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Miscellaneous - 42 JERAD PLACE 4/30/2018 (2)
/� 42 JERAD PLP'CE f VOLIP600004 TOWN OF NORTH ANDOVER NORTF� Office of the Building Department 0* � LED , ti Community Development and Services t - p 1600 Osgood Street, Bldg. 20, Suite 2035 North Andover, MA 01845 SSACHUS- Gerald Brown, Inspector of Buildings July 13, 2015 Brian G. Vaughan, Esq. Smolak&Vaughan LLP 21 High Street, Suite 301 North Andover, MA 01845 Re:42 Jared Place and 366 Candlestick Road Zoning Determination—Exclusive Use Easement for Yard Dear Attorney Smolak, I am writing by way of follow-up to our meeting and discussion on July 9, 2015, at which reviewed the proposed sketch plan that you provided showing an easement area to be located over the southerly portion of 366 Candlestick Road. You have indicated that the easement would be granted as an exclusive use easement in favor of the abutting 42 Jared Place. You have also indicated that there would be no alteration or relocation of existing driveways and no new driveways are intended to be constructed over this area. The easement is to be granted with the intent of allowing the owner of 42 Jared Place to continue to use the proposed easement area, exclusively, as though it were a portion of the yard for 42 Jared Place. This memo will confirm my zoning determination that the granting of such an exclusive use easement over this area (by the owner of 366 Candlestick Road in favor of the owner of 42 Jared Place) will not result in a zoning nonconformity with respect to either 366 Candlestick Road or 42 Jared Place. As discussed, if the fee interest in the property were to be subdivided and transferred (ie, with the dimensions of the lot to be changed and with a fee rather than easement interest in the area to be conveyed),then such an alteration would affect lot frontage and configuration and likely result in various zoning noncomformities. Such a change in the configuration of the lots would require a new plan,with Planning Board and likely Zoning Board approval. However,the mere grant of an easement over the area as detailed above would not require any such approval and would not result in any zoning nonconformity. Page 2 The grant of an easement will not alter or change any existing lot lines. So it should be noted that any setback lines or other dimensional zoning matters for the respective lots will continue to be determined from, and based upon, the existing lots lines of record and without regard to the easement area. No opinion is hereby expressed and no zoning determination is hereby made with respect to any future construction (if any) as may be proposed or conducted on either lot. I understand that at this time no construction is intended on either lot. But for clarity, if in the future any construction were proposed on either lot it would of course need to comply with all the applicable zoning and building requirements in effect at the time,which requirements would be applied with respect to the lot lines of record (ie,with regard to fee ownership lines and without regard to the easement area). Please contact me should you have any questions concerning this matter. Sincerely, Gerald Brown Inspector of Buildings Cc: File i TOWN OF NORTH ANDOVER Office of the Building Department � o� NORTIi Community Development and Services c? btu - 1600 Osgood Street, Bldg. 20,Suite 2035 '" 70 North Andover, MA 01845 �s,9 �gwreo�°p'q9 SSACHU5�� Gerald Brown, Inspector of Buildings July 13, 2015 Brian G. Vaughan, Esq. Smolak&Vaughan LLP 21 High Street,Suite 301 North Andover, MA 01845 Re: 42 Jared Place and 366 Candlestick Road Zoning Determination—Exclusive Use Easement for Yard Dear Attorney Smolak, I am writing by way of follow-up to our meeting and discussion on July 9, 2015, at which I reviewed the proposed sketch plan that you provided showing an easement area to be located over the southerly portion of 366 Candlestick Road. You have indicated that the easement would be granted as an exclusive use easement in favor of the abutting 42 Jared Place. You have also indicated that there would be no alteration or relocation of existing driveways and no new driveways are intended to be constructed over this area. The easement is to be granted with the intent of allowing the owner of 42 Jared Place to continue to use the proposed easement area, exclusively, as though it were a portion of the yard for 42 Jared Place. This memo will confirm my zoning determination that the granting of such an exclusive use easement over this area (by the owner of 366 Candlestick Road in favor of the owner of 42 Jared Place)will not result in a zoning nonconformity with respect to either 366 Candlestick Road or 42 Jared Place. As discussed, if the fee interest in the property were to be subdivided and transferred (ie, with the dimensions of the lot to be changed and with a fee rather than easement interest in the area to be conveyed),then such an alteration would affect lot frontage and configuration and likely result in various zoning noncomformities. Such a change in the configuration of the lots would require a new plan, with Planning Board and likely Zoning Board approval. However,the mere grant of an easement over the area as detailed above would not require any such approval and would not result in any zoning nonconformity. Page 2 The grant of an easement will not alter or change any existing lot lines. So it should be noted that any setback lines or other dimensional zoning matters for the respective lots will continue to be determined from, and based upon, the existing lots lines of record and without regard to the easement area. No opinion is hereby expressed and no zoning determination is hereby made with respect to any future construction (if any) as may be proposed or conducted on either lot. I understand that at this time no construction is intended on either lot. But for clarity, if in the future any construction were proposed on either lot it would of course need to comply with all the applicable zoning and building requirements in effect at the time,which requirements would be applied with respect to the lot lines of record (ie,with regard to fee ownership lines and without regard to the easement area). Please contact me should you have any questions concerning this matter. Sincerely, Gerald Brown Inspector of Buildings Cc: File T July 10, 2015 Brian G.Vaughan, Esq. Smolak&Vaughan LLP 21 High Street, Suite 301 North Andover,MA 01845 Re: 42 Jared Place Road and 366 Candlestick Road Zoning Determination—Exclusive Use Easement for Yard Dear Attorney Vaughan: I am writing by way of follow-up to our meeting and discussion on July 9, 2015, at which I reviewed the proposed sketch plan that you provided showing an easement area to be located over the southerly portion of 366 Candlestick Road. You have indicated that the easement would be granted as an exclusive use easement in favor of the abutting 42 Jared Place Road. You have also indicated that there would be no alteration or relocation of existing driveways and no new driveways are intended to be constructed over this area. The easement is to be granted with the intent of allowing the owner of 42 Jared Place to continue to use the proposed easement area, exclusively, as though it were a portion of the yard for 42 Jared Place. This memo will confirm my zoning determination that the granting of such an exclusive use easement over this area(by the owner of 366 Candlestick Road in favor of the owner of 42 Jared Place Road)will not result in a zoning nonconformity with respect to either 366 Candlestick Road or 42 Jared Place Road. As discussed, if the fee interest in the property were to be subdivided and transferred(ie,with the dimensions of the lot to be changed and with a fee rather than easement interest in the area to be conveyed),then such an alteration would affect lot frontage and configuration and likely result in various zoning nonconformities. Such a change in the configuration of the lots would require a new plan, with Planning Board and likely Zoning Board approval. However,the mere grant of an easement over the area as detailed above would not require any such approvals and would not result in any zoning nonconformity. The grant of the easement will not alter or change any existing lot lines. So it should be noted that any setback lines or other dimensional zoning matters for the respective lots will continued to be determined from, and based upon,the existing lot lines of record and without regard to the easement area. No opinion is hereby expressed and no zoning determination is hereby made with respect to any future construction (if any)as may be proposed or conducted on either lot. I understand that at this time no construction is intended on either lot. But for clarity, if in the future any construction were proposed on either lot it would of course need to comply with all then applicable zoning and other building requirements in effect at the time,which requirements would be applied with respect to the lot lines of record(ie,with regard to fee ownership lines and without regard to the easement area.) Please contact me should you have any questions concerning this matter. Sincerely, Gerald Brown Building Inspector {00091573;v1} f GRANT OF EASEMENT The undersigned, JOSEPH ELAZ (hereinafter the "Grantor"), having a mailing address at and being the owner of real property known as 366 Candlestick Road, North Andover, Essex County, Massachusetts 01845 (hereinafter sometimes referred to as the "Burdened Premises"), for consideration paid of Two Thousand and Five Hundred 00/100 Dollars ($2,500.00) and other valuable consideration, the receipt and adequacy of which is hereby acknowledged, hereby grants to JOHN E. DISTEFANO and MARION L. DISTEFANO (hereinafter the "Grantees"), having a mailing address at and being the owners of real property known as 42 Jared Place Road, North Andover, Essex County, Massachusetts 01845 (hereinafter sometimes referred to as the "Benefited Premises"), under the terms and conditions as set forth in this Grant of Easement, the exclusive right and easement to use that portion of the Burdened Premises as is further described below (hereinafter the "Exclusive Use Easement Area") for purpose as if the Exclusive Use Easement Area were part of the Benefited Premises and owned in fee ownership by the Grantees, and for all other purposes, without limitation, subject to the following terms: 1. This Easement shall be in perpetuity, shall run with the land, and shall be for the benefit of the Grantees, their heirs, successors and assigns. 2. The Exclusive Use Easement Area shall consist only of that portion of the Burdened Premises which is more particularly described in the legal description attached hereto as Exhibit A and as also depicted as the cross-hatched area on the sketch plan attached hereto as Exhibit B. The Exclusive Use Easement Area shall be for the exclusive use of the Grantees, their successors and assigns, in connection with their ownership, use and enjoyment of the Benefited Premises. No other portion of the Burdened Premises, except for the Exclusive Use Easement Area, shall be subject to use by the Grantees under and pursuant to this Grant of Easement. 3. The Grantees, their heirs, successors and assigns shall be responsible, at their sole cost and expense, for the care, maintenance and upkeep of the Exclusive Use Easement Area and shall maintain the same in a reasonably clean and safe condition and in accordance with all applicable laws. The Grantee, their heirs, successors and assigns may, without limitation to other rights hereunder, install irrigation systems on and under the Exclusive Use Easement Area for the maintenance of landscaping on the Exclusive Use Easement Area. {00091088;v1} 4. The Grantees and their heirs, successors and assigns agree that so long as they shall exercise their rights under this Grant of Easement, they shall indemnify and hold harmless the Grantor and his heirs, successors and assigns of and from any and all claims, damages, actions, causes of action, liabilities, judgments, costs and expenses resulting from their use of the Exclusive Use Easement Area or their exercise of the rights created under this Grant of Easement and for personal injury or property damage occurring on the Exclusive Use Easement Area and arising during the term of their ownership of the Benefited Premises. Notwithstanding the forgoing, any claims, damages, actions, causes of action, liabilities,judgments, costs and expenses, if any, which are caused by the Grantor shall be the sole responsibility of the Grantor, however, and the Grantor hereby indemnifies and holds harmless the Grantees therefrom. 5. Each provision of this Grant of Easement and the application thereof to the Exclusive Use Easement Area is hereby declared to be independent of and severable from the remainder of this agreement. If any provision contained herein shall be held to be invalid or to be unenforceable or not to run with the land, such holding shall not affect the validity or enforceability of the remainder of this instrument. 6. Any obligations contained herein with regard to the easement granted hereby shall be construed as covenants and not as conditions and any violation of any said covenant shall not result in a forfeiture or reversion of the easement granted herein or the property interests conveyed hereby. 7. This Grant of Easement contains the complete understanding and agreement of the parties hereto with respect to all matters referred to herein, and all prior representations, negotiations, and understandings are superseded hereby. 8. The laws of the Commonwealth of Massachusetts shall govern the interpretations, validity, performance, and enforcement of this Grant of Easement. 9. To the extent required, the undersigned Grantor hereby waives, as to this Grant of Easement and with respect to the Exclusive Use Easement Area, only, and not with respect to his ongoing ownership, occupancy and use of the remainder of the Burdened Premises, any and all rights of Homestead. For reference to the Grantor's title to the Burdened Premises see deed recorded at Book 3920, Page 256, and see also death certificate of Linda Elaz recorded herewith; For reference to the Grantees' title to the Benefitted Premises see deed recorded at Book 8893, Page 328. {00091088;v1} 2 IN WITNESS WHEREOF, the undersigned has set his hand and seal on this _ day of June , 2015. JOSEPH ELAZ COMMONWEALTH OF MASSACHUSETTS Essex, ss On this day of June, 2015 before me, the undersigned notary public, personally appeared Joseph Elaz, proved to me through satisfactory evidence of identification, which was ❑ photographic identification with signature issued by a federal or state governmental agency, ❑ oath or affirmation of a credible witness, ❑ personal knowledge of the undersigned, to be the person whose name is signed on the preceding document, and swore that the contents of the document are true and accurate to the best of his knowledge, information and belief. Notary Public My Commission Expires: {00091088;v1} 3 EXHIBIT A Legal Description of Exclusive Use Easement Area The Exclusive Use Easement Area shall consist of a portion, only, of the property of Grantor, which is commonly known as 366 Candlestick Road,North Andover, Essex County, Massachusetts, and which property is more particularly shown and depicted as Lot 18 on a plan of land entitled "Definitive Subdivision Plan of Jerad Place II located in North Andover, Massachusetts" and recorded with the Essex North District Registry of Deeds as Plan No. 11216 (the "Plan"). The Exclusive Use Easement Area shall consist only of that portion of Lot 18 which is located southerly of the area shown as "Easement For Detention Pond" on Sheet 2 of the Plan. The Exclusive Use Easement Area is more particularly described as the area bounded on said Plan as follows: Westerly by Lot 17 as shown on said Plan; Northerly by the southerly bound of the Easement For Detention Pond as shown on said Plan; and Easterly by Candlestick Road as shown on said Plan. The Exclusive Use Easement Area is also shown as the cross-hatched area on the sketch plan attached hereto as Exhibit B. For purposes of clarity, the Exclusive Use Easement Area excludes and does not include any portion of Lot 18 located Northerly of either Lot 17 or the Easement For Detention Pond as shown on the Plan. {00091088;v1} 4 .i GRANT OF EASEMENT The undersigned, JOSEPH ELAZ (hereinafter the "Grantor"), having a mailing address at and being the owner of real property known as 366 Candlestick Road, North Andover, Essex County, Massachusetts 01845 (hereinafter sometimes referred to as the "Burdened Premises"), for consideration paid of Two Thousand and Five Hundred 00/100 Dollars ($2,500.00) and other valuable consideration, the receipt and adequacy of which is hereby acknowledged, hereby grants to JOHN E. DISTEFANO and MARION L. DISTEFANO (hereinafter the "Grantees"), having a mailing address at and being the owners of real property known as 42 Jared Place Road, North Andover, Essex County, Massachusetts 01845 (hereinafter sometimes referred to as the "Benefited Premises"), under the terms and conditions as set forth in this Grant of Easement, the exclusive right and easement to use that portion of the Burdened Premises as is further described below (hereinafter the "Exclusive Use Easement Area") for purpose as if the Exclusive Use Easement Area were part of the Benefited Premises and owned in fee ownership by the Grantees, and for all other purposes, without limitation, subject to the following terms: 1. This Easement shall be in perpetuity, shall run with the land, and shall be for the benefit of the Grantees, their heirs, successors and assigns. 2. The Exclusive Use Easement Area shall consist only of that portion of the Burdened Premises which is more particularly described in the legal description attached hereto as Exhibit A and as also depicted as the cross-hatched area on the sketch plan attached hereto as Exhibit B. The Exclusive Use Easement Area shall be for the exclusive use of the Grantees, their successors and assigns, in connection with their ownership, use and enjoyment of the Benefited Premises. No other portion of the Burdened Premises, except for the Exclusive Use Easement Area, shall be subject to use by the Grantees under and pursuant to this Grant of Easement. 3. The Grantees, their heirs, successors and assigns shall be responsible, at their sole cost and expense, for the care, maintenance and upkeep of the Exclusive Use Easement Area and shall maintain the same in a reasonably clean and safe condition and in accordance with all applicable laws. The Grantee, their heirs, successors and assigns may, without limitation to other rights hereunder, install irrigation systems on and under the Exclusive Use Easement Area for the maintenance of landscaping on the Exclusive Use Easement Area. {00091088;v1} ti 4. The Grantees and their heirs, successors and assigns agree that so long as they shall exercise their rights under this Grant of Easement, they shall indemnify and hold harmless the Grantor and his heirs, successors and assigns of and from any and all claims, damages, actions, causes of action, liabilities, judgments, costs and expenses resulting from their use of the Exclusive Use Easement Area or their exercise of the rights created under this Grant of Easement and for personal injury or property damage occurring on the Exclusive Use Easement Area and arising during the term of their ownership of the Benefited Premises. Notwithstanding the forgoing, any claims, damages, actions, causes of action, liabilities, judgments, costs and expenses, if any, which are caused by the Grantor shall be the sole responsibility of the Grantor, however, and the Grantor hereby indemnifies and holds harmless the Grantees therefrom. 5. Each provision of this Grant of Easement and the application thereof to the Exclusive Use Easement Area is hereby declared to be independent of and severable from the remainder of this agreement. If any provision contained herein shall be held to be invalid or to be unenforceable or not to run with the land, such holding shall not affect the validity or enforceability of the remainder of this instrument. 6. Any obligations contained herein with regard to the easement granted hereby shall be construed as covenants and not as conditions and any violation of any said covenant shall not result in a forfeiture or reversion of the. easement granted herein or the property interests conveyed hereby. 7. This Grant of Easement contains the complete understanding and agreement of the parties hereto with respect to all matters referred to herein, and all prior representations, negotiations, and understandings are superseded hereby. 8. The laws of the Commonwealth of Massachusetts shall govern the interpretations, validity,performance, and enforcement of this Grant of Easement. 9. To the extent required, the undersigned Grantor hereby waives, as to this Grant of Easement and with respect to the Exclusive Use Easement Area, only, and not with respect to his ongoing ownership, occupancy and use of the remainder of the Burdened Premises, any and all rights of Homestead. For reference to the Grantor's title to the Burdened Premises see deed recorded at Book 3920, Page 256, and see also death certificate of Linda Elaz recorded herewith; For reference to the Grantees' title to the Benefitted Premises see deed recorded at Book 8893, Page 328. {00091088;v1} 2 r IN WITNESS WHEREOF, the undersigned has set his hand and seal on this _ day of June , 2015. JOSEPH ELAZ COMMONWEALTH OF MASSACHUSETTS Essex, ss On this day of June, 2015 before me, the undersigned notary public, personally appeared Joseph Elaz, proved to me through satisfactory evidence of identification, which was ❑ photographic identification with signature issued by a federal or state governmental agency, ❑ oath or affirmation of a credible witness, ❑ personal knowledge of the undersigned, to be the person whose name is signed on the preceding document, and swore that the contents of the document are true and accurate to the best of his knowledge, information and belief. Notary Public My Commission Expires: {000siosa;vi} 3 EXHIBIT A Legal Description of Exclusive Use Easement Area The Exclusive Use Easement Area shall consist of a portion, only, of the property of Grantor, which is commonly known as 366 Candlestick Road,North Andover, Essex County, Massachusetts, and which property is more particularly shown and depicted as Lot 18 on a plan of land entitled "Definitive Subdivision Plan of Jerad Place Il located in North Andover, Massachusetts" and recorded with the Essex North District Registry of Deeds as Plan No. 11216 (the "Plan"). The Exclusive Use Easement Area shall consist only of that portion of Lot 18 which is located southerly of the area shown as "Easement For Detention Pond" on Sheet 2 of the Plan. The Exclusive Use Easement Area is more particularly described as the area bounded on said Plan as follows: Westerly by Lot 17 as shown on said Plan; Northerly by the southerly bound of the Easement For Detention Pond as shown on said Plan; and Easterly by Candlestick Road as shown on said Plan. The Exclusive Use Easement Area is also shown as the cross-hatched area on the sketch plan attached hereto as Exhibit B. For purposes of clarity,the Exclusive Use Easement Area excludes and does not include any portion of Lot 18 located Northerly of either Lot 17 or the Easement For Detention Pond as shown on the Plan. 00091088;v1 { l 4 I SK�Tc� Pi-APJ orCtrs c M�sv-r 4�;A a\c,t r SrxeET'2 of//IMP +tL3 Vh++M N � /l._-�.<a•^.•w r� M< y gyp ,. (�Ra<•�} i/6RA0 PCACE•E SURVEY 6uaOlvis/ON �z � `� ••.,y.Y wf -c%v.L .•-sox:wmu.2 txc ? Ms •tee.' - ✓// Lnn�n.. 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LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: JOHN E DISTEFANO and MARION L DISTEFANO Property Address: 42 JERAD PLACE ROAD,NORTH ANDOVER, MA Policy Number: HMA 0329749 Claim Number: BOS00050171 Date of Loss: 2/17/2015 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Jedd Canane Claim Examiner 2/20/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 3524 Fax: (617) 531-8897 Email: JeddCanane@Safetylnsurance.com i Safety Insurance Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: JOHN E DISTEFANO and MARION L DISTEFANO Property Address: 42 JERAD PLACE ROAD,NORTH ANDOVER, MA Policy Number: HMA 0329749 Claim Number: BOS00042946 Date of Loss: 4/23/2014 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 313 is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Justin Murphy Claim Examiner 4/28/2014 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 5436 Fax: (617) 535-5869 Email: JustinMurphy@SafetyInsurance.com Date. . . NORTH pyr r.ro ,e.eh pP TOWN OF NORTH ANDOVER • - PERMIT FOR GA$ INSTALLATION SAOMUSE� This certifies that - . . . . . . . . . . . . . . . . . . . . .. has permission for gasrinstallati n . . . . . . in the build* of : !ll-!.k . . . . . . . . . . . . . . . . . . at ✓. .�. . 7- 9/d North Andover, Mass. Fee�-�.� Lic. No. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . / D GAS INSPECTOR Check# t� 9 5 MASSACHUSETTS UNIFORM APPLICATION R PERMIT TO DO GASFITTING (Print or Type) , Mass, Date � Permit # (` tj� ` Bull.,ding Location 7c�A- Owner's Name Type of Occupancy (��:S/!✓ New 0 Renovation 0 Replacement Plans SubmitteYesp No p gn rC N Vf r) CCN W" Wof W o v h y O r) d: t.: 'O .O CL c sr ►' w r, s. x t- N t7 F- X J; �' !- to +i V p > U. !W w _j w X ,( W en m x O X O _ • . .0 W > o¢ w a_ 2. <_ EE < C O W p 1- O v' 2 tL -c cl J t) W } G 0. F'. O . -. . ,. _ sua—nsmr..' BASEMENT IST FLOoR 214D FLOOR 3RD FI dOR 4`(t4 FLOOR STH FLOOR 6TH FLOOR 7T1! FLOOR 1137 H:FLOOR Installing Company Name Cl � i�N !�7` Check one: Certificate # Address ©G�' [J-•Corporalion 5 C]. Partnership Business Telephone r/ ,CO C/ �..�3 0 Firm/Co. Name of Licensed Plumber or Gas Fitter J em r'f INSURANC.E.:COVERAGEi :haven current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes G' No 0 If you have checked Yes, please Indicate:the type coverage by checking the appropriate box. A�liability, Insurance policy Other type of Indemnity 0 Bond O OWNER'S INSURANCE WAIVER t am.aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General`Laws, and that my signature on this permit application waives this requirement. Check one: _ flwnerO Agent.0 Signature of Owner or t?wner's Agent I hereby certify that all of the details and Information I have submitted(or entered)In above applicatlon are true and accurate to the best of my knowledge and that all plumbing work and installatlons.pperformed underthe permit issued for this application will be in compliance with all lxrtlnent provisions of the Massachusetts State Gas Code and Chapter-142.of the G eral Laws. Type of License: Title Plumber nature o cense um er asfller e asfittor City/Town aster License Number `r 'r'ik7Vf OTOTrTC Journeyman O . BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION FINAL INSPECTION SKETCHES FEE N0. APPLICATION FOR PERMIT TO DO GASFITTING NAME b TYPE OF BUILDING - LOCATION OF BUILDING PLUMBER OR GASFITTER LIC.N0. PERMIT GRAHTEb DATE .. - ZO........ GAS INSPECTOR • Date. Of NORTH TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION s �a SSAc•NUSE�IC This certifies that . . . . .L. . . . . . . . . . . has permission for gas installation . / - �. ll' r in the buildings of �� �E L at �f���: l: �. �: , North// ndover, Mass. FeeLic. No..�/70 f�.,l Z GAS INSPECTOR Check# '47 '10 MASSACHUSETTS UNDDRM APPUCATON FOR TO DO GAS FPITl'ING (Type or print) Date VII-310 ' NORTH ANDOVER,MAS` SAC HUSET+TS Building Locations ac c_ i Iviel., Permit# ��D Amount$ �5, Owne's Nye h f,,5, -4 b New❑ Renovation ❑ Replacement Plans Submitted ❑ 94 � y U 94 W W a ooE.a U O E. �� F a � x Cn C7 Gw w CO) z Q x W a W w w U „ a z ttE��- z F» z E. E W O O z W O E x w x O w A C7 .�� UO a A a N O SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3 R D . F L O O R 4TH . FLOOR 5TH . F L O O R 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) / S/P/(, Check one: Certificate Installing Company Name / v /(, n�N f7 e tiK i KC . ❑ Corp. Address 0 �`�'` S ❑ Partner. e c'e O R-0 Busmess Telephone (— c — a Iq Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked Yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑. 4 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this 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 of the Massachuset Cte G ode and Chapt r 142 of th eneral Laws. Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber //7/9 Tit City/Town ® Gas Fitter ricense NumSer ® Master i APPROVED(OFFICE USE ONLY) ❑ Journeyman II Date :.'?.`. .G .Z.. . . HORTIy Of 3= TOWN OF NORTH ANDOVER a io a PERMIT FOR GAS INSTALLATION ♦ ^a �9SSACMUSESt This certifies that . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . .r. ` `7• t in the buildinsof . . . .�. .`. . . . . . . . . . . . . . . . . . . . . . . . at . . .���.t t.f r_�. . .��.1 . . . . . . . . . ., North Andover, Mass. Fee. .3 U. .. . . Lic. No..�.G.. .. . . . . . .T.... . . .. . . . GASINSPECTOR Check# /() '-/1 ; ✓ 4146 I MASSACHUSE"ITS UNIH'ORM APPLICATON FOR PIItMTT TO DO GAS FTrrJ ATG (Type or print) Da� /Z NORTH ANDOVER,MASSACHUSETTS / Building Locations Z- �� �` / /4 r -P Permit# Amount$ Owner's Name f-le-b i� ( � New o Renovation 0 Replacement 0 Plans Submitted 0 o a o G7 SUB-BA SEM ENT BASEMENT . 13T. FLOOR ' 2ND. FLOOR 3RD. FLOOR 4T)A. FLOOR 5TH. FLOOR 6TH. FLOOR i 7TH. FLUOR STH . FLOOR (Print Or �type) P �� P orae: Certificate installing Company Name r ,' l Corp. Address 126 k fav 2 ��� � 0 Panner. Business Telephone (, /, �j -z v 0-F-Mm/Co. . Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivale L Yes Non IfYOU have checked des,please indicate the type coveftge by checking the appropriate box Liability insurance policy IJ Other type of indemnity Q Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirernent Check one: 13 . g 0 Signature of Owner or Owner's Agent Owner A ertt I hereby certify that all of the details and infixmation I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installati under Permit Issued for this lication will be in compliance with all pertinent provisions of the Massachusetts tate de and Chapter 2 of the UK Signature ofLicensed Plum Or Gas Fitter Title 0---Plumber �y City/Town [] Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) Journeyman JOB STZ27— ABERJONA ENGINEERING INC. SHEET NO,— z OF One Mt. Vernon St. P.O. Box 215 CALCULATED BY JA�L, DATE WINCHESTER, MASSACHUSETTS 01890 (617) 729.6188 Fax (617) 729-7960 CHECKED BY DATE SCALE ........... .......... .......... P ev .......... ......................... ... . ..... ............ ........... • ...................... ........................ ............ ............... .................................................... ...... ...... ...................... ............- ........ ..... ......... 4-51 ......................- 4/1& ...................................... .............. ........ ........... j0H 4� LIA L ............. .... ............. ........ .................................. ......................- N6 4 —7 �0 L? ....... .. ... ..4,51 i .......... ...... 4 .............. .......... ........... ....................... ............. .......... ..... .... .............. .......... ....... ........... ............ ........................ ............. ............ 01........... S ..................................................... ...... A-, �k. ............ .......... ........... ........... I.................... ...................... ............................ ............ ........... . ........ ljho .............. ....................... ...... ............................ ........... ...... .. ........ ........................... ........................ ......... . ...... .... ...... ............... .......... ............. .......................... .......... L ........... .......... .......... ........... ........... Ik IZ_ ..................................... ............ ........ !r� ......................... .......... ............. ....... ............ ............................... ........ ........... .......- J. ............. ......... ..... .......................... ........... - ........... ...... .......... ........... .............. .............. ........ ..... A 0 .................- .......... ........... . > ............ .......... .............. ............ ............ ...................... ........................... .......................... ........... M -1 .............. ............ ............ .......... ............. ....................................... .......... ..................................... ............ .......... ........... q ......................... .............. ............. ...... .......... .......... mouCT2041(Single Sheets)205-1(Padded)®e Inc.,Groton,Mass.01471 To Order PHONE TOLL FREE 1-800 225 6080 a. w Gf�L.(lf1�2 �ivlZE�D__. !�LT Sr!i Vic.i L2 __ — — ---- — -7 Li - oz/ � - Cc F. ✓Grv/Z�D� _ J /G�G r'X J�/ _f: i BOLrS G' Z4 G.G• -----�r-- � j L/� / I/� /�J — "� i�T�r✓� / 1N� / N/T6-;F V N /CSO GGR�✓ Q5 I VGA/r� Lam/ail Nom/GnG5 /N t J 7 STEEL LINTEL SUPPORTS FOR BRICK VENEER _ a ABERJONA ENGINEERING INC. DELLO IACONO RESIDENCE MA JERAD PLACE - NORTH ANDOVER, LOT 17 DRG NO LS-1 : • MARCH 13 , 1992 1.01 �J Y 1p D4 0�4 � Al Location No. Date 1 ,%OPT" TOWN OF NORTH ANDOVER p� �ao ,a�qp amaimi'mAlk p Certificate of Occupancy $ _ Building/Frame Permit Fee $ s • +s, causer Foundation Permit Fee $ - . Other Permit Fee $ > > Sewer Connection Fee $ RECEIVED PAYMiNTConnection Fee $ TOTAL $ `7 " DI~C 0 3 Mi Building Inspector ` No.Andover COlIectOr Div. Public Works Location r ' Jr //D No. Date r • NORTH 'TOWN OF NORTH ANDOVER to urt((iasso ccermit Fee $upancy $ il ►° dfhgfF� J 1Jv Permit Fee $ C-T Tlyjj en Pit F ,SJACMus�'t : nnOther,P�etr_mit Fee $ AdMM 016 �z plation Fee $ Water Connection Fee $ TOTAL Building Inspector Div. Public Works Location '- No) �`-'� Date /4-- 1101tTiy TOWN OF NORTH ANDOVER F .jr' ; Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ &they Permit Fee $ Sew Connection Fee $ JS ate(,�Gbpnection Fee e.) t qtr Building Inspector Div. Public Works PER311T NA. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 140)-� / �? a PAGE 1 MAP M40. LOT NO. 17 2 RECORD OF OWNERSHIP iDATE BOOK ;PAGE — _ZONE , I SUB DIV. LOT NO. V,-LOCA / PURPOSE OF BUILDING rr ,( h(! .9 S', OWNER'S NAyderad Place I NO. OF STORIES •9 L SIZE OWNER'S A ESS 212 Elm Street, Somerville YiA 021 6'4SEMENT OR SLAB d y� I��:� ARCHITE S NAME d./ t/ (J 4 �/ t-7- 4SIZE OF FLOOR TIMBERS IST y.�O 2ND 3RD BUILD 'S NAME � /Jo M f SPAN DIS NCE TO NEAREST BUILDING ..L ♦_O/ DIMENSIONS OF SILLS Y DISTANCE FROM STREET I'- p •' POSTS Vx / DISTANCE FROM LOT LINES-SIDES i , _ REAR r ' GIRDERS ( AREA OF LOT ,* FRONTAGE HEIGHT OF FOUNDATION ty�/ /� THICKNESS J/ l i. 7/1 S'.9. Y (r� IS BUILDING NEW 42 SIZE OF FOOTING I/ X 1 J � CSC IS BUILDING ADDITION ^ MATERIAL OF CHIMNEY IS BUILDING ALTERATIONV IS BUILDING ON SOLID OR FILLED LAND r'• ' I WILL BUILDING CONFORM TO REQUIREMENTS OF CODE % i, IS BUILDING CONNECTED TO TOWN WATERy _ i BOARD OF APPEALS ACTION. IF ANY O�O' IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE Y £S INSTRUCTIONS 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLYLAND COST eve Q&c) SEE BOTH SIDES _-/_ REGULATED BY PARA: 114. 8-S. B.C. EST. BLDG. COST !CC_ -T-- aJJ PAGE I FILL OUT SECTIONS I - 3 /Ooo EST. BLDG. COST PER SQ. 0r. PAGE 2 FILL OUT SECTIONS I - 12 DATE: -. �:S.L.FEE PAID. #�--- EST. BLDG. COST PER ROOM PERMIT FOR FRAMUBUILDING SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS /PLANS MU40T BE FILED LAND APPROVED BY BUILDING 7N LTUR----FEE PAID....,.,_.....,, V DATE, FILED Ii BOARD OF HEALTH $ --U OF OWVfR ORA THORIZED AGENT L F !r PERMI.-,RANTED OWNER TEL.qj� PLANNING BOARD CONTR.TEL.CC. p A4-x3r. l 4- 19 q— CONTR.LIC..# 1 c 9 ��v fi ""` SO�Y�'Ca,•O+� QgT� BOARD OR SELECTMEN E3LOG. PERMJ FEE 9 so°a V30193 LESS FDA FES AUG 0 4 Igpl ` DIE FSE BUILDING INSPECTOR toTh'c hwe- * 9Do e 011$* t};0} 1 1rV11A � " BUILDING RECORD - I OCCUPANCY 1 '12 '• SINGLE FAMILY STORIES THIS'SECtA5 "v ` W EXACT DIMENSIONS OF LOT AND DISTANCE FROM 'MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES^ ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION �f'1 �" ) nlJl-E �/E�sE Ts+.7 �o/J •A 2 ' FOUNDATION 8 INTERIOR FINISH / FILLED IN -T,) E CONCRETE B 1 2 13 CONCRETE BL K. PINE BRICK OR STONE l HARDW D PIERSPLASTER .✓ /I FLE!=✓�`.+ .)� �G DRY WALL 3 BA' AREA FULL FIN. B'M'T' AREA _ A 1/1 r/r -'/4. ORFIN. ATTIC AREA Z=`,� 4.0 NO 8 MT FIRE PLACES HEAD ROOM — MODERN KITCHEN `�� k 4 WA415 I 9 FLOORS INV.=151.7 CLAPBOARDS e I 2 3_ D ENTIQN POND �'! �5:ACP - L DROP SIDING CONCRETE // _ ` S_ WOOD SHING`;ES EARTH —— _ • ASPHALT SIDING HARDY✓'D _ - - ASBESTOS SIDII COMMCN N PONQ\ ) )i ✓'/ SII _ 2410 I VERT. SIDING ASPH. TILE 1 ✓ '� V6 •� ' STUCCO ON MASONRY _ I t' T i LOT 18 STUCCO ON FRAME1 i; FOQ 1 i BRICK ON MASONRY ATTIC STRS. 8 FLOOR F•� /`/ BRICK ON FRAME I I ✓I A '/ CONIC. OR CINDER BLK. l 1 L01 # 1 / 1 STONE ON MASONRY WIRING 1 {� i I ! ' STONE ON FRAME — 4 43,713 S.F.t- 0// , I '-' 23450 SUPERIOR POOR � � •��y- � f ADEQUATE I� NONE "•. 1 1.00 ACS.2 5 ROOF 1 O PLUMBING `� - � N !,I, ,i .. I I)'�,! F I GABLE HIP BATH (3 FIX.) N ,�•' i- I ?Ivt IC) '_ GAMBREL MANSARD TOILET RM. 12 FIX.) 'Q ��• !�� !)!r� FLAT SHED ATER CLOSET O ;G4- �'- b�- i )ll�.. ✓!' _ -� a Y ASPHALT SHINGLES LAVATORY - 'r nl �t .1551 23+0' V WOOD SHINGES KITCHEN SINK � � -- -��• _rid _.-- I r SLATE NO PLUMBING lo, ,:� TAR & GRAVEL STALL SHOWER r - (14) ROLL ROOFING MODERN FIXTURES _ •` '( - J TILE FLOOR • TILE DADO , - -` y✓... DIPdBa'►'` ® � .k.l ^ �� 6 FRAMING i l HEATING ` / 1`1� / pW1224 i io V WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. ; t 1 / o - - TIMBER BMS. &COLS. _ STEAM ' I STEEL BMS. & COLS. OT W'T'R OR VAPOR . I WOOD RAFTERS — AIR CONDITIONING . {iTIC, T1TNK s RADIANT H'T'G •� 10 6 l� ` • (Q•. _ ) 1 UNIT HEATERS r P1 i•I -•rr•, - r� 221t7 NO. OF ROOMS _ SAL isR�-� �•' r � ..._ B'M'T 2nd ELECTRIC B' 3rd I NO HEATING — �- - - _ ✓ �' C10� Y r w . . + •9 I � 379 37�d ! S lis � 9s 11 k ►ze.- 57 a 'sem F L. S� � i� d -sem vlA /c I �vocr1 Vaj�S aC 's-1-4 S.EWER/WA V40 ---- ' FINAL P LANNING FINAL 6 OL An 'o'ver own of 0 No 0% 353 R TFff P-ERMI HVEWAY L- i .4 i HEK er, Mass., AuattsT. 1951 C H WICK d 0R ? PERMIT -1 LD BOARD OF HEALTH THIS CERTIFIES THAT............r�h:.b.... �. ....................................... has permission to erect .....LeJ qP.'b........ buildings on rcmh-6 -%-Iftcc leo'.%b BUILDING INSPECTOR ............................................... Rough Chimney to be occupied as Final p 'ided that the person accepting this permit shall in every respect conform to the terms of the application on rile in provided PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY Final VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA.' 114. 8-S. B.C. PERMIT EXPIRES IN 6 MONTS: 8_)Lj_qj FEE PAID:i/pos-2 ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION STA TS Service ea - Final .......... .. ........ .............. BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No Lathing to Be Done Until Iinspected and Approved by SSTREmokeDe. . Building lnspe* ctor FORM U TOWN OF NORTH ANDOVER i LOT RELEASE FORM i t • F. SUBDIVISION �.�. 7r- ASSESSORS ASSESSORS MA.P A-06k /Q t SUBDIVISION LOT(S) 14 1-7 PERMANENT ADDRESS (ASSIGNED BY D.P.W. STREET APPLICANT / MOPMKA17- AP PHONE �-p�97,� Y2, i DATE OF APPLICATION �J.��L'� 30 TOWN USE BELOW THIS LINE PLANN G BOARD DATE APPROVED L ANNER DATE REJECTED TOW PL CONSE VATIO COIRISSION DATE APPROVED CONS VATION ADM DATE REJECTED BOARD OF HE LTH DATE APPROVED 6//,3/?� HEALTH I ARIAN DATE REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT ` y kPkv WATER CONNECTIONS , T FIRE DEPT. c �� RECEIVED BY BUILDING INSPECTION ' i � • DATE Al If' t This form shall be signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. I :' IrI;IiII ,` FIi i 1 1, Towil of .1 1WHA)IN0, kI,Iti;;Ii Flil ,t'l1 ; I11✓i•1 s' (:T)NtiFI t ViVI'ION I lI VV;1f IN 1 11; .r 111-AI AA I 111-ANNIN(i I'l-ANNING (;t)!1IAWNITY U1:N'l:lA)PAll N'1' 1:A tI:N I I.P. NI:I.til )N. I )II tl;(:'I t )I t al CHIAINEV APPLICATION ANO IT -13111' DATE Q G PERMIT )'f 353 " ILOCATION � �A-D �G £ 6yyI `OWNER'S NAME: zt- IJ�V�Ld�i�l�iy?" c��4a2�7�70� ;BUILDER'S NAME: 1470ri9 -,C'1�/1/ `ASON'S NAME: '/ /I'I/�'S A'✓�'(��'�o .4ASON'S ADDRESS: S- 2 f}✓ ,�f�`,�f .r `,,�frl� 1ASON'S TELEPHONE:_ •.IATERIAL OF CHIMNEY: /YJ/f So"y INFERIOR CHIMNEY: — EXTERIOR CHIMIJE—V: JUI,iBER AND SIZE OF FLUES: -HICKNESS OF HEARTH: Iitt chil"I'ley on. 6.Aepcaee eoll(onul to VLe. AC(jUb(1211101 -5 u() -t.Ile cUde and have ,uiCe3 a►Id :eguta .iolv5 been neeesved:_ �S" -----1--- - IATE: JGNATURE OF MASON: �– — / ✓ -� _ 'ERMIT GRANTED: D FL E OBERT NICETTA �2 UI LDING INSPECT R NSPECTEU: EMARKS: SOLID BI-OCK IZ QUIRED THIS PERMIT MC1SF CE UISPLAYLU 014 111E I'RLAU SES L9cation - - No. " Date - f c NORTH TOWN OF NORTH ANDOVER +O �: • ON „ Certificate of Occupancy $ n { Building/Frame Permit Fee $ Ef cMusa oulli'd&t�'cPer%mit Fee $ f . Other Permit Fee r $ Sewdr-Connection Fee $ CIO ? . �;;�;C-=�1lVater.Conn�ection Fee $ ., r)7 TOTAL $ �� Building Inspector a f " Div. Public Works Location ZD 7 7 J 4 s'5 D t?L q C No. 079- Date 3 .3y F2-- f NORTH TOWN OF NORTH ANDOVER i F Certificate of Occupancy $ -5-0 , 00 Building/Frame Permit Fee $ ��'°'•.. {C� Foundation Permit Fee $ Ss�cNusE r Other Permit Fee $ R �ilvL Seaer��ion Fee $ Connection Fee' 1 $ TQ,TAI-J�Q %$ colledOT Building Inspector, u Div. Public Works �.PER311T NO. 01-7r APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. (,/ PAGE 1 i=iAP iJO. I LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK ;PAGE — ZONE SUB DIV. LOT NO. Aw F_ • LOCATION �-�2 � n/ �) PURPOSE oras OWNER'S NAME _r_/7 C �„�� NO. OF STORIES SIZE Bf3 OWNER'S ADDRESS r)�`,J !/Cr _r_4 CIO �C��. BASEMENT OR SLAB /1 QS���p�„T• ARCHITECT'S NAME -hloSIZE OF FLOOR TIMBERS 1LSTTJ',�, 2ND � 3RD BUILDER'S NAME /J L' G'�o�/"�� SPAN DISTANCE TO NEAREST BUILDING Gn���•7�C"/s. ��oQ� DIMENSIONS OF SILLS - --_ DISTANCE FROM STREETp �/ I`�j� POSTS /C C! DISTANCE FROM LOT LINES-'SIDES REAR ,e " GIRDERS AREA OF LOT ^nFRONTAGEV HEIGHT OF FOUNDATION THICKNESS IS BUILDING,NEW vc�•CIIc SIZE OF FOOTING X IS BUILDING ADDITION J' MATERIAL OF CHIMNEY m7/1Sfi IS BUILDING ALTERATION i1 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 1/ez IS BUILDING CONNECTED TO TOWN WATER 09S BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER //1 IS BUILDING CONNECTED TO NATURAL GAS LINE L01S. INSTRUCTIONS s PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST 4: PAGE 1 FILL OUT SECTIONS 1 - 3 EBT. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG.COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR d DATE FILED 74ti ,7 BOARD OF HEALTH SIGNATOR,OF OWNER OR AUTHORIZED AGENT E/� OWNER TEL.# Z�_ '2_3 L7 F E E .?.Z S. &t:0 CONTR.TEL.#_. CONTR.LIC.#0� PLANNING BOARD PERMIT GRANTED GEer. 6/!;,o .9 j 19 2 BOARD OF SELECTMEN BUILDING INSP R WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer f BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA- APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE E 1 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ —' DRY WALL _ UNFIN, 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 '/} 1/1 FIN. ATTIC AREA _ t, NO BMT FIRE PLACES _ HEAD ROOM _ MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDVJ D ASBESTOS SIDING _ _COMMON _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR ADEQUATE I� _ NONE 5 ROOF 10 PLUMBING GABLEHIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY a WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR - TILE DADO 4 ' ``Y 6 FRAMING I 11 HEATING j 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 GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO.HEATING CERTIFICATE OF USE & OCCUPANCY Building Permit Number Date -f- THIS CERTIFIES THAT THE BUILDING LOCATED ON /w- z MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF TkE MASSACHUSETTS STATE BWLDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO ADDRESS Building Inspector WN� L �--��,j --�L f F i HAL PLAN" 0(� i M NORTtj Town o 60 n over No. I ou WAY:V 4EWAY ENT r-1Y PEPIMMIT At HE * I KW11 K er, Mas JV2 SAWAW C V, OR pR BOARD OF HEALTH PERMITSS 0 THIS CERTIFIES THAV�1W. 10-9. ..=*C#VdP ............. BUILDING INSPECTOR has permission to CAMPOT buildings orjW...0*7•......4TART10•....P% 0 Rough to be occupied as�Aftt go..:40=**IA.y...f,Irla(PIAI 4. Chimney Final provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT. EXPIRES MONTHS ELECTRICAL INSPECTOR Rough UNLESS CON RUC START Service Final BUILDINGi SW&F6' GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector Location No. c Date /o NORTH TOWN OF NORTH ANDOVER O ` Certificate of Occupancy $ t i � Building/Frame Permit Fee $ e( � ACNUS Foundation Permit Fee $ Other Permit Fee $ t TOTAL $ —Hol Check # 17746 / Building Inspector tY .. 1 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATF, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUELDING PERMIT NUMBER: DATE ISSUED. SIGNATURE: Alk '.al Building Commi sioneffl for of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property Addr 1.2 Assessors Map and Parcel Number: h/ / h /v Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Rered Provided v 1.7 Water Supply M.G.L.C.40. 34) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT vng mo m 2.1 Owner of Record r f -�- / /�/ / l It a � s4e—tr�lO _ Ta ✓er c��/ r lGC e /u,�s�CY. /y� Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: a 4 Naris Print Address for Service: z M Signature Telephone M SECTION 3-CONSTRUCTION SERVICES h 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 0 License Number qn Address r Expiration Date 3 Signature Telephone r 3.2 R gistered Home Improvement Contractor Not Applicable ❑ � k po ,, Company Name Registration Number cr Address / Expiration Date Signature _ Telephone G) 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 ad a Vcable New Construction ❑ Existing Building 0 Repair(s) 0 Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 0 Other 0 Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OMCL L USE ONLY om leted by permit a licant 1. Buildinga. ( ) Building Permit Fee 5�0 Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC NO 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 BUMDING PERMIT Las Owner/Authorized Agent of subject property Herebv authorize to act on My b f T all matters r�lativ •ork aut orized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION t I> 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/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TEVIBERS 1' 2' 3Ku SPAN DIlVIENSIONS OF SMLS D11/1ENSIONS OF POSTS DMENSIONS 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 FOURNIER Family Roofers & Painters MOBILE INTERIOR, EXTERIOR PAINTING - PAPERING 633-5990 MAPLE ST. CARPENTRY - ROOFING - GUTTERS - SNOW BELTS THUEN� MA 01844 &,,a -683-5127 FREE ESTIMATES kZ[e-40j"'0 7a' �;Iera a Ale L-L) Ro cS e- 5 rod-` �IP4to1.��10,�1 �wc� nr� Drl Eck y P 3 0a,--cls ,e�e� a� c ves ✓a fl -"-G 4)elTl�l"ShI�`d GroVi1.dL J� ' rl C./►i^<<1e— c •�s� t r l5ib ���f Ape 0. 5 r 1q r c-h 4e t1 I`�.� 5A n les y s �'5 ( d�r- venTs ?S4v,- I f-e�✓, i -ow Pr4r' le VekA-T:5 A// t0o k-rnc1%.^. A(p cL PO V y /7 TOTAL DEPOS/r BALANCE 0� WHEN COMPLETE ALL CHECKS TO ALBERT FOURNIER a W The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 . Workers'Compensation Insurance Affidavit Name Please Print Name: !_ovation: City /L, '41 d �C� Phone # "3 3 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 providing workers' compensation for my employees working on this job. Company name /7G 1- I f !o Address ItIg &,w City- _ Phone#: Insurance Co. @ Policv# la Company name: Address City: Phone# Insurance Co. Policv# Failure to secure coverage as required under Section 25A or NIGL 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..penaltiesin The frnnda.ST.OP WORK.ORDER.and..a fine of(.$1o0.00.)AAW against-me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. yu Signature I�UC Date Print name Phone# �Slog Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑ Building Dept []Check if immediate response is required ❑ Licensing Board C] Selectman's Office Contact person: Phone#. ❑ Health Department ❑ Other A 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 c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant %o 5- Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector t NORTH '9 Town of ._tAndover assNo. o C' _ _ ;r dover, Mass.,LAKE T COCHIC EWICK V S RATED BOARD OF HEALTH PERM T T D Food/Kitchen Septic System BUILDING INSPECTOR 014, r- PAAS 0 THISCERTIFIES THAT...................:... ........................:......................... .................................. ............ . �+ ........................... Foundation has permission to erect..V� ~ �A 0 ........ Rough to be occupied as...... ................. .. .......�� ........... . Chimney ............ . .................................f . 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 Inspectio , Alteration and Construction of Buildings in the Town of North Andover. �� ` /O PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTI N ST ELECTRICAL INSPECTOR �1.:.. .. Rough ........... . .. ... . ....... .. ............. BUILDING INSPECTOR Final Occupancy Permit Required to OCCiVY Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Fina No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Bumer Street No. SEE REVERSE SIDE Smoke Det. E V L MA T Adown of Iqorthn overP Eover, Mas, BOARD OF HEALTH BJorthAnd PERMIT T 0 B U I Lo THIS CERTIFIES THAA*01600.. .............. 8/4,2 BUILDING INSPECTOR has permission to col"f � irip buildings o11W...17.......7*41edoo....r% 0 Rough to be occupied aswf*#Aft1w.fP....Fo4M_ 1Ay...DW�1(P�� Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough I ' e!/t� Buildings in the Town of North Andover. Kin a I L �� VIOLATION of the Zoning or Building Regulations Voids this Permit. ELECTRICAL INSPECTOR Rough Service Final ......... .. . .... BUILDING INSPECTO GAS INSPECTOR 17 Rough dal Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner f No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector f Location No. Date Z „ORTq TOWN OF NORTH ANDOVER Certificate of Occupancy $ SO, D O Building/Frame Permit Fee $ Foundation Permit Fee $ s�CHU , [[ Other Permit Fee $ S, O O /7��� �� Sewer Connection Fee $ Water Connection Fe $ TOTAL 37cs, 0 0 Builds g nspector 5071 Div. Public Works DEPARTMENT OF PUBLIC SAFETY COMMONWEALTH 1010 COMMONWEALTH AVE. OF BOSTON,MASS.02215 MASSACHUSETTS ENCLOSE CHECK OR MONEY ORDER � LICENSE '� CONSTR. SUPERVISOR FOR REQUIRED FEE, '{ EXPIRATION DATE MADE PAYABLE TO 06/30/1993 EFFECTIVE DATE LIC-NO. RESTRICTIONS "COMMISSIONER OF PUBLIC SAFETY" NONE = 06/30/1991 028984 m IACONO A DELLO (DO NOT SEND CASH). 23 FLINT ST SS N 011-48-4651 SOMERVILLE MA 02145 P EASE NOTE FEE INCREASE PHOTO(BLASTING OPR ONLY) FEE: rrE.fEB: 1989 !e 100.00 E FECTIV1 , NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY \) 1,C * HEIGHT: STAMPED-OR SIGNATURE OF THE COMMISSIONER �.,J C ✓l y DOB: D NOT DETACH LICENSE STUB 05/04/1956 �Q THIS DOCUMENT MUST BE SIGNATURE OF LICENSEE SIGN NAME IN FULL-ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF THE HOLDER WHEN ENGAG- / A ��//�/��7OMMISSIONER OTHERS-RI PRINT ED IN THIS OCCUPATION `�✓��C`r�/`� 20OM-2.87-81429 w�J t_ 47 j i__ Ll E�- Eag: .i _ ZIGv iE✓ _ - - _ SLUR I L w,eB [ Cp x a X v2 Gong r"_� - _. CG�q�VRN/ZED) 3--3/¢ m E.�PFrrt!• /2"CFiNGQET i w/ c,rs rh`/s �V/va14FnaAl G�Gv. ExP/4�t3/av / . ' . . Bogs � Z4"a.c• --------- 1 � f Z VA M/TES - C TY�� 11V r 2t �. //)�� a -f• ��•8 -fes ��!�V ' LSH OF A+ STEEL LINTEL SUPPORTS FOR BRICK VENEER N N T o A' ABERJONtE�N�GIINEERING INC. DELLO IACONO RESIDENCE v YrrUKEVICH ti .o ,p No.25382 O r srnuCTwu us u.• rArnn•�tsrw.rgn — MA /� Ow.VE-OR4LOT 17 JERAD PLACE NORTH ANDOVER,V ST� 161)11I46GG oFsslp \ MARCH 131 1992 DRG NO LS- !