Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 5 LONGWOOD AVENUE 4/30/2018 (3)
5 LONGWOOD AVENUE 210/060.C-0029-0000.0 t i yj Date.......17.. ... ......�.� s f NORTH, .s 0 TOWN OF NORTH ANDOVER - PERMIT -FOR WIRING ,SSAcwUS� ( V/ L This certifies that ..................................... . ..... ............. v9. wq ............................. .s has permission to perform . ..... .....6.01 ........................... wiring in the building of....�r� .UrSy. ......................................... at LDstJ.7.Iu(d'.C?b..... ... /-,.,North Andover,Mass_. Fee... " Lic.No.. ...... ....... ....... ELECTRICALINSPECTOR Check # __D - � 105,18 i 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§.3L,the permit application form to provide notice of installation of wiring shall be.uniform throughout the Commonwealth,and applications shall be filed" on the prescribed form.After permit application has been accepted by an Inspector of Wires appointed pursuant to M.01 c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as.reo in M.G.L.c.143,§3L. Permits shallbe limited as to the time of ongoing construction.activity,and maybe.deemed byt$esnsgecit5r"of_Wires abandoned-and-invalid.i£he—. or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the.permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job;growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain-permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically dxtends,for four years beyond its otherwis a applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008"and extending'tbrough August 15,2012. lie S—Permit[Date Closed: 2J/& / ** Dote:Reapply for new perma ❑Permit Extension Act—Permit/Date Closed: Commonwealth of Massachusetts Official Use Only Permit No. Department ®f Fire Services . anc OccuP Y and Fee Checked UV 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 PRINTININK OR TYPE ALL INFORMATION) Date: D 49 Cs 3 City or Town of: NORTH ANDOVER To the Inspector o ires: By this application the undersigned give notice of his or her intention to perfotm the electrical work described below. Location(Street&Number)�5 L©t\9 uz 01i Ay ir Owner or Tenant 44t jEy- sS e1.4 t— Telephone No.979'-,? �S7-3" Owner's Address .51t"Y Is this permit in conjution with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of BS l aeV.-C,f 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: 1�-t�� p 6G 5 1-tye ja /3o; 1 L' Di r �o (A u) u-eA Completion of the following table may be waived by the Inspector of Wires. No.of Recessed L,un inaires No.of Ceil:Susp.(Paddle)Fang No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA ig No.of Luminaires Swimming Pool Above In- o.omergency g❑ ❑ nd. grnd. Battery Units j - 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 Total No.of Ranges No.of Air Cond. Tons No,of Alerting Devices No.of Waste Disposers Heat Pump Dumber Tons KW No.of Self-Contained osers { P Totals: Deteetion/Alerting Devices n No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection Security Systems:* - No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water ICS' 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: 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: 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 covera ,e_is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ffr BOND ❑ OTHER ❑ (Specify:) I ces tify, under the ai ' and ena`lties of perjury,that the information o this application is true and complete. FIRM NAME- u't.51I � I N t K f?' LIC.NO.:.,& Licensee: iW v1 l Signature - LIC.NO.: (If app Iicabl enter" pt 'in the license numberline us.Tel.No.: ' Address: �. t*1- MA tit"S Alt.Tel.No.: j f *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"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 agent. Owner/Agent Telenhnne Nn PERMIT FEE: $ The Commonwealth ofAftusachusetts Department&fIndustrial Accidents 4 . Office of Investigations 600 Washington Street UP Boston, M4 02111 www.hzass.gov1dia Workers' Compensation Ins4rance Affidavit: Builders/Contractors/Electricians/Plumbers 1 Applicant Information Please Print LeOblv Narn�e;(Business/organization'/Individual): C.E,3-1 e C_, VIL(CA-6- Address':_.P.O. RV Y_ j 'S City/State/Zip: No. Ajkoo(}_er iAk Phone 2ti— U!L 7 5- - Are you an employer?Check.the appropriate box: Type of project(requireft' a a employer appropriate Nim'a employer with 4. am a general contractor and I 1�0 ' T ee fu and pa have hired part-time).* vt y S( rt 2P listed 6. M New construction employees(full and/or part-time).* have hired the sub-contractors _r o i 2. am a.sole proprietor or partner- listed on.the attached sheet. El Remodeling T 6 Type Elof NP rp e w F7R Fo� E mc) ship and have no employees These su&contractors have 8. 0 Demolition Ej working for me.in any capacity. workers' comp.insurance. 9• 0 BU . 9. E]Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 1 0 0 1 . t required-] officers have exercised their 10.El Electrical repairs or additions 3.El I din I 1 0❑ Plum a homeowner doing all work right of'exemption per MGL I I T� Plumbing repairs or additions M myself,[No-workers'comp. c. 1.52, §1(4),'and we have no 12.0 Roof repairs insurance-required.]t employees. [No workers' ff comp. insurance required-] 13 Oth er-/-3-c) le *Any applicant that checks bo;Mmust alsoF1 at the section below showing their workers'bompensation policy information. t fiorneown6rs who submit this affidavit indicating they are doing all work and(lien hire outside contractors must submit a newaffidavit indicating such. 4Contractors that check this box mustnftnched an additional shcorshowinthe nEme of the subcontractor and thei—'Yorkam & 'comp.polivi inrmation. Below is thepolicy andjob site information Insurance Company Name- Policy 4 or Self-ins.Lie.,#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'.'compensation policy declaration page(showing the Policy number and expiration date). 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 copy of this statement may be forwarded to the 0iffice,of Investigations of the DIA for insurance coverage verification. 71dahere7byycfe ' uZnr1he:p:4aiEa�jj en i of perjury e that the information provided above is true and correct. Si ature. Date: Dec S 2©( Phone 4: 7 fr9 Off cialuse only. Do not wrfte sh Mds area,to&camplWedby city or town officiaL City or Town: Permit/License 9 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 9.1 • C� µORTF/9 ,.� TOWN OF NORTH ANDOVER Building Department 4 1600 Osgood Street y,>^ r O Building 2-Suite 2-36 Building Dept �gssgCHUSE<�� North Andover MA 01845 Tel: (978) 688-9545 Fax (978) 688-9542 COMPLAINT FOR INVESTIGATION DATE: �P 2� 12' I I i�' ' TEL #: (01b � �v (01-3 st NAME OF COMPLAINTANT: �-- `— ADDRESS.:: COMPLAINT TYPE: ���� � ' L-�► CQ! "'�' Electrical: Plumbing: OGas: Building: Property Owner: Address: F Lori6(f1lind kL Other: 2— L--,-rjE 4" ✓e.L dj, C -4e p� r OLn�o, ,-A� A AA Signed: -HN ,d�2 Complaint Form-Revised 6.2007 A O 716 (/(ILe,411G Ivel V, r oc-W -0 O O Town of North Andover Page 1 of 1 o - Base Map Zoning 2008 Aerials Watershed Zone utilities © Size❑QE] Selection Legend Location Markup Help Scale 1"_[90 R Select Parcels t - . (showall) Owner j Prop ID_ Address AN BRASSEUR,JUDITH A.,060.C-0029-0000.015 LONGWOOD AV �Y ' { z 1 selected To Mailing Labels . To Spreadsheet y Property Building Permits Planning Septic Pur Z Print d `eEoo Ownerl BRASSEUR,JUDITH A. Owner2 Address 5 LONGWOOD AVENUE PropertyID 060.C-0029-0000.0 s Lot Size 24829.2S Fiscal Year 2010 Land od 101 Code Get Pictometry Imag Go v3.2.0 AppGeo Save Map as Image �`•,� AkVaReY Ftmsng:CmaH�tan do�nocsna>.e an"/v+arrartv.eamesceaaksrprm.�nre,��t ---------- MY Will�eArtY rr re�ae�io�ty�ra�eam�raeS:t . O av Laft*tamd Geo7mt'c aaarnmian Sys ++(G;Si Data any W-w dau pvid�dtwam.3t&dsu does mx ta!n U*nlme of a pnleaMalud s4vep and Pmm LIPDaa gmayebi dupe sm.I=rw,t aredat "daq wapftli um Pope"&& _u pwbcal mPVqsmZSwL VA"Vamit varey cmaxssan mquesla to any um d L9S YrtrtamLWm beacmavamd by a fflf :e massauxe am"61e!rM�p iRi*ey puna Cmamis wrsea al Htv a laakmno wmwoesM a&to re a=ra;y 64 sz[d W"nmaiM Am uS9a1 M aaamrim+a:a mew,..ipanSoan hsk I o http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 6/27/2012 Town of North Andover Page 1 of 1 ❑ Base Map Zoning 2008 Aerials Watershed zone Utilities ❑ Size��❑ SelectionLegend Location Markup Help Scale 1"_[90 R l Select ® Parcels .... .... _. U IG Q0[3r ;ii 06QG0615, ;(show all) W,. - X24; 1. iF27e Owner Prop_ID !Address 06GOOi?� BRASSEUR,JUDITH A I060.0 0029-0000.0.5 LONGWOOD AV I O�SO:C:04lf!J O�G0828� 06Q�fi-001 trZSi rr EIbQOODSfj #30• J/ / ja. 1 selected To Mailing Labels To Spreadsheet { 96I�1G0041� OfG(4029 soc a� property Building Permits Planning Septic Pu� Print Ownerl BRASSEUR,JUDITH A. O C O6J0 i Z u Owner2 Address 5 LONGWOOD AVENUE PropertyID 060.C-0029-0000.0 060.G(OQ31,' Lot Size 24829.2S ELF- Fiscal Year 2010 17< ^GD O�QGII02 LandUse 101 Code �6Q..�".'OQY2-' ff601G-0�7: ��;C'�,._�._•' � �c��..nci�.ti�n�n Get Pictometry Imag�';Go v3.2.0 AppGeo Save Map.asa D Ima 9 El �'°`"� hlanYnoG l+�ieyGu�wc'gVan goes mtm�es�warvnry.ea;>arsQ*a ar aap�ed.nm assume ecry ega��Y cr tespmttii�tnr meaasutary amry'� } aruwt&Amd 9Gaeogr49 c kftr�SysK_+n MMDEt3 banyat-e data ovAdefl"ran-alga uaommxtaYet-eptmeorapor su��y antiO�rta O OUAM m*am*r1am Ste.bmumll ar exbteae aF a 963"ptea twum pmo"q Lm arpotad n>weaffaen Mblsnv V21LYPmwg^- 'wwmtu arat any Lee of ft kt=m Iram wacaqxmee oyamtareloe m rssmrce and ue Ment=x yPlm*v catvdss!ttscaoemtmA a maYmm xamses ar as totree=MMVaesaa+niamatmaAny UWofMsadonWdanka.toer ffSaynrtsk O http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 6/27/2012 I W Jill, 111116 .s f NORTF{ AL 01 tK a — � P0 stm Ci Postage $ Hete oy } tledFee p�RAreo spa 45 t N SRCHl15fc ` ReWT eee Rt Re4�Fedl h C p p� s �Endotsem G DEPARTMEN t eVNeN Fee f�/ O Restticted�t aaQOed) lEndotsem es )eve[opment Division Fees d jotatPostage Sent 70 ! N orP0 gox No. _ 'ZIP+4 1 O "pity,State, r- July 17, 2009 Brasseur Residence 5 Longwood Avenue North Andover MA 01845 Dear Mr, Brasseur, Please be advised your property is in violation of a North Andover Zoning decision dated November 19,2001,PETITION: 025-2001, see attached. The decision clearly you property roperty was to be clear of all material, debris and multiple miscellaneous infractions as noted in the attached documents. The sale or firewood also violates the zoning bylaw by having a retail business in a residential_area. I Please see section 4.121 of the zoning bylaws sections 9, 10, 12 a,b, and f, You are hereby ordered to immediately cense and desist the storage of wood,construction debris, and unregistered vehicles immediately and arrange for the removal of said violations. Your Failure to fully comply with this Notice of Violation letter will result in my filing an application for criminal,complaint against you in District Court with possible fines of$300 (see.10,13)for each day during which violation continues to exist, Sincerely Yours, Gerald Brown Inspector of Buildings Cc: Curt Bellavance,Director Receipt Received: 7002 0510 0000 0894 2851 1600 Osgood:Street,Suite 2-36 North Andover,Massachusetts 01845 Phone 978.688.9545 Fax 978.688.9542 Web www.townofnorthandover.com ii TOWN OF NORTH ANDOVER BUILDING DEPARTMENT Nf-D O�ttt-�aq~A 1600 Osgood Street, Suite 2-36, North Andover Ma 01845 � p r = NOTICE OF VIOLATION o4 C— �...�. �9SSAGMUS���y Date: Address: Lc>A W a /t Building 0 Zoning Bylaw Stop Work Order Certificate of Inspections OEl Electrical Plumbing Gas Violation observed: (JL) -e__ 67-, -0 v-1 101 c,,n + I.s cc-pL � _ Failure on your part to comply with this notice within 10 days may subject you to penalties prescribed by Massachusetts Law 780CMR or North Andover's Zoning y law. Please pontact the Building Department for further information at 978-688.9545 Inspector r. p Home Owner /// Contractor �� 9223 Date. ,.oR•M TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUSE� This certifies that .� ve-e-rq: . . . . . . .". .. has permission to perform . /"e�? �R. . '� ?� . . . . . . . . . . . . - plumbing in the buildings of at. ... . . . ©�?� "'. .`��! . . N/oh And ver, Mass. e2 Fee.3 a'. .Lic. No—SOW ./�.l�t. ... . . . . . . . . . . . PLUMBING INSPECTOR Check # d MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING CityTown: e—r �� 0()eC MA. Date• �C c�0tt Permit#/ Building Location: Owners Name:�uJJA e4 u Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential�� New: Alteration:❑ Renovation:❑ Replacement: Plans Submitted: Yes❑ No FIXTURES rU DEDICATED FW z SYSTEMS j Ov h LU Z H it Z jd U H w o0 0 LU m a GQG tW-• in ~ W y y z 1- N tQA n' W Q Z o: z y U a X Q , F it Q ¢ cxi� LI) O O � 0 > O p 0 � _Z y ~ H w df O y � W Q m m o o LL x 3 x Q 3 o N to }- SUB BSMT. Q 3 BASEMENT , 1sT FLOOR 2ND FLOOR 3RD FLOOR TH 4 FLOOR 5T"FLOOR 6T"FLOOR 7T"FLOOR 8T"FLOOR Insi ,g 'alllf Covl,aCutl4r Ikam,]• �� `C��/ �'1•!G^.'•i O�101�if{4 �.c�'jlVii.'.5;4.,'i+• I Address: `1/ Oru/ � City/Town: State: El Corporation ("� l" Business Telrq % -/7S Fax:s� clr�l ElParEnership �"jj p-.;L- ❑ Name of Firm/Company Licensed Plumber: �•,�?�Qi' INSURANCE COVERAGE: I have a current Iiabiliklnsurante policy or its substantial equivalent which meets the requirements of MGL.Ch.942 Yes No ElIf you have checked Yes,please indicate the.type of coverage by checking the appropriate box below. A liability insurance policy. Other t ype of indemnity ❑ Bond ❑ OWNE'R'S INSURANCE WAIVER:I am aware that the licensee does_ not have the insurance coverage required by Chapter 942 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only SiCinature of Owner or Owner's Acient Owner ❑ Agent ❑ hereby certify that all of the details and! I have submitted(or entered)regarding tfiis application are true and +o Knowledge and that all plumbing work and Installations performed under the permit issued for this application will be in compliance with all Pectin nt provision of the Mas Chu tts State Plumbing Code and Chapter 742 of the General Laws. accurate to the best c,tiny 3Y Type of License: 'itle Plumber Signa re of L' ensed Plumber :Ry/Town ❑Master PPROVED(OFFICE USE ONLY) fpJourneyman License Number: ; i i The Commonwealth of Massachusetts Department of-IndustrialAccidents Office of Investigationg 600 Washington Street s� Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plunobers APPIicant Information Please Print Le ibl Name(Business/Organization/Individual): CQ <Q cx�_ Address: City/State/Zip �, �y/U '— t � Phone#: 3qS -rz Are you an employer?Check theappropriate box: Type of project(required): 1•❑I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.® I am a sole proprietor or partner- listed on the attached sheget.1 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demblition working for me in any capacity. workers'comp.insurance. [No workers comp. 5. 9. ❑Building addition ' p ❑ We are a corporation and its required:] .officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption gperMGL 11. Plumbin ❑ repairs or additions chtion myself p s Y [No workers comp. c. 152,§1(4),and we have no required.]r 12.[]Roof repairs insurance re q ] • employees.[No workers comp,insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 7 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. lam an employer that is providing workers'compensation insurance for information. my employees. Below is flze policy and job site Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: , City/State/Zi Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMGL 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 ORD ER 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 d a Erne Investigations of the DIA for insurance coverage verification. I-dohereby certify der the airs an penalties ofp rJun that the information provided above is true and correct. 3i nature: Date: 'none#: q2 2 Cj Offrcial 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4:Electrical alms Inspector 5.Plumbing Inspector 6. Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 1,52 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a j oint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartinents and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers''compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,.a policy is required. De advised that this affidavit may be submitted to the Department of Irdustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy;please call the Department at the number listed below. Self-insured companies should enter their' self-insurance license number on the appropriate line. " City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/licease applications in any given year,need only submit one affidavit indicating current Policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town,may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related for any business or commercial venture (i.e.a dog license or.permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any question's, please do not hesitate to give us a call. The Department's address,telephone and fax number: The COnlraonwealth- of jv assac t?setzs Depaent of Industrial Accidents Office of Investigations 600 Washington Street Boston;MA.42111 Tel.#6177274900 ext 406 ox 1-877,MASSAFE Revised 5-26-05 FEM#X17"727 7749 Www.Wass.govfdia i y ,J 17'awEYi� V P y U ,x 1 m AUENs OEM- rig , COI YRA M-4- Sr y -i 3 r„P, y, 1 lit 3 X49 r`�(�N(1MGl �t 4 i � a� s4 xazioiiz u ., 7Ezzxj Date. �2/? 1. .. ... . . Of Np oTM ,ti - . TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION �9SSACHUSES This certifies that . .� E! / LJ . . . . . . . . . . . has permission for gas installation . re�197.Ceev j. :?/Ar in the buildings of . ' ?""? . . .ir?.�'�t � U . . . . . . . . . . . . . at . . . . . o'?°y �'o ""N rth Andover, Mass. Fee. Lic. No:-94 �. . - �'. . . . . . . . // GAS INSPECTOR Check# 7947 w i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town:-/V ,��� ►��Oi��d— , MA. Date: © Permit# Building Location: Owners Name: Sly Type of Occupancy: Commercial❑ Educational ❑ Industrial ❑ Institutional❑ Residential New: [''� Alteration:❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes❑ No❑ FIXTURES Lu w rn a co v = O w c z I— Q~ Z W >-. co161TOw 1 O W W W m 0 ll � w 6 O Q X WH � v w W tY .O ~ W C0O w x W Z lJJ W Z W J I-- it O Z J 0 LL to x W W W tY O Q W W m O Z O H Z F- _ 0 � O SUB BSMT. PFLOOR , y" t' 5 FLOOR 6 w FLOOR 7 FLOOR 8TrFLOOR Installing Company Name: 6 / Check One Only Certificate# j ,-[Vry El Corporation Address: Ci Town: State: Partnership Business Business Tel: P _° q0j &S ax: ❑Firm/Company Name of Licensed Plumber/Gas Fitter: . INSURANCE COVERAGE: I have a current 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 of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner ❑ Agent ❑ By checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By F se: Title // Signature of L censed Plumber/Gas Fitter /city/Town License Number: -/APPROVED OFFICE USE ONLY i I i _ ` I The Commonwealth o Mas f sachusetts Department of lndustrial,4ccidents Office oflnvestigations' 600 Washington Street Boston,MA 02111 www,massgov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrici A hcant Information ans/PIumbex s Please Print Legibly Name(Business/Organization&dividual): U Address: R cl City/State/Zip: Phone i#: 2 �5 [EII an employer?Check the appropriate box: a em to er with 4. Type of project(required):p Y ❑I am a general contractor and Iloyees(full and/or part-time).* have hired the sub-contractors6 ❑New construction a sole proprietor or partner- listed on the attached sheget.t 7• ❑Remodeling and have no employees These sub-contractors hoveing,for me in any capacity, workers'comp,insurance. 8' ❑Demolitionworkers'comp,insurance 5. ❑ We are a corporation and its 9• ❑Building additionred.] .officers have exercised their 10,❑Electrical repairs or additionsa homeowner doing all work -right of exemption per MGL 11.❑Plumbing repairs or additionslf.[No workers' comp. c,152,§1(4),and we have no ance re aired. 12•❑Roofrepairs q ] employees.[No workers comp,insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 7 Homeofters who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a newaffidavit 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. lam an employer that is providing workers'compensation insurance for my employees. Below is me policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: , City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a B110 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 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 fine Investigations of the D9 for insurance coverage verification. t do hereby certify under the pains an o er'u � .fP J Yy that the information provided above is Prue and correct+ Si nature: Date: ?done [Ofj icial use only. Donotwrifeinthis area,tobecompletedby city or town official.ity or Town: Permit/I,icensesuing use (circle one): I.Board of Health 2.Building Department 3.City/Town Cl 6.Other erk 4.Electrical Inspector 5.Plumbing Inspector Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, j express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall'withhold the issuance or renewal of a Iicense or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(I)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers''compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy;please call the Department at the number listed below. Self-insured companies should enter their ,self-insurance Iicense number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used ss a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year;need only submit one affidavit indicating current policy information(ifnecessary)and under -Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town.may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOTrequired to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: Tire Co .oxCWC-&Lh of 1fassac.'n. setts Departmeut Of Zndustrxal Accidents Ofte of Investiigatlons _ 600 Washington Street Bastin;MA 02111, Tot.#61.7-727.4900 ext 4406 or 1-877-MASS.AFE Revised 5-26-05 Fax#617-•727-774. W WW mass.g-4vj(jja. a Il] C _ Er Postage $ CO M Certified Fee Postmark C3 Return Receipt Fee Here C3 (Endorsement Required) O Q Restricted Delivery Fee (Endorsement Required) ,�(( 0 9 $�J a Total Postage&Fees Lr) C3 Sent To (L ------------ ----------------------------------------------------- or PO C3 or PO Box No. t'l- City,State,ZIP+4 Certified Mail Provides: o A mailing receipt G A unique identifier for your mailpiece G A signature upon delivery d A record of delivery kept by the Postal Service for two years Important Reminders: 13 Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. d Certified Mail is not available for any class of international mail. t1 NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. 13 For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the f fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". 0 If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-02-M-0452 v ,:o f pOR'r#j O tiL¢o � 4 q a ��SSACH435 BUILDING DEPARTMENT Community Development Division July 17,2009 Brasseur Residence 5 Longwood Avenue North Andover MA 01845 Dear Mr. Brasseur, Please be advised your property is in violation of a North Andover Zoning decision dated November 19,2001,PETITION: 025-2001, see attached. The decision clearly stated you property was to be clear of all material, debris and multiple miscellaneous infractions as noted in the attached documents. i he sale of firewood also violates the zoning bylaw by having a retail business in a residential area Please see section 4.121 of the zoning bylaws sections 9, 10, 12 a,b, and f. You are hereby ordered to immediately ase and desist the storage of wood, construction debris, and unregistered vehicles immediately and arrange for the removal of said violations. Your Failure to fully comply with this Notice of Violation letter will result in my filing an application for criminal complaint against you in District Court with possible fines of$300 (sec.10,13)for each day during which violation continues to exist, Sincerely Yours, Gerald Brown Inspector of Buildings Cc: Curt Bellavance,Director Receipt Received. 7002 0510 0000 0894 2851 1600 Osgood Street,Suite 2-36 North Andover,Massachusetts 01845 Phone 978.688.9545 Fax 978.688.9542 Web www.townofnorthandover.com Town of North Andover 40RTh OFtt�O°�6 W Office of the Zoning Board of Appeals 0� Community Development and Services Division 27 Charles Street 4 searr�..4 North Andover,Massachusetts 01845 San+us� D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 Any appeal shall be filed Notice of Decisiono L- within(20)days after the o Year 2001 z A--f-< date of filing of this notice o y o C in the office of the Town Clerk. Property at: 5 Longwood Avenue y m m N �CDc7 NAME: Judith Brasseur. _ DATE: 11/19/01 � =rn ADDRESS: 5 Longwood Avenue PETITION• 025-2001 n [North Andover,MA 01945, FIEARING(s): 9/18,10/9,1 6 &11/13/01 The North Andover Board ofAppeals held a public hearing at its regular meeting on Tuesday,November 13,2001 at 7:30 PM upon the application of Judith Brasseur,5 Longwood Avenue,North Andover,MA requesting a dimensional Variance from Section 7,Paragraph 7.3 for front,side,and rear setbacks,and for a Special Permit from Section 9,Paragraph 92 to allow for a proposed addition of a 2nd floor with 3 bedrooms and L bathroom existing non-conforming structure within the R-3 zoning district. on a pre- The following me nlrsrs were presant:V-5lliax J.S-allivan,Walt Earley. e:r. Soule,John,Pallone,Ellen McIntyre,George M Upon a motion made by Walter F. Soule and 2nd by John Pallone,the Board voted to GRANT a dimensional Variance for relief of 1.l' front setback,7.6'right side setback,and 2.9'rear setback in accordance with the Plan of Land of Bradford Engineering Co.,3 Washington Sq.,Haverhill,MA 01830 conditions: dated 7/31/O1,revised; with the following 1. The tractor trailer will be moved within six months of the issuance of the building permit; 2. The tree branches and scrap wood,including the railroad ties shall.be removed during the first quarter of year 2002; 3. The excess material,presently under tarps,used for the construction of an addition shall be removed within six months of the issuance of a building permit; 4. No recreational vehicles shall be parked or stored beyond the front line of the house; 5. Storage of trash barrels shall be shielded'by shrubbery or behind the front line of the house; 6. This residential property shall be kept free of construction yard material within six months of the issuance of a building permit Voting in favor: WJS/WFS/JP/EM/GME. The Board finds that the applicant has satisfied the provisions of Section 7'Paragraph 7.3 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. . Upon a motion by Walter-F. Soule and 2nd by John Pallone,the applicant was allowed to withdraw without prejudice the Special Permit because it wasn't required. Voting in favor: WJS/WFS/JP/EM/GME. Page one of two BOARD OF APPS ALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HF-IF68Y.-9540 PLAN ZNCi 688-9535 - ��� R1Ja of 1� a z ,fA - ....�.a+. ny .} ......i % i; .< ': .' }`�✓�¢{'91,yi. d'A�"rYG��y.�. q�. { "" '3r-1��.}`p4 �Sut,y.,r u4t^j; YAP In a ,dm ,t tjy 1 •. • • •--• 111 • • • • •--• t x m , is a'/J�v. `kI� In , �ar� xnt rl � n a I1 �rrrad �� � �Ifii n �pfk e� M M d av ti yF ' dr', w ( rx h r °rstw� t- p� 1 r .� {✓ rl� r4 x ��t w,3e .>„v 74rrj 1"'" �/a^t'J y x � �l a . - ,.� • •--• 111 • • � • • •--• 111 • • • r i fi 'It �L � ��'vl'�,'�t4��+�•bS I Y kl Ae :(�} F f �6 '� Yo'h ,I �'" � ��t Z{ "� �"� 1J' t ry y�Itq u i ik a H'...'s'1': e t - '+v� N':h�> rs 'm a:.��s r^s �A� ...'•4J 3 f, i 7r f GS' i Y� �� �,n_•.�.� t' � "" � � m � �- �n�x��Ys�'�tC'�j n�nrr.:l5�t 1r j: t '�. ,,. 4 h '�� �a��d.'�2>,�,c ��.i�dcrn,p 1 r•�1 t, -, �r SMS:`"t�' � �`�.� ��^`' 'ri ,� •. k ,� s�< 'n��f r v �i�� �'etN��' £sy5d�i'' i� ��lbi#��`� j �e� � s. M;'3`r •• • IN•— •• . •• - . • ♦ •- - - IA, , Y W pr of - • •- • 1 't Y ✓.�f I '✓..: r-- yx 44'' N""r h '? i�,v"�J ra — � iZ*P15 Y _ �, v' ,1 r� Tzs a a.dsf`*.tt ° h v ' po"1e / d wy@g9 se pi k4 $�"TLS ... y W,--- 5gy f y, d,l Tda4 S s t, Jy4R� tys ,�` ti 6,� r rr � �. 1 9 .r. � 1"d t x; ���'"� F vpri ��vY:'s rf+r����{� it 3p�� ! �.�� ✓4p'� r rt ,�`� ...�, x • •--• X11 • • • • •--• X11 • • � • Fri' t m n „. � ...;.•�� +otwp'' w✓� srV�s zr>a x °5` S jr - N�.�`»I�w'4ad l{r',�,t-I'4( x7" tt i,< :*vc � a .�. ��f '�& v "' � _ ��� a g� v E t✓ .����ir"°� ..0.r. � � ...." 'x;,''`�'• � ay Fqr++. a(A����rJywlr� 4t'x/'�� � f L`- e 4 elf p_ ly File Name : IMG_0385.JPG File Name : IMG_0386.JPG Shooting Mode : Auto Shooting Mode : Auto Tv (Shutter Speed) : 1/320 Tv (Shutter Speed) : 1/250 Av (Aperture Value) : 4.9 Av (Aperture Value) : 4.5 Exposure Compensation : 0 Exposure Compensation : 0 ISO Speed : 400(High ISO Auto) ISO Speed : 400(High ISO Auto) Focal Length : 17.4 mm Focal Length : 14.4 mm White Balance : Auto White Balance : Auto I Ti y' t 1n .. File Name : IMG_0387.JPG File Name : IMG_0388.JPG Shooting Mode : Auto Shooting Mode : Auto Tv (Shutter Speed) : 1/160 Tv (Shutter Speed) : 1/320 Av (Aperture Value) : 4.9 Av (Aperture Value) : 3.2 Exposure Compensation : 0 Exposure Compensation : 0 ISO Speed : 500(High ISO Auto) ISO Speed : 400(High ISO Auto) Focal Length : 17.4 mm Focal Length : 7.1 mm White Balance : Auto White Balance : Auto iU - ` r�. h• FA+. r S, to File Name : IMG_0389.JPG File Name : IMG_0390.JPG Shooting Mode : Auto Shooting Mode : Auto Tv (Shutter Speed) : 1/400 Tv (Shutter Speed) : 1/400 Av (Aperture Value) : 3.2 Av (Aperture Value) : 3.2 Exposure Compensation : 0 Exposure Compensation : 0 ISO Speed : 400(High ISO Auto) ISO Speed : 400(High ISO Auto) Focal Length : 7.1 mm Focal Length : 7.1 mm White Balance : Auto White Balance : Auto x NN i S File Name : IMG_0391.JPG File Name : IMG_0392.JPG Shooting Mode : Auto Shooting Mode : Auto Tv (Shutter Speed) : 1/500 Tv (Shutter Speed) : 1/320 Av (Aperture Value) : 3.2 Av (Aperture Value) : 4.9 Exposure Compensation : 0 Exposure Compensation : 0 ISO Speed : 400(High ISO Auto) ISO Speed : 400(High ISO Auto) Focal Length : 7.1 mm Focal Length : 17.4 mm White Balance : Auto White Balance : Auto 1 1 f t I t es.0 File Name : IMG_0393.JPG Shooting Mode : Auto Tv (Shutter Speed) : 1/160 Av (Aperture Value) : 4.9 Exposure Compensation : 0 ISO Speed : 400(High ISO Auto) Focal Length : 17.4 mm White Balance : Auto ,.,:_ .a 41 Qr v • z 1 1 • , t 4K O p N a. ~ =1 IB � ,, ,� '� s � g �� it a5r `�y"t �• $� J r t 'rp a .• rG TTk } W . 1 . Vit. Y WI' `, -: �, ., e�ert�fra�a�srx�srrrr �:�: .r' `r 1` .• ...,� r aD, st ,^ x �.`• �`��-,t ext Y�'.'•'.� l�� , _�. �,f: � -. � a � yLA r ''�. � .yam � { rx�,1 !.9 r• -- �•;�.��'. Rw 40, e1 ^vY� 'l`etii' y,S��Sl�4rr�w.�t .1� - _ `\ �� a�♦ µ ...�� � �, � 4ev % ��11 «� •llf (�. � n ���,1�„;;s,w „fir �'i � ��.i�• �! ���1°'1h -;# '���"�_ it� .' ,. ;t ,`�' i e ��'� µ.a4 .a a. ,;• '..� '� �k� �7/ t��. 5 J •!f#��'t 1,.,+ �. 4C;4Y e'9, t tVv, q r +... T � — .4 .r':fid - �,,�., � � .. >..••' �-nt,_;- ,... "y 1. .. . . �',r• tet. •�'`°f...,dk:;,,� •� „'1,,,. . _ e w I_ a v �1�, e rye, �` � '�` •':�' ,� � ,� ,. d�)��;,���;�.�,:� rl 14 IN F , z �. a_' 5 IV Ae-ALA- . w _ '-# � Nei .. � �• i _ �. } ,., � , J • • �" w iA t r ; - " • r 'x4 J�- t K Sr:.a p� y Allam f� a� r J „ r !�,!�'�' 'f !,�• a ,{, :+alp{ s., ,,, "' � � ._, f, or Yo r 46 µ a 14 Or Alot • e, : c ".r -41 AR t 41* .air✓ '' ��� � �� � �, ii lay >•� �•a s '4ptg - -� � .�-'".r,. � � }i '�.. • ! � - it - � � �•.t i� {yyC. ' i 4ar� C � t.` a afa+t.� �.�. �`'� i a * �a'�`� w'' �..1 �. Conservation Commission May 9, 2005 Building Inspector Zoning Board of Appeals Dear Sir or Madam, The occupant of 5 Longwood Ave. has continued to cut down trees and vegetation on town owned land(Maplewood Avenue, a paper street running parallel to Hewitt Ave. ). Additionally,the occupant of 5 Longwood Avenue has filled in areas on this paper street that were described as wetland by the North Andover Conservation Commission Agent. The land filling involved construction debris and household trash that was bull dozed, ' covered and graded. It appears that unregistered vehicles (a truck and camper) are also stored on the town property. Additionally,yard waste, brush and branches, discarded household fixtures and other debris have been dumped on this public property. The occupants of 5 Longwood Ave. received a zoning variance with conditions to which " they have not fully complied. Information about non-compliance has been conveyed on previousoccasions to the Building Inspector. I would appreciate your attention to this situation as it is my understanding that said paper street(Maplewood Ave.) is town property and is 40 ft. in width and parallel to Hewitt Ave. as shown on plot plans on file with the Town of North Andover. The destruction of wetlands and the cutting of trees and vegetation on public lands is a violation of town by- laws and should be investigated and appropriate enforcement carried out. I would appreciate hearing from you concerning any actions taken. Thank you. Sincerely, Donald N. Smith 87 Chestnut St. RECE�V ED North Andover,Ma MAY 1 7 2M BUILDING DEP-T- 3664 Date.... gORTh ,"`°;°'"a TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 5° CMusE� Y ,,This certifies that ... / E' has permission to perform k`r'410 I I 'U `�. ....Cl-............ ........ ... wiring in the building of.�714 !'(....... .................... // ....... . ,North Andover,Mass. ..l�rl.�!.�(. woo aFee...... `.. �Lic:Nol'?.//;�.... a. I..P.rCa).Z�Tvw.��.. ELECTRICAL IN OR Check # �� THE COMMONWE4LTHOFAWSACHUSETTS Office Use only f` DEPARTNIDVTOFPUXJCSAFETY Permit No. Lia BOARD OF FIRE PREVE MONREGULAHONS 527 CMR l2M Occupancy&Fees Checked APPLICARONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 ( / Q PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) ,, ti Ivo o i81� , Owner or Tenant 71 Owner's Address Is this permit in conjunction with a building permit: YesEZI No F-1 (Check Appropriate Box) Purpose of Building z �p. Utility Authorization No. _ Existing Service /4 P Amps e7.%yVolts Overhead Underground No.of Meters New Service Amps / Volts Overhead 0 Underground No.of Meters Number of Feeders and Ampacity 7- 74 Location and Nature of Proposed Electrical Work / 77-177-777— No. 7 v 7- No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units �A No.of Switch Outlets No.of Gas Burners No.of Ranges s 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 D tion/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• Ire.uanceCoveram RnsuanttothelernulenienlsofMass?dntsetl Gowr-alIam Ihaveaomutliabl7it kuuanoePbbcyincludalgComp orsCovaageorza bs=alegnvalent YES u NO IhawstlbnlifledvalidploofofsametotheOffm YES ffyouhavedi dodYES,plamindicaethetypeofcDwWby dVddINSU Igltfieapplopdatebox o 0 INSURAveE Bol•>D oTI�R (P>easespwfy> _ ��`�� 1?✓1� .r > i1 G ExpuationDae WotictoShatt 3 / ® E VahleofEle hicalWolk$ IIwaciollDateizwsw Rough Final SignedurxixTiePu, esofpffjW.. FIRMNAME LiwiseNo. liceriseeSignature IioffwNo BusmessTel.No. Arirlrr �� �' t . /�V '• �//r6�Z �4. �aA_ Alt Tel.No. O)"V SINSURANCEWAIVER;lam ablatethattheLxmsedoesnothavethem umxoovdageoritssubstantialequivalentaswgtmedbyNL9%adnlsemGaleralLaws and that my signature on this permit application waives this regtmt t (Please check one) Owner Agent F1 D ' Telephone No. PERMIT FEE Signature ot Uwner or Agent z ti 3575 Date.................................. t NORTH °`t`�'°;•1"O TOWN OF NORTH ANDOVER p PERMIT FOR WIRING CHUS �\ This certifies that .......`...... has permission to perform ...... �� ^' r :.- ` (\/ -vLfl_ -dam c .it_ _wiring in the building of....:..:............................................. s , at...-6......... �c��'`' "–' North Andover Mass. trL 'au//?� '�. / Fee...7 ............ Lic.No.............. ...:..,.......—�.....NS .CTO ................. ELECTRICAL INSPECTOR Check # 11,112— Official Use Only Permit No. ae�ianAxeKt oa�udlle Sa�ety O7/ Occupancy&Fee Checked_ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date / p i To the Insp6ctor o Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described described below. Location(Street&Number r`Q�N—,—_" �0,4( Owner or Tenant_;,�y Owner's Address Is this permit in conjunction with a building permit Yes W1 No ❑ (Check Appropriate Box) Purpose of Building __ Utility Authorization No. Existing Service �' 0 Z) Amps Voits Overhead M Undgmd ❑ No.of Meters r iNew Service Amps Vofts Overhead ❑ Undgmd ❑ No.of Meters ! Number of Feeders and Ampacity i Location and Nature of Proposed Electrical Work W:er k� _ `?7. :�47'c:Y./ t Total No.of Lighting Outletsf a No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures �� Swimming Pool gmd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets 07's- No.of Oil Burners Battery Units I No.of Switch Outlets /CR No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and t No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di osal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices/ S4944 ❑ Municipal V Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Si ns Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = -I ave s d valid proof of same to the Office YES= NO = If you have Checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) 4?.zr�, a? T 4,;?,*a C?. y IJ (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perju%_ f--- � —� FIRM NAM I LIC.NO. lJ Likense 10_ Signature LIC.NO. Bus.Tel No. �'/ s 7/q 3,0 7 Address Alt Tel.No. R•?S t Q-6.2-- !y0 OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement Owner Agent (Please Check one) , Telephone No. PERMITTEE $ /y (Signature of Owner or Agent) Date .'.�.U.` .�. f : • 40arM.•pp TOWN OF NORTH ANDOVER pf ,�,o ,q• 0 p PERMIT FOR PLUMBING a r �,SSACMUS� This certifies that r. .... . . . . . . • • • . . has permission to perform . . Rem-.C': .•. . . . . . . . . . . . . . . . . plumbing in the buildings of • . . . . . . . • . . . . . . A" .<.,.i . . . . . . . . . . . . . . . North Andover, Mass. PLUMBING INSPEC OR Check # 5147 �G¢ 6C MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date a� — 0 Building Location f��OIv3 Ujoe) ® �(/ Owners Name tju a �/7 �/� JyE Permit# 1 �— Amount y��... Type of Occupancy New Renovation Replacement Plans Submitted Yes No ❑ FIXTURES z � Ln x a Ln o c a s CnCn '" 3 � �= w1 �: SUR-13M BASEN H Nr isr.1UTR M 1HILM —M HIM M IL" sM HIM 6M HIM 7II-I ILOC R gm (Print or type) Check one: Certificate Installing Company Name 1+// �C � ❑ Corp. Address �� AqTL Ati 1 I 'S7— Partner. G` Business Telephone n 0Firm/Co. Name of Licensed Plumber: 40elVliG /QL Insurance Coverage:. Tndicate the—.type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all 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 Massac tts State um�C and apter 1 2 of the General Laws. BY igna ure o icense um er �T pe of PI u Bing License Title City/Town icense IN um er Master ❑ Journeyman APPROVED(OFMCE USE ONLY IIIYYYJJJ LocationNo. Date { NORTry TOWN OF NORTH ANDOVER �? '• O AL F s �o : : Certificate of Occupancy $ 'ss^cMusE` Building/Frame Permit Fee $ Foundation Permit Fee $ s Other Permit Fee $ TOTAL $ Check # 5231 Building Inspector TOWN OF NORTH.A OVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: ~TDATE ISSUED: SIGNATURE- :- Building Commissioner/1for of Bu'ldin2 Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: �l7N �C4� NumberParcel Number 1.3 Zoning lnfotmation: 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 Recluired 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 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of ecord A 5 S c7 GZ Name(Print Address for Service P f Sig,6ture Telephone 2.2 Owner of Record: Name Print Address for Service: M Si nature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction�aupervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address z Expiration Date Signature Telephone .. SECTION 4-WORKERS COMPENSATION(NiG.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.......0 No.......0 SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: 2 S� rr�► F/00p- jm SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be )� NO (3x + +' "tOaIAX 1 bt-""1 a Completed b rmit applicant a 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Const-ruction rTotal ing Building Permit fee(a)X (b) nical HVAC row .� otection l+2+3+4+5 Check Number 7a OWNER AUTHOR TION TO BE COMPLETED WHEN GENT OR CONTRACTOR APPLIES FOR BUULDING PERMIT `U t� 5 5 �� as Ownr/�thorized Agent of subject property yorize to act on My beliff,bellin all tters relative to work authorized by this building permit application. in - s- o St alt hnr 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 3 Si nature of Owner/Agent Date 4 NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST 2 3 MHEIGHTOFFOUNDATIO'N ONS OF SILLS ONS OF POSTS ONS OF GIRDERS F FOUNDATTO'N THICKNESS OOTING X L OF CHUVINEY ING ON SOLID OR FILLED LAND G CONNECTED TO NATURAL GAS LINE 1 ' ...._..�.. .....e. - FORM TRIFLEASE FORM INSTR_UCTIONS.. This forma is used o v£.rifiithat au z- -cessaayaplzrov-�l,permits fronz Boards and Departments having jurisdretiors have been :jbtaine(j. "h;s does not relieve the applicant and or landowner from compliance wit)h"rry&*scab- ,rega1�:!ni.ents. Iaaaaaasaauwai saaa aasaaa ■sawasawsaua:x.vcarae . .;caaasaa .waassnsaasasss.sa: ONE APPLICANT' V i. ASSESSORS MAP NUMBER �:_LOTNUTNIBER — i SUBDIVISION LOT NUMBER i. STREET -0 tet/ w a o4 e STREET NUMBER /QI■1 a■U•a a a a a s s a.V■w a a a s a a as a a am a ■a a if.■R4 ANN a a a a a a am ANN,a a a s U a!a ass s WE■-aa.. QI■ ;.I OFFICIAL,-F_IslF� ONLY - r Iaaaa■asaaasaasaaaamaaaaraaaes'+ermmsaa�r::,!c:e.....,..,ac�e_=.a:--�'rma a s r.cn_6..e r y a.a s RECOMMENDATIONS OF TOWN AGEN'TIS Isaaaasaaaaaasaaaasasaaaaaaasaaaaasaaaerc:saassaaasaaaaasaaeasaeaasaQ��rsaassa� 'I DATE APPROVED CONSERVATION ADMINISTRATOR I N den v erAt Cct4i ai erf 1-e Pa.,d irstwe GkuS DATE REJECTED rZ/Y Z'1/ _ -- DA'T'E APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-'HEALTH DATE REJECTED DATt .APPROVED SEPTIC INSPE Tl3R-I3EAIATI , DATE'?EJECTED PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY —_. / 'All, FIRE D I . / DATE REJECTED j1 COMMENTS t RECEIVED BY BUILDING INSPECTOR _ _ _DATE i x x I tr � a rQ 4 Y f N-1 �. w The Commonwealth of Massachusetts Department of Industrial Accidents ' d Office of Investigations a W a Boston, Mass. 92111, S�1b Workers'Compensation Insurance Affidavit Name Please Print Name �1 / K� 0 �Q19sS �l � Location Cl ,U/ Phone # 7 72 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity i I am an employer providing workers'compensation for my employees working on this job. '4 Com an name: r Address � Ci Phone#: Insurance Co _ Policy# Com n .name: Address . k Ci Phone#: Insurance Co Policy# Failure to secure coverage as required under section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 I: and/or one years`imprisonment as Hiell_as_civil.,pena�iesiniheform�f�-SIOP_wQRK ORDER.,and..a fine_of($100..0�)�siay ns and/or I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage vercation. hj a Ido hereby certify un er the pains and penalties of perjury that the information provided above is true and correct. N Signature Date � ✓ � '22 s 3 Z Print name DNh R6L to 5 5 C J(Z Phone# 7 k.i Official use only do not write in this area to be completed-by city or town official t City or Town Permits-icensin 11 Building Dept i []Check if immediate response is required Licensing Board p Selectman's Office Contact person. Phone#: Health Department Other l r� U� p e} Mqn iy Town of North Andover °:�«•� -.;' Building Department p 27 Charles Street . � T North Andover, MA. 01845 �s ,;.�{,' D. Robert Nicetta S��H„S4 Building Commissioner (978) 688-9545 978 688-9542 Fax HOMEOWNER UCENSE EXEMPTION Please print DATE 6? O JOB LOCATION C n> Number [� Street Address Map/tot ,.HOMEOWNER Dy /J Ba4S . eJ2 C--7F - ;? Name Home Phone Work.Phone PRESENT MAILING ADDRESS b//g [rte ©Q� �/L ,"r6'1lD0� 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 j 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-laws, 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 will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Town of North Andover NaRTh ?0��t`� O Building Department o 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax 978 688-9542 o P 9 A4TE0 S t SAC�ILlS� I III DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and.a condition of Building permit.# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: � /i/weo .7 f UlL IN ►t�1, Facility location L Signa re of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. ire aVi vva aV iv ata.a -.IV VVV VVJV aveVa ..va\i4 A1.YV,Ll� _ W-.jVV1 Town of North Andover oE.s..o•. Office of the Zoning Board of Appeals ce Community Development and Services Division 27 Charles Street `� �•- •, ► North Andover,Massachusetts 01845 'as�c,arse` A.Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 N 0 Any appeal shall be fled Notice of Decision `~ z 0 within(20)days after the Year 2001 0 n date offrting afthisrrotice < z IM in the office ofthe Town Clerk Property at: 5 Longwood Avenue D��A NAME: Judith Brasseur DATE: 11119/01 < a ADDRESS: 5 Longwood Avenue PE'l<T•CMON; 025-2001 •- A North Andover,MA 01845 HEARING(s). 9/18,1019,1 6 &11/13/01 The Nardi Andover Board of Appeals held a public hearing at its regular meeting ca Tuesday,November 13,2001 at 7:30 PM upon the application of Judith Brasseur,5 Longwood Avenue,North Andover,MA requesting a dimensional Variance from Sectiao 7,Paragraph 7.3 for front;side,and rear setbacks,and for a Special Permit from Section 9,Paragraph 9.2 to allow for a proposed addition of a 2'd floor with 3 bedrooms and l bathroom on a pro- existing non-conforming structore within the R-3 zoning district. The following members were present:William J.Sullivan,Walter F.Soule,John Pallone,Ellen McIntyre,George M. Earley. Upon a motion made by Walter F-Soule and 2nd by John Pallone,the Board voted to GRANT a dimensional Variance for relief of 1.1'front setback,7-6'right side setbadr,and 2.9'rear setback in accordance with the Plan of Land of Bradford Engineering Co.,3 Washington S4,Haverlull,MA 01830 dated 7/31/01,revised;with the following conditions. 1. The tractor trailer will be moved within six months of the issuance of the building permit; 2. _ The tree branches and scrap wood,mcludiag the rash oad ties shall be removed during the first quarter of year 2002; 3- The excess material,presently under tarps,used for the construction oafan addition shall be removed.Within six months of the issuance of a building permit; 4. No recreational vehicles shall be parked or stored beyond the fraot line of the house; s. storage oftrasn shall be shielded by shrubbery or behind the froat date of'the house 6. This residential property shall be kept free of construction yard material withm six months of the issuance of a building permit Voting in favor_ WJS/WFS/JPYEM/GME. The Board finds that the applicant has satisfied the provisions of Section 7 Paragraph 7.3 of the zoning bylaw and that sucb change,extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Upon a motion by Walter F.Soule and 2°d by John Pallotte,the applicant was allowed to withdraw without prejudice the Special Permit because it wasn't required. Voting in favor. WWWl:S1JP/EM/ONS. Page one oftwo BOARD OF A-PPEALS 688-9541 BUH-DIN0 688-9545 CONSERVATION 688-9530, HEALTH 6188-9540 PLANNING 688-9535 Furthermore,if the rights authorized by the Variance are not exercised within'one(1)year of the date of the grant it shall lapse,and may be re-established only after notice,and a new hearing_ Furthermore,if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)year period from the date on substantial use or has which the Special Permit was granted unless. construction s com}Ytenced,-it shall lapse and may be re-established only after notice,and a new hearing- f f Board of Appeals k William J.Su i-van,Chairman Decision2001-025 Page two of two r � , I t. y :Y I wT NvR , M own of Andover 0 LA o dower, Mass., ZR "VA0 COCHICHEWICK ADRATED P`PGj S BOARD OF HEALTH PE.IRMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..............TJIV.��..........................B.rassv.V..�.................................... Foundation has permission to erect..CP.N.O............ builds gs o ....... .............. .o ff►. ae....Aqr— g Rough to be occupied as ODI'" �of �/V �V 0 L Chimney p ..........�/.........................A................................................................................. .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 rel ing to the Inspects , Alteration and Construction of Buildings in the Town of North Andover. QG► DXI PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Q• r 2 rb A' PERMIT EXPIRES IN 6 MONTHS Final I. °I 00/ UNLESS CONSTRUCTION S ART ELECTRICAL INSPECTOR a/1 sft- 11I/ 3 J:;O" 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. 1 MORTGAGE INSPECTION PLAN 476 BOOK 7540 PAGE 23� LOCATED IN PLAN NO. 3G0 SK. A10. A ADO VER PG. CERT. NO. MASSA 14,10SETTS dun a ZZ, 1994 SCALE: 1* • 30' e. I�, t N/W 5;4.t/ AN70AJ10 AJ/AJ/0c / 4V*Y' Ge- x /o® cl ' �oTS /roZ TNR 7 7 •.7 r l i rh /7Z-/75 i 5 000 S,f; It I ` L? X h J i rl.l r�l r.i rl,l N rl.l � r� r� rig N/F M cAVOY LOT 192 I LOT 191 LOT 190 I LOT 189 LOT 188 LOT 187/ LOT 186 LOT 185 LOT 184 LOT 183 LOT 182 I LOT 185 '•i 250 — I i LOT 175 LOT 171 - -z- _ _ - - LOT 162 1 LOT 163 1 LOT 164 LOT 165 1 LOT 1 66 1 LOT 167 I �� EX� � LOT 161 o I I LOT 1 691 OPEN PEG o LOT 1 74 HOLLIRS 0 N/F I c ... :: R°POAopR�oN. — ... :.::;' 12.4' <iLCOURSE TOTAL XREA = 5,000 F. _20.8_ LOT 173 LOT 168 I j LOT 170 i" LOT 172 !— 250' I I A M A P L E W O O D (PAPER STREET) A V E N U E 1� 1 _ 00 �� p i4 ®� PLAN O F LAND NORTH ANDOVER , MA _ ' 6/2t NO. 5 LONGWOOD AVENUE JAMES �. `FR.L.S. PREPARED FCR: ` —3 E GRAPHIC SCALE FOR,. SPECIAL PERMIT DESIGNED: AHO BRADFORD ENGINEERING CO . SHEET 1 01 30 0 15 30 60 120 DRAWN: CHECKED: A.H.O. 3 WASHINGTON SQ . REVISIONS WJB HAVE R H I LL MA . 01830 l APPROVED: " JWB ' PHONE: FAX: - AI 6�28�2001 IN FEET 1 1 inch = 30 ft. = 30 (978) 373-2396 (978) 373-8021 DATE: JUNE 26, 2001 FILE NAME: PERMIT\NA62601 .DWG FIDE N0` 3605 REFERENCES ESSEX SOUTH DISTRICT REGISTRY OF DEEDS: DEED BOOK 626, PAGE 476. DEED BOOK 756, PAGE 238. PLAN NO. 360 ASSESSOR'S MAP 600 LOTS 29 & 30 ZONING: R-3 N/F SAN ANTONIO I I I I I I I I i r� N/F 1 I I McAVOY LOT 192 LOT 191 I LOT 190 LOT 189 I LOT 188 LOT 187 LOT 186 LOT 185 I LOT 184 LOT 183 I LOT 182 ( . LOT 185 250' T ( I I I I I I N ILOT 1 71 LO 7� 1 � LOT 162 LOT 163 LOT 164 I LOT 165 I LOT 166 LOT 167 LOT 161 EXE o I I I I LOT 1 69 I OPEN oECK O LOT 174 N o HOL N/F I I I I I No ":: .i.•• RpPO5E0'10N:::: KILCOURSE I TOTAL , REA = 25,000 iF. a,o� ';:::.:."��•W05:•::..•.:.::: 20.8_ LOT 173 I I 1 II LOT 168I I. ISI - - � - - - LOT 170 g N LOT 172 I � I 250 TOWN OF NORTH ANDOVER, MA. REFERENCES PLANNING BOARD APPROVED ESSEX SOUTH DISTRICT REGISTRY OF DEEDS: DEED BOOK 626, PAGE 476. DEED BOOK 756, PAGE 238. PLAN NO. 360 ASSESSOR'S MAP 600 DATE LOT 29 ZONING: R-3 I I 1 N/F I I I 1 SAN ANTONIO N/F 1 1 I I McAVOY LOT 186 I LOT 185 1 LOT 184 LOT 183 1 LOT 182 I LOT 185 100' I –� I I LOT 175 II I INI ILOT 171 - - - - - - - - LOT ' 167o i �K LOT 174 N/F 0 11LOT 1691 o Al I p JUDITH BRASSEUR N� : :. g :..,:��Og�.::•:::..: X2.4' � ';::•::' O 50.:::•.:.:.: -X0.8_ LOT 173 II LOT 168I j I LOT 170 I ao — — — — – II I LOT 172 TOTAL ; RA �= 110,000 i I 100' MAPLEWOOD AVENUE (PAPER STREET) A` .GAN 0 00 \O N TOTAL AREA = 10,000 S.F. 100% AREA OF EXIST.- BUILD. = 917 S.F. 9.2% AREA OF EXIST. DECK = 255 S.F. 2.6% AREA PROP. ADD. = 128` S.F. 1.3% PROP. 2ND FL. ADD. _ 800 S.F. 8.0% EXIST. COVERAGE = 1 ,172 S:F. 11.7% PROP. COVERAGE _ 13.8% P LA N O E LAND �� '��"° N NORTH ANDOVER , MA . NO. 5 LONGWOOD AVENUE JAMES W. P L.S. GATE PREPARED FOR: ZONIN ' �suR� " 3 FOR SPECIAL PERMIT DEStcNED: AHO A.H.O. BRADFORD ENGINEERING CO . SHEET 1 OF 1 DRAwN: CHECKED: 3 WASHINGTON SQ . REVISIONS WJB BY HAVERHILL MA . 01 830 JWB 978 373-2396 F""' - L SCALE: PHONE:1" = 30' ( ) (978) 373-8021 DATA JUNE 26, 2001 FILE NAME: PERMIT\NA62601.DWG FILE NO: 3605 I I i i J. ♦ — -++.'max....,. � �.i.y �. i I•j \ c � 4 -.�'��,., :.�, _ t ��` �'���° f�, etc• � +�' 1. �z � '� • . :. �Vt� ..;. ii Y . M 4 d • \•t 1� ��^A'#� � '«ems � °`�� '�t''�"{ sT �a..-,. _ �. t err \•r � 'r .4 { � � � � ,+ s �� w /l �..__ .. MEJBYERLEY Y RL Y Map Files Listing.xls 03-26-01 01 :41 ................................................ ......... ................. ............................ ................. ............................ ................. ........................... ...................... ...................... ..................... .................... ................... .................. .................. ............................ ............................ ............................. ............................ .................................. gOfY7-Ij"'r Zoning Bylaw-Review Form �a a_ Town Of North An. dover Butidingbepartment X27 Charles St. North Andover, MA. 01845 C� Phone 978-688-9545 Fax 978-688-9542 Street: 15— v.n� w m o U-e— Ma /Lot: c c /CP q Applicant: ...,i v 1 G) jB f a 55e r Request: Date: —� Please be advised that after review of your Application and Plans your Application is �/ DENIED for the following Zoning Bylaw reasons: Zoning R-3 Item Notes Item A Lot Area Notes F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting e S 2 Frontage Complies 3 Lot Area CompliesS e 1 .3 Preexisting frontage Ll e- 4 S Insufficient Information 4 No access over Frontage B Use 5 Insufficient Information 1 Allowed y(e- S G Contiguous Building Area 2 Not Allowed @csnFrnc;,rs`iT 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required Ll !S 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient ye.s 2 Complies 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient ye 5 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setbacks) y A 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed �5 4 Insufficient 'inform— ii,,-2 In Watershed J Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District reviewre uired q 1 More Parking Required 2 Not in district e 2 Parking Complies 3 Insufficient Information 3 Insufficient Information Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit C Setback Variance Access other than Frontage Special Permit Parkin Variance Frontage Exception Lot Special Permit Lot Area Variance Common Drivewa S ecial Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit S ecial Permits Zonin Board Independent Elderl Housing S ecial Permit NO F E Special Perm Non-Conformity Use ZE3A L3 Large Estate Condo Special Permit Planned Develo ment District S ecial Permit Earth Removal Special Permit ZBA Special Permit Use not Listed but Similar Planned Residential S ecial Permit Special Permit for Sinn R-6 Density Special Permit - Other S vec;�)( �. ; / Watersheds ecialPermit '^ Co��rM� j S�r�cT�c�2 Su t Additional Information o v o� 7) The above review and attached explanation of such is based on the plans,request for or information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for this action. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference The bu'ding department will retain all plans and documentation for the above file. -Building Department Official Signature g Application Received Application Denied Denial Sent : If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for the action on the property indicated on the reverse side: � 'fir t�, �,x c� ,�f ., t fns G z s J '� 'T /IiDiv� Cati�/6�/2 .S�ruC7 f -C?41 U q J � AS a 50� U SS E J(5` V�+C� i5 v Il0w� c �Nu fhGIS Referred To: Fire Police Health Conservation Zonin Board Plannin De artment of Public works Other Historical Commission ZoningBylawDenia12000 BUILDING DEPT