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HomeMy WebLinkAboutMiscellaneous - 44 LISA LANE 4/30/2018 (2) 44 LISA LANE 210/098.A-0037-0000.0 I I 2 3 3 Ar Date ...�.... ... NORTH o TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACHUS� This certifies that ..`-^:-, - .. .•.. � -v ..:.........fC......................... has permission to perform ...t: &�-........................................................ wiring in the building of.... ................................................... a ......` .......... ........................................,.�orth Andover,Mass. tj Fee:7;e..5............... Lic.No....3s6�4/1 / `ELECTRICAL INSPECTOR Check # (/ WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THE C0MV0AW1EQLTH0 Ai4S '�affJSE77 S' Office Use only DZ PARTARATOFPUBLICSAFE77 Permit No. ���7 d BOARDOFFIREPRLVEV7YONREGUTA770NS527(M]2 1 � Occupancy&Fees Checked � M APPLICATTONFORPF)?AIETTOPERFORMELE=CAL 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. AP PARCEL Location(Street&Number) Owner or Tenant Owner's Address 4/4/ L ui Loome-. Is this permit in conjunction with a building permit: Yes[Z]"'No (Check Appropriate Box) Purpose of Building AS'-do1 /,p,/ Utility Authorization No. -2- Existing Service , DQ Amps / Volts Overhead a Underground ©' No.of Meters New Service Amps / Volts Overhead Underground r--J No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Worki}77Ur11'k No.of Lighting OutletsNo.of Hot Tubs No.of Transformers Total h 0 11) 0 KVA No.of Lighting FixturesSwimming Pool Above M Below Generators /� KVA and and C1 No.of Receptacle Outlets No.of Oil Burners 0 No.of Emergency Lighting Battery Units No.of Switch Outlets D QNo.of Gas Bumcis No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones _ Q 0 Tons No,of Disposals No.of Heat Total Total No.of Detection and OPumps Tons KW Initiating Devices N4.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained © Detection/Sounding Devices No.of Dryers Heating Devices Q KW Local Ol Municipal Other Connections No.of Water Heaters KW No.of No.of Si !� Bailasis No.Hydro Massage Tubs No.of Motors 0 Total HP OTHER- fimm eCmeraW,Ptaararfftotheregmarla�sdEMa�da�LsGarr�tlLaws o Ihawaamalliabddyhmru=Pbhcymd d%Ccx Tk3L- Cowrageeritsabsort leo vat YES NO IhavearlxrrWdvandproofofsametotheOfoe YES a IfyuubawdrdodYES,pleaseit>dcalcthetypeofornaagebydmdartgthe qpupialet4S1 CE I �' BOND 0 MIER Q ftm Spe y) '6110 EstitnatadVa1wdBotical W6k$$ waktosw / kgxximDaeR.gtestod Ra# f sigcladumderTielknalties,paj . ,r- FTRMNAME Lioa>seNo C.�s-�6 Lioa�see�� �J�yL1/JS Sigtlai<.ue Lioe�eNo �`�6 amessTeLNo. (003- 770- / Alt Tel.Na OM7 Qt SITISURANCEWANER;Iamawuethattbe doomthavetbcmauanoee ert3sksbibaleq velatasregxodbyMassad�GaualIaws ardd-Arrysigtntmarithisperr�i app}icatim iw d�isregauartart � (Please check one) Owner Agent Telephone No. PERMIT FEE$ �iignature ot Owner or Agent }` Date. .. . .. . . . . ... . . �No 4 4r2 HORTN •'�, TOWN OF NORTH ANDOVER 0 . p PERMIT FOR PLUMBING SSAcHus t � This certifies that . . . . . . . . . . . . ..:. . . . : . . . . t. . .'....!� .Lf. . . . r 1#as permission to perform . "�. . . : . ?. `. . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . : . '. .. . . . . . . . . . . . . . . . . . . . at . . . r� ; North Andover, Mass. Fee'5(': Lic. No??,. . n� PLUMBI�'I S4CTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer r r� MASSACHUSETTS UNIFORM APPLICATION FOR RMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS ev Date _�-�0 Building Location 9 Owners Name Permit# Amount Type of Occupancy 2061 New Renovation Replacement Plans Submitted Yes No FIXTURES a Cnw w Cn Crw c SLBEM BASEW Q' M$Ot 4M KaR SMS sreRaR 7�]HROCR sMRaR Q (Print or type) Check one: Certificate Installing Company Name Corp. %ddr,ss 3 Partner. Business Telephone `7 91 - X76 - yOU 5�- ® Firm/Co. Name ofLicensed Plumber.- Coverage: lumber:Coverage: Indicate the type of insurance coverage by checking the appropriate boat Aiability insurance policy Other type of indemnity El 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 ofthe details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By. Signanlre of 37=mca riumoer Type of Plumbing License Title City/Town icense i um cr Master ® Journeyman APPROVED(OFFICE USE ONLY Location No. Date MORTN TOWN OF NORTH ANDOVER OL F41 9 i ; ; Certificate of Occupancy $ Building/Frame Permit Fee $ s�C14 all Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # r~ , � �� .) v g -/ Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. / DATE ISSUED: 54003-00 C ic SIGNATURE: Building Commissioner/InEeEtor of Buildings Date Z SECTION 1-SITE INFORMATION O yam/ 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ISA �� 91 37 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 R 'red Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record n � � S*V�,n //04)IC ���/Ls �� M0. Alwlam,- ° Name(Print) Address for Service: 4�26 791e ,?4zj e Signature Telephone I O 2.2 Owner of Record: Name Print Address for Service: Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Lice sed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: �6 g SCJ O ,)65- / , y/b �. License Number kddress F /J ?O 7 ll Expiration ate �ignature Telephone �. 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name V,7M Registration Number ,r,1 Address / r ✓- Expiration Date z Si na a telephone Q 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 au applicable) New Construction ❑ Existing Building X Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: __2el .Z /Yf GYJ/ SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be I OFFICIAL USE ONLY Completed by permit applicant I. Building (a) Building Permit Fee �s Q Multiplier 2 Electrical (b) Estimated Total Cost of Q Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection I 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 I, 5?'E f K�/y �rC-, as Owner/Authorized Agent of subject property Hereby authorize V / 64�z to act on My behl0f,in qll n tte relative to work authorized by this buildiing permit application. dA-%— Lf� f'a o SignatiVe of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, ST-EPR�i r'J I A-5 L 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 Nam -q lop Sip,nature W O er/A ent DateME �— i NO. OF STORIES SIZE BASEMENT OR SLAB _ SIZE OF FLOOR TINMERS 1 2 3 ]r SPAN DIMENSIONS OF SILLS DIlvIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE t iI a NONE INPROVENENT i Registration: CON/RACTOR Expiration: 119041 Type: 6/18/01 _ Private Cor � •'C�`�� Construction Poratio b DeveloPnent i ADMINISTRATOR �vincent Grasso Castletefe Place N Andover NA 01845 DEPARTNENT OF PUBLIC SAFETY J ", CONSTRUCTION SUPERVISOR LICENSE t i� Nun6er: Expires: ' CS 069505 03/26/2001 31261rthdx913 I �a , Restricted To: 00 i 1 VINCENT.1 SRASSO C � 104 CASTLENERE PL y N ANDOVER, NA. 01845 it—� �� �� � \J r u r '— n ' �� ACORDCERTIFICATE OF LIABILITY INSURANCE 04/28/2o 0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INTERNET INSURANCE AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 522 CHICKERING ROAD HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER, MA 01845 INSURERS AFFORDING COVERAGE INSURED INSURER A: TRUST INSURANCE CONSTRUCTION & DEVELOPMENT INC INSURER B: TRUST INSURNCE 733 TURNPIKE STREET, #223 INSURERC: LIBERTY MUTUAL. INSURER D: NORTH ANDOVER MA 01845— 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICDATEY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A ® COMMERCIAL GENERAL LIABILITY TCG 1008909 05/27/2000 05/27/2001 FIRE DAMAGE(Anyone fire) $ 50,000 ❑ CLAIMS MADE All OCCUR MED EXP(Anyone person) $ 5,000 ❑ PERSONAL&ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 ❑ POLICY ❑ PRO- ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO (a BINED accident) LIMIT $ 1,000,000 B 11E] ALL OWNED AUTOS CA00005554 01/01/2000 01/01/2001 BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURYNON-OWNED AUTOS (Per accident) $ ❑ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ❑ ANY AUTO OTHER THAN EA ACC $ ❑ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ ❑ OCCUR F07 CLAIMS MADE AGGREGATE $ ❑ DEDUCTIBLE $ ❑ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY C EJ JQRY LIMITS C1-31S-312772-039 10/20/1999 10/20/2000 E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYEE$ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ❑ ADDITIONAL INSURED;INSURER LETTER: CANCELLATION TOWN OF NORTH ANDOVER, MA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BUILDING INSPECTOR DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN 120 MAIN STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OFANY KIND UPON THE INSURER,ITS AGENTS OR NORTH ANDOVER MA 01845— REPREBM AUTH E TIVE ACORD 25-S(7/97) WACORD CORPORATION 1988 t NORTH '9 Town of No. 3 -3- C% = LA O dover, Mass., D O I� COCHICMEWICK ��. 7��oRATED `7 4 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System V Z BUILDING INSPECTOR THISCERTIFIES THAT.....D.....................................................................A............................................................................... Foundation has permission to erect..Ra 1........ buildings on ..... ........ .�.�. ..... ...................... Rough O qD At r M 00t W J O w Chimney to be occupied as........ri�. .��.r`....�.�!�!+.....'+..................'�.P..�...................:......................�N....................5....... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. IV I S A 0031 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARS Rough ?10" ........ Service ..... ... .. .. . ..... .. BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. Location No. a v Date ��� ?/ r [t 40RTM TOWN OF NORTH ANDOVER o�t.�.° - p Certificate of Occupancy $ ° ; # Building/Frame Permit Fee $ Foundation Permit Fee $ s�cMus Other Permit Fee 7m:�S,de$ -?v Sewer Connection Fee $ Water Connection Fee $ L i U 1991 Building'Inspector Div. Public Works PEWMIT NO. ntJ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 iop 4.40. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. I LOCATION5� �. PURPOSE OF BUILDINGS f,6V, l OWNER'S NAMElc/c, ,I /y�) NO. OF STORIES SIZE OWNER'S ADDRESS (�(I� L/f' /'/Y"M•',7/" BASEMENT OR SLAB ARCHITECT'S NAME �J li SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME / ,lPvf4lffy1(C,t-ml9ayw-VIO SPAN -- DISTANCE TO NEAREST BUILDING /Q /"!JVD W? DIMENSIONS OF SILLS DISTANCE FROM STREET L� POSTS DISTANCE FROM LOT LINES-SIDES REAR " " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW `/10 SIZE OF FOOTING X IS BUILDING ADDITION /�'A O MATERIAL OF CHIMNEY IS BUILDING ALTERATION /vo 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 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST A,,10 " PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED 71112 BOARD OF HEALTH SIGN TU OF OWNER OR AU ORI D AGENT FEEt� �� f OWNER TEL q�"� PLANNING BOARD PERMIT GRANTED CONTR.TE1.11 - L u �� s CONTR.LIC.N BOARD OF SELECTMEN t BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILYS�oRIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION Q FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 1 2 13 CONCRETE BL'K. PINE __ _ BRICK OR STONE HARDWD PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT ARE FULL FIN. B'M-TAREA _ y, 1/1 1/1 FIN. ATTIC AREA _ NO SM T FIRE PLACES _ HE ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW'D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME —BRICK OW MASONRY - -ATTIC STRS, & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I-I POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. 12 FIX.) _ FLAT 11 SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING f d OF NOflTH1 M r " Town of OFFICES OF: . o n 120 Main Street APPEALS NORTH ANDOVER North An(iover, 1 BUILDING .::.�:•�,a Mi]StiFICIMSCt1SO1845 CONSERVATION ss ... DIVISION OF (6 17)685-4775 HEALTH i PLANNING PLANNING & COMMUNITY DEVELOPMENT x 9 KAREN H.P. NELSON, DIREC•1.O11 4 1 i I t r t f In accordance with„ the provisions of MGL c 40, S 54, a condition of Building Permit Number Gia is that the debris resulting from this work shall be disposed of in a prop 150A erly licensed solid waste disposal facility as defined by MGL c 111, S ' The debris will be disposed of in: (Location of Facility) *Nt� f Permit Applicant �7'l�~ 5;71 Date '1 NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. e ■U R"G U I V I! k-j I Fina n K l i`V n.. , .�9`J I m`�V _- i Sol.\• 1%#04 - ... .. :.ws aea 1 � o ,yam .� i I.4��� fiak '� ":a 'p-----•- NORTH S And .a ® n ® 6 OL overf 41 dDVAY ENTRY -- � er, Mass., � /019 9 H C KE WICK .Q �V pR Q�.t SS BOARD OF HEALTH PERMIT, T LD 73o.44MAOTHIS CERTIFIES THAT.......,.......... .. I ............. BUILDING INSPECTOR has permission to emwo.-R. k�i�..... buildings on .......A�f ..0414!r�.... Rough to be occupied as..I� �1... .� .�it.. W1.444.PAP.O. l .03 Chimney Final provided that the person accepting this permit shall in every respect confor 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 Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC S Rough 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 SEETSmoke D NO. Building Inspector "OR►ft Zoning Bylaw Review Form Town Of North Andover Building Department 27 Charles St. North Andover MA. 01845 Ss"` � Phone 978-688-9545 Fax 978-688-9542 Street: 44 Lisa Lane Ma /Lot: 98A/37 Applicant: Steven& Lisa Dawe Request: 24'x 24' side addition Date: 5/3/00 Please be advised that after review of your Application and Plans your Application is DENIED for the following Zoning Bylaw reasons: Zoning Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies Yes 3 1 Lot Area Complies Yes 3 1 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed Yes G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies Yes 3 Left Side Insufficient Yes 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient l Building Coverage 6 Preexisting setback(s) 1 I Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed 4 Insufficient Information 2 In Watershed Yes j Sign 3 Lot prior to 10/24/94 1 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district Yes 2 Parking Complies 3 Insufficient Information Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit C-3 Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non-Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit Other D-2 Watershed Special Permit Supply Additional Information The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. Th buildi5p deparqtMW will retain all plans and documentation for the above file. D0 S 3- DO wilding Department Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: Item Reasons for Dernat j i , a r d C-3 R-3 Districts require 30 foot front and rear setback and 20 foot side setback D-2 A water shed special permit or waiver is required. i i i Referred To: Fire I-1ealth Police X Zoning Board Conservation Department of Public Works X Planning Historical Commission Other BUILDING DEPT ZoningBylawDenia12000 Location f/ L aA LAS`"" tD Date 1 No. � 1: NaR,M TOWN OF NORTH ANDOVER F D Certificate of Occupancy $ �'�S'••°''�t�' Building/Frame Permit Fee $ 17 s�CHust Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 0 U7 Check # ; 6 Building Inspector 4 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING so secoft 6W 0 BUILDING PERMIT NUMBER: DATE ISSUED: X 3 SIGNATURE: 11 C Buildink Commissio r oro Buildings Date z SECTION I-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 619. A 603t7 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Diiiic-t Proposed Use Lot Area Fronta R 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: 1.7 W Supply M.G.L.CAO. 34) Zone Outside Flood Zana Municipal On Site Disposal System ❑ Public Private ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name rint Address for Service -Sig-dature Telephone 2.2 Owner of Record: S . .,��. 0 Name Print Address for Service: z 1 M Signature Telephone }'9w SECTION 3-CONSTRUCTION SERVICES 7� 3.1 Licensed Construction Supervisor: Not Applicable ❑ Lied Construction Sujxwv'so� U c� License Number -n Address i-i - 36- Expiration Date L Signature Telephone r r 'r3.2 Registered Home Improvement Contractor Not Applicable ❑ Com pany Name Registration Number rss" ddress Expiration Date t (� Signature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and sdbmitted 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 aH applicable New Construction ❑ Existing Building ❑ Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other . 0 Specify Brief Description of pProposed Work: - R 1 �._.s T�',.�2. �P��'--tit wt.�..y�---' 1�.��v.,✓� 1 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OMCIAL USE ONLY Completed b permit applicant 1. Building i (a) Building Permit Fee U ; Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing �--- Building Permit fee(a)x tbl 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 jj Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT TOR CONTRACTOR APPLIES FOR B14MING PERMIT as Owner/Authorized Agent of subject property Hereby authoriz �' to act on My be ;in all a rs relative to work authori ecrby this building perrhit ication. 13 ` Si iatiue of Owner — I Date l SECTION7b OWNER/AUTHORIZED AGENT DECLARATION as Owner/Authorized Agent of subject Property i Hereby declare that the statements and information on the foregoyng application are true and accurate,to the best of my knowledge and belief Prr t N (f Si a e of Owner/A ent Bat e NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS Or 2ND 3FD SPAN DMIENSIONS OF SILLS DIMENSIONS OF POSTS DMIENSIONS OF GMDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING MATERIAL OF CHNINEY . IS BUILDING ON SOLID OR FILLED LAND IS BUII DING CONNECTED TO NATURAL GAS LINE NpRTM Town of Andover No. h S- LAO dover, Mass., 404� � COCMICMEWICK V 7 ADRATED PPS` 5 '9S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ...... ...............:................. ........................ Foundation has permission to erect........................................ buildings on...�y.... .. ........................... . .................................. Rough to be occupied 8 , I�......................................................... Chimney . . ... .. ......... . . . .. . provided that the person accepting this per shall every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and B -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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIOIJ ELECTRICAL INSPECTOR S A j`T_ Rough . ............................................................ ..................................................... 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by-the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. lopThe Commonwealth of Massachusetts Department of Industrial Accidents Ofte of Invesd gaftns Boston, Mass. 02111 Workers'Compensadon Insurance Aflf n* Name Please Print Nam . city Phone # I am a homeowner performing all work myself. 1 am a sok proprietor and have no one working in any capacity "0 1 am an employer providng workers'compensation for my employees worldng on this job. ComR=creme: a City' Phone s: +� ��'3 Potiatr! com2m mm Addness Cft Phone t. Fakure to aec m coverage•raqutred under Section 25A or MOL 152 can lead to the knpoeum d crlrrirral PWWMas d.a tine up to!1,500.0 wWcr ane years'Imprbarrnant.m.rail.m.cbdmmmkinln*Ah=dA BTDP WDRK OFMER.iodA fkn d.(SIWAW-RA i ipaldt ma. I understand that a copy d thIs dabnnnt maybe forwarded to ttn OMm of Invndgsftm d the DIA far coverepe vwMedlon. I do hereby CffW wxbr ft pafnb and perreidfes dper/ury that rM kftmsdcn provided above is bus and co, signature Date Print name Phone# OlRcW use only do not write In this area to be campteted by city or town Ader City or Town ParrrfMlLlcandno 17 Bu#d V Dept OCheck Ilmmeftte n3sporrse is requW 0 L.kwwkly Board 0 Selectman's Ofte Ccnted person: Phone N 0 Heaft Department O Other 1 r 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: (Loc iacilit on of Fy) Signature cA a it Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Location �{LY No. Date ` NORTiy TOWN OF NORTH ANDOVER O 0 w Certificate of Occupancy $ �.�s'•^"''<�' 9 Buildin /Frame Permit Fee $ 3�. s,�cMuse Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # U Building^InsKeZi s TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING : y . .. _ µ; m BUILDING PERMIT NUMBER: /0, Q DATE ISSUED. SIGNATURE: �t ^ Building Commissionerfl t r of Building Date Z SECTION i-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 414 tjSA Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: �V\ V Zoning District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1.7 Water Supply M.G,.C.40. 34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT Historic District: YeS No rn 2.1 Oww �ner of Record \ / "STPns 'rt£ CA4-A AJ F- /✓ �(4 CiS6� LN£_ i Name(Print) Address for Service ✓ Signature U Telephone T.2 Owner of Record: •/ Name Print Address for Service: 4 Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: O License Number an Address Expiration Date C Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v e Company Name M Registration Number r r Address Z Expiration Date Q Signature Telephone Y/ r SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) e 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.......Cl 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: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OF>FI4CIAL USE OAA Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of a S� / Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 30 6 Total 1+2+3+4+5 2500. Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPI:ETED WHEN OWNERS AGENT OR&CONTRACTOR APPLIES FOR BUILDING PERMIT _T as Owner/Authorized Agent of subject property Hereby uthorize to act on My behal;r all r afters at to work authorized by this building permit application. Signatur&dOikmer 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/Agent Date— NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST2ND3RD SPAN DM ENSIONS OF SILLS DMENSIONS OF POSTS DIWNSIONS OF GIRDERS FIFTGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH NINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM 4L 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****�"k **"` '""�"''`" " APPLICANT �� � �`� - PHONE LOCATION: Assessor's Map Number �` PARCEL 3 7 SUBDIVISION LOT (S) STREET ALk ST. NUMBER b_ OFFICIAL USE ONLY REC ENDATIONS OF WA AGENTS: 'CONSERVATION ADMINISTRATOR 0 DATE APPROVED DATE REJECTED COMMENTS T WN PLANNER DATE APPROVED o1� DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 Jm • f Nonr►,1 TOWN OF NORTH ANDOVER ::�`,d`so °oma OFFICE OF A BUILDING DEPARTMENT 400 Osgood Street �''�•,r.o '`4�# North Andover, Massachusetts 01845 ?SSACHustt D. Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: 'fill j LOCATION: � L i St� Lei lv L if-A- 3 1 Number Street Address Map/Lo HOMEOWNER S-1-VK5,vI>, OW8 9.71 ?i4 8'a 10 6-e 76S5 13-73 Name Home PhoneWork Phone /� PRESENT MAILING ADDRESS y�( �i Sig (6/Qi— &—H4 &)s Mt4 0 ( 7q S— City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two 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 108.3.5.1) DEFINITION OF HOMEOWNER 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 or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and th t he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE 01 APPROVAL OF BUILDING OFFICIAL HOARD OF AITEA S 698-9541 CONS FiRV;VFION 698-9530 HEALTH 688-9540 PLANNING 698-9535 Owner : Applicant PLAN OF LAND Location Watershed, Zoning District R-3 Steve & Karla Dawe Min.Area =25,000 S.F. 44 Lisa Lane NORTH ANDOVER, MA Frontage = 115' North Andover, MA 01845 / Drawn For Front Setback=30' (978)794-8010 STEVE & 1MRLA DAWE Side Setback =20' + Rear Setback =30' Assessors Map 98A,Parcel 37 See Plan#4705 N.E.R.D. f SCALE: 1"=40' DATE: April 6, 2000 SAN * A p, o' ao' Bo' 120' EXIST. HOUSE AREA = 1,650 s5l f ��S * PROP. GARAGE AREA = 576 sf Scott L. Giles, P.L.S. 125 0o Frank S. Giles, CAD 50 Deermeadow Rd. Noah Andover, MA 01845 (978) 683-2645 NORTH ANDOVER 18' THE PROPERTY LINES SHOWN ARE THE BOARD OF APPEALS #44 P THE LINES LINES OF STREETS AND WAYS SHOWNDING EXISTING r -jist�ng Lot 2 ARE THOSE OF PUBLIC OR PRIVATE STREETS 2g Fo�ndatwn -2 1a OR WAYS ALREADY ESTABLISHED,AND NO NEW LINES FOR DIVISION OF EXISTING MAP98.A PARCEL 36 OWNERSHIP OR NEW WAYS ARE SHOWN. 32 LISA LANE peck GAFFNY, JOHN J.8 JANET V. THIS IS TO CERTIFY THAT I HAVE CONFORMED Lot 4 BK.1234 PG.658 WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS IN PREPARING THIS PLAN MAP 98.A PARCEL 39 62 LISA LANE WHITTA ER, Parcel 37 STEPHEN J CYNTHIA A. BK.1303 PG..312 Lot 3 SQ� a%ZH OF Z Cao A o� BATE OF FILING: 25,000 s.f. Q� 5�`'� �� s L. Scott L.Giles,P.L.S. D to ti DATE OF HEARING: 'o f �� 13972 �s REGISTRY OF DEEDS USE ONLY DATE OF APPROVAL: �o F��STEIR �v�a LAtro 30 ¢ Z PROFILE VIEW 125.00 MAP 98.A PARCEL 2A 417 JOHNSON STREET WHITE, ®1':0.83'PITCH DOUGLAS EA MARCIA K. BK.46320 PG.320 MAP 98.A PARCEL 5 419 JOHNSON STREET PROP. 18, ❑ d ❑ ❑ 30 GIARD,JOSEPH E E. ADDIT. Existing House BK.4573iiPG.79 GARAGE ❑ 11 ❑ ❑ c_laftrdrMtc4411na Lisa Lane 09/06/2005 11:42 5086556566 M STEINERT AND SONS PAGE 01/01 i Scott L. Gilles, R. ?L.S. • v Lama Surveyor FRANK S.GILES 50 Deer Meadow Road Sus.(978),683-2645 Nonh Andover.MA 01845 Homc(978)683-3924 SEP 0 2005 LINCOLN DALEY TOWN PLANNER. TOWN OF NORTH ANDOVER OSGOOD STREET NORTH ANDOVER, MASS, RE: STEPHEN DAM,1144 LISA LANE LOCATED IN THE WATERSHED PROTEC77ON DISTRICT AND APPLYING FOR A PERMIT TO CONSTRUCT AN 8X14'SHED„ THERE ARE NO BORDERING VEGETATED WETLANDS, CHANNELS OR STREAMS LOCATED WITHIN 400'OF THE PROPOSED CONSTRUCTION THAT WILL OCCUR AT THIS LOCATION. ITIS THEREFORE MY OPINION THAT A SPECIAL PERMIT FILING WILL NOT BE NECESSARY FOR THIS PROJECT. VERY TRULY YOURS, SCOTT L, G/LES R.P.L.S. � loft - ,�LMID 41Z �-�N CvLt-,jAu- �I% U0 qty Z tAORTH TO" of Andover No. l p 0 _,= A L01 dover, Mass., COCHICHEWIC 0RArE D BOARD OF HEALTH Food/Kitchen PE .RMIT T D Septic System THIS CERT I IFIES THAT...... 4.... C #hit* BUILDING INSPECTOR ..... ..... ............................................................................................. Foundation has permission to erect...... ....... buildings on ......q.Y.......... ........... V.0. .................... Rough JAA rfw&-f. .....&If 4- Chimney ... ..r.k to be occupied as........$A.!!�!q......................................................... . ............................................... 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-La La �as relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR vso) IN VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS 19.eRough ..0 Service ..... ....... ... ........ .... ... ... . ................... ............... INSPECTORi Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.