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HomeMy WebLinkAboutMiscellaneous - 67 CONCORD STREET 4/30/2018 67 CONCORD STREET 210/084.0-0028-0067.0 LaMarche Associates P.O. Box 179 Natick, MA 01760 508-650-9777 Fax: 508-650-9870 RECEIVE ]EN June 9, 2010 Building Commissioner/Inspector of Buildings JUL NORTH ANDOVER, MA 01845TOWN OF NORTH ANPBoard of Health/Board of Selectmen HEALTH DEARTM NORTH ANDOVER, MA 01845 NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 35 Claim has been made involving loss, damage or destruction of the property captioned below, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws. Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and LA file number. Insured: CHICKERING CONDOMINIUM ASSOCIATION Loss Location: 67 CONCORD ST NORTH ANDOVER, MA 01845 Policy Number: 1120D17099 Date of Loss: 5/24/2010 Cause of Loss: Water LA File Number: MA-2-18165 On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Thomas Bratkon Adjuster LaMarche Associates,Inc.-800-349-1525 Page 1 of 1 WA yti.�E ST,eE�"T Z07- 14, 7 76 s,� 4,o0 / JZ�EV.0C6TEc4/7 O- NOF Ce 7"ZONF' O \\ 600 nh' .SQ/NO BCi/L D ZONE 1V i �V / O 17,5-1 o `ExisTi.✓G O i �a.uco,e,o s7',eEET • y'' 1 �r .S/EPEBY C'E'LT/FY To TWE T/TGE RL 0/ Re-/Y 72V Ti4NE B.4.V e TWgT T.vE OwELG/.cis/s LOG54TE0 ON Me LaT.�S S.SGA►•.V ANO TiGG4T?Oafs CodFaP.�f /N !Y/T// T/✓E �""/ OF moo• o vca�C 2 ZON/�vG .�E6�/LAT,l9,f/S AW41ry e.01AI LOT U.ve.S." x/o �v00✓E.�' �A SS, 1 FW Wolfe a CE.PT/FY 7oW r T.f'/S ON'ELL/i 19 /S A107- / LOG4TE0 /N Tile FEGIE.PAG Fe~ IW 2440 APE•4. Ae A/V fOiP ,W.di-N O/V A-E/M,4' COMMt/N/TY I'UAIGL ** _ 250098 CM3 c �.e/G�Yq,eo .�EVGr�/ /.QRST' 9Q /4jjAl,'04e 1'E.� ifl�4S,SgC.vl/SETTS O/8/O ORTH Town o Andover. 0 / / to LA - 0 ndover, Mass., CoC MIC MEWICK �,p ADRATE D Cl F C4 SS a ACHUSE es'e S Ad so*( � P IT Avst WX FOR 6 Mel *#/% Ave EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ....�...e!....... ....fir.P............�/�C................................................. .............. has permission to excavate and pour foundation a r .. r..�...9'... .,0�c.v....7a......... .5........ �u for the purpose of.... .. ..�. .. ............ ....... -` ................. ... *"*'*"j................................................. The person,accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon.before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. loop BUILDING INSPECTOR Location No. Date 17 7e5 %/y M0RTh TOWN OF NORTH ANDOVER - • 09 Certificate of Occupancy $ /00, - 7Y,Oo, — Building/Frame Permit Fee $ C� Foundation Permit Fee $ s4CHUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL ' J 1 /• ol Building Inspector } 08/04/99 11:33 1,059.00 PAID w Div. Public Works r L 1'EHMl"1' NO._1 + (p APPLICATION FOR 1'1IAZM1'1' TO 11011.1)**** ****NOi T11 ANDOVU11t, MA If hi%I•No . I 01.NO. 1. III( I)RI)1)1 O\\NI ItSllll' I),\I-F. IMOK --- 11AGF, ------ Sltll DIV. I UI MI. C-'C�, -� It)t All(IN t ---- I'1)lilt(iLt% 111111 Inrlt� o � /ycu�� -fi - - mow i�G'��� 3-9 C ---- - O`�/rtP K'S IJA1.11 ., 1-\:Cr-1 No . (% 51O(111:5 � -- SI/I---- --�-- t)W NI.R'S ADUIt I:$S 1/t/ )T `1)l C J y,O.vex /I/I F} Ii.ISEMLNt()it SI All �Gs,P AR(1111E(-I'SNAME W.� G /1/�- AIA SI(1:(1F11(%%t I1"MRS I� � �/I� 2 IV ,."1- U1-C I III DER'S NAI.IE V(^.f J v� v� SPAN DISIANCF.TONEAREST BUII DI r ©� I' DIMF:NSI()tJSOF SII I S G// DIS IANC-EIHOM Sf REEI ) r DILILNSII)NS(% 11615 DIS IANCEFRCMIOfLINES-SIDES REAR DIMENSI(N-tS000IRI)LRS KJ LI _1 V. ✓/� AREA(Y IUT i (� `��/ � FRI.I AGE I© (• I IE I GI I T(W F ININI)A 11(NJ �� T THICKNESS ISUllll.l)INCiNEW l / IGJ� y SIZLCF I(x)IING •-1 X IS 111111_DIM;ADDI TION Al C) MA IE RI AI.OF Cl IININEY O ISBIIILDIM;ALTERATION ,L/o IS0UII.DIM;(XJSUI ID ORFI11,LD1.AN1> .Sv) a _ 1 G \NIII.UUIIDINGCONFORMTOREQUIREMENISOFCCN)E \ C� IS UIIII DING C(X4NLCIED10IOWNWAIER ,O5 I1OACTION, IF ANYAjO ISUIJI1DING(ONNECILD 11)IOWN$ilWl:lt l IS BUII DING CONNECI LD IO NAI ORAL(SAS I INE INS1tic IIt7NS 3. PROPER IY INFORAIA-1ION IAND COS I f 85-04-?�d9�Y9 ES1.UI 1X . COSI PAGE I FILLO(fTSECTIONS 1-3 ESI. UI DG. COSI MR SQ. FT. 1 ESI. Ul1xi. COSI MRWK)t"I ) EI.ECTRIC F.IETERS MUST BE ON(NITSIDE(* UMI INN(; SEM IC PERNII I NV. ATIACIIEDGARAOESMUSTC(NJFORNI TUSTATEFIRE RE(R)1.AT1ONS a. %I,I'ItovLB By; / PL ANS MUST BE FILED AND APPROVED BY 11111 DIN(;INSPECT(%t BUILDING IN$PECI(Ilt t DA IE FitIa) I Jtr/� �t ! J OWNLRS 111 k /� APR 9 '�� 51(iNAI1IRF(N'()WNFVAIII:DAG: pid Q�PI R1.III(ARANI VDl 19 /�/! t - DD Da - � - Eli = ,8 -77 r _7 • li. ' �i i � �I� j. I D I. I. o j;, ; I:'' ; I -- ' I 'I'I: ' ;r•rl ll•,,;II• '� I 'li'' ��' -�� I �1'ill��il I �i. lil li iii II��I ''ll I1 I I ! II I •,.II I ;L l Ili !. i l a ' I II i i _ I 41 I - I i rwLL Ell Ir-e9ti �If•� Irf�4� QI M0�1�1 l�� A An i L , s r s L9GI`�d� '9M c�+,t�atl ;�-nl Nr1�•. 'yl�i �Nd o.� I I J I a �l I i I V: � � I �.QiL t. XO;fiL ---f— Ir i I } K w 1Arrl 'XN Nh?v! tJd i i I I — I + • I I i J OI bCa - y F-I qn I I 1 i i I - 1 w - -- — -- -, MAP:•q.' CtJ.t 3E:.het NMet�d _ I i .. ..:. ���-777- i S�r+s n I Z � ` \" a. 1bJGN��liln+Or 9bi5}IM N — yryior fid✓ 7'O ate!� O S ol>cz 33 aL"%Wlal-r w:31rq i i i - I a L9Gl'c��nl GOht�'v�OPtfir�d 'W1 'dt!/Kt7h1� � I . 1 I I � - I ' I I I�I I I I I I I I I , I I I Igl LII w0 BOE i - I � -_\ � -1Z tet- -'SCI2�"!.rMirY.Ti�O EtS4•�1 �a �YnG27D GXf.�T %2 PL-,'J(n 0 160, Gf G. i T Fl•r�IQ)D �r+5w?1 ;n�G • �, , �,� •, ,-- -yca Ricr�2s a IG''ac. -------- "� � � �'�'•LLT i t IZ'Iv MATTirvu:_ "sxa Ir44TI!p BTt-I - �i �JT ----. _---- -- _ R•10 tiil i .-2-2x4-,Z?ptA o.c. _ ( ! r -Z,(.4 eor PAra z -------ZIM -TV.0 f'AJ'a .L ---214 Ems(!-a1-- (� • � --- -z— ----- ------ -- - I -.apse" F3 FFJQ �Sairl�--fit ~ ` CRG�� QCT!� s+•+�-� � W:f-0" I O ' L I - - -- -- - ----- , or- 10 a t • i t i !l2l 64W - I ! G/�CEri ►1 t�� TF io2 a yo I CVV�L !lLt h I!-�G• �x'r�' GbV {2 ��11�7v t2, f-M✓4• �I�ID 1' y8 013:03 LAW OFFICE OF MARK7 ~" B. JOHt�•.r� =� 6839542 r�0.886 P002 t COMMONWEALTH OF MASSACHUSETTS ESSEX, ss. LAND COURT DEPARTMENT NO. GEORGE A: HUGHES and ) DOUGLAS'T�AHERN Plaintiff's. ) :.- v. TOWN OF NNORTH r^o Def ANDOVER ) ,, ) y- AGREEMENT FOR JUDGMENT The parties to the above matter hereby agree that the following Judgment may enter. 1 The Deed from George A.Hughes and Douglas J. Ahern to the Town of North Andover dated August 14, 1995 and recorded at the Essex North District Registry of Deeds at Book 444.8, Page 284 is void and of no force and effect as the Deed was never delivered to the Tgwn nor accepted by the Town. 2. The Property described in the above deed is owned by George A. Hughes and Douglas J. Ahern as.if the Deed was never executed and recorded. 3. All patties waive all rights of appeal and costs. Town of North;Andover George A. Hughes and by its rnev Douglas J Ahern j, og. ' attorney, Je McKiaght,.Esquire ohnson, Esquire KO P MAN AND PAIGE, P.C. 1 ICE OF Park Square Bui ding 7th Floor JOHNSON 31 St.James'A*&hue 12 Chestnut Street i Boston, MA 021,16 Andover, MA 01810 Approved by..the Court AM= dated.-January_LyL, 1998 - i LtTtGYAFIbAN/AGTJ[!j)C, j �f � QRTh{ Town o � � < < Andover No. Y oC ndover, Mass., LAKE COC HICHEWICK � ATED SAC US � ITe,0,0s Ad Avst vX C 6 Oq WooFQR '9A EXCAVATION AND FOUNDATION THIS CERTIFIES THAT :70 .0 ..ln• apr4 a......... .. ©............ ................................................ ............. ...... .. .. .. .. 0/ has permission to excavate and our foundation a .�. v.r44 ....... p ............ for the purpose of.... .� p..(.'l..%c.. wmar ll .......... ..... .... ... .... ................................................. The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building strut--ture will he granted. BUILDING INSPECTOR 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 or requirements. *APPLICANT FILLS OUT THIS SECTION'` APPLICANT ' JON S-co7/u C' PHONE LOCATION: Assessor's Map,Number '( `1 PARCEL SUBDIVISION LOIS 101 � LOT (S) STREET 510�/Ucoy . s:t ST. NUMBER ** *** ****************************OFFICIAL USE ONLY** RECOMMENDATIONS OF TOWN AGENTS: _ CO SERVATION ADMINISTRATOR DATE APPROVED_ nDATE REJECTED c COMMENTSSC (JL CK L St, 6 KI Z_Q at 6-h C"YA t�p 3 A)E S N ( TO PLANNER DATE APPROVED j DATE REJECTED { /� COMMENTS LVA- V FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT C,� -" r— 99 FIRE DEPARTMENT y � RECEIVED BY BUILDING INSPECTOR DATE A Tfre-Commonwealth of iVassachusetts Department of Industrial Accidents i =_- -- Mce v!/nrestlgaLfam - 600 Washington Street � ~3^ Boston, Mass. 02111 Workers' Compensation Insurance Affidavit city' ' f " r Dhone 4 (� I am a homeowner performing all work myself. f-I I am a sole proprietor and have no one working in any capacity r7 [ am an employer providing workers' compensation for my employees working on this job. Company_nante add C531 t V 1j(y �- city J o t Ak�C tM V- phone t#- �4nrance rn- 4/L policy I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name- addr L• city: Dhone q i n3ur4nrr rn Doilcv camnany name: addr n: i city: Dhone d: inlar-ance ct1 ta'icf - - Failure to secure coverage as required under Section 25A of'YIGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against roe. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under I e pai and 4nalties of perjury that the information provided above is true and corre�cjt.C� Signature Date Print name Phone 4 official use only do not write in this area to be completed by city or town official city or town: permit/license p f 1Building Department Licensing Board check if,immediate response is required C]Selectmen's Office C]Heaith Department contact person: phone p; F1,0ther (rrnxd)M P1A) Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of Nprth Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant an Building Permit(below) Address of Property for Permit(below) ewco S-1 Map and Parcel : Purpose of Application (check below) Phcn N mb r f A I'c nt: _Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is,issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw, This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots), below the density,(buildable lots), permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. adjThis application represents a tract of land existing and not held by a Developer in common ownership with an acent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the ch king off of an above item which does not comply,whether done to my knowledge or not, is g nd for r sal by the Building Department to issue a Building Permit. -�) q C Signature or caner o utho a Agent who signed the Attached Budding Permit Dat This form must be tta he V o the Building Permit upon application for such permit FORM U - LOT RELEASE FORM ' (�0 INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and-r"- having jurisdiction have been obtained. This does not reliro the applicant and/or landowner from compliance with any applicable or re q ui rementse . APPLICANT FILLS OUT THIS SECTION APPLICANT J e U(, ��� PHONE �{�—j LOCATION: Assessor's Map Number PARCEL SUBDIVISION Lot 1) 1Ui I 13 f-{ l� �• STREETLOT(S)( -i-- i ST. NUMBER OFFICIAL USE ONLY RECO END TIO OF OWN AGENTS: ' r I CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED ' COMMENTS �G K Y1 �t�,P � aC 3I j TOWN PLANNER DATE APPROVED / DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED go SPECTOR-HEAe,�� LTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT /FIRE DEPARTMENT r2 1� r + RECEIVED BY BUILDING INSPECTOR DATE n 4 ' ' r Y 1296 APPLICATION FOR SEWER SERVICE CONNECTION �1 North Andover, Mass— 19 Application by the undersigned is hereby made to connect with the town sewer main inStreet, subject to the rules and regulations of the Division of Public Works. The premises are known as No. S /io �CO�I� Street or subdivision lot no. Owner Address Contractor Addr ss Applicant's Sign ure PERMIT TO CONNECT WITH E WER MAIN, The Division of Public Works hereby grants permission to CID. h�'_, to make a connection with the sewer main at C2:22IC4 cz Street subject to the rules and regulations of the Division of Public Works.. Div' ion f Public Works By 1 , Inspected by Date See back for rules and regulations a 'r 1 RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES 1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer or appurtenance thereof without first obtaining a written permit from the Division of Public Works. 2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation of the building sewer. 3. A separate and independent building sewer shall be provided for every building; except where one building stands at the rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an adjoining alley, court, yard, or driveway, the building sewer from the front building may be extended to the rear building and the whole considered as one building sewer. 4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by the (Superintendent), to meet all requirements of this ordinance. 5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating, placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. The sewer shall be 6"diameter SDR 35, PVC pipe. Minimum slope shall be 1/8" per foot. The minimum depth of sewer shall be four feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift. 6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such building drain shall be lifted by an approved means and discharged to the building sewer. 7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer. 8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent) or his representative. 9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be restored in a manner satisfactory to the (town). 4 Eltiltr NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE I MAP 7-40. LOT NO.) ,I 3t 1 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE I SUB DIV-LOOT NO. I — , . � 1 �Tr LOCATION Q�C� J (` PURPOSE OF BUILDING l` , l CW ccu.f OWNER'S NAME J-rSFU -ZA-lL r NO. OF ST RIES a SIZEy`_ ! OWNER'S ADDRESS Po, 6Ux CGS_ c-o'.y ABEMENT R SLAB 3ca J ARCHITECT'S NAME E"1/C��p f CuO, (� SIZE OF FLOOR TIMBERS IST J� 2ND 3RD �..i BUILDER'; NAME SPAN DISTANCE TO NEAREST BUILDr44G J O / DIMENSIONS OF SILLS ' DISTANCE FROM STREET ::> / POS—TS—,3—> } DISTANCE FROM LOT LINES -SIDES 31 REAR %� GIRDERS AREA OF LOT '0RONTAGE HEIGHT OF FOUNDATION FTHICKNESS IS BUILDING NEW '�/ �S SIZE OF FOOTING C� x IS BUILDING ADDITION �— MATER:AL OF CHIMNE L-1 IS BUILDING ALTERATION IS BUILDING O SOLID R FILLED LAND WILL BUILDING CONFORM TO REOUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER J YP� BOARD OF APPEALS ACTION. IF ANY 7 IS BUILDING CONNECTED TO TOWN SEWER -may e__,;s IS BUILDING CONNECTED TO NATURAL GAS LINE - GaS INSTRUCTIONS 3 PROPERTY INFORMATION SEE BOTH SIDES LAND COST �J EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED ))L. � r. BU I O INS INSPECTOR SIGNATURE OF O NER OR UTyORIZED AGENT .- FEE (� OWNER TEL/ SUr y�j KY Y FEB 100Q PERMIT GRANTED - 8PumCONTR.TEL/ - / FE e S a 3 U CONTR.LIC.t 13 DUE FRAME PERMITS - H.I.C.� TC ,"IN OF NORTH .ANDOVER.. MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET. 01845 GEORGE PERNA Telephone(508)685-095L D RECTOR Fax(508)688-9573 F NCRrN O c J r A x s ° qS SAC us DRIVEWAY PERMIT Date: g 96 LOCATION: Cir e©r� - BUILDER: phone: OWNER: �� phone: 7 S _ 669 The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: i r t f 1oa 796 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass=-: �[ 19 Application by the undersigned is hereby made to connect with the town water main in �- Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. d J Street or subdivision lot no. A _? �C Y Owner Address Contractor Address Applicant's Signatur + lJ ,� �r LD1 Z. PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to to make a connection with the water main at ���'` '"� Street subject to the rules and regulations of the Division of Public Works. �� � Boar °of.P�ublic Works Inspected by Date See back for rules and regulations � T 1 RULES AND REGULATIONS GOVERNING THE INSTALLATION OF WATER SERVICES 1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town of North Andover without a valid permit from the Division of Public Works. 2. All water services shall be installed a minimum of five feet below the finish grade. 3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964. 4. Service connections shall be 1" type k copper tubing. 5. All fittings shall be brass flange type Mueller or equal H 15202 Corporations H 15212 Curb stops H 15402 Three part unions H 8185 stop and waste valves 6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 4�/z foot rod and brass plug type cover. + FORM U - LOT RELEASE FORM �. INSTRUCTIONS: This form is used to verify Boards and ^--partments having jurisdiction havebeenobtained. Thisapprodoes epermits from the applicant and/or landowner from compliance with any applicable hor requirements. relieve � APPLICANT FILLS OUT THIS SECTION APPLICANT �.> 'S ���L� ��v PHONE `'I 2, —I LOCATION: Assessor's Map Number c PARCEL_ SUBDIVISION_ LC t � A), I I 13 C- STREET fLx('CyA LOT (S) ST. NUMBER `*OFFICIAL USE ONLY RECOM END TIO OF TOWN AGENTS: CONSERVATION AD IN TRATOR DATE APPROVED ` r DATE REJECTED COMMENTS OL (`�( "J►�tf IZQ ' i� aC '1�I ail Ic AAVY'e � TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS ------------ FOO ) INS ECTOR-HEALTH DATE APPROVED DATE REJECTED `SEP T(C INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT _7(( , /FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE o APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER MASS. PAGE 1 ..fAP 4,i0. I LOT NO. ��/ 2 RECORD OF OWNERSHIP IDATE (BOOK 'PAGE ZONE SUB DIV. LOOT NO. LOCATIONS9 (,Okccjv PURPOSE OF BUILDING OWNER'S NAME �t�sFcrJ \ V NO. OF STORIES a SIZE �VflfLa.+ �� OWNER'S ADDRESS P0, 9vx �G� C ,V /I^� ASEMENT R SLAB _ 2 ARCHITECT'S NAME eYC6�� (� I v V P SIZE OF FLOOR TIMBERS IST I i.� 2ND t�/u 3RD Lao BUILDER'S NAME vvA 'T' SPAN DISTANCE TO NEAREST BUILD G © / DIMENSIONS OF SILLS DISTANCE FROM STREET 61 POSTS DISTANCE FROM LOT LINES-SIDESJ % REAR %� ' GIRDERS f lfV1 AREA OF LOT y_( -, 0 FRONTAGE HEIGHT OF FOUNDATION Sc / THICKN IS BUILDING NEW �O '�/ �S SIZE OF FOOTING C, X IS BUILDING ADDITION �- [M-1 ER:AL OF CHIMNEIL �') P`�aYuw� 6 �,✓/_��/ vim+✓' v�� IS BUILDING ALTERATION LLED LAND WILL BUILDING CONFORM TO REQUIREMENTS O TOWN WATER BOARD OF APPEALS ACTION. IF ANY TOWN SEWER VATURAL GAS LINE INSTRUCTIO 4y 3 PROPERI LAND COST SEE BOTH SIDES ^//' W^ ( /�j EST. BLDG. COST �+_r � � v w PAGE I FILL OUT SECTIONS 1 - 3 / `1' EST. BLDG. COST PE'R'SQ•.. FT.�/ d PAGE 2 FILL OUT SECTIONS i - /2 (rte EST. BLDG. COST PER ROOM 1 11 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUIL( APPROVED BY _ ATTACHED GARAGES MUST CONFORM TO STATE F11 PLANS MUST BE FILED AND APPROVED BY BUILDIN �J X4 zoop` DATE FLED a ,� -I. U O ` -a S , y1114, rp Sumbike INSP[CTOR SIGNATURE OF O 'NER OR UT�RIZED AGENT t# F E E OWNER TEL X .Suk iJ)S—!KY FEB (QQQ PERMIT GRANTED CONTR.TELN19 <, CONTR.LIC.# S U 3 00 H.I.C.x - I r.- .� 0 1 <.� �! "� :. �.` � � -� i 4�,y t5: .,� � ��,� ` .� � ;�7IP (/OI/I//rlIlllrrN(lll !� ((I/�.il!('I!!dF'llJ DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nuiber: Expires: Birthdate CS 031830 09/21/1999 09/21/1953 . Restricted To: 00 OOUGLAS J AHERN I 9 AMOS ST I ,,jy7fi�✓ TEWKSBURY, MA 01816 i i Location No. Date TOWN OF NORTH ANDOVER c� « .o 1y p Certificate of Occupancy $ Building/Frame Permit Fee $ ss'�CMUS6 Foundation Permit Fee $ � Other Permit Fee $ - A/ L�� Sewer Connection Fee $ cz;) 76), Water Connection Fee $ a TOTAL $ Buildin . iisperf r- ., i N° 10235 Div. Pu i orks NORTjy Town of g t _ _ over - L No.AlNowalm JYm _ s dover, Mass., / 1998 0 LAKE '9 OCH CHEW E ►pA`y •�� `G BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System T THIS CERTIFIES THAT....................................................�J..i-nC.C..C. ......... 7'V..C........................................... BUILDING INSPECTOR Foundation has permission to erect......................I................. buildings on .... .. ............C..Q.N.�.Q. ......... ..T... Rough to be occupied as.................................................... (�././�! ........... p� J• .. .��.� ..` ............................................ Chimney provided that the person accepting this permit shall in every respect conform to the ter... f 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 PES EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR Rough ... ......... ................................. .11.. .... ...... .... .................. ........................... Service BUILDIN INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR M Display in a Conspicuous Place on the Premises — Do Not Remove Rough • Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. tAORT-jy Town oftover No.Al ° m � 98 dover, Mass., 19 LANE � A '9A_CO CNI CMEWICK i`F'�• �_t1 RA T E b AP v (G BOARD OF HEALTH j PERMIT T Food/Kitchen ? Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.................................................... E..F..it ..G..0.........�.N..CA......................................... Foundation has permission to erect......................I................. buildings on ....5.9............C0.N.C.01. _...o..........5.. ... Rough to be occupied as....................................................E/..I.tiICI..0........... Chimney provided that the person accepting this permit shall in every respect conform to the ter 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAR Rough ..........r.. ............... Service BUILDIN 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. Smoke Det. Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name� of Applicant on Building Permit(below) Address of Property for Permit(below) co"-CLv4 S t Map and arcel : Purpose of A plication (check below) Phone Number of Applicant: ingle Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit iq issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement,restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law,provided that no additional residential unit is created. ByThe lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning law. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots),below the density, (buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. adjThis application represents a tract of land existing and not held by a Developer in common ownership with an acent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knowledge or 79t, is u s for reff uusal by the Building Department to issue a Building Permit. Zvi C 4/Vy �l1 Signature o ner or uthorized Agent who signed the Attached Building Permit l3fte This form m t be a ched to the Building Permit upon application for such permit. 864 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. Application by the undersigned is hereby made to connect with the town water main in C L�(C(Ji� Street, subject to the rules and regulations of the Division of Public Works. n The premises are known as No. Street or subdivision lot no. �e A vel— /4A Owner Address Contractor Address Appli nt's Si ature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to to make a connection with the water main at __ �/�'��P Street subject to the rules and regulations of the Division of Public Works. Bo doff Public Works By G ) '/ Inspected by Date See back for rules and regulations 1 1 RULES AND REGULATIONS GOVERNING THE INSTALLATION OF WATER SERVICES 1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town of North Andover without a valid permit from the Division of Public Works. 2. All water services shall be installed a minimum of five feet below the finish grade. 3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964. 4. Service connections shall be 1" type k copper tubing. 5. All fittings shall be brass flange type Mueller or equal Fi 15202 Corporations Fi 15212 Curb stops H 15402 Three part unions H 8185 stop and waste valves 6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 4�/2 foot rod and brass plug type cover. 1399 1 , 6 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass.Acir,l 1 g l Application by the undersigned is hereby made to connect with the town sewer main in `-ZC1�0'�'� Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. 5� 00'^ Street or subdivision lot no. ��7 5 — t eee 1>0 J'i 7( X02 14 "vel- Owner Address Contractor Address pplica 's Signa e PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at Street subject to the rules and regulations of the Division of Public Works.. L�iGzi'CZY/ DivisiRn of Public Works By Inspected by Date See back for rules and regulations c � h RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES 1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer or appurtenance thereof without first obtaining a written permit from the Division of Public Works. 2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation of the building sewer. 3. A separate and independent building sewer shall be provided for every building; except where one building stands at the rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an adjoining alley, court, yard, or driveway, the building sewer from the front building may be extended to the rear building and the whole considered as one building sewer. 4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by the (Superintendent), to meet all requirements of this ordinance. 5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating, placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. The sewer shall be 6"diameter SDR 35, PVC pipe. Minimum slope shall be 1/8" per foot. The minimum depth of sewer shall be four feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift. 6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such building drain shall be lifted by an approved means and discharged to the building sewer. 7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer. 8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent) or his representative. 9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be restored in a manner satisfactory to the (town). � Y TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION QF PUBLIC WORKS 384'6SGOOD STREET, 01845 GEORGE PERNA Telephone(508)685-0950 DIRECTOR Fax(508)688-9573 NORTH O SED ,6 q� s� a° •e O L FO T A �9SSA USE��y DRIVEWAY PERMIT Date: LOCATION: BUILDER: phone: OWNER: ���J-0 A C_ phone: The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: TAORTjy Town of � - L No.Al �� * _ * Z LAKE / over, Mass., 19 98 �- A '9.6_CCCNICMEWICK a.`�".A• BOARD OF HEALTH PERMIT T D I Food/Kitchen Septic System THIS CERTIFIES THAT.....................................................Ti.)CAC..C).........=.W..C................. ... .. ... .. BUILDING INSPECTOR Foundation has permission to erect......................I................. buildings on ....57.9............C.014.c.Q.xo......... ........ ..... Rough t0 b8 OCCUpled as....................................................S�.IGj�.. .r ........... � .�...1 x Chimney provided that the person accepting this permit shall in every respect conform to the terf the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alterati of Buildings in.the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoningor Building Regulations Voids this Permit. PERMIT FOR FOUNDATION ONLY Rough 9 9 REGULATED 8Y PARA. 114.8-S. B.0 PERMIT EXPIRES IN 6 MO t Final UNLESS CONSTRUCTION ST ELECTRICAL INSPECTOR Rough ................................. .. . ..... ......... Service ... . . . ..... .. ........ ......... BUILDIN INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR t Display in a Conspicuous Place on the Prem.'mq — Do Not Remove Rough Final io�Mn5g or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. TOWN OF NORTH ANDOVER NORTH BUILDING DEPARTMENT o�<t�`° 1600 Osgood Street, Suite 2-36, North Andover Ma 01845 0 NOTICE OF VIOLATION �9SS�iC HU`-+E��y Date: Address: Building Zoning Bylaw Stop Work Order Certificate of Inspections Electrical Plumbing Gas '' Violation observed:_ l�(f� L 7ot1e �a S v.' �� f Failure on your part to comply with this notice within 10 days may subject you to penalties prescribed by Massachusetts Law 780CMR oy)Jgrth Andov s Zonin law. Please contact the Building Department for further information at 978-688-9545 Inspector _ / re-e& p r Home Owner Contractor Date. . ///L�!!�.5..... .. MOFTM °f of TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION '.•ty SACMUSEt r This certifies that . . . . t has permission for gas installation . . . A !. (. . . . . . . . . . . . . in the buildings of . . . �'� (l . �. . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . L. . .<. .4 +: . . . . . . . . . ., North Andover, Mass. Fee. . . . . Lic. No..?Y.). . . . . . . . (.�.lt':" 71rl . . . . . . (3AS INSPECTOR Check# hl ) l_ MASSACHUSETTS UNIFORM APPLICATION FOR PE RMIT TO DO GASF;TTING (Print or Type) 06• A N 0OVC L Mass. Date LA61,,ZXa1 Permit # ,. Building Location 67 CU RD Owner's Name kf cAkn FA2Rt LL Type of Occupancy S NCLL New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ N cc N w N yC z Q N N N U U) m N W O N = f W Uj (� W 00 U C7 O W Q >- Z = O w 2 4 Q O O C a c m r N t7 W a = Z �" fn< CCO > W J W w N W z a = rc W rr W W cc C U H z Q W '� Q F- F' >. N m Z O z W O UI x J a w � ¢ w n z, a ¢ Q < 0 0 W4 SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR I 4 3RD FLOOR 4TH FLOOR STH FLOOR 6THFLOOR 7TH FLOOR STH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET Corporation 1862 LAWRENCE, MA 01841 - 2312 ❑ Partnership Business Telephone_ (1' 7!B-687-1105 exT #306 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have a current iiability insoura❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If you have checked res, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the 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 El hereby certify that all of the details and information I have submitted(or entered)in abo pplication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issu f r this application will In compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. (� FAPPP10ViED-TO-FFlCffE T e of License: 1 Plumber Signature of Licensed Plumber or Gas Gasfitter Master License Number X74 J� Journeyman _ USE ONLY) BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. _ APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING f PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE _.19 GASINSPECTOR s