Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 44 WOODLEA ROAD 4/30/2018 (2)
O O �.. f m �' Office Use Onty ` Permit No, 421 T £ O.XmEw-rw 69"??1r�55�Gr LS '1?S Occupancy & Fee et,ecxed3%y� a4"ww-9'4sdor# BOARD OF FIRE PREVENTION REGULAT10NS 527 CMR 12:00 APPLICATION FOR PERMIT -TO PERFORM ELECTRICAL WORK accordance WM the Massach Electrical Cale 527 CMR 12 00 An-yrorlc_to.be performed in in r ' 0 ' Date 3 . o (plema..ptint in ink or ty_pa all infonnmonl To the Inspector of 1)Yir�: Tit of North And .. - - --;& #~Ffwn ttle electrical work described tie(C,w The wide Location Owner Of Owner's is this permitin corqunctlon with a building permit ,Yes �J (Check Appropriate Bq0 uttrdv Authorizes on No: &03 I ? 3 purpose of Builth No. of Meters Vohs Overhead t7 u ,a/- Erdating Service Amps pndgmd,�7 No. of Meters New Service Zvv Amps 121J of o Vohs Overhead D- �/ ll Number of Feedam and ArnPacty Locatlo<+ gnd Nature -of -Proposed E%ctncal Worts Total No: oiTransiorrrers_- KVA No. of l i Outlets No. of Hot fuse Abo,R_(Y. In d G ,erat0, KVA.. No. of I.ighti Fixtures Swimmin Pool and ❑ Md 13 No. of Emergercl Laghttrt9 FIRE ALARMS No. of Zone Total No. of Detection -and_ Tons initiating Devices Meat-. Total Total .Pumps Tons KW No. of -Sounding -Devices NoJ of Self Contained KW_ oetectionlSounding Devices p Municipal Q _ Other KW Local Connection No. of kow Vatege- No. HYdM ge Tuds No. of Motors OTHER: INSURANCE COVERAGE Pursuant to the requiremen6ls of Nlassachusetus General taws inducting Completed Operations Coverage ar its substantial equivalent ES NO = n Me appropriate hoe 1 have a.wrrestt t.ia4ility Insurance �Y _ _ If have-dWeked YES please indtcate the ty � rage by checking t+ecM 9 have �d valid proof of same to the Oftite YES NO you INZii�E = BOND = OTHER = (Please Specify) (Expiration Date) Esdmated Value of Et vrvnw tcouyu — work to _S `/ Inspeetton Data Resquesfsd Signed under the F naMtesof-penury-_ ICU FIRM NAME r - �% it LIC. NO. w yyoA J c� Signature ucerme� Bus. Tel No. Alt Tet. No. Massechusetls Add OyyNER'S INSURANCE AIVER: I am BvveGe that the Licenses does not have the insurance coverage or its sbstaeM (Please rhntlal �ak rme) wired. y General Laws. And -that -my signature on this permit applicatlon waives this requirement Owner A9 T-j—ft n0 No_ PERMIT FEE N2 'I o39 Date. 40RT" Of Al TOWN OF NORTH ANDOVER PERMIT FOR WIRING CA r Thiscertifies that ........................................... . ............................................. has permission to perform .......... : ............................................................ wiring in the building of CU .................................... I ............................................. o 4-........... . s at...'/ ....................................................... . . North Andover, Mas co ........................................... Feee�z� .......... Lic. Nol69 ................... ELEc rR icAL Imp INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer N2 2151 -� - //- r),-, Date.................................. 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING v. 2 This certifies that .... ..................... .—../............................................................. '1-1 . / 11 .. has permission to perform .-................ .................................................... wiring in the building of..: ......... ....... .......... I .................................... .................................................. at... North Andover, Mass. i. ...... ............................................................... Fei��"Zz .......... Lic. No.......' .ZL-� --, ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer TBFG0M111101 WE4LTHOFM9,M©YIISE77S' Orme Use only DFPARTAIDVfOFPUBIIC.� PM Permit No. C " BOARD OFMEPREYFMYONREG JL4170 kSR70A 1ZQ0 UVA Occupancy &Fees Checked PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 ® 0d (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat I Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building Purpose of Building Lc7 /o 14-u� /U (y ' permit: Yes M No Existing Service Amps_ Volts New Service _-X 0o Amps(r)U`%Volts Number of Feeders and Ampacity /i7 P (-xj L Overhead Overhead [tau �, Location and Nature of Proposed Electrical Work' f To the Inspector of Wires: (Check Appropriate Box) Utility Authorization No aa, – ©y`� Underground M No. of Meters Underground No. of Meter No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA girowd ound No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total - Total Pum s Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW r No. of Self Contained Detection/Sounding Devices Local Municipal Other Ni?. of Dryers Heating Devices KW i Q Connections No. of Water Heaters KW No. of No. of sips — Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER• hsu-aneCove� R�ttothetagt>rter�afTvi�set>SC�er�IL�+s IhaNeaarftLmbidtyhuxa PcfLyni&gConpkie Caetageeritsskstatbalecgima YES. NO I1meat rddedvandprcdaf§3ne1oftOffce YES NOIfjouhatechad�dYE.S,pleasearditatethetypecfaxe:�ebyt�+adatig�te bcx INSURANCE BOND M OTHER a (PkmeSpedfy) l l lavo� Est mNedVakxd EJett<ical Waft $ SigrwWait imat .kgn:simDlaieRet�d Ra# FmW `/ daTipwaltics FIRM NAME i40A�e. C Lict=eNa i 3 77 b A- Li= -Bee (� l 4—W C %vieSigna lre Lioa>seNo ,�_ `/)1 BisirtssTdNa t % S � q 6ko r Vn 0,/An')AiTeLNa s L " OWNER MJRANCEWAIVFR;Iamawm dAtheldocs Laws aodfilmysgikncnt speun3'tapp6rabmv i%tsthismw'Km-at (Please check one) Owner Agent pv Telephone No. PERMIT FEE $ �71 �f CERTIFICATE OF USE & OCCUPANCY Town of North Andover. Building Permit Number ' l "7 Date THLIS/ CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS le- l A` I /-LZ �7�L// A- - -d IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. of "' ; CERTIFICATE ISSUED TO ti 8 1. A C� IS7`' ADDRESS i '_SACWUS 13uildinf Inspector rA Cd �I E H Z O N C 0 v cmm Q! c m `o c 'c N CD t O Z o O u I cs.., O co Z O G CO) coMa .E CLL C O AAcc iii CO) 0 0 V .CL CO) C O J+ d H L: O v co CL CO3 C O QM C co O D 'fl m m CD co O � 3.0 O' 0 d a c< p a C = ev O O O Z kit H C C V T H C � �A� m Z N A F- W At. a� m $ ~ Z r� U) A cc cp'' LL w ° c o 0 :3�c a 04 U x w W cn cn E H Z O N C 0 v cmm Q! c m `o c 'c N CD t O Z o O u I cs.., O co Z O G CO) coMa .E CLL C O AAcc iii CO) 0 0 V .CL CO) C O J+ d H L: O v co CL CO3 C O QM C co O D 'fl m m CD co O � 3.0 O' 0 d a c< p a C = ev O O O Z kit H C C V o m3 H C � _m m Z N A F- W At. a� m $ ~ Z "" o a 0 LL ED V N Z E H Z O N C 0 v cmm Q! c m `o c 'c N CD t O Z o O u I cs.., O co Z O G CO) coMa .E CLL C O AAcc iii CO) 0 0 V .CL CO) C O J+ d H L: O v co CL CO3 C O QM C co O D 'fl m m CD co O � 3.0 O' 0 d a c< p a C = ev O O O Z kit H C C V — c o c v. H x m CCD,:D3 o F- W 0N m $ ~ c0 4:5=2 0- C LL m A C GC N Eco dt V C N CL x !— v r $ CLO" m E H Z O N C 0 v cmm Q! c m `o c 'c N CD t O Z o O u I cs.., O co Z O G CO) coMa .E CLL C O AAcc iii CO) 0 0 V .CL CO) C O J+ d H L: O v co CL CO3 C O QM C co O D 'fl m m CD co O � 3.0 O' 0 d a c< p a C = ev O O O Z kit H C C V N OORTy F t�eo r 9ti 116, O 9SSACHU��� APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION ADDRESS/LOCATION OF PROPERTY: DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK'AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION PLANNING DPW - WATER METER NOTE „nom o„��Jji/701 DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO nEWITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW File: OC form revised 6098 113 f L I EoaE- o� Dfu.v6,o78h LQT'*3 � /61 C43 s F �ti' AQu.vb A n .Sj 'S N"CO)e cE. 7151w)- ro ryE riTe—'"ivse1.NorAvAo 7I9 TMEQO-V.t' M47' 7W4f .4WCZ41AK /S LOCATED &A1 r114C GOT fS -VAd A0 ANO 7W47'/T pe" GO.VFG eAf IYl,-* rW- 7V" -Al - G71 -N. A.vpoe�E,e zQN/N6 .AedWdATi 2W -f .Qlf6vlt0/.tls .SET�IC.t'S FE0.1I ST�PEETS � LVT U�vES. '' 'r F!/.Clii�� CE.�T/.dY TiV.IT T•Y/,t' G6Y'ELL/.V6 /S iVOT LOG4TE0 /� T�f'E FEAE.�,4G FiLOdO ff•4Z.I.�O A.PE.4. SiyaNrK OJV iEA+q' e,0A4.0'4/Av/TY AW lGL zs4a98 aW,6 C "OF •,o I 5 or /N O.P•9i✓/V FO.P CaBpGESTac/�' ��I�EGOPm�.v7' / r- 40' �•�,el�f /99B /1lE.P.P�iN.4Gr E"•t/6�EE.P/.v6 ..s'E.Pi�/fES 4.6 f'A.P.E� .ST.rEE-T 4NOOYE�C, �1,45.£4L,f/!/SETTS O/8/O INA r 'f"�ec 0- 3 Z;5l cz��f V;1l(we_ Location No _ Date NORTH `TOWN OF NORTH ANDOVER -.Certificate A of Occupancy $ Building/Frame Permit�Fee $ �ssACS Et Foundation Permit Fee $ po steer Permit Fee $ /W3 Sewer Connection Fee $ I&V,4V Fee $ 701 W z X �ATO�t+A L o' 3Q �'-_`moi} �.J -• _ io 'F But RTH ANDOVER COLLECTOR Inspe for . < 2 102.0 .Div. P , IKworks f I= I= I= i> I f I �I o' al T 6 o �l d � 1 .9 !� NO W W U ce W I-ce 3 o O 0 619. 6Uf1�. 4. LU Cd cn �- IaJ m UJ C z W O LoN O W N p +; CCNy ^m; CC 01 �D yN A> <� 'o> TOO D N 0Ln y.y 00 �' r) AAti NN<DyD TZA �Amc00> <$On �/1 A P mZ D ' IOC D A m W v_wnn T AO0 AnZZ z N >!z m C D z gmy 8 r Ir I'i D z TT �n n-� fff0 y S O9 QOM D ON O N D N nnn g D O AaTo A = mT 000009060 Z Z A Z N Z O N V -'fn D N S O_ A A O;mac 0 -i ,0, T T we Z D D Z T I y N T< N Z S ,; (i A _ z Z �^ g Z� N ; � Ni N O C N; 'T _ O �l10- 1 €j - Nw1i 0 A ;�mm=1 T 0_ rn 000 0 �^zA�"2m0 NNZN1c Z n O It,, I I I I I I 11xi I I I I I I I I I I I I I I I_ 1Iiii1-�kL OO+O m O O B _ TmD v mO yf cI 0= C 0 v+ OO T Z mn . Omr-�Zomo^ 0 0'. C.AO: , S OmDT n amz nntD0 NO -' -Z D N � uy Z D DD QD yT OM O'u a-)ODZ, AOmn< OT O DD m Gy 1 LO O _D_._ ODz2 DAm z DT 0 N Z ZS Oy �I- r I `4 0 n n qc Y D z n >001 N Nrm z nMQ >0 NZz CO3 T C m m N M x �. $0N 0 4 NO� Pmx -Iz> INf9 AnOC ;az — mNi �oZ �N moo0 NCN 0r 00 -40r vN0 Z�z xo of nz I mm 4 w C P v Z 0 m A 0 id A 4 M ri to w aA O w z z O CY a u w a w a cn a CO cid C D _ a W moo � Z it c v COQ i C7 CL Mev A ` m Ea CE o CDo o a 3ce o� 2 cco R z IS o t:mc y � m m m � o m 3 '4 y INA Of m H j m a AA2010C eN O w OEm MVZ N mV/ Z t O c"cm C y Q "a G.I� ►-� �� w o m wy o x Z ;oao Co a 5 Q o c m c S ~0CO) 06 y m ~ m NJ O a ~Cyt.. �.. .vyAD i a t O c Z _ r N d m� i�.0 r� S eyv a � °� •= C ayt..m O as O L O Z o. O N � C — O OM O 'a O �— �ff m CID CD CL imp, w 9 L a CL cmQ cc c .CL. O a) c Z ts CL as V N cc C C— .s •Y a H r ►.sem t r FORM U - VERIFICAT'ION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLI CANT : LOCATION: Assessor' Map Number 9?b-/0k Subdivision kA --0 O ya-4 e - Street kA.- 0 c,)� )�&& n_ RECO ND IO. O OWN AGENTS: Conservation ,Ay ,d� inistrator Comments 5CW40 Town Planner Comments )d Inspector -Health tc Septic Inspector -Health Comments Phone �.,Fck O Y� 4 Parcel Lots) St. Number Z5 Use Only************************ Date Approved�� Date Rejected Date Approved Date Rejected Date Approved%;?,✓�, Date Rejected Date Approved Date Rejected Cr � tri Q r% Public Works(ewer c nnections fJ - driveway permit f 4O GO %% Fire Departme t Received by Auil 7V Ilk 4-,?avr ing Ins9pector J Date In Y -4 u' 1 inc'� { ' t U `{ ��', N6� 11 ,DCD- Lf! I o-, c' to =11 = Ut c 6 : I o ..Irmo 30.435 r Z III o) o 0 110 a � o,S i \\ 1 D� a 11 ,Oy 1 ci,G'� : fG 2 4=' t')rn --A it Do v oo 0 1 f�/4,\_.._ \\ 6' �-.121.67' S 85-U 4" V w. S - — v 1 Ov -. 0 -y6 I \k... (P qo • _o Zf ?5 t.�'Z.VLS I I .0 0' � ; � \tea. t r N �Z� 5 u) M. w •iWI'pPo" O OD PAWN o, D rs y rC U o s: m 11 it ti C) ci �: II D(/) _ 4_ �) o 0 0 `r't v�o ry ci 32 o- Ln Otn 00 �� N88 07'37" \ �, W.. T- 11 U o rtgn� N 1 39 64; 73.92' j q SJ"W �.. cb� ot8 o�)w S7�--_ _ m g 79'15'11 002 Ali w (�Do cD O) N m C4 4- -'-1 41-- �tnDor) �0�1 124.861 S 81'18'4F) " W = 72.74' LO'll Dcn -=q- if r y) cn - 0040, u rn 7' t0 p V -n) 05'260. „-- .4. 0 41.4 2' r W R?� to � I II N r r o co Zn O 1 f c> CO(, u' U i' �• =1k o o �c�;l Ln cnfV �6. l II Djtnn O O n)= V N 2? p a, Cu2' \ yVg f cp N 0 05 C�/. N a sc� 58 8 W ' X0.99 i y� ! 1' \ D 1 N tb 7 1 .I 111 w C y� V •� � � `t1 � CA CPGv ! / � �U o �,Du) w o� Q, rni,� n vt,,, chi 1-y � p ._. r / /� �, �)?•' �( to iy cO.'� l i � TI r- 11 II y tiA1U O . � N I� � v friNO I +_ ��n n) � • r0�� s ' � � Ag f ; �i�1' '.'��`S " , / .lD a �, c� � r . O O `i-.. �' 15 1� ' a 6Gi L� • r� :: Oj, �' `�� ,� d �i�..'r l +t. yet ,0 68 £6 � i+ nr4�1$ �'"" �, i �i n �c `f 5 ,�• �i ., i� a a 3 5y; - i I �---a�` :r '�i��.G$• {!.{S' , OOGS�' -Au; 1 �fi ;c��,p q+4 /�`� i, 4 5 � t }� s �.Y�Y 0jgq- IV y 7�` ,u D x r 11, 1 err s I 1 n iO i sI I i 1 i4 r , 3 csr it �`; .r� �'�� � lyre X45 • � oU�`,. Jt7. 1y C �\'�� .... � 3,1 P ITt4rtlr ail 4 z�A` YAi VtJ rI gx r ..i1' i 91 \ i iraaat%t r Sl s1;`. F EB. C --'Cl. 1998 2: 56PI'l MCLEAH A IUK 4a Mm 110.815 P. 1: 1 Ir w ;m C-% Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit (below) Address of Property for Permit (below) Map and Parcel: Turp#e of Appli tion (check below) P o T!_ n44-,%®licant: ,�,�ingle 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 North Andover 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 iq 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 of this by-law, provided that no additional residential unit is created. TnThe lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6."re met and/or represents Dwelling units for senior residents, where occupancy of the units is restricted to senior persons 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 a part of a development project which voluntarily agreed to a minimum 40% permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/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 shall receive a one-time 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 building permits,(i.e. 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 supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed 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 and or inaccurate information, or the c king off of an above item which does not comply, whether done to my knowle ot, is grounds f fusal by the Buildin Department to issue a Building Permit_ ignature o Au Agent wh igned a Attachid Building Permit Date This f u be a ched t t e ermit u ap lication for such permit a� M Z I'• m 'W a O 0 J m < U a " g u° QQy o z t z ow: d > m a IL < J 0 m U ec M J ui J a0o L W O i z 3 O O 0 N U = 0 O 1 X ? F I r 7 v n ~ O c, C W N OZi 0 1 z z •.� VI N to 0 ` m G H Oi m Oi W W Z �. .. m L >o d W Z N @ w m — q J Z IL 0 � F ' J m _ Ou a' 4 mW IL ° at " 8 ILo �. 0 Z m g t 0 E o GO W I D N c�1 O a O z 1 M. N m 2 < I o d a W H o � do d4 2 t O -I Iv!uj. r4 OH s a Im 2 Z W� y 0 p r � 0 oo F } V LL z o Y U Z O a 1 J m LAp �{. V m W m w M W m 0 I z W i < z 0 Z 0 < z p < m N j. W z N C 0 u p W z N0 < u W Z W z F � O j < ow 0 0< m o n I W a W K N f 0 LC LL W u z m 0 Z U W I 0 0 W U z 0 LC LL J " O J LL 0 W rc a x 'A O z a`r o W J 4 IK O O W f N Z u z O' 0 ° Z LL< O O IK W m N m Z N z 0 t- W3: O z < z z O O m m T I h L{ W " 3 z 3 O I-- 0 0 0 W u W z z O u U z_ O J 7 m m 11 A W W z 3 O F O O W F W z z 0 u U _z O J 7 m m z < i 0 I- N J W IL 6 < U. O O a 0 m y M Z I'• m 'W L U1 z 0 J m < U u u " g u° QQy o z t z ow: d > m a IL < J m U J ui J L W O i z 3 O O 0 N U = 0 O 1 O M Z I'• 0 d L U1 z 0 J 1 � � 0 u` J ui J L W O i 3 O O U 0 N U = O 1 ? F I 7 n ~ O t OZi 0 1 z z m 0 0 m G W m m m L d W O0 0 L a t J J I- 4 4 V 4 0 m W W u 13 a Fl W < < J F m d a W O M 'T I'• 0 d r` l � � 0 J ui J L W 3 O O U 0 V U = w IL " i u W a o e LL i Jilin � IN J Z. 0 t W 0 2 < F 0 Z Z p O 0 O W m m < m m L O O Z P� a u 0 u , 4 a 0 z NI M� Y z � 0 i o m N k � i i 1 tlp 1 1 zz I ^,R 0 , a o w v 1 w b H : z L W o m N u O U � W 1% J I 4 V► w ►_ 0N fJ F f- W Mmi ZL5�z w O u o 0 ul w Z ... J 0 uu u i3 Z N`W rc C= � Z .4 LL 0 IK a m a d L Y. uw m w g r o. o O Z m Q m m 0 L 0 z 2 1 0 Nal3 o Z °m I Z` , a O 0 0 < w N 2 < w, i O N d x m. e < o o m IN H 100 � OH s del � M v 0 1- V L a 0 J > � V tb Z o J r u to) d V' m� ^1. V w K M w N s< 2 w : < i N 2 < It z O w O W 0 < a M a ,mu W F m C o W u < W u < Q Z N u Z 0 2 0< U m N o N 0 M Ia Jilin � IN J Z. 0 t W 0 2 < F 0 Z Z p O 0 O W m m < m m L O O Z 0 u , qo 0 z NI M� z � Z i N k o i i 1 tlp 1 1 zz I 0 0 , a o w 1 w b H : z L W o m O u O U �! W m a 4 _J 4- w ►_ 0N xx F m W W ZL5�z w O u o 0 awi u v 0 uu u i3 a 1.� C= w w< IK a m a d L Y. cn w o z W o m m Q m 0 < ri Nal3 0 W °m = Z` N S p w �.�th n n < a m a Jilin � IN J Z. 0 t W 0 2 < F 0 Z Z p O 0 O W m m < m m W r LL i L O O 0 T u , qo z NI z � Z i N N i i 1 tlp 1 1 zz I 0 0 , a w w I b H : L W o W O O O U U = m J 4 _J 4- ►_ 0N F m W W w O u d d awi u W r LL i L O O T 6 '0 qo z z � cj i 1 tlp 1 1 H : L W 3 0 0 O U U = O v N} h 1.� C= W r a W-cz: �Nt cn w z W 0 < 0 W N p W r LL i —rr-• —` + _ fit ' .` a'7'".�:'°F""'eta'4,r"r"'s„"+'.``���s,i` �`". //'4'ce Louatlon � l�� Date / lo ' NORTH TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ _ # _ , Building/Frame Permit Fee $� Foundation Permit Fee $ S $ Other Permit Fee Sewer. Connection Fee $ /Con. co 7g f Water Connection Fee $ �'of3Z�M TOTAL $CO CO Elvild!'M Ins ctor 0 v%%98 10:58 1, t� Div/Iublic Works Location- No. ocatidn No. + Date 17 N°R*� TOWN OF NORTH ANDOVE% °aAMLp Certificate of Occupancy $' } ^ ; Building/Frame Permit Fee $ Foundation Permit Fee $ m s�CHU Other Permit Fee Sewer Connection Fee Water Connection Fee $ - TOTAL t/ B Ming Inspector ' Div. Public Works G -7I Q ®N w w < 3 vwi Cd z � 4 `0 z v_ e 2 C r n w o F- X Y 2 N W N W N c W ; 'L C F- Z - y w W W W N R S kN. wjam[ `i Z Z W Z t:J z W G Vy Q d 9 9 fYI N 1 Z Z n i r 1 N W C r6 N. LA Ln k w w < 3 vwi Cd z � 4 `0 2 o Y 2 N W W C_ c W 'L C F- Z - y w W W W N R S kN. wjam[ `i Z Z W Z t:J z W G Vy Q d 9 9 fYI N 1 Z n N C Z AZ 01 Q C 0"- •J uj 2 � < r m F lu LU LL) z C�i cc: LLJ x 40d .� t) N A y r z z 9 x -71 9 n - N uj •Y J\ Fq'; C N Cr•. CD V)w C T z Z z O a d vU. {�- V G. r'1 (A N C jj Y w z z C Z z h Z` w ` N i z z �'j a - C i ¢ C _ Ll i ..� Z Z Q - •n `- w W m = Z - w 'w Z w Z _ - - = Q - '^ !C •nom Q Q w =_ m 9 m = r r:R •n L �. r_`, L ? x Y w NZ Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name tt of Applicant on Building Permit (below) Address of Property for Permit (below) d a V.,Q 0�J Map and Parcel: Pur se of Ap lication (check below) PJ1one u r of Applicant - �5ingle Family _ Two Family 22a-- p U 3 Z 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 North Andover 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 iq 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 of this by-law, provided that no additional residential unit is created. The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this 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.care met and/or represents Dwelling units for senior residents, where occupancy of the units is restricted to senior persons 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 a part of a development project which voluntarily agreed to a minimum 40% permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/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 shall receive a one-time 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 building permits,(i.e. 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 supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to theaccuracy of the information provided and that the attached building permit is allowed an EXEMPTION • d above. Further I understand that the submittal of misleading and or inaccurate information or t checking off of an above item which does not comply, whether done to my kno ge ot, is r ds for refusal by the Building Department to issue a Building Permit. igna o Authorized Agent who signed the Attached Building Permit Date dfo lust be ttached to the Building Permit upon application for such permit. Hf.-LEH- I I f=r:_11 I'_; I F'IJi:1 I (A I oG PICT. 815 F. 1%1 w V FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section********CC********* APPLICANT: 4 Phone (o Gam' O YY O LOCATION: Assessor's Map Number / 0 Y Parcel �/ t Subdivision �'l3 O zl �� Lot (s) Street l-� c� 4 `Lj�= St. Number RECO NDAT ONS AGENTS: Conservation Administrator V -," Comments (A ` Town Planner ,/ Comments Food Inspector -Health Se Inspector -Health .'t Comments Use Only************************ Date Approved z Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Public Works sewer/water` connections 7 W l® Q - driveway permit GD Cd g Fire Or,) artmenti Spa -ch pe Received by Buil `rt. J ho -AA O -,),&,1J7ihq , oArk ing Inspector Z),/g) Date 77,9� (,` Ulf t36 D �[p 9. -4 • l o-1 [n _11 CD - [P[ O I D O u: __.1 582209' 0"W �r y. -30431 _ r 2 � o it o `a �� �g��a ��_ LJ D� —off rn 1 o��%�C�I X24(51 II jpl� 9L b5 ` ir17 I� �� �� 66 `D V t , 1'1.67' �S._ 85 .S k 0 6 I�..• � c} 00 \` cP t f ' 0 CT 32 N 0v 5 88'nvnDo 0"W,C,//77 39:,64 0 73.92' 0C,457 S 15'02" CJ1 I, It _1 r- b !+ p I I Cb rn°' I`.._..' 12'1.$6` 5 81'1846" W 0 72.74' to u v [n =#1= 1, v ti 1 cc).J a,0 4 [., 0 s ►u 7' ''� Ny; �o tis w 5'7 8 p 4 57� 05 "2g • -. 6a m GI J w� � II , 0 r° U or lO• ry o la ���crn' O1 i /o owu, U J _ ,q�y[a� 1 q o .� tines in�N 1'1nu ➢[n o o .�62)O n� p JJ'_Z o Co30 q 22 W p [D e� c�► 26 ^ly . in fi00 LA (fi ta0 NOJ —i w O 2 O o� v 1a t ° v qp.3�a y v 9 /Al O . 04Y�d'+¢i.'- :•FaiA$� c �6 �' kS�y.^j7� Fl � '' \ ���/� � r,� #{� �+.t7a�`" � � >(- Y �,>»•' -' •O�V Fe:et� ! � ,tY Qd /� ):" > � 'r tri k �`F '�: Cw d 4r ( IS �i `j1`��rdLL•,� .�'i jGj Q ,s !` / � 6`ff;,p F� 1•rC'. �. �f� li��?� F_ /k, T,'iAN pY i F 1 r� k 1� IA t 5 .J�yVI l �•� o r ra ;!1%r� `;'n;?r>-in�tr<.�al�O{..•�`tld2td'G[a 73FhRfflp9P OE PUEIIC SAPB!'[ r I`• CORSTROCT191 SUPERVISOR j AnnbPr. B2piies Binhdace CS 061.313 I! 111!19?1 2111711943 JAN69 J HC1&hA , i 2g CBARROB AV& SL�IfB 15 ; fJ ' � NASMlA, 1✓H Ono RRSTPICTIONS! OO QS -Mill!' IA - H'Isomy ?ply 1G - L & 7. Fa�ily H9mes 1 Cd v� co Aio c N` C : v C-3 .n C C m G O m • �:mo � m v7� a y CDo� � t; cm �: me H W mm L y g 3: CIO H J - _ Co L R 'O 'E m L � :1L a 0 O mzo ••.i�cc m w a h a Sm v �Z m .2coo evefl A � a •ca °CELU Cit C .-. ca $ y Q cm h = vs o Q R7 JOE u � °o w �, cn a cx � O a CL= m •c� o w o w ami U � q i�. a o n' G w W , � o c:4 � w .c o cb C i% 7 m ° V) Ll ° v� co Aio c N` C : v C-3 .n C C m G O m • �:mo � m v7� a y CDo� � t; cm �: me H W mm L y g 3: CIO H J - _ Co L R 'O 'E m E IE IPA YE y CDO VJ C CC cm c CM 0 cm c 'c N m t 0 Z 0 co) Cu .E i CL CD O co CO)cc 0 0 CL. COD C O V O �C cc CA O V co C. CO) C H =_ 3� O' CD d a cm 4 p .5 .0 O O OWN Z a it� COD C v L � :1L a 0 ` y m m WEE mzo ••.i�cc m w a h W Sm v �Z m .2coo evefl A � E IE IPA YE y CDO VJ C CC cm c CM 0 cm c 'c N m t 0 Z 0 co) Cu .E i CL CD O co CO)cc 0 0 CL. COD C O V O �C cc CA O V co C. CO) C H =_ 3� O' CD d a cm 4 p .5 .0 O O OWN Z a it� COD C v mzo = H m w a h W C O m .2coo evefl A � •ca °CELU Cit C .-. ca $ y Q cm h = vs 0-5O� m N = F— A t � O a CL= m E IE IPA YE y CDO VJ C CC cm c CM 0 cm c 'c N m t 0 Z 0 co) Cu .E i CL CD O co CO)cc 0 0 CL. COD C O V O �C cc CA O V co C. CO) C H =_ 3� O' CD d a cm 4 p .5 .0 O O OWN Z a it� COD C v MASSACRUS;ETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations '—L Lt iJ 0 D aLo-N -eo Amountj�C.:�.� Owner's Name eo'Q�L New Renovation Replacement Plans Submitted FIXTURES (Print or type) Installing Company Address Check one: Certificate ElCorp ' artner. Firm/Co.. Name of Licensed Plumber: :S--11" Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0 - Other type of indemnity ❑ Bond NAM Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed nnit Issued for this application will be in t compliance with all pertinent provisions of the Massachusetts State Plu ng Code d- pter ef-ti�e'JGeneral Laws. By igna ure Of lcens er- T��ypp�e of m icense Title r-icen3e N City/Town ice um eTir' Master Journeyman 0 APPROVED (OFFICE USE ONLY U 31� • . ' MMMMMMMMMMMMMMMMMMMMMMMMMuI .. • MMMMMMMMMMMMMMMMMn MMMMMM , , ,. • INMNMMMMMMMMMMMMMMMMMMMMM (Print or type) Installing Company Address Check one: Certificate ElCorp ' artner. Firm/Co.. Name of Licensed Plumber: :S--11" Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0 - Other type of indemnity ❑ Bond NAM Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed nnit Issued for this application will be in t compliance with all pertinent provisions of the Massachusetts State Plu ng Code d- pter ef-ti�e'JGeneral Laws. By igna ure Of lcens er- T��ypp�e of m icense Title r-icen3e N City/Town ice um eTir' Master Journeyman 0 APPROVED (OFFICE USE ONLY U 31� RASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING or print) IwnI ri ANDOVER, MASSACHUSETTS Date f s'- 19 Building Locations N y���" 12-0 Permit # r Amount $ -7%) Owner's Name 2)Bl66CV%aN r 1�A at PPrn4-nl New 151/ Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print or type) Check one: Name - Ou,0110'u I UN PLUMBING A HEA7 ❑ Corp. Certificate Installing Company ING Address pRLL��� UTOPIA RD. � yY ner. ours-r�zr+s..n Business Telephone MA.�„5p►b IBR PLUMBER ❑ Firm/Co. -R6VYYYYY f..AJ,4 Y Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked Les, please indi to the type coverage by checking the appropriate box. 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Pe ued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and apter 14 of the General Laws. By: Title City/Town VED (OFFICE USE ONLY) Signature of Lice P er Or Gas Fitter ❑ Plumber f 8 15 ❑gas Fitter License ITumner ET Master ❑ Journeyman F F z z 0 z C4 a F GM M v (40 W Q x rn z x > vz ow„r z 9 Cwcn Fm > O W O W F x O t7 W O A C7 .7 U Ar > A 0. F C SUB-BASEM ENT B A S E M ENT / 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. F L O O R 7TH. FLOOR 8TH. FLOOR (Print or type) Check one: Name - Ou,0110'u I UN PLUMBING A HEA7 ❑ Corp. Certificate Installing Company ING Address pRLL��� UTOPIA RD. � yY ner. ours-r�zr+s..n Business Telephone MA.�„5p►b IBR PLUMBER ❑ Firm/Co. -R6VYYYYY f..AJ,4 Y Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked Les, please indi to the type coverage by checking the appropriate box. 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: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Pe ued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and apter 14 of the General Laws. By: Title City/Town VED (OFFICE USE ONLY) Signature of Lice P er Or Gas Fitter ❑ Plumber f 8 15 ❑gas Fitter License ITumner ET Master ❑ Journeyman 2841 Date.. 2E f NORTH 1 TOWN OF NORTH ANDOVER g pi .ao e. A•OOL PERMIT FOR GAS INSTALLATION p i • - 1SSA�.�t-• !f9 Ch O This certifies that ��a�LJ--::I....b. ........ • . • .. has permission for gas installation in the buildings of C z"�`� `:�� . • . at .. U£%J°``�. ''��� �.... • .. • , North Andover, Mass. = Fee.%..°.... Lic. No./ GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer R 3677 Date. V_ TOWN -OF NORTH ANDOVER PERMIT FOR PLUMBING 0 N ,SSACHUS� l L This certifies thaf/ .. ... �'� .9a'..4 ......... has permission to perform ��. ".. plumbing in the buildings of .. ..p. "... u at .. ................... .. , North Andover, Mass. Few" ... .Lic. No.... ... .. ................... . �3 PLUMBING INSPECTOR WHITE.` Applicant CANARY: Building Dept. PINK: Treasurer _ _-�.-..•,.�„R:_�.��.. Date �: � � �_ ,, N2 - 4107 s TOWN OF NORTH ANDOVER ' PERMIT FOR PLUMBING .i CHUS f� %� 3 This certifies that ./...r� ? .... .... has permission to perform .. plumbing in the buildings of . CA z � " ...�.. .. , IN-firth Andover, Mass: Lic. No.....l.�... f PLUMBING.SNSPEC R 08/10/99 14:44 275.00 PAID. WHITE: Applicant CANARY: Building Dept. PINK1VeaS'4er rwwww�.�r. j MAP r),4- MASSACHU ETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING PARCEL (Typir or 12rinQ NORTH -ANDOVER, MASSACHUSETTS Date , . Building Location Owners Name Permit # / Amount .2 & Z Type of Occupancy..< -j) GV � z2= `/✓ New Ef Renovation ® Replacement ® P1ans.Submitted Yes ® No FIXTURES (Print or type). Check one: Certificate Installing Company Name PjS/Uyyl�iltl/ $� !7 pro -GhJc- Corp. f/oZ _ Address `$j` Partner, Business Telephone..CL;,12 ij ;Cq 3�/ y/ Frmi/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the, type, of insurance_coverage by checking the appWnate box Liability insurance policy Othertype of rndemnity . ❑ - 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 rgnature Owner ® Agent — I hereby certifythat all of the details..and.information I have. submitted (or: entered). in above.application. are, true and accurate to the best of my knowledge and that.all plumbing work.and installations performed unde Ppmut lssued,f6i: th s applica.t on,will...be in., . ; compliance with all pertinent provisions of the Massachy}s s S e.Plum ing C d Chapter 142 of the General.Laws.. -- - - - � By: Signature of Eicenseaer - Tv pe of Plumbing License — Title City/Town cense. um er 'Master' Journ _- APPR�O-VE'D`(P FICE USE ONLY 3228 Date .. �y -...G..:. S. s .... HORTM TOWN OF NORTH ANDOVER i's PERMIT FOR GAS INSTALLATION S -..0E P - This certifies that .. 0�� f`! ........ /11�4 .......... . has permission for gas installation ... A. r. f'r.... in the buildings of ............... 5. at ........... North Andover, M — Fee ... 7? . �-Lic. No... r .7J 2-- .... `� �.��.� �._ ..... . 43AS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MAP MASSA S UAPP CATON FOR PERMIT TO DO GAS FITTING or print) Date e- 9. 19 �p tvvxlH ANDOVER, MASSACHUSETTS Building Locations Ij'v b ,!5'aJ/f o- Permitg- 2--LP- Amount ,2Amount S p� r Owner's Name�� New Eff Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print or type) f / Check one: Certificate installing Company Name PA, 'S �/ c�f�'lbih>�° y.�i' ❑ Corp. f r'%,2 Address x7* �� ❑ Partner. Business Telephone �� y y- yy/ ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked ves, please indicate_ the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ i 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. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ I hereby certify that all of me aetaus ano inTOrmation t nave suomnnea kor eniereo) in aoove appncauun aic uuc auu 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 Ga4 Code and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber . � ❑ Gas Fitter Licen e I umoer ® Master ❑ Journeyman I ST. FLO OR (Print or type) f / Check one: Certificate installing Company Name PA, 'S �/ c�f�'lbih>�° y.�i' ❑ Corp. f r'%,2 Address x7* �� ❑ Partner. Business Telephone �� y y- yy/ ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked ves, please indicate_ the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ i 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. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ I hereby certify that all of me aetaus ano inTOrmation t nave suomnnea kor eniereo) in aoove appncauun aic uuc auu 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 Ga4 Code and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber . � ❑ Gas Fitter Licen e I umoer ® Master ❑ Journeyman Location o� ��( if No. 3 `I Date Y- I a' 0-0 Check # ) 3 a TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ —2 Foundation Permit Fee $ Other Permit Fee TOTAL Building Inspector 0 X TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING a :r .,! ,f"�ys � ".�..•bsY' °49w� �: x ,„ � � ,? 'L`, " R:-sF L " < « h'.k«' ,+ .. '<{ `� `� � 5 '� � i �. BUILDING PERMIT NUMBER: DATE ISSUED: 9/1 1 o ®� SIGNATURE: /Pf At# Building CommissionedI for of Buildings Date SECTION 1- SITE INFORMATION 1.1 / Property Address:/ �' T� %a_Jb CriG� CS2tt. 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Reqdred Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private 0 Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of V Rj/ecorrd� d I / �A �� 4L�v"71�J- LL— �-i Name (Print) Address for Service: ,v 33��' 1 zd Signaturee Telephone 2.2 caner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: g/zi% Address �t J 4�� L /� N� /� 'V�/�i0� �'e Signature Telephone 4d-x- Z4— Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone F r t X 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 building permit. Signed affidavit Attached Yes ....... 11 No ....... ❑ SECTION 5 DesciA tion 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 Completed by permit a licant�� ���bFIGIAI USE ONLY 1. Building 1, (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I,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 NG4d: Prin i4rCare of Owner/Agent NO. OF STORIES �IWO Date SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL, GAS LINE 10 C.- 9/e C�onz�r�arzusaczlC�- n �,�aauuituaettl BOARD OF BUILDING REGULATIONS, License: CONSTRUCTION SUPERVISOR; Number: CS 059740 Birthdate: 11/27/1954 Expires: 11/27/2000 Tr. no: 3952 Restricted To: 00 MARK J TANCRETI 30 FRANCES DR NEWBURYPORT, MA 01950 Administrator FORM l.! -LOT RELEASE FORM ti 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 SSC T lCN******************"`. *** APPLICANT 014/0"0 Akl-fc PHONE %3-23f3.` 9L(-' LOCATION: Assessors Nlap Number PARCE_ Y- SUEDIVISION G✓o �2�y' //1d11' LOT (S) CJ STREET" (.�o��^ � ST. NUMEER OFFICIAL USE ONLY RECOMMENDATI ONS OF TOWN AGENTS: D-X4uv-` CO N-tERVATIO N COMMENTS ► V k! C" apA�✓OueA TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED_ DATE APPROVED DATE REJECTED_ DATE.APPROVED DATE REJECTED_ DATE APPROVED DATE REJECTED PUELIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT, RECEIVED EY ELIILDING iNSPECTOR Revised 9197 jm DATE :� firs 11.25' 619 A0 � , Qd 71 00/ So 29.47 - ................. J 2000 C. E Bc 0 0 z M I x Q O ca uccv O O w Q v cn O W z z G 'O O w O w G U _ G w a O U W z p cG _ G w a O W U w a W p c2 u y V) _ ca C w O E-� w z c7 G p f —cz G w w a w a w a~i G cc z U) Q O co C = G : O m .� Ea ao CE := w o CL 46: E y c oo y -r mcm N R ca O �CD E3 c Q1 Co 21, C C W "' mo L m ' 2 a�= Z • C i 0 Q m y O: n C BCD = m COL. O H CD VJ ev = m W 9 �y...� °C MCLJ E w v y v o amc CO) a m '� F•— _ ,S a � m a CA L CD H C 0 v m cm c m 0 cm C �C O N m _ O z 0 O 2 0 y coH .E co L- CD O co CL CO) O Q d CO3 C O CO3 L Q v CD d CO3 C LLI 0 U) crW W W W Location 17,q 00CRf-a �`�f�_y `` /�� No. 2'� / Date S TOWN OF NORTH ANDOVER .. D Certificate of Occupancy $ _ 'T'A • Eta Building/Frame Permit Fee $ S sACMu Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a -S Check # % 3 3 13(0-54 Building Inspector , 1.1 Property Address: /f 1.2 Assessors Map and Parcel Number Number: Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard RecMired Provide Regifired Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) Public 0 Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone 0 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record /-,d�,9713Wt- 40 eV' Name (Print) Address for Service 03- -- 9 9 Z¢ Signature Telephone 2.2 Owner of Record: Name Print Signature SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: mak, �-- Address Signaj� Telephone, 9- 3.2 Registered Home Improvement Contractor Company Name Address ■ Address for Service: Not Applicable ❑ License Number Expiration Date Not Applicable ❑ Registration Number Expiration Date 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 buildinE permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building [IRepair(s) 11Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: / ZX V<:J ° v 3 G✓ �� jjL� /y &,e�co SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item 1. Building" Estimated Cost (Dollar) to be Completed by permit applicant 0(0 0� �yCXALaiISENLY (a) Building Permit Fee Multiplier �* 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 7— I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I,� �Q , lC / J 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 Si t of Owner/A ent NO. OF STORIES Date SIZE BASEMENT OR SLAB SIZE OF FLOOR TUABERS 1 ST 2ND 3KD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CIMANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE d60-G9P- 0oJ-J— Tzs�— Aq FORM U - LOT RELEASE FORM M- 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 *** X APPLICANT 45,AAwo 11aA1ts x LOCATION: Assessor's Mao Number )f SUEDIVISION 6VOIII& L1111,44 PHONE PARCE_ 6 S LOT (S) ST. NUMBER OFFiCIAL USE ONLY ` RE.COMMENDA T IONS OF TOWN AGENTS: /02 ?Z/ `( - i,> E CK NSERVATION ADMINISTRATOR DATE APPROVED - DATE REJECTED_ COMMENTS PSV TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPE IOR-HEALTH I PECTOR-HEALTH DATE.APPROVED DATE REJECTED DATE APPROVED DATE REJECTED COMMENTS S�VLi� PUELIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED SY BUILDING iNSPECTOR- Revised 9\97jm DATE WOODLEA R04D PRIVATE - 50' WIDE .50 PUN mr Of bD F'OUNDA-rioN 114 0- 0. �A 1p 0 0;0 cm .A A 0 Z> m 4 Z 3: > 0 z zC4 P *0) 0 .3V,,3S,4-3 30,INIV8G 0 000 m 00 z C) U4 CY) co Z C= $11�S��� 0 X V) W) x W o w° a V) OU co c z 0 � w° � rL .r U C w a � w U � z w�' -co ii. � O w W 1:4 u v cn C w O U a z d 04 C P4 w a w A W v ` rA z cn ° Q e . cn aCova, o r: L� C H O Cc O o.� :om Ea m �m N 1/ E S o m L `. cm c m m � N CD 3 m N O ' R N = C C co R O ` E N m • 3 7: : act:Nm; :�L o cm :boa �W...w.CO) - a cm mom �: V N O G • ,z 0 0� a CL CD -C coo LL LD!;_ H aZ la = O r... m -N O o .mp c CA a m _ O � ' 2 a � H =:3 O • , ON Ca GD Qm C o .0 c m 3C2 CD 10 O D p O d CL 0) C M C cc0 Z CD0 CL CA C 0 U) Irw W w U)