Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 60 HERRICK ROAD 4/30/2018
60 HERRICK ROAD ✓r ` ,,I9go 210/015.0-0020-0000.0 f- - X �Q � r*yOE•NORcow AQMPA�T/y "O•e� <F APRIL7M b} t�: 1555 ; •,! ssACHU5F'.t�4 TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE . . . . Jan. .22. . . . . .19. o'9 Notice is hereby given that the Board of Appeals will give a hearing at the Town Building, North Andover, on. . ,_—G;TD,,Y. . . . ,77,11ITG. . . . . . the . 11thday of . ??a' LL rY. . . . . . . . . . . . 19. O, at. . .-Wclo&, to all parties interested in the appeal of requesting a variation of See.. .7...3 . ;. i Vi.e .2 . .of the Zoning By Law so as to permit. . con:rt n.:ct ioi. .o:I. 1 '. : . i . . . . . . —addition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on the premises, located at. . .t .,a,. .;outh known. w; 60 .11erriok .Fd, . . . . . . . . . . . . . . . . . . . . . . . By Order of the Board of Appeals I'rw�z Scrio, Jr. , CI,:;ir*nan Publish N. A. Citi--en: jan. 24 cc 31, 1980 Send hill to: Richard D. Cain, Jr. , 60 ilcrrick !cd., 11. A. Send 5 proofs to: G. Blackstook, Totm Bldg, 1". A. Date.....�A.1,�V!y............... �NORTN, TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION i" o. :.�' 7 • ,to� ,(l 88,�CHUSE This certifies that 2���f'� S.. ��CA(A ...................................... ............................................................................ has permission for gas installation ....t�?.e .<� .................................................... in the buildings of.....�-...`. '.!. 171.......................................................................................... at........ ..4..... . ti(2,R,�c. ........ o h' ..........., North Andover, Mass: Fee Y. 5'-00..... Lic. No. .v�6......... GASINSPE Check# /QJ 5 9515 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY /v0jZT-) /-?Po10 /-Gr, W DATE /"-/s'j � PEAMT# r JOBSITE ADDRFM G d N`M&1) f. 1C O GM 'S NAME ° Gawn ADDRESS sem. e TEL FAX TYPE OC CUPANCYTYPE OOMV FICIPL❑ EDUCATIONAL ❑ RESIDE NnAL PRINTT CLEARLY NE1N.4 RBVOVAMCN:❑ FER AOBVENT:❑ PLANS SUBMITTED: YES❑ NO❑ APRJANCES FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER B006TER OONVE MCN BIER 0004<STOVE IDI FEGTVENT I-EATM DRYER RREPLACE FRYOLATOR FURNACE GATOR GRIU.E INFRARED HEATER LABORATORY COCKS MAIZUPAIR UNIT OVEN POOL HEATER ROOM/FACE HEATER f1OOF TOP UNIT LEST UNIT HEATER UNVEWM ROOM HEATER WATER HEATER OTHM INSURANCE OOVERAGE I have a current liability insurancepolicy or its substantial equivalent which meds the requirements of MGL.Ch.142 YES ❑ NO ❑ I IF YOU CI-EC,KK YES,PLEASE INDICAlE TI E TYPE OF COVERAGE BY CFE N NG THE APPF CPRATE BOX BELOW LIABILITY INSURANCE POLICY [ OTHER TYPE INDEMNITY ❑ BOND ❑ C IWN ERS 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. CFECK ONE CNLY: GAN33 ❑ AGBNT ❑ SIGNATURE OF OVMER CR ACTT 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. PL TTEA �al�it. .�41�M UNBFA-GASFI NAME uCBVSE# 6C*,(, SIGNATURE IVP❑ MGF❑ JP❑ JGF❑ LPGI❑ OORPORATICN 4# 33Y`? PARITERShIP❑# LLC El# t CX71VpANYNAME: ADDRESS P e i3oX qTY�i✓ �`� ✓`�'-'d'Cz vp''� STATExnvo ZIP d) B qS TEL FAX CELL. EMAIL 973.,-sis'- 3s� L �a L Gam �' ��" Cqa tC7� CQ. f Date.... ........ r►OpTM TOWN OF NORTH ANDOVER PERMIT FOR WIRING BS+cHU This certifies that ...................0 SGT .............. ....................................... ....................... has permission to perform % �,(4..... p ........ ........ ............................................................... .. wiring in the building of...................x ... '1/........................................................................... at ......6..10....���n/2��.�.........��./I North Andover,Mass. Fee.. , . ...............Lic.No. i ................ .... ... . rr.. „lam. ....... ELECTRICAL NSPECTO� Check# i r 1IN3v9 Commonwealth of Massachusetts Official Use Only � Department of Fire Services permit No. 1 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code7ctorof ),5 7 CMR 12.00 (PLEASE PRINT IN.INK OR TYPE ALL INFORMATION) Date: 3 City or Town of: NORTH ANDOVER To the Insp Wires: By this application the undersigned gives notice of his or h r intention to perform the electrical work described below. Location(Street&Number) ppb 1 C 1( Owner or Tenant VC, /� �} Telephone No. Owner's Address S ( "/'-lytL Lel ` �- Is this permit in conjunction with a building pe mit? Yes ❑ No L (Check A proppriiatte Box) Purpose of Building �h�� j1'»�1 �y Utility Authorization No. Z-- 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: u rh up ZJG , bC -t Is(fl2 Completion of the following table may be waived by the Inspector of Wires. No.!of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA " No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o mergency Lighting rnd. grnd. Batter its No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones M No. of Switches No.of Gas Burners No.of Detection and Initiating Devices No.iof Ranges No.of Air Cond. TotalTons No.of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: .. '..........._..'' Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other p g Connection No.'of Dryers Heating Appliances KW Security Systems:* ces or Equivalent No.i of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or E uivalent No.'Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Valueof E ctr'cal Work: (When required by municipal policy.) Work to Start: [7 Inspections to be requested in accordance with MEC Rule 10,and upon.completion. INSURANCE CO E: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of sa e to the rmit issuing office. CHECK ONE: INSURANCE)6 BOND [J OTHER [I (Specify:) � I cerf j�,tinder the pains penalties f er7'ury,fiat the i format' on this application is true and complete. FIRM NAME: . U —y^ 1L C. iC LIC.NO.: Licensee: Sj-i,eI-ve 1 Q. LA Signature LIC.NO.: (Yap ,plical enter " e_pt"in the li sqq_number 'ne. Bus.Tel.No.: Address: �I l G t h 0 Alt.Tel.No.:— *Per M.G.L c. 147,s.57-61,security work requires Departdient of Public Safe "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 PERMIT FEE:$ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the q 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 a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§ 32,an f 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 required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if 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 conceming the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass 0 Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass M Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass M Failed 0 Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass 0 Faile Re-Inspection Required($.) ❑ Inspectors Comments: 14 4 Inspectors Signature: Date: FINAL INSPECTION: Pass M NJFailed Re-Inspection Required($.)❑ Inspectors Comme s: r/ Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com ` The Commonwealth of Massachusetts Ln Department of Industrial Accidents Office of Investigations kWl, i 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders!Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �J tJ� eAn I111 Address: ssBVI I City/State/Zi YV b J U e h Phone#: 9e 3 Are you an employer?Check the appropriate box: Type of project(required): 1I am,a employer with.- 4. El am a general contractor and I ' employees(full and/or part-time).* have hired the sub-contractors 6. El New construction V 2.❑ I am;a sole proprietor or partner- listed on the attached sheet.t 7• F1 Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10. Electrical repairs or additions re q ] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.F1 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.0 Roof re irs insurance required.]r employees. [No workers' comp.insurance required.] 13.El Other M601 kS *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing work rs'compensation insurance for my employees Below is the policy and job site information. , Insurance Company Name:. i)& g 50 00Policy#or Self-ins.Lic.#: Expiration Date: V/P/"(3 Job Site Address 6'y igrtld( Fd_M2�� Pity/State/Zit): �/rY r Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one=year imprisonment,as well as civil penalties in the form of a STOP.WORK ORDER and a fine of up to$250.00',a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under t ains andpenaldes of perjury that the information provided abov is ue and correct. S6 ature: A Date: /6- 1-3 Phone#: �7� Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: 1 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, express or implied,oral or written." An employeiis 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 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 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 n 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 t} 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/license 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 to 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 questions, please do not hesitate to give us a call. 6 The Department's address,telephone and fax number: The Gomonwealtll Of Ma.SS,9chusPtts Department of Industrial Accidents Office of Investigations 600'Washington Street Boston,MA,02111 TO.#617-727-4900 ext 406 or 1-877rMASSAk'B Revised 5-26-05 Fax#617-727-7749 www.m,ass,gov/dla 3 'i70 / r (") Date.. .. ...�.!. .. . ..... 4 A ' „ORTp TOWN OF NORTH ANDOVER 16 0? ° `p PERMIT FOR GAS INSTALLATI01. • "i °++rao• `49 SSACHUSE� r— This certifies that . . . . . . . . . '-�-' -� has permission for gas installation . . . . . . . . . . . . . . . . a n �. . . . � � in the buildings of . . . . . �:.:-:'` . . . . . . . . . . . . . . . . . . . . . . . . . at .�... . . . . 1:"` '. ".' L. .r. r. • • . • • • • •, North Andover, Mass. Fee! . . ../. . Lic. No.. .`..(. . .�. . . ?., .k .. . . . GAS INSPECTOK,G WHITE:Applicant CANARY: Building Dept. PINK:Treasurer � o MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING �k ype or print) Date $/G/ 19 j p NORTH ANDOVER, MASSACHUSETTS Building Locations W 0 !i Ie At2}C V, o"f-v Permit# _31?0 � Amount S �� A 0, A l-1Vt) Jt-kv FYI A%SS . Owner's Name �,y�G New❑ Renovation ❑ Replacement ©. Plans Submitted ❑ rn U N F C c W U Z i W Z C W ^ Z SUB -BASE *YI ENT B A S E M ENT IST. FLOOR 2ND . FLOOR 3RD . FLOOR 4 T H . F L O O R s T H . F L O O R 6T 11 . F L O O R 7T-11. F L O O R IS T Ii . FLOG R (Print or type) Check one: Certificate Installing Company Name �VI >� LzAeuu Wf-�/j ❑ Corp. Address =z �yt f 7`�Zi. f ❑ Partner. yvI zTI�FJrw vyt ��L Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter y!j L/rvLh! 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 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusett State Ga od Chapter 142 of the General Laws. By. Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber . jS_ O—C City/Town ❑ Gas Fitter 7Icense1 umber ❑ Master APPROVED(OFFICE USE ONLY) M__,�eyman i 0'I bl 4 Date.............N`............... NORTH 0 TOWN OF NORTH ANDOVER wr PERMIT FOR WIRING ,SSACMUS� This certifies that .................. ..vf3 ..... /................................ has permission to perform .....��� 1144.../. wiring in the building of.........c't1'A......................................................... at......../PO...lr-� �.0/fir. .......AcTRAcALIi�PEC`TOR" North Adover,Mass. Fee.5/ '..' Lic.No. E Check # �� i Cauutmteiunu[�e a� a3eacftttdol Official Use/Only oClaparfnw,�a��`ira Jaruicai PermitNo. �I Occupancy and Fee Cheeped BOARD OF FIRE PREVENTION REGULATIONS IV [Rem/07] (leaveblanT) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ),53CMR 1?00 (PLEASE PRINT IN,WK.ORTo ALLL X ORII�ITFOM Date: -20,3111 City or Town of: ((C.� To the Inspec ar o ff fires. By this application the undersigned hives noti a of his or 4vr intention re erfo the electrical work described below. Location(Street&Number) a �f,fi2.�C.�I C Owner ar Tennnt_ t G hyi1� A Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility ethorizition No. Existing Service Amps /• Volts Overhead ❑ Undgrd❑ No.of Meters t New Service Amps 1 Volts Overhand❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1 l� Canr letian oftlra follorvin table may be waited by the Inspector of 1111res. No.of Recessed Luminnires No.of ceil.-Susp.(Paddle)Fans No.of otal— Transformers TNA No. of Luminaire Outlets No.of Hot Tubs Generators FNA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o mergency fig ung rnd. rad. Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection an Initiating Devices No. of Ranges No.of Air Cond. Total No.of Devices Tons g No.of Waste Disposers lieatPump umber Tons IC n.of el[ onta[netl Totals: DeterBon/Alarting Devices No.of Dishwashers Space/Area Beating I(W Local E] Connection municipal [3Other u No.of Dryers Heating Appliances ICtiY 5ecri Systems: Na of Devices or Equivalent f No,of ater 10EY No.of No.of Data Wiring: Heaters signs Ballasts No.of Devices or Equivalent 1 No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin : Na.of Devices or Equivalent lOT jER .l ttach addillonal detail i'dadred or as required b}•the Inspector ofArires. Estimated Value o E ectrial Wor1c (When required by municipal policy.) Work to Start: 11 Inspections to be requested in accordance with MEC Rule 10,and upon completion- IN S U RAN CE-C ompletion_INSURANCE-C Y E,RA GE:-Unless'-waived-by-the-owners na=petin it.f r did=perfaftbahte:ofelectrictil uiorfc=friay=Lssue urilass the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that suc coverage is in force,and has exhibited proof of Sj4raet the ReTmit issuing fFce. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) 114 4 I cert fi►,under lite p ' t taffies a perju drat flte it rnrafia tis applicafiat:i s fare atJ/01�)tleft ?'� FMM NAYM-: I1 lC LiC.NO.: � 33 Licensee: Sr" Signature LIC.NO.: (#'applicable,a "e ramp!' ' re if �e nwuberline.) ( vim Bus.Tel.No.� Address: C� Alt.Tel.No.• *Per M.O.L.c. 147,s.57-61,security work requires Department of P blic Safety"S"License: Lie.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 Signature Telephone No. � � PER1I?7T FLEE:S I Date.................................. x NORTH TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSA US This certifies that . ............................. .r--U`�............. has permission to perform ...v., �- �. -� ..........................................�1— ....................... . wiring in the building of..... j, -ajU at... ........................... ..............:................ ,North Andover,Mass. Fee.`.3`... ` ...... Lic.No%3 Vit' ..... ::' .......... ELECTRICAL LI SPE Check # 7 7 4 ,ft. V Commonwealth of Massachusetts ulliwal �"7"�" ' Permit No. / Y© Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. i/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICALo WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: co 6- 0 -",), City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) (o0 Cr`r �L �2 i G V P V C e.l Telephone No. Owner or Tenant Owner's Address ee de-r r+c IZ Is this permit in conjunction with a building permit? Yes .® No ❑ (Check Appropriate Box) Purpose of Building1'4-I "' - Utility Authorization No. Existing Service Z 0o Amps tZp/ 4 Volts Overhead Undgrd❑ No.of Meters New Service I Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Ioo ►'�W^10 50r, - PYA t Location and Nature of Proposed Electrical Work: K, �-c�.�•^ Completion of the following table may be waived by the Ins 11 ector of Wires. Nn.of' otal No.of Recessed Luminaires (to No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above in o.o Emergency ig ung No.of Luminaires 2 Swimming Pool rnd. ❑ rnd. ❑ Batte Units No.of Receptacle Outlets I No.of Oil Burners FIRE ALARS No.of Zones M No.of Detection and No.of Switches 5' No.of Gas Burners Initiating Devices fr Total No.of Alertin Devices No.of Ranges No.of Air Cond. Tons g �, Heat Pump Num erTons '90—.0 f e - ontamed No.of Waste Disposers 1 Totals: Detection/Alertin 7 Devices Mun�c�pal Other •' No.of Dishwashers I Space/Area Heating KW Local[IConnection ❑ Security Systems:* a No.of Dryers Heating Appliances KW No.of Devices or Equivalent o.0 aterNo.o No.of Data Wiring: Heaters KW Si ns Ballasts No.of Devices or E uivalent i Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: 1M1 uc, t -T V 7'11Cc- C 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: & L6LD 7 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 certifieslthat such coverage is in force,and has exhibited proof of same to the permit issuing office. �1 CHECK ONE: INSURANCE 4 BOND ❑ OTHER ❑ (Specify:) o I certify,under theams and penalti s of perjury,that the information on this application is true and complete. nota t FIRM NAME: ` rScv v iG{ LIC. NO.: 1 Z Licensee: Lt4�-r r�r-'c-� �� �'� Signature �^ LIC.NO.: I Z 3 A4 (If applicable, enter "exempt"in the license numbe�line.) Bus.Tel. No.: Address: Po ('fix 17- 4 �4 A,,- bN F 0%«3 N � 0 3Ss KY Alt.Tel.No.: *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, 1 hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/AgentPERMIT FEE: iI�-- Signature Telephone No. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): iZI e_ S rr v-i 4- -r- Address: Ido bn 1Z City/State/Zip: ��},�}-r►+,p�a e P&Us N (110"54 hone #: 919 - (O S�p 7 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.® I am a sole proprietor or partner- listed on the attached sheet. + E] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.F1 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] f employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif under:the pains and p [ties of perjury that the information provided above is true and correct. Signature: �` Date: 5 Phone#: Official use only. Do.not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Date.?"./ ..... NORTH �? TOWN OF NORTH ANDOVER r - PERMIT FOR GAS INSTALLATION s • SACNUSES This certifies that .�o!!�. r.��. .l : . 1. .'.Z. . . . . . . . . . . . . . has permission for gas installation . . I . . . . . . . . . . . . . . . . in the buildings of . . rj,4 ./.h. . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .6.6i. . . . .t7- -.n.Ar. . /0. . . . . .., 1 o'rth Andover, Mass. Fee. 3v:. . . . Lic. No.. . . . . . . . . . �: : ` GAS INSPECTOR Check# 5658 30 , ©c� f6�d MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print of Type) / 0?b 6 AMass. Date " [ Permit Building Location 21�lflw Owner's NameUV. I _ -Type of occupancyG�r�i��r il/6 New ❑ Renovation ❑ Replacement [ Plans Submitted: Yes❑ No ❑ h to °[ ai w ti a v x a in CC t" w ofec ti V �► *' z vt .O }' W o O O ut a C + cc N l! 4t < x �. }- N t7 > W 0 e w 7C tj to ei a t] tW ? j•- x j h Z 1.. I&A O O > lL 1`�' U J {M W Z' .9 ul to , X O X W O Gt x •C to > a W 7 z, < tr: < .t o o w �- a ' u a > o d o SUB-1iSMT. s BASEMENT 1ST FLOOn r 4 1110 FLOOR 3RD FLOOR IT1l FLOOR 5711 FLOOR 6TNFLOOR TTl1 FLOOrt eTH FLOOR - I F-1 I . . . I EEI-=, Installing Company Name namorg 01 ha. & Iftcr. Inc. Check one: Certificate # Address80 13- 88 :0 Corporation o /f�c - MP1-,hi1Pn , MA 01 844 ❑ Partnership Business Telephone_ (9781 6R3—g755 _ ❑ F1rtn/Co. Name of Licensed Plumber or Gas Filter nou a l-d DpmPrs INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets lite requirements of MGL Ch. 142. Yes til No ❑ ' It you have checked yes. please Indicate the type coverage by checking the appropriate box. A liability insurance policy 0 Other type of Indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: i am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owners Agent I hereby certify that all of the details and Infotration I have submitted(or entered)In above application are true and so'curate to the best of my kno%iodge and that an plumbing work and Installations performed under the.permit Issued fo talion will be In compliance with t6 Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of! neral T ,n of Ucense: -� f lumber ignatura o Gcortso�Tlum�iur of Gas it ` Title Gasfillor City/Town Ucenso Number 9449 j lauincyman ANirivrin rorty _01cr oil,vi �. Date. . . . . .-.+. . NaRTM TOWN OF NORTH ANDOVER �r •_•r '��� SOL 1 PERMIT FOR PLUMBING 40 + _ + -TS MUS (� This certifies that . .�^ f o s(n. . . . . . `. `l has permission to perform . . . `.'�.� . , . . . . , , . . . . plumbing in the�buildings of . !a 1 1\ . . , Northndover, Mass. Fee. .Y.Q . . .Lic. No.) �?bs .J1 .��. `7 PLUMBING IN PECTOR Check # � 6121 i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location G o !7c ✓� l� OwnersZ C / Permit# Amount le of 0Luanc l:�G�I- l bvl'i�"- New i Renovation Repacerfient ❑ Plans Submitted Yes No FIXTURES W. Cr rz &n 4 4 1 T 5 �1 SLRF&W >��Iv>avr 2M Fl" 3MHOOR 41H HOOK 51H OOR 61H FLOOR 'T1HRO R SIH FIOCR (Print or type) Check one: Certificate Installing Company Name /�oQ , (XYZ 1�Sif ❑ Corp. i Address 3 6 C S r t2 �2 r Partner. '� , 9�1�'��t, P. rJ ✓1i1'I�SS. } Business Telephone ? 6 f-- inn,/Co. t Name of Licensed Plumber: V►d �✓L�3 Insurance Coverage: Indicate 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 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 u der Permit Issued for this application will be in compliance with all pertinent provisions of the Mass usetts St a Plu e hapt�141f the General Laws. By: 7ignature oiuicenseariumDer Type of Plumbing License 1, Title / oll-�S k City/Town License 114umDer Maker ❑ Journeyman APPROVED(OFFICE USE ONLY 04e Tommunmealt4 of Mas,sar4aeetts Office Use Only -7 r Department of Public Safety 33 Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy & Fee Checked � 3/90 (leave blank) APPLICATION FOR, PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 C� (PLEASE PRINT IN INK OR TYPE 'VPE AL IN(F�ORMATION) Date z — f`r ( �a r City or Town of Al,/V p u p�— To the Inspector of Wires: The undersigned applies for a permit too/�perform the electrical work described below. Location (Street & Number) l/ I `e Z IG 4L Owner or Tenant 1(,�J"k lL Q A f /NJ Owner's Address fl- Is Is this permit in conjunction with a building permit: Yes N'o ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps /_ Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity y� , Location and Nature of Proposed Electrical Work 9 a-A h000-f �C.e Axes r- TOTAL No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Above In- No. of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Tota I No. of Detection and No. of Ranges No. of Air Conditioners Tons Initiating Devices Heat Tota I TotaF No. of Sounding Devices. No. of Disposals No. of Pumps Tons KW No. of Self Contained Detection/So No. of Dishwashers Space/Area Heating KW M din ip al vices . Local❑ Connection ❑Other Dw Voltage ✓iring jDate.... .......................... &ORTH 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING lent. NO❑ ! have submitted valid proof SA HUS This certifies that � � L,N we,C, (Expiration Date) ............................................................................................. has permission to perform ......- .. .....j�.c..kt C,a. ...0................... 11 Final S oQ wiring in the building of ..!.:A R ,A i.1-1) � � y� .......... , .................. .............................. LIC. NO. at.. ... r r.c ,North Andover,Mass. LIC. NO. 3y7� p f Fee. ��.. ... Lic.No.A.0�5 .... rf . Bus. Tel. No.09 g'6 0u -S 37 S� '►/� t ELEemicAL I PECTOR r Alt. Tel. No. FF Check # -7 Pu bstantial equivalent as required by Massachusetts it (Please check one) g 5 3 7 2 PERMIT FEE $ Location (0 o 'e < R o� No. t Date a e oy NORTH TOWN OF NORTH ANDOVER a ; Certificate of Occupancy $ �'�s'•• tt� Building/Frame Permit Fee $ ` ACMus Foundation Permit Fee $ i Other Permit Fee $ r TOTAL $ Check # / 1752 Building Inspector I { TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. � . DATE ISSUED: `._ fl # � rn SUED: 1-7 e,7 ic SIGNATURE: AIN Building Commissionerfl for of Buildings Date Z SECTION 1-SITE INFORMATION IO 1.1 Property Address: . 1.2 Assessors Map and Parcel Number: ego Map Number Parcel Number 1 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard ReqWred Provide RegWred Provided Required Provided 1.7 Water SupplyM.GL.C.40.1 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ � 1 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT histuric ENStrict: rn 2.1 Owner of Record (Z�iha�rd C d('11 r rilok Name(Print) Address for Service: 91 Signature Telephone 2.2 Owner of Record: t O Name Print Address for Service: rn Signature Tele hone 90 SECTION 3-CONSTRUCTION SERVICES I 3.1 Li tnsed Cons'ugtion Supervis�F: Not Applicable ❑ (l � Licensed Construction Supervisor: O License Number AddressX a 7!f Expiration Date Signatu& Telephone 'aa as 3.2 Registered Home Improvement`Contractor Not Applicable ❑ 0 f US � Jl�z�u� Company Nam Registration Number '"a Address t G 11 r Expiration it V (A Z Signature Tele hone G) Y i 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.......0 No.......❑ SECTION 5 Description of Proposed Work check an applicable) New Construction ❑ Existing Building Repair(s) 2— Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: t/A/J ' V 1 d SECTION 6-ESTIMATED CONSTRUCtFON COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing 4 Building Permit fee t,>X (b) �© f 4 Mechanical HVAC / 5 Fire Protection 6 Total 1+2+3+4+5 L190.00 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, c(,v (}Jjd-cow J ,as Owner/Authorized Agent of subject f property + Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief ,�) to,& ji(ey(o Print Name J Si ature of Owner/Agent Date d— NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TUVIBERS 1 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS i HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY t IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE y\.... _ u The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Sye Workers'Compensation Insurance Affidavit Name Please Print or �� Name: U ( U Location: tX-t r�Q Lj City l `Y�C - Phone # (71,2 (�l 6' 7 G I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity F-1 EE " I am an employer providing workers' compensation for my employees working on this job. Company name: � r Address City Phone* Insurance.Co. /`Y �I Policy# e i Company name: Address City' Phone# Insurance Co. _ -_ Policv# 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 and/or one years'imprisonment.as.well_as.civil,pienatties in-the frirm d a.STOP WORK ORDER_and_a fine 4.($1.00.00)-a jday ayainst.me. I understand that a copy of this statement ay be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pain an nelties of perjury that the information provided above is Eve and correct. C Signature Date Print name Phone official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept []Check if immediate response is required E] Licensing Board 4 F1 Selectman's Office Contact person: Phone A Health Department I] Other i t%ORTH ° Town of North Andover !6 `" ' i'� «!:+ pG Building Department p 27 Charles Street North Andover, MA. 01845 �,S•�•� D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION Number Street Address Map/lot "HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homedwners"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) s 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 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM i In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant I Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project'through the Office of the Building Inspector I i DM " Excavation Dais Gulandent .__ T 429 Plewant ftlect �� M & 01845 . 9 .��1J✓ .39� HOli '(If 'fV3` . F . a ' ,686-6137 J-VJt W LkAW 1821 INSURED HoTae!nV12,0199 JjW#LAer 40 S (Joe( d Replace dit.kitchm erten, �Rm :dbm not jdt _Vat new Ste) y faster caumic We on ffie bwk Vlash, Me SQWWd tfv Vou) fi� 4 i, F` s sav qty,VLzjvsty�MP1a40e Widows which are wood,insi&m am u . -Outside, € 425.E.pa wia&w tall vin. � cwement rTlacetnwt window_ $ 450.00 mekle r Or WApVer. Re-instil.the-s ,. install ate,medicine cabin ���ct f a.rwm M-lc 41900: qi :supplied by you)_ Supply_aad.j�a newb.�W Jnstafl 'vw&y, -( wp1i by�,o . $ 31.9m.00 Remove-the: dOOr it the.dell and �Wstall.1 V Colonial m1ding as a chair Overlay the cog with df ywafl�Md PMfcf`pamv We wiff eve and re- i All:elecuical has to be done by the hour @ S 70.E per hotffa_subbe,4 Ouj by . eleciricianor you can Use YOM own eketriciam Price. M allude repa .to'� dden�- maipedby y tOA&M, fine clewing. or pain. i I ' I t BOARD Of BUILDR413 RE{3UC.ATIONS ! Licetree:,CONSTRUCTION SUPERVISOR Number. C$ 001821 Birthdate: W0211959 i Expire$' 10/()212005 Tr.no: 6242 l t 'E Restricted: 00 i. DAVID P GULEVAN 428 PLEASANT 5T N ANDOVER, MA 01&45 Administrator ,a Board of Building r Regulations and Standards I HOME IMPROVEMENT CO Registration: iNTRACTOR , Expration: 120199 ., 11/1i2005 I TYPO: Individual , 1 DAVID GULEZIAN I DAVID GULEZIAN ' 428 PLEASANT ST _ I > NORTF4ANDOVER,MA 01845 ' _ Administrator ' - � --�-:,.,•. niatrator I i i i i i NORTH Tovm of 4Andover No. 6 a =.�...�.�. .�. �.7, ,s V T` �O - LAKE dover., s Mas ., COCHICHE W ICK RATE0 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT BUILDING INSPECTOR� � � � I`�� ........ ...... .. ......... ........ ... Foundation has permission to erect...I..Ilk .... buildings on ... ..... ,.,....r.r.� .C. ....:.... ,. Rough to be occupied as �� -40 „..... �� sw!ti 6a& S Chimney r coo 40 .....1�....... ..................................................... 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 B - ws relating to the Inspe 'on, Alteration and Construction of Buildings in the Town of North Andover. 'Is/d 0 �0 =wowPLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTT N STS Rough OU ............ .... ........ .. Service_ _ --- ... . .. . ........... ................ ........... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location - No. Date NORT1y TOWN OF NORTH ANDOVER M. , , • p 9 Certificate of Occupancy $ sACMUS t� Building/Frame Permit Fee $ c ` Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 0 Building Inspecfor i E TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATf2 OR DEMOLISH A ONE OR TWO FAMILY DWELLING �q ttt BUILDING PERMIT NUMBER: DATE ISSUED: �X SIGNA uil n Commis 10 er/I for of BuildingsDate SECTION 1491TE INFORMATI 1,1 Property Address: / 1.2 Assessors Map and Parcel Number: b aterI'1e-1 IQ 2 Map Number Parcel Number MA 1.3 Zoning Information: 1.4, Property Dimensions: V Zoning District 'Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided —Required Provided 1.7 Water Supply M.G.L.C.40, 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private G] Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSE IPIAUTHORIZED AGENT m 2.1 Owner of R d � PAJ ` Name(Print) Address for Seivi�e_: r/`i G•Y�/_\ � /JLC ��,.z b tt�P� ` ss Signature Telephone 2.2 Owner of Record: -Name Print Address for Service: Signature Tel hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ i Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ r S c Company NameQ I L Ct1pM Registration Number r 14 1"f � � , l�aX� i�2 Cod 39 ZI 41 /00 2-0 Expiration Date Si nature �Tel, ne v• r 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.......0 No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 11) T-L\) n -,e ro o F SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OMCIAL USE ONLY Completed by permit applicant 1. Building g o o 00 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Tota] (1+2+3+4+5)_ Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, L 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 )a. 1-9 L Print am s g16a Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRABERS 1 ST 2ND 3RD SPAN DIMENSIONS OF SILLS DUVMNSIONS OF POSTS DINIENSIONS 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 • .. .. -� Ali BUILDING DEPARTMENT ..DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as definedby,MGL c 11, S 150A The debris will be disposed of in: Location of Facility Signature of Permit Applicant ? Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of . the Building Inspector N . 1 ' i vAORTH Town o RAndover No. �8 '° t� LA dover, Mass., COCHICHEWICK ORATED P"?"VL\ Cl BOARD OF HEALTH Food/Kitchen PERMI[ T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT........................... ............ .... :.... ..... . ............. .............. Foundation . .......has permission to erec ... .. ....... .................. bui * gs on . 0. — A ........... .... ........ Rough tobe occupied as.. F�.. ..... ... ........... ..........................I.....................I................................................................ Chimney n"acce*ko accepting provided that the Prrsoo�'acc�pting this permit 11 in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and BV-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 R 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. 7' .r�.ppnnNN X!V' ' f r�.,L •,1 etc ° Residential contractors and service providers doing business in Mass. C" Wi t P must be registered. If the contractor ;�r or subcontractor is not registered, you will not be entitled to compensationTal d riC T from the state if something goes wrong with your job. WEE= •�,�., Birdincoqxrateo ._ 1118 SIr:CE EXPIRES 0I P,? I s DLL : 2 CA STR I CONE ROOF & 3 I DE This firm has "met Bird's qualification NOT VALID if ED OR REVOKED NOT TRANSFERRABLE SEE REVERSE SIDE I criteria for experience, reputation and dedication -to' professionalism.,, 0. lldrlYa.My ♦.. N F.'Y A--P�!_ AST: #� K: ONES R� F �_. 0 sI�G.• � T St ily;CIJ ��, Q f7 RtILJtBe/11{1J4! Ol/)C „� .' .'raquirL.— ro bec ma a u c. .Q . .RQ°li r,liccuot�' •.:' ' •.T=lit ,�4 .hy'y� J ' _ ��' - ale.. ;�'• "-:"ss`:• � _ �j �S 54i Through special training programs available ' ®/ z_ 0A David Castri cone exclusively to Alcoa Master Contractors, {{ ,ti Mas Mast- •i President they learn how to be experts on quality tractor installation and how to build and conduct business in a highly professional manner. David .:cone Roofing & Siding, Inc. 7 HI11v J Boxfor.., :1921 (608)M. . (608)888-9638 J Reg.;; ,_ cratsmanshtp You Can Trust" r ENTMC.ONTRACOR;" , ' '"• ib�0,�569�,� . Residential contractors and service providers doing business in Mass. �� must be registered. If the contractor nt; � 3 3' '� 4° Dy CICO l: IN6D or subcontractor is not registered, you will not be entitled to compensation 3 , from the state if something goes wrong Bo fiord 101921 with your i ob. ', y ' Bird Identification 1118 SINGE EXPIRES 1989 '12M R(' DAVID CASTRICONE ROOF & SIDE This firm has "met Bird's qualification NOT VALID IF CANCELLED OR REVOKED NOT TRANSFERRABLE SEE REVERSE SI criteria for experience, reputation and dedication -to professionalism." i ���i.,•.�.'.���iiDU>��1�111LF1tAC. x�:. a- CASTR3CONE=RFSNG .&'"SIDING T 'h(,as suet ll�c scfu yg ,/t{yl:b?frairiing-'semi nar and;orher: o�bec a RQofi $oduC tion! AppraveQ' P1�.a1°o1: . , Date; ' ' +:'`meq:'r:' rize trsrtaic�4it�e: Through special training programs available , MALCOA David Castri cone exclusively to Alcoa Master Contractors, Master Contractor President they learn how to be experts on quality installation and how to build and conduct business in a highly professional manner. David Castricone Roofing & Siding, Inc. 7 Hillside Road Boxford, MA 01921 (608)374-7314 (508)688-9638 Reg.#104569 Crapriar ship You Can Trust.` MMIDDlYi CERTIFICATE OF LIABILITY INSURANCE GATE(10-12-1999 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INTERNIST INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 522 CHICP(ERING ROAD HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR NORTH ANDOVER, biA 01845 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I I INSURERS AFFORDING COVERAGE �,. INsuaeO -_ DAVID CASTRICONE TRUST A83URANC&-- I wsuREN A.! � ROOFING AND SIDING INC INSURERS EASTERN CASUALTY 7 HILLSIDE ROAD 11461 C - HOXSORD MA 01921- INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCEDBY PAID CLAIMS. INBR J'~ TYPE OF INSURANCEPOLICY NUMBER DOUCY EFfECT1VC POLICY CXFIRATI N GENERAL LIABILITY LIMITS 1 ,000 100 A �,COMMERCIALGENERAlLIA81LITY TCP 1012811 08/06/7.999 106/05/2000 EACH OCCURRENCE IS CLAIMS MADE OCCUR FIRE DAMAGE(AnYon�(r�) �S 50 00' MED EXP An oneperson) $ 5 00 PERSONAL&ADV INJURY S 1,000,00 I L_J GENERAL AGGREGATE $ 1,000 00 (iEN'L AGGREGATE LIMIT APPLIES PER: ! PRD• PRODUCTS COMP/OP AGO S 1 I ,000 00i POLICY ❑ lOC ' i AUT04OBILE LIABILITY ❑j ANY AUTO COMBINED SINGLE LIMIT I4 ,a (Ea eocloenl)ALL OWNED AUTOS - I�� SCHEOULr=O AUTOS OODILY INJURY f S 1 (P�r p�rnon) . HIRED AUTOS !�J� NON-OWNED AUTOS BODILY INJURY !$ (Por occloora) PROPERTY DAMAGE (Per eccAdii .$ i GARAGE LIABILITY LI AUTO ONLY-EA ACCIDENT I s _j ANY AlITO .......-_.. OTHER THAN EAACC :S AUTO ONLY EXCESS LIABILITY AGG 13 I ❑ OCCURMADE I�r I I EACH OCCURRENCE ib ,LAIMB C AGGREGATE IS -- I DEDUCTIBLE I 'S RETENTION I IS i WORKERS COMPENSATION AND +6 EMPLOYERS'LWBILITY I � - LJ I -i B I�7C99 A24009 i 09/23/1999 09/23/2000 E.L.EACH ACCIDENT .3 100,00( E.L.DISEASE-EA EMPLOYEa13 500,00( OTHER I I E.L.DISFASE.POLICY LIMIT IS 100 00( it DESCRIPTION OF OPERATIONSrLOCATIONSNEHICLES/EXCLU810N3 ADDED BY ENDORSEMENTISPECIAL PROVISIONS ROOFING AND SIDING CERTIFICATE HOLDER I ADDITToi INSURED;INSURER LETTER; CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE 12BUING INSUR[R WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TME LEFT,OUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENT AUTHORIZE g E ACORD 26-S(7/97) /" C PORATION 1988 DAT Ac 2HD- CERTIFICATE OF LIABILITY INSURANCE 10-12-1999 THIS CERTIFICATE IS I$8UED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE IN PXZT INSURANCE AGZNCY INC HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 522 CHICKZRING ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER, DSA 01845 INSURERS AFFORDING COVERAGE INBURERA: TRUST MSURANC&F INSURED INSURER DAVID CASTRICONB suRERB: EASTERN CASUALTY ROOFING AND SIDING INC INSURER C: 7 HILLSIDE ROAD INSURER D: BOXFORD wh 01921— INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, _ POLICY EFFECTIVE POLICY EX'M, N LIMITS IN$R NpE Of INSURANCE POLICY NUMBER EACH OCCURRENCE 3_ 1,000,0 GENERAL LIABILITY 08/06/1999 08/06/2000 A 1 COMMERCIAL GENERAL LIABILITY TCP 1012811 FIRE DAMAGE An on•Ilr• S 50,0 n MED EXP An one Snort 3 5y0 CLAIMS MADE FOOCCUR PERSONAL&ADV INJVRY S 1,000,0 - OENERAL AGOREOATE 3 1,000, 0 PRODUCTS-COMP/OP AGG S 1,000,0 GE WL AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO• LOC I AUTQN081Lf LIABILITY COMBINED SINGLE LIMIT S (E•Sodden) 11131 ANY AUTO ALL OWNED AUTOS BODILY INJURY y i (Por p•non) SCHEDULED AUTOS 1 HIRED AUTOS I BODILY INJURY IS (Pa accluent) ... NON-OWNED AUTOS i ❑ PROPERTY DAMAGE RPERT )AMAGE 3 AUTO ONLY•EA ACCIDENT i GARAGE LIABILITY OTHER THAN EA ACC $ ANY ALITO AUTO ONLY: AGG 3 EACH OCCURRENCE EXCESS LIABILITY AGGREGATE 3 ❑ OCCUR (�CLAIMS MADE $ I � S DEDUCTIBLE i RETENTION f WORKERS COMPENSATION AND 100 01 EMPLOYERS'LLABILITY 09/23/1999 09/23/2000 E.L.EACnACCIDENT $ „l v., B �WC99 A24009 E.L.DISEi 500 E.L.DISES 100 01 OTHER i I DESCRIPTION OF OFfRATIONSAOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDOR3EMENTISPECIAL PROVISIONS ROOFING AND SIDING CERTIFICATE HOLDER ADDITIONAL INauRED•INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC OATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEI• NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMP03E NO OBLIGATION OR LIABIUTYOF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENT AUTHORIZE 3 E C PORATION 1980 ACORD 25-S(7/97) gORTI{ 17 SACMUS S� TOWN OF NORTH ANDOVER MASSACHUSETTS ' fta n BOARD OF APPEALS February 21 , 1980 Richard D. Cain, Jr. Herrick Rd. Petition #3-180 Daniel Long, Town Clerk Town Office Building North Andover, Ma. Dear Mr. Long: A public hearing was held by the Board of Appeals on February 11 , 1980 upon application of Richard D. Cain, Jr. and Patricia Cain who requested a variation of Sec. 7.3 and Table 2 of the Zoning By-Law so as to permit the construction of a 16' x 12' addition to the premises located at 60 Herrick Rd. as shown on a plan of land dated January 4, 1980. The following members were present and voting: Alfred E. Frizelle, Esq., Vice -Chairman; Richard J. Trepanier, Esq.; Walter F. Soule, William J. Sullivan, and Augustine W. Nickerson, Assoc. Members. The hearing was advertised in the North Andover Citizen on January 24 & 31, 1979 and all abutters were duly notified by regular mail. The petitioners seek a variance from the provisions of Sec. 7.3, Table 2 of the By-Law to allow the construction of a 16' x 12' addition to the premises located at 60 Herrick Rd. During the hearing,the petitioners introduced evidence to the Board showing that the particular lot in question is abutted by both Herrick Rd. and Saltonstall Rd. The unusual shape of the lot and the location of the existing dwelling prohibit the con- struction of any addition without the granting of the requested variance. In particu- lar, the petitioners pointed out that, _located at rear of the dwelling is an under house garage and depressed driveway which prohibits construction at that point. Further evidence was introduced as to the existing neighborhood. The Board on motion made by Trepanier, seconded by Nickerson voted unanimously to GRANT the variance as shown on the plan dated January 4, 1980 by Charles H. Malloy, Registered Land Surveyor, which accompanied the petition. i CAIN DECISION -2- fl L, In granting the variance, the Board finds that each of the provisions set forth in Sec. 10.4 of the By-Law have been satisfied. In particular, the Board finds that because of the slope (as noted above) and the unusual shape of the lot, that the . literal enforcement of the By-Law would incur a substantial hardship to the petitioners. Further, the neighborhood is such that other dwellings are located close to existing lot lines. The Board points out that the addition will, however, be located adjacent F: to Saltonstall Rd. and will not, therefore, create crowding. Additionally, the relief t granted herein will not be of substantial detriment to the public good nor will it nullify or substantially derogate from the intent and purpose of the By-Law. Very truly yours, BOARD OF APPEALS e�z V^ Alfred 11 E. Frizelle, ' Vice-Chairman AEF:gb I i • J oirr� • o: 4. F-� AvAtt7*+ :� t ;�•.. 1855 ;g ► � 'S ACH rr►rrv'��� TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Date . . . FOR .21 ,. 19$Q. . . . . . . . . . Petition No.. .3-.'80. . . . . . . . . . . . . . . Date of Hearing. .F0.. .11 , . !R8Q . . Petition of . . . . . . . RICHARD. ... . . . .. . PATRIC. . .RIA CAIN. . . . Premises affected . 6Q .Herrick .Rd.. . . . . . . . . . . . ... Referring to the above petition for a variation from the requirements of the . . . . . . . . . . . . . . . . . North Andover. Zoning. By41,ary. . Sec.. .7.3.& .Table. 2. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit the .constrao.tion. of. a .16!.x. .1.2'. .addition. . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . .GRANT. . . . . the . . .Variance. . . . . . . . . . . . . . . . . . . . . . . . . and hereby authorize the Building Inspector to issue a permit to . . .Richard .D.,. Jr.. .&.Patricia.Cain . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work, based upon the following conditions: Signed Alfred E.. Frizelle, Esq., Vice—Chairman . . . .Richard .J. Trepanier, .Esq. . . . .Walter. F.. .Soule.,. Assoc.. Member. . . . William J. Sullivan, Assoc. Member . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Augustine W. Nickerson, Assoc. Member . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Board of Appeals BUILDING INSPECTOR NORTH TONIN OF NORTH ANDOVER, MASSACHUSETTS BUILDING DEPARTMENT /9y SSACHUSES February 11, 1980 Board of Appeals Town Office .Building North Andover, Ma. Re: Petition of Richard D. Cain, Jr. 60 Herrick Road Gentlemen: Mr. Cain was refused a building permit because his proposed addition would be closer to the lot line than is allowed by the Zoning By-Law. Very truly yours, CHARLES H. FOSTER INSPECTOR OF BUILDINGS CHF:ad PUAMN(8� 80((((0 TOWN OF NORTH ANDOVER MASSACHUSETTS � yORTIi O`tieo ,690 O � A 9q +cmw b � �9SSACH Shy February 5, 1984 Board of Appeals Town Offioe Building North Andover,,!Ka. Re: -Cain Petition Gentlemen: After reviewing the above petition, the Planning Board has voted no objection.to the proposed addition. Very truly yours, PLANNING BOARD t/Gl�J%L� Y William Chepulis, Chairman gb hursday,January 24, Legal Notice TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE January 22, 1980 Notice is hereby given that the Board of Appeals will give a hearing at the Town Building, North Andover, on MONDAY EVENING the 11th day of FEBRUARY 1980 at 7:30 p.m. o'clock, to all parties interested in the appeal of RICHARD D. JR., and PATRICIA E. CAIN requesting a variation of Sec. 7.3 & Table 2 of the Zoning By Law so as to permit construction of 16'x20' addition on the Premises, located at the south side of Herrick Rd. known as 60 Herrick Rd. Board of Appeals Frank Serio,Jr.,Chairman Publish N.A. Citizen: January 24 & 31. .G,9LL.9.2/J V/ Cyyrrl�✓dam :/ $ULL/!/,4A) InLLL E/2 D �ydRE/�1,gll> i/ .�'y9Co�d v ,,G"OUL.p S ------ 7Z-40. G/�/�.P•IJEGL d �DA�J S /,/DLL//L S ✓ �OCv�,2f • NOR)N ` f L Yo 0 TOWN OF NORTH ANDOVER �'4 i6i �., = MASSACHUSETTS ^. —._BOARD .OF-'APPEALS C:.. +'c*'`-`Y`�'F�•, e� •c -r . '..i' .. .r ' try NOTICE: This application must be typewritten. AP; ' CATION FOR RELIEF FROM THE• REQUIRMENTS OF THE- `ZONING ORDINANCE Richard D. C in Jr. Applicant Patricia E. CAin Address 60 Herrick Rd. 1'. Application is hereby made . (a) For a variance from the requirements of Section__,Paragraph KaWe .P, of- the Zoning By-Laws. (b) For a Special Permit -under Section ,Paragraph ' of the Zoning By-Laws. (c) As a party aggrieved, for review of a decision made- 'by the Building Inspector or other authority. - 2. (a) Premises affected are land . - and buildings xx numbered 6G Sc. 'Herrick Rd. (b)- Premises affected are property with frontage on the North S6uth xx East West side of Herrick Road &tXM@&1k9 and known as NO. 60 Herrick Rd. _ (Xfl1k-T (c) Premises affected are in Zoning District ,and the- premises- , affected have an area of 1 2s d frontage o 16 feet. 3. Ownership: (a) Name and address of owner (if joint ownership,give all na7raes) : Richard n. CAin Jr. , Patricia F . C,z n \. March 3 ) Date of purchase )j G� Previous oi,Tner Mrs . Harry Lambert i (b) If applicant is not owner, check his interest in the premises : . 1 Prospective purchaser Lessee Other (ekplain) 4. - Size of proposed building: 16 ' front; 12' feet deep. Height: 1 stories; 16 eet. a Approximate date (f erection A �P� oom r � oitting area �b� Occupancy or use of each floor . (c) Type of construction liand-fry-with_ Allim;n �m gi i g_ S. Size of Existing- Building: _48 feet front; 24 feet deep. Height 2 stories 24 feet. I a Approximatdate of erection 1935 , �b� ,Occupancye or use (of each floor) :- first floor_ living area car floor r�rirooms - (c) Type 'ot _constructi.on n��game,/ aluminum �id;nu 6. Has there been a previous appeal, under zoning, on these premises: No _ If so, when 7. Description of relief sought on this petition: It is recizested that srrot�ria+ p apprrival be granted for the construction of a 16 ' x 12 ' addition . to 60 Herrick Rd Said addition would however fall within less than 20' of-m perry line aoreg,iired-bylaw- liel i of sought is to allow said this construction 8. Deed recorded in the Registry of Deeds in Book Page or Land Court Certificate NO. Book ,3 Page ,3� 9. - The principal points upon which I base my application are as follows : (must be stated in detail) d :i Proposed addition will conform to the present architectural design of the existing structure The addition is' desired to furnish living space for recently widowed mother of occu ant. Because of the small size of existing will fall within 4 feet 'of the end of m ' y property ! line of an abuter. Current construction l of home jprevpnts nrnyisinn or the living space required by means of ward expansion, � i I agree to pay for advertising in newspaper and incidental expenses. (P itioner's Si n tur ) " ' � I Sec. 1 APPLICATION FORM Every application for action by the Board - shall be made on a form approved by the Board. These forms shall be furnished by the _- - erk upon request. Any communication purporting to be an application ,all be treated as mere notice of intention to seak relief until such " _me as it is made on the official application form. All information : gilled for. by the form shall be furnished by the applicant in the manner therein prescribed. Every application shall be submitted with a list of "Parties in Interest`.' which list shall include the petitioner, abutters, owners of land directly opposite on any public or private street or way and owners of land within three hundred.- feet of the property line all as they appear on:-the most recent applicable tax list, notwithstanding that the land of any such owner is located in another city or town, the planning board of':the town and the planning board of every abutting city or town. Ever application shall sufficient to coverr the cost ofpostageboftnoticettoaallppartiesoinfee terest. in LIST OF PARTIES IN INTEREST NAME ADDRESS Richard D.&Patricia E. Cain 60 Herrick Rd.No. Andover,Mass . ✓Edward Sullivan 66 ,.,-Irene C. Schorman 59 ,4 illiam S. Larochelle 63 James H. Schofield 69 . ✓Dennis Murphy 53 " Charles Adam 28 Saltonstall Fid. , No. Andover,Mass . � /John Bellino 45 Herrick Rd. , No. Andover;Mass. V/,/George R. Portors 52 Buckingham Rd. , No, Andover,Mass . L,Ifichard Hilton 42 Buckingham Rd. ,No. Andover,Mass . v4a'rbara A. Stack 33 Buckinham Rd. , No. Andover,Mass, Matthias V. Bridges 41 Raymond P. Tudisco 45 Thomas Licciardello 51 Ernest C. Callard 74 Herrick Rd. , No. Andover,Mass . Alfred Richards ?3 Buckingham Rd. , No. Andover,Msss . 4;4,N, Herman $3 . 60"rs?&04� 28- CAbot Rd. , North Andover,Mass. Alvin Firth 32 V Benjamin Hollins 24 Saltonstall Rd. , No. Andover,Mass. ADD ADDITIONAL SHEETS IF NECESSARY. - id Ci l� V cyc'—e 1�e } 4 LIST OF PARTIES IN INTEREST CON 'T ✓Harold Dushae Jr. 14 Saltonstall Rd. No Andover,Mass . / , v-'G"eorge R. Miller 32 Herrick Rd. , No. Andover,Mass. Alexander E. McGregor 33 " L/Alfio D'Agata 4.1 Herrick Rd. , No. Andover,Mass. ,/James H. Pappas Young Rd. , North Andover,Mass, Hodgson Young Rd. , No. Andover,Mass . ,Robert Richards 12 Young Rd. , No. Andover,Mass. «/Vita P. Salemme 221oung Rd. , No. Andover,Mass ,/Alastaire Fraser 88 Herrick Rd. , No. Andover,Mass. ,L;I""Salvatore J'. Iacono 89 Herrick Rd. , No. Andover,Mass. V/Everett Fletcher ( ?) 83 Herrick Rd. , No. Andover,Mass. v6harles F. Hilse 70 Buckingham Rd. , No. Andover,Mass Peter V. Rossiter 74 Buckingham Rd. , No. Andover, Mass . Martin/ D. Houghton 87 Buckingham Rd. , No. Andover,Mass . Z��ci 7 . � Z 141te e Y CRftriprY tNAT T"Q ��� �•�. Is koe- 1T E D ON TOP. sltowj 0 as / SJ1cwN 00 0 TWIT 1"! 0614FOR MED j . p. TO T�E ZONING LAWS OF 'rNC ao . -rows op ijoArH AwooueR WN9N ~, C*46Tauc1ED. 0 I D b 0 y� 1.,0T 2 0 D CERTIFICATE No. 2067 7 / Q&6tSTRATY003 131c of ?q. 269 aF , 9c� C N.E.R. D � CHARLES H. mot-Gy .i .p�No. 5016 0 j �IST6g 4 �Ho suR`�tiya — — -- STORY WOOD I,�aorr►oa Ado. 60 W • L _ _ (EXISTING) p ftAg � I J►�� alb r a ?� NORTw ANDC$VER s.CWR�Rr An! H E R R I C K RORD IICOM4 -� $o 00 o PLAN N ®T lel G NOTE: PRoPrRTY LINE AND STREET LINe OFFSETS SHOWN ON EXISTING STRUCTURE AND i THIS PLAN RRe sPecIPICOu,Y PROPOSED ADDITION FOR FOR. OCT6i2 PAINRTION OVZONING I iMuIREMlirors 094LY. uNDeR PATRICIA � R lCt4ARD CAIN NO CIRCUMSTANCES ARS Tilt-Se ANDOVER , OPP►SETS TO as uspcl Fop, NORTH ANH DOtl ER , MASS. LSTmet iso meNr OF FC-NOES, , WAI.I.3/ HEOGHS, 'ETC. SCA 1 ra 1"T 20 3ANugRy 411980 Z7 c h.1��✓� . 2Jil�w.G � i ! �I�q ' 4 .11 n/7,r - ./IM7 qf�/ /� (V-� 1;25��7' -IVZ >11" --w Ifv 7 tv Nagy . V;17 -v� 17;�- }I 00, /Ar/ rv� -71 pe -P,d, tai r Board of Appeals Town Office Building ,J NIC North Andover, MA 01845 � � B ( •� L H m _ / 1►�„ — _ .,,.ice... ��Qss°8 :Iod son Oyu —Er�p,4, Young Rd. R :s No. Andover, Ma. 013115 -� hursday,January 24N Legal Notice TOWN OF _ NORTH ANDOVER r - MASSACHUSETTS- BOARD OF APPEAIS'', 4 t NOTICE, January 22, 1980 I' Notice is hereby given that the Board of Appeals will t�give a hearing at the Town Building- North Andover, on MONDAY- EVENING the 11th day of FEBRUARY 1980 at 7:30-p.m. o'clock, t6 all parties interested in the appeal of RICHARD D. JR., and PATRICIA E. CAIN _requesting;a variation of. Sec. 7.3 & Table 2 of the Zoning By Law so as to Permit construction 'of 16'x20' addition on the 'premises, located at the south side of Herrick Rd. known as 60 Herrick Rd. Board of Appeals i Frank Serio,Jr.,Chairman Publish N.A. Citizen: January 24 & 31.