HomeMy WebLinkAboutMiscellaneous - 40 COVENTRY LANE 4/30/2018 L---40 COVENTRY LANE
210/064.0..0144_0000.0
Date . . ....
pORTM
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TOWN OF NORTH ANDOVER
p0"MARLF
• PERMIT FOR GAS INSTALLATION
�9SS�ICHUSEt
This certifies that . 4'. !f G . . . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation . . . . . . . . . . . . . . . . . . .
in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . .
at . . . . . . . North Andover, Mass.
Fee. 3A . . . . Lic. No j 3/4).6. . q �-. . . . . .
AS INSPECTOR
Check#
5770
3v �
Inspection of Gasfitting
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
Mass. Date_.�� � Permit # �7 t1
g Lo dln cation �' 0 Ct7V �''i Owner's Name4111 �-
B
�t✓, L9 �TJ • Type of Occupancy l ��
New C] Renovation ❑ Replacement C/ Plans Submitted: Yes❑ No 2/
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SUB—BSMT.
BASEMENT I.
r
1STFLOOR
Br
2NDFLOOR
3RO FL00R
4TH FLOOR
5TH FLOOR
6TH FLOOR
7THFLOOR
9TH FLOOR
Installing Company Name -J Check one: Certificate .
Addre s q A iY t Corporation oZ 0
to 1",q 0-21.,57f O Partnership
Business Telephone �—�QC1'3S.�(� ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter Sf-P_ (/P/? 0 4 el (7
INSURANCE Ca VeRAGE:
I have a current liability Insurance policy or its substantial equtvaient which meets the requirements of MGL Ch. 142.
Yes No ❑
If you have the ed yZ. , please Indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of Indemnity❑ Bond ❑
OWNER'S INSURANCE WAIVER,I am aware that the licensee does not have the insurancecoverage required by
Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement.
Check one:
Owner❑ Agent ❑
Signature of Owner or Owner's Agent
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 piumbing work:and Installations performed under the permit issued for this app' 'on will in ompliance ith all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
By Te of Ucense.
Plumber19nat is u or as itler
Title Gasfitter /`
Master Ucense Number
Cit /Town i Journeyman
FINl.4' ti�rE hot aKEtCHEa
FEE
MOM A.IHtPECTiD,
NO.
t APDL. 10ATIOMPOR PERMIT TO
00 PLUMS
UNDER400UN0 RQUGH
COMPLETE RGU�M'
t31NA4#NapON ,
PERMIT GostED
. . oaa':
PLUMBI . `INaRECTOA,
y�
' Date f.Z ......................
NORTH
°t,•``°;•'"° TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
7Sg,�CNUSE'�
This certifies that .. �~t `
..................... ....................................................................
has permission to perform ....r'..............................' !............................'
wiring in the building of.............................
'
-`^ "" .....,North Andover,Mass.
at............................................ :. ..................... !
FeeZ............... Lic.No.............. '............... .: .....!':`...:...........................
ELECTRICAL INSPECTOR
Check #
460
04e Tommonwalt4 of +Jtttoout4uoetts Office Use Only
Department of Public Safety
Permit No. � D
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Occupancy & Fee Checked
3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
�) n
City or Town of '" u To the`Insp'ec or of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) / CJ f,�/lam/( i/S// �GS 17 -
Owner or Tenant
Owner's Address �6�//
Is this permit in conjunction with a building permit: Yes No ❑ (Check Appropriate Box)
Purpose of Building/�?�/1�% 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 W1114g� v �o
TOTAL
No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA
Above in-
No.of Lighting Fixtures Swimming Pool gmd. ❑ gmd. Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets No. of Oil Burners Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
Total No. of Detection and
tO No. of Ranges No. of Air Conditioners Tons Initiating Devices
Heat Total Total No. of Sounding Devices.
No. of Disposals No. of Pumps Tons KW No. of Self Contained
Detection/Sounding Devices
No. of Dishwashers Space- rea Heatin KW
Municipal
Local❑ Connection ❑Other
No. of Dryers Heating Devices KW
No. of No. of Low Voltage
No. of Water Heaters KW Signs Ballasts Wiring
No. Hydro Massage Tubs No. of Motors Total HP
OTHER:
4
INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YES❑ NO❑ ! have submitted valid proof
of same.to this office. YES ❑ NO ❑
If you have checked Y S, please indicate the type of coverage by checking the appropriate box.
INSURANCE LJ BOND ❑ OTHER❑ (Please Specify)
(Expiration Date)
Estimated Value of Electrical Work$
Work to Start ``- Q� Inspection Date Requested::) !Rough -5 Final
Signed under the penalties of perjury:
FIRM NAME r r0—w�L �G ct�1� LIC. NO.
.Licensee A/�\ � G Yk ��q/'-7eL_ Signature � LIC. NO.� p
Address ,"rI `P4i /J y.rPS �7` l �ll� Bus. Tel. No.
Alt. Tel. No. ��7X',�SY 33e5�
.OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts
.General Laws, and that my signature on this permit application waives this requirement,Owner Agent (Please check one)
Telephone No. PERMIT FEE $
(Signature of Owner or Agent)
4038
A
e
40R7: TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
/j -y � -tr. 1-.
This certifies that . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
has permission to perform . . . . . . . . . . ... . . . . . . . . . . . . .
1
plumbing in the buildings of . .
at. W'9 / . . . . . . . .. North Andover, Mass.60
Fee/`. . . . . . .Lic. No.. .. . . . . . . . . . . . . .
PLUMBING INSPECT
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS - 9
n Date 1
Building Location o COV CN7)Y Z"1j Owners Name�)"y 14 d�-�'� u I
7 Permit# uo3'
Amount .tS
Type of Occupancy
New ❑ Renovation Replacement ❑ Plans Submitted Yes No O
FIXTURES
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Wj
aCr Cr cr, CCCr Cn
a Q
cIr
tII S[-Rffi »x
&1gIVIHm
1ST.FLffR
2M FLOM
3Td1 FL
COR
4M FUM
5M FL"R
6IH FLO(R
7IH FUM
SIH FLOOR
(Print or type) , m A PM N D� )j �� � Chec on �1 �S�ztificate
Installing Company Name r �! Corp.
Address C;I C U R I C ST ❑ Partner.
Business Telephone 6�Sy S— 6t Sc'� l Firm/Co.
Name of Licensed Plumber: Kf K Ply A)�
Insurance Coverage: Indicate theppe of insurance coverage by checking the appropriate box: ❑
Liability insurance policy Other type of indemnity Bond
Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner r-1 Agent
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 Plumbing C and C�gapter 4 of e General Laws.
By: 1gna ure of Licensea Plumner
Type of Plumbing License
Title930-0
City/Town icense N umoer Master E Journeyman
APPROVED(OFFICE USE ONLY u
Location
No. S � Date
MaRT� TOWN OF NORTH ANDOVER
O'� �•e y 1ti0 -
Certificate of Occupancy $
�'7 S••"e E<'�' Building/Frame Permit Fee $
AC NUS
Foundation Permit Fee $
Other Permit Fee $
y
TOTAL $
Check #
X6446
/ Building lnspecto'r
TOWN OF NORTH ANDOVER
BIUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
• Ttus.�cfi1d�#'or Offi�ciz�U�c oaI , -.-.. :--: �
BUILDING PERMIT NUMBER: r p DATE ISSUED: rn
p2003 �J
SIGNATURE:
�z"'�-
Buildin I' MnliSSioner/InSpector of Buildings Date
SECTION I-SITE INFORMATION z
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: (Co
''^lJ
Zoning District Proposed Use Lot Areas
Frontage(fl)
1.6 BUTLDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide R 'red .Provided ReqW red Provided-
1.7
rovided1.7 Wuer Supply M.G.L.C.40. 34) I.S. Flood Zone Information: f - 1.8 S Overage Disposal System:
Public's Private ❑ Zone Outside Flood Zone 0 Municipal On Site Disposal System 0
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT rn
2.1 Qwner of Record
B0-40Y 1 -ToM that t-A- o �o Co,r�,v
Name(Print) Address foi-Service
7k--bg s : 8s-q
Signature Telephone IQ
2.2 Owner of Record:
Name Print Address for Service: O
--fig im �Itl -3j�1 � �'Iol
mature Tele hone
iECTION 3-CONSTRUCTION SERVICES _^,�
1.1 Licensed Construction Supervisor: Not Applicable ❑
044A
.icensed Construction Supervisor: 010 3 3a O
So tk) I !� ,� rt I J j License Number
ft
ddress I ~-rL /VL/f/1 "f1
03—U -03 A
�3 1 Expiration Date
gnature Telephone r7
2 Registered Home Improvement Contractor Not Applicable 0 v
)mpany Name I ( 6 l�lJ T rn
Gl `� ln�y�,��( �/ I�i�l� �(/� Registration Nu ber t..�
for V J {t!'�"
Expiration Date
;nature 4 Telephone
. t
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 applicable
New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑.
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
14 )JI
SECTION 6 -ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be f R
Completed b permit applicant
xm.F as !aed7ta]. Building (a) Buiit Fee
Mu2 Electrical (b) EstilCostCo
3 Plumbing Building Permit.fee(a)x (b)
4 Mechanical(H C)
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 PERARL'nn
h 'r �tom"Q as Owner/Authorized Agent of subject property
Hereby authorize t s('P d
to act on
l r a o authorized by this building permit application.( 3
C1
nature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
as Owner/Authorized Agent of subject
property
Hereby declare that the statemen s and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
_ V)
Pr
i e
IJ-C4-4— e. U.� - -Z,,( M:±14 63
Si ature of Owner/AA ent Date
NO.OP STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1 ST 2 ND 3RD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DD,4ENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CFHMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
LOT y` ,
SF 1,
ZZ-1
Prop d
Z.r�rp .30'�
LC�` L =/sS,oc" 13,Ov
�2y Lf7NC-=
ro : IPS w Icfl SA vin1Gs 13,0^114
I HEREBY CERTIFY TO THE TITLE 7NSUROR AND PL 0 T PLAN
TO THE BANK THAT THE DWELLING IS LOCATED ON
THE LOT AS SHOWN AND THAT IT DOES CONFORM
WITH THE 7owN OFHo. A vvove?Z ZONING REGULATIDAfSS-
RECdlRDING SETBACKS FROM STREETS & LOT LINES' J
" 1 FURTHER CERTIFY THAT THIS DWELLING IS NOT DRA WN FOR
LOCATED IN THE FEDERAL FLOOD HAZARD AREA AS
SHOWN ON ITY PANEL Z 5009
000 c 9s 1T/40 MAS d.. M/ 92 r ke-XLANO
i
i Gp
DATE = qc)
J
THIS PLAN URPOSRS - NOT FOR MERNA(ACK ENGINEERING SERVICES
BOUNDARY D BOUNDARY INFORMATION 66 PARK STREET
TAlUN FROM EXI C RECORDS. ANDOVER, MASSACHUSETTS 01810
' pf,p I
FORM - U - LOT RELEASE FORM S / /03
INSTRUCTIONS: .This form is used to verify that all-necessary approval/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
APPLICANT_M a►'(, t FOwt t�z PHONE q7 S-
ASSESSORS MAP NUMBER (9 LOT y LOT NUMBER l� _
SUBDIVISION LOT NUMBER
STREET............�.�.� :..................STREET rNUMBER.. ..........—r
OFFICIAL USE ONLY
....■....■■.....■■....■■.....r.■■r..■rr..■r.■■r.rr.rr.a..r....r..r......r.■
REC NDATIONS OF TOWN AGENTS
. ........................................ ..........
17
! DATE APPROVED d
CONSERVATION ADM]NIS TOR
DATE REJECTED
COMMENTS
a
Y DATE APPROVED
s® b
A� E i vP� DATE REJECTED
003
t _ulL
L��
COMMENTS / -SG /U
�iJ vt / N®fTH �jpQVER
R T MENT
DATE APPROVED
FOOD INSPECTOR-HEALTH DATE REJECTED
6 amu, r-- UY e
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS-SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
DATE APPROVED
FIRE DEPARTM EN"T
DATE REJECTED
COMMENTS
RECEIVED BY BUILDING INSPECTOR DATE
W t W The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers'Compensation Insurance Affidavit
Name Please Print
Name: Man, 4 ( a►11 /laved
Location.
City l Ad Phone #
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
I am an employer rovidin .workers'compensation Y P 9 p cation for my employees working on this job.
{
Com an name: tM l U.d � PCA-h b �;
Address
City: L(.t t,Ui t'��C-�, tl�/� Ll SJ Phone P3b
Insurance.Co. S_ Poli # Gro 8
Company name: ,
Address
City: Phone#-
Insurance Co. Policv#
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00
and/or one years'imprisonmentas wetLas_cMLpenalties-ialhelaun-da-STOP WORK O .a
RDERnd_ahne_of_($iD0M)aAay.againstme, f
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
l do hereby certify un a pains andpenalties of perjury that the information provided above is true and correct.
Signature � _r' Date at (LA-Q p 3
Print name Phone.#��_6��~
Official use only do not write in this area to be completed by city or town official
City or Town Permit/Licensing.
E]Check if immediate response is required 0 Buildings Dept
] Licensing Boars!
E] Selectman's Office
Contact person: Phone#. E] Health Department
Ei Other
i
AC-08D. CERTIFICATE OF LIABILITY INSURANCE I ��gg °"�'NM'°°""""''
FAI F�i 01/17/03
PRODUCEn THIS CERTIFICATE IS ISSUED A4 A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CEft ncATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
C.J.McCarthy)nsurance Agency,Inc.
C/O Piazza incurance Agency,Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
One Elm Square, Andover,MA 01810
•- IN AFFORDING COVERArE NAIL#
INSURED -- INSURER q
Salltily Pools & Patio Inc. jt19IIL8114G QC1s.
INSURERS: American Into--national Grou
... -
16 11 '& CiLndi Gianopoules INSURER C:
O. BrOELdLdgYy INSURER°: --
Lawrence MA Oi843
COVERAGES INSURER E: -
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOT mmsTANOING
ANY RECIUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W141CH THIS CERTIFICATE MAY R;ISSUED OR
MAY PERTAIN,THE INSURANCE:AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS 4F,SUCH
POLICIES_AGGRE{'ATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
NSR DT
ATE IME FECTI DATE LIMITS
LTR SR TYPE OF INSURANCE PCILICY HUMBER uCY�' P
GENERAL LIAEALnY I EACH OCCURI N(rE a 1000DOO _
A ti ,?ODI
MERCIALGENERALLIABIL1 Y C1098398230 12/31/02 12/31/03 PREMI�oL_ s 1000D0
CLAIM$MADE; �OCCUR MED EXP(Arty ene Ixr�n) $10000
D2d $2EC PE!IONALaADVINJURY $1000000
X Blanket Addl Ins. GENERALAGGRP6ATE $2000000
GEA AGCREGATELIMITAPPLIE9PtR PRODUCTS•COMPlOPAGG F 2000000
PRO. 77
POLICY IX7 JECT I I LOC
AUTOMOBILE LIABILITY
COr.IBINEDSINGLELIMIT
A ANY AUTO TSD 12/31/02 12/31/03 (EDaWdenII) 1000000
L OWNEDAUT06
INtjRY
X SCHEDULED AUTOS (Sa�P" R
X HIRED AUTOS
BODILY INJURY a
}[ NON-OWNED AUTOS (Perauddcrk)
PRCPERTYDAMAGE a
(Per accident)
GARAGE LIAEBILITT AUTO ONLY-EA AOOIDENT S
Y AUTO E.A ACC` I
AU ONLY: AGG $
EXCEMLIMBRELLA LIABILITY EW.1 OCCURRENCE !
OCCUR Cl CLAIMS MADE AGGREGATE - $ —
DEDUCTIKE �
RETENTION $
a
WORKER$COMPENSATION AND
S EMPLOYERS'LIARILITYI TORYLI ITB CR, _...._....,..
AM'PROPRIETOR/PARTNER/EX6CUTNE 'R' 3.2/31/02 12131 03 E,L•-ACHACGIDEMT: .•''a' $100000
OFEIGERlMEMBERExcLUDED7 e,LDIBrAse.EA;�IPLOYE $100000
R - descnlm under
SE�E�,IALPROV151ONSW-bw E.L.D!WEACE-POLICYLIMIT 2500000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I V9HICL9S I EXCLUSIONS ADDED MY 5N°ORSEMENT/SPEOIAL PROVISONS
For Infor=tIonal purposes Only,
CERTIFICATE HOLDER CANCELLATION
NOMORT* SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Or;CANOw r Fn BEFORE THE EXPIRATION
DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAY$WRITTEN
NOTIGE TO THE CERTIF DATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 50 SHALL
IMPOSE NO OBLIGATION OR LIABILn'Y KIND UPON T'HIII INSUK1I%IT$AGENTS OR
REPRESENTATIVES
AUTKORI2M REPRESENTATIVE
The Piazza Iris.
ACORD 25(2001708) rt OACQ RATION 1988
CA me ff-ly IItswarl"l�
T0001 I)VT TIL)V CUT V77FT1 (!n7ib7iota Tv.r 171AT Tv.T CIA IITITA
Board of Building Regula ions and Standards
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement Contractor Registration
Registration: 11.8204'
= Type: Supplement.Card
;;;,,, -__,_,� �t•w� Expiration: 2/13/2005
tr I [
j FAMILY POOLS & PATIOS INC
j GLEN I WIGGIN.
70 S. BROADWAY
LAWRENCE, MA 01843 Update Address and return card.Mark reason for change.
j Address Renewal F-] Employment F Lost Card
lee -%�anvnaaixcoea� o�✓�aaaacftuQet�`a
Board of Building Regulations and Standards License or registration valid for individul use only.
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Board of Building Regulations and Standards
Registration ,_1.18204 One Ashburton Place Rm 1301
Expiration 2/13/2005.. Boston,Ma.02108
"tiType . Suppleme'nt Card
FAMILY POOLS&'PATCOS iN0 rtf
GLEN-VIGGIN "rte•=';::;
70 S.BROADWAY
c4WRENCE MA b1843 . Administrator Not valid without n e
��s�' 1 v�,�.is�� ' -X "`�, i ��L r,^xit ?a- sx� �, c '�*,�z - �•• • .
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Scott L. Gibes, R.PL.S.
La nJ Surveyor
r
FRANK S.GILES
50 Deer Meadow Road Bus. (978)683-2645
North Andover,MA 01845 Home(978)683-3924 el V
5/28/2003 MAY 3 0 2003
HEIDI GRIFFEN, COMMUNITY DEVELOPMENT DIRECTOR NO
TOWN OF NORTH ANDOVER PkANN'vr"e A-rMENT
27 CHARLES STREET
NORTH ANDOVER, MASS.
RE: THOMAS HOLLAND, #40 COVENTRY LANE LOCATED 1N THE WATERSHED
PROTECTION DISTRICT AND APPLYING FOR A PERMIT TO CONSTRUCT A SWIMMING POOL.
THE COVENTRY LANE PLAN WAS CREATED PRIOR TO 1994 AND THEREFORE THE MAXIMUM
SET BACK IS 325'.
THERE ARE NO BORDERING VEGETATED WETLANDS, CHANNELS OR
STREAMS LOCATED WITHIN 325'OF THE PROPOSED CONSTRUCTION
THAT WILL OCCUR AT THIS LOCATION.
IT IS THEREFORE MY OPINION THAT A SPECIAL PERMIT FILING WILL
NOT BE NECESSARY FOR THIS PROJECT.
VER ULY YOURS,
COTT L. GILES R.P.L.S.
Scoa Lo Gulls, R.P L.S.
L& nJ Surveyor RECEIVE®
FRANK S.GILES
50 Deer Meadow Road Bus. (978)683-2645 i°UN 01 2 2003
North Andover,MA 01845 Home(978)683-3924
NORTH ANDOVeR
PLANNING DEPARTMENT
5/28/2003
HEIDI GRIFFEN, COMMUNITY DEVELOPMENT DIRECTOR
TOWN OF NORTH ANDOVER
27 CHARLES STREET
NORTH ANDOVER, MASS.
RE. THOMAS HOLLAND, #40 COVENTRY LANE LOCATED IN THE WATERSHED
PROTECTION DISTRICT AND APPLYING FOR A PERMIT TO CONSTRUCT A SWIMMING POOL.
THE COVENTRY LANE PLAN WAS CREATED PRIOR TO 1994 AND THEREFORE THE MAXIMUM
SETBACK IS 325'.
THERE ARE NO BORDERING VEGETATED WETLANDS, CHANNELS OR
STREAMS LOCATED WITHIN 325'OF THE PROPOSED CONSTRUCTION
THAT WILL OCCUR AT THIS LOCATION.
IT IS THEREFORE MY OPINION THAT A SPECIAL PERMIT FILING WILL
NOT BE NECESSARY FOR THIS PROJECT.
VER RULY YOURS,
COTT L. GILES R.P.L.S.
I
NORT►y
Town of E Andover
No. -
45
�� * `.
=COCH4C dower, Mass., 44 r7 07
ADRATED
S H E
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
ARy. . To ,IO. � BUILDING INSPECTOR
THIS CERTIFIES THAT.... ........................ Foundation
has permission to erect.f r1.3�•...0 ...... buildings on .... Q...... 0.✓.... .!V. ,y 4.04.Ml; Rough
' 0 46 NOVA,) POO I A> A CAR �A Chimney
tobe occupied as................................................................................................................................ .......................................
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Ins ection, Alteration and Construction of
Buildings in the Town of North Andover. (V 4/IVY
*4&A PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
Rough
..................................I....:.�..C,. Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.