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210/074.0-0027-0000.0
1
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MASSACHUSEI'IS UNIFORM APPLICATON FOR PERNUr ID DO GAS WrING
11100-
(Type or print) /Dae /Q
NORTH ANDOVER,MASSACHUSETTS
Building Locations ✓ Permit#
Amount$ Za
Owner's Name
New❑ Renovation Replacement d Plans Submitted
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SUB -BASEM ENT
B A S E M ENT /
1ST. FLOOR
2ND . FLOOR
3RD . FLOOR
4TH . FLOOR
5TH . FLOOR
6TH . FLOOR
7TH . FLOOR
8TH . FLOOR
(Print or type) /� , Cie e: Certificate Installing Company
Name /��D!/�.� �//1�/r?/� >ysdl� .�.�Gorp.
Address W,
'� / /�,O LL❑JJ Partner.
Busmess Telephone 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 1:1 No
If you have checked}_es,please i cate the type coverage by checking the appropriate box.
Liability insurance policy L Other type of indemnity 13 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 requirement.
Check one: F-1Signature of Owner or Owner's Agent Owner ElAgent
I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas 96de and Chapter 142 of the General Laws.
By:
ignature of L censed Plumber Or Gas Fitter
Title Plumber
City/Town Gas Fitter License Numoer
Master
APPROVED(OFFICE USE ONLY) Journeyman
Date
Of HO oTN 1ti
0 TOWN OF NORTH ANDOVER
• PERMIT FOR GAS INSTALLATION
SA us
This certifies that . . �c. .: . . . . . . . . . . . . . . . .
has permission for gas installation . . . .� . . . . . . . . . . . . . . . . . . . .
in the buildings of . . . ? L`.. . . .. . . . . . . . . . . . . . . . . . . . . . . . .
at . . .�l . . r�. . .�.. . . . . . . . . . . . . . . ., North Andover, Mass.
Fee. Lic. No..`� '-; . . . . . . . . . . . . . . . . . .. . . . . . . . . . .
J GAS INSPECTOR
Check#
4169
+ Jif
r
I
MASSACHUSETTS UNIFORM APPLICATIONTOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
r Date ��� // ,�402-
Building Location Owners Name .✓0 /!/ ifI/L,/ Permit#
Amount S y v ?
Type of Occupancy �,�
New ❑ Renovation ® Replacement ❑ Plans Submitted Yes ❑ No ❑
FIXTURES
• A
STSBM
1 BASEVENT
]SE H—"
�II HDCit
3MHDM
4II31E JXR
5M HOM
6M HAOM
M HAD R
SIH 11"
(Print or type) _ Check one: Certificate r
Installing Company Name_ Ld
Corp.
Address El
❑ Partner.
T 11j ❑
usmess Te ephone — Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity ❑ Bond ❑.
Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner ❑ Agent
I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State umbing Coe Chapter 142 of the General Laws.
By: igna ure oT i7icenseoriuml)er
Title
Type of Plumbing License
3 3
Cityfrown icel-ns/ um er Master Journeyman
APPROVED co�CE USE ONLY 13
Date. . . .
°f<HORTN,�p TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
SSACMUS
This certifies that �. . '. '.'. . . . . . �./ . . . . . . . . . . . . .
has permission to perform . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . . . . . . . . . . . . . . . .
C
at . . .V.3. . . . . . . . . . . . .. North Andover, Mass.
� c
Fee. D '. .Lic. No..'�Z'�5.A .3 . . . . . . . . . . . . . .
PLUMBING INSPECTOR
Check # �
5407
PER'l11T NO: APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1
MAP iqO. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE
ZONE I SUB DIV. LOT NO. F
LOCA N PURPOSE OF BUILDING �Slv /v m
OW R'S NAME G
C NO. OF STORIES _� SIZE
412 LC
NER'S ADDRESS BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST ZXf® 2ND 3RD
BUILDER'S NAME /C SPAN
DISTANCE TO NEAREST BUILDING N3 DIMENSIONS OF SILLS -_ --_
DISTANCE FROM STREET -�/'' ' POSTS
DISTANCE FROM LOT LINES—SIDES REAR /¢1p GIRDERS
AREA OF LOT }' Cgj�S;rr FRONTAGE•J/io HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING X
IS BUILDING ADDITION � C MATERIAL OF CHIMNEY
IS BUILDING ALTERATION J IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY / IS BUILDING CONNECTED TO TOWN SEWER 4
G7 IS BUILDING CONNECTED TO NATURAL GAS LANE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES p
EST. BLDG. COST � 000
PAGE 1 FILL OUT SECTIONS i - 3
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
SEPTIC PERMIT NO.
ELECTRIC METERS 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
DATE FILED
BOARD OF HEALTH
SIGNATURE WN R UT RIZED AGENT
OWNER TEL.# 7 O
FEE CONTR.TE .
CONTRA UC.# �
PLANNING BOARD
PERMIT GRANTED
6 r 19 _
BOARD OF SELECTMEN
BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY vFIS.CRIES 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 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE B 1 2 13
CONCRETE BL'K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY WALL
U.NFIN.
3 BASEMENT
AREA FULL FIN. B'M'TAREA _
1/1 1/2 1/1 FIN. ATTIC AREA _
N_O B M-T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING HARD\!✓•D _
ASBESTOS SIDING _ COMMON
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR I_
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR I� POOR
ONE
ADEQUATE
5 ROOF 10 PLUMBING y -
GABLE HIP BATH (3BATH (3 FIX.)
GAMBREL MANSARD TOILET RM. (2 FIX.) _
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR 8 GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING I 11 HPATING
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
GAS,
7 NO. OF ROOMS 'OIL
B'M'T 2nd h ELECTRIC
ISt li 13rd I NO HEATING
•c
Location -? Su l .t rl,r=
No. ' �- Date " LU
Th TOWN OF NORTH ANDOVER
?0'tt.ao .a 1h0
n Certificate of Occupancy $
f i
Building/Frame Permit Fee $
Foundation Permit Fee $
s�CHus
Other Permie $
Sewer Connection e $
Water Connection Fee51 4C -
TOTAL ?,r ' ,9$
9l
Building Inspector
Div. Public Works
rg- Lo-PLC s t
az Am>
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SEWERMAT _FINAL ""_" sC NbLKVA t JUN rINAL
NORTH
own of .. ®ver
No. 332
0 .,,. ..
RIVE'V�AY ENTRY ;� - ,
��q er, Mass., � 1951
C HI ME WICK
BOARD OF HEALTH
THIS CERTIFIES THAT........l.�T..�"f!4�.. '.. � .t�..../.� ..................................
�+ BUILDING INSPECTOR
���........ buildin son ....`.?� 2.� Y 9
has permission to erect ............... buildingson �� ......i .R.�..✓LL-............ Rough
tobe occupied as..... � �.�r. .. ... .... ................................ Chimney
Final
provided that the person accepting this permit shall in every respect conform to the terms of the application on file 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 Per PERMIT FOR FRAME/BUILDING
PERMIT EXPIRES IN 6 MONT[iS-R. p , ' ELECTRICAL INSPECTOR
- -- -� � f . 5 .i
Rough
UNLESS CONSTRUCTION START Service
Final
......... . ........ ....... ...... .. .�+�.�.�
BUILDING INSPECTOR 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
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NORTH i;
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TOWN OF NORTH ANDOVER
MASSACHUSETTS
i �
BOARD OF APPEALS
9c*4c 9c 4c*ie*�ticic�kic4c9c9c4c9c4c9c9c* r• rL_DC7
Gary Hager * Petition: #148-90
43 Surrey Drive * DECISION
N. Andover, MA 01845 * ��
v
r
The Board of Appeals held a public hearing on Tuesday evening, April 9, 1991,
continued to May 14, 1991 upon the application of Gary Hager requesting a r
variation of Section 7, Paragraph 7.3 and Table 2 of the Zoning Bylaw so as
to permit addition of one room and a two-stall garage to close to the
lot line on the premises located at 43 Surrey Drive. The following members
were present and voting: Frank Serio , Jr . , Chairman, William Sulli-
van , Vice-Chairman, Walter Soule, Clerk, and Anna O' Connor.
i
The hearing was advertised in the Lawrence Eagle-Tribune on March
28 and March 29 , 1991 .
Upon motion by Mr . Sullivan and second by Mrs . O' Connor, the ".
' Board voted to grant the variance as requested. Voting in favor i
were Mr . Serio , Mr. Sullivan, Mr . Soule and Mrs . O' Connor.
Mr. Vivenzio was absent .
. s
The Board finds that granting of this variance will not adversely
affect the neighborhood or derogate from the intent and purpose
of the Zoning By-Law.
4
Dated this 24th day of May 1991 .
BOARD OF APPEALS
Frank Serio , Jr. ,
Chairman
FS :gb
..
i oo.•••...•,�ti E
►sssACHU9A'�h f
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
Gary Hager -r
43 Surrey Drive NOTICE OF DECISION
N. Andover, MA 01845
Date . . . . May 24, 1991
Petition NO.. . . . .. 148,90• • • • • • • • • '
Date of Hearing. . . . April• 9., 1991 '
May 14, 1991 f,
Petition of . . .Gary. .Hager. . . . . . . . ... . . . . . .. . . . ... . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . .
Premises affected . . . .43- Sur-ray-Drive, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Referring to the above petition for a variation from the requirements of
fix• Se •tion• 7.,. . . . . �.
Paragraph..7.3. and .Table. .2 .of. the. .Zoning• Bylaw.. . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
so as to permit addition- of. -one-room 'and•a• tiro-car• ga•r•age• to• close• to• side • • • • • • • • • f
lot line
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r .
After a public hearing given on the above date, the Board of Appeals voted to .GRANT . . . : the
i .
Va r.i a nc e. .a s. r e q.0 e s.ted. . . . . and hereby authorize the Building Inspector to issue a
permit to . . . . .GARY• HAGER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . }
j
for the construction of the above work, based upon the following conditions:
r
Signed
. . . Frank Serio, Jr. , h.airman. . . . . .
William Sullivan , Vice-Chairman
Walter Soule, Clerk
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Anna O' Connor '
. . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . .
Board of Appeals
1 c
i
FORM U
TOWN OF NORTH ANDOVER
LOT RELEASE FORM
SUBDIVISION
ASSESSORS MAP7 7
SUBDIVISION LOT(S) laA
PERMANENT ADDRESS (ASSIGNED BY _D.P.W.
STREET l �S�GP�G C1 Dye t9�. .e. .r t- (2 17! Tl CJ,/
APPLICANT ��, ���ee-f PHONE
DATE OF APPLICATION 7 A I
TOWN USE BELOW THIS LINE
PLANNING BOARD
DATE APPROVED
TOWN PLANNER DATE REJECTED
CONSERVATION COMMISSION
DATE APPROVED 3 p q
CONSERtAYION ADMIN. V DATE REJECTED
BOARD OF HEALTH
DATE APPROVED
HEALTH SANITARIAN DATE REJECTED
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS
FIRE DEPT. < <
RECEIVED BY BUILDING INSPECTION
DATE
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.