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Home My WebLink AboutMiscellaneous - 65 PROSPECT STREET 4/30/2018 65 PROSPECT STREET �t , 210/089"0000.0 � �_ ._ - -- .�_--_�. i`-- - 1 j��-- - - ----- - - - --•-- - i 1 i Commonwealth Engineering Associates, Inc. MORTGAGE SURVEY This certification on this plan is made for mortgage purposes only. The undersigned will not be responsible if this plan is used for boundaries, fences, plantings, special permits or variances. MOODY STREET 5n,0e' - BIT. CONC. Q.P Co M �P Co C —_ LOT T C LOT B A= 5,940.s.f. _T17 0 0 o tr DECK S W c� 0 W 0 N0. 6 z 2 STY, WOOD 10* r / n ' - 50:00 PROSPECT STREET i Location NORTH ANDOVER. M A. cimsm RM&MI) Date 6-13-1994 Scale: 1 inch = 20 feet •e No. 31342 ��a9eQ'sA�o� oe Deed and Plan Reference: o'y�L LA1106V � Deed Book 74 Page 4 9 Plan Book 2 2 Page 2 0 5 Certification is hereby made to: that the existing structures as shown are situated on the lot ; Commonwealth Engineering designated and are in compliance with the applicable Building and Associates, Inc. Zoning Bylaws of the municipality when constructed. 16 Old Post Road E. Walpole, MA 02032 Certification is hereby made that the structure shown on this plan IS NOT located within a Special Flood Hazard Area as delineated Phone: (508) 668-5136 on the FIRM map of Community Number 250098 0003 C Facsimile: (508) 660-1457 Date 6-2-1993 . TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .y,y BUILDING PERMIT NUMBER: DATE ISSUED: ` ic SIGNATURE: Building Commissioner/1for of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Propert Address: 1.2 Assessors Map and Parcel Number: �p Map Number Parcel Number 1.3 Zoning Information: 1.4 Property.Dimensions: Zoning District Proposed Use Lot Areas Frontage fl 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RNWred Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name( nt) � Address for gervice Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES go 3.1 tLicensed Construction Supervisor: Not Applicable ❑ i&174 Licensed Construction Supervisor: License Number Address) /� 6,5S 2 l" Expi�Date V ic Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ �y Company Name CMC) ;> �- Registration Number r X el gess �� / '�- t ��Cf� jam/ 4Eiraon Date Signature Telephone t 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 a licable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ :Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify 1 Brief Description of Proposed Work: -2 A 4AA � SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL'USE{3NLY Completed by permit applicant 1. Building `l (a) Building Permit Fee F U 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 OWNEIKS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 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, ,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 rte. 8, NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS l-IEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE - FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fr Boards and Departments having jurisdiction have been obtained. This does no om the applicant and/or landowner from compliance with an applicable or requirements.Ve . p Y Pp *APPLICANT FILLS OUT THIS SECTION APPLICANT �11,,-1 PHONE LOCATION: Assessor's Map Number_ I! PARCEL_ SUBDIVISION LOT(S) _ STREET — �5 ST.NUMBER *** ` ►*'"` ►*�►�`�' ` '* ****y`OFFICIAL USE RE C MENDTIONS OF O WN AGENTS: CO SERVATION ADMINlSTRAT DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED . COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED - DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED D DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm h 141 Iq Commonwealth Engineering Associates, Inc. MORTGAGE SURVEY This certification on this plan is made for mortgage purposes only. The undersigned will not be responsible if this plan is used for boundarles, fences, plantings, special permits or variances. MOODY STREET 50.00 _ BI T. com. Cp — LOT C LOT B A=5,940 J. } S ex �' DECK +/— W c O W t' NO. 65 W z 2 STY. WOOD i 10 i � ;N 1 ' 50.00 ' PROSPECT STREET CHESTER o ER location NORTH ANDOVER MA. RM MOND Date 6-13-1994 Scale: 1 inch = 2 0 feet. •e No. 32342 Deed and Plan Reference: Deed Book 74 page' 4 9 Plan Book 2.2 Page 205 y CertifiCation is hereby made to: that the existing structures as shown are situated on the lot Commonwealth Engineering designated and are in compliance with the applicable Building and Associates, Inc. Zoning By-laws of the municipality when constructed. 16 Old Post Road E. Walpole, MA 02032 Certification is hereby made that the structure shown on this plan IS NOT located within a Special Flood Hazard Area as delineated Phone: (508) 668.5136 on the FIRM map of Community Number 2 50 0 98 000 3 C Facsimile: (508) 660.1457 Date 6-2-1993 I I .,�.+�•-�..Vic.::..'.:.... .. The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. .02111 `'°� 5y• Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # F] I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an empin providing workers'compensation for my employees working on this job. Company name: Address .;2y/ c /-C city: /t9-,e Z-27 t e.-L- In Phone# 11 7 g-- jr? `l y Z Insurance:Co. /r Policy Company name: Address City Phone Insurance Co. Policy Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of-criminal penalties cf.dfine up to$1,500:00' and/or one years'impnsonment_as_we&as.axil penaitiesjo3hekmnid-a,S?9PYAK)RK ORDEP aw_a fine-d-($Il)pM)-ajdayAgaiWme- 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. /do hereby cattily dar the hs and hies ofi ury that the informaborr provided above is trine and owed. Signature / Date Print n e2,(-� Phone# Official use only do not write in this area to be completed by city or town official' City of Town PeMWLicensi 0 Building Dept Check if immediate response is required [� LimnSinq Board p Selectman's Office Contact pe7Son' Phone# E Health Department Other I North Andover 'Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM 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 c 11, S.1 50 A.. The debris will be disposed of in: v 2 (Location of Facility) Signature of Permit Applicant X�F/ Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector i Location ff No. 12,RZ Date MaRTM TOWN OF NORTH ANDOVER P •..' - p� i Certificate of Occupancy $ MUs Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ y TOTAL $ Check # 16151, 55 ,/ ~Building inspector'7" TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: / 3 Q � C SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: +w (� Map Num aParcel Number Yv 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 RegWr ed Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record S P—SS,moi CS5 PEc S 1 9-1 Ns rint) Address for gervice °fig Signature Telep one G 2.2 Owner of Record: ' lN. Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1,Licensed Construction Supervisor: Not Applicable ❑ Li`ensed Construction Supervisor: License Number Address �p Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone �l i SECTION 4-WORKERS COMPENSATION(MG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building >' Repair(s) ❑ Alterations(s) 0 Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to bef?I�'ICIA USE ONIJMWO Completed b permit applicant ° ire 1. Building (a) Building Permit Fee ---A(0520 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 r I, as Owner/Authorized Agent of subject property C Hereby authorize ' to act on My behalf 11 mattersnit ive to work authorized by this building pen-nit application. // Q� Sigafture of Owner Date ECTION 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 n Print Name i Si ature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRVMERS 1ST 2 3 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 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM 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 P pplicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector MORTGAGE. tNSPEA CTION PLAN NORTHERN ASSOCIATES, INC . 401 SOUTH 8ROADWAY,LAWRENCE MA.01843-3522 TEL:(978) 837-3335 FAX:(978) 837-3336. MORTGAGOR: .CHRISTINE M � SCOTT DEIv1PSEY LOCATION: 65 PROSPECT STREET DEED REF: .90/3G`� CITY,STATE: N. ANDOVER, MA FLAN REF: DATE: 9/9/03 SCALE: 1 I "=20' JOB #: 203. 1 1 793 MOODY STKFfT 50 LOT C i GAR CO (\ C0 PA O � ze + , DECK. 2 o LOT B / STORY/ 32- ? WO O D� #G5 �- 5 O' PKO,5 .ECT STREET CERTIFIED TO: GN MORTGAGE LLC 97j-(oF7-1(:FPj2- s .. Flood hazard zone has been determined by scale and is not necessarily accurate.Until deftniti,ve plans are tissued by HUD and/or a vertical rnntov,l V40F?`TH Town of ,;., Andover No. 3 CON o' over, Mass., A2 .3-d1 00 3 CIA OC MIC ME WICK �• t �dRPP ATED S 11 U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.............. ....... �+ � S r C r..t. .................................. .p................ ....................................................... """ """ Foundation has permission to aft.G4.106A......... buildings on ........`.................... ............. .. ..................................... Rough p� N 'D e e k Chimney a' to be occupied as... ..��..�..�!!�. ........�O...K.�..........�........�. ...........................................................................:.......... . provided that the person acceptin his permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. g d/ p' is o mop PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTJYN SiTAUS ELECTRICAL INSPECTOR V0 �� Rough ....0 ..... . .......... ... .........................................�.........:,.. 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. \4 �\ \�t\c\\\ z Y C `` r t t�t �tti \��,��1i�ti�� xiz 1\r to �1 .c s r ��t t �� f1'�.t,{`34 ...Zd 4�in .`, � ��it£.,\ilk l? tis'Sttr�rfl S; f.rr e a a { {4 z z{t s` � �StsiikSs 311 r 43�;t�1 � 1�\�� C� g 4v2v��1��17�2 ZhSif}i s t 1 s r t t y t t � �` r � 1\�r�V,AZt��it 1rR�� Y it 1 r t i � �,t��'$ yp �?R 1}1{ r `s t t .... s 4�t5 s t r it � r3 � 13 t ,,r 3a � � t. '�'� i�r "b i � 1 a ',�"a�� aye, �.. 3,'' u�.a 3�i �� r. � �� t� � �:.: ,' r . �, � ° `1 .'� `' t �� 2 #.e �� s3 a a `� s � u <. 1 r1ORTH ��Oyst0 BOARD OF HEALTH /° ti A II * r9 t 120 MAIN STREET TEL. 682-6483 ��SSACHusNORTH ANDOVER, MASS. 01845 Ext. 32 or 33 COMPLAINT FORM DATE: 2-3 611 CASE COMPLAINANT: ADDRESS PHONEd 9 COMPLAINT: OWNER• *E) ADDRESS: PHONE# ACTIONS• (� 06 oR 6t� -4 -1 1 -:44 i DATE OF INSPECTION: FORTH OQio a��0 OA UA'D CSF L1EAL�TH o �� " 120 MAIN S'T'REET � ,, a �gS'A�H �y •NORTH ANDOVER, MASS. 01845 TEL. 682-6400 COtIPLAINT FOL -1 DATE .blade by 1, 010 z- S 7 Address Pzeps EC7"- d7 Tel ., 6606 66?9 Nature of complaintCC�/ Location i Ouaner or Agent Address DO NOT WRITE BELOW THIS LINE Referred to Date of Investigation Result of investigation Recommendations i Action taken