HomeMy WebLinkAboutMiscellaneous - 555 SALEM STREET 4/30/2018 (2) 555 SALEM STREET
210/038.0-0065-0000.0 __.-
Location +
No. DateOf
AOR, � TOWN OF NORTH ANDOVER
_ a
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Certificate of Occupancy $
�.�5'•^ E<�' Building/Frame Permit Fee $ 2
J'�CMUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
14746
Building Inspector
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TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
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BUILDING PERMIT NUMBER. DATE ISSUED.
SIGNATURE:
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Building Commissioner/Inspector of Buildings Date
SECTION 1-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
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Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Required Provided
1.7 Water Supply M G.L.C.40. 54) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System:
Public ❑ Private ❑ Zone OutFlood Zone ❑ Municipal ❑ On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record
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Name(Print) Address for Service
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Signature Telephone
2.2 Owner of Record:
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Name Print Address for Service:
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Signature Telephone
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
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Licensed Construction Supervisor:
License Number
Address
Expiration Date ic
a.®
Signature
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Tlhone
3.2 Registered Home Improvement Contractor Not Applicable ❑
Company Name
Registration Number
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Address rM
Expiration Date ,
Signature Tele hone fr
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SECTION 4-WORKERS COMPENSATION(M G.L. C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
—Signed affidavit Attached Yes.......❑ No.......❑
SECTION 5 Description of Proposed Work check all applicable)
New Construction 0 Existing Building ❑ Repair(s) 0 Alterations(s) 0 Addition 0
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Accessory Bldg. ❑ Demolition 0 Other 0 Specify
Brief Description of Proposed Work:
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SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to
. be ..axar^
Completed b permit applicant '<.,� �; �� n ,n. `G,� p
1. Building (a) Building Permit Fee
J V V Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(a)x (b)
4 Mechanical HVAC r8.
5 Fire Protection
6 Total 1+2+3+4+5 Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AQENT OR CON CT PLIES FOR BUILDING PERMIT
I, (a:s0:;er/ uthorized Agent of subject property
Hereby authorize to ac•on
My behalf,in all matters relative to work authorized by this building permit application.
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Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
I, as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
Print Name
Signature of Owtrer/A en t Date
OWN
NO. OF STORIES SIZE
BASEMENT OR SLAB {
SIZE OF FLOOR TRVMERS 1 T 2ND 3
RD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
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All dimensions_size designations given are
rp This is an.original design and must not be JUBBA, C... Designed: 5/12/2001
subject to verification on job site and O released or copied unless applicable fee has Fp 1 Printed: 5/12/2001
adjustment to fit job conditions. been paid or-joh order placed. Drawing #: 1
No Scale.
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Town of North Andover NORTH
O& �tLm0 16��+
Building Department o� �.' ��
27 Charles Street
North Andover, Massachusetts 01845
(978) 688-9545 Fax. 978 688-9542
SACHu`'c
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, anda 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 c 11, sl 50a.
The debris will be disposed of in/at:
Facility location
S' a re of A plica.t
Date /
NOTE. A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
Building Department ►. p
27 Charles Street .
North Andover, MA. 01845 ;�-F--�•°�'
D. Robert Nicetta 'Ssw�► j5 t{'
Building Commissioner
(978) 688-9545
....:(978) 688-9542 Fax
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HOMEOWNER LICENSE EXEMPTION
Please print
DATE 7116161
JOB LOCATION C
Number Street Address `S
c M p/lot
"HOMEOWNER v j,
ame Home Phone1
Work Phone
PRESENT MAILING ADDRESS �j
No' d6k)lel? ,
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 Cade 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 requirem
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HOMEOWNER'S SIGNATURE
APPROVAL AL OF BUILDING OFFICIAL
;O R"
19
Town of _ - A. Andover
No. L ^= Y X
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O LA o dover, Mass.,
COCMICMEWICK
ADRATED PPa` C
mrmq� ERMIT T D BOARD OF HEALTH
Food/Kitchen
Septic System
BUILDING INSPECTOR
THISCERTIFIES THAT.... .......... l.�V..........�..(i�..:�.�............................................................. ............... Foundation
has permission to erect... . .� buildings on ��t ... .��C ......5...............•..... Rough
to be occupied as.......... ... .L... ... .... ..�iV .. �.�Jr « y ... 1 �r .�i�/.s.... Chimney
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provided that the person accepting this perm' 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 ting to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. 31? &V Pa O 8 0 OOMM PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
Rough
...... ........................ ...................................... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector, Burner
Street No.
SEE REVERSE SIDE Smoke Det.
Town of North Andover °� Na oTk
Office of the Planning Department
Community Development and Services Division
William.J. Scott, Division Director y9•og4r
27 Charles Street SSqCpW5�S
North Andover,Massachusetts 01845 Telephone (978)688-9535
Heidi Griffin
Planning Director Fax(978)688-9542
Notice Of Decision
Any appeal shall be filed
Within (20) days after the
Date of filing this Notice o 0
In the Office of the Town C:)rnFI
Clerk
rn ED rn
Date: April 9, 2001 -0 o
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Date of Hearing: February C1,,-
2200
February 20, 2001, &April 3,,,,;001
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Petition of: Stephen and Cheryl Juba, 55®m StreSj North Andover, MA 01845
Premises Affected: Wallace Street,North Andover, MA
Referring to the above petition for a Definitive Subdivision. The application was
determined to be complete and was noticed and reviewed in accordance with the
procedures for review and approval in accordance with the Rules and Regulations
Governing the Subdivision of Land and M.G.L. c. 41 (the "Subdivision Control Law").
So as to allow: for a one (1) lot subdivision with one new home known as Wallace Street
Definitive Plan.
After a public hearing given on the above date, the Planning Board voted to APPROVE,
the Definitive Subdivision, based upon the following conditions:
Signed:
Alison Lescarbeau, Chairman
Cc: Applicant John Simons, Vice Chairman
Engineer Alberto Angles, Clerk
Abutters Richard Rowen
DPW Richard Nardella
Building Department
Conservation Department
Health Department
ZBA
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING688-9535
Wallace Street Definitive Subdivision
Conditional Approval
The Planning Board herein APPROVES the Definitive Subdivision for a one (1) lot
subdivision with one new home known as Wallace Street Definitive Plan. Stephen and
Cheryl Juba, 555 Salem Street, North Andover, MA 01845, submitted this application on
January 5, 2001. The area affected is on Wallace Street and is located in the R-3 Zoning
District
The Planning Board makes the following findings as required by Section 5.6 of the Town
of North Andover Rules and Regulations Governing the Subdivision of Land:
A. The Definitive Plan, dated January 3, 2000, revised March 20, 2001, is
complete and technically adequate.
B. The Definitive Plan has due regard for the provision of adequate access to all
of the lots in a subdivision by ways that will be safe and convenient for travel.
C. The Definitive Plan has been prepared to lessen congestion in such ways and
in the adjacent public ways.
D. The Definitive Plan reduces danger to life and limb in the operation of motor
vehicles. The new roadway will provide better traveling for the operation of
motor vehicles versus the current paper street .
E. The Definitive Plan secures safety in the case of fire, flood, panic and other
emergencies. The new roadway will provide better access for emergency
situations.
F. The Definitive Plan complies with the Town of North Andover Zoning By-
law. The lot in this subdivision is subject to Section 7.8, Exceptions of the
Town of North Andover Zoning Bylaw, as determined by the Building
Commissioner, Robert Nicetta, subject to the Planning Board granting access
by virtue of this subdivision approval (see attached letter dated February 2,
2001).
G. The Definitive Plan secures adequate provisions for water, sewerage,
drainage, underground utility services, fire,police and other similar municipal
equipment, and street lighting and other requirements where necessary in a
subdivision. The Definitive Plan has been reviewed by the Department of
Public Works, and the Fire Department and has been found to be acceptable.
H. The Definitive Plan coordinates the ways in neighboring subdivisions. The
new roadway will enable future lots on the connecting paper streets to tie into
the roadway.
I. The Definitive Plan conforms with the design and construction standards
described in these Rules and Regulations and in the attached Appendices with
the exceptions of waivers ranted in Condition 17.
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J. The Definitive Plan conforms with all applicable zoning requirements. The
lot in this subdivision is subject to Section 7.8, Exceptions of the Town of
North Andover Zoning Bylaw, as determined by the Building Commissioner,
Robert Nicetta, subject to the Planning Board granting access by virtue of this
subdivision approval (see attached letter dated February 2, 2001).
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d
Finally, the Planning Board finds that the Definitive Subdivision complies with Town
Bylaw requirements so long as the following conditions are complied with:
1) Environmental Monitor: The applicant shall designate an independent
environmental monitor who shall be chosen in consultant with the Planning Department.
The Environmental Monitor must be available upon four (4) hours' notice to inspect the
R site with the Planning Board designated official. The Environmental Monitor shall
make weekly inspections of the project and file monthly reports to the Planning Board
throughout the duration of the project. The monthly reports shall detail area of non-
compliance, if any and actions taken to resolve these issues.
2) Prior to endorsement of the plans by the Planning Board the applicant shall adhere
to the following:
a A Site Opening Bond in the amount of ten thousand 10 000 dollars to b
p g ($ } e held
by the Town of North Andover. The Site Opening Bond shall be in the form of a
check made out to the Town of North Andover that will be placed into an interest
bearing escrow account. A covenant (FORM I) securing all lots within the
subdivision for the construction of ways and municipal services must be submitted
to the Planning Board. Said lots may be released from the covenant upon posting of
security as required in Condition 5(c).
b) The applicant must submit to the Town Planner a FORM M for all utilities and
easements placed on the subdivision.
c) All subdivision application fees must be paid in full and verified by the Town
Planner.
d) The applicant must meet with the Town Planner in order to ensure that the plans
conform to the Board's decision. A full set of final plans reflecting the changes
outlined in Jim Rand's (DPW) memorandum dated 3/20/01 must be submitted
to the Town Planner for review prior to endorsement by the Planning Board,.
The final plans must also reflect that the road be built a maximum of 50'; that
the grading for the proposed house cannot be within the right-of-way; and the
reconstructed driveway for the abutting property blend in with the line of the
existing driveway. These plans must be submitted within ninety (90) days of
filing the decision with the Town Clerk.
e) The Subdivision Decision for this project must appear on the mylars.
f) A Development Schedule must be submitted for signature by the Planning
Board, which conforms to Section 8.7 of the North Andover Zoning Bylaw. The
j schedule must show building permit eligibility by quarter for all lots.
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j g) All documents shall be prepared at the expense of the applicant, as required by the
Planning Board Rules and Regulations Governing the Subdivision of Land.
3) Prior to ANY WORK on site:
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a) Yellow "Caution" tape must be placed along the limit of clearing and
grading as shown on the plan. The Planning Staff must be contacted prior to
any cutting and or clearing on site.
b) All erosion control measures as shown on the plan and outlined in the
erosion control plan must be in place and reviewed by the Town Planner.
4) Throughout and During Construction:
a) Dust mitigation and roadway cleaning must be performed weekly, or as deemed
necessary by the Town Planner, throughout the construction process.
b) Street sweeping must be performed, at least once per month, throughout the
construction process, or more frequently as directed by the Town Planner.
c) Hours of operation during construction are limited from 7 a.m. to 5 p.m., Monday
through Friday and 8 a.m. —5 p.m. on Saturdays.
5) Prior to any lots being released from the statutory covenants:
a) Three (3) complete copies of the endorsed and recorded subdivision plans and one
(1) certified copy of the following documents: recorded subdivision approval,
recorded Covenant (FORM 1), recorded Growth Management Development
Schedule, and recorded FORM M must be submitted to the Town Planner as proof
of recording.
b) The applicant must submit a lot release FORM J to the Planning Board for
signature.
c) A Performance Guarantee in an amount to be determined by the Planning Board,
shall be posted to ensure completion of the work in accordance with the Plans
approved as part of this conditional approval. The bond must be in the form
acceptable to the North Andover Planning Board. Items covered by the Bond may
include, but shall not be limited to:
i) as-built drawings;
ii) sewers and utilities
iii) roadway construction and maintenance
iv)lot and site erosion control
v) site screening and street trees
vi)drainage facilities
vii)site restoration
viii)final site cleanup
6) Prior to Building Permit Issuance for an individual lot, the following information is
required by the Planning Department:
a) The applicant must submit a certified copy of the recorded FORM J referred to in
Condition 5(b) above.
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'• b) A plot plan for the lot in question must be submitted, which includes all of the
following:
i) location of the structure,
ii) location of the driveways,
iii) location of the septic systems if applicable,
iv) location of all water and sewer lines,
v) location of wetlands and any site improvements required under a NACC order of
condition,
vi) any grading called for on the lot,
vii)all required zoning setbacks,
viii)Location of any drainage,utility and other easements.
c) All appropriate erosion control measures for the lot shall be in place. The Planning
Board or Staff shall make final determination of appropriate measures.
d) Lot numbers, visible from the roadways must be posted on all lots.
e) An as-built plan must be submitted to the Division of Public Works for review and
approval prior to acceptance of the sewer appurtenances for use.
f) The sewer ejector plans and specifications shall be reviewed by the Board of
Health.
g) The roadway must be constructed to at least binder coat of pavement to properly
access the lot in question. Prior to construction of the binder coat, the applicant shall
ensure that all required inspection and testing of water, sewer, and drainage facilities
has been completed. The applicant must submit to the Town Planner and the
Department of Public Works an interim as-built, certified by a professional engineer,
verifying that all utilities have been installed in accordance with the plans and profile
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sheet. The interim as-built plan shall be prepared in accordance with the definition
listed in Section 1.3.3 of the Town of North Andover Subdivision Regulations and
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Section 5.14 of the Town of North Andover Subdivision Regulations.
h) Two driveway permits for the new lot and abutting lot be secured and all fees paid
for from the Department of Public Works, along with necessary sewer connection,
I water connection, and sewer mitigation permits.
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i) The applicant shall adhere to the following requirements of the North
Andover Fire Department and the North Andover Building Department:
1) All structures must contain a residential fire sprinkler system. The
plans and.hydraulic calculations for each residential system shall be
submitted for review and approval by the North Andover Fire
Department. Plans and hydraulic calculations for each residential
E system must also be supplied to the Building Department.
` 7) Prior to a Certificate of Occupancy being requested for an individual lot, the
I` following shall be required:
a) All necessary permits and approvals for the lot in question shall be obtained from the
North Andover Board of Health, and Conservation Commission.
b) The residential fire sprinkler system must be installed in accordance with
referenced standard NFPA 13D and in accordance with 780 CMR,
Chapter 9 of the Massachusetts State Building Code. Certification that the
system has been installed properly in accordance with the above referenced
regulations must be provided from both the North Andover Fire Department
and the North Andover Building Department to the applicant. The
applicant must then provide this certification to the North Andover
Planning Department.
b) Permanent house numbers must be posted on dwellings and be visible from the road.
c) There shall be no driveways placed where stone bound monuments and/or catch
basins are to be set. It shall be the developer's responsibility to assure the proper
placement of the driveways regardless of whether individual lots are sold. The
Planning Board requires any driveway to be moved at the owner's expense if such
driveway is at a catch basin or stone bound position.
d) If a sidewalk is to be constructed in front of the lot, then such sidewalk must be
graded and staked at a minimum.
e) The driveway for the abutting property must be completely constructed and
approved, through virtue of an inspection, by the Town Planner.
8) Prior to the final release of security retained for the site by the Town, the following
shall be completed by the applicant:
a) An as-built plan and profile of the site shall be submitted to the DPW and Planning
Department for review and approval, in accordance with Section 5.14 of the Town
of North Andover Subdivision Rules and Regulations.
b) The applicant shall petition Town Meeting for public acceptance of the street in
accordance with Section 5.11 of the Town of North Andover Subdivision Rules and
Regulations. Prior to submitting a warrant for such petition the applicant shall
review the subdivision and all remaining work with the Town Planner and
Department of Public Works. The Planning Board shall hold a portion of the
subdivision bond for continued maintenance and operations until such time as Town
Meeting has accepted (or rejected in favor of private ownership) the roadways. It
shall be the developer's responsibility to insure that all proper easements have been
recorded at the Registry of Deeds.
9) The Applicant shall ensure that all Planning, Conservation Commission, Board of
Health and Division of Public Works requirements are satisfied and that construction
was in strict compliance with all approved plans and conditions.
10)The applicant shall adhere to the following requirements of the Fire Department:
a) Open burning is allowed by permit only after consultation with the Fire Department.
b) Underground.fuel storage will be allowed in conformance with the Town Bylaws
and State Statute and only with the review and approval of the Fire Department and
Conservation Commission.
11)There shall be no burying or dumping of construction material on site.
12)The location of any stump dumps on site must be pre-approved by the Planning Board.
13)The contractor shall contact Dig Safe at least 72 hours prior to commencing any
excavation.
14)Gas, Telephone, Cable, and Electric utilities shall be installed as specified by the
respective utility companies.
15)Any action by a Town Board, Commission, or Department which requires changes in
the roadway alignment, placement of any easements or utilities, drainage facilities,
grading or no cut lines,may be subject to modification by the Planning Board.
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16)The utilities must be installed and the streets or ways constructed to binder coat two
years from this approval. If the utilities are not installed, the streets or ways are not
constructed to binder coat and the Planning Board has not granted an extension by the
above referenced date, this definitive subdivision approval will be deemed to have
lapsed.
17) The following waivers from the Rules and Regulations Governing the Subdivision
of Land, North Andover, Massachusetts, revised February 1989, have been GRANTED by
the Planning Board. These waivers have been granted because although technically the
submission of this proposal constitutes a subdivision, the proposed roadway construction
only involves 50' in length of roadway so as to gain the required frontage for the proposed
home. It does not involve the construction of a roadway that would be serving numerous
homes. Furthermore, although waivers have been granted, the proposed roadway secures
adequate provisions for water, sewerage drainage, and required municipal services to
service the new home.
a) Waiver from Section 5.2.5.4, Street Plan and Profile has been granted.
b) Waiver from Section 5.2.6.c Soil Borings,has been granted.
c) Waiver from Section 5.2.6.d, closure calculations, has been granted.
d) Waiver from Section 5.3, Stormwater Management report, has been granted.
e) Waiver from Section 5.4, Environmental and Community Impact Statement, has
been granted.
f) Waiver from Section 6.8.1, pavement width, centerline grade, vertical curve,
. turnaround,has been granted.
g) Waiver from Section 6.9, curbing,has been granted.
h) Waiver from Section 6.11, sidewalks, has been granted.
i) Waiver from Section 6.14, storm drainage, has been granted.
j) Waiver from Section 6.18, trees and other plantings, has been granted.
k) Waiver from Appendix I A.5, gravel sub-base, has been granted.
1) Waiver from Appendix I A.7, pavement,has been granted.
m) Waiver from Appendix IV, has been granted.
n) Waiver from Appendix V, Stormwater Management Regulations,has been granted.
18) This Definitive Subdivision Plan approval is based upon the following information
which is incorporated into this decision by reference:
Plan titled: Definitive Plan, "Wallace Street"
Located in
North Andover,Massachusetts
Dated: 1/3/2000 revised 3/20/01
Applicant: Stephen M. Juba III and Cheryl Juba
555 Salem Street
North Andover,MA 01845
Civil Engineer:Christiansen & Sergi
160 Summer Street
1 Haverhill MA 01830
f Sheets: 1 of 1
Scale: l"=20'
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
Mass. Date 19 Permit # 3
Building Location—,5 —4_t-- Owner's Name �--
Type of Occupancy
New ❑ Renovati El Replacement 9— Plans Submitted: Yes❑ No ❑
Emergency: Mass E°�ectric FIXTURES
W.H. Rental # o /�� a a 6
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SUB-BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
Installing Company Name Welch Brothers ca T n r Check one: Certificate
Address 4 Q 8 ^L. ® Corporation 1501—C
-- T.n w A > > , Ida gI 8�,S1 ❑ Partnership
Business Telephone (508) 453-2100 ❑ Firm/Co.
Name of Licensed Plumber T h n m a S F —r a r�y
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 Ye, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy ® Other type of Indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner ❑ Agent❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and'information I have (or entero )in ab ap tion are true and accurate to the best of my
knowledge and that all plumbing work and installation orme nder the rmit is d is pplication will be in compliance with all
pertinent provisions of the Massachusetts State Plu ing Cod d Cha eral s.
BY
Title Signat—une—of LicensedPlumber
City/Town Type of License:Master J9urne n❑
MPFKNED(OFFICE USE ONLY) License Number
Date.2813
Tit
1 ti`
,•ORTIy '..
°.;•��a0 TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
�SS�cHusE�
This certifies that . .t/V.4�.G. . . . 9?A o 14 t 1. S
has permission to perform N . r . . . . . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of .
at. . . ic . . . . . . . . . . . ., North Andover, Mass.
Fee. 1Sr. . . . .Lic. No.. . . . . . . .
�LUMBING INSPEC OR
02113/% 12:53 15.00 PAID
WHITE: Applicant CANARY.: Building Dept. PINK:Treasurer GOLD: File
Location
No. _ Date
C�, r}G- Q/
TOWN OF NORTH ANDOVER
C L
• i � �
Certificate of Occupancy $
Building/Frame Permit Fee $
s,KMusE
Foundation Permit Fee $
Other Permit Fee $
TOTAL
Check #14540 /!)
Building Insper/
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE:
Building Commissioner/I for of Buildings Date
SECTION 1-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
00
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Required Provided
1.5. Flood Information: 1.8 Sew sal
1.7 Water Supply M.GL.C.40. 54) d ZIftia�8 Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record
I� S�-� eid
Name �f Address for Service
b
,Sign re / Telephone �d
2.2 Owner of Record:
Name Print Address for Service:
Signature Tele on
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor:
License Number
an
Address
Expiration Date
aaaae
Signature Telephone
3.2 Registered Home Improvement Contractor Not Applicable ❑
Company Name
Registration Number
ro
Address
Expiration Date
Signature Telephone
� n
SECTION 4-WORKERS COMPENSATION(AG.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.
Si ned affidavit Attached Yes.......0 No.......❑
SECTION 5 Description of P2posed Work check all a llcable
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ A ❑
ddition
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
lac ,ail Lo,un k Tk 5T
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be ^'c� 9; s"ffl er .ITE NLY3
Completed b permit a licant ,,.,x ,
1. Building `' (a) Building Permit Fee
L--" 2206? Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(e)X (b)
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5 Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS TOR ONTRAC P IES FOR BUILDING PERMIT �f
as Owner/Authorized Agent of subject property
Hereby authorize to act or.
My behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
I as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
Print Name
Signature of Owner/Agent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIIvMERS 1 2 3
PD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIlVINEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
' NOR7ry
04i{Len °q1O
Town of North Andover M..o fl
Building m
i Department
27 Charles Streets e�
North Andover, MA. 01845
Sq�yu5f
D. Robert Nicetta i
Building Commissioner
i
(978) 688-9545
(978) 688-9542 Fax
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE Z I Z
JOB LOCATION v7
Number Street Address Ma !lot
"HOMEOWNER sTepleli L) A 5W k1 _1d 6
Name Home Phone Work Phone
PRESENT MAILING ADDRESS
i
City Town State Zip Code
i
i
The current exemption for"homeowners"was extended to include owner-occupied dwellings
of two units or less and to allow such homeowners to engage an individual for hire who does
not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1)
DEFINITION OF HOMEWOWNER:
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which
there is, or is intended to be, a one or two family dwelling,attached or detached structures ac-
cessory to such use and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner.
I
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
Applicable codes, by-laws, rules and regulations, ;
r
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
jc
COLLOPY ENGINEERING CONSULTANTS
65 AYER STREET METHUEN, MA 01844
FRANCIS H.COLLOPY RESIDENCE:(978)685-7969
REG.PROFFESIONAL ENGINEEER CIVIL OFFICE I FAX:(978)685.8069
STRUCTURAL
DYNAMICS
P
C
WOOD G1v%, ct* rvft-
Uj
C
November 10, 2000
Mr. John Moretti
Moretti & Sons Contractor
85 Spofford Street
Georgetown, MA 01833
Dear Mr. Moretti,
I am writing in regards to the proposed renovation and extension of
the garage at the Juba Residence at 555 Salem Street in North
Andover, MA. Based on my site visit and measurements and
subsequent structural calculation and design, I have developed two
engineering design sheets which provide you with all the structural
elements for the proposed construction. Sheet D-1 shows the new
framing members required in order to remove the existing support
columns and to extend the garage. I have located the new structural
steel column under the new beam at a location which should provide
minimum interference with the parked vehicles and their doors .
Sheet D-2 provides. two additional views of the framing details.
If you have any questions concerning this matter, please do not ,
hesitate to call this office .
Sincerely,
COLLOPY ENGINEERING CONSULTANTS
Francis H. Collopy, P.E.
Structural Engineer
Attachment : D-1 and D-2
li JOB Tu Bq )2.,C S l pati c r
wn b COLLOPY I
ENGINEERING CONSULTANTS SHEET NO. + of
65 Ayer Street CALCULATED BY �G DATE
METHUEN, MASSACHUSETTS 01844
TEL/FAX (978) 685-8069 CHECKED BY GATE
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COLLOPY
ENGINEERING CONSULTANTS SHEET NO. —� OF
65 Ayer Street CALCULATED BY DATE
METHUEN, MASSACHUSETTS 01844
TEL/FAX (978) 685.8069 CHECKED BY DATE
SCALE /Z — r�11
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PRODUCT 204-1(Sugk Sheets)205.1(Padded)
NORTH
Town of Andover
0 �I
No.
Mass.,
0 over, d3-aao� _
c0c.1
0':?ATED
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT...4 5/1*p.ASN
.. .......47 4 A.... :S.7................................................................. BUILDING INSPECTOR
has permission to owt-1.4..U �:.......... buildings on .....sz.s....5.A.1!P.Wq................................... Foundation
... ............................ Rough
rte
to be occupied as.....07.........ujlqa..�.410....... T.10...... Chimney
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 relatin to the Ins action, Alteration and Construction of
Buildings in the Town of North Andover. rn jg ('9, PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STTs ELECTRICAL INSPECTOR
Rough
Service
BUILDING INSPECTOR Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove
Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner.
o Street No.
SEE REVERSE SIDE Smoke Det.
i
I
3451 Date.P.-.1.G I
NORTH TOWN OF NORTH ANDOVER
I
pf 4„to ,e 6 1
o? Op PERMIT FOR GAS INSTALLATION
'�94SACHUSES
i
I
This certifies that . . . . . ... . . . . . . . . . . . . . . . . . . . .
has permission for gas installation . . . . . . .` . .. .. . . . . . . . . . . . . . . .
i
in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at . .S, .1 -. . r�'j�.:. . . .`. . . . . . . . . . . • • •, North Andover, Mass.
tr
Fee. .! . . . Lic. No.. '> G .. . . . . . . . . . . ! - .. . . . . . . . . .
GAS INSPECTOR
l WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
• MASSACHUSETTS UNTFORM APPLICATON FOR PERMIT TO DO GAS FITTING
�k ype or print) Date /P/Z—U �w v
NORTH ANDOVER, MASSACHUSETTS
Building Locations S� 5 d� `7� Permit 9 3 y�7
_ Amount S G
Owner's Name f-e u V
New Renovation ❑ Replacement ❑ Plans Submitted ❑
S
- - V
sua -a :+ sE .Yt EvT —
BASE .v1 ENT I
I ST. F L 0 0 R
j:ND FLn0R
3 R D . F L 0 0 R
4'r 11 F L O 0 It
r11 FLO o R
rn . 1; 1, () 0 R
Frit . 1; L00It
3T11 F1, 00 R 1
(Print or type) -rte f� Check one: Certificate Installing Companv
Name— �i I -� /,��2 .I.sIC iP / �— ❑ Corp.
Address .17 t/ ��0 I` Ute-d l ❑ Partner.
Business Telephone Co Z ❑FirmiCo.
Name of Licensed Plumber or Gas Fitter gob 514%"4-z4e 62
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes �� No❑
If you have checked ves. please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter I42 of the
Mass. General Laws.and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owners Agent Owner ❑ Agent ❑
hereby cettifv that all of the details and intormation I have submitted (or entered) in above appiicati n are true and accurate to the
best of my knowledge and that all plumbing work and installati 6as
ed under ettnit Issu r this kation will be in
compliance with all pertinent provisions of the �lassachuse tatde an hapter I f the oral Laws.
IIy: Signature of Licensed Plumber Or Gas Fitter
Title Q�Plumber ---'-3
City/Town ❑ Gas Fitter icense ;vumoer
1 Mlster
4PPE�U�ED I�>�ric:;u�F )NLYI f❑� Joumevman
TOWN OF NORTH ANDOVER
®VER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
$ai17
�®�a
,.r,. ,s�....w<s.....s .w.,:.. ,.w.rw.>.z.w�'� .•v: .... ,.a,...M ''.6 ... �"` Y-■
BUILDING PERMIT NUMBER: DATE ISSUED: pp(��
ic
SIGNATURE:
BuildinCommissioner/InEeEtor of Buildings Date
SECTION 1-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
1.
Zoning District Proposed Use Lot Area(so Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Re red Provided
1.7 Water Supply M.G.L.C.40.§34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M
2.1 Owner of Record
5-T Chel 3y
Name t)T Address for Service
C,-I l
Sign to Telephone
2.2 Owner of Record:
Name Print Address for Service:
z
M
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor:
License Number
Address
Expiration Date
Signature Telephone
3.2 Registered Home Improvement Contractor Not Applicable ❑
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes.......❑ No.......❑
SECTION 5 Descripfiqoa of Pro osed Work check all applicable)
New Construction V Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify.
Brief Description of Proposed Work:
Bump 6L) t -e- 1y—
I'9S11214 Z S lI
"%e
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be a OSE FICIAL USIA(DNLX
Completed by permit applicant a� d
1. Building (a)N Building Permit Fee
Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(a)X (b)
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5 Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, as Owner/Authorized Agent of subject property.
Hereby authorize to act on
My behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1, ,as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
Print Name
Si Mature of Owner/A-ent Date
EM
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TU\4BERS 1 ST 2 3RD
SPAN
DIN ENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CBDvINEY
IS BUU DING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
i
t NORTH
Town of North Andover
Building Department n
27 Charles Street IF
t
North Andover, MA. 01845
D. Robert Nicetta
Building Commissioner
(978) 688-9545
(978) 688-9542 Fax
HOMEOWNER LICENSE EXEMPTION
Please print
DATE 12 5
JOB LOCATION
Number Street Address Map/lot
"HOMEOWNER S k b"
Name Home Phone Work Phone
7
PRESENT MAILING ADDRESS ao
City Town State Zip Code
The current exemption for"homeowners"was extended t
Pb to include owner-occupied dwellings
of two units or less and to allow such homeowners to engage an individual for hire who does.
not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1)
DEFINITION OF HOMEWOWNER:
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which
there is, or is intended to be, a one or two family dwelling, attached or detached structures ac-
cesso to such use
ry and/or farm structures. AP erson 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, b aws rules and regulations,
The undersigned"homeowner"certifies that he/she understands the Town of No.Andover a
Building Department minimum inspection procedures and requirements and that he/she will
comply with said procedures and requiremen
HOMEOWNER'S SIGNATURE
ii
i
APPROVAL OF BUILDING OFFICIAL
FORM - U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
APPLICANT heo To 6 PHONE
ASSESSORS MAP NUMBER LOT NUMBER
SUBDIVISION LOT NUMBER
11
STREET STREET NUMBER
OFFICIAL USE ONLY
RECOMMENDATIONS OF TOWN AGENTS
DATE APPROVED
CONSERVATION ADM2MTRATOR
DATE REJECTED
COMMENTS
DATE APPROVED
j TOWN PLANNER
DATE REJECTED
CON54EN TS
DATE APPROVED
FOOD INSPECTOR-HEALTH DATE REJECTED
I
DATE APPROVED
X1 SEPTIC INSPECTOR-HEALTH
DATE REJECTED
i
CONDAENTS
PUBLIC WORKS-SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
DATE APPROVED
FIRE DEPARTMENT
DATE REJECTED
CONPAENTS
RECEIVED BY BUILDING INSPECTOR DATE
Town of North Andover ¢ NORTH
O
Building Department o �►
27 Charles Street
North Andover, Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542 p94 .OA-reo P-?PV,'
�•r DRgTED pP¢ CJ
SSAcHUS
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 c11, sl 56a.
The debris will be disposed of in/at:
C/1'rz15 -Prc dell)
Facility location
Signature of Applicant
Date
i
i '
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
Y
STEVE JUBA
555 SALEM ST.
NORTH ANDOVER, MA
DRIVEWAY
HOUSE
2 BAY GARAGE
30'-0"
NEW, ADDITION
91_0«
30'-0„ _
t .
STEVE JUBA
555 SALEM ST.
NORTH ANDOVER, MA
DRIVEWAY
HOUSE
NEW STEEL BEAMS
30 r_Orr
91-owl
�� 3 0'-0 rr
STEVE JUBA
555 SALEM ST
NORTH ANDOVER, MA
NEW ADDITION
12
4
FIBERGLASS ROOFING
1/2" CDX DECKING
2x8 RAFTERS NEW STEEL BEAM
LVL HEADERS
1/2x6 CLAPBOARDS POSTS
1/2" CDX SHEATHING
6T-0TT
2x4 STUDS
T
EXISTING GRADE 11-6"
4" SLAB
10" WALLS
41-0" 10x20 FOOTINGS
�jo-� 0 MOVZQ-I-t-1
OORTti
Zoning Bylaw Review Form
Town Of North Andover Building Department
°° ,�..... ,. 27 Charles St. North Andover, MA. 01845
ss"`"Ust Phone 978-688-9545 Fax 978-688-9542
Street: ,� S A )F_Y)i S�
Map//Lot: 38 / 6A licant: + C hen 'va .
Request: x 3 01 G a r,a o
Date' i -z- 5"-a 0-
Please be advised that after review of odrApPttcation and`Plans your Appcation is
APPROVED/DENIED for the following Zoning.Bylaw reasons:
Zoning
Item Notes Item Notes
A Lot Area F Frontage
1 Lot.area Insufficient 1 Frontage Insufficient
2 Lot Area Preexisting 2 Frontage Complies
3 1 Lot Area Complies 3 Preexisting frontage
4 Insufficient Information -4 Insufficient Information
B Use 51 No access over Frontage
1 Allowed t,.,j e-S G Contiguous Building Area
2 Not Allowed 1 Insufficient Area
3 Use.Preexisting 2 Complies \-j e g
4 Special Permit Required 3 Preexisting CBA
5 Insufficient Information 4 Insufficient Information
C Setback H Building Height
ht
1 All setbacks comply 1 Height Exceeds Maximum
2 Front Insufficient Lj e S 2 Comp lies
3 Left Side Insufficient 3 Preexisting Height
4 Right Side Insufficient 4 Insufficient Information es
5 Rear Insufficient I Building Coverage
6 Preexisting setback(s) H e s 1 Coverage exceeds maximum
7 Insufficient information 2 Coverage Complies S
D Watershed 3 Coverage Preexisting
1 Not in Watershed S 4 Insufficient Information
2 In Watershed i Sign
3 Lot prior to 10/24/94 1 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 review required 1 More Parking Required
2 Not district
S 2 Parking Complies
3 1 Insufficient Information
Remedy for the above is checked below.
Item # Special Permits Planning Board. Item# Variance
Site Plan Review Special Permit Q Setback Variance
Access other than Frontage Special Permit Parkin Variance
Frontage Exce tion Lot S e. Permit Lot Area Variance
Common� n Drive.
wa Special Permit Height Variance
Congregate Housing.Special Permit
Variance for-Sign
Continuing Care Retirement Special Permit Special Permits Zoning Board
Inde endent EldedV Housin Special Permit Special Permit Non-Conforming Use ZBA
Large Estate Condo Special Permit Earth Removal Special Permit ZBA
Planned Development.District S ecial.Permit Special PeFmit Use not Listed but Similar
Planned Residential Special Permit Special Permit for Si n
R-6 Density S ecial Permit Other
Watershed Special Permit Supply Additional Information
-Il- Nov co-(vratl
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. a building department will retain all.plans and documentation for the above file.
�C I —
o� '—Od
fftiilding Department Official Signature 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:
S /7
�cP�f�
�e7 �nck Av ctui /N 011,11)er--
Referred To:
FireHealth
Police Zortin Board
Conservation De 8rtment of Public Works
PlanningHistorical Commission
Other BUILDING DEPT
ZoningBy1awDcnia12000
A ..
Town of North Andover Project:
Building Department
27 CHARLES ST ?
978-688-9545 '
o De+r
�q 4raq All ,y
` rArudSE
APPLICANT:
RE: c!/ Y30-1
DATE: id_ S - bo
Title of Plans and Documents:
Please be advised that after review of your Building Permit Application and Plans that your
Application is DENIED for the following reasons:
Plan Review The plans and documentation submitted have the following inadequacies:
1.Information Is not provided,2.Requires additional information,
3.Information requires more clarification,4. Information is incorrect. 5.All of the above.
# #
Foundation Plan Plumbing Plans
Subsurface investigation 1 Certified Plot Plan with proposed structure
Construction Plans 116 Affidavit
Mechanical Plans and or details Plans Stamped by proper discipline
Electrical Plans and or details Framing Plan
Fire Sprinkler and Alarm Plan Roofing Plan
Footinq Plan Plans to scale
Utilities Site Plan
Water Supply Sewage Disposal
Waste Disposal Driveway Entry App. DPW
ADA and or ABBA requirements rements P.{v yN�EP�n�n. m Sir-L-1
Administration
The documentation submitted has the following inadequacies:
1.Information is not provided.2.Requires additional information.
3. Information requires more clarification.4. Information is incorrect.5.All of the above.
# I I #
Water Fee State Builders License
Sewer Fee' Workman's Compensation
Building Permit Fee Homeowners Improvement Registration
Q, Building Permit Application Homeowners Exemption Form
The above review and attached explanation of such is based on the plans and 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 DENIAL. 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 building department will retain all plans and documentation for the above file.You must file a new building
permit application form and in the permitting process.
uilding Department Official Signature
Application Received i a—b-Cp Application Denied i
If faxed:# Date Sent
Referral recommended:
FireX Health
Police )C Zoning Board
Conservation Department of Public Works
Planning Historical Commission
cc: William Scott
Revised 9197 jm
Rls}M Ravi—.-. Ala..,. i•
ve
The following narrative is provided to furthe.ri,expl4jft,the reasons for denial for the building
permit for the property indicated on the're've`rsa'side:
ANSI
«t4) 14 Pe,- -e�
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tP0rz. C A. CoLq 10 � Ja (S iNtcSS���
BUYER:
JLJ54 'STC- PNU) Cg-EK-YL.
555 Salem Street
No . Andover, MA
0
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1641 A0PT6AGE. MORTGAGE INSPECTION PLAN
TO THE ( ) (A(,A1FD IN
AND ITS TITLE INSURERS.
1 CERTIFY THAT I HAVE EXAMINED 111E PREMISES AND THE BUILDINGS SHOWN DO ( ) MASSACHUSETTS
CONFORM TO TS,ZONING LAWS AND AMENDMENLe.(FRONT, SIDE. Mk REAR YARD SETBACK ONLY)
OFtX7)� WHEN CONSTRUCTED. OR ARE EXEMPT FROM VIOLATION
ENFORCEMENT CON UNDER M� G.L. TITLE VII. CHAPTER AOA, SECTION 7. MM OTHERWISE NOTED.
I FURTHER CERTIFY THAT THIS PROPERTY IS 00T" LOCATED IN THE ESTABLISHED FLOOD DEED
HAZARD AREA'COMMUNITY PANEL NO.:lr;008 01,I0 5DATE: 1,-15-�8r!> BOOK 0
EXAMINATION OF THE RECORDS IS MADE ONLY SUBSEQUENT TO THE RECORDED DATE OF THE 2-4
LATEST DEED AND DOES NOT INCLUDE VERIFYING THE ACCURACY OF THE DEED DESCRIPTION PACE
PREVIOUS TO ITS DATE OF RECORD.
1"S COMPANY IS NOT RESPKM•9ME FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED CERT. N0.
DATE OF THE LATEST DEED OF RECORD.
WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY LINE IT IS ADVISED PLAN BK. PAGE
THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS.
PLAN + 7�01 3 DATED
IS • TIFICATION IS BASED ON THE LOCATION OF SUR OF OTHERS. AND DOES NOT
REPRESENT A PROPERTY SURVEY VERIFlCATION OF� USED AND OFFSETS. AS SHOWN, JUNC-: IQ
MAY BE ACCOMPLISHED ONLY BY AN AKXXIR ON hN�TRNMEIJT S1!!�R1 93
6''I'
Tin CERTinCATION TO BE USED ,F'Ofi` ORTGAG SES ONLY. ' SCALE:
OFFSETS AS SHOWN'°:Al2E Q B C1 updated August 18, 1993
E ESTABL
[USED FOR ISHME ' �F''^ ES
BRADFORD
ENGINEERING CO.
P.O. BOX 1244
HAVERHILL MA. 01831
JAMES W. BOUGIOUKAS RA S. *9529 m fampt) „L,to„ I-,'
PESWIT NO.
APPLICATION FOR PERMIT TO BUILD`— NORTH ANDOVER, MASS. PACE ;
10. Ft-OT NO.
406,6- 2 RECORq.OF OWNERSHIP DATE JB BOOK PAGE
ZONE - SlDIV. LOT NO.-
LOCATION
- r:•. S� /J' -- PURPOSE OF BUILDING
OWNER'S NAME
/svn ScFIG.p
.0 trc
t3T" ( � NO OF STORIES SIZE --.
OWNER'S ADDRESS '
S�,✓►e BASEM[HT OR SLOB .:.
ARCHITECT NAME SIZE OF FLOOR TIMBERS IST 2N0
_ ARD
BUILDER'S NAMEv—�� SPAN _
DISTANCE TO NEAREST BlILDING DIMENSION• OF SILLS ,
DISTANCE FROM STREET - POETS
DISTANCE FROM LOT LINES—SIDES
REwR Z0� _ GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION
THICKNESS
If BUILDING NEW SIZE OF FOCTING
• X
Of BUILDING ADDITION pa nc
+ �y r. MATERIAL OF CHIMNEY
c1(tee h
IS BUILDING ALTERATION If BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTIO/. IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GA I LINE
INSTRUCTIONS a PROPERTY INFORMATION
SEE SOTHai1DEf LAND COST
EST. BLDG. COST
�. PAGE 1 FILL OUT SECTIONS I - 2
EST. BLDG. COST PER SQ. FT..
- PAGE 2 FILL OUT SECTIONS I - I2 ' EST. BLDG. COST PER ROOM
ELECTRIC METEPi.MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO.
ATTACHED GARAGES MUST CONFORM TO (TATE FIRE R4 APPROVED 13Y
EGULATION•
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
BIGNATURE OF OWNER OR AUTHORIZED AGENT a
ILDING IMBPEGT+p/
F.E E .Sot
..: - s --
OWNER TIL4 G /
PERMIT GRANTED `
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�10R7/y
Town of _ Andover
No- 347
°o s LAKE iy A dover, Mass., /& -199i
f 9 cOCHICMEWICK 1•
9 O
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S •q� E p pPP
BOARD OF HEALTH
Food/Kitchen
PERMIT T D f
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT S7` 0 /�,
.................................... /. ................. ..A.�e .. .......................................... Foundation
has permission to erect.........A.0.104fl.& buildings on -TS'r v-/��..�/Vl 5.a,..... Rough
g .................................. ....... .... ................ `—
t0 be occupied 8S .�' . ../. /......l...0A.0 A�.�r�.......:.......... Chimney
, ................................................. .
provided that the person accepting this permit shall in every respect conform to the rms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT- EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION ST ELECTRICAL INSPECTOR
Rough
........................... ...
.... .. . .... ... .................................... Service
UIL G INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
No Lathing or Dry Wall To Be -Done FIRE DEPARTMENT
'Until Inspected and approved by_the-Building Inspector.
n,
Burner
Street No.
Smoke Det.
.JI IN-30-9 07:55 PM RIJRERA CONSTRUCTION 508 686 3106 P.01
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W R-S N o%
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction ,
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
I
****************Applicant fills out this section********.**********
APPLICANT: J Phone ' '�7
� b
LOCATION: Assessor's Map Number Parcel
Subdivision Lot(s)
Street ( St. Number
************************Official Use Only************************
DATIONS 0 WN AGENTS:
Date Approved
se ation Administrator Date Rejected
Comments &LsLJJ &o
Date Approved
Town. Planner Date Rejected
Comments
Date Approved
Foodspector-Health Date Rejected
Date Approved
Septi nspector-Health Date Rejected -tom
Comments t v
Public Works - sewer/water connections
• - driveway permit
Fire Department
Received by Building Inspector Date
SIF N F WI�I�11�.I1�
o I
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MORTGAGE INSPEC11ON PLAN
�> N M. u -
BUYER: l:T G Yit2) (, A c1 Li rjA LOCA7E1 IN
TO THE ( (,gw2s;NGf� CAVI�J(� pjgrJ K ) KIOV-114 AN VOVri,Z
AND ITS TITLE INSURERS.
I CERTIFY THAT I HAVE EXAMINED THE PREMISES AND THE BUILDINGS SHOWN DO ( ) MASSACHUSETTS
CONFORM TO THE ZONING LAWS AND AMENDMENTS, I.e.(FRONT, SIDE, k REAR YARD SETBACK
ONLY OF Qo TH {�dOV [2 WHEN CONSTRUCTED.
I FURTHER CERTIFY *AO"M PROPERTY IS N nj LOCATED IN THE ESTABLISHED FLOOD DEED
HAZARD AREA.COMMUNITY PANEL NO.: 7 qg• Ddlot'j DATE: ''1'5,0 BOOK I(008
EXAMINATION OF THE RECORDS IS MADE ONLY SUBSEQUENT TO THE RECORDED DATE OF THE L4
LATEST DEED AND DOES NOT INCLUDE VERIFYING 114E ACCURACY OF THE DEED DESCRIPTION PAS
PREVIOUS TO ITS DATE OF RECORD.
CERT. NO.
THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED
DATE OF THE LATEST DEED OF RECORDED.
WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY UNE IT IS ADVISED PLAN BK. PAGE
THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS. PLAN DATED
Nom:
THIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY MARKERS OF OTHERS, AND DOES
NOT REPRESENT A PROPERTY SURVEY.
THIS CERTIFICATION TO BE USED FOR MORTGAGE PURPOSES ONLY. SCALE: 1'-AD'
OFFSETS AS S NOT TO BE
USED FOR THE EST ' q PROPERTY LINES
�aT yGr BRADFORD
W,
ENGINEERING CO.
1!i1�5� a�0 i
T£ P.O. BOX 1244
HAVERHILL MA. 01831 !/
FRED W. CHASE III '' ., R.L.S. #15755 TEL (508) 373-2396 %
� F
F�
Date....
N2 3275 P.
NORTH
4,
0 TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
c"
This certifies that ......................... .... ...................... ...............
has permission to perform .....bz?Md
... . .. .
.. ... . .................
wiring in the building of........... A
... ............ i-.q..........................
...
at..... ....... ........ ..................... e,North Andover,Mass.
tee.... Lic.No,,xm..
ELECTRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
��n Office
04C Tom walo 1f Iflunchit, ftq Permit No. D �✓
i9quartm ut of Public —Aa&tg Occupancy&Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank)
APPLICATIONR PES
FOR MIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 MR 12:00
(PLEASE PRINT IN INK OR TYPE AL INF RMATION) Date Z ,,cb
City or Town ofyv Qa �+�eA To the Ins ector of Wires:
The udersigned applies for a permit to perform tl) el ctrical work described below.
`
Location (Street & Number) 5E \JJ '�cC,;�'(�
Owner or Tenant '�� 16
Owner's Address
Is this permit in conjunction with a bUildin ermit:1 Yes No ❑ (Check Appropriate Box)
Purpose of Building S i ► !/ Utility Authorization No.
Existing Service Amps _� Volts Overhead ❑ Undgrnd ❑ No. of Meters
New Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No.^f Lighting Outlets 'AWNo. of Hot Tubs No. of Transformers Total
KVA
No. of Lighting Fixtures ,l Swimming Pool Above In-
/(� I grnd. 11grnd. ❑ I Generators KVA
-7 No. of Emergency Lighting
No. of Receptacle Outlets -7 No. of Oil Burners I Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
Total No. of Detection and
No. of Ranges No. of Air Cond. tons Initiating Devices
No. of Disposals No.of Heat Total Total
Pumps Tons KW No. of Sounding Devices
No. of Self Contained
No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices _
No of Dryers Heating Devices KW Local Municipal []Other
❑ Connection
No. of No. of Low Voltage
No. of Water Heaters KW Signs Ballasts Wiring
No. Hydro Massage Tubs No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES L% NO G I
have submitted valid proof of same to the Office. YES K NO C If you have checked YES, please indicate the type of overage b
checking the appropriate box.
INSURANCE X BOND ❑ OTHER ❑ (Please Specify) r
p'
Estimated Value of EIectrical Work$ LI-771U �Y� W (ExDate)
Work to Start Inspection Date Requested: Rough Final
Signed under the Penalties of perjury: T
FIRM NAME LAAi G /P�C C� 1��G LIC. NO. S 3s
Licensee s. `✓URA ' T2 Signature LIC. NO.
Address y C!llale ,oln ✓C.i� i�. �/✓l�adr2. ��D 's. el. No.
�.�� AIL Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one) /L,,J-
Telephone No. PERMIT FEES e7
(Signature of Owner or Agent) x-6565
4285
Date.............
t 40RTI/
TOWN OF NORTH ANDOVER
00
p PERMIT FOR WIRING
�9S3 MUSE
This certifies that ............ c!�..j ( 4-AeC/!rr c �cJ
............... ... .........................................
has permission to perform ........ �....... /lr.`
.................
wiring in the building of �71CA.
at.......,.0! 5 . If 0;15 ........................ oh And er ass.
Fee
.......... Lic.No
L CTRICALINSPECTOR
Check # °�
TIM COMMONWEALTHOFMASSACHUSEM Office only
DEPARTM&NT0FPUX1CS4FMY
BOARDOFFIREPREVENM ONREGMUONS527CMZ12..-OO Permit No. 4
Occupancy&Fees Checked
APPLICAHONFOR PERMIT TO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DateOee- 2 Z
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) �� C �G
Owner or Tenant 5TeAdyw <T6
Owper's Address
Is this permit in conjunction with a building permit: Yes No Check Appropriate
( Box
L.IG.J )
Purpose of Building
Uti ' y Authorization No.
Existing Service jbQ Ams
--i:� p��Volts Overhead nderground � .
New Service Am�j �(} Volts Overhead Under 'ound —-
------ � � No. of Meters �L
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No.of Lighting Outlets KIM
No.of Hot Tubs V NJ
No.of Transformers Total
No.of Li^ting Fixtures Swimming Pool Above Below KVA
Generators KVA
round round
No.of Receptacle Outlets No.of Oil Burners
No.of Emergency Lighting Battery Units
No.of Switch Outlets
No.of Gas Burners
No.of Ranges No.of Air Cond. Total FIRE ALARMS
__ __ _ _ _ No.of zones
Tons —
No.of Disposals 7 - — ^io.cf Hae! Total Total
No.of Detection and
Pum s Tons KW initndrg Deice —��
No.of Dishwashers Space Area Heating KW No.of Sounding Devices
No.of Self Contained
No.of Dryers Detection/Sounding Devices
Heating Devices KW Local Municipal a Other
No.of Water Heaters KW Connections
No.of No.of
Si ns Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
OTHER-
i iaeCov RxmartolheiagtmMEntsofMas Mhusetts(�axdLaws
haveaamentLia3k YES NO
hxl>rrmfddvafid �-�PbhLYMdXrffgCOMktP-LOEMbOnSCDWWC!r&aksUnidequiva�t
fsametwheOffm YES Ea ff}aihavt;drdmdYES,, indic*&tMmofcoveraWby
h�gthe x IL�JJ ��(
VSURANCE BOND ORIER (P9aseSpo*) , tly l�
SID&
VoilctOStatt hVeCfiMn&ReWeWdEAkrMdVahie(fE6c1ricalW4k$
Rcxi�i ---
ignc d u nJer'&Pffialties of Fvial
RMNA IE U�0 ' LiomeNo.
isee Siprtatine L+otNo
J P4 ABusirmTel.No. �, ---
JVIVER'S INSURANCE W Ah Tel No.
AM3EJama that theIMWdoesnothavetheiiistnancecovetageoritsaftt fialequivalatasrequiiedbyMa%achtiMtsGaieialiaws
dthatrrysignaamonihispmTkapp)�thisiagi>imlmt
lease check one) Owner Agent ,
Telephone No. PERMIT FEE$
igna ure or Uwner or Agent