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HomeMy WebLinkAboutMiscellaneous - 433 MARBLERIDGE ROAD 4/30/2018 (2) .__---� _,��_ 433 MARBLERIDGE ROAD ___- 210/03�8-0000.0 _� �__.__- I, i �I ��-` _ z i Location 1-33 MW 4 Pid e j No. ys1 Date ,►ORTN TOWN OF NORTH ANDOVER Of «•o '� 1 i Certificate of Occupancy $ s�cN�1Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /y/ Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATIO TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING y BUILDING PERMIT NUMBER. T ` DATE ISSUED: 2-3 m SIGNATURE: Building Commissioner/IntEtor of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /v"l ate.,/ q o jo , Utl d Map Number Parcel Number kf - 1j\1' 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distrid Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Reqtired Provide red Provided Reqwred 4— Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record y' L-0t, Name(PriAddress for Service Signature Telephon , 2.2 Owner of Record: Name Print Address for Service: O Z Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor: License Number Address w Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company Name Registration Number Address Expiration Date Signature Telephone v) 1 SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) 0 Alterations(s) 0 7ition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee (1 Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) / 4 Mechanical HVAC 1p 'ter 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN 4OWNERS ENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1l as Owner/Authorized Agent of subject properly Hereby au e to act on M all n1RZN relative tow d by this building permit application. �d Ile s Sigikature of Owner--- Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 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 Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TMERS 1 2 3 SPAN DIMENSIONS OF SILLS DM ENSIONS OF POSTS DIMENSIONS OF GIRDERS 1-LEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve -the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION e10APPLICANT...:g1CW t!24 PHONE 9 LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S) yY�STREET /L Atdll%p�� / ST. NUMBER �33 ************************************OFFICIAL USE ONLY************ **** *** ***** *** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS s TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS ------------ FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED G / DATE REJECTED COMMENTS An in 1 A 40 c-' ,5<e PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY P RMI r i tl FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ Revised 9W im MORTGAGE INSPECT/ON PLAN AT 433 MARBL ER/DGE ROAD NORTH. ANDOVER MA. NO. ESSEX REGISTRY OF DEEDS.' BK. 4868 PG.I67 PLAN.' NO -2927 l CERTIFIED T0.'FIRST EASTERN MORTGAGE' CORPORATION SCALE.' /"=40' DA TE,'AUGUST 7, /992 139.36 osroRY LOT 5 �' 0 / w000 26:076 SF, .f FRAME �, ► . J DWELL/NG O f GARAGE ' �;"„. .. 233.16 Ilk NOTES.' �Na�i.�, /) DO NOT.USE::.OFFSETS --TO ESTABLISH' PROPERTY LINES HN OR TO ERECT ANY STRUCTURE. ., is 2)PROPERTY.. LINES FARE DETERM/NED FROM= COMPILED #35773;, y INFORMATION T0.BE'USED FOR MORTGAGE PURPOSES ONLY. ' sil 3) GARAGE EXEMPT PER M.G.L. 40A, SEC. 7. suave CER T/F/CATIONS. BASED ON-MY KNOWLEDGE, INFORMATION AND BEL/EF, I HEREBY CERTIFY THAT THE PERMANENT STRUCTURES INDICATED ARE LOCATED ON THE GROUND APPROXIMATELY AS SHOWN AND ARE(SEENOTE CONFORM/NG TO THE ZONING SETBACK REQUIREMENTS OF THE TOWN OF NO ANDOVER WHEN CONSTRUCTED AND THAT THE STRUCTURE SHOWN IS NOT LOCATED IN A FLOOD HAZARD ZONE AS PER .FE.M.A. MAP, COMMUNITY N0.25009800/OB EFFECTIVE DATE.'06-I5--83 ZONE.'C JOHN ABAGIS,. 8 ASSOCIATES, "' PROFESSIONAL LAND SURVEYORS 137 CHANDLER ROAD, ANDOVER, MA. (508) 688- 4699 NO. P72 1 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 c 11, S 150 A._ The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Date i NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector l AORT#1 O 6 Town of North Andover Building Department 27 Charles Street SSACHU`�E��g North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE 3'a l 0 ,3 JOB LOCATION ttr .c( .e rZIJ Number r` treet Address Section of Town "HOMEOWNER ��� (�J79-) G ka-.. B S -3 5"4� a Number Home Phone Work Phone PRESENT MAILING ADDRESS t l 3 I/L1,V'+-BL (QVt , t', Ar/,04 V--✓ PU A 6 t kc(�_ City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 109.1.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one to six family dwelling, attached or detached structures ac- cessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official, a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner"certifies that,he/she un erstands the Town of No.Andover Building Department minimum inspection procedures d requirements and that he/she will comply with said procedures and requ' HOMEOWNER'S SIGNATURE 3��((U APPROVAL OF BUILDING OFFICIAL I Note:Three family dwelling 35,000 cubic feet, or larger,will be required to comply with State Building Code Section 127.0 Construction Control y - 02 0'_t3 12. 57 F,L,- 394;r1,E1cCP BLDG SIiF'F'Lrl,d r-i'-'tGE Girl gF 31/21' 51/4" 7" ;Sr',C; J `. t�2" Q•134" 11158" 1 ti l i/2" N—M Ij w� 91/2 I' 11?"e" 91is" , 9� 11v�s: 14" 11 N1, i a „ 1178' e"—+IF 14" 1b" io 14,, 114" 14 f� 1$"20" � � 14 15" 1 va" 1 1112", i_ 1 ii2,% . i Y'z°. y 1 50 40!; 6C1 5s BCi 64sy 101C 90XL j Versa-Lam Versa-Rim 98 BC Rim Board Residential Span Table *MINIMUM STIFFNESS -or-**THRCE STAR A*+ ****.FOUR STAR* ** ALl 01NPi3 BY CODE Jo1u1. Joist 12" i6 .1�J.2'° 24� 32". 12". 1B" 19,2.': 24" 32" 2" i6" 182" 24" 41 -45�' "/ Vepth uE:rf£S G.G- C.C, G.C. n•C. o-C. C,C,' C. O.C. C. O.C.,,. 1 '-4" 12'2". 11'-W. 11'-6 10'_0" 10'•a" 9''-4" 18' 10',10' 15'-1114'-8" g��' 45s 16 4" 115•y tl" 14'-1" 13 _ •11" 12'•B' 11.6.. 11'•g.1 10'-0.. 10,;0,x' 18'-7" ,,.7�,,•5„ 13'-6", 11?-g acs 197-1+]` .Is..•.I l 17'-1 . 15'-11' 14'41. 15'-6" 14'-:1" 13'=3 12'-4" 11'•1 21•11 , '-0" 10'-1 i" 17'-0" 11'_5" 11�je" 458 20'8" 1&'-10" 17'-10' 16'•7" 14'-8" i6'2•". 14'-8" 13'-10' 12'10" "1.1'-6'r 2-9`-11„ 20'- „ 19'-91, /,8 1i7ia" 60s 22':' 2U'-h" 18'3" IT1.0" .141.8":: 1T�i'' 15'-10" 13'-10" 12'-4'5 24'-9" 22'•'7" 21'-3" 14,800A 25'- 1, 22:4' 2Z-0" 20',5° 18"4" 20'1" 16'.2" 1T 0" 15 � 14'-1" 2& 2 -11" 4'-4" 20'-G° 14" 40s 2-0'Wr' 19'-5, 17,13' 15'-1" 15'=1" 14'412'-B 24'-11" 22'-0" 2 2" 14' 455 23'-t3" 21'-3" 20"•3" 16'-1Q" i4'-6" 1H'-5' 16'4" 15`-9" 14'-7' 13 �' 2&-0" 234' 22'- 19',7• 14'4' 14'' 60s 25'-5" 23'-2" .21'-10" 19'-7" 14'•8 19'-17" 18';1 .17.0" 1b'9" 14',Z" 28'-i" 251-8- 2 -2 19',7 14'-Q" 24`•11" 23'-2'' 20'•2" 22'10" 20'-6" 10'-4" 29 1T 11" 19`2 32'•4" `-4' T-. „ 161, 455 20'4' 23'-10" 22'•5" 19-1V 14'-10" 20-5" 153'-7 f"� i6'-2"'. 14'^8 Fe'-10" 26'-4" 24'-10" 19. 0° 14' 10" 16". 1309 28'-2" 26'-B•' .24'•2".i 19'-.10" 14'-10' 22'1". 20`0" i9'-1,0" .1 T'$'.: 14'-.10', 31',2" 28'- 24'..10• 19'-1 14'_10" 16" 80x? 32`-4' 4" 2T 7" 25'8 20'73" 25'-3 22'•10" 21'-5" 19'-10" 1 7.1.1" ,5'-9'° -6" 30' 16" 130x1 36-4"• 32' i" .30'-2" 29'-0" 24'-8'' 27'•7' 25'•0" 23'.5' 21'.8" 18'-7" 39'1'" 3E'6" 33'•5" 31'1" 4'8" --- 8r 20° 80x1 38,,3" 34'9" 324-J"'30'-4" 25'6" 28'-11"] 27' 1" 25'-5 23'-6" 21,2" 4c' " 'ti'-5" 36'2" 33'"T' • Table values�sume that sheathing Is gluad and Table values assume minimum bearing lengths *1 k Livo Load deflection timi#ed to U480, n0ed to the joieto, without web stiffeners for joist depths of *** Live Load detraction fruited to L1960 to • Tabie values raprespni the most rewletiva of 16 inches and less.18 and 20 inch Joists ptovve a tloor thatts much atifter for the simple or mvMple span applications. require web stiffeners. mare discriminating purchaser. Table vafuee era based on r sidentlal flexr This table was designed to apply a broad range Live Load deflection limited to LI360 as Table x140 PBF live load and 1 t]PSP dead of applications.It may be possible to exceed ellowed by the boding code-(Shaded dual .the Ih-nitations of this table by an&ly'zing a vetuss do not®etlsfy the requirem&lts of specific application with the 8C Calc software. the North CarciMa state auildi':19 Code. Table values are the maximum allowable.,lear Refer to the THREE STAR table when distance botwaon supports, spans exceed 20 feed,) txa able 'of Co' tents' fi Ylr4ajl ; P rrr;�"awrrr 5�i s�K YE' Sny" rfrRN1:i'Iir rE '�u rr �c1c gYlx vtM $y, r w v� 7� ;�} Ptvdtfcf Froala.piP$bdEtti1rl!:7�20r 5 ta':Ta6lt?s , 2 ri T�Sd� ri��� S lt1f�l �t t 3 tpft t1�1�E5 I rr"i'r77 � i��w�x a6t ° eta iti r �. �, s T E l i dm, �!• ki�iV t �t.r ar i:' it 1 Ci �^'v�rard«�dn} ti �t;°try F r tai leI 3 Vez 5ar�atYa 'r4 {Trletwphtt�dbla i s M1:'` ",•r 8 iia Ft..rrtr�;g1 esi Allowable.Nh?iF Srsa Ln1MA09f R ge Beata^Spatf.Spat .7ble9 9 1'E,y;i. Nt t?rre Naar Ream Spirt.Tatales. • , ,. verse-Lrito hoof and Otte Floor Spati'7"abtes 1tJ Altai uzlrle Hutes ir irersa iatrr�Yearns .... .. .. .. .. . . .. .. .. .. .4 versa-Lam$easrz Lictutrs tT B Joist Hole Locnriorr Ar Sizing . .. ... ..:..... .. . . .. .r,.. . ,5 Llnderstanding.Floor Performatrcr,LafP.tzme Guarantee .-.Back Cover 2 5."2 0 0:3 1'i: 5 7 5U313J4760E! CP BLDG SUPPLYW P A,1�E 01 MA check COMPLIAY-CF, REPORT Massachu5et*15 Energy Code i PerMit MAScheck Software Version 2.011 Release Cbecked by/Date TITLE. BOIL" TO [,A,0,T/QUF.RCI 2ND FLOOR ADDITION CITY: Nofth Andover STATE: Maasachusetts HDD: 63122 CONSTRUCTION TYPE: I oxr 2 FdMily, Obt&Ched HEATING SYSTF,.M TYPE: Other (Non-Electric Resiatance) DATE: 3-25-2003 DATE Or PLANS: 3-25-03 COMPLIRNICt: Passes Maximum UA = 177 Your Horne = 152 Area or Cavity Cont. a z g D L-o L- Perimeter a-Value R-Value U-Yalue UA ^--------J--------._`^_ CEILINGS 1437 30.0 0.0 =10 WALLS: Wood Frame, 16" C.C. 940 19.0 0.0 5F GLAZING: Windows or Doors 122 0.390 46 PVAC EQ1JTP7,4ENT: Boiler, 85.0 AFUE COMPTITANCE STATEMENT; The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Tequir'emerits of the VAa55achusetts Energy Code. The beating load for thio bw'.lding, and the coclirg load if, appropriate, ;ids beer deteraiined using the applicable Standard :Design ccr-ditiomEi found In tht3 Code, The HVAC equipment 5elected to heat or cool the buildinq shell be no greater than, 125% of the design load as specified in Sections 780CMR 1310 and 74.4. guilder/Designer 0;.;i t C-_ • Fj 652:9:2 7 6 0 E,' CP ELD6 SUPPLYW FADE 02 TITLE! BUILT TO LAS-1/0'jERC7 2ND FLOOR ADDITION MAScheck INSPWTIOT1 CIHECKLZST Massachusetts Erergy Code MASoheck Software version 2.01 Felease 3 DATE: 3-25-22003 bldg. } ye;pt Use. CEILINGS: R-30 comr.ienzs/Location I WALLS: 1. Wood Frame, 16" D.C., R-19 Comments/Location AGI NDOW,S AND GLASS DOORS: 1. li—,-a-lue, 0.39 1 For wj,ndows without labeled U-values, describe features* # Panes Frame Type Thermal Break? Yes T I No Comments/Location HVAC EQUIPMENT:. Boiler, ?U,Q AFUE of higher Make and Model Namber AIR LEAKAGE: Ioint.-, penetrations, and all other such openings in -be building envelope that are sources of air leakage must be sealed. Wbon I inctalled in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1. IC rated, manufactured with no penetrations between the inside of tre recessed fixture and ceiling cavity and sealed or Basketed to prevent air leakage into the unconditioned s'pace. 2. Type TC rated, in accordance with Standard ASTH E 283, with no more than 2.0 cfm (0.944 T,'/s' air movement from the the conditioned space to the ceiling cavity. The ligating fixture shall litive been tested at 75 PA or 1.57 lbelft2 pxesura difference and shall be labeled. VAPO*R RETARDER: Required on the warm-in-winter side of all raor%-vented framed I ceilings, walls, and floors. i I MAITEP.I.A7 S I DENT!�ICATIOM: I Materialo and equipment must be identified so that compliance can I be dete�m.ined. Manufacturer manuals for all installed '-eating I and cooliftq equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building pians I or specifications, DUCT INSULATION: Ducts skull be insulated per Table 74.4.7.1.' DUCT CONSTRUC,'TIDN: 12: x? 1:033947608 CP BLDG SJPPL"W PAGE 03 A11 accessible joints, scams, and connections of supplyreturn I duotwork located outside conditioned space, including stud ha& n or I joist cavities/spaces used to transport air., shall be sealed. i --.sing nraRtic- and. ,fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may he I omitted where gaps afe less than 1,/3 inch. Duct tape is not I perriitted. The RVA.0 system must provide a means for balancing I air and water systems. I TEMPERATURE CONTROLS r 1 i Thermostats are required for each separate HVAC systema manual or automatic means to partially restrict or shut off the heating and/or cooling input to ,each zone or. floor shall be prov__ded.. i HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is I not greater than 225% of the design load as specified l in Sections 780CMR 1310 and J4.4. { SWIMMING x OOLB: [ ] ( All heated awimming pools mus have an on/off heater switch and i require a cover unless over 20% of the heating energy Is from i rnon-depletable sources. Pool, pumps require a time clack. HvflC PIPJI4G INSULATION: [ ) I HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.) . 3 I PIPE SIZES (in.) I HEATING ,SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.24-2" 2.5-4" ! Low pressure/temp. 201-250 1.0 _.5 1.5 2.0 1 Low temperature 120-200 0.5 1.0 1.0 1.5 ! Steam. condensate any 1.0 1.0 1.5 2.0 i COOLING SYSTEMS: j Chilled water or 40-55 0.5 0.5 0.75 1.C. refrigerant below 40 1.0 1.0 1..5 1.5 I CIRCULATING HOT WATER SYSTEMS: (, ) Insulate cf.rculating hot water pipes to the following Levels {in.) I I i PIPE SIZES (in.) ( NON-CIRCULATING I CIRCULATING MRINS & RU?IOQT3 I i4EATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1..5'2.0" 2.0+" ( 170-180 0.5 i 1.0 1.5 2.0 j 1.40-160 0.5 I 0.1n' i.0 1..5 100-130 0.5 I 0.5 0.5 1.0 I ---NOTES TO FIELD (Building bepartment Use Only) ------- ----------- ----- I i FORTH E Town of Andover 0 N®. `i 5- Coll COCMIC � d®Ver, Mass., AORATED H PERM - B ARD OF HEALTHFood/Kitchen Septic System T • BUILDING INSPECTOR THIS CERTIFIES THAT..... e.c........ r�.. .......�V..e.r.C..4..................... ............................................... Foundation p � • $/o g 43 . ir0'6At�b�� V`t6 � � has permission to erect..�..�.........�............ b 'Id' son ............ .... .... ............................ ............... ......... ...... Rough to be occupied as..il�.p^.....�..L.....A4�.i t ~.. A� Bj m% * 15^� Chimney P ............................................... 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 BYY-taws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 97� � O .� PLUMBING INSPECTOR 3 � VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION TARTS ELECTRICAL INSPECTOR 1Rough ........................... .... ..... .......................................... 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. w 4 s w RiDG� VENT 2X10 AT I6" O.C. 2 X 10 AT 16" O,C, R-30 I N5ULATION 2X8AT16" O,C, 12 121 r—PAMING CONN�CTOR5 AT J0I5T/ RAr-11%R/ FLATF- TYPICAL I;XTM10p WALL; 51PIN6 TO MATCH rX15TIN6 r�ult.-PING W2AP ?5/ 4" T&G PLYWOOD DECKING 1/ 2'' CIX PLYWOOD 5HrATHIN6 S�CUR� pRRRRR 11%R / //\� NAIL & 6L-UF- TO r- AMING 2 X 6 AT 16" O.C. WITH TAMING / \ 12-19 FIMI� CiLA5 IN5ULATION / \ & SKIMCOAT PLAST \ POLY VAPOf?r9AMMF-12 CONNECTORS / / � � R�MOV� l;XISTiNG r�LU�r�OAPf� �1? �ROOD STRUCTURE RA15�D pLAT� -GF" + / 0000 / 0000 NF-W CONTINUOUS pLATI% / /, NF-W TJI r-1,001; JOISTS "TAILS" O o� � EXISTING OILING s 511,21CTUpF- TO RF-MAIN RF-INr-opCF �X15VNG NSW SOS IT N�ADrR5 AS R�QUIRf;D NFW STAIRS TO RF-MOVF- & PFpLACF- 2ND FLOOI: WINDOWS AT STAIRWAY r TYPICN, 0055 5�C110N ,�-'_' PLANS FOP, + 433 PIP NOFTH ANPOM ,MA, 5c&L 1/4" - 1'-0" nM1 V I4/03 ` �. r ^ f r . ' � .� �� e t• - '..9 ��7 y .. i t t ' � � i � 1 � • r }-. �; ` � � �. i 4, i. << � �. i _ C' %�i e. G r • to toll it o S 0 ❑ 3,e„ z� zg S �orR-5r 6 �0 I of 32 O1 VV Date .......77:A./... 4, TOWN OF NORTH ANDOVER PERMIT FOR WIRING SACHUS This certifies that ........... . .................................................... f has permission to perform -...................................I............ 1. wiring in the building of....... -Ae................................................ fi-;G-do-�er,mass. at...........3.......... N o ff -ow .................. . ......... Fee,.-�S...... Lic.No. . . ........ ..................... ..... -----,._._ELECTRICAL INSPE Check # 5515 THECOMMONWFAL'H0FMASSACHUSEM Office Use only DEPARTARATOFPUNICSAMY Permit No. BOAROOFFREPREVEMONREGMMONS � CA R12M Occupancy&Fees Checked APPLICAHTONFOR PE Aff TO PER 0 ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 1 7-- 6 ,7` Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work d escri d below. Location(Street&Number) `7/. lt4d O . Owner or Tenant Owner's Address 9�� Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building b wx- rl rJ Utility Authorization No. _ Existing Service Amps Volts Overhead M Underground M No.of Meters New Service Amps �Volts Overhead M Underground No.of Meters Number of Feedefs and Ampacity Location and Nature of Proposed Electrical Work c e tv1 Iq T r 0-0 No.of Lighting Outlets I u No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round round No.of Receptacle Outlets l No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones--- Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps �.� Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• hmuat=Cov>'rage.RmanttotheWmerrta&ofMassWhISe CexzalLaws Ibmac meuLiabikyhmuarrePbhLyuchXkgCortplete CDmTWoritssubsUalegtrivalat YES NO Iha subrrtu�dvalidploofofsametotheOffia YES rT 1f Please ,Wby dgthe x L.J yfluha�ecfted�dYES, itldirthe ofm m NSURANCEE BOND r7 OTHER ftase*ciy) WodctoScit I L)' 7-©VEMmated Vakt dEbc"Wak$ Stgtedunder�iePenahiesofpetjury h�pecaorlD&Requ�d Rough O 7- o L/ Final FIRMNAME o P—MA,0 (J A t`-T- LioalwNo. Liaarsee �A 2 t— Sige o Iica>9eNo 'l . BusinessTeL No. ���-F 8 7-X 0 3 7 Acinc� CZ AccaN SI• �A�,a, IIQ6} 1 6`( 3 A)tTel.Nb. `���' 76y 9935 Ce-II OWNER'S NSLRANCEWAIVER,IamawmdmtthelJxnwdoes nothavvetheirmuamem oritswbt�fial andtlAmysgramonduspamrtapphcabmwai�sftmgAr mm � ° � ��GatcralLzws (Please check one) OwnerM Agent Telephone No. PERMIT FEE Igna ure ot Uwner or Agent 67 e Location No. Date F NQRTq TOWN OF NORTH ANDOVER ` A Certificate of Occupancy $ �SaE Building/Frame Permit Fee $ MUS Foundation Permit Fee $ z Other Permit Fee $ o,. TOTAL $ X50• Check # _ 17420 r uilding Inspect �. Location 3 No. Date. NORTH TONIN OF NORTH ANDOVER 10 • Oy Certificate of Occupancy $ Building/Frame Permit Fee $ j SSACHUSE Foundation Permit Fee $ 7 Other Permit Fee $ o� TOTAL $ . Check # 17420 ilding Inspec lr TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. 07sy 1DATE ISSUED: d /y r D (� M (646 ic SIGNATURE: 10.10 —1 Building Comn issioner/In for of Buildings- Date z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: A0 t a v�V n c 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 ReqWred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record ^ `(Zcc nJc 4 `33 Narnt rint) --'" Address for Service: X74 ��a \ Signature Telephone d 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone _SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Address Expiration Date i Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number r Address r Z Expiration Date ^ Signature Telephone YI 1 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.......0 No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. 0 Demolition ❑ Other 0 Specify Brief Description of Proposed Work: &,0 VLA, p"✓C4� �iQ?2�.L- . SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be QIfCIAI.USE }NLS Completed by pen-nit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Pitunbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 ppU Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 5 f I, as Owner/Authorized Agent of subject property L Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 0—~&t 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 (U-LAA ©J tNG L Print Na rN Si at a of er/ en Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T \4BERS iST2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS IIEIGHT OF FOUNDATION THICKNESS I SIZE OF FOOTING X MATERIAL OF CFMVWEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE MORTGAGE INSPECTION PLAN AT 433 MARBL ERl DGE ROAD N RT D 0 H AN Ol/ER MA. NO. ESSEX REGISTRY OF DEEDS.' BK. /,868 PG./67 PLAN.' NO2 927 CERTIFIED T0.'F/RST EASTERN MORTGAGt' CORPORATION SCAL E.' l"=40DATE.'AUGUST 7, /992 - 139.36 Q o� o LOT 5 o sr Rr Woo 26,076 SF, .f FRq E DWEL /NG t GARAGE AMES.' "OF Al,� I) DO NOT USES OFFSETS.;TO-ESTABLISH` PROPERTY LINES OR TO ERECT ANY , STRUCTURE. . IS 2)PROPERTY,LINES ;ARE DETERMINED-:FROM, COMPILED 773;, y INFORMATION TO BE`USED FOR MORTGAGE PURPOSES ONLY. �q°�Fsslo�P� 3) GARAGE EXEMPT PER M.G.L. 40A, SEC. 7. R CERTIFICATIONS.' BASED ON MY KNOWLEDGE, INFORMATION AND BELIEF, I HEREBY CERTIFY THAT THE PERMANENT STRUCTURES INDICATED ARE LOCATED ON THE GRGUIND -APPROXIMATELY AS SHOWN AND ARE(SEENOTE CONFORMING TO THE ZONING SETBACK REXIREMENTS OF THE TOWN OF NO. ANDOVER WHEN CONSTRUCTED AND THAT THE STRUCTURE SHOWN IS NOT LOCATED IN A FLOOD HAZARD ZONE AS PER FEMA. MAP, COMMUNITY N025009800108 EFFECTIVE DATE'06-I5--83 ZONE:'C JOHN ABAG/S B ASSOCIATES, PROFESSIONAL LAND SURVEYORS 137 CHANDLER ROAD, A ND OVER, MA. (508) 688- 4699. 1 NO, P 72 1 y NORTFj 06ttieo yq.t.� O A Town of North Andover # c Building Department 94 •`•rcM-• x 27 Charles Street gSACHUSEt�� North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. tt DATE l� D JOB LOCATION Number treet Address Section of Tc "HOMEOWNER Number ,Home Phone �p Work Pho PRESENT MAILING ADDRESS_ /do Y'K, All City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of 1 or 2 units and to allow such homeowners to engage an individual for hire who does not possess a license, provided.that the owner acts as supervisor. (State Building Code Section (108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which of two there is, or is intended to be, a one family dwelling, attached or detached structures accessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official, a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 108.3.5.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she nderstands the Town of No.Andover Building Department minimum inspection procedu and requirements and that he/she will comply with said procedures and requirem HOMEOWNER'S SIGNATURE. APPROVAL OF BUILDING OFFICIAL Note:Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control. Revised 4.30.03 Home owner Exemptions Form 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 � 7 G Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector FORM U - LOT RELEASE FORM INSTRUCTIONS: 'This form is used to verify that,all necessary.approvals/permits fri Boards and Departments having jurisdiction have been obtained. This does not relie ,: the applicant and/or landowner from compliance with any applicable or requirements. **"'APPLICANT FILLS OUT THIS SECTION APPLICANT �f Qy ev-��J PHONE\ �� 6,fd-�S 3 LOCATION: Assessor's Map Number PARCEL_ SUBDIVISION LOT(S) STREET_ ST.NUMBER �{3 **:r�:k:►:t ' `OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS t� TOWN PLANNER DATE APPROVED ----------------- DATE REJECTED COMMENTS FOOD INSP O EALTH DATE APPROVED DATE REJECTED TIC I S OR-H DATE APPROVED. L DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING'INSPECTOR DATE —____ Revised 9197 jm ORTH Town of 6 ®ver 79# - LAK �o dover, Mass., 4o Y COCHICHEWICK _ '� ADRATED p'P�t-`I S U ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT.......P1.0.4.......... ...................... .................... ............ i YXI.A.A&A.1 Foundationhas permission to erect.. .. ................. buildings on ... .R .�. ....� Rough V ) v r � , r P/A Y 9*� Chimney to be occupied as x 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-IVs relating to the lnsp ction, Alteration and Construction of Buildings in the Town of North Andover. 08/ 0681 ' mom PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMEXPIRES IN 6 MONTHS Final IT ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ARS ` . A .Rough .. .. 6�10-0 Service........ UILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDEJ Smoke Det. F"1 0-19 12 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - P�AN5 FOP\ - - - - - - - - - - - - - - - - - - - - - - - - - - - rF,QTP-,,Cl - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - N - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4�� M/WL�PIIPC6 PIP I , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - NOP,,1'H ANPOV�P, ,MA. -- - - - - - - - - - - - - - - - - 5C&N/4" - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - 00 4 _. . . . ._ Y y .. . = �. . ._ ... _ __ _. i _: _ _. ... . . _. _—- . _ ._ i __ _ .. . _ _.. _ �, — _ _ ..�_ I • ___ . . _ . . _ . . _ -- -- -� .. e -- - � � _ _ . _ . . _ .. r 1 4 '� `' _ _ 1 1s�c1QN1 9 ‘* oca ote, z 0 bo/I/.da tit i tli{il I I i i l i l l Illlllliftlllili IIIIIIIIIl1{till 1 1 1 1 1 1 1 1 �1 k, 1�1I 111�1 1111�r71 -1 1-1 iltl{It III! I l l I I I I II I itilillllillltll il�lilllilllilil 1 1 1 1 1 1 t l I.I.I.I.I.t�l.l� { 1 1 :I:t:i:t'I'I'I �� -j �; � � '{'�t� • � i sro�� w LI;C. pAN�L CONC}?�1� p�C3G SL,.A� 5rAil?5 ro 2NP FLOOp �XISrING 13 AM5 - 2X10 OV1;F?N�AI� BOOP P�M5 FOP\ QTpMCl P\lam51P�Nc� FiPsr FOOPPIAN NoPTH ANVOM\ ,MA, <EXI5i1NG) SCA-F:I/ 411 _ 1 1-011 PATE:5/I/0-'i -' � ' �,� 4 r S_ . `} r. '� i 1 k � 1 ' (. � � `�;� ';,. �';, ;f ;. ' .. ? ` P111:2Cr- VENT 2 X 10 AT 16'' OC 5/ 8" CnX PL-YWOOP 1200p 5HF-^1 4 A5PHALT 5HINGLF-5 1-0 MATCH F-XI5TIN6 ALIGN WITH TWICALL F/avT.' PL'TAL p-30 ( MIN) F-�XI5TING I?>;A2 r,4\,5oA, N,�cr-:E1 e-xlsrira�:, INSULATION poor- 1?-30C �I��1?GLAS IN5ULATION, pl?OVII�� I" A!t? SpAC� A�OV�, / -� S�CUr?� p�1'�p t0 TOp PLATF- 1-151N6 MAMING � CONN�CtOf?5 AN5�1?S�N' OpF-NING t0 I;XI5TING T C iCFt_. E:Xr 2IGr: ^✓Pd_L; AW25I 2Nn ft,0012 HALLWAY 3/ 4'' T&G PL-YWOOP PFCKING, r>lliL�?flvC; Vv p�' NAIL & CALQUE TO p t?AM INCA I/ 7 X t}1111\f Ir:{' O'C. PEWOVF- F-X15TIN6 r-1111U:K'6i,r"5 1�1'�lJt.,hr10f-1 1?00r- STpUCTUk?l; POLY, °, . / / 141' 1-JI AT 24" aC-1 "IN Vl�NPOp CONpI12M 5'Tg FIN15H 2W FOM MATCH r-:�X15TI NG - s `— pOOp 5LOp1; WOOF MAMI NG ' -01 1 7P,-?5(9 IN5ULATION EXISTING WALLS ®� P,-F-CF-55r:V LIGHT FIXT, t0 PE�MAIN 1%XIStING 2 X 6 �!J COIL-11\16i J015T5 ®� TO p�MAN F-X15TING [3�AM 2 - 1 3/ 4" X91/ 2'` TO AMAIN MICpOLAM LVL D,N, STp.AppING, HN15NI5TFLOM EXISTING 5/ 8" 1"Yp� X C4"Poor, );XISTING CONCpF-TI; 5t-A[3 FAN5 FOP\ �X15TING FOUNDATION r6QTP\.C1 P\�51P�Nc� 4-5� MAFVL P\In6� FP NOPM AMPOM ,MA, �(CA� 0055SFC110N 1'-0'' nA1�,�� i�o� /' _ t q � � ' •� 0 � J i i '` t E..'� k 1.4 .. �.� r r r �..�i•ett..� L �.\. � •..� ..r �. ? x ��. .� .. .. - !.. .. .. ,� -. �. � +' i I r f `,�'� `�.� , +t � _. y J 'l � �' f Y ._ .. .. ..,. �� � J � _ -- . '. _ _ '° :' - '� f% ,,� � _. i �-. �. - ',,, •_ � -,. � - ;�.._ _ _ ;' 7• t- � t• � {.. 1, .�:. '33 _ i__ � ... .. '� ��� • .. ' `� ' f V ,� `, ' _ .. . I 3- ` ff / ., E i� _ a The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print t Name: Location: 2=1 04A T�' 101 City /V.. &D d Vt Phone # /� �l �� I'T I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers' compensation for my employees working on this job. Company nam 11M JV?_J a� C4-I N C(� !4 t r- ON T A--AC`+1 A) ',- Address QSA I S�-N---L r�— Ci : Phone#: r Insurance.CoMe-rA A-4� LWA 11&"1 C�',Policv# Com an name: G C �---- ; l Address City: AZ CC-- dn✓Vll ; Phone#: 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.penaftiesinthefnrm-of a-STOP WORK_ORDER-and-afine.oV(.$1D.0.00)_abay against-me.. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and enalties of �infbrm.etion ovidedabove is true and correct. f Signatu I J 14 Date 2 Print name 6 �� Phone# G 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 ❑ Selectman's Office Contact person. Phone#: ❑ Health Department Other -4122 1 Date.... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING CHU This certifies that ........ ...... /�/. ................................................................ has permission to perform ........110 t -F(-A... ........:......................... wring in the building of....... .......................... at ......./-0...5......... do w .... .... North,&117 Fee... Lic.No�.. ... .. .. . .. ........I. LE .//..,...................... CMCAL INSPECTOR Check # N6) THECOMMONWEALTHOFMASSACIUSETIS ffieeUse nl DEPARTt 1EvTOFPUBIlCSAFETY a` BOARDOFFIREPREVEM0NRE('UTA770NS527CMR12.� Permit No. Occupancy&Fees Checked APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 3 3 44&_k, b/. ^t Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. �� Existing Service Amps=Volts Overhead M Underground� No.of Meters New Service �o Amps / Volts Overhead M Underground g � No.of Meters Number of Feeders and Ampacity Location a:-A Nature of Proposed Electrical Work U-P i CC—' Ho'T T,l No.of Lighting Outlets No.of Hot Tubs ' No.of Transformers Total No.of Lighting Fixtures Swimming Pool Above BelowKVA Generators KVA round round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pum s Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained No.of Dryers Detection/Sounding Devices Heating Devices KW Local Municipal Other No.of Water Heaters KWNo.of No.ofailaConnections Signs Bsis No.Hydro Mlissage Tubs No.of Motors Total HP OTHER Flnt==Cowage,PtugmtttotheteWtitmiazofMa%adlmMC*naW aws lbaveaamaltliabl7tlyLmmmeR) ynxluftCompl&-,(haBfimCOvaageoritsmbsruroalegt Went YB NO thawsuhrrritr2tivaali�dptOofofsametothe0l YES fteriartgthe box Ea lfyouhavec rdmdYES,please md k1heN)cOfCOVUageby NSURANCE� BOND ® OTS ® ( y) Vc&toSeart d 3–6 ZFst 1*dvalwdE1acfiXalWc&$ gledutxler'&FUlabesofperjtay. "paaronD&RegtJ2sbd Rough Final WMNAME Li=W No. iar>aae .4v-T P/, e✓� Sigt�ahue -� LicermNo /���L7, BusirmTel.NO. Z, �a .9 �'P'7 Alt Tel No. `3 7�—�5'� �5'3Y2 d WNER S INSURANCE W ` ANFR IamawarethatheLi�edoesnothavetheinsurarloeoovetageorilssubstantialegiin letitasrequiredbyMassachusmsGenc al Lam that my sigr><�hue on this petrrrit appfication wars this requirement. 'lease check one) Owner ® Agent � Telephone No. PERMIT FEE e Igna ure ot Uwner or Agent Town of North Andover `yORT11 0F���e° °'9�. Office of the Health Department 0 Community Development and Services Division Y William J.Scott,Division Director 27 Charles Street �gSSA�H�S t� North Andover,Massachusetts 01845 one Tele h Sandra Starr p (978)688-9540 Health Director Fax(978)688-9542 January 3,2001 Richard Querci 433 Marbleridge Road North Andover,MA 01845 Re: Application for addition Dear Mr. Querci: Your application for an addition at 433 Marbleridge Road has been reviewed by the Health Department. The application was been denied on December 29,2000 for the following reasons: 1. V Missing information 2. EY Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable To address the problem(s): If#1 is checkedlease supply: P a. Floor plan of existing and proposed addition b. Certified plot plan showing house, septic system and proposed project in scale If#2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it iso operating properly:P gP P : OR Y b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, Reviewer Cc: i, B ilding Department File Mark Rees,Town Manager William Scott,Director CD&S BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 \1URSE 688-9543 PLAtitiING 688-9535 3040 � { Date..�J.,!':1 ...... { // ca n i of N0 oT a 1tip TOWN OF NORTH ANDOVER '. PERMIT FOR GAS INSTALLATION ! p mm � Cm Ch ' Fd This certifies that . . ... .s `9?!�- . :�%�.� . i . . . . . . . has permission for gas installation . . . ?�'.,�. . . . . . . . . . . .. in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .L .? .>!�?�? l` � r . .1.:-: . . . . . ., North Andover, Mass. Fee. . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . .. . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer y , mAJ,A%onu% -a i o uivirvnnn Hrru%;A 1 N t-UK NI:KMI I 1•u uu UASFITTING 1 (Print or Type) lf'` ✓f� U ,Mass. D e _ y -i 9 1 Permit Building Location , 1d1 /e & �/A,4Owner's Name( )( ,9gic%—T. "" .. Type of Occupancy «vim -New Renovation ❑ ReplacenidFit p Plans Submitted: Yes❑ No ff N. ICC •. w At a, 0 U F: •w: �. ur +G ..: .:4 :.4.. \. a'•*`-+t` *X^ Wim„ >d : .�v 'a ' d•!.'b XIV* w .WxA 'ti •• i' 4a SUB—BSMT. 4M, BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR ,j 7TH FLOOR 8TH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET X7 Corporation 18 6-2' LAWRENCE, MA 01840 ❑ Partnership Business Telephone 508-68.7-' 1105 ❑ Firm/Co. f( Name of Licensed Plumber or Gas Fitter Francis X. Corkery - INSURANCE COVERAGE: have a current liability insoura❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If you have checked yes. please indicate the type coverage by checking the appropriate box. A liability insurance policy X( 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 Mass. General Laws• and that my signature on this permit application waives this requirement. Check one: Owner❑ ' . Agent ❑ . Signature of Owner or Owner's Agent hereby certify that all of the details and information I have submitted(or entered)in abolication are true and a a and that a p ccu�te to the best al my knowledge t II plumbing work and installations performed under the permit issu f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. (j BY` T bf lidense:' Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number 8697 City/Town Journeyman APPROVED OFFICE USE ONLY) INTERNAL MEMORANDUM foor f Date: July 16, 1999 To: Mike Maguire,Building Dept. From: Sandra Starr,Health ' Re: �433leridge Road:� When Health Department personnel first saw this application for an ingroundP ool our file was checked and found to have insufficient information for a decision to be made. The homeowner was asked to locate his septic system and have it drawn to scale on a scaled plot plan. He stated that he had both Bateson Septic and engineer,Bill Dufresne, out to look at the system. Upon discussing the site with Mr. Dufresne,I was told that his septic system is in failure. After discussing the problem with the BOH chairman, I attempted to contact the homeowner to discuss the issue of the failed septic system and the possibility that constructing a large pool in his rear yard could severely limit his options with respect to his sanitary waste disposal. Before I was able to make contact,however, I learned that he had already installed the pool. At that point I discontinued attempts to reach him. c"' '_,� r � .rr ,r+�+ .,i.,�l {i.. .� r/ * r. , r 4 , ., , r r r • .• r � Ii �, �: . . t. ; �{ 1. fir' 1 .i .' :ir'Jr " tf,,, .�' �/ i i - � i'I Jr lig � r .,."i,i r I � !'J r .1, r J f Town of North Andover f NORTH OFFICE OF 3?°�` t16 °o< COMMUNITY DEVELOPMENT AND SERVICES ° 27 Charles Street North Andover, Massachusetts 01845 sgcH�s���y WILLIAM J. SCOTT Director (978)688-9531 Fax(978) 688-9542 Richard & Stephanie Querci 433 Marbleridge Road No Andover, MA 01845 RE: Permit application for inground pool Please be advised that it has come to my attention that the 16 x 32 foot inground pool has been installed without the benefit of a building permit. Please be advised that this is in violation of the Town of No Andover zoning bylaw as well as the State Building Code (780 CMR). Please contact me so that we may rectify this matter in a timely manner. I may be reached in the office between the hours of 8:30 to 10:00 AM and 1:00 to 2:00 PM Respectfully, Michael McGuire Local Building Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 N° 1 / 45 Date......��..`.2d....�........ °f t"`°:•�"d0. TOWN OF NORTH ANDOVER ° p PERMIT FOR WIRING CHUSE� c This certifies that / �-:...'`' "��'�� ...... ... ............................................................................ has permission to performer .................................................... wiringin the building of..............::.:.................... ........................................... rt at..... � ...................................... ..�......::.. ,North Andover,Mass. Fee' ............... L;tc.14 ......... �..,w-:...:�.�-.e.-'�...6 ELECTRICAL INSPECTOR 07/01/99 14:38 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer T MI0AWE4L0FM1YS4CHVOffice Use only MAP DEPARTMFJVT 0FPUBLICS4F.ETY Permit No. ! �� OFFIREPREYEV77ONREGUTATIOAIS527CIIR IZ 1XI � V7 Occupancy&Fees Checked ��-! PARCEL ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL.CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work describe elow. Location (Street&Num ) Owner or Tenant / Owner's Address— Is ddress _Is this permit in conjunction with a building permit: YesnjNo F7 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service ,Amps / Volts OverheadQ Underground � No. of Meters New Service Amps / Volts Overhead = Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.ofkighttng Outlets No.of Hot Tubs N Transformers Total KVA No.of Lighting Fixtures I Swimming Pool Above Below Generators KVA ground °round No.of�teceptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.'of Heat Total Total No.of Detection and Pumos Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other �No.of Water Hesters KW No.of No.of Connections Suns Bailasis No. Hydro Massage Tubs No.of Motors Total HP v OTHER IrtstrarxeCoeaEe Rastetxtothe;a�tmPrna�sarT�n�GenaalLaws I have a arart L mbttfy h u-x=PchLy mckx�Carte Caa'age cr its abstm l e4zvai= YES 17 NO IhavesbmmdvandpwfofsaimiotheOffieYES C./ NO (—� 1f}cuhavediia. YES,please etypecim�eat by zetl� E L� Esan�lVahrdS==J Wcdc S WC&3D Start h L Rt Raigh F>na1 Simi usxia't�Parslbes cfpajtsy: FIRM NA 1 Na Lra>set; /GL ��/�`if.►�� Si=n L eNo�ZlL B sires Tel.Na10 Ai Tel.Na OWNER'S WAVER;Ian vrA trI tt aisr a xisat al valexasra azdty� Cxi�aiLmrs and fAmysigr . crithisp=MXP =iMV"Ertsihis (Please check one) Owner Agent Telephone No. PER"14TT FEE S �� Location A133 ����'���' n j J4`, PJ Q No. Date a , TOWN OF NORTH ANDOVER .. -CSO:,,`•' '•••Milos } p Certificate of Occupancy $ ~— • Building/Frame Permit Fee $ Foundation Permit Fee $ s�cHust / Other Permit Fee �d $ 9/ '! Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector i X81 Div. Public Works Location A133 : No .F' ��� Date '7 ?k w tORTN' \ TOWN OF NORTH ANDOVER p Certificate of Occupancy $ - Building/Frame/Frame Permit Fee $ si + 9 �M�s t� Foundation Permit Fee/ $ -` Other Permit Fee ! $ Sewer,Connection Fee $ Water Connection Fee $ TOTAL $ � , Building Inspector Div. Public Works 1'I;RIVIIT NO. 30,5' Al')PLICATION FOR PERMIT TO IIUILI)********NORT11 ANDOVER, MA M1IU'No. - ,�7 �'1�e• 1.OT.NO. 2. RECORUOFO\YIvLRSIIII' DATE BOOK PAGE iOne V SUB DIV. 1.0FNU. E / 1.()(:APION .� - �. 1'URPOSEI FBUIII)IN(i r��i� �yVLi2 'N L17 L <AVNER'S NAME �c fr j�-5f2/7No . n ) OF SHl1ES SIZE. OWNER'S ADDRESS-. LiZ / ( r / BASENIENr OR SLAB AR('IIll'EC'I''SNAME - J ';v J^ e7� el BILE OF s Z ND 3 RD 1)I tll DER'S NAME Jc kv `T, S/` C��.. e. SPAN DISTANCE TO NEAREST BUILDING ( DIMENSIONS OF SILLS DIS FANCL FROM 5l REI: ' DIMENSIONS(N:I'OS IS DIS'T'ANCE FROM LOT LINES-SIDES Z a° REAR 2—O•{- DIMENSIONS OF GIRDERS AREA OF LOT "Z6 V 7� FRONTAGE I1EIGI IT(N=FOUNDATION THICKNESS IS BUILDING NEW S SIZE OF'.I("IING - a X IS BUILDING ADDI I[ON MAIERI AL OF Cl II NINE Y IS BUILDING ALTERATION IS BUILDING ON SOLID(IR'FILLED LAND WILL BUILDING CONFORM TO Rr(,XIIREMEN'I'S OF CODE r s IS BUILDING CONNECI'ED-10TOWN WATER BOARD OF APPEALS ACl'ION, IF ANY IS BUILDING C(NNNECI ED TO TOWN SEWER IS BUILDING CONNECI ED TO NAI URAL GAS LINE INSTl1C'I•IONS 3. PROPERTY INFORAIA-I-ION LAND COST ESI-. BLD(i.COS r PAGE I FII.I.OI IT SECTIONS 1-3 MAP A EST. BLDG. COS I'PER SQ. FT. ES 1'. BI.Dc;.C•(n'I Pull ROOM EI E(-TRIC LIETERS Nit 1ST BE ON(xfrsiDE OF BUILDING SEI'rIC PERMIT N). PARCEL .68 Al'IACIIEDGARAGESMl1STC(NFORKI'fOSTATEFIRERE(itI AH(2uS •I. APPR(-)YEDBY' PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECFOR BUILDING INSPUCI.Olt q��p f P-oiAo P1� oX .y® L , Gra �ar»,Z �SSv£v �c� L DATE FILED (,�/g / OWNERS-1EIR ! l (i1�a --k5 _'/,�4 11 17,J/(C04./ C(NJI'R.II:I.k r. 7-0 PLIC. S � Js% -� c�/�7 C(NNI'R.I.ICN �7 ®�71 -1/;NA flIR1iOI OWNIiIiuRAlt'I'lItN21ZIfDA(iliNf ��� I I.I.C. , '•�� � � -. III: � 7f cT 1'IRAIITGRAN-II'I) — FORM U :LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION e � APPLICANT TiCd PHONE I � LOCATION: Assessors Map Number PARCEL SUBDIVISION LOT S STREET t�� G /1�1�r��if ST. NUMBER Y OFFICIAL USE ONLY'*" RECOMMENDATIONS OF TOWN AGENTS: C CONSERVATION ADMINISTRATOR DATE APPROVED P nn q DATE-REJECTED COMMENTS h C��--b�.G � pr e ccr 5f (/(i�- TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEINSPECTOR-HEALTH DATE APPROVE ZPTIED D/DATE REJECTED COMMENTS 6AVI 07- /9 /',eyyve looter `6 PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT I FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE -aP • West Environmental, Inc. r 48-Stevens Hill Road Nottinghm; N.H. 03290 (603) 679-8212 (603) 679-8232 Email: westenv@empire.net D 0 c o° $ . .1 M06 L c wss-sec�'►'�� +YV-�Lki2cL 14- S 14-- f oBpO (7vQv v i e,,,.+ De-watering Basin Detail s CERT'/F/ED AOT AAN PREPARED FOR.' t 0 � STEPHANIE 8 RICHARD WERC/ AT 4.3.3 MARBL ER®DGE ROAD `��q NORrH ANDOVER, MA. NORTH ESSEX REGIS TRY OF DEEDS'8 352/ PC /49 ASSESSORS MAP 38 LOT 68 ZONE.' R-3 A` SCALE.'/"= $0' 'DATE.' APRIL 210 1999 q2 NOTE.' WETLAND FLAGS AS PER WES T ENVIRONMENTAL,INC. Qe-wa-�•ari (3aSi►� (•ol ct�QrH: S do N0. A E FENC nCOVER KAD OC S T RO 1 _ WETLAWS \ Ox Roo �3.�. �� 2 43.16 r�uvK AOVEO FND. DRIWWAY 4;ji ----427---- . r a h i EX/STING\ �+N DWELLING, 1 � X N°du'►u•'°oa"" v r 52.6' o-o' c LC3T' .5 Y ESQ •.i TN P 2 1C tek kx 076 �vM R gill 77 [/NEYk �t �1(kK1CX� 7' A M -,.}�.-1 12,. WC.35773 �0. CULVERT ' ,%O�•gyEt� 77 j� „-�s_4 i39.36.,� AID / \ 6 \ WETLAND \ 5 4 . t2 �9 FLAGGING 8 VEGETATiV E �. 13 WETLANDS (T YPICAL) PREPARED BY. ✓OH!l A®AGIS A ASSOC/ATES, PROFESSIONAL. LAN® SURVEYORS 137 CHANDLER ROAD, ANDOVER, MA. 1978)--688-4899 NO 3687 h i CERTIFIED PLOT PLAN PREPARED FOR. I • STEPHANIE 8 RICHARD QUERC/ AT 433 MARBLERIDGE ROAD NORTH ANDOVER, MA. NORTH ESSEX REGISTRY of DEEDS.'eK. 3521 PG. /49 ASSESSORS MAP 38, LOT 68 ZONE.' R-3 SCALE.'l"= 40' DATE..' APRIL 21, 1999 �> NOTE: WETLAND FLAGS AS PER WEST ENVIRONMENTAL,INC. 0. LlL/ E / N0. ANDOVER � STOCKADE _________ •____ WETLANDS \ AAPROX. OIL PAVED ROD Li._. 2 3.16 TANK \ DRIWWAY D. FN23 / __ 4 4;1 k 5s EXIS77NG� �� q DWELL/NG, r tvi `NQ\4�3� �O 52.6 c a'a skQ O LOT 5 �� AP 26•076 SFS Pox 3�•�„•�, a; � M,gTE O �Z/NE u 77.2 52.7� d,O A 3 � /2� 9O� CULVERT N.C.35� /P. 139.36 % AVD. / �� 9 5 2 _ WETLAND 4 '\ FLAGGING 8 VEGETAT/VE \ti3 WETLANDS (TYPICAL) PREPARED BY. JOHN ABAGIS 6i ASSOCIATES, PROFESSIONAL LAND SURVEYORS 137 CHANDLER ROAD, ANDOVER, MA. (978)-.688-4899 l N0. 3687 �3 ti 13e4e?- pva q7�r 35� t C,ERr®F'!EDPL® ' . PLAN PREPARED FOR.' t S rEP/I A J•,f.. RICHARD 0k W-00s. V ERCI . Ar LU 433 MARDLERIDGE ROAD ilL fldkVNORTH ANDOVER, 41A. ., NOR rH ESSEX REG/SrR y OF DEEDS-8K. 3521 PC 149 ASSESSORS MAP 38, Lor 68 ZONE.' R-3 Ac SCALE.'/"=40 'DATE.' APRIL. 2/, /999 vti �6 NOTE.' WETLAND &AGS AS PER WE'S T ENVIRONMENTAL,/NC. a� fie-Wa-�¢ri BoSi v� pcol 4 bet 54*j,- •` D PENC Ll £ NO AACOVER ROK. .\ 0. WETLAACS \ OIL ROD �3. 2 J. �.w� RA WO FND. \ DRIWWAY 4V i, �-�- ----4 ----- a 'h EXIST/N6\ DWI-LING 2S -�j K i i s '` f NO TJX s. I f v 52.6 C) _..._..._...... a r• cif v, 4 p� 2 P 7� 7 ,a JC' 0 6 SC T k � 'v kx�y,. frSrk 3`t��uX K�cx� 77.2 [iNE 700, • r A i M /2• W%•:45773 C CLLVERT } 139:36.— \ 9 WETLAND 5 4!� �•t2 FLAGGING �8 VEGETATIVE �'� WETLANDS (T YOICAL) PREPARED Br ✓ORN AE A GI S a ASSOCIATES, PROFESSIONAL LAN® .S'1Jfr'VEyORS 137 CHANDLER ROAD, ANDOVER "A. (978)-'688-4899 NO. 3sa7 • 1 � � J r q7 i BOARD OF HEALTH TOWN OF NORTH ANDOVER, P:'IASS. 41 j 47Zv i �E j .y, - a N'ovf . . . . . . . . . . N_RAM . !�a K �. . . . . . DATE . . . . . . . . i. . . . . :z- 2. ADDRESS y / a�l'�y �!• . LOT NO. TEj!o* 3. NO. OF BEDROOM DEN YES .� . NO.. . . . . 4. GARBAGE GRIMED, YES NO..�. . 5. SHOW DIT.'ENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DITtENSIOM OF LOT 8, SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTAD?CE OF IgELL FROTrl SEWERAGE SYSTEM 10. SHOIFJ LOCATI6N CF IEROOKS, STREAM, DITCHES, =, E OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROr+I HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. t4ORTH • Town of dover No. 33so - s °� COC- A E dover, Mass., ORATED pl?�L (� S SE BOARD OF HEALTH Food/Kitchen PERMIT T Septic System /� � BUILDING INSPECTOR THIS CERTIFIES THAT..... 1..�i... ... ... .!R. .a.ti.�..L........!�!rvw h Q ...................................... Foundation has permission to erect.... .........3................ buildings on .......Al.• 3.....N04 r b /*, / *V.4 teal Rough l�VBro�Nol to be occupied as.... lool im near........................................................................................................... . provided that the person accepting this permit shall in every respect conform to the ter f Chimney he application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough �1 -as PERMIT EXPIRES IN 6 MONTHS Final gUNLESS CONSTRUC ON T TS ELECTRICAL INSPECTOR C Rough s Ric 3 C;8 , .................................. 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. Town of North Andover %AORTH a Office of the Building Department 0�a`ytZD b,byo� Community Development and Services Division x William J. Scott, Division Director 27 Charles Street aSSgcH0 North Andover,Massachcisetts 01.845 Tele phone 978 688-9545 D. Robert Nicetta Building Conirnissioner Fax(978)688-9542 Mr. Richard Querci 433 Marbleridge Rd. North Andover, MA 01845 December 11, 2000 Dear Mr. Querci; I have been notified that you have inquired about constructing an addition onto your home. Please be advised that in order for this to occur you will need to obtain a building permit, of which there is a procedure that is required to be followed. Please contact me so that I may explain the procedure that you will need to follow in order to expedite this process. I may be reached between the hours of 8:30— 10:00 AM and 1:00—2:00 PM at (978) 688-9545. Respectfull Michael McGuire Local Building Inspector Cc Mark Rees, Town Manager William J. Scott, Director, Community Development & Services Sandra Starr, Health Department Director D. Robert Nicetta, Building Commissioner File B(-):XFD OF APP-ikT-S ciBR 954-t BLULDING 688-9545 HEAL'rII 688-9540 PLANTMNG 688-9535. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING > y T$IS SlEtiCOH X01' Use'Q� BUILDING PERMIT NUMBER:~ DATE ISSUED: m X l SIGNATURE: Builan—g Commissioner/ImeEtor of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: COMap Number Parcel Number 1.3 Zoning Information: D� 1.4 Property Dimensions: Zoning District Proposea Use Lot Area(so Frontage fl 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided r •3� '77-z d Z 1.5. Flood Information: 1.8 Sew sal 1.7 Water S pply M.G.L..C.40. 54) crag'Disposal System: Public JL Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT —M 2.1 Owner of Record ea IL sdOP4�-;� , Qu�.r Name(Print) Address for Service: (L7ej- ,.. . Signature Telephone 2.2 Owner of Record: X Name PrintAddress for Service: O rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ r f Licens 'Construction Supervisor: D �7 License Number Addres 4& �`� !J� Expiration Date C Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ ,&�� �� Company Name /,300.! z Registration Number r 3i�l /�s� ""� ' - 7v� W ^� Expiration Date V Telephone f r . 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.......❑ SECTION 5 Description of Proposed Work check all applicable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: two X_ &A 4- aAJ)r/17r 6V,-C1J J �- �. SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY 1. Building Completed b permit applicant _ (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing 4 Mechanical(HVAC) Building Permit fee taI X (b) 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize_ Zi4/re_'* 00 _P_I ej _Tle� to act on XMbel.,alf;in all matters relative to work authorized by this building pennit ap lication. tre ofOwner Nte SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION ' '5_cw 4"X/1 property as O ,Authorized Agent of subject property I lereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and beliff Print N' A-211 dZ� Si nature of Owner/ ent Date NO. OF STORIES Z SIZE o29-k6 BASEMENT OR SLAB SI7_.E OF FLOOR I TABERS 1 2 Y/e) 3 SPAN / DIMENSIONS OF SILLS ,vp DIMENSIONS OF POSTS ,v/,l DIMENSIONS OF GIRDERS ,v HEIGHT OF FOUNDATION Siai3 THICKNESS Al 14 SIZE OF FOOTING �v X MATERIAL OF C l.umNE Y N14 IS BUILDING ON SOLID OR FILLED LAND ,v/1 IS BUILDING CONNECTED TO NATURAL GAS LINE E BOARD OF BUILDING REGULATIONS License:CONSTRUCTION SUPERVISOR Number�S 053181 ! BirthdateI !%1941 �r ''. .• � 'I, I1 4 001 Tr.no: 9870 T rttesttf$lecl To: 00 CHARLES J PIS&TELI,I� ;i 1 FLASH RD s< � NO READING, MA 0188 4 f Administrator `ivf77 : J 36/x ► ( I i r � t i _ � ' - �I t ; Tri �,T=� • ;, ,� � . ❑ ❑ ❑ El El 1-10, a ❑ t,9 er VA \A,(— 0 L Rj a -_. ._ - - -- -- - - --- ---- --- - ----- ------ - - - - . - -- ---- -- — -- _..----------- - - - __. .. - --- .. .-- - --- -- -- . . .--- - - - ,n L i � Illy-, h h 1h h lh lh I Ari !L—IL in 1 n J C)` G y^'. _ c�.' �,►S L � /moi//� - I I--- --- ir tit [ 11 an r� Ell E t 41 r - Z— -- --=- -- -- r--- - r -- --- - - --- -- - - --- - - - - 97 - _:32 - G7 --M 1 t - + X75 11 I: �1 • t'J - i ly r � � i � ❑ ac—X t I: t o i - 41 .. zz Town of North Andover tkORTH Office of the Building Department a . Community Development and Services Division William J. Scott, Division Director 27 Charles Street C U D. Robert Nicetta North Andover,Massachusetts 01.845 Telephone (978)688-0,545 Building Coinn-ilssioner Fax(978)688-9542 Mr. Richard Querci 433 Marbleridge Rd. North Andover, MA 01845 December 11, 2000 Dear Mr. Querci-, I have been notified that you have inquired about constructing an addition onto your home. Please be advised that in order for this to occur you will need to obtain a building permit, of which there is a procedure that is required to be followed. Please contact me so that I may explain the procedure that you will need to follow in order to expedite this process. I may be reached between the hours of 8:30— 10:00 AM and 1:00—2:00 PM at (978) 688-9545. Respectfull Michael McGuire Local Building Inspector Cc Mark Rees, Town Manager William J. Scott, Director, Community Development& Services Sandra Starr, Health Department Director D. Robert Nicetta, Building Commissioner FILE File I ri(-);\RI)OFAPPEALS 688-9541 B131LDINGY689-9545 TIEM,'1'11688-9540 PLANI-NG688-9535 Town ®f North h Andoverr1ORTN Of.1"S. 'G.� Office of the Health Department �� 6`'O ° Community Development and Services Division ti + William J.Scott,Division DirectorarEo 27 Charles Street �Ss�ac►+us�� North Andover,Massachusetts 01845 Sandra Starr Telephone(978)688-9540 Health Director Fax(978) 688-9542 December 8, 2000 Richard Querci 433 Marbleridg e Road No. Andover, MA 01845 Dear Mr. Querci: I have been notified that you are hoping to build an addition onto your home at 433 Marbleridge Road. Please be advised that there is a required procedure to be followed when additions to existing homes are proposed. The first step is to apply for a building permit from the Building Department. Because your home is currently served by a septic system, you must receive approval from the Board of Health/Health Department before a building permit can be issued. I suggest that you apply for a building permit, submitting all required information. At this point we can review your proposal and make a determination on the project. You should also be aware that if you disagree with any decision that I make, you have the right to appear before the Board of Health and have the case reviewed. Please feel free to call me at 978-688-9540 with any questions you may have. Sincerely, 1 Sandra Starr, R.S., C.H.O. Health Director Cc: Town Manager Director, CD&S wilding Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 o,3379 Date ' ....... . .... .... 1 NpRTM TOWN OF NORTH ANDOVER 0 '�.. `p PERMIT FOR GAS INSTALLATION e �,SSACHUSEtty T„�zis certifies that . . ... . . . . . . has permission for gas installation in the buildings of . �>�_.����r <.. . . . . . . . . . . . . . . . . . . . . . at , North Andover, Mass. Fee?: '. . Lic. No: .,. .. �..!. . . . INSP;E;��� . WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) �e1 , Mass. Date Mr,r 1 20'0c>— Permit# Building Location tA35 ►,-\�, Owner's Name R & Telephone F;t -g'SS 3 Type of Occupancy IR 0_5 New Renovation ri Replacement Plans Submitted: Yes Noo L C. o J c4010 mc = A � C m C = O C v N v d = d O > d .O C l0 d M LC. = � E W .QC O C ` O V! L w 3:10 2 ti a J 0 IY 4) a 1 0 t� SUB-BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR ` 7TH FLOOR 8TH FLOOR Installing Company Name EnergyUSA Check one: Certificate Address 500 Myles Standish Blvd. X❑ Corporation 115C Tauton,MA 02780 ❑ Partnership Business Telephone (800)822-1300 x8051 ❑ Firm/Co. Name of Licensed Plumber or Gasfitter William Kent Corson INSURANCE COVERAGE: EnergyUSA has a current liability insurance pol cy,gr its substantial eguhTfl pt,•which meets the requirements of MGL Ch.142._ Yes � No If you have.checked',:please indicate the type of coverage by checking the appropriate box. A liability in policy X❑ "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 Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Owner El Agent El Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have-submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code and Chapter 142 of the General Laws. Type of License: ByPlumber Title ElGasfitter Signature of Licensed Plumber or Gasfitter City/Town X❑Master APPROVED(OFFICE USE ONLY) MJourneyman License Number 3707 BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 20 GAS INSPECTOR FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that allnecessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. on 0 APPLICANT 1 L A Pd (/e v\ C ( onooffin-wooPHONE Now 0l S S 3 ASSESSORS MAP NUMBER 3 U LOT NUMBER U SUBDIVISION LOT NUMBER STREET 1� � (� STREET NUMBER //3 3 3 OFFICIAL USE ONLY C,v�Pi Cl o t- C�r, y �t 4 RECO m�ATIONS OF TOWN AGENTS ••••••••••••••••••••••••••••••••••• (off o�3d 0 ion: ■ommosoomomoosommsomomssmmsms■■soommmoosmoomossoorsssmoommms■ .....moos. . I^t�� l�N /1•S u DATE APPROVED 7 4 6 0 CONSERVATION ADMINISTRATOR DATE REJECTED COMMENTS) V 0c— l —. !v t1 e�c•�ye�l�A DATE APPROVED TOWN PLANNER DATE REJECTED CONMIENTS DATE APPROVED FOOD IN�JSP/E�C-TTOOR—HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH �r.7 / DATE REJECTED /Ol / �3�//fJe) CONOAENIS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMrr DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE CERTIFIED a 0r PLAN PREPARED Fes' STEPHANIE 8 RICHARD OUERCI AT 433 MAREL ERIDGE ROAD NORTH ANDOVER, MA. NORTH ESSEX REGIS M Y OF DEEDS.'SK l PG p4.9 ASSESSORS MAP ,38 LOT 66 ZONE" R-3 SCALE 40' 'DATE.' APRIL 21, /999 N07'C.* WE rL AND FLAGS AS PER WES r ENV/ROMENUL,INC. � FENC ,ia anoca�ry �,. STGCKADE _ OIL A91WWAY 1 fX/577N6 r DWELL/A47. b LDr 5 .4 260 076 SF9 1T•2 ! .7 'f U,,34773 90°. NfRT T �9 wErc.,�w0 3 � •s �,• 2 fL,�GGrAtG �� VEGEUrivE 13 w�r�,a�ro� frrAcAj.) PREPARED 8r 41OHN ABAGIS & ASSOCIATES, PROFESSIONAL LAW 5URd�IMRRaS 137 CHANDLER ROAD, ANDOVER, MA. (978)— E988-4899 t - i 1 I _( 1 � `/I✓ � ✓/ �/!! ;. til f . � 7 r il 11 If Ii i n ❑ .01E] Ello a ❑ . �i r nA-1 1` - 0 - _ -&Jd ria L -- - - - - -- - -- --_ - ---- -- -- ----- -- ---- -- -- - -- /y r If i I f 1 . 7- L 11r: lh lh I rr 04 f E EF n n r if L= cf — �C�-2 C �Y i t I1 OOL-t I -51 � 0 � n Gjl"ff k �f^.t' `ltrctrf ;: � rf cf I O f V � J J �_r - � 1 L 14 �,��� 11 .3 .3., SIC , up 1 r Is //- Date........./- ...........�/,/ r f NORTH 1 o?;•t;�``°-;•_�,"�o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that ' ...................................................:... ..................................... k,�s permission to perform / /./ + .................:............................................................. wiring in the building of............................ .............: ............................... at............................................:.:..... ........,r ....... ANorth Andover,Mass. Fee..................... Lic.No...-'.... .... !........ . - ........................................... ... ELECTRICAL INSPECTOR Check # ` 454 'i j Official Use Only r Permit No. 77f5 ed�121?2d?22U� L�? d� .S.Srg�S�77.S Dejraeoct°�p"�" S Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical.Code 527 CMR 12:00 (Please Print in ink or type all information) Date To the Inspector of Wires: Town'of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number 3 3 (Y1 r.�le_c�(15,Q R�- Owner or Tenant_ Owner's Address Is this permit in conjunction'with a building permit Yes t8/ No ❑ (Check Appropriate Box) Purpose of Building ( Cil! Q)it A16 �L Utility Authorization No. Existing Service C7 Amps 2 T Voits Overhead er — Undgmd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters Nuy ber of Feeders and Ampacity Location and Nature of Proposed Electrical Work '7Z W J C2,2,e& A J>A f T('D ✓ Total No.of Lighting Outlets .S No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and 6o.of Ranges No of Air Cond Tons Inflating Devices Heat Total Total No.of Di sal No. Pumps Tons KW No.of Sounding Devices Smote No./of Self Contained No.of Dishwashers Area Heating KW Detection/Sounding Devices i ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested +. 3 Roughy Final Signed under the Penaltie ofperjury: FIRM NAME t- 1 r LIC.NO. X76 Lkensee Nuc M�Pt►J (� SignatuiA( LIC.NO. n / �`'7 Bus.Tel No. 7 7 9 7' 3 03 7 Address 2 B ewGaN v 7' Aft Tel.No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required byssachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) `, �� i Telephone No. PERMITTEE $ J (Signature of Owner or Agent) Z a The Commonwealth of Massachusetts M M ; d Department of Industrial Accidents F W Office of Investigations a` Boston, Mass. 02991 Workers'Compensation Insurance Aff1davit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. F] 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for rry employees working on this job. Company name. Address City Phone# Insurance.Co. Policy# Company name- Address Cit. Phone Insurance Co. __ _ - -- _- Policy# �► Failure to secure coverage as required.under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.alme up.to a1',5=oo . and/or one yearsimprisorrrientas vias-civil p iesiojheSoc -d-aMDPYAOM.oltDJER and of*-cfA3ilit-0Q)-ajday-agaumt xw understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby cert(Y wx1ar the pairs and Penalties of perjury that the fnformatfan provided above is true and carred Signature fie Print name Pbone.# Official use only do not write in this area to be completed by city or town dFiciar City or Town Permit/Licensirw. Q Building Dept E]Check if immediate response is required .0 Licensing Board p Selectman's Office Contact person_ Phone# E] Health Department Ei Other R R `l (978)688-9545 e' Town of Fax(978)688-9542 NORTH ANDOVER DIVISION OF COMMUNITY DEVELOPMENT&SERVICES BUILDING DEPARTMENT 3330 q37 INSTRUCTIONS: -s+ ' U�e"� I �pprovals/permits from Boards and Depai�_ ,.___„_s.-.�-.�... .�.-„vu,,z, ,=,-a=��=�� ,=�= U�ZPT G. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. L2 S 7- Vol t£ MA, *****************************APPLICANT FILLS OUT THIS SECTION************* APPLICANT RICY 6),166, (t PHONE ' LOCATION: Assessor's Map Number PARCEL SUBDIVISION _ _ LOT (S) . STREET) �33 l l�� d } ST. NUMBER �� 3 ** ******* ************ **************OFF 1 C lAL USE ONLY*********************************** RECOMM ATIONS OF TOWN AGENTS: CON ERV& ION ADMINISTRATOR DATE APPROVED r7lgo a 11 DATE REJECTED COMMENTS —k 4-e- LAI- , I V� r t) TOWN PLANNER DATE COMMENTS . i 1 0 ly �brxm,y f FOOD INSPECTOR-HEALTH ' ��Aack Psld SEPTIC INSPECTOR-HEALTH __-...uvED -,:,H•rE'REJECTED COMMENTS 1 PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm _^--, I t A � � it �` I I 1 I I �I I E ,�.. , FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. L) S L vol ct MAI *****************************APPLICANT FILLS OUT THIS SECTION************* APPLICANT ����( de1G(iC ^ PHONE LOCATION: Assessor's Map Number C5 3 k PARCEL SUBDIVISION ___ LOT (S) �. STREET/ X33 1�>, �� ��� } ST. NUMBER �� 3 -_ - -` ** ******* ************r t**************OFF 1 C JAL USE ONLY*********************************** RECOMM ATIONS OF TOWN AGENTS: CON ERVA ION ADMINISTRATOR DATE APPROVED o I DATE REJECTED COMMENTS IV TOWN PLANNER DATE APPROVEDP( DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE JAPPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm PI!,RIVIIT NO. APPLICATION FOR PERMIT TO BUILD********NORTI-I ANDOVER, NIA IN IA I,NO. v72� I.orNo. ��� 2. RECORDOFOWNERsDII' DATE BOOK PAGE l �+ ZONE SIIII DIN'. LOT NO. '~ LOCATION PURPOSE.OF BUILDING ] � 4 Z � D OWNER'S NAME lGl� u NO.OF STORIES 1 (` V SIZE ONhF.R'S ADDRESS BASEMENT 0R SL..AB • r ARCIIITE CI'S NAi\IEY1 l`!( nv SIZE OF FLOOR Tli\IRERS I 1 2ND 3RD BUILDER'S NANIE l v t l SPAN DIST-ANCETO NEARESTuuu.DrNc �v�s� e�iv� "01��^�C DINIENslonsoFslLt.s DISTANCE FROM STREET DINIENS10NS OF POSTS DISTANCE FRONT LOTLINES-SIDES REAR DIMENSIONS OF GIRDERS AItEA OF LOT FRON FACE 6,f, IIEIGIIT OF FOUNDATION TIIiCKNESS IS RLIILDING NEW y SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CIIIAINEY IS BUILDING ALTERATION l IS RLIILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER ,e S BOARD OF APPEALS ACTION, IF ANY Is BIIILDFNG CONNECTED TO TOWN SEWER `w IS BUILDING CONNECTED TO NATURAL GAS LINE �Y INSLUC'TIONS 3. PROPERTY INF'ORNIATION LAND COST EST. BLDG. COST BdD-rlZr i FACE 1 FILL OUT SECTIONS 1-3 EST.BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. -I`rACIIED GARAGES NIDSTCONFORNI TO STATE:FIRE REGULATIONS 4. APPROVED BY: PIANS MUST BE:FILED:IND:\PPRO ED Ill'1111ILDING INSPECTOR RLIILDING INSPECFOR �G DATE FILED OWNERS TELN '. CONTR.TELU 2:—= SII;N.A'FIiRF. OF OWNER OR ALI-ITIORIZ.ED AGENT i� CONTR.I.ICN FETE $ ILLC.{ PF:RNIfT GR:1N"fED 19 Revised -S/-S/99 JN[ --- - •- CERT'/F/ED - PL01' PLAN 3v PREPARED FOR.' STEPHANIE a RICHARD QIBERC/ or Ar CCU 433 MARBLERIDGE ROAD NORTH ANDOVER, IVIA. NORTH ESSEX REGISTRY OF DEEDS*8 352/ PG /49 ASSESSORS MAP 38 LOT 68 ZONE.' R-3 Ac SCALE.'/"=40' 'DATE.' APRIL 2/, /999 q2 �b NOTE.' WETL AND F1.AGS AS PER WES T ENV/RONMEN7- Q L,/NC. pe-wa-�-�h (3aSi v� Pbol clnaw�:co-�s 4,0 • be 540A,ck 0 LI NO. AACOVER l ROX. .STOCKADE fENC WETLAACS \ A oa --------- ---- R00RAPED �3._. ? 3.l6 ruvK FND. DRA CWAY 44,� ' M9 DWELL/NGS ZS ' •6/ 3 t a '` �'e9 NO vA v .52.6' .�,� �-�—L----��--�•, �. x'41 gPPoX. .T kk kkSrYi'X• 076 SG� �� �- 77.2 4/,Vr 7'. d A is /2"o NC.36773 CULVERT 6 �p 7 139:3 hNO. Will -6 WETLAND S 4�� ��t2 �9 FLAGGING � EGETAT/VE 8 V �. WETLANDS (TYRCAij PREPARED Br JOHN/ ABAGIS a ,4S50C/ATES, PROFESSIONAL. LAND SURVEYORS /37 CHANDLER /40,4®, ANDOVER, MA. (978)- 685-4599 NO. 3687 C-k AIy 4,4 -P vr v �eA-L�4- vi 2- x Z �'o e c t c5 (k c� C7►4rL �2 v.✓ �Nn-� c �cix.s QV0 (c�evte I 3' rL—P C Date. ..-dl a 3 { "oRr� tiTOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACNUS� ll'' This certifies that . . .�.1 p Ue S P-C. , S� v( C Y S wQi. . . (o P has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v plumbing in the buildings of . . Cy'P r C 1 at . . . 33 y'f)A P. . . .tcP k-1- PC#- , Nrth Andover, Mass. 60 Fee. . . . .`. Lic. No. . . . . . . . . . . . . . . . . . . .f .5,345- 5� ` 5- PLUMBING INSPECTOR Check # 5607 I ` Tel-(978)372-2318 Fax-(978)374-7351 141B Ave. Specialty Services Plumbing-Heating-Gas Piping LIC#JP16340 Paul Sheehan E 7x. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type ar print) NORIt ANDOVER,MASSACHUSETTS Date Building Location: � /%, LL�xz- Owners Name Permit# Amount Type of Occupancy New Renovation ® Replacement Plans Submitted Yes ❑ No FIXTURES H � a w w a &4 F" PA CA 0 A H R. g �Ii�V1C 1% �n FIOCIt / �2 FiOCi2 M FIOCR 5M RiM 61H FIOCR 7IH RUCK 8M HIM (Print,or type) Check one: Certificate Installing Company Name ❑ Corp. r.�• vim„" Address [] Partner. Business Telephone Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy a Other type of indemnity 11 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 ,a I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the Ibest of my knowledge and that all plumbing work and installations perfo under PPmit Issued for this application will be in compliance with all pertinent provisions of the Massach S P1 g Cand Chapter 142 ofthe General Laws. By: Signature oT Licenseaum r Type of P111mbig License Title City/Town License Number Master ® Journeyman APPROVED(OFFICE USE ONLY t A-CORD,' CERTtFICIa►TE OF LIABILITY INSURANCE DATE 705,21/2003 PRODUCER THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION NORTH ANDOVER INSURANCE AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 9 WAVERLY ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER MA 01845-2415 INSURERS AFFORDING COVERAGE INSURED INSURER A:NATIONAL GRANGE MUTUAL Paul Sheehan dba 14th Avenue specialty Services INSURERB: 44 Fourteenth Ave INSURER C: INSURER D: Haverhill MA 01830- INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R1SR TYPE OF INSURANCEUL POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MIDD DATE MMIDI LIMITS A GENERAL LIABILITY / / / / EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) S 500,000 CLAIMS MADE fX1 OCCUR 14P$60896 01/06/2003 01/06/2004 MEDExp(Any one mmm) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JECTT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS SGHEDULEDAUTOS BODILY INJURY(Per person) $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTOONLY: AGG $ EXCESS LIABILITY / EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S DEDUCTIBLE $ / / $ RETENTION $ WORKERS COMPENSATION AND $ EMPLOYERS'LIABILITY WC STATU- OTH- TORY LIMITS ER E.L.EACH ACCIDENT $ EL.DISEASE-EA EMPLOYE $ E.L.DISEASE-POLICY LIMIT S OTHER ESCRIPTION OF OPERATIONSILOCATK)NS(VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS ERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT TOWN OF NORTH ANDOVER FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILRY OF ANY KIND UPON THE Building Department INSURER,ITS AGENTS OR REPRESENTATIVES. A E ESENTATIVE North Andover MA 01845— ORD 25-5(7/97) ©ACORD CORPORATION 1988 ,-INS025S(ssto).of ELECTRONIC LASER FORMS,INC.-(8W)327-054e Page t of 2 BOARD OF APME LS P r4 JA � TOWN OFFICE BUILDINQ ��1 TO q�Succi NORTH ANDOVER,, MASS. Number SENOE N ..,s\�------V-�'� ..1,�;^___s`."y�-�'�__r._.`�.��err,.. � int_ ,.�.J�_- ___ _-�....,_�...,.a' �- - �,.--�._t;- _� .-._-_.-�-. i � _. _ _ ._ mi c � _. �' � .Y t.,r , F! 'a 7 � _ � r4-y, 7�` � -•� q� }`': -f }r.[ R,�'r 7 y t f;'� } t t y 'i � a -,.: r y ! S':;1 -�•_.� .r )t ?i 'rN 3'� !s T y�., f ! LTOWN'OF N0`ANDO E�R� ( .BOARD OPhPPNO EALB' fi�^ -July 27 1984 1 Notice is"hereby?given f - F`that'the i�oard,'of Appeals i Will ghre,a"'hearing`at;;the i I; Town Building, North.An dover,on Monday,evening I the 13th day of`August t 11884,.at 730 o'clock, 0 all t parties interested In the:ap t U YCIc DON-.80YLE•AND BOYLE'aequesting a vanation'Off ec,,7''Par 7187abie of'the'Zoning 1 - sreliefAiom"he set required meat to:allow the continued a -` - r; ek1stende of a=dwelling. n - _ the--premises;-loted:'at — _ v — _ 433 Marbieriddg Order ofthe — - — Board of Appeals - - halrmen ly+ «?-��'�84 •+ .a_ .. r. w. r