIED AS RESIDENCE & FUNERAL HOME IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Charles M. Breen 35 Merrimack St. ADDRESS North Andover, MA Building Inspector 12 A O F=14 F5 t.) O J m O F- lk- C's ca 00 CD � ,�. : U c CD Q CD -4 0 z z o - t� ' U - °D m 0C.) •-c� Z w ca � �.e 0 w ¢ I 0 .� Q :may y �� Q E�y CO w w co � �� m m O DC a: v$ CO O 0 U H v y G� �• 14 CCD CL ocm • C c m 0 0 C L- C.) V L Q • CO) CL y c c o a- � a : � v ti C r : ) o 0 C UA L.: CCIDCD Q � v J10 S c c I �a.Z0.2 J 4441C 41kb Q y H a3 _z act = C mom :� V y �" `o m �RoZ � 0 C co o. oCL L_ a o m t g r w 0 c c 4; 7. a LLJ Q vyi at ev 5 CO) c.7 v �� Z � m o� %q � CC z COD a CD32 o� ! Z w .� DoH.- — Q � �. s �am' 0ate. v ^. .