HomeMy WebLinkAboutMiscellaneous - 411 PLEASANT STREET 4/30/2018 lVV7 Pleasant St,411
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SPECIFY NUMBER OF PRINTS OR ENLARGEMENTS DESIRED OPPOSITE
NEGATIVE NUMBER. IMPORTANT. PLEASE DO NOT CUT NEGATIVES
FOR REGULAR PRINTS
0 OA 8 8A 16
16A 24 24A 32 32A::
1 1A 9 9A 17 17A:: 25 25A:: 33 33A::
2 2A 10 10A 18 18A:: 26 26A:: 34 34A::
3 3A ll 11 A:: 19 19A:: 27 27A: 35 35A:
4 4A 12 12A:: 20 20A:: 28 28A: 36 36A::
5 5A 13 13A:: 21 21 A:: 29 29A:: 37 37A:
6 6A 14 14A:: 22 22A:: 30 30A:: 38 38A::
7 7A 15 15A 23 23A:: 31 131 A:: 39 39A
SPECIAL INSTRUCTIONS FOR ENLARGEMENTS
NEG.NO. QUANT SIZE
Date ,3 q-xleol Subject (9-S M" IN L
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Town of North Andover IikORT 6
Building Department a��o° gtioo
27 Charles Street s
North Andoer,Massachusetts 01845 * ,�
(978)688-9545 Fax(978) 688-9542
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�SSACHUS��
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APPLICAtION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
ADDRESS e 0. a n }- S
E
LOT NUMBER Co SUBDIVISION
i
�.DATE REQUEST FILED
DATE READY FOR INSPECTION
I
FIVE 5 DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME
FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25:)DOLLARS WILL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLIC ABLE CODES.
SIGNATURE
OFFICIAL USE ONLY
ROUTING '
's
CONSERVATION DATE
PLANNING DATE
D.P.W. —WA R DATE
D.P.W. MUST KATE THAT THE WATER METER HAS BEEN INSTALLED
PRIG (0 THE N SPECTION REQUEST DATE.
SIGNATURE/DPW&THORIZATION s`
, t
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permitmit Number
Date �
4
THIS CERTIFIES THAT
THE BUILDING LOCATED ON P/e-115 0 m;—�—
MAY BE OCCUPIED AS S fA-%/ tea% IN ACCORDANCE
WITH' THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APTLY.
CERTIFICATE ISSUED TO -mel LJd 44 3 ' ,4'
r
ADDRESS.
sS,Acwu Building Inspector
NORT►y
E �
-. Town of Andover
No. %rJ3 __ .NY. _�`_ �
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do -e03 - o
OSA COC LA �„ ,� ower, Mass., d
DRATED p'P� 5
S
BOARD OF HEALTH
RMIT PE T D
Food/Kitchen
Septic System
�0 BUILDING INSPECTOR
THIS CERTIFIES THAT. i�....rte.�.�............5 �, �, ,� c
.................. . ........................... ............... ... Foundation /,A "'
has permission to erect................I..................... build i gs on W "*.*WI....J%0o3.... 5 Roughcc
��G sv✓ ��
to be occupied as Troe..o.m.a.e.'s.� ...... .a.. �tuadis-.1%... oil-6..�W� i `
h'mney ���
provided that the person accepting this permit shall in elry respect conform to the terms of the a lication on file in
this office, and to the provisions of the Codes and By-Laws relating to the Ins ection, Aeration and Construction of Final
Buildings in the Town of North Andover. M 14 6 .P
11610 � PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. '��Z ��v�l
PERMIT EXPIRES IN 6 MONTHS
. SS CONSTRUCTION ST E ` 'IN00
'
fFRi Kr :: �w .... ..... ......... ...... .
.............
F BUILDING INSPECTOR
Fi
Occupancy Permit Required to Occupy Building GAS INS
C��''�Ij-�'
Display in a Conspicuous Place on the Premises — Do Not Remove
No Lathing ■or Wall To Be Done
Dry'
Until Inspected and Approved by the Building Inspector. Burne FIREPARTMENT
Street No. O
SEE REVERSE SIDE Smoke Det. X3`0/
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WETLAND- DELINEATION Pe
/ WETLANDS PRESERVATION. iNl
47 NEWTON ROAD, PLAITOw, N N
i TEL. NO. 603-382-3435
X029 51, c c n f. t �L. NO 2461 OF
A
I 'I 1 J 1• 1
1 1 1
LST 6 A_ L W�T AREA' 14,
\ 63030 SCS. FT. +/— L y L I
1 . 45 ACRES 4
\ tI�
3 .Ot rt \ R= 380 63'
L= 251 44'
I
\ �` �It+/ to
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10 47t
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.lV• .r. � y�,�oSC off=--
'3 X100 BUFFER
m
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4, I
f \ � z �,
J 30 I ft L= 53. 02 i
b41� t
S�OpE I
c ASEtnE.
TOP OF FOUNDATION 1 b2. 5' 77 4�o55r N/� K1� CREDGE
S
FO UNDA TION L 0 CA TION
I
IN
NORTH ANDOVER, MA .
PREPARED FOR
1
SCOTT & PA TRI CIA MA SSE'
I
NOTES:
ZONING: RES, 3 SEE: N, A. TAX MAP 95, LOT 69
FY=30' , SY=20' , RY=30' .
SEE: ECNRD BK, 1494, PG. 15 SCALE: I"= 40' DECEMBER 05, 2000
PLAN 8454, LOT 6.
PLA ISTO W ° 40' so' 120'
CONSULTANTS
LIC. LAND SURVEYORS I
22 SMITH CORNER ROAD
PLAISTOW, N.H. 0386.5
TEL/FAX 603-382- 732011i io` JN03A2 I .
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WETLANDS DELINEATION BY:
WETLANDS PRESERVATION, INC.
47 NEWTON ROAD, PLA I TOW, N. H
TEL. NO. 603-382-3435
CL. NO 2461 OF 8/ 16/1999
N
240 p0 �
A-2 A-1 j fl
L L J'
I /' i 'Y 1 l •L
LOT F A y y y .jWtTyAREA' 1 yA 7
63030 SO. FT.
1 . 45 ACFJES 4 _ 1A-5y -6
A \
3 -OK R= 380. 63'
L= 251. 44'
\ 92
10 ft
Jy XN \ 33 `100' BUFFER
x
co
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SGC 4 o 2
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_ .-0 ft L= 53 02'
6f t 41 t
pE
, d
c EQSEME
TOP OF FOUNDATION 162. 5' �7�5547155 W y'll 1REDGE
5 NSF
FOUNDATION LOCATION
IN
NORTH ANDOVER, MA .
PREPARED FOR
SCOTT & PATRICIA MASSEY
NOTES:
ZONING: PES. 3 SEE: N, A. TAX MAP 95 , LETT 69
F-Y=30' , SY=r O' , RY=30' .
SEE: ECNRD BK . 14` 4 PG 15 SCALE: 1"= 40' DECEMBER 05, 2000
PLAN 8454 LOT 6
PLAISTO W o 40' 80' 120'
CONSULTANTS
LIC. LAND SURVEYORS �
22 SMITH CORNER ROAD
PLA ISTOW, N.H. 0,3865 h�
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TEL FAX 603- .38 132- 0
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Location �07 6 #////
No. '73 Date ��'I/-D
�oRTM TOWN OF NORTH ANDOVER
•,hoc
` Certificate of Occupancy $
�ss�cNusE4� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $ /
TOTAL $ �/6
Check #
/ � �
+ 44 3
r' 'o
✓ Building Inspector
-E
N° 2895 Date...�..........." our
f NORTH
OG TOWN OF NORTH ANDOVER
A PERMIT FOR WIRING
,SSAcHUS�
r /
This certifies that('
has permission to perform ~
wiring in the building of...—..Y ......... .................................................
i
.......... ......... !?* ... ..........;............ North Andover,Mass.
4
Fee.KNX.......... Lic.No.l*%..`.%. ... .1 fr ....................
~ ELECTRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
M \,
(fommonwealLR of V"6eleugicaj Official Use Only
Permit No. ��
1Jepart`menf o�,}ire Jerviced
REGULATIONS [ Occupancy and Fee Checked
BOARD OF FIRE PREVENTION � =—
� Rev. 1 U99)
(leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Masszchuscits E1e ctricnl Code(MEC),527 CMR 12.00
(PLEASE PRINT ItV INK OR TYPEALL INN-01WA7YOi) Datc: 02/09/01
City or Town of: No. Andover To the bispector of Wil-es:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) 411 Pleasant Street
Owner or Tenant Scott & Patricia Massey Tcleplione No. 687-9493
Owner's Address 57 Marblehead No. Andn rcr MA 01845
Is this perinit in conjunction with a building permit? Yes No ❑ (Check Appropriate Boz)
Purpose of Building Residence Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No,of Alders
New Service 200 Amps 120 /240 Volts ON-crhend ❑ Undgrd ❑X No. ofAIeters. 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: New HOme
Connoletiorr of the folhnVinp table nrav be waived by the In ccto•of Wires.
No.of Recessed Fixtures 20 INo.of Ceil.-Susp.(Paddle)Fans 3 No, of Total
Transformers KVA
No.of Lighting OutJcts INo.of Riot Tubs 0 (Generators K-VA
Above In- t o.o mergeltcy tattttl2Q
No.of Lighting Fixtures 20 Swimming Pool grad. ❑ arnd. ❑ Battery Units o
No,of Receptacle Outlets 54 No.of Oil Burners0 FIRE ALARIIS No.of Zones 2
Yo.of Detection and
No.of Switches 35 No.of Gas Burners 2 Initiating Devices 6
No.of Ranges 1 No.of Air Cond. 0 TonTots INo. of Alerting Devices
No.of Waste Disposers Heat Pump Number (Tons I%\V No.of Self-contained
p 1 Totals: i Detection/Alertina Devices
No.of Dish 'ostlers S ace/Area Heating Municipal
1 p b K1V Local ® Connection Other
No.of Dryers Heating Appliances Key Security Systenu:
1 No.of Devices or Equi alent 12
No.of Nater INo.of No.of Data,dirina•
i Heaters h1v ( Sielts 7
Ballasts No.of Devices or Equi
No.Hydromassage Bathtubs No.of Motors Total HP (Telecommunications Wiring:
Hydromassage 1 No.of Devices or Equi -alent 7
OTHER:
.fttach additional detail if desired,or as required yv the Inspector of Wires.
INSURAI iCE COVERAGE: Unless Nvaived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability irisurarice including"completed operation"coverage or its substantial equivalent. Zile
undersigned certifies that such coverage is in force,and has exhibited proof of some to the permit issuing office.
CHECK ONE: INSURANCE ® BOND Q OTHER ❑ (Specify:)
(Expiration Date)
Estimated Value of Electrical Work:' $5,000.00 (When required by municipal policy.)
Work to Start: 02/13/01 Inspections to be requested in accordance Nvith MEC Rule 10,and upon completion.
I cerdf}•, under the pains acrd penalties of perjwy,that the information ort this application is trite anjAvInplete.
FIRM NAA IE: Landers Electr' LR. - A5912
Licensee: Vhc ent B. Landers Pres. Signafur LIC.No.•, A5912
(!f applicable, enter "ercn7pl"in the license number lice.) Bus.Tel.tN"o.: 686-3828
Address: 1000 .Osgood St. , P.O. Box 783, No. Andover, MA 01845 Alt.Tel.No.:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
fequired by law. By my signature below,I hereby waive this requirement. I am die(check onc)❑owner ❑ owner's a!ertit.
Owner/Anent T fin/ Gam/
Signature Telephone No. PI.RdIIT FLL: Sv
Date.3. . -.° l• .
No 4743
pf o
"oR'r TOWN OF NORTH ANDOVER
t..�
PERMIT FOR PLUMBING
,SSACMUSE�
/ i
This certifies that ./. . . . . . • • • • • • .
has permission to perform . . . .�f `� . . �.<.� . . . . . . . . . . . . . . . .
plumbing in the buildings of . . . . . . . . . . . . . . . .
at. . �.�� . � .' �.f�f ?/ . . . . . . . , North Andover, Mass.
Fee. ! .. .Lic. No.. .?Y) . . . . . �� . . . . . . .
/ PLUMBING INSPECTOR
Check # ) � �
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print) �a�T d3-
1 MASSACHUSETTS Date.6—O
Building Locations_ Permit # .7.,
' . Amount
i
Owner's Name
New Renovation Replacement Plans Submitted
FIXTURES
CE
a �
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a F
SUMEW
134SOMW
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51H FLOM
61R FlaR
71H F[O(R
SIH R M
• (Print or type) Check one: Certificate
Installing Company Name Galinsky Plumbing & Heating Inc. ® Corp. 1906
i
Address p n u.,4 1701 Haverhill - MA 018,11 Partner.
Business Telephone 978-374-1743 Firm/Co.
Name of Licensed Plumber: Stephen C Gal`nskv
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy �X 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 Agent 0
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 instal tions perfo under Permit Issued fos this application will be in
compliance with all pertinent provisions of the Massachusett S PI i ode and hapten 142 of the General Laws.
By: 'Signature or Memea Plumler
Type of Plumbing License
Title Ip
City/Town License Number Master Journeyman
APPROVED(OFFICE USE ONLY
Date. . .. . . . . . . . . .. . . ..
40RTk
(1, 0 ',�°o ,ti0
o� TOWN OF NORTH ANDOVER
• PERMIT FOR GAS INSTALLATION
•"t
'ls-9SSAC HUSEt 9
This certifies that . . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation . . ... . `.. . (. . . .` . . . . . . . . .
in the buildings of . . . e... . . . . . . . . . . . . . . . . . . . . . . . .
at . . . North Andover, Mass.
Fee. . .. .!: . . Lic. No.. . . . . . . . .
INSPECTOR
Check#
3 50" 1
1 ;
MASSACHUSETTS UNIFORM APPLICATON FOR PCRIVIIT TO DO GAS FITTING
-
�kType or print) Date 9001
NORTH ANDOVER, MASSACHUSETTS
�}-
Building Locations �' <P, t#
Amount S
Owner's Name
New Renovation ❑ Replacement ❑ Plans Submitted ❑
n
z in
Cn
11 n U Z _ vi
SUQSEYIEV 'f -
BASE .v1 ENT
1 S T. F L U O R
7'N 0 . FLOOR
]>RD . FLOOR
4-r if FLO0 It
ST if FLo O R
6T If FL0oR
77tf . FL00It
3T 11 FLo0R
(Print or type) Check on • CertificateC4iss 11 g Company
Name S7, C ` Corp. I—E-iw
Address26- 64 f 7 0/ ❑ Partner.
i-hia--V r�A tm/ x-
Business Telephone ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSUR.-kNCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑
If you have checked ves, please Indic the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
ivlass. General Laws,and that my sienature on this permit application waives this requirement.
Check one: ❑
Signature of Owner or Owner's Agent Owner ❑ 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 ofthe:vlassachusetts State Gas Code atK,Chapter 14" f the Ge�50,61 Laws.
Po
By: ignature of Z=nsed Plumber Or as Finer
Title Plumber O
CityiTown .12.1's Fitter Icense per
vla�ter
.-PPROVED auric-;:us�')NI-YI ❑ Journeyman
i
2755 Date..��✓ 1....'./� ....
r' poRTN
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
C u h
tt -- 1 - � v
�---c( I r2 1 �C I%1 r cr ..................
This certifies that ..................... .......... ...........................C...
has permission to perform .....D.sq.............
wiring in the building of........Vv.1.9... S. �..`t/.................................................
,at........1...u........ ......` ...:�...�—'.
h Andover,M-gs.?
t - S
Fee?"../...�......... Lic.No.......... /............... ... ..... ............
ELicTRICAL INSPECTOR
rl
Check # y ��
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
//�� ee // \,
C.ornnwnwea[g o/Name hudete Official Use Only
2c� c7 Permit No. pC7,tj
,part`. d.1 ire Services —
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev. 11,99] (!cave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be perrormed in accordance with the Mass:chuscits Elcaricnl Code(hIL-C),527 CMR 12.00
(PLEASE PRItVTININK OR MfALL INFOR,ti AT101V) Datc: 12/01,1:00
Cit or Town of: No- Andover
Y To the lirspector oJlYit•es:
By this application the undersi;ned gives.noticc of his or her intention to perform the electric al-work described below.
Location (Street & Number) 411 PLE:asant St.
Owner or Tenant Scott & Patti Massey Telephone No.
Owner's Address Sante
Is this permit in conjunction with a building permit? Yes 0 No ❑ (check Appropriate Box)
Purpose of Building ResidencE? Utility Authorization No. 007803
Existing Service Amps / Volts Overhead ❑ Undard ❑ No.of iNleters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of.Nleters:
Number of Feeders and Ampacity
rA Location and Nature of Proposed Electrical Work: Temporary Service
r' Cont lesion ofthe jolhn i) table nrav be waived by the hr cctor of ivires.
No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Lighting Outlets INo.of Iiot Tubs Generators kVA
No.of Lighting Fixtures Sivimming Pool Above ❑ In-
❑ t o.of Emergency rg]tlna
b b b orad. grnd. Battery Units
No:of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No•of Detection and
Total Initiating Devices
No.of Ranges No.of Air Cond. Tons No.of Alerthia Devices
No.of Waste Disposers Heat Pump Number j Tons lh\Y No• of Self-Contained
Totals: I Detection/Alerting Devices
No.of Disins•ashers S acelArea Heating
itiIurricipal
p by Local Connection ❑ Other
t No.of Dryers Heating Appliances KW Security Systems:
No.of Devices or Equivalent
No.of`VaterINo.of No.of Data V✓firing•
Heaters Itw Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs N'o.of llotors Total HP Telecommunications`�'ia:
b I No.of Devices or E rinuivalent
OTHER:
'alaeh additional detail if desired•or as required by the Inspector of Vires.
INSURAiNCE 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 eNEbited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:)
(Expiration Date)
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: 1.2/01/00 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
I certify, un(ter the pains acrd penalties of perjury,that the itfortnation on this application is trite and complete:
FiR1I NAME: Landers EIEC Ctrica LIC.NO.: A5912
Licensee: Vincent B. Landers SignatureQ� �<--LIC.NO.: A551'2
(!/•applicable• enter ••e_re nipt-in the license number Iine.) Bus.Tel.No.• 9/b-6--86---3-8-2 8
Address: 1000 Osgood St No. Andover MA 01845 Alt.Tel.No.:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
fequired bylaw. B}•my signature below,I hereby waive this requirement. I am the(check onc)❑owner ❑o %ncr's agent.
Owner/Agent
Signature Telephone No. [P71; A11T FL•L•: -.57V
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Location IDI PI� 4 �4,IJ4
No. 673
Date 10-c)3-60
NOR,rh TOWN OR NORTH ANDOVER
Certificate of Occupancy $ d
s e� � _• a
,ACHUs t�' Building/Frame Permit Fee $ ,nn
Foundation Permit Fee $ Op
Other Permit Fee $
TOTAL $
Check # �� y
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING
,:.�u�„�. :rr-'. ,,... . .. -.: •;�.. - , ., ��.ax�+.,: ,v.. 3.� ; g�r„,�.�.,,.,,��sem,',.-W
BUILDING PERMIT NUMBER. DATE ISSUED
17 3 �� -62-3 -Z) 0 X
SIGNATURE:
C
Building Commissioner/I for of Buildings Date Z
SECTION 1-SITE INFORMATION 0
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
LI I I P I e a.S aA+
9,5 (09
i_ 6 Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: Cjj
5 in� Fa m'► 1 v (.o �a D5 (,C) �-
ZoningDistrict Proposed Us Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Required Provided
30 l(Q5 S q01 '
1.7 Water S°p M.G.L.C.40.154) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public [LLQ Private ❑ Zone Outside Flood Zone CY Municipal On Site Disposal System 0
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m
2.1 Owner of Record
Philcic;a anA 1 Mar 61ekea6 Si-• (Lbr-�k AndAUPr �
Name(Print) Address for Service: Q 1
7 Vit -4Na3
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service: O
Z
M
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: I t Not Applicable ❑
W1`ItaYY\ GritC \1
Licensed Construction Supervisor: C,-3 O
r
i-1
License Number m C' ro�eSi- St-- /V[�. �nc�dUe� D
Address
A46,40
&9-7-12a,3Expiration Date
S ature Telephone r
3.2 Registered Home Improvement Contractor Not Applicable ❑ 0
Company Name M
Registration Number r
Address r
z
Expiration Date ^
Signature Telephone YI
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 buildipg permit.
Signed affidavit Attached Yes.......V No.......❑
SECTION 5 Descriptioqui of Proposed Work check all applicable)
New Construction Existing Building ❑ Repair(s) ❑ 1 Alterations(s) ❑ JAddition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
CbnS+ryLc.- h
A-lOrJ n+ SI4l -F0VV% 1 '( Owe_ (11 o
U ) 14-6. o. Cn✓- on (fir c�E'er
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be �U1�k'ICL USE ONLY
Completed by permit applicant '-
1. Building (a) Building Permit Fee
Q Multi lier
2 Electrical (b) Estimated Total Cost of
7 9�0D Construction
3 Plumbing Building Permit fee(a)X (b)
4 Mechanical HVAC0600 1311, �
5 Fire Protection
6 Total 1+2+3+4+5 Check NumberI I I 4_ r 44/
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, (`ACL+('1 C: l0. 0./i SC�� as S 1! ,as Owner/Authorized Agent of subject property
Hereby authorize_ ay►1 (2)o,IrrP.tt— to act on
My Whalf,in all matters relative to work authorized by this building permit application.
Si nature of 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
y
Signature of Owner/A ent Date
NO. OF STORIES SIZE a&7a + — c
BASEMENT OR SLAB n
SIZE OF FLOOR TWMERS 1 2ND 3
SPAN 1 L '
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION ' THICKNESS
SIZE OF FOOTING 1 D"X ` X
MATERIAL OF CHIMNEY i3ricy
IS BUILDING ON SOLID OR FILLED LAND p -
IS BUILDING CONNECTED TO NATURAL GAS LINE 2
i
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verity that all necessary approvals/permits from
Boards and Departments having jurisdiction-have been obtained. This does .not relieve
the applicant and/or landowner from compliant.- with any applicable or requirements.
"""""APPLICANT FILLS OUT THIS SECTION"'""
APPLICANT i I� i rv� 80 rre-ki- Hhmes PHONE 69a-a3a0
LOCATION: Assessor's Ylap Number PARCEL (D 9
SUBDIVISION LOT (S) (o
STREET to eQ SG n+ ST. NUMBER ��f✓
*****OFFICIAL USE
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED J-( t �
COMMENTS S r����[
Vt
LL
TOWNS CANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED Q
DATE REJECTED
COMMENTS
PUBLIC WORKS -SEWERlWATER CONNECTIONS
DRIVEWAY PERMIT Ld"
FIRE DEPARTMENT
61
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 im
DPW 268 Date .... J.'Zg..:.
�NORTH
TOWN OF NORTH ANDOVER
* a =:
. RECEIPT
1 t
S
CHU
This certifies that........!............. .....1 12✓. -e( .........`"'� G
hasd ......................
pai �........... ...........
for W4 e(" �/ �. .. ...�.. l! �l S ►s7�
..............................
a Received by.........................r.I.!! .......W.I.LC. G.l.................
P � l°'C ° �
De artment...................... ....!/`. . ...................................... ...................
WHITE: Applicant CANARY:Department PINK:Treasurer
` _;;;
I.O.O V ;
APPLICATION FOR.WATER SERVICE,CONNECTION
t North Andover, Mass.
Application by the undersigned is hereby made to connect with the town water main inStreet,
subject to the rules and regulations of•the Division of Public Works.
The premises are known as No. �1 ( ��Rsa Street
or subdivision lot no.
let,
Owner Address
Contractor', k Address
x Applicant's'Signature j
PERMIT TO CONNECT WITH WATER MAIN =
The Board of Public Works hereby grants permission to
to make a connection.with the water main"at �CS � ' ' Street
subject to:the.rules and regulations of the Division of Public Works. ..
Board f Pu lic Works
BY mxr
Inspected by
Date
See back for rules and regulations ,
' ' '/ �, I'd�a I G l .��• �� �`t �fn ..
y
1572
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass. A VC,
Y§—'
Application by the undersigned is hereby made to connect with the town sewer main inStreet,
subject to the rules and regulations of the Division of/Public Works. /
The premises are known as No. `-T`( �`el��L�� Street
�S2 �2
or subdivision lot no. (e 3ZoIke�
Owner Address
Contractor Addr s -
a,,U
Applicant's Signature
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at /�C ag- Street
subject to the rules and regulations of the Division of Public Works..
ivision f Pu lic Works
By
Inspected by
Date
See back for rules and regulations
Sv�O eG� 1`� «'S �� � �v 61 �� Cl ✓(
Ot
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y
TOWN OF NORTH ANDOVER, MASSACHUSETTS
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET, 01845
J.VVILLIAM HMURCIAK, P.E. phone 978 Tele ( )
DIRECTOR 685-0950
� t,oarH
Fax(978)688-9573
�0` bo 6.gti0
OL
F
_ p
It
�9SSACMl15Et��
DRIVEWAY PERMIT
DATE A u
LOCATION
BUILDER hone
OWNER � ( ,'ce hone
�
THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS
MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM
STREET . CALL THE SUPERINTENDENT'S OFFICE BEFORE
FINISH GRADING AND SURFACING FOR APPROVAL OF
SUCH ENTRY.
FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT.
GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT
TOWN OF NORTH ANDOVERBUILDING DEPARTMENT
This form shall be used to assist the Building Department in their determination of exemption under section
8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the
necessary information as requested below.
patt^i cta ani Sco H MuSSz� y I Eci_Sa bit- +.
Permit Applicant Property address Map/Parcel
1P?7- 9219-
Applicant's Phone Number Single Family Two Family
I the undersigned applicant for the above property attest that the attached building permit for which this form is completed
does comply with the EXEMPTION section 8.7.6 ofthe Growth Management Bylaw.I also understand providing this form does not
absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building
permit.Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only
officially accepted when the building permit is issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot,in the building
permit application and associated attachments,complies with one or more of the following sections as indicated by a check mark
This is an application for a building permit for the enlargement,restoration or reconstruction of a dwelling in existence as
of the effective date ofthis bylaw,provided that no additional residential unit is created.
The lot(s)was/were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw.
This application is for dwelling units for low and or moderate income families or individuals,where all of the conditions
of 8.7.6 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens
through a properly executed and recorded deed restriction running with the land.For purposes of this section"senior"shall mean
persons over the age of 55.
This application is part of a development project which voluntarily agreed to a minimum 40%permanent reduction in
density(buildable lots)below the density permitted under zoning and feasible given the environmental conditions of the tract,with the
surplus land equal to at least ten buildable acres and permanently designated as open space or farmland.The land to be preserved shall
be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other
similar mechanism approved by the planning board that will ensure its protection.
This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent
parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and
Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel.
Ibis application represents a lot which is ready for a building permit(all other permits from all other boards and
commissions have been received and the project is in compliance with those permits),and the Development Schedule does not
accommodate issuing a building permit in that year.One building permit will be issued per year per Development until such time as
the development schedule accommodates issuing building permits.Applicant must submit an approved FORM U with this
EXEMPTION.
PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A
DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS.
BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED
BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE.
FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE
CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR
NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT.
x „T 3 1771
APPLICANTS SIGNATURE 0 DTE
THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION
t
Town of North Andovero� Na RTH ��
� 6y O
Building Department o
27 Charles Street
North Andover Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542 �,94oR4Ti0 'Pp.` 15
9SSCH S
A U
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit# the debris resulting from the work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL c11, sl 50a.
The debris will be disposed of in/at:
Sc) lcrlet'\ 1N6 `CJI OSo-. C . = n -
acility location
A - 6LAU& W1)JJt14_
Signature of Applicant0
Date
NOTE: A demolitionP ermit from the the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
MAScheck COMPLIANCE REPORT Permit # ;
Massachusetts Energy Code
MAScheck Software Version 2 . 0
Checked by/Date
CITY: Lawrence
STATE: Massachusetts
HDD: 6235
CONSTRUCTION TYPE : 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 8-25-2000
DATE OF PLANS : 8/25/00
TITLE : Pleasant St
PROJECT INFORMATION:
Lot 6
Pleasant St
Massey
COMPANY INFORMATION:
William Barrett Homes
1049 Turnpike St
No Andover
COMPLIANCE : PASSES
Required UA = 539
Your Home = 524
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 1464 30 . 0 0 . 0 52
WALLS : Wood Frame, 16" O.C. 2536 13 . 0 3. 0 181
GLAZING: Windows or Doors 397 0. 500 199
DOORS 40 0 .350 14
FLOORS : Over Unconditioned Space 1649 19 .0 78
HVAC EFFICIENCY: Furnace, 86. 0 AFUE
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
sections 780CMR 1310 and J4.4.
Builder/Designer Date Z��
i
.. ! rLj c rr ;}1 r' •�tz T'. -r '�: :i � J t 73J
�� .J'i J ,�Y!J U , :'3�., �. s i cy 1 i•T i-� _ i i l b l
{�JS1Ti1 � — l — • ' u �. -s;1 •}'• ('� .._
t',.. Iv
t
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IJ 1
1
REQUIREMENTS FOR BULDING PERMIT SIGNOFFS
BY BOARD OF HEALTH
To be filled out by the applicant and submitted with the Building Permit
application
1. What is the proposed project? Deck pool addition new house
other
2. Are plans attached? N Yes No
(For additions and new houses on septic systems,
complete floor plans of proposed construction and
any existing house must be submitted. For pools
and decks, a site plan with location of pool or deck is
required. Dimensions of deck are needed.)
3. Is municipal sewer available at this location? Yes No
4. If sewer is available and a house already exists, is it
tied in to the sewer? Yes No
5. Is the location served by private well? Yes No
6. If this project is an addition and the house is served by a
septic system, has there been a Title 5 inspection done
recently on the septic system? N A Yes No
7. If,yes, is.the inspection report on file at the BOH? N Pr Yes No
The .Commonvvealth of Massachusetts
_ Department of Industrial Accidents
Off ice of Investigations
Boston, /Class. 02111
Workers' Compensation Insurance Affidavit
Name Please Print
Name:
` Location:
City Phone #
aI am a homeowner performing all work myself.
F7I am a sole proprietor and have no one working in any capacity
1 am an employer providing workers' compensation for my employees working on this job.
Company name: C06)int, . Di 1�nq e- Oeu. Cory. l088: W't 0 Tarn Home s
Address 10 H Q `T'U r n Q 1/ 5 4'
City: N o• f'-In Ga U£'f Phone#: (o g a. ' `01 a o
Insurance Co. G r CO- A n-\ e r l Cavi Policy# PAC
r Company name:
z
Address
City: Phone#:
,i
Insurance Co. Policy#
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'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 maybe forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby certify and the pains andpenalties of f the information provided above is true and correct.
kg Z
'
Signature x Date
Print name W + l 1 i a,rh (6G rV,e,`�t Phone# C.a&).-0 316
Official use only do not write in this area to be completed by city or town official'
City or Town Permit/Licensino
C3 Building Dept
❑Check if immediate response is required (] licensing Board
p Selectman's Office
Contact person: Phone Health Department
Other
a.
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 052241
Birthdate: 10/10/1952
Expires: 10/10/2001 Tr.no: 7876
Restricted To: 00
WILLIAM K BARRETT,
1049 TURNPIKE ST (• ..� !�
N ANDOVER, MA 01845 Administrator
Town of North Andover NORTH
` OFFICE OF 32 0 e o ooc 3'
COMMUNITY DEVELOPMENT AND SERVICES p
27 Charles Street �o
WII LIAIv1 J. SCOTT North Andover, Massachusetts 01845 sgc,NuS���5
Director
(978)688-9531 Fax(978)688-9542
- y
CHIMNEY APPLICATION AND PERMIT
DATE PERMIT # a l
LOCATION 411 P�/�QSar�'�'
S.f- {I,
OWNER'S NAME SCID c)e) PC4 4 asi-C
BUILDER'S NAME W i I( i a m 8a rre .�..
i
MASON'S NAME "T�nn r' Y C?5/U e-
MASON'S ADDRESS 44 Q (,U es•¢- ver 5 E f�jy
MASON'S TELEPHONE (p k(o—021Y 9 '
MATERIAL OF CHIMNEY t/Jf ic(/:
INTERIOR CHIMNEY EXTERIOR CHIMNEY l�
NUMBER AND SIZE OF FLUES f A-
THICKNESS OF HEARTH a
Will chimney or fireplace conform to requirements of the code and
have rules and regulations been received: � e s
{
. DATE
SIGNATURE OF MASONAx CONTR. LIC. # 0,5L �Gf
EST. CONSTRUCTION COST/"NT P CE -1, 3500
PERMIT GRANTED FEE
ROBERT NICETTA, BUILDING INSPECTOR
INSPECTED
REMARKS
I
i '
SOLID BRICK REQUIRED
THIS PERMIT MUST BE DISPLAYED ON THE PREMISES
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
ORTH
Town o Andover
IA
No. .1�.. �o
� 3
_= LAKE O ndover, Mass., /D 3 ' OQ
COCW HEWICK
ADRATED P?�,`��
ACHUS
IT
FOR
EXCAVATION AND FOUNDATION
(THIS CERTIFIES THAT . ....01.101.0 ---...
..- ...JO*
...............4MAU .................................... ....
0 has permission to excavate and pour foundation at 1*4 4. ... .��..... � i�l.� "'f... .�..
for the purpose or .!M1.4a. ..V�. JUN'
a..,�....�l�1.... ....S�p $1@100e.IL
The person accepting this permit must return to the office of the Building Inspector a certd lot plan show
of building thereon before Foundation will be inspected. s PI SOO.—
VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS
The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS
assurance that a permit for entire building structure will be granted.
aw
BLDG. PERM#'l* FEE$ �I • . C •
LESS FDA FEE �'� / ....4411111110.......
.................................................
DUE FRAME PERMIT $ BUILDING INSPl;CTOR
NORTFt
ToVM of Andover
No. t -13
o� L� o dower, Mass., D d
/gyp ADRATED P'P�G\���
S 4
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
THIS CERTIFIES THAT
AA
BUILDING INSPECTOR
. ....A� lit l.�t. ... ...,5�0.............. 0,45.5„a..Y.
........................... ........... ..
' Foundation
has permission to erect................/..................... build gs on �,d' .b' I��.... � �o�.A........ ... 5 �. Rough
to be occupied as Tro.o.m..91....5...1��...... .a..s�� ..����.�...�.�. .1�..�� WL�himney
provided that the person accepting this permit shall in elry respect conform to the terms of the ailication on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Ins action, A eration and Construction of
Buildings in the Town of North Andover. M 16
.
P , � PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
BLDG. FERMI FEE SS CONSTRUCTION ST ELECTRICAL INSPECTOR
LESS FDA FEE--- � Rough
��l FRAME . .......... Service
...................... ... ..... .....
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
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.
Building Value Calculation - for Property at.....
IN
Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost
Kitchen 23 28 644.00 � �� g $ 41,860.00
Living Room 14 33 462.00 �� '` $ 30 030.00
a.
Dining Room 28 28 784.00 50,960.00
x •r
s
25,740.00
Family Room 18 22 396.00 ��� �,����K.�.��� $
Study -
� $
n
Laundry - t -
Garage 18 22 396.00 � �k $ 13,860.00
4
Entry
Basement Finished -
Deck
Screened Porch
Breakfast Nook - m -
Bedroom 1
Bedroom 2 -
Bedroom 3
Bedroom 4
Bedroom 5
Bathroom 1 _ dff � $ —
Bathroom 2
Bathroom 3 - $
Bathroom 4 -
Bathroom 5 z
$ 162,450.00
CURVE; DELTA AN L RADIUS ARC LENGTH CHORD LENGTH CHORD BEARING WETLANDS DELINEATION BY-
C1 37650'58' 380.63' 251.44' 246.90' S 22'54'57' E / WETLANDS PRESERVATION, INC
C2 81°47'15' 37.14' 53.02' 48.63' N 36954'13' E 47 NEWTON ROAD, W, N. H.
TEL, NO. 603-382-3435-3435 .
I° N a29 51, E 20. ft CL,' N0. 2461 OF 8/16/ 1999
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a raa wt r rrwn a.ar an n.r>..n.aa amr,s
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r�°f.w�4rfi.f"i�irs � r°u V i
SD.T TF.NCR h 9 TAW 01OR t!tj llA TS '
F °5'°" q-�=PE-3 PLAN OF LAND 92ft+/-
,� PROPOSED EDGE
IN 156 154 OF FILL TAKED �-
A,� HAY BALES
1V1
NORTH ANDOVER, A . � �rj � WITH SITATION
FENCE
PREPARED FOR 6 , ID
41 33' --100' BUFFER a
SCOTT �c PATRICIA MASSE ) - 5 ' � 0
9 � o
SCALE: 40' AUGUST 15, 2000 rs �° �N 0° PROP,
v 8.
o' 40' 80' 120' 2HOUSE . 30.0f t'
PLA ISTOW � ` FY>
CD
CONSULTANTS �12.ru 221-
LIC. LAND SURVEYORS �`t o o. ft �2
��� �''t;,
------'40,:B f t
22 SMIT4 CORNER ROAD o DANIEL � ' �L�`E EAS
PLA IS TO , N.H. 03865 JOH SON �
No 2ew
TEL/FAX 603-382- 732 0 y
S77-47'55
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