HomeMy WebLinkAboutMiscellaneous - 44 MILL ROAD 4/30/2018 i
d
Date...
,4oRTH
TOWN OF NORTH ANDOVER
2 PERMIT FOR WIRING
ACKU
wk5This certifies that ...............
............................. ........
has permission to perform ....... X
...................?7/.......... .............
wiring in the building of...........
at...quMILI, /?0
.......................................................... North Andover Mass.
Fee.. Lic.No.. C..............
................... ........... ........................ ......4. ...............
ELEcrRicAL INsm6mR
Check # / 74/0 7
8764
N Commonwealth of Massachusetts Officciial Use Only
a
Department of Fire Services Permit No. O ��
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00
(PLEASE PRINT K OR TYPE ALL INFORMATION) Date: �j Q
City o Tow of: K10A I�wlr To the Inspector of fres:
By this applicatio undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street&Number) 1 11
`
Owner or Tenant Q,(�J !� d I Telephone No. - -074 D
Owner's Address J�
Is this permit in conjunction with a building permit? Yes ❑ No x BLDG PERMIT #
Purpose of Building Utility Authorization No.
Existing-Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
A
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install low voltage security system at above location
Completion of the following table may be waived by the Inspector of Wires.
No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. of Total
Transformers KVA
No. of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ o. o Emergency Lighting
rnd. rnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No. of Switches No. of Gas Burners No. of Detection and
Initiating Devices
No. of Ranges No. of Air Cond. Total No. of Alerting Devices
g Tons
No.of Waste Dis posers Heat Pump Number Tons KW No. of Self-Contained
p Totals: Detection/Alerting Devices
No. of Dishwashers Space/Area Heating KW Local❑ Municipal Other
No. of Dryers Heating Appliances KW AMNritNo.oyy
f Devices or Equivalent 1
No. of Water No.of No. of in
Heaters KW Signs Ballasts No.o eve uivalent
No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications
Devices Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 3, OCU W (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Brinks Home Security LIC.NO.:
Licensee: John Holmes Signature �, q �. LIC.NO.: 749C
(Ifapplicable, enter "exempt"in the license number line) Bus. Tel. No.: 978-657-0443
Address: 155 West Street, Suite 6 Wilmington,MA 01887 Alt.Tel.No.:
*Per M.G.L. c.147,s. 57-61,security work requires Department of Public Safety"S"License LIC. NO.: SSCO 001163
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ®owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $ ��
2 MORTlr
?o`, ao R AMO
� A
�ASSACHl1`t<
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOV -
Building Permit Number 613 Date o2-a —c200 3
THIS CERTIFIES THAT
r
THE BUILDING LOCATED ON 4v Ll
MAY BE OCCUPIED AS 1 a Qc'0 t j 3'!a B A` 13 &+al l 44Ar-64 S c o q l e- �aS l c�•e�i�C 4c.
IN ACCORDANCE WITH THE PROVISIONS OF THE.MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
` CERTIFICATE ISSUED TO e s TO r ! W /f 's
41
Building h6prml,for
Town . of F over
0 ' :......
®� T74 - -
IL �o == LA o � � dower, Mass.,
.wZ.
COCMICKE WICK V
ADRATED p �5
S
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System {
BUILDING INSPECTOR
THIS CERTIFIES THATN r
S ................................ Foundation t�9— Cd^�
< <
has permission to erect........................................ buildings on .. �iP .. ... ... �.............. ............... Rough r_ _
t ... �I��.cc..�,/��
t 12 ft"M {3 A �,�1 At 4O� ��, �JJJ&U Chimney
to be occupied as] ........................... ........ .
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final�����X026-0
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. o1 �I��/ 3 PLUMBING INSPECT R
7 02
VIOLATION of the Zoning or Building Regulations Voids this Permit. G( � "
y�.r 2 8 D�� o/6-y?ooI in —,f' '
G- idZ-07 m • PERMIT EXPIRES IN 6 MONTHS CA jA-4wl 17
ELECTRIC INS .ECTO
UNLESS CONSTRUCTION STARTS `� /
1
er
S
....�d� .............................. ..... Service
BUILDING INSPECTOR
Final 2-2.6'c 3 - O/C
Occupancy Pennit Required t0 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.
e
LF # r ah
PLAN OF LAND
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NO. AND 0VZR. MASS.
SCALE.- 1=40' O' 20' 40' 80' f2O' 160' ,{Iqy 30, 1997
STAL _
LOCUS MAP \
E. 7_J mo I ROBERT D.
fL0)ES'ENG/NEER/NC, /NC 603.S4(EM S)REETI ��R
CML ENC/NEERS& ► WAKEF/ELO, MASS: O1BB0 AA VSW
BRON/SLAV&EMMA
LAND SURVEYORS TEL. (617)246-2800 \ I / /CERI7f y THAT/HAVF CONFORMED
W17H THE RULES ANO RECULAT/ONS
\ / OF INF REC/SIFRS OF oFMS 1N
RPEPAR/NG2%FRi
.
- -
OWNER.- G4MBR/OGE SHANNON REALTY TRUST
ASSESSORS MAP 988 PARCEL 9 REBECCA✓ &JEFFREY P. __CU775 OHHA lES /NC.
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WHBB REAL ESTATE `OH
L/M/7E0 PAR7NEFSH/P SH//Vv�`, s'so. 25'E ' 6
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'E N6'259Dh;\pyry ti
ELM SERVICES CORPORA7/ON ;."';1' - -�� N71 58°5,02 OH
N75•03'50T 0H LOT B o"�
�y bs , 0 75.15.00E 128,836 .SF_ DH
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D�1.LOCATION 43 600 S.F. y / TOWN OF NORTH ANOOVER
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ZONE. RES. 2 k o SEPTIC
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MIN/MUM SETBACKS: DH
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SIDE e 30' WHBB REAL ESTA7E• v: /SONG7
REAR= 3O' LIMOED PAR7NERSH/P "4 "V710 kk OH OryS
AI/N fRON7A6E- 150'
MIN. LOT AREA 43560 S.F. 28.6'
D y D"IZL W. &M4RL4 A. MURPHY
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TOWN OF NORTH ANDOVER
rO GOLLY ANDRE404K/S \b y9
t ' CULL/FORD
t L-2295 / 000 APPROVAL UNDER THE SUBD/NS/ON
r R=7000 y'1p p
D=I31 JOO9CONTROL LAW NOT REQU/RED
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=203535' °j\. 0 NOR7NAM9 R P /NC BOARD
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CHESTNUT CREEN7W 504C PURPOSE OF 7HIS PLAN/5 70 SUBDIVIDF
"56� cT yO•.O ----- _
REAL 7Y TRUST I�r<./ �ry1� DAT£ _[4� J✓' / SHOWN
HO N ON A OCT B 1985 IN NORTH
____ ANDOVER•
INO. AND
'R 17P 110115EN/NTO LO75 A ANO B.ED AT INE
REC/LAN OF DEEDS; NOR75 D/S7R/CT ESSEX COUNTY
NOTE AMT
MILL STREET LAYOUT COMP/LEO FROM A WORKSHEET - - FON�o
ENT77LED 0750.• 1 MILL S7REET, NORIN ANOOVE-R,
SEC. 001, PLAN 893, a47FO 1.985-ROM ROUTE 114
�j 70 JOHNSON 57AEET. .
PLAN/NFORAM77ON TAKEN FROM A PLAN OF LAND/N '
NOR7H ANDOVER, MASS'DO= OCT. 16, 1985 BY
f64YES ENC/NEFR/NC• INC.AND RECORDED AT 7HE
REC/S7RY OF DEEDS, NORTH 9/57RICT ESSO(COUNTY
AS PLAN 110115
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BUILDER OF FINE HOMES : SECOND FLOOR PLAN VUWNaY: _
N PLAN OF LAND � 02
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,� a5199 3�7F,1�
NO. AND0 VER MASS.
SCALE 7'=40' O 20' 'FO' BO' Im, 160 ,/ULY 2Z 1997 \I _
LOCUS MAP T
MCC- 1-1,500, HAYES ENGINEERING, INC. O S4LEM STREET \ I KANTOR �
CIVIL ENGINEERS d- IL1►�'Gi� WAlrgV,D, MASS; OfgBO 9RON/S KA VS NEA/AfA
LAND SURV£H7R5 V7 >EL. (617J 2}6-2800 \ I CD E RULES AND RCONFORM,
NFORM,S
1 OF 770E REg57ERS OF DEEDS/N
PREPARING THIS PLAN.
OWNER.' CAMBRIDGE SHANNON RE4L7Y TRUST \
ASSESSORS MAP 988 PARCEL 9 REBEcrA✓, m JEFFREY P _JS¢
11AXES 9NOI�PIRR6.kL
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ELM SERWES CORPORATON N74 2 DH
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o. N7543s _.- _-oH 15'°°� amt.:- 5,7.44 85,236 S.F. �$
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ZONE- RES. 2 ���/ TOWN OF NORTH ANDOVER
M/N/MUM SE7LZ4CKS- �O to / CAM � Shl4NNONRLW7RUSr 'YgR, SB6"10"JO'E- -. -`".•..: .•,"`^•-.-470•
FRONT=30'
SIDE _ .70' MRSH REAL ESTATE
REAR JO YMRED PARMERSHIP (� a HOUSE
M/N. 'Z560=4J, 150' 1 1710
M/N. LOT ARFA 560
N- Q4N/EL W. d-M4RM A MURPHY
G4LLr ANORC4R4K/s TOWN of NOR7N ANDOVER
/ GUL )'nRD k r A
�j�C ff APPRO✓AL UNDER 770E SUBDN/S/ON
� GREEN 4�'lY5jp767j--��J,�F?� �J`'SP•.�6„O`�� .. DH�`�.s1;9h,
COW01NNOT_RE/RL_D
56 yNORN2R PLA4 _D
E57NUT
REALTY TRUST Tlfel `T _ .
5
NOTE
J MILL S7REET LAMYT COMfYLED fR°M A WOA%MVEFT
EN7771ED 0750.- 1 MILL S7REE7,.NORTH AM9009t
G SEC 001, PLAN 893, D47ED 1985 FROM ROU7E 114
�. TO✓L AISM S7REET. D47F.• _ ___________
PLAN IWORMAT✓ON TAKEN fROM A PLAN OF LAND/N
H4YES ENGI EERING, INC AND APPROVED SY 7H,-
BY
NORTH ANOOVD4 PLANN/NG BL14RD ON✓UNE JO, 1997
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5UILDER OF FINE HOMES 51f"n` RAN PY � —
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5UILDER OF FINE HOMES s �rnn�: 1 vvtg6Y: —
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TYPICAL ROOF CON5TRUC7I0N
A5PI44LT ROOF MEMBRANE
•� 30 YEAR ARCS 41TECTURAL G=RADE 5141NGLE
5/8" PLYWOOD 51-4=ATNING
2 X 10 ROOF RAFTER5 AT I(o' O.G. `3
R-30 INSULATION ^t^.�. -� -,.�.r,...�.,\ ,.,�.-•�; ^�:�
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TYPICAL EAvE A SOFFIT CONST �
1 X 8 FASCIA BOARD
1 X 3 TRIM BOARD a
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4" X 5" ALUM, GUTTER G-LUE SGREW -�
X MASTER 15ATI-I MASTER BEDROOM
1/2" 5LUE50ARD W/ 0
SKIM COAT PLASTER +-
a I X 3 STRAPPING- Q
TYPICAL EXTERIOR WALL CONSTRUCTION 1(0" O.G. W
CEDAR CLAPBOARDS 4' TO WEATHER (1 J
TYPAR BUILDING PAPER
BATH 1/2" PLYWOOD SHEATHING-
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R-19 INSULATION Z
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7rf= IC4L E lL lILDINC-r SECTION, 1/8 " = 1 ' - O " 2 7"'f= ICAL UJALL. Sl---G710N/ 1/2 " = 1 ' - O "
Town of North Andover '_ b�, 1 °� k ` °�
V'
RECEIVED Appeals
JOYCE BRADSH fice of the ZoningBoard of
TOzfR r 6-
ty Development ar d Services Division v _
'
NORTH 27 Charles Street
ZOOi JUN 2 b A l!: 3 1 North Andover,Massachusetts 01845 �'�ss"�`°
acausE
D. Robert Nicetta Telephone (978)688-954
Building Commissioner Fax (978) 688-9542
This is to certify that twenty.(20)days- 's
have elapsed from date of decision,filed
without filing of an appeal.
Date //,( y ?/
Any appeal shall be filed Notice of Decision Joyce A.Bradahaus
within(20)days after the Year-2001 Town Clerk
date of filing of this notice
in the office-of the Town Clerk. Property at: Mill Road,Parcel D,North Andover,MA
NAME: Debbie&.Nestor Limas DATE: 6/18/2001
/ADDRESS: 145 Wahm Park,Melrose,MA . PETITION- 016-2001
/t^�w For premises at: Mil!Road,(Parcel D
North Andover,MA 01845 HEARING: 6(12t2001
The North Andover Board of Appeals held a public hearing at its regular.meeting on Tuesday,June 12,
2001 at 7:30 PM upon the application of Debbie!&Nestor Limas,for premises located at: Mill Road,
(parcet D)North Andover,MA requesting a dimensional Variance from Section 7,Paragraph 7.1 & 7.2
of Table 2 for relief of lot width and relief of street frontage in order to construct a single family residence
within the R-2 zoning district.
The following members were present: William J.Sullivan,Walter F. Soule, Robert Ford,John Pallone,
George Earley.
Ga�1
Upon a motion made by Walter F. Soule and 2°d by John Pallone the Board voted to GRANT a
dimensional Variance for Mill Road(parcel D)from the requirements of street frontage for relief of 91.7'
and for lar width for relief of 41.7',upon the condition that the lot be used as a single family residence and
that the residence be connected to a municipal sewer system. The Board finds that the petitioner has
satisfied.the provisions of Section 10,paragraph 10.4 of the Zoning Bylaw and that granting of this
variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning
Bylaw. The granting of this variance is in accordance with the Plan of Land by. Thomas F.Winslow,
PLS,#30320,Hayes Engineering,Inc.,603 Salem Street,Wakefield,MA 01880,dated: 5/7/2001. Voting
in favor: WJS/WFS/RF/JP/GE.
(Rcf:. nce a previous decisi=petition#043-99,,r£la ve to property a� Mill.Raad,(par cel D),idaAh
Andover,MA,
C7�,
Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the
grant,it shalllapse,and may be re-established only after notice,and a new hearing. Furthermore,if a
Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)
year period from the date on which the Special Permit was granted unless substantial use or construction
has commenced,it shall lapse and may be re-established only after notice,and a new hearing.
Town of North Andover = - _ - 2=51
Board ofAppeals, ^`�
A
IvlUllecisions2001/17 William J. Sul ivan,Chairman
-
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONS.ER VATION 688-9530 HEALT 4688-9540 PLANNING 688-9535
ATTEST:
A True Copy
9.7,Q%af4 4,-,
Town Clerk
_i.
FORM U - LOT RELEASE FORM � J
I INSTRUCTIONS: This form is used to verity that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from complianc-a with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS
APPLICANT am f?)0, rs✓ _ PHONE 6D —939.0
LOCATION: Assessor's Nlap Number PARCE?JL4
SUBDIVISION LOT (S) O
STREET i I IQ no,A ST. NUMBER Ly Ll
Act1
'''1't**y°*******OFFICIAL USE ONLY***"***'************
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINI RATOR DATE APPROVED S IS oig"
DATE REJECTED 1
COMMENTS {100"S ori c5r4e- —
R D
WN
PLANNE# DATE APPROVED
DATE REJECTED '�" _ 2— 'DK—
COMMENTS
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
� ( DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS -SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT O�
FIRE DEPARTMENT
RECEIVED EY BUILDING INSPECTO DATE
Revised 9197 jm
s
GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT
TOWN OF NORTH ANDOVERBUILDING DEPARTMENT
This form shall be used to assist the Building Department in their determination of exemption under section
8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the
necessary information as requested below.
rQe5-+e)r ,L mat 5 i4q yr r1( daa 48 C
Permit Applicant Property address Map/Parcel
Applicant's Phone Number Single Family Two Family
I the undersigned applicant for the above property attest that the attached building permit for which this form is completed
does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw.I also understand providing this form does not
absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building
permit.Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only
officially accepted when the building permit is issued
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot,in the building
permit application and associated attachments,complies with one or more of the following sections as indicated by a check mark.
This is an application for a building permit for the enlargement,restoration or reconstruction of a dwelling in existence as
of the effective date ofthis bylaw,provided that no additional residential unit is created
�"The lot(s)was/were created prior to May 6,1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw.
This application is for dwelling units for low and or moderate income families or individuals,where all of the conditions
of 8.7.6 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens
through a properly executed and recorded deed restriction running with the land.For purposes of this section"senior"shall mean
persons over the age of 55.
This application is part of a development project which voluntarily agreed to a minimum 40%permanent reduction in
density(buildable lots)below the density permitted under zoning and feasible given the environmental conditions of the tract,with the
surplus land equal to at least ter buildable acres and permanently designated as open space or farmland.The land to be preserved shall
be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other
similar mechanism approved by the planning board that will ensure its protection.
This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent
parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and
Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel.
This application represents a lot which is ready for a building permit(all other permits from all other boards and
commissions have been received and the project is in compliance with those permits),and the Development Schedule does not
accommodate issuing a building permit in that year.One building permit will be issued per year per Development until such time as
the development schedule accommodates issuing building permits.Applicant must submit an approved FORM U with this
EXEMPTION.
PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A
DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS.
BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED
BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE.
FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE
CHECKING OFF OF A ABOVE EXEMPTION CH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR
NOT IS GROUNDS FOR REF Y THE DING DEPARTMENT TO ISSUE A BUILDING PERMIT.
* d Z
APPLIC S SIG DATt
THIS FOAM TOB TTACHED TO THE BUILDING PERMIT APPLICATION
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code ' Permit #
MAScheck Software Version 2.0
Checked by/Date ;
CITY: Lawrence
STATE: Massachusetts
HDD: 6235
CONSTRUCTION TYPE: 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 10-26-2001
DATE OF PLANS: 10/10/01
TITLE: Lot D Mill Road
' COMPANY INFORMATION:
William Barrett Homes
COMPLIANCE : PASSES
Required UA = 965
Your Home = 964
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS 2545 38. 0 0 . 0 76
WALLS : Wood Frame, 16 O.C. 3781 15 .0 3. 0 253
GLAZING: Windows or Doors 1226 0. 330 405
DOORS 112 0 . 330 37
FLOORS: Over Unconditioned Space 2545 25 .0 97
BSMT: 8. 0 ' ht/6.0 ' bg/2 .0 ' insul. 652 19 .0 96
HVAC EFFICIENCY: Furnace, 86. 0 AFUE
--------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
sections 780CMR 1310 and J4.4.
Date
Builder/Designer'OO �0�-P
t I �
• 1
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t 107 1 01
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✓1t P, 'IDO'llLri7.00t1UC2GCiL U�✓G7,Q1JCLlA7,UJP.�d
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
j; Number: CS 052241
Birthdate: 10/10/1952
Expires: 10/10/2003 Tr.no: 9092
Restricted: 00
WILLIAM K BARRETT
1049 TURNPIKE STS
N ANDOVER, MA 01845 Administrator
Town of North Andover of HORTF,
OFFICE OF 3? g`tt • tioc
COMMUNITY DEVELOPMENT AND SERVICESp
r
t
27 Charles Street' o
North Andover, Massachusetts 01845
WILLIAM J. SCOTT SSACHU5�
Director
(978)688-9531 Fax(978)688-9542
CHIMNEY APPLICATION AND PERMIT
DATE I O Id's PERMIT
LOCATION
OWNER'S NAME r L.i rn n 5
BUILDER'S NAME Uj` `1 ja,yr &Lrir,e+ -
MASON'S
-MASON'S NAME
MASON'S ADDRESS LIQ `,() C S + Aver S f-. (Y1 L7 P
MASON'S TELEPHONE Q'7$' (� yo oef 14 q
MATERIAL OF CHIMNEY
i
INTERIOR CHIMNEY EXTERIOR CHIMNEY
NUMBER AND SIZE OF FLUES c gXra,
THICKNESS OF HEARTH
Will chimney or fireplace conform to requirements of the code and
have rules and regulations been received: y S
DATE
SIGNATURE OF MASO ;/l /L CONTR. LIC. #D5aa14
EST. CONSTRUCTION C9T/CONTRACT PRICE 4 9 nn o
PERMIT GRANTED FEE
ROBERT NICETTA, BUILDING INSPECTOR
INSPECTED
REMARKS
SOLID BRICK REQUIRED
THIS PERMIT MUST BE DISPLAYED ON THE PREMISES i
l
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 683-9530 HEAL'T'H 688-9540 PLANINING 688-9535
i
Town; of North Andover NoRrH
O neo
q
d • 1t 6 ti
Building Department o
27 Charles Street * 7°
North Andover,Massachusetts 01845
978 688=9545 Fax(978) 688- 4( 94 «M�M�K•�'�
) 952
�9SSACHUS����
I
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DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit# the debris resulting from the work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a.
The debris will be disposed of in/at:
i
i n
Facility location
I
I
X
ignature of Applicant
/0/36
i
Date
i
NOTE: A demplition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
I
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I
-' The .Commornvealth of Massachuseti
y Department of Industrial Accidents
Offioe of lnvastigations
Boston, Mass. 02111
Workers'Compensation Insurance Affidavit
Name Please Print
Name:
Location:
city Phone #
aI am a homeowner performing ail work myself.
I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job.
Comcane name Ci[An w L I t �1a4P OCU- Cern Q - cxydllaAz �at�eff N�MeS
Address 1 A Q TU/n ,oi kf- Uf
City /V L12 a n adv a/' Phone
Insurance Co M&& y land CCLSOOL 4Y CDA0Q4h v Policv# wc. 9,58'374 970 3
Com anv name:
Address
city: Phone#:
Insurance Co. Poltcv#
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 Weil as civil penalties in the form of a STOP WORK ORDER and a fine of(3100.00)a day against me. I
understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby certify u fns and alties of perjury that the information provided above is true and correct.
Date 10136101
Signature //��
Print name—W 111 I'ClM 666 eYP�+F- _Phone# oZ 3
Official use only do not write in this area to be completed by city or town cincial'
City or Town Permit/Licensino
❑ Building Dept
❑Check d immediate response is required ❑ licensing Board
❑ Selectman's Office
Contact person: Phone C Health Department
7 Other
REQUIREMENTS FOR BULDING PERMIT SIGNOFFS
BY BOARD OF HEALTH
To be filled out by the applicant and submitted with the Building Permit
application
1. What is the proposed project? Deck pool addition new house
I other
2. Are plans attached? Yes No
(For additions and new houses on septic systems,
complete floor plans of proposed construction and
any existing house must be submitted. For pools
and decks, a site plan with location of pool or deck is
required. Dimensions of deck are needed.)
3. Is mul icipal sewer available at this location? Yes No
O
4. If sewer is available and a house already exists, is it
tied in to the sewer? Yes N6
S.
Is the location served b private well?
Y P Yes No
6. If this project is an addition and the house is served by a
septic;system, has there been a Title 5 inspection done
recently on the septic system? Yes No
7. If,yes, is the inspection report on file at the BOH? Yes No
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TOWN OF NORTH ANDOVER, MASSACHUSETTS
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET, 01845
J.WILLIAM HMURCIAK, P.E. Telephone(97B)685-0950
DIRECTOR Fax(978)688-9573
Q SORTh
0ttto ,tq
�O
9
* !
qAitO"r1a,�y
�SsacmusE
DRIVEWAY PERMIT
E
o�"o �E Z zcON
BUILDER phone
OWNER ie-e-1,4M EAeec ZT phone Of;7 -GoL- Z3Za
THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS
MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM
STREET . CALL THE SUPERINTENDENTS OFFICE BEFORE
FINISH GRADING AND SURFACING FOR APPROVAL OF
SUCH ENTRY.
FAILURE TO COMPLY AND OBTAIN APPROVAL.VOIDS THIS PERMIT.
X
DPW 441 Dale ....
TOWN OF NORTH ANDOVER
4t 6 RECEIPT
CHU
/ ' `� l-1
This certifies that ..... ' re ..........
haspaid ... ........................................ ......................
erm. ............
�,��1
for ....5 e W.e-r.�A I
Received by ....................... .........01-111ee
...................................
Department ............................ ..... ..............
WHITE: Applicant CANARY:Department PINK:Treasurer
1741
APPLICATION FOR SEWER SERVICE CONNECTION
02,0 /
North Andover, Mass. 1 T---
Application
— —
��v�-.
A lication b the undersigned is hereby made to connect with the town sewer main in Street,
P
P Y g Y --�o'`
subject to the rules and regulations of the Division of Public Works.
r
The premises are known as No. 1 ` Street
or subdivision lot no.
Owner Address
Contractor Addr s
404�n-v
pplicant's Signaturt
PERMIT TO CONNECT WITHSEWERMAIN
The Division of Public Works hereby grants permission to ;
to make a connection with the sewer main at � ���� Street
subject to the rules and regulations of the Division of Public Works..
Division of P blitWorks
By
Inspected by
Date
See back for rules and regulations
1111
APPLICATION FOR WATER SERVICE CONNECTION
2�f
North Andover, Mass. Z
Al
Application by the undersigned is hereby made to conned with the town water main in G Street,
subject to the rules and regulations of the Division of Public
/�Works. �/�
The premises are known as No. ___ 4 ` A L !` Street
or subdTvtSi`79 lWo.
.
Owner Address
Contractor AddrpsN
pplicant's Signature
Y1555 � .
PERMIT TO CONNECT WITH WATER MAIN
The Board of Public Works hereby grants permission to
to make a connection with the water main at ��y Street
subject to the rules and regulations of the Division of Public Works.
oardf P c orks
By ,
Inspected by
Date
See back for rules and regulations
a
05/02(01 18:00 FAX 617 973 9679 GENERAL INV & DEV CO 0002/003
s
Nestor J.Limas
145 Walton Park
Melrose,MA 02176
781.662.4776(home)
617.973.9680 x121 (office)
617.306.9229(mobile)
May 2,2001
Town of North Andover
Office of the Building Department
Community Development and Services Division
Attn: Mr.Robert Nicetta, Building Commissioner
27 Charles Street
North Andover,MA 01845
Re: Variance extension for parcel D on Mill Road,North Andover,MA
Dear Mr.Nicetta;
In response to your letter January 2,Z001 (see attached copy)stating"that subject parcel D was
previously granted a 6 month.extension on March 9, 1999 and as consequently my request for an
extension on the variance originally granted on December 15, 1999 to Mr.Robert J. Shannon,
Trustee was not granted.
As you may be aware my wife and I purchased the parcel last July and our intent is to build our
home spring 2001. prior to closing on the parcel I visited the building department to determine
what I needed to do to extend the then current variance. I was informed that I should submit a
request for extension in writing on or before the expiration of the variance. To my knowledge I
followed the instructions and received your letter not granting the extension. However.I would
appreciate fiirther clearification as to the basis of your decision. Specifically,you cited that a
previous extension had been granted on March 9, 1999. Which according to the following
chronology occurred before the date the subject variance was grant on December 15, 1999
• On or before March 1999 Variance granted to Mr.Robert J_ Shannon,
Trustee,petition#045-97
• March 9, 1999 Six(6)month extension granted on petition#
045-97
• On or about September, 1999(6 months Six(6)month extension expired
later)
• On or about November 1999 Application requesting a variance submitted
• December 15, 1999 Variance granted to Mr.Robert J. Shannon,
Trustee,petition#043-99
• July 2000 Mr. &Mrs. Limas purchase parcel D
• December 15,2000 Mr.&Mrs.Limas submitted request for
extension petition#043-99
05/02/01 18:00 FAX 617 973 9679 GENERAL INV & DEV CO 16003/003
J
1 ad
Ke: 'Variance extension for parcel D an Mil)Road,North Andover,MA
May 2,2001
Page 2 of 2
• January 2,2001 Letter from Building Dept.,Mr.Robert
Nicetta,not granting extension, given previous
extension granted on petition#045-97
As summarized above it seems the extension granted on March 9. l 999 was in reference to
Mr.Roben J. Shannon applied and was subsequently
petition#045-97. Moreover it appears
granted another variance on December 15, 19997 petition number#043-99. Absent other
pertinent information I believe that there were no extension granted on petition 4043-99-
Mr.Nicetta our desire is to compile with the local and state requirements and begin building our
home as quickly as possible. We have selected Bill Barrett of William Barrett Dome,Inc.as our
builder and Ben Ozgood of New England Engineering to fulfill the various engineering
requirement according to the Order of Condition. Once the variance is granted,Bill and Ben
have advised that we would be submitting an application for building pen-nit and expect to begin
work on or before June timeframe- Any assistance you can provide in granting the extension
would be greatly appreciated.
Sincerely,
Ne or J.L' as
CC:
Bill Barrett,William Barrett Homes,Inc.w/o attachments
Ben Osgood,New England Engineering w/o attachments
William J.Sullivan,ZBA w/o attachments
Attachments'
Notice of Decision date December 15, 1999
Copy of Quitclaim deed recorded July 17,2000
Letter dated December 15,2000 from Mr.&Mrs.Limas requesting extension
Letter from Robert Nicdta,Building Commissioner dated January 2,2001 not grant extension
Letter from ZBA dated March 17. 1999 granting petition(1045-97 an extension
Location zd
No. 6Z_3 Date
14 RTh TOWN OF NORTH ANDOVER
C�i•� 0 , 1ry
G
i
Certificate of Occupancy $
• o� ' a
sACMUs<�' Building/Frame Permit Fee $
Foundation Permit Fee $ /20-60
Other Permit Fee $
TOTAL $
Check # J
'►
5557 Building Ins/pector
• f
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
,.._
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 00
". .. d ,.. r"�� .�K:..�.,,,�' ,a:^�� . ..,.f•��.��,.�.. ..�',.__.. �I� �,9' ..axe '� r"s. � a -�•"
BUILDING PERMIT NUMBER: DA"'E ISSUED: ITI
SIGNATURE: '( vG�
Building Commissioner/1for of Buildings Date
SECTION 1-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
414 fb"o � Ca-8 9g13 4y
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Q-a J-t rol"_ ?5,a36 5?-130
Zoning District Pr osed `TseU `TseU Lot Area(sf) Fronta e ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide R! 'red Provided au ired Provided
k00 t I� -�Li8 +7-
1.7
-1.7 Water S ly M.G.1,.C.40. 54) I.S. Flood Zone Information: 1 1.8 Sew pl)icposal System:
Public (1 Private ❑ Zone Outside Flood Zone f/ Municipal ®/ On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M
2.1 Owner of Record
es L1ma5 q5 l.() ,N0►v PartC
Name(Print) Address for Service
7S1. 322. ? q26 . �l
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
z
M
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑ �..
t( i inn, arre *
Licensed.Pnstruction Supervisor: 5 0.5 i L4 f
104,41R
l `+ License Number
�r°I � c�
Address
ICA tot aCO3
X, Expiration Date 3:
SiD lature Telephone �+
3.2 Registered Home Improvement Contractor r:y �,;.iZjl�liceble ❑
7
Company Name
q
Registration Number
Address
Expiration Date
Signature Telephone
SECTION 4-WORKERS COMPENSATION(NLG.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 buildiprpermit.
Signed affidavit Attached Yes.......V No.......❑
SECTION 5 Desciriiptijpddo4 Pro osed Work check ali a Hcable
New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
4
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
S-1-ry C' (I&J (I 7P c, S 6 n v 1 e &r►I1.�
_sue 111 1% ` k a C tAXr . Q'e, a.-+oL C'k eA
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be {�JfI+'ICIe�IgUSI f11�'LX
Com feted bpermit a licant
«.
I. Building (a) Building Permit Fee
Multiplier
2 Electrical r (b) Estimated Total Cost of
QConstruction , 0�
3 Plumbing M10Q6 Building Permit fee(a) X (b)
4 MechanicalHVAC '4000 ? -3 /
5 Fire Protection — 25
/
6 Total 1+2+3+4+5 Q Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, yu + as Owner/Authorized Agent of subject property.
Hereby authorize (,(,� j a M f r l° to act on
My behalf;in all matters 1 ive ork authorized by this building pennit application.
Ar'
Signature of Dwiier 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
Signature of Owner/Agent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB en
SIZE OF FLOOR TIMBERS 1 ST `a X C� 2 N(O 3
SPAN r
DIN ENSIONS OF SILLS 44X _
DM ENSIONS OF POSTS
DR,4ENSIONS OF GIRDERS L(–a
HEIGHT OF FOUNDATION I THICKNESS j
SIZE OF FOOTING 10ka X
MATERIAL OF CHIMNEY 15]0 re(4
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
Building Value Calculation - for Property at..... LOT#D
Room Length. Width Sq.Ft. Cost per Sq.Ft. Total Cost
Kitchen 21 16 336.00 65 $ 21,840.00
Brkfstnook 10 14 140.00 65 $ 9,100.00
Dining Room 15 12 180.00 65 $ 11,700.00
Family Room 21.5 25 537.50 65 $ 34,937.50
study/office 17 14 238.00 65 $ 15,470.00
Living room 18 16 288.00 65 $ 18,720.00
Garage 39 24 936.00 65 $ 60,840.00
Entry 20 9 180.00 65 $ 11,700.00
2nd floor foyer/sitting - 65 $ -
Great room - 65 $ -
mudroom 14 6 84.00 65 $ 5,460.00
Walkin closet - 65 $ -
Basement Finished - 65 $ -
Bedroom 5 12 20 240.00 65 $ 15,600.00
sunroom 24 18 432.00 65 $ 28,080.00
laundry 10 12 120.00 65 $ 7,800.00
Bedroom 1 21 16 336.00 65 $ 21,840.00
Bedroom 2 14 18 252.00 65 $ 16,380.00
Bedroom 3 14 18 252.00 65 $ 16,380.00
Bedroom 4 14 14 196.00 65 $ 12,740.00
Media room 24 22 528.00 65 $ 34,320.00
Bathroom 9 14 126.00 65 $ 8,190.00
1/2 Bath 12 6 72.00 65 $ 4,680.00
Bathroom 2 16 20 320.00 65 $ 20,800.00
Bathroom 10 10 100.00 65 $ 6,500.00
Deck - 10 $ -
Balcony - 65 $X i
q� -
.� x'�k'�'. uk er.u, .ro
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NORTH -And
Town o _ 4 overf
O
z
O LA
dover, Mass.,
T ?
COCMICKEWICK
ADRATED pC5
S E
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
/�� BUILDING INSPECTOR
THIS CERTIFIES THAT......N .:........r.......... ...... .. .. .........................................................I................... Foundation
/ A f any ! �l ��
has permission to erect........................................ buildings on .. . �P......................................�..................................... Rough
to be occupied as.I.12..ROOV4.P.3 t .44 .1..3..is A...A#A t.....M4....$1.�.I�.....16W&U Chimney
provided that the person accepting this permit shall in every respect conform to the terms.of the application on file in Final
this offide, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. of 9 (3/c/c/ ;--2. 3 PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. , Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
Mr Rough
��/.:..'..[... ..........................................111!!!�....................................... Se vice
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises .— Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE smoke Det.
ORTH
Town o F
�, � ndover
No. j� ~ _
Z- LAKE O , ndover, Mass.,
COCKICMEWICK
ADRATED P? C5
SSACHU$
FOR
EXCAVATION
AND FOUNDATION
THIS CERTIFIES THAT .... .. es f�......xtmas
has permission to excavate and pour foundation at .1Q. .. .."I.../..... �//.-.. , , ...............
for the pur pose ofJ Rooms #--3 ; M •„ .5�...��.../!F ��rf!M 4�� .1 k�IoOfro (,rte
The person accepting this permit must return to the office of the Building Inspector certifieldplot plan show
of building thereon before Foundation will be inspected. C � ) / L/ /�00.
_
'Per- 2.13,4 De C tL om- cool / J '
Frox*o%e 4 Lab+ Wi pTN
VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS
The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS
assurance that a permit for entire building structure will be granted.
BUILDING INSPECTOR
i
M
Town of North Andover lttORTh q
OtLILC �6Z �� i
Building Department O�� ,� , e
27 Charles Street o = �►
North Andover,Massachusetts 01845 * ,�
(978) 688-9545 Fax(978) 688-9542 �` •^
w 'gyp IOLMtM rKw y1'
9SSACHUS��
r
i
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION s
r
ADDRESS 1 or
i
LOT NUMBER I SUBDIVISION
DATE REQUEST ED
. j
DATE READY FOR INSPECTION
r
FIVE 5 DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ?
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME
FRAMEA - -
RE �1VSPECTION FEE OF TWENTY IF IVE ($25.)DOLLARS WELL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLIC A TILE CODES. s
SIGNATURE
OFFICIAL USE ONLY
ROUTING
CONSERVATIQ DATE
i
i
PLANNING D 1
ATE
I
D.P.W. —WATER METE DATE
D.P.W. MUST 12MICATE THAT THE WATER METER HAS BEEN INSTALLED
P SPECTION RE ST DATE.
SfbNATURh'7-EW,W A HORIZATION
s
I
Date.i-'->1 - u 7. .
"OR'rpf TOWN OF NORTH ANDOVER
° PERMIT FOR PLUMBING
SA US
This certifies that . . � '• !• ��• • • j • •
has permission to perform . . . . . ..A. .! .�. . .��� !. . . ... . . . . . . . . . .
plumbing in the buildings of . . . .P/91! . . . . . . . . . . . . • • • •
L f
� / �/ I r l ( North Andover Mass.
Fee.3 Lic. No../6' 1.`"J. . . . . . . . . .T: . . . . .
�UMBING INSPE60R
Check # S
5342
3 L✓
MASSACHUSETTS UNIFORM APPLICATION FOR.PERM IT TO DO PLUMBING
21 (Print or Type)
6 t L) (,Mass. Date ` ' Z7- 2q Permit # I 3 y/L
Building Location Li ifl a LX Owner's Name Col
Type of Occupancy -t!,-
New Renovation ❑ Replacement❑ -Man Submitted: Yes❑ No❑
FIXTURES
B.P. # SEWER # SEPTIC #
I !
I I i ZI 1
I
i I i ` ZI �' I i i I
i tn� Z� i I I ! to
s~�J� X! -jI V) ?-j O Q! i l!}I W1 LLi LU
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0I '�'i W( N' W i V}i i--I ?I t1�! Ln
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U' I Ln a
COI I i Q I I U1 1 1 I t? +�+
�! w O' fwlQ cLn ni �` �� Q; w Z Gj 1 � Z.. a ! O; u-
Q! 11Z U-1 LU
O Q! F-! O; pi 1 u� Oj U: Qj
QI T �. t . Oi Q . ,! ¢ 'a rY Q O Qi W. I-
I m to 0 Q S oe ! 0! Q
SUB-BSMT
BASEMENT
1ST FLOOR
2ND FLOOR ? _ I613 1 1
3RD FLOOR _! i ! 1 I f�. —�
4TH FLOOR -
s-rH FLOOR
6TH FLOOR I
I
7TH FLOOR i i jT i
.V8TH FLOOR
`; � t `�
�A
instalii� g Company Name Cc+ 3,ybo�d P• Check one: Certificate
x
Address U rporation
Business Telephone_ Ci -) y �i �� "( ❑ Partnership�
F.irm
Name of Licensed Plumber or Gas FitterG /Co.
�- !(Aw,.g
INSURANCE COVERAGE:
I have a currentliabilityinsurance policy or Its substantial equivalent, which meets the requirements of MGLCh. 142.
YeNo ❑
If you have checked }des, please Indicate the type of coverage by checking the appropriate box.
A liability insurance policy �` Other type of Indemnity ❑ Bond ❑
OWNER'S iNSURNACE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter
142 of the bass.General Laws, and that my signature on this permit application waives this requirement.
I
i
Check one:
Signature of Owner or Owner's Agent Owngr ❑ Agent ❑
I hereby certify that all of the details and Information I have submitted for entered)in above application are true and accurate to the best of
my knowledge and that all plumbing work and installations performed under the perm" sued for this 04pl ation will be In compliance with
all pertinent provisions of the fdassachusetts State Plumbing Code and Chapter 142 o e Gene 14
By iSignature of Licensed Plumber
Titie
City/;own Type of License: 1-41 aster ❑Journeyman
APPROVED(OFFICE LIST ONLY)
License Number
c--
NpRT#j
pf �.ao , 4'° ..
o� °`' °0, TOWN OF NORTH ANDOVER
PERMIT FOR CAS INSTALLATION
SAC•11USEtS
f�This certifies that . . . . . . . . . . . . .
has permission for gas installation . . . h . / :^. . . . . . . .
in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at . . . North Andover, Mass.
Fee.. '' . Lic. No..�! ? }.�i. . . . . . . .
Y41
GAS INSPECTOR
Check#
4107
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING Z9
(�
(PrintOfType)
joI
` Mass. Date �-Q- 20 Permit.,#.
Building Location 4q L � owners Name f
Type of occupancy s�
NewRenovation❑ Replacement❑ (,'�Plans"Submlt'ted: Yes No
0V)� � V,
$ , � � a $ ICl�
V) ► �1 ► 0 . o-
z 9
LU
0.
�I
Ln
z LU
SUB-BSMT i
BASEMENT
1ST FLOOR
2ND FLOOR I
3RD FLOOR i
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR '
8TH FLOOR 1 i
Installing Company Name Check one: Certificate
Address_ ( 7 O L ,.Corporation
❑ Partnership
Business TelephoneP
❑ FirmlCo.
Name of Licensed Plumber or Gas Fitter��
INSURANCE COVERAGE:
I have a curr^etutfiabllity Imurance policy or its substantial equivalent, which meets the requirements of MGL Ch 142. ,
Yes Igo, leo
If you have checked yes,please Indicate the type of coverage by checking the appropriate box.
A liability Insurance policy e--� other type of indemnity ❑ Bond ❑
OWNER'S INSUItNACE wAivEiF: 4 am aware that the licensee does not have the Insurance coverage Q Y p ere required b Chapter
I
142 of the Mass.General Laws,and that my signature on this peffiflt application waives this requirement I
I
Check one:
Signature of 0wnerorOwni-r-s-A-g-en-f- owner ❑ Agent ❑
I hereby certify that all of the details and Information I have submitted(or enteredl In above apps ation are true and accurate to the best of
my knowledge and that all plumbing work and Installations performed under the permit Issued for this pplication be In compliance with
all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of theGeneral Laws.
By @Typ of license:
umber slifiativre iWLIcensed Plumber or Gas Fitter
Title ❑Gas r I /c
City/Town ter License Number_._/�,�Y t9
APPROVED(OFFICE USE ONLY) ❑Journeyman
4191
Date...
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
S CHUS
This certifies that .......
r.........................................
has permission to perform .......&7��.... .............................
wiring in the building of........ ....... �...................
h And
at........'t�..... ............................ ort Ando®r,
Fee:7��.... Lic.No. .......... .............. Wit.... . ...... ........ .......
ELECTRICAL Ando
Check # 13
TVEC0AW0NffEALTH0FjlA,S'S4CHUSEy7S Office Use
DEPARTMENTOFPUNICSAFETY lC /
BOAROOFFIREPREVEMONREGUTA770NS527CNIR12,� Permit No. /
Occupancy&Fees Checked
APPLICA71ONFOR PERMIT TO PERFORMELEC'TRICAL WO
RKALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date / 616V
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)
Owner or Tenant t
Owner's Address F1J f
Is this permit in conjunction with a building permit: Yes
,��--�� L. No (Check Appropriate Box)
Purpose of Building 1 /V 6 C 5 FYI-t1.1 /I-), /c/
UWP �;,�,
Utility Authorization No.
Existing Service Amps� �Volts Overhead Underground 8r E3 No. of Meters
New Service r)' Amps // / vI-yo Volts Overhead ED Under iound
g ED No. of Meters
Number o?Feeders and Ampacity
Location and Nature of Proposed Electrical Work __ ✓3;�7c� vJ�/�,,rc, /(,l�`ti r�l,�J6 C��
No.of Lighting Outlets No.of Hot Tubs
No.of Transformers Total
No.of Lighting Fixtures Swimming Pool Above
rounBelow KVA
Generators KVA
d 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
Tons ��ALARMS J0fZ0nesNo.of Disposals No.of Heat Total Total No.of Detection andNo.of Dishwashers Pum s Tons KW Initiating DevicesSpace Area Heating KW No.ofSounding DevicesANo.of Self ContainedNoo Dryers Detection/Sounding Devices
Heating Devices KW Local Municipal
No.Ckf Water Heaters Key Connections
No.of No.of
Si ns Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
OTHER-
nSW&1CeCoVWdg-- Rl4OWtatbomptareWdMXMduseUsGardLam
:haveaa utLiabllitykmm=FblicymdudngCMp Cowwc!r&mbgmtWegwmlat YES NO
ha kirgt eVpf alidptoofofsametatheOffic�e YES Ea F3mbaNedrd� YF�,plt%eir thetypeofm by
hedm�gthe box L�1
VSURANCEBOND a OTS � SPAY)
L�.I ExD�e
kmklOStatt D& Rc* EtmaMdValuedUDC icalWotic$
ignedunciei-'&Rnakiesofpaitiry. Final
RMNAME 01 lkmse.No.
cense
e Sigr ilure LLicum, a Btt�Tel.No.
kkesc c J i A b t, C ) 7— 1120 U16 d JI A// A1L Tet No. -� ," -
JVI�R SINSURAN( WAIVER;IamawarediattheLmwdoesnothavetheitutuanceoo oritsa>t mW v alas
Massadnts�ls
jthatmysitgnahtreondrispearritappficarionwaivesttrisraquitear�>t ��b Y Laws
lease check one) Owner r-1 Agent
Telephone No. PERMIT FEE
signature o caner or gen $
s-- .S
Date./
R'M4, TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSACMUS6�
This certifies that .`'. . . . . . . . . . . . . . . . . . . . . .
has permission to perform . . . Po ,/. . . . . . . .
plumbing in the buildings of . . !'" f tt / .. . . . . . . . .
at. . . /. . . . . . . . . . . . .. North Andover, Mass.
Fee. . .? Lic. No.. ./. 3X. . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
Check # /Z71
5479
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
.� (Print or Type)
1 BILLERICA, MASS. Date �2 t3 U2 19
c
Building Permit # -
Location
(��c�-�J zc --- Owner's
N� -
Name
New 0 Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑
FIXTURES Building Permit No.
I I z
N 0 Z I I i I Z I > W
�zf i ZI I ! O Z Z
O N W N F xtn
O.
U ZIP mlVflV, } Q F N ,YIC o NiZ C o. 1 < O l
o D W < o � � < I Jlz � o < o ole a I
w x Q ,= � 3I3 O Z 2 FIZ �a � g ' N Z Z < Qiu � Y w 0
< Y < m vxi 'n D aj < o l < j < CIC C I O < -
I3 2 D o < 3 � C ml0
SUB-BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR I I ( I III V I I I I I I I
4TH FLOOR
5TH FLOOR
6TH FLOOR I I I I I I I I I III I III _I I I I I I I_I
7TH FLOOR
8TH FLOOR I I I I I I I I I I I I I I I I I I
Check one: Certificate
Plumbing •
SII Service
Hosting � a �or
Installing Company Name H,�'1�--G�,. IncIn6 P•
Address 310 Salem Road ❑ Partnership
Billerica, A 01921
M ❑ Firm/Co.
Business Telephone 228 i �C&3 DID
Name of Licensed Plumber, ^�
INSURANCE COVERAGE: Check one
I have a current liability insurance policy or its substantial equivalent. Yes ❑ No ❑
If you have checked yes, please/indicate the type coverage by checking the appropriate box.
A liability insurance policy ® Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the 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
I hereby certify that all of the details and information I have submitted for entered) in the 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 Plumbing Code and Chapter 142 of the General Laws.
(SIO,
Fee
Signature of Licensed Plumber
Check #
Date License Number /133 y
APPROVED (Office Use Only) Type or Plumbing License: Master ❑r�
Journeyman 0
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS
FEE
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME & TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE 19
i
PLUMBING INSPECTOR
E
4181
Date.. ...... ..........2 .....
... .
01,VtORTpq
TOWN OF NORTH ANDOVER
0
I PERMIT FOR WIRING
4K
4A
-SACHUS
This certifies that ....... .....................................................
has permission to perform .........`.....................................
wiring in the building ....... ..........
—2 ............... .North Andover,Mass.
at...: .`.! ...... ..........a.,........
Fee`�............... Lic.No.
...........................................
'-ELECTRICALINSPECTOR
Check #
THE COMMONWEALTHOFMASSACHUSEM Office Use only
V DEPARTARVTOFPUBUCSVE7Y
Permit No.
BOARD OFFRMPREVEWONREGULA7IONS527CMR12.00
Occupancy&Fees Checked <�G
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)
Owner or Tenant A j f - 7j s U/ ( V 4—ft-"
Owner's Address
Is this permit in conjunction with a building permit: Yes E3 No (Check Appropriate Box)
Purpose of Building �� y� f j G` Utility Authorization No.
Existing Service Amps Volts Overhead M Underground No. of Meters
New Service Amps / Volts Overhead Undergiound No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work r
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
round round ri
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
Pumps Tons KW Initiating Devices
No.ofADishwashers Space Area Heating KW No.of Sounding Devices
No.of Self Contained
Detection/Sounding Devices
No.of1pryers Heating Devices KW Local Municipal Other
No.of Water Heaters KW No.of No.of Connections
Signs Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
OTHER i/
imM=Covaage PttCS=tctheteMartaMoflVlamlxiseilsGarnalLaws
have a cmat LmhTity kEumm Fb&yirrk QtgComplete-opaw=CoveWcritssibslanaleWVdkrt YES NOID
ha�subrrmledvafidproofofsatrtetothe0 YES r T ffycubawdrdodYES,pka9eirt&a>EtttypeofmverWby
hed ingthe boxL��J/I L--j
VSURANCE BOND OTHER (P]mSpwYy)
otic to Start EsbrrnW Vahoftexhical Wotk$$ �OO, (-4�/
p#uy hrspecfiMD&RWslEcl Rough �t
RMNAME l� /I t/G. �7�i1� P �� l'.-/`� 9
c�rseei 2Yr-F - . _/iJ/// e%4`— Signa m Iicet No
e"
,p Btlsa>essTel.No.
jam -2 (�-rvrqn�..� / l�t,�//� AhTel No.
NMR'SINSURANCEWAIVMlamawatethatthelimwdoesnot vetheir>Sivanoecowrageorilsatsu)t lopvalitasopredbyMassadn&tS Laws
Ithatmysgnaamonthispwnftapplicationwaivesthismpi mcm
lease check one) Owner ' r7 Agent d�
Telephone No. PERMTI'FEE$ 1
Signature ot Uwner or Agent
3984
Date... "� �o v
..............................
NORTH
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
49
SUS
This certifies that ... . . .......:z................. . .............................................
has permission to perform .... ...................................................
wiring in the building of.......:.........................."%.-..........`.................................
at ...
. ,Nod Andover,Mass.
.............................................. ...... Lic.No. { .G ECTRICALINSPECTOR
Check # �3 7�
Official Use Only
Permit No.
amt 4 P"&`S4t# 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 CM12:00(Please Print in ink or type all information) Date 17)Via
eval To the Inspe or ofWires:
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location(Street&Number L TL
Owner or Tenant
rk— i0t 7—
/� Cr
Owner's Address ((`1 [p Tu t/tj Y( �� CE
Is this permit in conjunction with a building permit Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building
1 Utility Authorization No. Q J Q — 73
F)dsting Service �U� Amps /A 0 0 Voits Overhead Undgmd ❑ No.of Meters _
New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters
Number of Feeders and Ampacity.
Location and Nature of Proposed Electrical Work L' Ly ti(312C,/- v
i
Total
No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA
Above ❑ In ❑
No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ 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
No.of Ranges No of Air Cond Tons Initiating Devices
Heat Total Total
No.of Di sal No. Pumps Tons KW No.of Sounding Devices
No./of Self Contained
No.of Dishwashers S Area Heating KW Detection/Sounding Devices
❑ Municipal ❑ Other
No.of Dryqrs Heating Devices KW Local Connection
No_of No.of Low Voltage
No.,of Water Heaters KW Si ns Bailases Wiring
No..Hydro Massage Tuds No.of Motors Total HP
OTIRER:
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 Rough Final
Signed under the Penalties oftju
FIRM NAME /i' [, ' ►.c, T7 �G r LIC.NO. Q
Lkensee l�L'R) M ��.7 t<1 �/ Signature LIC.NO. _ 0) v
Bus.Tel No. !?
Address r ) ��� U�/I% Q A df// Alt Tel.No.
OWNER'S INSURANCE WAIVER: I am aware that the 'tenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts
General Laws.And that my signature on this permit application waives this mquirement. Owner Agent (Please Check one)
tet✓
Telephone No. PERMIT'EEE $
(Signature of Owner or Agent)
1
EAJ
BOAR"OF 4
TOWN OF NORTH A�NNDV 1, R, NOV 2 U M
DATA:
' SXSTI;M G`NnI;R��ADUKES5 r`3XS'tLhl LOCA"T.ON i
lesample: Ieit front of house)
W9 re
I f'1 C�6 x)(r
, A a Y��
.-tltl- �-
DATE OF PLIIIPYNG,f - /1�/� t:ANT('I'�' I'L'tiii'EDGALLONS
CESSPOOL; NO � XES SEPTI:(' TAINK: NO /Yrs
NATUI7E OF ;.r..RVICE: KOUTINR v EMERGENCY
OBSERVATIONS:
GOOD CONDITWN FULL TO COVER
HEAVY GREASE BtUT'LES M PLACC
ROOTS LEAC:t M-LD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER(EXPLAIN)
4.:j
COMMENTS:
CONTENTS TRANSFERRED '1 O: