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Home My WebLink AboutMiscellaneous - 492 SALEM STREET 4/30/2018 492 SALEM STREET 210/038.0-0002-0000.0 , V } 492 SALEM STREET 210/038.0-0002-0000.0 _ Date...9......�..-.!.`�...... 10719 cF NowrN,�o TOWN OF NORTH ANDOVER a PERMIT FOR PLUMBING + oma:.• + ,83�CHUg� This certifies that....... orT.........�..1 e!^ ^.................................................. has permission to perform..... ...... ' ' .................................. plumbing in the buildings of.......r. s 5..................................................................... at...........`..'�..9 z........S-4.",......5 r� ........................... North Andover, Mass. Fee-*I?.I�...Lic. No. . 914....... .. ...... ............. ..................... PLUMBING INSP CTOR Check# 110 2- !Qx MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY . ......... MA DATE PERMIT it .. JOBSITE ADDRESS L OWNER'S NAME L___'.' ' OWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL Ri EDUCATIONAL E]j RESIDENTIAL PRINT CLEARLY NEW. 0_J RENOVATION:El REPLACEMENT: PLANS SUBMITTED: YES[I NO[D FIXTURES I FLOOR--► BSM 1 2 3 1 4 5 6 7 8 9 10 1 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM .......... DEDICATED GAS/OIUSAND SYSTEM DEDICATED GREASE SYSTEM -7 DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) ._...._.......J . __..:, _.__..._. ----- ........... KITCHEN SINK LAVATORY E-J ROOF DRAIN 7 SHOWER STALL SERVICE/MOP SINK F771IF-7 J TOILET _J URINAL L _J F 71 WASHING MACHINE CONNECTION WATER HEATER ALL TYPES __ 7., WATER PIPING r OTHER ----------- E-7-711--7 ...... INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch.142. YES NO [JI IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY EJ BOND [j- OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER 0 AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this appil III urate to the best omy kno edge and that all plumbing work and installations performed under the permit issued for this application �'will;ab n oo an wit ail P inept pr slop of a Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME QdGNATURE7e [_ MP[A ip[j CORPORATION W#[:5�2_Ey_ T &ARTNERSHIP # LLC D# j > COMPANY NAME ADDRESS CITY STATE Ilt-y2, ZIP J , A... TELL FAX CELL EMAIL V N 4 I I i i I i I i �l 1 s,�� b � �� ' � __` . Location No. Date ' jORTh TOWN OF NORTH ANDOVER 3�0��,..° :•,eco t F 91: • s • � ; , Certificate of Occupancy $ gt�' Building/Frame Permit Fee $ Fn/ c�t� S CMus Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 14 75 Building Inspector S40'29'29"E 125.01' FOUNDATION ENLARGEMENT 40.0±' 0 0 O W O (00 00 O d- L6 r,: 4- M '40+ 40.0±' NN 13.8±' 13.9±' 0 0 12.3±' Z Z N AS—BUILT FOUNDATION LOCATION PLAN EXISTING LOT B — SALEM STREET FOUNDATION NORTH ANDOVER, MA. 52.7±' .. OWNED BY CYRUS CONSTRUCTION 30.8± Scale: 1 "=80' N October 18,2000 N W R OF / 107.74' 5E. 17.26' N39'19'20"W IUM N I N37'27'50"W Na 37046 CIS1E1t�� SALE M _TR LET �03'�u taao s 1 This plan is for the use of the Building Inspector of the Town of North Andover for the purpose of determination of zoning compliance. It is my opinion that the location of the foundation complies with the requirements of the Zoning Bylaws of the town for the R3 zone. This plan is the result of a survey performed and NEW ENGLAND ENGINEERING SERVICES, INC. monumentation found on 10/13/2000, based upon the deed in Bk2213 Pg240 and plan #13488 60 BEECHWOOD DRIVE NORTH ANDOVER, MASSACHUSETTS `A" ��l jef "�"m jef (978) 686-1768 / D N 2 5 3 Date.......�,,/�7 / TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ss^cMus� This certifies that ........01.`.�Ik�s......... .................................2 < has permission to perform .... �!. ........ S�?'. L............. wiring in the building of.... .u S. m.`�l.�.! �{j2 C�......................................... at.....4,9a,..!.P.f'.�?..... ...........................North Andover,Mass. Fee... .5..�.. .. Lic.No. b.d.............\ ?�1.; .ELECTRICAL INSPECTOR Check # J�� WHITE: Applicant CANARY: Building Dept. PINK:Treasurer ` \ Clmmonwea(lh of/r/ajjacItu4elfa Official Use Only i Permit No.c� �J k e.LJ¢Parfntenf.15i" �ervic¢� s ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] ---- (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he per('ormed in accordance with the Massachusetts Elcctricnl Code(;\IEC), 527 COIR 12.00 (PLEASE PRINT 1N INK OR TYPE AL NF01W,1710iv) Da te: City or Town of: t To the Inspector of I•Y'ires::l By this application the undersigned gives nonce of his or her intention to perform the electrical work described below. Location (Street 8c \ ber) Owner or Tenant Telephone No. a Owner's Address Ea Is this permit ill conjuI i.with a building permit'. Yes ElNo (Cllecl;Appropriate Box) Purliose of Building s) �G I Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. oCllleters . New Service Amps / Volts Overhead Undgrd ❑ No. oCtileters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Conn letior of[Ile rol!urrrne table main be waived by the Ins cctor or)Vires. No. of Recessed Fixtures No.of Ceil:Susp.(Paddle) Falls No. of Total Transformers KVA No. of Lighting Outlets No. of Ilot Tubs Generators KVA ` No. of Lighting Fixtures Stirimming Pool Above ❑ In- ❑ I o. o uiergency Lighting b b b crud. arnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones f No. of Switches No.of Gas Burners No. of Detection and Initiating Devices No. of Ranges No.of Air Cond. TonsTota (No. of Alerting Devices ti Heat Pum Number Irons KW _ No. oCSeY-Contained :N'o. of Waste Disposers p - Totals: Detectioit/Alertino Devices No. of Dishwashers Space/Area Heating KW Local ❑ uuicipal ❑ Other Connection No. of Drvers Henting.Appliances KW* Security Systems: No. ofWater No. of Devices or Equivalent t\'o.of NO. of• Heaters K- Data ,rhino: Suns Ballasts No.of Devices or Equivalent INo.Hydromassage Bathtubs !No. of MotorsTotal IIP Telecommunications Wiring: No.of Devices or E uivalent OTHER: iftiach additional detail if desired, or as required by the Inspector of Wires. INSUR NCE 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 iii force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ 0-1.1-TER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance 11,111th MEC Rule 10, and upon completion. I certify, under the pains aro!penalties of perjury,that the information otr this application is true and complete. FI1L,l1 NAi\IE: S I (1K$ fqomt, LIC.NO.: C [ 5l Licensee: N'a(K J t9W I✓e-S-k_r Signature P LIC.NO.:55CI)-OX 5g,5 (Ifapplicable, enter 'e. enrpt•.it the license munber line.) Bus.TCI.No.:� Ig' lo�j7'OU 4 3 Address: ISS l,Jt'_5 t �t S��rl��rninAb»r��01g$7 Alt.Tel. No.: 509-8(,4-(05 OWNER'S INSURANCE WAIVER: I am awaM that the Licensee does nen have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I ata the(check onc) ❑ owner ❑ owner's aeent. Owner/Agent Signature Telephone No. PI:IZaIIT FEL••: S N° 2733 Date....1114. �1U.... NORTI, �ftt�tD .1q o, TOWN OF NORTH ANDOVER PERMIT FOR WIRING s y �SSACNUS� This certifies that .........4.1........w�..�.�:�..?.!...... ........................... has permission to perform .......Q.. .kJ � wiring in the building of....... ... .. c .. ..... ... .................................. ........: at.......!.. ........... J.�. . .................... .:............ ........,North Andover, "s. ....... Lic.No.:.. .((.. t.� n....... .. Fee..� ... .... .... ...... ELECTRIC INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 1HL(,UA MVIVWL:WJH UP MUMHa,SElIJ Office Use only DEPARTA&WOFPUBLICSAFM Permit No. 7 BOARD OFMEPREVEMONRWULATIOAS527CMR 100 Occupancy&Fees Checked UVPPLICATIONFOR PERMIT TO PERFORMELE=CAL WORK ALL WORK TO BE PERFORMED 1N ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,$27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat / 0 0 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) y g So"�� Owner or Tenant Owner's Address Wy_S-, .3" / /y0. Aw rQt�v.Qn,�li( Is this permit in conjunction with a building permit: Yes /�No a (Check Appropriate Box) Purpose of Building .f I', mac"-, 1 -zl Utility Authorization No. OOF(J-Ydp Existing Service Amps Volts 8verhead OK inderground No.of Meters New Service ( Amps11A� typ Volts Overhead ® UndergroundNo.of Meters Number of Feeders and Ampacity Z y10 AV Location and Nature of Proposed Electrical Work No.of Lighting Outlets C No.of Hot Tubs ' No,of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA 1 and ID ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units to*, Cod& No:iof Switch Outlets S n No.of Gas Burners No.of Ranges �� No.of Air Cond. Z Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW :o.of Sounding Devices 1 No.of Self Contained Detection/Sounding Devices No.of Dryers + Heating Devices KW LocalConnections Municipal Other No.of Water Heaters KW No.of No.of Signs Bailasis o.Hydro Massage Tubs No.of Motors Total HP O-THER It M11CeQ %suantbthetegt=(11s4MassadiN&GalaalLaws IhmeaaitlatLiabtldy6 ioePclicymehttlatgCaq)lcteOpffafic -psCbmaWoritsRkshr&de#vakrt YES NO Iha esufxniltadvalidptoofofsa=JoftOffi r_YES FL,rNoa Ifymhaved>ta*WYES Pimemdc*ftt wcfwmageby&xiagthe apptopriebrix INSURANCE BOND F-1 OTHER F-1fteseSpm y) Z, w+i l(i .J L r'�b ( 0 Dale Estat&d V alueefEletirical Wade$ WO&ID art I / 1"1 �OC� .. kq)ectimDaseRWsWd Rough Final Signed unckrTr Penalties ofpew,, FIRM NAME /.IJ c/ 1P A4 q n L r S3 L iaa Iq 4 G/I p M lur Z/ � SgtlafWe LoaiseNO d/u A. /02.& 4 a,Qs, s¢. BtesitrssTeLI� �')n G Adcftesc A.).v f /1(/-�. � A/4, P Alt Tel Na 6 d d( '?(56 to OWNERS INSURANCEWANFR,lama�vatethattheC�ca�sedoesnut theaz . �t e >,staarneeo�ortts�rtelac�mralartastegtmt3fbYMas�a�Ca�aalLaws a0dthatmysmttaeon1hSpit onwaterthismqu'mnat (Please check one) Owner Agent Telephone C ep one No. .PERMIT FEE �✓ N° 2767 Date..../ .. .... ..go i f ,AORTH 1 : i ��,•_e�pp� TOWN OF NORTH ANDOVER o PERMIT FOR WIRING 41 ,SSACMUS� This certifies that ....... ` has permission to perform ........2 ..5.......... ..�.t.. ..................................... wiring in the building of..... .CL...................... S �t . ,...... ,North Andover,Mass. at.... G......... 1 I ........ C Fee.....2..: �. Lic.No..c..I .. ......... .......�?... ..... y ... ..... ...... L,/ !` ELECTRICAL INSPECTOR Check # / �y G WHITE:Applicant CANARY: Building Dept. PINK:Treasurer t...,omrrwnw' aJlk o/MaQ9ac4u"It, Official Use Only - cc�� ec77 Permit No. 77� 1Je�arfncenE o�,}ire �erviced _ -y�—�— 07 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11!99] ([cave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PL EA SE PRINT IN INK ORT 1G:! LIM-01w.1 770,V) Date: a City or Town of: To the Inspector of YY'jres: By this application the undersigned gives notice of his or her iutentiou to rform the electrical work described below. Location (Street & Nui cr) �Ci 'erk ) Owner or Tenant (�'�g�,r e Telephone No. Oivner's Address Is this permit in conjunctio with a build in,permit? Yes ❑ No (Ghee[:appropriate Box) Purpose of Buildina_�� ` 1. �A_:k�_L' Utility Authorizntiun No. Existing Service amps / 1'olts Overhead ❑ Undgrd ❑ No. of Meters . New Service Amps / Volts overhead ❑ Undgrd ❑ No. of:lleters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion ortlre(olloivine table rrrav be waived by the Ins ecto+•of 1 Vires. too.of Recessed Fixtures No.of ceii: TransormersSusp.(Paddle) Fans No. s Total formcrs KVA No.of Lighting Outlets No.of Ilot Tubs Generators hVA ' No. of Lighting Fixtures Sivimntina Poul Above ❑ In- ❑ t o. o nneraencv to ttmg b tz b erttd. grnd. Batte •Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARt1IS No. of Zones of Detection and No.of Switches No.of Gas Burners No. Initiating Devices Total No.of Ranges No.of Air Cond. Tons No. of Alertina Devices Heat Pump Number (Eons KW No. of Self-Contained \'o. of Waste llisposers Totals: ` I-........- Detectionl/Atertino Devices \u. of Dishwashers Space/Area Heating KW Local Municipal Connection D Other No. of Dryers Heating Appliances K��: Secur.ity Systems: No.of Devices or EquivaleiWeJO. No. of WaterNo. of No. of Data Vr'irina: I-Ieaters It�y Signs Ballasts No.of Devices or Equivalent No.Hydron:ass�ge Bathtubs tiro.of Motors Total IIP 'Telecommunications Wiring: No.of Devices or Equivalent [OTHER: Attach additional detail if desired, or as required by dee Inspector of Wires. INSUR.INCE COVI`RAGE: 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 issuin,office. CHECK O`E: INSURANCE V BOND ❑ OThIER ❑ (Snecify:) (Expiration Date) Estimated Value of Electrical Work: (When required by nwnicipal.policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. 1 certify, under the pains and penalties of perjury,that the information on this application is tare and corrrplete. I'IRM NAME: Brinks omc Sec LIC.NO.: C( l Licensee: r J. ✓� Signature P LIC.NO.:55CO-000585 a K su S CL (1f applicable, eerier "e :rapt•'it the license number lint.) Bus.Tel.No.: �S�"y44 3 Address: 155 Wt'_54 �� J5�W�Irni r�gtflnr�l�Olg g 7 Alt.Tel. No.:_Dg Jbq-tD 8q OWNER'S INSURANCE WAIVER: I amaxvz that the Licensee floes not have the liability insurance coverage normally required by law. By env signature below, 1 hereby waive [tits requirement. I arz the(check one) ❑ owner ❑ owner's a,ent. Owner/Agent FPi--RJ 11 T FEE: S Signature "Telephone No. �a Form - L r Departmental Referral Form ' TOWN OF NORTH ANDOVER% BOARD OF HEALTH To: Building Inspector Open Space Committee Director of Community Development —A- Director, Public Works Fire Chief Health Agent t Nlice Chief From: Town Planner and / or Planning Secretary, Planning Office Re: Preliminary Plan Definitive Subdivision Special Permit Site Plan Review i Date: ` A Public Hearing has been scheduled for . (J0 p.m. on� j to discuss the plans checked above. (Preliminary plans do not require public hearings.) j The Technical Review Committee Meeting is scheduled for:, Thank You. "- Date.... ORTH N``° °1"� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACNUS� This certifies that ................."L `........,fir" � ...................... has permission to perform ��G/.C F.... , ......... . .... ...... ...... wiring In the building of..........L�� k. ........ ?.,� r,� ................ �^ at off.....!,7.............. .North Andover,Mass. Fee/10-04".. Lic.NAl,'� ..3 7�........ .�':.. Jim UUIVILV1UIV►'1'r fi 17 Ur ly"IaLvit'"VOIs11 v •-� •, DEPAR7ME TOFPUBMSAFEfY permit No. BOARDOFFMPREVEMONREGUT4T70NS5Va 8120 176 ••a Occup &Fees Checked APPLICARONFOR PE Aff TO PERFORM ELE 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 S_S-OS 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) t-{k-)- �Ut�c Owner or Tenant Owner's Address 3 L viiAA-` %T- Is this permit in conjunction with a building permit: Yes[::] L.�I No (Check Appropriate Box) Purpose of Building X s-Q�Z.v\-c. I Utility Authorization No. a � Existing Service O C Amps � O Volts Overhead Underground © No.of Meters J New Service IOU AmpsLaVF Y Volts OverheadUnderground © No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �- No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round 0 ground 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.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal a Other Connections No.of Water Heaters KW No.of No.of signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP ,OTHER- (JAW=CoWrV- OTHER-(JAW oeCoWrV-Pllta=IDthe te#mialsofMmaduglsCateralLaws IhaNeacumlLiabtl¢yhtuMWPOficyirr U&gCar Vk2l CDmTWClr&&b9 ftdetlttiivala:t YES NO Iharesiftfa2dvaidptodofsanend eOffim YES Ifycuha%edmdodYES,plearniicatetherAxofeoAngby • the boot URANCE INSBOND 011M [::] (P1t:ase**) EstirrlabdValtle ofDachical Wodc$ 3 000-u° WodcmStat S'6- S h>spactionDeteRegt�d Rough Final SVrdurld r"&Ptdcfpejtrty FIRMNAME Mc,re C :C- IloaneNo. A I S 1 Lkffwe ( 0.v l �a f Sim two a� Lioml% %L DIV-1 (l ` ( Busit=TdNa c.J�6 - 31D-SVZ1 arhacc At Tel Na 777 - 77 - t-7 Z OWNER'SINSURANCEWAIVER;IamawaethattheLxffwdoesnottgntheir ummwuwailsMaria(egtrivalentasmgnmdbyMmx nsmsC=aWLaws a��x my 9grr�ae on this peQrit appica6al waivEs obit legtmana�t (Please check one) Owner Agent Telephone No. PERMIT FEE$ ----Signature of Owner or Agent 419;Location � Ghr No. Date l ,40RTol TOWN OF NORTH ANDOVER 3?0 ,Go ,•,hOL Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHust r Foundation Permit Fee $ Other Permit Fee $ a�:2, TOTAL $ Check # 33 Building Inspector i -� TOWN OF NORTIt ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: r ' Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number ! 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage, ft 1.6 BUILDING SETBACKS ft } Front Yard . Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G 1- .40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zoae Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 e SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT r 2.1 Owner of Record f Name(Pri Address for Service to phone 4 2.2 Owner of Record: Name P i Address for Service: Si natur Telephone r SECTION 3-CONSTRUCTION SERVICES 3. Licensed Construction Supervisor: Not Applicable 0 /� Licensed Constru tion Supervisor- V'c 6 3c i V9 n , U S 7 y l • ;e - License Number ��,.� Lam, y+,. VVV�- i Addi-51 Expiration Date e ti ignature Telephone 3.2 Registered Home Im rovement Contractor Not Applicable ❑ > 1 > Company Name II ' \ Registration Number Addres Expiration Date Signature Telephone t { 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. f Signed affidavit Attached Yes....... No.......0 f SECTION 5 Description of Proposed Work check all applicable) 1 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 applicant I. BuildingD T (a) Building Permit Fee V Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(@) 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 CONTRA TOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My lt;it 1 mattei-LAafive to work aillffiorize by this building permit application. Signatkq,6 of Own Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/Agent Date Vt 0=1 1109101111341141111., NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1sT 2 ND3 SPAN DDAENSIONS OF SILLS DIMENSIONS OF POSTS DRvfENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH Town Of' Andover O No. #O LA o dover, Mass.,�w2 ` dZ COCHICMEWICK V �d ORATED 7S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System /�� BUILDING INSPECTOR THIS CERTIFIES THAT...... Rmha" ............• Foundation 0 SO— has permission to erect.....,la..�...y........... buildings on .......y �....S. ... ................................ Rough 3�eCI �� Chimneto be occupied as.......... ...................... .........:.............t....... V............................................................................ y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relati g to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. _? fl aS *VOWPLUMBING INSPECTORVIOLATION of the Zoning or Building Regulations Voids thlt. Rough PERMEMPIRES IN 6 MONTHS Final IT UNLESS CONSTRUCTION START ELECTRICAL INSPECTOR / Rough .............. .... .. ... .......... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT f Until Inspected and Approved by the. Building Inspector. Burner Street No. �EE REVERSE SIDEREVERSE SIDE smoke Det. FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary a Boards and Departments having jurisdiction have been obtained. This dl es notir from elie the applicant and/or landowner from compliance with any applicable or requi ements.Ve *****************************APPLICANT FILLS OUT THIS SECTION APPLICANT PHONE_ LOCATION: Assessor's Map Number PARCEL SUBDIVISION // LOT(S) STREET--____S a /Y'M ST. NUMBER USE RECO ENDATI S OF TOWN AGENTS: CON VATION DMINISTRATOR DATE APPROVE=D [ ' DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ Revised 9197 jm S4029'29"E 125.01' .a A3 to A71 wC2 w co c 40.Ot' N m coo rn 13A in u� C'413.8$ O 1 i.3t' z In 'AS--BUILT FOUNDATION LOCATION PLAN EXISnNG LOT B — SALEM- STREET louNaanonl NORTH ANDOVER, MA. 52JV OWNED BY CYRUS CONSTRUCTION . 30.81 ScdIe: l "=80' October 18,200.0 ' N Of ' 4[ ' J 107.74' 17.2&' N399 CL :. ,ado.8fa46 N372'rWW SALEM STREET this plan is for the use of the Building Inspector Of the Town of North Andover fbr the pErpose of determination of zoning compliance. K is my opinion thct the location of the foundation complies with the requirements of the Zoning Bylaws of the town for the R3 zone. 8! This plan Is the result of a survey performed and monumentotion found on 10/13/20M. based upon NEW ENGLAND ENGINEERING SERVICES, INC. the deed is i9k2213 Pg24o and Pron J134M 60 BEECHWOOD DRIVE NORTH ANDOVER, MASSACHUSETTS en 'ef. !ef (978) 686--1768 ! ; ✓dtC T0097YI9Z04LUl(:(J.GLfL O ✓(�G1I4:1QCl7�C/QP.Cfb 02 /re eon:.graoncue'r oi��czn��rraelta BOARD OF BUILDING REGULATIONS HONE IMPROVEMENT CONTRACTOR License: CONSTRUCTION SUPERVISOR Registration: 131469Number: C. �;�,_, e . S 057056 i Expiration: 0712512002 Birthdate: Birt h date: 09/30/1960 Type: DBA f Expires: 09/30/2003 Tr.no: 4391 MIDDLESEX CUSTOM CARPENTRY ' __j Restricted: 00 _ ANTHONY JOHNSTON ANTHONY C JOHNSTON 301 NICOLE AVE, 301 MIDDLESEX AVE ADMINISTRATOR UILMINGION WILMINGTON, MA 01887 Administrator NA 01881 JAN-07-02 0615 From:MXARTNY CO 5066587208 T-798 P-01/01 Job-645 OLTE(11811001171 . • CERTIFICATE OF LIABILITY INSURANCF= OP,7 of a7 02 y RTI KATE IS�i5t1EQ A R INFORMATION FAU%ation.al me. ONI-Y AND CONFIzRa NO RIGHTS UPON THE CERTIFICATE OR carthy 'ng J� sscy• IIOi ot:a TH CERTIFICATE DOers NWT AMEND, j, tsd Cc ALTER THE�OYERAG�AFFORAED 91f THE POLICI>+s BELow. 229 &*dover 8trs•t INSURERS AFFORpINO COVERAGE milmington gh 018B7 ghc=*078-637-5100 Fmig78-658-9185 I SURIM IN�a: >RMttiolaal Mar mutual Tax. co Inaua�6: Likert Mntual x>te. o. INGURERC: es nscost611 carpentry INSURER P= A - M�x"O'Ll n � 87 ...... TtE CpVERAGE9 THE POUCU OF INsuRAN(2 t 613 0 ANY CONTRACTORO"mDD�+DFl.lTT W NAMED R9S�TON INIS�rFl TSE N Y 9E LS*�lE F DIN ANY REAUIRpgNT.TERM OR CONDITION `XCLtIS{ONS AND COIVOITWNS OF MAY PEFTAIN,TW INSURAMMM AR OROED BY WE POLICIES 005MIBEA HEREIN IS SUBJCCT TO ALL THE TS�A18, pOLICll5.AGATE LIMITS SNOW MAY HAVE BEEN REDUCED BY PAD CLAIMS, um PO TTPE OF BOAIMNCE LICY NUMBER � L EACHOCCURRWacE 11,000,000 GRWRALLMmuTY 02/14./01 02/14/02 FIRE UAMAAW(AAymwTim) $5001 CW000 oO,gmg=ALC0IALLIABILITY >14pF33020 MzDvr(my—ate^) 410,002 CMAIMS MADE rli�00" PERSONAL a ADV INJURY $1,00 CONEK AGGRMATE $2,000,000 PRODUCTS•COMF40P AGG $2,400,000 QWL AGGIOGATE UW AM"PM6'L PoucY ,��f � FA D,,Sw&E umiT $ AUTOMOBILE IdABi1JTY ( ANY AUTO BpOtL��I S ALL01VNriDAUTOS l�� GChfOtILEA AUTOS CQp0.Y NUURY � HIM AUTOS l i am) NON•OIlmD AUTOS �PfiMtTr pAMMA4F I s ar aoenent) Aura RNLV•EA ACCIDOW S I aARAW UAeaTn DTHER THAN EA ACC s ANY AUTO AUTO ONLY: AGO $ EACHOOIXMRREHCE s pd:888"MUTT ApQMGATF 5 OGGUR CLAIMS WX $ i i a�DucTIBLE s RETEN110N S lu- £R• WORKER5 Ga pLRBATION AHO EMPLOYl118'L1A911�TY tACS3is32aoa>L oa/31!01 T 3100 08/31/02 I.L.£ALTIACCIDEN �_ $ EL DISEASE•EA hIPLO $10 0 EL.OMWE POLICY WWW i S 500 OTHER - OESC N OF OPM:RATIDFI NBfYEW LcISlON6 AR080 6V JSPEGULL MROV13tON6 CERTIFICATED0lT10NAL aMm>N�d;M)MBUAER M.ET LER:_ GAI�WCRLL/►TION RASO l BNOULO ANY OF THE A804E pMRIBEO pOLIC1M36 BM OANCELLW BEFORE THE EXPIRATIt OATS TNPSW TME L'+8llMMG WW0 WLL C@EAVORTO MAIL �.12—GAYS YAlITTEN 7aveYage NOTICETD THE OE>nSCATE MOLDER HAMM TO THE LEFT.BUT FAILLAME TO 00 90 WALL 978 98876686 UK"NO OBL�TiCN OR LIABILRT or ANY was ui'BN TM4 n1MINPEA RB A46Nr9 OR R09MNTATPM. AtifltDA� AWE veltneo PORATION 1988 ACORD 2645(1197) 3/8" Lag 32" Q t-�Xlftfng dx 12 E.16CKrop sed 12x14 Deck ` i i i i i 2x8 T am Relocate Stairs 14'-0" 2x6 PT Joist 16" OC w/Metal Hangers 2-2x8 PT Outside Rim Joist 1x4 Mahogany Decking 2x4 Top and Bottom Rail w/ 2x2 PT Balusters 4"OC 10"x48" Below Grade Concrete Footinge Metal Concrete Post Anchors j Q t=xIGLInXUec 6'-lo" Relocate Stalre I �OOt1t'IgS x HUM i s INVERT G FOUNDATION TANK IN TANK OUT D-BOX IN D-BOX OUT A B D 2.7' I14 9 EXISTING PROPOSED DWELLING z 75' GRADING EASEMENT 30.8' �,. acs r TP B2 PT B2 \ 0 i 1500 GALLON SEPTIC TANK RICHARD I TO Uzi 20ANGARDw 2 TO In i TO R AREA — Z 2 TO 3' a DISTRIBUTION LOCUS MAP SCALE: 1 = 2083 gR� BOX IlkVENT B��RV�c _ — — PT B 14 r se s� �`.., s ".. ,*s�..'. - J vt'^v �Y; As—B l 3 TP LOT E ! DATE: 107.74' q -.NW, REVISES _ 17.26` NEW ENG LARK: SPIKE IN UTILITY N3727'46"W �" ' f 2383. ELEV. - 206.00 SALEM STREET � t � \• rll .r fry . + `r" G DR � BY: I ----------- F___C. t ".1 2 F�i u _Y SLOT WS 2U7.''92 '07.9_2 20.7.92 Q-7 01 8.2:' 0 8. 8 2 c6 DISTANCES I TO TANK j._4 TO TANK 36.4' A _.I_, -0 D 0 F -BOX 39.5' yF CAI-LONjN —BOX TO D 411 .2' TANK RICHARD C. !�ANGARD I TO A 32.5' 1 TO B 42.5' 2 TO A 35.1 ' 2 -i 0 B 78.6' < 1 TO D 45.9' 1 TO C 53.7' m 2 TO D 48.7' 2 TO C 85.5' RIBUTION a LOCUS MAP SCALE: = 2083' ASBUILTSEPTIC SYSTEM North A ido ter Center LOT B SALEM STREET C, H NORTH ANDOVER, MA Tt'77' l SCALE: o 21�41 REVISE DATE: DECEMBER 10, 2000 U.- 'D: FEBRUARY 2(3, 0 0 0 NEW ENGLAND ENGINEERING SERWC.F,-.;1,1_�, -'AAA 60 BEECHWO01.) Df?TVi ' ANDOVER. NIOR114 MA F3 686 t768 N-316 ,Il's 'T.AN DRAW 11C Q BY: BY- Z.0, jr, PROPOSED 75' GRADING ----� EASEMEN-T VENT --- t� a ARK: :=,PIKE 'N �r':' r z cr - Location No. `13 Date 4� Z NORTq TOWN OF NORTH ANDOVER Of f♦1D 1� 41 F 9 Certificate of Occupancy $ sc14us`� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 03 I f 14095 Building Inspector i / TOWN OF NORTH ANDOVER � BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: / DATE ISSUED: r` SIGNATURE: 144 Building Commissio r/I for of Buildings Date Z SECTION 1-SITE INFORMATION 1 O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 0S aoo.2 Map Number Parcel Number I k 1 1.3 Zoning Information: 1.4 Property Dimensions: �i9CY C f a7,5 Zoning District Proposed Use Lot Areas frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record q -7— �2 Pl,j alv rq r W�1 1 / /r u,p' p Name t) Address for Service: Sig ture Telephone Q 2.2 Owner of Record: O Na nt Address for Service: 0 1M Signa reTelephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number A4dress i Expiration Date ic� Sijgnature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name M Registration Number r Address r z Expiration Date /� Signature Telephone G) SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) e Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to beU1 �CA)(,USEONLY `": ' V Completed b ermit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)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 1> as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by t1-ds building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB ` SIZE OF FLOOR TIMBERS 1 2ND 3 SPAN DDvIENSIONS OF SILLS DDvIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE .3) �e mo LA+rDa fj F sc�bi va� 54PucFotl FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT rSou FrMj R_T 4 PHONE�31- 613 ,3606 ASSESSORS MAP NUMBER 3 E3 LOT NUMBER SUBDIVISION LOT NUMBER ' STREET %`9(z#) STREET NUMBER r OFFICIAL USE ONLY RECON[N ENDATIONS OF TOWN AGENTS QG.1 S� DATE APPROVED C610/6 CO ERVATIO ADMINISTRATOR ' DATE REJECTED bkvlk�A COMMENTS � , koo/ DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTORR--HEALTH l DATE REJECTED _ DATE APPROVED SEPTIC INSPECTOR-HEALTH `DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE L Town of North Andover 1 NORTH q o tll0 , ti Building Department �� g��,� X6'6 0 27 Charles Street North Andover, Massachusetts 01845 * (978) 688-9545 Fax(978) 688-9542 �` ' •^ �` O COC ICHIWKM 7 Building Demolition Affidavit 9sSAC NUS�� DATE OWNERS NAME &ADDRESS fiAl PROPERTY LOCATION DESCRIPTION CONTRACTORS NAME &ADDRESS DEPARTMENT SIGN-OFFS D.P.W./WATER 44�zkrSEWER ZZ/& r-111 I Xaa-).i-t3yo6 ;GAS r CTRYC ( M , Co —1 ELE TELEPHONE - CABLE 7 TAXES POLICE "C)d FIRE �ERMINATOR DUMPSTER-ON/OFF STREET DIG SAFE NUMBER BLDG. INSPECTOR DATE RECD x•10 R TH Town of over s 0 •« f.�} r. Im C% LA o lover, Mass., COCMICKEWICK V —02ATED APa��S BOARD OF HEALTH PERMIT T E Food/Kitchen Septic System 4 1W _ • BUILDING INSPECTOR THIS CERTIFIES THAT........ ....,��'..... ...................� .. .................. ......... Foundation has permission to e .....�... Z. ..... buildings on .. .. SALEM...... t0 b8 OCCUPIed as........ Rough BA ......�.�� .......BA*.�............................ Chimney provided that the person accepting this erm!hall in eve respect conform to the terms of thea lic P 9 P every P pp anon on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspectio Alteration and Construction of Buildings in the Town of North Andover. 150 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES I 6 MONTHS Final � V UNLESS CONSTRUCTION ST T ELECTRICAL INSPECTOR � ''-Rough ..�. ....................................... Service ........... .. ... .. ......... ....... . .: WING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove ' :F nagh 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. Y W h � 7 j�//7 4�- N Argeo Paul Cellucci Governor Jane Swift Lieutenant Governor Kevin J. Sullivan September 15, 1999 Secretary and MBTA Chairman Michael McGuire Building Inspector Town of North Andover 27 Charles Street ; North Andover,Massachusetts 01845 Re: Property located at 492�S�a�lem Street(Map 38,Lot 2),N.Andover,MA Dear Mr.McGuire: Upon reviewing the documents submitted and your letter dated May 12, 1999, requesting a public hearing in accordance with M.G.L. c. 40, § 54A, the above-referenced property is not subject to the statute. Section 54A applies to "lands formerly used as a railroad right-of-way or any property appurtenant thereto formerly used by any railroad company". According to the letter dated July 20, 1999, (attached) from Mr. Ralph E. Ardiff, Jr., attorney for the present owner, a title examination found no evidence that the property in question was ever owned by the railroad, or that a railroad ever had any rights over any portion of the property. Although it is adjacent to a railroad right-of-way, the parcel in question apparently was not formerly owned or used by a railroad company. Therefore, using the facts Mr. Ardiff, Jr. has provided and assumed, the subject property was not formerly used as a railroad right-of-way,was not formerly used for railroad purposes, and thus would not be subject to the statute. I trust this is responsive to your inquiry. /Manuel . Vieira Program Coordinato cc: Joseph Pelich ** Q Ralph E. Ardiff, Jr.,Esq. U Joseph Smolack,Esq. SEP Z 0 Astrid C. Glynn,Deputy Secretary Beth Boardman,Deputy Director File:99A-24EX.doe BUILDING DEPARTMENT Telephone(617)973-7000 TDD (617)973-7306 e ax(617)523-6454 i MINASIAN & MINASIAN ATTORNEYS AT LAW 420 COMMON STREET HAMPSHIRE BUILDING P.O. BOX 346 i•:AWRENCE, MASSACHUSETTS 01842, - Telephone: (978)682-5560 (978)688-6066 Facsimile: (978)687-7288 HAIG J. MINASIAN (1916-1985) ROBERT H. MINASIAN April 27, 1999 Town of North Andover Community& Development Services 120 Main Street No. Andover, MAO]845 ATTN: MICHAEL McGUIRE/Asst. Building Inspector Re: 492 Salem.Street,�No. Andover, MA Owners: Michael & Debra Demerdjian Dear Mr. McGuire: This office represents Michael&Debra Demerdjian, owners of the above-referenced property, who are endeavoring to sell said property, however, the title examiner indicates that pursuant to MGL Ch 40, §54A, permission from the Executive Office of Transportation is required. Please note that the property is located on Salem Street, however, to the rear of the property is situated an abandoned railroad line, which I believe is a New England Power Co. easement. I enclose herein a copy of the section as it pertains to the State's consent, as well as a Statement of Procedure package received from the Executive Office of Transportation and Constriction. In addition, please note that T13(a) indicates that a letter-from the building inspector requesting a hearing... should be included with the application. [Enclosed is a sample letter]. Kindly advise as to whether you would be in a position to assist us in this application, as it is our intention to make a formal filing. May I hear from you at your earliest convenience. Very truly yours, Robert H. Minasian, Esquire /cj s Enclosure CC' Michael & Debra Demerdjian APR lit"..� .1 04/15/99 17:31 FAX 16179512125 —' 16004/008 04/x5/99 • 14:48 FAX 617 523 6454 COMM. OF MASS. TRANSP. WJ 003/007 t F= 40:54A 2i.o.L. , c.�TEA 40F RECTION CJs, ILDPLICIalo i (PLEASE TYPE OR PRINT) i_ Cantact Parson: 2. AddrPSs Of COritact Person: Robert H. Minasian, Esquire 420 Common Street Phone Number; (978 ) 682-5560 Lawrence, MA 01842 3. Building Inspector or City/ . 4. Address of Building Town Official: Zngpectcw; Michael McGuire or Robert Micetta 120 Main St. , No. Andover, MA Phone Number:_(978 ) 688-9545 S. Name of Present Property 6. Add:ess of Property owner. owner: Michael & Debra Demerdjian 492 Salem St. , No. Andover, MA 7_ )1=0, of Applicant, 8. of Appl.scant- Cyrus Constructi6nCCorp. PO Box 583, No. Andover, MA 9. Property Location (City/Town) : No. Andover, MA 10. Type_ of COns=uction: 11. Total Number of structures Residential to be ConstY'ucted: (4) Four Use (com_/res. /ind. ) : Residential (R-3) 12. Property is: 13. Property is adjacent to; (Check NIA, if not applicable) on a railroad corridor xx adjacent to a railroad xx an abandoned railroad line. includes land both adjacent -. an active railroad to a corridor and on aline corridor NSA If property is adjacent to the Distance from property railroad corridor, please boundary line to nearest indicate approximate distance track from (former) railroad property boundary line to the proposed structure 04/15/99 17:31 FAI 16179512125 0005/008 04/15/99 14:48 FAI 61.7 523 6454 COMM. OF MASS. TRANSP. X004/007 FILE 1jr' 40:54,k 1.4 . Width of Corridor: 15. Total Parcel Area Including Former Railroad Property i n/a 9.14 acres w/o railroad ro erty Approximate Area of Former Railroad Property: L6. rzity/Town rarce.L r luat-111- Ivy . P.,i.:.._.r IlLi1w011d Dumancation Number Assessors Map MaD 38, Lot 2 none Lot ,ip— Sheet � Ref ereucC 1$. Approximate Date of Railroad 19. Date of pr=esent Owner Disposition: Acquisition: 20. Please nate that the M.G.L. , Ch. 40 , sec. 54A decision lwttet will be forwarded to the city/Town building inspector. If the applicant wishes to receive a copy of the letter or would lika a copy of UL%s le-tt" btflt to any athor porcon(r-) , plrazsv indicate name and address below: print Name signature Date 04/15/99 17:33 FAX. 16179512125 0008/008 o4 15/90 14:49 FAX 617 523 6454 COMM. OF )ASS. TWSP. 121007/007 i MASSACHUSETTS GENERAL LAW, CHAPTER 40 PERMITS FOR CONSTRUCTION ON RAILROAD RIGHTS-OF-WAY Capdan editorially supplied § 54A. State consent to issuance of permits to purchaser required: damages in absence thereof If a city or town or any other person purchases any lands formerly used as a railroad right-of-way or any property appurtenant thereto formerly used by-any rdih ad company in the commonwealth no permit to build a strucons of any kind on land yes purchased shall be issited by any city or town in thrlt commonwealth without first obtaining, after public heating, the consent in writing to tltu:issu== of such p==t from the secretary of the executive office of u=wportWon and c onsttuc don. Tf said secretary does not consent to the issuance of such permit, the owner of the lapid may recover from the commonwealth such damages as would be awarded under the provisions of chapter Seventy-nine. Notwithstanding the provisions of the second sentence of the foregoing paragraph, there shall be no recovery from the commonwealth in damages under said sentence by an owner of such land purchased after January first, nineteen hundred and seventy-six. Added by St.1973. c. 963. Amended by St.1975. c. 859. § ISA. Mucieml Note St.3973.a,967.v."approved Oct.29, 51.1975.C.159. 6 ISA.an ear namy acc. 1973. Fntersoney ddViantwn by the Gover- approved. 197k added the eccond not wen lilod Nov.30. 1973, paragraph. Library ilerr.rem Rauroade NUL Polka prover. truildktr codm sec hi-P.S. C.1.5_WilmaldiL 4 117, vol. 1S.Randaq and Franklin. 13 OIL conwas ta. Rcurlodons on lend use,rouktlon of How to scam►a tltb.railroad rlpht.ot eeauncaina on railraad rights-or- way,sw M-PS.vol.28A.I%rh. way,aea M.P.S.vol.28.Park.§378. 11121- 04/15/99 17:30 FAX 16179512125 1�j003/008 - �, gP �Inn7rnn7 8 r ibi 88' 14.9d C'AB 017 6.a 6484 COMM. OF MAST. ��t.1DI . Executive Office of Transportation and Construction Massachusetts. General Law, Chapter 40, Section 54A Statem nt o ocedulres 1. All requests for permission to build on former railroad property must bo submitted to the Executive C)fJice of Transportation and Construction(EOTC)from the building inspector of the City or town in which the proposed construction will talcs place. 2. All requests should be addressed to: Mr.Kevin 7.Sullivan, Secretary The Commojivealth of Massachusetts Executive Office of Transportation and Construction 10 park Plaza,Room 3170 Boston,MA 02116-3969 3. The followiug in£vrruation should be submitted with a completed M.01_Chapter 40, Section 54A Application farm: a a latter from,the buildIaS build' inspector requesting a hearing see attached sample letter); (b) a copy of the plan submitted to the building inspector; (c) a signed property deed with corresponding plot plau; (d) a copy of the deed out from the railroad with corresponding plot plan; (e) a plan of the parcel on which the construction will take place, showirAg the location of the proposed building and the cweot and/or former railroad property . line boundaries; (f) a map (locus)of the city,town,or sarronnding area showing the locatiorn of the property in question. 4. Upon rweipt of the complete applications ackage, EOTC will conduct a review of the proposal,which may include reviews by other public agencies. S. When the EOTC review is complete„ a date will be,set for the publio hearing by EOTC. The applioant will be responsible for advertising tho heating once in a local newspaper at low twenty-one (21)days prior to the,hmicg date and to provide the tear shoot with the advertyssemcnt prior to tfic beoxing to EOTC. A sample hearing notice is attached. 6. After the public hearing,EOTC will review all comments submitted and will send a decision letter to the building inspector.A copy will be sent to the applicant. Amy questions regarding this matter sbould be directed to the Office of the Rail.Propert}►Unit at (617)973-7008 or 10 Park Plaza,Roorn 3170,Boston,MA 071]03969. C Starprnc.doc rcva�I99 it ` I 04/15/99 17:32 FAX 16179512125 0006/008 04/15/99 14:48 FAX 617 523 6454 COM. OF MASS. 'XWSP. Q005/007 SAMPLE BUI,LD]NG INSPECTOR LETTER NOTE: This letter should be re-typed on city or town letterhead.The outlined infonnatfou below should be supplied and signed by the building 113spect6r. (DATE Bevin T. Sullivan,Secretary hxecutive Office of Transporh6on and Construot10n Tw Park Plaza,Room 3170 Boston,MA 02116-3969 A.m: Mee ofthe Rail Property Unit Dear Secretary Moynihan: LNAM OF APPLICANT.) has requested a permit to build (DESCRP'T ON CSF PROPOSED CONSTRUCTION) in (CX7 Y OR TOWN), Massaaft oro. Tho property for which the permit is requested is located LADDRESSOFPROPERM. In accordelsce with 1wMassaebusetts General Law,Chapter 40,SectioA 54A, a permit shall not be issued without first obtain after a public,hearing,the consent fn wxiting to the issuance of such prmaxit from the Secaet uy of the Executive Office of Transportation and Coast metiorh EOTC) . I hereby request that a public hearing be held for (•,NAME OF APPLICANT) to determine whether consent will be grated by EOTC to construct the above on the foxtner railroad property . f(BUILDING INSPECTOR'S SIGN'AT ME (Print Name) Building Inspector File: bldgin;Lwn Rev. 7/97 04/15/99 17:32 FAX 16179512125 0007/008 --..P4/15/99 14:49 FAX 617 523 5454 C01CM. OF MASS, TRAN9F. 11006/007 TIS COMMONWEALTH OF MASSACHUSEI TS ExECUTIV'E OFFICE OF TRANSPORTATION AND CONSTRUCTION SAMPL-19 ADVERTISEMENT FOR NOTICE O)' E.ARING Upon rogtl&A of(NAM )Building Inspector of the ( MMOWN ),Massachusetts, pu muaut to Massachusetts General Laws, Chapter 40, Section ;54.A, tho Executive Of-ace of Tinnsportatkm and Construction shall conduct a hearing to datemnine whether a building permit shall be issued to ( N DE ) for ( ) lvcand M- f AJIDILM ), Muzou .,l u ULLU wal bLItuld by ( ['�FT7FRai, 1SFgi"'f4UnTi'rfiT r0r PARUL ). The parcel of Ind includes part of the farmer railroad properties of tba (NAM OF RATIA OAD). Tho heating will take place on ( QATE ) at ( MM ) at the Executive Office of TransporWon and Conslmudun, ,Suiln 3170,.knzied jn the Stare T aWporcMdon Builamg, -len Park Plaza, Boston, M.A, 02116. All intermted parties should aumd. l'nquhics concerning the hearing may be made to the Office of the Rail Property Unit,Executive Office of Trranspmution and Covatraction,(617)973-7008 File:=Whersarn Ray.:7197 ✓ MINASIAN & MINASIAN ASIA ATTORNEYS AT LAW 420 COMMON STREET HAMPSHIRE BUILDING P.O. BOX 346 LAWRENCE, MASSACHUSETTS 01842 FILETelephone: (978)682-5560 97 ( 8)688-6066 Facsimile: (978)687-7288 HAIG J. MINASIAN(1916-1985) e ROBERT H. MINASIAN May 10, 1999 Michael McGuire c/o Town of North Andover/Community & Development Services 120 Main Street No. Andover, MA 01845 RE: 492 Salem Street, No. Andover, MA MAP' 3 g Owners: Michael & Debra Demirdjian Dear Mr. McGuire: 1 enclose herein a form letter addressed to Kevin J. Sullivan, Secretary of Executive Office of Transportation and Construction. We are attempting g to obtain a waiver from that office, because the subject property is adjacent to an abandon railroad line. As a condition precedent to making an application, the within letter must be signed by you, on behalf of Noah Andover Building Inspector. You may recall that on April 27, 1999, 1 had forwarded to you a package of documents. The application indicates that a letter from the building inspection should be a part of our application process. I would ask that you sign said letter and return same in the enclosed envelope. The builder is Cyrus Construction who is building homes on said property. Please see the requirement package, previously forwarded for further details. May 1 hear from you at your earliest convenience. Very truly yours, 9RiH. Minasian, Esquir'''e , ? �� MA I Z In 9 �+ • Town of North Andover of NoRT"qti OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES p 27 Charles Street t WII,LIAM J. SCOTT North Andover,Massachusetts 01845 3SAC US��h Director (978)688-9531 Fax (978)688-9542 May 12,1999 Kevin J Sullivan, Secretary Executive Office of Transportation And Construction Ten Park Plaza, Room 3170 Boston, MA 02116-3969 Attn: Office of the Rail Property Unit Dear Secretary Sullivan: I have been contacted by Attorney Robert Minasian on behalf of Cyrus Construction Corp. which wishes to apply for a building permit for a single family home at the property located at 492 Salem St. (Map 38 Lot 2) in North Andover, MA. In accordance with MGL Chapter 40, Section 54A, a permit shall not be issued without first obtaining, after a public hearing, the consent in writing to the issuance of such permit from the Secretary of the Executive Office of Transportation and Construction (EOTC). To that end I hereby request that a public hearing be held for Atty. Minasian and Cyrus Construction to determine whether consent will be granted by EOTC to construct on the above mentioned property which I have been informed is adjacent to former railroad property. Respectfully, A� Michael McGuire Local Building Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 I I t 1 to Town of North Andover Office of the Building Inspector May 3, 1999 Kevin J. Su 'van, Secretary Executive Of e of Transportation and Constructio Ten Park Plaza, Ro 3170 Boston, MA 02116-3 9 Attn: Office of the Rail P erty Unit Dear Secretary Sullivan: Cyrus Construction Corporation h requested a permit to build a single family home in North Andover, Massachusetts. The prop for which the permit is requested is located at 492 Salem Street. In accordance with Massachusetts General L s, Chapter 40, Section 54A, a permit shall not be issued without first obtaining, after a pub ' hearing, the consent in writing to the issuance of such permit from the Secretary of the Execu ' e Office of Transportation and Construction (EOTC). I hereby request that a public hearing be held Tor Cyrus Co ction Corporation to determine whether consent will be granted by EOTC to construct the ove on the property adjacent to the former railroad property. MAV North Andover Building Inspector ��' F ATTORNEY R .H . MINASIAN TEL : 1-508-687-7288 Apr 27 99 11 :22 No .002 P .01 MINASIAN & MINASIAN ATTORNEYS AT LAW 420 COMMON STREET HAMPSHIRE BUILDING P.O.BOX 346 LAWRENCE,MASSACHUSETTS 01842 Telephone:(978)682-5560 (978)688-6066 Facsimile: (978)687.7288 HAIG J.MINASIAN(1918.1985) ROBERT H. MINASIAN FACSIMILE DATE: April 27, 1999 TO: Michael McGuire/Asst. Building Inspector RE: 492 Salem St., No. Andover, MA FAX #: 688-9542 FROM: Cindy/On Behalf of Rotx�it 11. Minmian. rsiluire MINASIAN & MINASIAN 420 CorrmTxm Street 1710 Box 346 Lawrence, MAO 1840 ADDITIONAL COMMENTS/INSTRUCTIONS.- d,Cy p V,'y WE ARE TRANSMITTING;(r)PAC.;FS, (INC:LUDINC,Tl-IIS COVER SHEET). IF YOU UOCST RECEIVE ALL TI Ir mGrS, Pi,FASF CALL BACK AS SOON AS POSSIBLE. Notice of Corilidentiality Ths tnyvmVal rs intended for the addressee listed above and may contain information that is co»f�oertri<3/<�r�dprrvi/eged.�if j ou ,vr-not Nie rPddl'P..SSP.P.,,,iny`use, disclosure, copying or communlaton ofthe contents ofthie rremsrninwon ispro 1b�'d�1f�,eii McSrtiige iS r"r.CeiWd b CJ1 vr,1)leave phoria tn, irrrrytr:r/r:�rraly. ' (� 7 �� ATTORNEY R .H . MINASIAN TEL : 1-508-687-7288 Apr 27 99 11 :22 No .002 P .02 MINASIAN & MINASIAN ATTORNEYS AT LAW 420 COMMON STREET HAMPSHIRE BUILDING P.O. BOX 346 LAWRENCE,MASSACHUSETTS 01842 Telephone:(978)682-5560 (978)688-6066 Facsimile: (978)687-7288 HAIG J. MINASIAN(1916-1985) ROBERT H. MINASIAN April 27, 1999 Town of North Andover Community&Development Services 120 Main Street No. Andover, MA 01845 ATTN: MiCHAF.T.McGUiRF./Asst. Building inspector Re; 492 Salem Street, No, 'Andover, MA Owners: Michael & Debra Demerdjian Dear Mr. McGuire: This office represents Michael Rr Debra Demerdjian,owners of the above-referenced property, who are endeavoring to sell said property,however, the title examiner indicates that pursuant to MGL Ch 40, §54A, permission from the Executive Office of Transportation is required. Please note that the propcirty is located on Salem Street,however,to the rear of the property is situated an abandoned railroad line, which f bciicve is a New England Power Co. easement, I enclose herein a copy of the section as it pertains to the State's consent, as well as a. Statement of Procedure package received from the Executive Office of Transportation and Construction. in addition, please note that¶3(a)indicates that a leiierfirom the building insreclnr re(lues-ing a hearing.. should be included with the application. [Friclosed is a sample letter). Kindly advise as to whether you would be in a position to assist us in this application, as it is our intention to make a formal filing. May I hear from you at your earliest convenience. Very truly yours,' 94�z Robert H. Minasian, Esquire /cjs Enclosure cc: Michael&Debra Demerdjian ATTORNEY R .H . MINASIAN TEL : 1-508-687-7'288 Apr 27 99 11 26 No .002 P .08 Vy/&V/VW d. oa 04/15x99 14:48 PAZ 617 523 6454 C019. OF MASS. TRANSP• 0006/007 SAMPLE DUI JLI)I NG INSPECTOR LB1 IIM NOTE* This lei should bo to-typed on city or town lett Thead.The oufted inf4)m3atiw below should be 69pliod and si=od by the building ivapmtdr. f DATE Kevin 7.Sultiv=n'Seamy bxecudve officeofT sportwim and Cons:Wwdov Tem Park Plaza,Room 3170 Boston,MA 02116.3964 AM. OMce of the Rail Property Unit Dear SveretW MoynihaM NAMR OF A.IPLICANT) has mums sd a pewit tD build DE O pj MOSED C NSMUMM) in (CM OR TOWN), MaasaahuO"- The property for which the permit it nqueetod is located ;LADMMW M MOPMT - In eooardance widL Massachusetts General Law,Chapter 40.Sertiob 54A,a permit ebA not be iesutal without lint obtalnia&Rft apubliO heart&the Consent In arttibg to the issaenoe of suoh petnut from tea 51=Cbzy►of the Bxeeir ive Offlo of Tremsportativa ad ConcuuCtien ROTC). I hereby request that it public hcaririg be bald ibr j HAM QF ARLCAM 1 to determine whether conzat wilt be puW d by 90TC to conebmt U above on dw founer railroad property. (BOLD=INGENKMOR976 SIGNA'RE I {Pzmt Name) Building Inspector Me: bldgirquwn Amvi M ATTORNEY R .H . MINASIAN TEL : 1-508-687-7288 Apr 27 99 11 :23 No .002 P .03 04/1590 14-46 FAX 917 523 0454 COW. OF MASS. TRANS?. ?J u03/007 �.a.L. , t.:eu►trTl.'R +fib, 88E'TIoA S�?�, nppLxGATTpbt (PLEASE TYPE OR PRINT) i. Contact Parton: a. Addrgsa of Contact Person: Robert H. Minasian, Esquire 420 Common Street Phone Nizber: (978 ) 682-5560 _ Lawrence, MA 01842 3_ Buildinq inppector or City/ 4. Address of Buildiuq Town official: Inspector; Michael McGuire or Robert Micetta 1.20 Main St. , No. Andover, MA Phone M aber:191 8 l 688-9545 5. Name of present Property 6. Add=ass of Property Omer; Cromer: Michael & Debra Demerdjian 492 Salem St., No. Andover, MA 7. Nano of ApplieLftt: 8. Adr1rmmn of Ap)pl ioant: Cyrus Construction�';Corp. PO Box 583, No. Andover, MA 9. property Location (City/Town) : No. Andover, MA io. Typs_ of conmtruction: U. Total K ber of structures Residential to ba. Constructed: (4) Four USA (c=-fres, /ind, ) i Residential (R-3) 12. Property is: 13. ProParty La adjacent to: (Check N/A, if not on a railroad corridor applicabl a) AS adlacant to a railroad XXran abandoned railroad includes lard both adjacent aannnactiva railroad to a corridor and on a lies corridor N/A 2t property is adjacent to tho Dirmance from property railroad corridor, please boundary line to nearest indicate approximat® distance track :from former railroad property boundary lin® to thera osed atrvatssra P P ATTORNEY R .H . MINASIAN TEL : 1-508-687-7288 Apr 27 99 11 :23 No .002 P .04 oai1.5 17:31 FA% 16170512125 i�oos/oUe 04/15/99 14:48 FAX 617 520 0454 comm. OF XASS. TRIWSP. M004/007 • ••2� L�AIY O' 40:54A 14 . Width of Corridor: 15. gormar Rail ad Property: n/a 9.14 acres w/o railroad pr perty ApprPZiXAta Area Of Fos-^ar Railroad Property: -- 3,6. City/Town rarce-L 19. D.,L"a w AaUmmad "arj cation Numbtr Assessors Map Map 38, Lot 2 none Lot _.,. Street Reference: ig. Apprcmimsts Date of Railroad Z9. Date of Present Owner Disposition: Acquinitica: 20. please note that the. M.G.L. , Ch. 40, See. 54A dtciOign Zetter will ba forwarded to the City/Town building inspector. If the applicant Wishes to receive a copy' of the lstter or would like a copy of flan lextt4x scrst to any othor porton(c) , pleasc indicate name and addrasa balow: rri.nt Nva signaturs Dene ATTORNEY R .H . MINASIAN TEL : 1-508-687-7288 Apr 27 99 11 :24 No .002 P .05 V4/1V/y0 1f.44 rAA 1064w9kGb4V WjVVQe VVp 04 L,5/99 . 14:49 FAa 617 523 6634 COMI. OF MASS, 7WSP. @3097/007 MASSACHUSETTS GENERAL LAW, CHAP'T'ER 40 PERMITS FOR CONSTRUCTION ON RAILROAD RIGHTS-OF-WAY Copdor4 editodhUy supplied $ 54A. State consent to issuance of permits co purchaser required; damages its absence tht.reof If a city or town or any other person purchases any lands ftnmeriy used as a railroad right-of-way or any pi p=y appurmant UMMO formerly used by-any Whoad company in the commonwealth no pw7nit to build a swuCta of arty kind an Gaud so purchased shall be issued by any city of town in tltm oommonwcalth without first obtaining,after public herring,the consent in writing to the issmnee of 1 WA powdl from the seas»y of the axt'D utive onus of - 4o-6 '-' and oanstrucdon. If said swAvary does not conscm to the issuaax of such permit, the owner of the land may recover from the commanwualth such damages as would be awarded under the provisions of chapter seventy-nine. Notwithstanding the provisions of the second sentence of the foregoing paragraph, there shall be no mcovary from the commonwealth in damages under said sentence by an owner of such land ptmchased after 7anuuy first, ntneteen hundred and seventy-six. Added by St.1973. c. 963. Amended by St.1975. c. 859. § 18A. uiaorfooi Nate St.]On.e,903.wu a pmvNd Oct.29. St.t9is,a 09. 6 INA.an emeeyenev Set. 1971. Ewmee"y ditbrvmn by the Govaw appeared.1976. aJdad the umad nee tray AW Nov.20.1973. peastaph. LA"q Rte k.><saemN t t2. tottic poaree.bnitatst;WdM in M.P.S. C.J.E.Raitmv&1117. voL 19.RaadaM*no Paola.1161. Coanwivs. R"Affil m on Iced WIN.M wwm of five►w Real a 111k.oibmd'W"IL aanaumdeS as wlivad aiZIa&eF my.no N ts•Mei.2M.peek. ver,as M.F.S.•ot.23.h06 0»e. ' 1 1111. ATTORNEY R .H . MINASIAN TEL : 1-508-687-7288 Apr 27 99 11 :24 No .002 P .06 esrib,99 14.40 PAX 414 423 6464 CONK. OF MASS, 71wsP. rbnn?mft? t Executive Office of imvortation and Construction Massachusetts General Law, Chapter 40, Section 54A Staumeat of kap wren 1. AD tagueste for pmMisasion to build on fomes raikoad property must be submitt d.to the Executive Oil of Traepmtation and Construction(SOTC)$om the building inapeawr of tiro city or town in whish the proposed cousttuddon will take plsaa 2. All xcaquam ahanld be addressed to: Mr.KeAn J.Sulliva Dn soattaty The C n monwealth of Mar nchusetts Executive Office of TroWaataLion and Coustr etion 10 Padr Playa,Roam 3170 Boston,MA 02116-3969 3. no rblluwir;g infoorm dem should be submitted with a complotod M.G.Q..Chapter 40, Section 54A Application form: (a) a lettax from the brrilMg itnglector requesting a heating(ate attached sample letter); (b) a copy of the plana submitted to the building inspeawr; (c) a dped PropeW deed whb am Piot Plan; (d) a wipy of"deed out from the raWvW with coaeaponding plvi Pian: (e) aplan oftho parcel on which the ton amadom will take place,Rhmft thin I ocW m.of die proposed building and the curt andlor former raikaad propcxty line bowidarias; Q) a map(locus)of the city,town,or mmut ttg area sbuowing the locadotr of the pmperty m qucstioaL 4. Upon reoelpt of the complac aupplicationpackaage., B=will conduct a review of the lmloW►which may include reviews by other pubUo Wmics. S. When the ROTC reviewis oompletr,a date will be set for thepublicbearingby EOTC. The appHosot will be responsible for advetsing tba bmig onto in a lvcW newspaper at toast twenty-one (21)days prior to the heap Wg dots and to provide the tsar shoot with the adv"dwment prior to the ltmadug to EOTC. A ample head troHoe is attachad. 6. Afw the public hearing.ROTC will review all eommcntac submitted and will send a deolslon letter to the buildhag inspWW.A oopy will be sent to the apphoant. Any questioms regarding this matter should be directed to the Office or the hail Prw➢edy Unit at (617)973-7008 or 10 Park Plaza,Room 3170,Boston,MA 02116-3969. C:SE►ry�saaoc fCvslp9 ATTORNEY R .H . MINASIAN TEL : 1-508-687-7288 Apr 27 99 11 :25 No .002 P .07 —_.04/15/88 14:40 PAI 617 523 5464 COME. OF MASS. TR03P. 0000/007 T= COMMONWEALTH OF MASSACMSMS EXECUaCM OFFICE OF TRANfiPORTATION AND CONSTRUCTION ADVERTI5EMJKNT FOR NOTICE OI' EUWUNG Upon rot of(NAM)Bal uag Iz actor of the ( rr wlv),munchmem, puwneat to Mawwhusoft Canal Law®, Cbaptar 40, Suction 54A, tbv 5mutivo Office of Tnmsportat6n and C=truoticm sltatl conduct a hwr'i g to datft=ine whether a budd'mg pemmt eltW be famed to (]NAME ) for ( IMSCRRMM01_=Pa 1A:fl C usiRu 1"N ) p&=L ). The parcel of Ind imixid pmt of the fiocmer raihvad prvper im of the (NAM OF R&UALOAD). Tbc hodo$ will take place on ( pM ) at at the rxemwvc Office of TimWoitedon and Coustluc-don,Ulu 9190,lwatud la Ake Stue Thdopimidan Bullamg. 'i'en Pack Platy,Boston, ARA, 0416. All intecrstod pmrttes abonld sttemd. InquMes ememming the heariag may be made to the Otlioe of ft Raiff Propaty Unit,Emcutive Office of Trm opofttion and C*#gft ction.(617)973-7008 Pat:mtbhmsm Uy.:7197 The Commonwealth of Massachusetts r Department of Industrial-Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Blame Please Print Name: Lcc aticn- Cit, Phone m (� I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity j I am an employer providing workers' compensation for my employees working on this job. �CComcanv name: CY Us CON-Irgct iblv COP-10 Address P0. .90 x 5 3 CiN: Phone Y: I nsurance Co. 011T, IK cl�°a rf Policv# rC O 4 8 S 7-S 3 S/ i J Comoanv name I Address J2? /`��✓�0 U�r C� Cihi W,-/M1 �/ D r1. Phone / s 4. D Insurance Co. Policv Y 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 51,500.00 and/or one years'imo. nscnment as•Neil as c'.vii penalties in the form cf a STCP VNCRK CRGER and a rine of(5100.00) a day against me. I understand that a copy of this statement may be for,varded to the Office of Investigations of the GIA for coverage verification. I do hereby certify under the pains and penalties of pejury that the information provided accve is.;sue and correct. signature Date A V.00 Print namey aS-�4x PIO A C. l Phone (o FS J err 0 Offical use only do not write in.this area to be completed by cry ortown ofriciai C'ty or Tcwn Permit/Licensinc ❑ Building Dept ❑Check d immediate response is required ❑ Licensing Board ❑ Seiectman's Office Contac;person; Phone T: Health Department Other i Date.. . '.~��,. .. .. NORTH o� '`.` TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �9SSNCMUSEt ' 1 . This certifies that . . .: : .Q e': ? '� ' . . . . 9. . . . . . . . . . has permission for gas installation . :�. . .r . . . . . . . . . . . . . . . . in the buildings of . . . . r' . .. .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at .` � r �-�J .c . . . . f. , North Andover, Mass. Feed A . . Lic. GAS INS E;C( rOR Check# 7. ) 77 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS G (Type or print) Date NORTH ANDO�VEEk MASSACHUSETTS / Building Locations -/ /- SAL-El Permit# Amount$ Ze ev Owner's Name dSS New❑ RenovationEl Replacement Plans Submitted U . x � x � H Q �a x oz W z zzv w x z o a o a >Qz w e0q > O F" U `a W W > W Z d a d ¢ O O w O x x o x x 3 0 U a > SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR iT 5TH . FLOOR 6TH . FLOOR T-- All 7TH . FLOOR 7- 8TH . FLOOR (runt or type) � U/4l �t, /(� I Check Corp.e: Certificate Installing Company Name_ �T �1V 40 Q Address ( R �0 ElPartner usmess Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter Q LR! i INSURANCE COVERAGE Check one: I have a current Iiability Insurance policy or it's substantial equivalent. Yes ®/ No If you have checked�es,please in . to the type coverage by checking the appropriate box. Liability insurance policy Or Other type of indemnity 0 Bond 0 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 0 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 installation p rmed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts St C de and Chapter 142 of the General Laws. By: gnat e o;Licen Plumber Or Gas Fitter Title Plumber. City/Town � G Fitter icense Number Master APPROVED(OFFICE USE ONLY) Journeyman �J i L CERTIFICATE OF USE & OCCUPANCY To n Of North Andover Building Permit Number Date THIS CERTIFIES THAT THE SUILIING LOCATED ON , MAY BE OCCUPIED ASQ�� = �� y�'�l r'�� IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ca L4CERTIFICATE ISSUED TO SUrt; k'leAd 0 h p ' ADDRESS PD 6ay s s • ,F �'''""" Building Inspector NORTIy Town of ove r No. zazo L A O dover, Mass., Is COCMICKEMCK ADRATED S H E BOARD OF HEALTH n�t�51� Food/Kitchen PERMIT Septic Syste Z. DING INSPECTOR THISCERTIFIES THAT... ........................!�.... ....F. ... ... ........ ........................................ ............... Foundation,0141(6— A 141(6-' — has permission to ect..............�.................... buildings on .. ..Q.......S.a�.. ..M.......t3. ................. Rough/Jt�l� to be occupied as... r0....Q.. ;�.. .�.��.. .� .,�.. ...6 1.)...V ..��1111 �..TWINSChimneym .�v�� provided that the person accepting this permit shall in every respect conform to the terms of the application o ile in Final 2 this office, and to the provisions of the Codes and By-Laws relating to the Inspecti , Alteration and Construction of �m Buildings in the Town of North Andover. M 3 6 06% 010 * PLUMBING INSPECT VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST � ELEC I SPECT oug ... . .................................................................. BUILDING INSPECTOR Occupancy Permit Required t® Occupy Building GAS INSPECTOR > u C41 ( (_ ry,f � ,, Display in a Conspicuous Place on the Premises — Do Not Remove 1 a No Lathing or Dry Wall To BeDone FIRE bEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. C` Smoke Det. SEE REVERSE SIDE ) "� �� k: y Town of North Andover tAORTH 14,, Building Department �,? g..t� o' 6 27 Charles Street o = North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 o �. CO[MI[ .WKM SACHUS�tR� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS S'�f� SIR LOT NUMBER A f SUBDIVISION W(A DATE REQUEST FILED OZ "a o . 61 DATE READY FOR INSPECTION fes,�fc�i�i/ cv2 �L Do ) 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-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE ;TURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE Aay &10& OFFICIAL USE ONLY ROUTING CONSERVATION DATE f Z 40f PLANNING ( . DATE -2-12,61 0 D.P.W. —WATER METER X9 (e / DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PR10,I T THE INSPECTIO QUEST DATE. SIGNATURE/DPW AUTHORIZATION Location No. `3 Date �oR�h TOWN OF NORTH ANDOVER # Certificate of Occupancy $ 5 ' �i�s'••• Eco' Building/Frame Permit Fee $ S cc�us Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: AP R Building Commissioner/14 for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zonis Information: W Zoning 1.4 Property Dimensions: S�w in► —70 9'01 d Zoning District Pr Use I Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided ri Is I Z { it I 'Pd(7 A -I- 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flo�od�Z,�one Information: 1.8 Sewerage Disposal System: Public V Private 0 Zone—��..— Outside Flood Zone ¢( Municipal 0 On Site Disposal System-d J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT �� 2.1 Owner of Record ] t� iC�j f cl.-M Rea l� ��lJ 0 rte v' N r ��13 �r� 11reel Name(Print) Address for Service GS3. 36a5 Signaa Telephone O 2.2 Owner of Record: o Name Print Address for Service: .g� EE1 8�1� Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ c o7351Ba Licensed Constrpuction Supervisor: License Number O 4 ; jrAZjL/VI 'fl4k1 Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number Address ^ � Signature Tele hone Expiration Date G) t SECTION 4-WORKERS COMPENSATION(XG.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.......8 No.......0 SECTION 5 Description of Proposed Work check au applicable) New Construction AO Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify I Brief Description//of Proposed Work: / /VBG✓ 0.� .�'�Dr L1 wo o6f YrGt-G�urt . SECTION 6-ESTIMATED CONSTRUCTION COSTS Item sV Estimated Cost(Dollar)to be (3FICIAL USE ONLY , ZZ 80 Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of n A? Construction 3 Plumbing D Building Permit fee(a)X (b) Y, 4 Mechanical --A(HVACO O 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, TO Se Pt, as Owner/Authorized Agent of subject property Hereby authorize C y P—U,S uyN trv..e tt 3 to act on My b in all matt relati e to work authorized by this building permit application. 9- u- ub Si na re of wner Date SE ION 7b OWNER/AUTHORIZ((ED AGENT DECLARATION I, 6 z e �°L 1 1 C�.� 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 as*,pL Pella, Print Name 9• LL• u'p } Signature wn /A ent Date NO. OF STORIES SIZE t� BASEMENT OR SLAB ' ovr Cvwu'c fc SIZE OF FLOOR TIMBERS 1 01 2 4-K10 3 SPAN /` DIMENSIONS OF SILLS OX , DIMENSIONS OF POSTS 3.t'' 1C DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS 6 SIZE OF FOOTING Z k/D X MATERIAL OF CHIMNEY C ,)t.2 IS BUILDING ON SOLID OR FILLED LAND TO I j IS BUILDING CONNECTED TO NATURAL GAS LINE i FORM - U - LOT RELEASE FORM LNTSTRUCTIONS: This form is used to verify that allnecessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLIC7 �� 0 0 a 0 a a 0 0 0 00 PHONE w�0�80 �—&6D'CS 50 ASSESSORS MAP NUMBER ',3f LOT NUMBER 066�— SUBDIVISION LOT NUMBER STREET— _ STREET NUMBER ...... ..................................................... ....08000.... OFFICIAL USE ONLY ................................................ ............. ...8........ RECONM ENDATIONS OF TOWN AGENTS own 017-0 .�. ............. 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BOX 583 COMPANY C NORTH ANDOVER MA 01845— COMPANY (978) 683-3605 D COVERAGES . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) A.GENERAL LIABILITY GENERAL AGGREGATE $1, 000, 000_ X COMMERCIAL GENERAL LIABILITY SCP 3 6 5 6 0 4 2 4 07/06/00 07/06/01 PRODUCTS-COMP/OP AGG.$1, 000, 000 —1 CLAIMS MADE I X'OCCUR PERSONAL&ADV INJURY $ 500, 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S 500, 000 i FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ -- — AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ 1 ANY AUTO ALL OWNED AUTOS BODILY INJURY $ 1 SCHEDULED AUTOS (Per person) j HIRED AUTOS L. 1 BODILY INJURY $ NON-OWNED AUTOS (Per acc denQ . 1 -I PROPERTY DAMAGE $ GARAGE LIABILITY 1 AUTO ONLY_EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: I - -__-_EACH ACCIDENT $ ----- AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM / / / / AGGREGATE S OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION ANDX WC STATU- OTH- EMPLOYERS'LIABILITY TORY LIMIT - ER.. ._...---------..__...._._...-. TO BE ISSUED 09/06/00 07/06/01 EL EACH ACCIDENT $100, 000 THE PROPRIETOR/ X INCL EL DISEASE-POLICY LIMIT $5 O 0, o O O PARTNERS/EXECUTIVE OFFICERS ARE: EXCL'• EL DISEASE•EA EMPLOYEE $100, 000 1 OTHER i DESCRIPTION OF OPERATIONS(LOCATIONSNEHICLESWECIAL ITEMS INSURANCE VERIFICATION C Etl IICA7 E HGLbEFI HCl=fi 3t'f SON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1_Q_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, TOWN OF NORTH ANDOVER BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ATTN: BLDG. DEPT. OF ANY KIND UPON THE MPAN ITS AGENTS OR REPRESENTATIVES. NORTH ANDOVER MA 01845 AUTHORIZED��7'EINTATrvE 0.1110 00APORa11VON 1;9A9: t SEP 22 '00 07:37 FR NATIONAL LUMBER SAL 978 744 7076 TO 19786832913 P.02/05 4 XkE.1:11—k, (:C--NFLIAHCE RUOP.1- Enr-rgy Pb\-SchL-k- Software Verlicn 2.01 i,iorth Andover [TT: t,-Q1q=K1CTICX,1 TN,i,F:: 1 of 2 Family. DetAr.htD,j HEATHA: L-,YSTEM TITS: cmh,'r (Nuri-Eiectric Rea]. tdncc) !)ATF ,.: . , _:pini DA.721 OF FLAMIII. I1QrCR11ATICN- ,7-ALEM L-.,,TPT:'ET NEW.-Ni ,j7)1D\rER COMPAN", Area nr cavi.tv Cont. Gldsirlg..,Docr Perimeter R-Valua R-Vzlluc U-Value UA ----------------- - ------------------------------ ----------------------------- C-EILINC2, -10 WALLE". ..:,n-cw! rr;jrp,a i", Doors 0.310 1D9 qitiduws or Door.- 11 0 :3_�a 4 0.260 �1 OvFtr Ulv:ondit.ioned Space M2 1.').0 010 54 HVs".[` 35.0 AFLTE :i'MF•l.iANCE, STATEMEFIT: 7'he tfl.lilrdifig daoicrr described here is __uai Cant with the- hijj.j,jjjjj jjj.Bjj�. &pecificEltiol, t j s. ind othF-.r c"..q I(n!1, uuLmitLwrs with the permit application. The proposed buildin,j has hc�F!ri Ule requirements of the Effi4L-gy Code. 1,:19,9 fur dii.-; building, and the C001in'D 10A(] if 5ppfUp1.iLjt.f:3 uxing the applicAble'. nC!!:;iq:i Cr.,ric'itions Lound in thy- Thi,, HVAC equipment selected to hpat or rxicil Ov,, building 3I'eLlLer than 125% of tha dctrign 10-ad a-, specified in 71))CHr 11 :,.nd 1.1,4, 7'-,j 1 i d e:. Des i 1 -r .qnc SEP 22 '00 07:37 FR NATIONAL LUMBER SAL 978 744 7076 TO 19786832913 P.03/05 Wk.4,211=r'k TN.`TZCT10ll CHECK1.1s-1- Ma 1)U L L:; Energy c7od;L. Software Version :t.oi, DATE: 9-22-2000 7!eLt Use CEILING`.,: r I WULS: Wood rramL4. 16 o.c., R-i:i I WINLYIYS A140 CKA.SS DCxDR.S: I I- U Cf.3-1 Fur windows withou'r. U-1itiues, describe # Paries—_. Fr,lmc., Tyj'ji_'1_ Thermal No Comments.'Location L 1 I2 U-vaiue: 0. For window j:; wi 011.-ril, iijbeled U-values, desC17ibC, # Tt.ame Type__... Thermil I Yes No Comm-an ts,'Locat 3 UVnlus: 0.28 For windows withr,)I.it 1yb0lvd U-values. describe Vanes; FrArh-', Ty1_',,, Thermal Break? N--, Commen t.s o(,,a t j.o ry C'voc Unuonijitiunerj Space, P-19 Ci--i!vnert Ls,,L:)c at_ion liVAC ]EQUIPMENT: 1. Boiler, 85.0 AFOR higher Make and AIR LEAKAGE: JuiiiLz. penetrations, and All other such openings in the building envelope that are sources of Air loakago mutt bu ocellud. WhF3n installed in the building envc!lopc. rGi:N4&sed iighting fixture�r shall meet one of the following rcquii-viauiaa; I 1 . 'Tltper. '1(.: rxite.Cl, jklallufaCtLff'Od WiLh no penetrations between th, lnzidOL L1r_> recessed tixture and ceiling cavity and waled err gaeketed tc preivi:-nt .9'ir into tI I& unconditioned space. e. Type IC rated. in accordance with standard ASTM E 283, with no more than 2.0 cfm (0.944 L/�7) aix mow),nerif, from Lh8 Lhe conditioned 3pacc to 171•F., :;.1vif.y. The lighting fixture shall h:nre h,-.-:�n Tr,ntc-ij xt, 79 ?A cu, 1.57 IbE,,it2 pressure difference and shall be. r.-!A url th_: W;Jrm_in-wintsr side of all non-vented framed walls. and floors. SEP 22 '00 0?:37 FR NATIONAL LUMBER SAL 978 ?44 7076 TO 19786832913 P.04/05 Miterf!RJ!" ajid aqui..-,menr mu!7tt identified �tj thaL cumpliancR k7Ati be detrlmv'd- Manufacturn-r 108NUOIS for all iM-t,a110d heatinq I -1d cooling -qujf)mori1, and service WAI:(!r.' busting equipment.pment rnuaL be prov i CIDd. In.-ulation r'.-values, 91ozin3 U-values, rimi lu_,oing :,�fli,-iencv must b-.- marked on the ng pians I or speci fjcjLjonc. DLICtZ shall. h,r ,:i:.:1jiited per Tab!.- J4.4.7. DUCT CONSTRUL:VlIra: All jrint.,7, and connez,.r.irn;7. Of. .3LIVilly and return flU,CtWOrk Out;_.zid�e cor. �-!P ditionpd -Ree, including Stud tj.;Vs 01' Joist used to transport aj.r, shall be sealed LFinq MAF7tJ,-: rjfj fibrous backing ripe. illiStalled accordinq to the: illStai.latinn j1113tructiorle, mesh tater, MAV bc! t wh-:re 9,nTIS are I l,'6 inch. Duct tir.,A i.,, not. I T;-7r")j'r tGd. The HVAC system miint Provide zi means for hfll.anring witer svStem.:;, required fk)r HVAC system. A maniiiii ii y..ILvmatic means to Pnrriij1,,.- rc,,nri-_,t (.,,. --tiuL off the heating ?,00lillg input to each ;.one or floor- shall be provided. I HVAC Eguirmar FA t�d N)t1l I lt Ce-pjci ty u1 the heati I i n.1 I not greater than 125% ul the design load as specif.Lr:d in ar.cLlorjs 760CMP, 1}110 and 14,a, Ali heated swinrr-.inrj iriu!,I; Livo an on.,oft heater Switch and zequirFi . 1:,v,,�7r oveL- 20',: of the heating energy j.- frrjrjj non-deplr�tande F;oijrcu3, Poul pumps require a time 171rit-k. I1 AC FIFING INSULATION: I HVAC pipin9 fluid. above 120 F or chilled fluiA^ below SS t' MUt bl' Orxrjl:jl,ed to the followinq levels (in. ): HIFF. ST,7LIF5 tin HEA71NG, SYSTEMS: MG, (F) 8111,1 113 0-1" I.25-2 2 51" Li-,-,y )01_2G0 I .n 3. 5 1.5 2.0 Lc-,,y temperature 120..:M0 0.5 1,0 1.0 1.5 ztezjm condens;=.ri= .-,))).r _.0 COOLINC Sr,,Y:�'MMS': C:hj)Jed water' or 40-55 0.5 below 40 1.0 1.5 1.5 CIRCULATINC 1-40T kq.0,PK Insulate circ,11,1-iing h0t water Pip�7s to the following 19veis (in. PIPE SIZES i1ri "1011 CIFO—MATING I CIRCULATING MAINS & RUNOLIT.,-, !fj-,.ATED WATER TE?T (F) RUMCUrS 0-1 I o-i . !,,-, I -5 ?.0" 2.0+1. u.5 1.0 1.S 2.0 0.F, L) 1.0 1.5 Q-5 I 0 0.5 1 fi3ijj j.1J.uiy DLA7arLmL4aL TJLze Oniv)------------------------- A 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. Permit Applicant Property address Map/Parcel 9?d(0 8&-,36 aS 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 building permit for the enlargement,restoration or reconstruction of a dwelling in existence as of the e`l'ective 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 mei 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 ten 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 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 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 WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR NOT IS P UNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. C; SIGNATURE DATE S FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION Y'A'1 d�#!, Yn l,f,��„17 r(.�'i'ti t f 1+ r} l"lYt r,b�:•Mt tri' ,: -ed i t {1 +�t 1.,' I 4�' ' :� (+ t t lrJr r� r f^ t t . a 11� ty�?{4 4 �l l rt , t, rt( I r ��ti i {NI:v I0vL t r,�t l li r S .�I t j t + r L rkl if •,;,: R , y ! }, ✓„SY f ?f gat'fir ti,. +)#{ ,Z I Y., �71-y .t b !J, V r,N. t �r 4 _''"7"$•�Ir'r1t , r :r r rr, l„t r 1 ,rr i ce. ! y til, w tinct' J ' I x a* 4 g. f - , s , pt t r 7+ .} r 1' 7.• , u ..r f's aJ F�ti R)?,:,y 1„t'. •''•t:.l Jf rt.. 1°- :�/7a f�,x tt�!> :` l�:y i4 ..,y,.�r + z.#V"y.�Y r {.^.,. tr J�`d C,selak !"tt ti rl) I., f y J., �.. "iy. 2) t,+,'..2 sC"'t.. b l;,! 7.1.tl r tib �'lj.kk,4. 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'✓!!LROOCLC/utaG'K4: ik3 r[ir''1 ri-,t 'rtt� J11'�r�':�}J,til . e xt A\f�,s i�l ti. v nY 5 3 P,e,_ 'QQ,, ) 1\�'lr. :•• Y aa�� rf}'`4 ri 7 < l.,o yY.r�9!1.,r ,v,�'[ i w k I �',, BOARD O iB,UILDING REGULATIONS u �� 14e- xfr. y 7'U rr rt1f a t�,s'tAl�l\�'Z?fir ,l�/ H'ifi k' �' a, 5 "''}'J,dM'k�i,r1A i a1{,15,,.tri tfJ 7J.d�iR i1.fiLn- ( , xt t j y 1t F r }ns,F:Y}V y`lh'pk'3tr%r rov 9r• .`' s :.,..�.,,. v f •r"�I f t. r f i4ti J \ 7 t r�e'�S` h r /� ' F : r F I#"r'15{'r,#i' kw j4 g ,-License ,CONSTRUCTION SUPERVISOR ` `� v Ij,.it"y I',tt'" ,'t ,`,"-��,<I' �,� r�`t:i1 ' ?r -r ' 4` tri.:,,y.,�,5"�`v't?.''-`.* ,`I}{te� "rr ^'F' ' t7 .iiI'�tlrtia,��' to rpt y�fi �k V'S' Y tt. i'..r ` . +yt ;A 4ky,_'i.L,. ty,S r{,4'�:1',n�,�,i• I';''��'S S A'�t, ,,.,: w•. t�. 44 h„rt � n b zj+ J< it 4 e\ f t 1 \ a:.(i'',Nny �,q;�r hwi y,a,. t1 rf• f. ,�� 6inb@r: Cil'- 073482 - i,; t I#t,i �!y it f'rfr;tlft t y r }T4�t1 rr.:,k.,1ft�{F { t'} L JWfIJ L+i,P.10�;, ,� ;L✓xs t t Y�s,e4. - S;' t�l.�. 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'�4[y Y xAORTly Town of over No. Z3 2w _- o i __ O _ _ Y o dover, Mass.' T L COC MICC ME wiCK � ADRATE D P �C5 S H � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ��40.60A0 R BUILDING INSPECTOR THIS CERTIFIES THAT... ................................. ...... ... �/ ........ ........................................ .. . Foundation has permission to ect............../.................... buildings on ...Y.19.. ....... ' .....,.�i ,,,.,,.,,,. Rough t0 be OCCUpled aS... 0 .'.. .'� ...R4 . S�.. .. '.�...� .. ..Tk"'.Chimney 1.* provided that the person accepting this permit shall in every respect conform to the terms of the application o ile in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspeacloit , Alteration and Construction of Buildings in the Town of North Andover. m as P PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST S ELECTRICAL INSPECTOR � Rough ... . .. ..... ...................................... Service . ..................... ....... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner .r Street No. SEE REVERSE SIDE smoke Det. ORT►y Town o 1, 6ndover . No. LAKE o , ndover, Mass., COCKICMEWICK ADRATED P'Pa,`-`� 7SSACHUS'C' FOR EXCAVATION AND FOUNDATION he �*v sv*j X.�440 �THIS CERTIFIES THATa/ ......... has permission to excavate and . 9Q for the purpose of.... muf .. �S ....��. rzl . .. .. ... 130�'Qlpbft...U.W. .1!...&�1 . !!!............ The person accepting this permit must return to the office of the Building Inspector a certified lot plan show P of building thereon before Foundation will be inspected. o, k" 4? a 00 A IV/ � — 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. e464 ' ....................................................................... BUILDING INSPECTOR Date. . N° 4888 ti° TOWN OF NORTH ANDOVER F � PERMIT FOR PLUMBING ,SSACMUS� This certifies that ,./1'. :�!r%L�. . . . . . . . � . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . .�.`.'-� . h�-�. . . . . . at . . . . . . . . . .n. . . . , Norah Andover, Mass. Fee'11 . Lic. No..� .77. . . . . . . . . �PLUMBIN,Ch�� ECTOR Check # �Z �'" WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Building Location ¢Q2- Sa eh1 of Owners Name�Iul kru / Date 0'7— /0" f C /d�d Permit# Amount t d, n do V�e r 'W d. Type of Occupancy R e s td en� •a- l� ` I New Renovation Replacement Plans Submitted Yes No _ LJ FIXTURES r w ' 3 . b STBH4Y� J fi�41VII�II' ]S1C FIl)CIt. . �3 FLOCit 3M FZOCIR 4IH HEM 5M 110CIR 6MROM 7M)MACK 9MH-" (Print or type) ,I/ heck one: Certificate Installing Company Name Y� h L t C y rp Corp: /WG' Address f2)G x 7 �Ld El partner. morib An over, MO Business Telephone E] Fiim/Co. +eInsName of.Licensed Plumber. (Z 0 6 6 r-} 13. Q 1 a h c.rl e++e— Insurance urance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond D 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 y - i i l Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit IssueAfor this application will be in compliance with all pertinent provisions of the Massach etts S to Plumbing Coded Chapter 42 General Laws,01 ) _ �. By: Signature of Eicens um er Title Type of Plumbing License City/ License um er Master Journeyman APPROVED(OFFICE USE ONLY j I ; j i �7 3 3 / Date.. . . ,. ....,-�rJ.. . NORTH TOWN OF NORTH ANDOVER 3? p � PERMIT FOR GAS INSTALLATION � F 9 ♦ • �,SSACMUSEI n This certifies that has permission for gas installation . . . ... . . . . . . . . . . . . . . . . . . . . . in the buildings of . ' '. `::: . . . •�..=r . . . . . . . . . . . . . . . . . . . at .%Y. .�-.. . . . . . . . . . . . . .. North Andover, Mass. Fee. ' % . . . . . Lic. No. :� . .. . . . . :� .-;.�./ . . . . . . . GAS INFECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MAP PARCEL � d MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GASG (Type or print) Date // NORTH ANDOVER,MASSACHUSETTS Building Locations Permit# Amount$ Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ I �a w o a x x o d F a z cc v, c� w d x � o x > d Gw a w w H U H z a x w > w w �, w H ca z o z o w x o x w 3 a ° °a > a °a H o SUB-BASEM ENT B A S E M ENT /r 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR I (Print or type) �f k one: Certificate Installing Company Name �Z Corp Address - - M y Z"ki4 , ❑ Partner. Business Telephone �o y fl 93 k3 Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Checff I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liabilit) insurance policy )Z3 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and hapter 142 ofAffeerpral Laws. By: Signature of Li ns Plumber Or Gas Fitter Title Plumber 130-14�, City/Town ❑ Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) ❑ Journeyman No 2 1 0 1 Date......//..../3...0 (/ a r f NORTH 1 3?;•`;�``�-+ "�O� TOWN OF NORTH ANDOVER F p PERMIT FOR WIRING SA MUS This certifies that ........'41 Ma q,7-/ ..................................................................................... has permission to perform �v�. �!vn� ................ ..... .. ......... ................................... wiring in the building of.... .; ..pit.5....... f�. ............................. at...... s�?I Sl . ...... . ... .. North Ando v�pr< ndover< 4ss. Fee..:..q-�. ff () Lic.No. � ......� f./.:......................`' . .... ......... . « . ....... u J LECTRICAL INSPECTOR C �� ✓✓✓ WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Office Use only -� n EC0MMONWE4LTHOFAf4&"(HUS'E17S D DEPARMOVTOFPUBLICSAFM Permit No. BOARD OFMEPREVF.MONREGM4770A SS27C2 M 12.00 Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERFORM ELEC MCAL 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) Dat 1 1 a 0 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) Al q 2 Sck leu,, S , Owner or Tenant C, y A uS Ga r \ I�I�I�rr.r�rrr�r rlrrrr�rrrrrrrrll Owner's Address Qo x S- J'Y 1,J6 . 4,,L46 µK j &.%,t.#4 � OCdy-f— Is this permit in conjunction with a building permit: Yes[B'No (Check Appropriate Box) Purpose of Building 1\.'QS ici[e ('k 'ZCAI-e Utility Authorization No. �o 9 9 Existing Service Amps !Volts Overhead M Underground ID No.of Meters New Service 2_ O d Amps/ Volts Overhead // 'Underground M No.of Meters Number of Feeders and Ampacity 2 ze o A ou oo J, y/d +41- m Location and Nature of Proposed Electrical Work G o+ c- JVo• A,,tdo w(it No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA #` ground 1:1ound 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.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Si Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• hlararoeCO�PIGSll3fAl1t1Ei8CtiffiHTIHtiS��iO]H�lII3W5 Iha%eaama Ljandyhmr&=PclicymdxkTCanpi* COArWtritsWOSWni� MpVaia# YES NO Iha,,eWmuwdvaWptodofsBretDtheOffioeYES ® If}puha%ed�edmdYES,pfmmdic*thetWofe�a�agebydxdcrgthe INSURANCE F-1BOND O OTHER F1 (PaseSpa*) A oma. d ou.,--Q- 1 •C y Earn D� / 0 O Esmt&dVahtedE1a:hic2lWak$ Wait to Start /A/90 D Rec,.d Rout Fatal Sigted uaxiaTie P4mhA of*utt . FIRM NAME Q!G a �k lam. /1/t co?Z I' Uoffwe . Li�ts� !S T' � Signa�ue .,�.�;.""��aa:::: LioawlNb > ,SAAAmwL- BusimTdNh Cc,P,5-- ,/,�lu.�t i •4u-e /6 2.8 Ste- :I'-f • /itJU . •►4c.1Q/u.c r;,� AiTel.Na .. OWNER'SWSURANCEWAIVER,I a%=1hAfcLJca=dm nQt IlemrdriceamtraWorilss la4wAatasm4medbyNbssadisalsGavial iaws and 11vtmys sernihispamitappkalmWmesthistewitarfa>t. (Please check one) Owner Agent ED Telephone No. PERMIT FEE$ ��✓ �f/ Date/. . . . . . . . . . . N2 4622 o' "..°RT:'�o TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING i • �Ss�cNusf� (! This certifies that . . . . . . �J• . . . . • • • . . . . . . . . . . . . . . . • has permission to perform .. '!.-, . . . . . . . . . . . . • • • • • • plumbing in the buildings of . !"'Q'. '. �• • • • • • • • • • .�� at .��.� . . . . . . . . . . . . . . . . . . . . . . . . . . Nort Andover, Mass. PLUMBING INSPECTOR Check # fl j WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date .6 41 Building Location / oZ Owners NameC - Pe ti ount Type of Occupancy New Renovation Replacement . Plans Su fitted Yes No FIXTUR r U cca d a a W a W a w a w d � k� 1:64cn zE' kq SOMgVII: II�icIIVII�IT ISE)HIDM 2M HDW 2. . 3 2- / -IM ROM 4IH 110M SIH H OCR 6'Ifi FIDCR 7IH FLCM SIH Rbm (Print or type) _ Check one: Certificate . Installing Company Name �� F� Corp. Addr ss 7, -7 �� 0 3 Partner. Busirips Telephone a 3 Finn/Co. Name of.Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0 Other type of indemnity n 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 H Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issu r thy' application will be in compliance with all pertinent provisions of the Massachusetts State Plumb' ode and r 14 e General Laws. By: Signa-=31 icens Type of Plumb' g License Title /J? b G 4 City/Town icense TNumoer Master Journeyman APPROVED(OFFICE USE ONLY � r /S �- �� a `� � �� . � � e r �1 _ 2193 No 2193 .....(0... ..��....... N°RTM '�`"..��:"°°� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,sgACHUSE� This certifies that ... ....... .a.`.!.Z:.s.........\-:::.i.tL. .R.S.. ............. has permission to perform .....� .......lJ.U.ice. -............................ wiring in the building of....C. ! . :..5.... ! . .:........................................ 'at.......1 . .... ;.CA..�C M..� ...................... ,North AndoverrMass. Lic.No. �J/�f.J ........ / ..... �( ELECTRICAL INSPECTOR C 03�r WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THEGOM110AN 40HOFMA&V CHUSE77S Office Use only DFPARTMWOFPUBLICSAFM Permit No. BOARD OFMEPREVEW0NREGM4TI0A SV70M 12-M UVA Occupancy&Fees Checked PPLICATIONFOR PERNQT 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) Dat 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) Y-9 Z S Q-QA L.,0 f- /3 Owner or Tenant C L j S Co,--,7,1c, no . Owner's Address •Po 6o x � `' '4f d w� Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building 7�e L,4.4 ,_('P-,u co Utility Authorization No. Existing Service Amps� Volts Overhead Q Underground No.of Meters New Service --loo — Amps I b Lel Volts Overhead [22--Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work N#.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground 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.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No,ipfDryers Heating Devices KW LocalMunicipal Other Connections No.of Water Heaters KW No.of No.of _ Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER hmrd=Co RxsuatitmthettmaTvnlsdMws;iduemCwalLaws lhawaax=tLiabt*hrtra=Pcbye Cary w Cww,Wcris�t ale4dVAft YES �� NO IharestJbm0dvalidpto0f0fsatnetotheO�oe YES r=1-90- Ifjcut �edvdwdYES,piemmdc*theNxofwvaa@!bychadatgthe II 10EE r>D F77k 0 Lonim 0 (Plafsespecify) 3 to 0 0 Estirn*dVakredMecftralWak S WakmSlat 3 - 00 .� iq)eAmD*ReWe0d Rao Fetal Silted tnJaTX Padtres p * FIRMNAME 4 f. c •+ LicamNo. j J-,3 Li /J-,7J-0 Sigma �,� _, �- LiXW1%o /a} -F << 04 BusinmTdNa 3 `," 7 Artriesr /l a f� � J AiTel.No, OWNER'SMJRANCEWAIVER IamawatethattheLioagecioe theirstra mc"a et sikwrtWe*uwlatastagtmWbyNiamadmmGaraalLaws and fltat rrry sagt�btaern the pamr6 applta6'ai wanes tins IaguQarlalt. (Please check one) Owner M Agent Telephone No. PERMIT FEE$ J No 2194 Date...... .... 1. 0.... .. NOR7M °�<�``°;• '"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING c►+uSE�h This certifies that MG�i Z, �% r C !r �-- has permission to perform ..... ...................... wiring in the building of C rat........`Y29...... !.. 4....(S.........r..._..... /North Andoye 1 Fee. U . ,Mass. !. � R�ICALINSPECTOR ... C �( WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THE00Affi10NWE4LTH0FMASS4CHUSE77s Office Use only DEPARTMWOFPUBLICSAFM Permit No. BOARDOFMEPREVEMONREGUL4TIO ND709120/!10 ' Occupancy&Fees Checked APPUCATTON FOR PERMMT TO PEUORM ELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date- Town at 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) �/9 Sc\ /� � S f-�� + �. O f1 Owner or Tenant C y P U J C O Owner's Address 60o &o/jr S�d"� �G. '�..:�.a u- S �A��,_� Is this permit in conjunction with a building permit: Yes[E]--N'o (Check Appropriate Box) Purpose of Building , ' ',t Utility Authorization No. YS-7 Existing Service — Amps� YOU? Overhead Underground No.of Meters New Service 2 G Amps/d 0/4:y,,Volts Overhead Underground No.of Meters +_ Number of Feeders and Ampacity ? Ylo A L/ Location and Nature of Proposed Electrical—Work � �"`-�-� Gc�-+ -R-�-�•• No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.114 Lighting Fixtures Swimming Pool Above Below Generators KVA groundground 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 Cord. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local a Municipala Other r Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER h�strdrtoeCo�e.PusuaYtotheleglmartatsGalaalLaws IhaveaamatLiabtkyhstmxePbticyinckxkigCar> C wragecritsstiEumaleWhdcrt YES rL=__jr NO E] Ihme%hnftdvalidprodbf:sa<nebthe0ffi=YES IfyouhmectyiWYES,pkmidraiethetypeofooaaagebyd=ki tgthe INSURANCE BOND r7 OTHER M (P mSpx y) At. �[,(c�-�JZ �N J• a EVaadanDoe 3 l o /06 ESlirt*dvakxdElmhxal Wdk$ Work oStat _.' Inspec"Dale R Awed Ra* F'rtal Sgned t><tder�ie Pt3ralbes ofpa*. FIRMNAME /� t 6 �� l�, yi Z LinaseNa Lica= /,s—:? Sig. G Z-J- .S` -Jr f Btsiteas Td.Na 6ct3-`rz L. AItTdNa OWNER'S PgR ANCEWAIVER;Iamawatethatthel-mm theirstraneoo►ei�eores dalecg>ivdlaitasrotltmedbyM�adnset�C�ateralLaws and gu my sigr�at this pamit appftcmm waives this«s*msnatt. (Please check one) Owner M Agent a Telephone No. PERMIT FEE$ lf�-° 1 966 Date......l v /.. f NORTH ° <"`°:e TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ��SSACMUS�� This certifies that ... ..]....1).:.:.Ki 9x?:1.................................................. has permission to perform ... . �.. r ....S �2 ±.................................... wiring in the building of.... ./116.tz,.�? .,:.��. .�.L"................................ . ..... at 47 �.U.......... A S /� ..j` a. ,North Andover;Mass. 12 Fee s ()C). Lic.Nol ..%5.��....... �f:F...`. ......`.......... . ... .... ELECTRICAL INSPECTOR kloc (0;� ,,Z WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Ali - THE CO3VY10NHE4LTH0F)N4SSAG1USE 7S Office Use only OFP=CSA= Permit No. BOARD OFFB?EPREVEMOIVREGM770NS527CNR 1?-00 Occupancy&Fees Checked AP PLICAyYoNFORPFIcAIRT TOPFRFO"E,LE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE 4'bed HUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORIVIATIFO Date z 9 Town of North Andover ? � � To the Inspector of Wires: The undersigned applies for a permit tTPOMPbelow. IAP v' PARCEL Location(Street&Number) Yr 2 ------ 'a/e u t s -/ . Owner or Tenant r--\<fie, ( 7)-e-i e,- L; a _-__---- -- -- Owner's Address 2 _- Is this permit in conjunction with a building permit: - - Yes[�No F7 (Check Appropriate Box) Purpose of Building w fill Utility Authorize ' No.�O�^�6 Existing Service (�P�-l� Amps /Zo/ L�fl Volts Overhead ��nderground No. of Meters New Service -/oo Amps/2a /L-y0 Volts Overhead Underground No.of Meters Number of Feeders and Ampacity ZU o_ A uao,S Location and Nature of Proposed Electrical Work ZR-- ." ,.v St r v r C o� 0-pt- No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fix== Swin ming Pool Above: Below Generators KVA -' and and No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burncrs No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones ill Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Diahwashen Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local a Municipal. Other_ Conncctions No.pf Water Heaters KW No.of No.of Signs Bailasis No.Hydro iVlassage Tubs No.of Motors Total HP —r. OTHER' In�iaarrceCo�a�Asan tr�d�eregm:�a�sofMas lasettsC�t�eralIaws YES ©NO Iha�eaa�I�krlilyInAaaireJ�icYirrh�C.o�e Co�a-�eorilsst> �le Ilene vdhdptedofsametodrOfca YES uNO Yf culmedar YES,plea mlcateare peofomaa bydre gdr appuINSURalebm AI E [:D<� F7 anjR F-1 pease-qp,,fY) 2. A-i . /(. .d,, 6 0..t 44-C-Q- -S �"aticxri� Fs1ini&dValxdE1ectkal Wc&$ waktoslat /�S 14 DaieRo4xstd Raigh Final FffZNTNANE a e-4 � !til ce a Z. o' Licer�eNo Liar see .S sa-ca Si�ahQe r!� I '� a� Li awls o 23 Ad /,•...14 , A v 2 . so-1 -•-� 13t�sTeLNo. Aihr !a LF S4-P�., S't� `La fEuoO��t� a4 A]tTe1Na OWNERSINSURANCEWAivEp,IamawatediatttrLumseiloesnotlxAwd-elan ance crrtsa±sbrAkdecfziva]entasre�m�dtylvt<>ss�Yn�C raiI-aws andtlratmysi�ahuecnthisFanntaiwai�s dnst�.m�r�s�. (Please check one) Owner Agent 3S d Telephone No. PERMIT FEE$ ILtlacure ot owner or ,(Ycnt Location No. Date -ate C70 TOWN OF NORTH ANDOVER s Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ �� G s+CHuse 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # ,x3592f�� Building Inspector PERMIT NO. cj APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, IYIA MAPNO.,t, LOTNOL--D j 2. RECORD OFOWNERS/IIII-P DATE BOOK PAGE ZONE SUR DIY. LOT NO. �� 1�AJ �/)��Q LOCATION T L� Ot/ p r Z-0 �� PURPOSE OF BUILDING /' �O L v 4 OWNER'SNANIE Qftorr NO.OF STORIES . SIZE R: T OWNER'S ADDRESS .dam Aox SES /r /mWp oor BASEMENT OR SLAB ARCHITECT'S NAME /'� SIZE OF FLOOR TINIBER5' 1ST 2ND 311 1) BUILDER'S NAME ,..,r G�f ,� SPAN DISTANCE TO NEAREST BUILDING" 111A DIMENSIONS OF SILLS DISTANCE FROM STREET 3-5 A e7 -4 s DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES REAR DIAIENSIONS-0F GIRDERS AREA OF LOT FRONTAGE IIEIGIITOF FOUNDATION THICKNESS IS 13UILD ING NEW SIZE OF FOOTING IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND Ye f WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTS TO TOUT!WATER HOARD OF APPEALS ACTION, IF ANY V 4 IS BUILDING CONNECTED TO TOWN SEWER 0 I• IS BUILDING CONNECTED TO NATURAL GAS LINE �y.t/o INSTUCTIONS 3. PROPERTY INFORALI"CION LAND COST EST.BLDG.COST PAGE Z FILLOUTSECrIONS 1-3 EST.BLDG.COSTPERSQ. FT. EST. BLDG. COST PER ROOM ELErTRIC METERS MUST DE ON OUTSIDE OF BUILDING SEPTIC PERAIITNO. ATTACl1ED GARAGES MUSTCONFORNI TO STAI-_ FIRE REGULATIONS 4. APPROVED Ill': ZY 61C PLANS MUST BE FILED AND APPROVED Bl'BUILDING INSPECTOR BUILDING INSPECTOR ll.1'rE FILED' �O O\4TIERSTELH / CONTR.TELII 1 CsA wx- SIGNATURE OF OWNER CON7R.LICH OR AUTHORIZED AGEN s/�� FEE $ �v lL1.C.1� / PERNfCGRAM F.D Revised 5/5/99 J51 --- FORM U - LOT RELEASE FORM INS T RUCTIONS: 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. FILLS OUT THIS SFC T APPLICANT /,e� DKV Fr4rM 430 ) � PHONE (o() LOCATION: Assessors Map Number PARCEL SUBDIVISION LOT (S) STREET 102 cSA IPm (1�PtL�/ L �� ST.NUMBER * * � �'r* � "OFFICIAL USE R OMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED /1/,/_1_E000 //- DATE REJECTED COMMENTS—, �> DOO��S�-�G• �i � _)' TOW N. E DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUELIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED EY EUILDiNG iNSPECTOR DATE Revised 9197 im Town ®f North Andover4 NORTH OFFICE OF 3�°�'" °•�a COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street '�1 North Andover, Massachusetts 01845 �9 '4,ro•°"�q9 WILLIAM J. SCOTT SSAcmUse Director DEMOLITION OF BUILDING AFFIDAVIT (978)688-9531 - Fax (978)688-9542 DATE OWNER'S NAME &ADDRESS Fe fRfd 1 1 Lnc3 f0i po S - F 1 �o_ Vb r� f�lyo�d 11�� LOCATION OF PROPERTY TO DEMOLISH ' ` 1a Jai lPm IPI-e pg�f;piJ - DESCRIPTION ^ 0AWY AJ0 c4z A& hewerLelectr 'C CONTRACTOR'S NAME &ADDRESS Cy�u�' (',al'I/cP��U ct�� l ��►� P 01 f �.3 , Mr�4 Avoloveg ZY23 0 DEPARTMENT SIGN-OFF u� DEPT. OF PUBLIC WORKS WATER: SEWS : 1 � GAS /VQAII� ELECTRIC XI0/V t TELEPHONE NoN(t CABLE AI01V f TAXES POLICE IUM EXTERMINATOR DUMPSTER — ON/OFF STREET DIG SAFE NUMBER Z/ 1 S S b Dj':;' .S 0 DATE REC'D BLDG. INSPECTOR BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 683-9530 HEALTH 688-9540 PLANNING 688-9535 PEST END, INC . 15 PELHAM STREET METHUEN, MA 01844 RODENT. CONTROL REPORT BUILDING NAME : LOCATIONS TREATED: TREATED WITH _ CHECK ONE OR MORE TALON-G MINI PELLETS EPA # 10182-38 BRODIFACOUM CAUTION --,/- CONTRAC BLOK EPA # 12455-34 BRODIFACOUM CAUTION ROZOL TRACKING POWDER EPA # 7173- 113 INDANDIONE (YARNING ( INDOOR USE ONLY ) GLUEBOARDS OTHER TREATMENT AREA: �� BURROWS DUMPSTERS . PLANTERS " OTHERS AREA CLEAN VES N ACTIVITY SEEN VES RODENT TYPE RAT OR ICE OTHER COMMENTS TECHNICIAN NAME : L DATE : / - r „^ orhtsx. it i Y k fc v: .: :r :v:{•}f,.i.,:: ;:•,:tiro'}:;:;:•$${:; t.., ... M iii$iS:irii 7 •�� t.,-xr-..• ., # > M ..•: v:5.: ru:w a n9id �x 7ss:•`,i.:..:s :s K;..r. '' uTown of,North AMa i�dover`PlanningBoard' ra , z t �R �. t y, r t .rA ,f$ :�k i (' � t t ! tl!. •r fi r Y! .+i >' aThis',form represents the'schedule;for;allowing,the;following:lotsto'be considered as eligible for � `" F building permitsunder he:Town of NdittriAndoveriGrowth„Management by-law Section 8 7' of{ ;the Zoning;by law YPursuantegistry 5'this Development.Schedule must tieifiled inahe"R ;of r4" ” Deeds and be referenced on'the`deed ofieaci ofAhe:lots-below,and be filed with.fhe;Planning ' wYh . .... a• ..r. `a• "453{„°+ lk�Yf•. X „W Board pnor to the issuance 6f any building�permit or„permit for construction _ r - Mame and Address of A licant for.L'ots . � Name•of.Develo menta° Cyrus 'Constiuction a 492 Salem Form =A Lots ,a .{;Box 583 Y , "r An 01845 4 , ., Ma 'and Parcel of Original Lot. ' ”N Ma 38 , Parcel 2 ' ':4:Dec'emYier :4 1998 r S . ;Date~otA lication for Lots Division hT , .- r } �Lots?Covered bythis Schedule u°' �A, B, C, D ', L C ReN Yxx� h { !•q. :t ! 1� r^ftY41�'F 't ,i • '1Y'. Planning Board by their signature below-or�sa,signature,of a duly,authonzed;representative, a '{ { '.+t a 4,n4v ,n. +.aY •y do hereby establish for.the,above named'developmedthe.following Development Schedule for t o�,thd purpose'of"Sectidh 8:7�of the d- Wth�managemenVBy Law The applicant;their assignees; "successors`and or suhsequent propel owners shall'conform�to the following sch`edule,thil' at limits r` the'eh(]ibilit of,the'followin lot:► forbuildm x' ermits: ;This;'forrn must`be'filed n'thte;Re fist'` of= 9'p r 9 rya h " t " Y l g it " .xgi8sr x•sM., 'a 'F `: ass �' - ;. hv ;rDeeds by`the propertyowner,�or representative andlie�referenced oneachdeed;for 66040&-the' n � :. following;lots Such dee -,re ferenceffaha::*edoflotsh�allfat a minimum reference the` ktiook and'page in'`which'ttiis Development S�cheduleis filed'and`containthe language Th�saot w L. - t x "'St4f Ht r ': *•i =iv ,a. :! } is subject to,a Deve/opment�Schedule pursuant to the Town of,North Andover Zonmg:8y Law all . owners, representatives, and°f ufurepurchasers shouldavail_themselves of said restriction by.u: 'reviewingthe approved Developmenf Schedule ns.frled m•Bookiinsert-here and Page insen`•here -The fact that a'lot is'ehgible for a building peermit is subject>to the limitation,of the-number of s.. � , t f building perriits per year pursuant to section8.7 2.d of the Zoning 8y L'aw." 1 The;Planning Board hereby schedule t%e`lot(s)for the above development as follows:'. Year Eligible Number of Building OffrcekUse= Building�Office Use Y Lots Eligible Datilot$Eligibility . Notes .4-- , xv'>b 7 7 h Com}letel'$Utilized ]:999 '.F.. u rrG' c • �n Rm a ' t '.. i J .:' r:. t{t -n�.n !• « s.Wel `f' A °" !n, ' R < ,r Signature of Plan g Board..,member . r�u nzed Representative n. t ,e "Date ra r` Signatur of Property Owner or Authorized}Representative 'Date,, S # 1! aoo CRTIFIC'ATE 0 LIABILITY INSUR/�NCR PID JR ` DATE(MM/DD/YY).. ... .... . GYRUS-I 12/03/99 PRdDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION f ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C J McCarthy Ins Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 229 Andover Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. F Wilmington MA 01887 COMPANIES AFFORDING COVERAGE COMPANY PnoneNo. 978-657-5100 Fax No. 978-658-9185 A Maryland Insurance Group INSURED COMPANY B COMPANY Cyrus Construction Corp. C PO BOX 583 COMPANY No Andover MA 01845 D G:OVERAGES ......... ....: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY FFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 1000000 A X COMMERCIAL GENERAL LIABILITY SCP33893315 98 10/01/99 10/01/00 PRODUCTS-COMP/OPAGG $ 1000000 CLAIMS MADE a OCCUR PERSONAL&ADV INJURY $ 500000 OWNER'S&CONTRACTOR'SPROT EACH OCCURRENCE $ 500000 FIRE DAMAGE(Any one fire) $ 50000 MED EXP(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ........................................ ........................................ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WC STATU= 0TH•;> TORY LIMITS ER EMPLOYERS'LIABIGTY EL EACH ACCIDENT $ 100000 A THE PROPRIETOR/ INCL TC098575351 99 06/15/99 06/15/00 EL DISEASE-POLICY LIMIT $ 500000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER. I; CANC:ELLATICN EVCOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Evidence of Coverage BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD.25 S(1/95:) RATION 19 T $8,:; NORTH '9 C Town of 4 Andover O z o dower, Mass. a did O 't= Ln COCMIC FIEWICK 5 RATED BOARD OF HEALTH Food/Kitchen 1JE11 I TU Septic System BUILDING INSPECTOR THIS CERTIFIES THAT P0....Sr .... .. � $......Rt.................. ew .m O Foundation has permission to wMt. �..... buildings on ....'y.9'. ......IS....A...../�� ... ...... ............ Rough Chimney to be occupied as ...... o........ .. ........ y v .... ........................................................................................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS M ELECTRICAL INSPECTOR UNLESS CONSTRUCTI .S T C Rough .......... .................. ..... ........... ....... ................... ...................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. Location �f No. Date "GRT" TOWN OF NORTH ANDOVER 3? � • GL � F ; 9 Certificate of Occupancy $ �ssRCNUSE<� Building/Frame Permit Fee Foundation Permit Fee $ • Other Permit Fee $ TOTAL $ S� Check # 15 4 L 7 /'J Building Inspecto f I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING slim,olffiry BUILDING PERMIT NUMBER: / DATE ISSUED: SIGNATURE: Building Commissioner/IEECEtor of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: a N. �d V cr/ _ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed.Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard . Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.LC.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSIitP/AUTHORIZED AGENT 2.1 Owner of Record cha d ol .-v /fit 1i aro ylqsa/eol Name(P nt) Address for Service � Afl � 70p dsd-- 6060-1 Sign6tu a Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Si nature Telephone i � Y SECTION 4-WORKERS COMPENSATION(MG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ 'f Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify i Brief Description of Proposed Work: rec � Xlo I� fic� (rte �� /2©o wl +p(&::1, SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be Completed by t applicant ;! 1. Building / (a) Building Permit Fee 00 Multiplier 2 Electrical (b) Estimated Total Cost of oD 4; VQC �. 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, �� At QK)i Giro as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,i ,�nll matters relative to work au o this building permit application. �/ �Z 9�. Signature a e Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS ]ST 2ND 3PD SPAN DRVIENSIONS OF SILLS DRAENSIONS OF POSTS D11v1ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Ot NOR Town of North Andover Building Department 27 Charles Street _ North Andover, MA. 09845 D. Robert Nicetta Building Commissioner (978) 688=9545 978 688-9542 Fax HOMEOWNER !CENSE EXEMPTION Please print DATE r 0 3, JOB LOCATION -1 l a SQA lern Number Street Address Map/'jot "HOMEOWNER Y i d :_ 2 Na a Home Phone Work Phone PRESENT MAILING ADDRESS_ �Ct r City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be,considered a homeowner. The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-{aws, rules and regulations, The undersigned "homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she M1 comply with said procedures and requirements. HOMEOWNER'S SIGNATURE CZ O , APPROVAL OF BUILDING OFFICIAL 4, FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used.to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. f r �O mom a.an a.0 mamommammon APPLICANT , 0 /\ 4 l�'C (aro \�(PHONE` ASSESSORS MAP NUMBER (J LOT NUMBER SUBDIVISION LOT NUMBER STREET SCt.k4q' STREET NUMBER y .:........a ■.l.....E..l............E....... .0............................. 1 OFFTCUIL,USE NLY �..........a.....:R !! ■1.,....t'.l...1.JiSsi1...�l....t..ssl..l.............Sims.!■ RECO A O OF TOWN AGENTS 6080E:■ ■ an ■.. . Sao NONE DATE APPROVED C TION TOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED CONS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORDS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMIyiENTS RECEIVED BY BUILDING INSPECTOR DATE j PARCEL.,#2 MAP #37 } vu 1 1 /� - li EXISTING ,, 5' DWELLING Z r TP 82 3 - N ' 82- 0()o 1500 GALLON SEPTIC TANK. C - 20' sex-- .mss xc.ac ac msfs:ss 6 . DISTRIBUTION. B �€R�� _ BOX VENT PT 81 �== P B1 Z 107.74 N 19'21'W i NORTH Town of over 0 No. qe & A o dover, Mass. 'y` a COCHICHEWICK �70 RATED P' C5 1 H 4 BOARD OF HEALTH Food/Kitchen Septic System PERMIT . T D BUILDING INSPECTOR �m �/ fro THIS CERTIFIES THAT....... `.�....'..... ....... ... ..... ....................................................................... Foundation has permission to erect.....Al.** ............... buildings on ..... �� A �� .................... Rough .. ................ .......................................... t0 be OCCUpled aS...... r0 V �M#& EERY >� Neti Chimney '� r ................ ... .. ................................... .................................................I............ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. a8/da q*V62S, a- PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR C Rough ...........400000 ...... .. .............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.