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Date ........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ............. .......... a
. ...............................
has permission to perform ......... � /40 .0 491.,........(4 .491 . ........ (4Y-
/, .....
wiring in the building of ................. .....................................
at ..... 9 93 .... MrO.1441,r . ............. North Andover, Mass.
FeeY.� ... Lic. No... q.k 2 4 ............ ... ......
LEC"MICAL INSPECTOR
Check #
win►nunwCa►L►► vi ►-1c1-'0Z0ac,►►uwiL.11 --- - -- -
Department of Fire Services Permit No. % �.53
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leaveblank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: % - 4-0 ( d
City or Town of: NORTH ANDOVER To the Inspector of Wires:
By this application the undersigned gives notice of his orr intention to perform the electrical work described below.
Location (Street & Number) 4 q —I W 0ak&N-e_
Owner or Tenant J'2 Telephone No.
Owner's Address RCS
Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: & %-Z&AOU4 Po
-
Completion of the following table may be waived by the Inspector of Wires.
No. of Recessed Luminaires
No. of Ceil: Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ElTNZ—of
rnd. rnd.
Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
No. of Detection and
Initiating Devices
No. of Ranges
g
No. of Air Cond. Total
Tons
No. of Alerting Devices
g
No. of Waste Disposers
Heat Pump
I Number
-- * -1-
Tons
.....
KW
..........
No. of Self -Contained
Totals:
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal ❑ Other
Connection
No. of Dryers
Heating Appliances KWecuri
Notof Deviic : or Equivalent
No. of Water KW
No. of No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
r Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: 7Z — a -()-I () Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such cover a is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:)
I certify, under the ams and penalties of9rjury that the information on this application is true and complete.
FIRM NA E: l/ t / LIC. NO. 6O
Licensee: I L�ti Q–tJ I Signature LIC. NO.:
(If applicable, enter "�jxernpt" in the lic se nz lin Bus. Tel. NoS Q
Address: 21 L � N e * r H h /i-� A/ /� Alt. Tel. No.:
*Per M.G.L c. 1�1, security work requires Department of PublicSafety "S" License: Lic. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's
Owner/Agent PERMIT FEE. $
Signature Telephone No.
7- co
7,Wid P""
A
s
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
>� www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information / , f , /Please Print Lelzibly
Name (Business/Organization/Individual):LNy6 & 1' A/ i�� 1.9 .'c
Address: �1-.1 LAAIIQ
City/State/Zip •eW Ik✓Vl ,/V
Phone #:j�- f _v I
Are you an employer? Check the appropriate box:
1. ❑ I am a employer with
4. ❑ I am a general contractor and I
e4loyees (full and/or part-time).*
have hired the sub -contractors
2. am a sole proprietor or partner-
listed on the attached sheet. $
ship and have no employees
These sub -contractors have
working for mein any capacity.
workers' comp. insurance.
[No workers' comp. insurance
5. ❑ We are a corporation and its
required.]
officers have exercised their
3. ❑ I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
c. 152, § 1(4), and we have no
insurance required.] t
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10.0 Electrical repairs or additions
I L ❑ Plumbing. repairs or additions
12.❑ Roof repairs
13. ❑ Other
*Any applicant that checks box 41 must also fill out the section below showing their workers' compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp, policy information.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: VA4�+'ry V /Z(
Policy # or Self -ins. Lic. #: OZ3 �: (j M0(- 7 Expiration Date:
Job Site Address: L(q JAfdo) &4 Aa L. Anj City/State/Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
y Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
Ido hereby ctifj] under the pyins andpenalties ofperjury that the information provided above is true and correct.
Official use only. Do not write in this area, to be completed by city or town official.
City or Town:
Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone
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Legal Notice i
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TOWN OF NORTH ANDOVER,.
MASSACHUSETTS
BOARD OF APPEALS
." NOTICE r;f;. - •a `f�
el;Novem* 9,1988
Notice is hereby given that the Board of Appeals
will give a hearing at the Town Building, North An-
dover, - on` Tuesday evening the 13th day of
December, 1988, at 7:30 o'clock, to all parties in-
terested in the appeal of Henry A. Jewell requesting.
a variation of Sec. 4, Parag. 4.122 & Table 2 of the
Zoning By Law so as to permit relief from rear set-
back for construction of shed 2.5' from line an the
pn nises;located,at 497 Oood lane.
tY. v �s • ,;; By Order of the Board of Appeals
Frank Serio, Jr.. Chairman
Publish in North Andover Litizen November 17 and
November 23, 1988 ` . %.1480-
Legal Notice
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARB OF APPEALS
NOTICE
e
November9, 1988
Notice is hereby given that the Board of Appeals
will give a hearing at the Town Building, North An-
dover, on Tuesday evening the 13th day of
December, 1988, at 7:30 o'clock, to all parties in-
terested in the appeal of Henry A. Jewell requesting
a variation of Sec. 4, Parag. 4.122 & Table 2 of the
Zoning By Law so as to permit relief from rear set-
back for construction of shed 2.5' from line on the
premises located at 497 Wood Lane.
By Order of the Board of Appeals
Frank Serb, JL., Chairman
Publish in North Andover Citizen November 17 and
November 23, 1988 1480
u1strIM bummnWa — Oare: Iues., NOV.
22. Time: 7:30 p.m. Place: ;57 River Rd.,
Andover. Contact: John Caffrey, 685-3027.
Clubs
North Andover
Greater Lawrence Eastgr Seals Stroke
Club — Data: Thurs., Nov. 17. Time: 2
p.m. Place: North Andover Senior Citizens
Center, 120 Main St. rear. The club is for
those who have suffered from a stroke or
their families. Price: Free, Call: 683.1259.
VFW Post 2104 — Date: Thurs., Nov. 17.
Dme: 7:30 p.m. Place: VFW Past 2104,
Park Street off Rt. 125, Contact: Al Koons,
685.9469,
Ladles Auxiliary of the Ancient Order of
Hibernians, Division 20 — Data: Thurs.,
Nov. 17. Time: 7:30 p.m. Place: Camelot,
505 Sutton St. Contact: Marion Bolan,
685-5542.
North Andover Soccer Association An-
nual Meeting — Date: Thurs., Nov. 17.
Time: 7:30 to 9 p.m. Place: Atkinson School
, /Dining
Auida #XI
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law
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
NOTICE
.November. 9.......19 88
Notice is hereby given that the Board of Appeals will give a
hearing at the Town Building, North Andover, on. Tuesday... .
evening......... the 13.th day of ..Decembe.r. _ ... .
19.88 , at 7 : 3.m'clock, to all parties interested in the appeal of
Renry.A..J.ewell.....................................
requesting a variation of Sec..4,-Para&...4.122.of the Zoning
& Table 2
By Law so as to permit ............................. .....
r.elief.from.rear.se.tb.ack.for..constructio.n.of.shed
2...5'..from.line ......................................
......................................................
on the premises, located at.. -497 Wood -Lane . ........... .
........................... I .................. ........
By Order of the d of Appeals
.Z' raASErr' i o �, Jr. ha�tan
Publish in N. A. Citizen on Nov 17 and Nov 23, 1988
1
a
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law
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
NOTICE
.November. 9.......19 88
Notice is hereby given that the Board of Appeals will give a
hearing at the Town Building, North Andover, on. Tuesday... .
evening......... the 13.th day of ..Decembe.r. _ ... .
19.88 , at 7 : 3.m'clock, to all parties interested in the appeal of
Renry.A..J.ewell.....................................
requesting a variation of Sec..4,-Para&...4.122.of the Zoning
& Table 2
By Law so as to permit ............................. .....
r.elief.from.rear.se.tb.ack.for..constructio.n.of.shed
2...5'..from.line ......................................
......................................................
on the premises, located at.. -497 Wood -Lane . ........... .
........................... I .................. ........
By Order of the d of Appeals
.Z' raASErr' i o �, Jr. ha�tan
Publish in N. A. Citizen on Nov 17 and Nov 23, 1988
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M,ASSACHUSE-fTS Ui:i; Gn1,i A��Li�.r,TiG14 FG.; i=Cr,I/iT TO GO CAS 'tT►I C-2
{?•i -ter ,—,e)
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Euilding t.GCe.iCl _ O'h', .' S Name
Type cf Occupancy kxdjl
New ❑ Renovation ❑ Rep'acement ❑ Plans Subnit;ed: Yes [3 NO ❑
InstallingComnpanyName F?.stsr.rt Ctrs Tnc Check one Ce;iflcate
Address - - p Corpora,io,
(11923 ❑ Partnership
Business Te!_phone 5 U c)7 7 � —1n&/Lvj
Firm/Co
Name of Licensed Plumber or Gas Fi`,ter
INSURANCE COVERAGE:
I have acurr�n` liability insurance policy or its substantial e;u^talent which neets the requirerents of MGL Ch. 1;2.
Yes No Cl
If you have checked ves, please indica`.e the type cove:a;e b;1 checking the appropriate box.
A liability insurance policy A Other type of indem. ity ❑ Bond O
' OWNER'S INSURANCE WAIVER: I an, aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my sig ,a`.ure on this pear application waives this requirement.
Check one:
Owner❑ Agent ❑
Sisnatwe of 04-na: or G`vaer's A;ent
I he:=by ce if; that a!I of the details and is f:r^zt an i have s:5ci;.ea (x entered) in ab ^ '�,'fda
n are true a. ac,-,, to to the best el ny
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p::,inent pravii :-s c! a Massaaiusetts S:zte Gas Cad_ and Chap":r 1:2 of Lhe Gene.3i
El Tie of Uc:nsa, / �' '� •~ '$
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(11923 ❑ Partnership
Business Te!_phone 5 U c)7 7 � —1n&/Lvj
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Name of Licensed Plumber or Gas Fi`,ter
INSURANCE COVERAGE:
I have acurr�n` liability insurance policy or its substantial e;u^talent which neets the requirerents of MGL Ch. 1;2.
Yes No Cl
If you have checked ves, please indica`.e the type cove:a;e b;1 checking the appropriate box.
A liability insurance policy A Other type of indem. ity ❑ Bond O
' OWNER'S INSURANCE WAIVER: I an, aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my sig ,a`.ure on this pear application waives this requirement.
Check one:
Owner❑ Agent ❑
Sisnatwe of 04-na: or G`vaer's A;ent
I he:=by ce if; that a!I of the details and is f:r^zt an i have s:5ci;.ea (x entered) in ab ^ '�,'fda
n are true a. ac,-,, to to the best el ny
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p::,inent pravii :-s c! a Massaaiusetts S:zte Gas Cad_ and Chap":r 1:2 of Lhe Gene.3i
El Tie of Uc:nsa, / �' '� •~ '$
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2053 Date .........
TOWN OF NORTH ANDOVER
0 PERMIT FOR GAS INSTALLATION
ss,c 1419r -
S 5
This certifies that. e,!
. .. ........
has permission for gas installatio 14r. e. � ,:/I
in the buildings of . .......... I ........
at A. A . -,,
el� North Andover, Mass.
Fee. c2P...- Lic. No...k.
GAS INSPECT61`�
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
MASSACHUSETTS UMFGRM ArrLiCATiGI! FGrti rEr;1,41i TO GO GNSFiTIIItG
---�� (Print or T� e)
'17— --r LC`l� . t.'.ass. Ca'e 19 Perm l�
Building Location —// ! /�.iQ �J _Owner's Name iG\
Type of Occupancy
New rJ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑
(i
Installing Company Name E.?.stern Pron,anf� (;ns _T.r:c
Address 131 Water Street
Parver5. ?iA 01923
Business Telephone (5 0 S) 774-191.0
Name of Licensed Plumber or Gas Fitter
Check one:
Corporation
❑ Partnership
❑ Firm/Co.
Certificate
INSURANCE COVERAGE:
I have a currknt liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142,
Yes No ❑
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy A Other type of indemnity ❑ Bond O
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General laws, and that my signature on this permit application waives this requirement.
Check one:
Owner❑ Agent O
Signature of Cwner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the per issu for i p lic on will be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of t en I
By T}g of License:
Plumber naure o Licensed Plu— er of Gas Etter
Title + 'Gasfitter (JY 7
�jMaster License Number
City/Town Journeyman
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Installing Company Name E.?.stern Pron,anf� (;ns _T.r:c
Address 131 Water Street
Parver5. ?iA 01923
Business Telephone (5 0 S) 774-191.0
Name of Licensed Plumber or Gas Fitter
Check one:
Corporation
❑ Partnership
❑ Firm/Co.
Certificate
INSURANCE COVERAGE:
I have a currknt liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142,
Yes No ❑
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy A Other type of indemnity ❑ Bond O
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General laws, and that my signature on this permit application waives this requirement.
Check one:
Owner❑ Agent O
Signature of Cwner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the per issu for i p lic on will be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of t en I
By T}g of License:
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Title + 'Gasfitter (JY 7
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City/Town Journeyman
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1965
Date ... //.. �. Z .: � .... .
NpRT., TOWN OF NORTH ANDOVER
pFt„to ,e1h0
�r pp PERMIT FOR GAS INSTALLATION
• 9 ,^ i
♦`�
S+NCMUSES 5
This certifies that `1(�,�JG. �.L.c _ ...... .
has permission for gas installation . 'y/4`1.Q G�....�, ..... �
in the build\\ings of 6461(6 6t . , ........ Q
at .!7��,1 � . f/� !. � ... , North Andover, Maspi
Fee; 5 ! . Lic. No.4 1 .. ................... -”
GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
*
*
Henry A. Jewell
497 Wood Lane
*
N. Andover, MA 01845 **
*
*
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
Any appeal 'ball b(e}}ppfiled!
within
l?0` ra.)!s ? r ce
date of ;i 'n of this feu
in the oiiice of- the Town
Cleflk- - -
Petition #: 29-89
DECISION
The Board of Appeals held a public hearing on Tuesday evening, December 13, 1988
upon the application of Henry a. Jewell requesting a variance from the requirements
of Section 4, Paragraph 4.122 and Table 2 of the Zoning ByLaw so as to permit relief
from rear setback for construction of a shed 2.5' from the lot line on the premises
located at 497 Wood Lane`. The following members were present and voting: Walter
Soule, Acting Chairman, Louis Rissin, Acting Clerk, Raymond Vivenzio and rAnna O'_rnnor. !
� III
The hearing was advertised in the North Andover Citizen on November 17 and November
23, 1988 and all abutters were notified by regular mail.
Upon a motion made by Mr. Vivenzio and seconded by Mr. Rissin, the Board voted,
unanimously, to DENY the variance as requested.
The Board finds that the petitioner has not satisfied the provisions of Section 10,
Paragraph 10.4 of the Zoning ByLaw and that the granting of this variance would
derogate from the intent and purposes of the Zoning Bylaw and would adversely
affect the neighborhood.
Dated this 16th day of December, 1988.
BOARD OF APPEALS
Walter Soule
Acting Chairman
/awt
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I855
Dr ►. qV,�,
L TOWN OF NORTH ANDOVER
MASSACHUSETTS
-Any appeal shall be filed
BOARD OF APPEALS within (20) . s after the
date of i this Notice
NOTICE OF DECISION in the Office of the Town
Clerk ---`
Henry A. Jewell
497 Wood Lane Date December. ,
....16....1988 .........
N. Andover, MA 01845
Petition No.. .29-89 ...............
Date of Hearing.. December 13, 1988
Petition of .... Henry ,A.. Jewell
..........................................................
Premises affected4.9.7..Wood. 1,Arie................. .......................
:................ .
Referring to the above petition for a variation from the requirements of MW. Section. 4,.... .
Paragraph 4.122 and Table 2 of the Zoning RyL•aw
..........................................................................................
so as to permit . relief. from .rear. se.tback. for .construction. of. .shed. 2.5.' .............
from.the lot line.
........................................................................................
After a public hearing given on the above date, the Board of Appeals voted to .... DENY...: the
variance ....... ....... I[�xrix��etxxxt�X
p X X
............. ....................................... I..........................
Signeq� 1. cry( �.
Walter Soule, Acting Chairman
.............. ...... I......................
Louis Rissin, Acting Clerk
Raymond Vivenzio
................. I ............. .... ......
Anna O'Connor
...................... I................
..................................
Board of Appeals
i.
Receiv,!eO�jjd by frown Clerk: RFCE'sVEO
pi DANIEL LO"
TOWN. CLI RK
NORTH ;,pj(.AER -
Nov 9 1210 PM'88
TOWN OF NORTH ANDOVER, MASSACHUSETTS
BOARD OF APPEALS
APPLICATION,'FOR RELIEF FROM THE REQUIREMENTS OF THE ZONING ORDINANCE
Applicant d/1Jr--Address�J�
1. Application is hereby made:
a) For a variance from the requirements 'of Section5/17,2- Paragraph
and Table Z of the Zoning By Laws.
b) For a Special Permit under Section _-Paragraph _—of the Zoning
By Laws.
c) As a Party Aggrieved, for review of a decision made by the
Building Inspector or other authority.
2. a) Premises affected are land
_,,,_and buiIding(s) a --numbered
---=-�UG�b-L------Stz�
b) Premises affected are property with frontage on the North ( )
South (k) East ( ) West ( ) side of (E ple`_--
�"Dam
Street, and known as No. _- _ __--__--- —_ Street.
c) Premises affected are in Zoning District and the premises
affected have an area of_-- _-square feet and frontage of
__—feet .
3. Ownership
a) Name and address of owner (if joint ownership, give all names):
Date of Purchase��_J_Previous Owner ��,-i✓e_
b). If applicant is not owner, check his/her interest in the premises:
Prospective Purchaser _Lesee Other (explain)
4, Size of proposed building:' --_front;_Z U I feet deep;
Height stories; _/_ feet.
a) Approximate date of erection:
b) Occupancy or use of each floor: -a "7J,_.�z_
c) Type of construction:1� - �Z � lA�6691
5. Size of existing building: << `""_feet front;�f �t deep;
Height --stories; feet.
a) Approximate date of erection: 1 =1
b) Occupancy or use of each floor: --- -
.c) Type of construction: _----_-_!—_
G. Has here been a previous appeal, under zoning, on these premises?
�- If so, when?_-^--
De$.:ription of relief sought on this petition11-dz1r- 67
4.
at
�fL>
Deed recorded 4 the Re9 istr y g of De s in Book`- P e
Land.Court Certificate No. _—_Book ejo,�d Page /
sr .
-ie principal points upon which I base my application are as follows:
nust be stated.. in detail) gti
(agree to pay the filing fee, advertising in newspaper, and incidental
cpenses*
Signature of Peti tio�erTs :, • �
eery application for action by the Board shall be made on a form approved
the Board. These forms shall be furnished by the Clerk upon request.
y communication purporting to be an application shall be treated as mere
Rice of intention to seek relief until such time - as itis.made on the .
ficial application form. All information called -for by the form shall
furnished by the applicant in the.manner'therein::prescribed.
cry -application shall be submitted with a list of"Parties In Interest"•
ich list shall include ,the petitioner,,abutters, owners of land directly
posite on any public.or private street or way, and abutters to the
utters ;within' three hundred feet (300'.) of the property line of the
titioner as they appear -on the most recent applicable tax list,
twithstanding that the land of any such owner is located in another city'.'...,.'i
town,L the Planning Board of the city or town,, and the Planning Board of-;
cry abutting city or town.
very application shall be submitted with an application charge cost ins
e amount- of $2.5.00. In addition, the petitioner shall be' responsible '.'�'"•' '.'`
r any and all costs involved in bringing the. petition before the, Board..:';,'
ch_costs shall include mailing and publication, but are not necessarily;:".;;,.
mited to these.
ery application shall be submitted with a plan of land approved by the
hard.- No petition will be brought before the Board unless said plan has
en submitted. Copies of the Doard's requirements regarding plans are
tacked hereto or are available from the Board of Appeals upon request.,.
LIST OF PARTIES IN INTEREST
Name Address
_�^C./J CJS �' j �� "L\ �: /J�1� ._-• 'y_J� � L� ' {-��'.�✓ S � , 1, I.
✓��'1r.�V11i� J�-6%��-.� � V'1/'SLI�� �--'�_�cJl� o� O � L �'�"��� • c�� �r'r
✓��7r'� I)i,s 1= ���� fJ'1 . J71� l f -E-
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(use additional sheets if necessary)
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10 P
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S^C NUs�t
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
Date: ,Z tyre
Dear Applicant:
Enclosed is a copy of the legal notice for your application before
the Board of Appeals.
Kindlysubmit l�
$ �00 for the following: �
0
Filing Fee $
Postage $ 00
Your check must be made payable to the Town of North Andover and
may be sent to my attention at the Town Office Building, 120 Main
Street, North Andover, Mass. 01845.
Sincerely,
BOARD OF APPEALS
1 !,
Audrey W. Taylor, Clerk
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