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Home My WebLink AboutMiscellaneous - 673 GREAT POND ROAD 4/30/2018 (3) 673 GREAT POND ROAD 210/063.0-0027-0000.0 ---- - - -- �- f ' Date.. .. '..G -� F. r ,�OQTM TOWN OF NORTH ANDOVER p p PERMIT FOR.GAS INSTALLATION �,SSACNIt USESty This certifies that . . . . . . . . . . . . . . has permission for gas instal=lation in the buildings of . . . . . . at . . . . . . . . . . . . . . . . . . . . . �- -r', North Andover, Mass. Fee ``3.' . Lic. No??! q:v. . .... -. . ,! �. . . . . . . - '? t GAS INSPI TOR Check# 5375 1VIA%ACHUSEI'I5 UNIFORM APPUCATON FOR DO GAS FTrnNG (Type or print) Date 1.215 NORTH ANDOVER,MASSACHUSETTS Building Locations 3 Permit# Amount,$ Owner's Name New❑ Renovation ❑ Replacement ©�^ Plans Submitted ❑ C7 Q ice, z O E W z o• 0 o F p 3 A v z ca a F o SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR Name or type)�j '/�� _j� C, e c C erp: Certificate Installing Company Address G�{yyeli� /W a� % ❑ Partner. usiness a ep one S C> ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes,please indicate pe coverage by checking the appropriate box. ❑ Liability insurance policy Other type of indemnity 1:1 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 ❑ t 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 tate Gas Code and Chapter 142 of the General Laws. Signature of Licensed Plumber Or Gas Fitter By: ❑ Title Plumber 26p0-7 3 City/Town ❑ Gas Fitter License Num5er Master r1PPROVED(OFFICE USE ONLY) rneyman Town Of North Andover � 40RTfj , OFFICE OF 3r o t`"E° /b•6+0 COMMUNITY DEVELOPMENT AND SER p JOYCE BRADSHAW 27 Charles Street TOWN CLERK North Andover,Massachusetts 01845 NORTH ANDOVER ss WILLIAM J. SCOTT A HUs Director NOTICE OF DECISIONZ000 OCT 12 P r: 22 (978)688-9531 1� Fax(978)688-9542 Any appeal shall be filled within (20) days after the date of filling this Notice in the Office of the Town Clerk. Date: October 12,2000 Date of Hearing: October 3, 2000 Petition of. Robert and Glorianne Farnham Premises affected: 673 Great Pond Road Referring to the above petition for a special permit from the requirements of the: North Andover Zoning Bylaw Section 4.136 so as to allow: to construct a 300 sq. ft. addition to an existing dwelling located within the Non- Discharge Zone of the Lake Cochichewick Watershed Protection District. After a public hearing given on the above date,the Planning Board voted To: APPROVE the: Watershed Special Permit based upon the following conditions(attached): Signedc� � x,� z CC: Director of Public Works Alison M. Lescarbeau, Chairman Building Inspector Conservation Department John Simons, Vice Chairman Health Department Assessors Alberto Angles, Clerk Police Chief Fire Chief Richard S.Rowen Applicant Engineer Richard Nardella Towns Outside Consultant File William Cunningham Interested Parties 1 249 Marhleridae Road—Watershed Snecia)Permit BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 10/12/00 673 Great Pond Road Special Permit-Watershed Protection District The Planning Board makes the following findings regarding the application of Robert & Glorianne Farnham, 673 Great Pond Road, North Andover, MA 01845, submitted on August 23, 2000, requesting a Special Permit under Section 4.136 of the Zoning By-Law to allow the expansion of an existing structure by less than 25% gross floor area within the Non-Discharge Zone of the Watershed Protection District in conjunction with the construction of a 300 square foot two story addition. FINDINGS OF FACT: In accordance with 4.133 the Planning Board makes the finding that the intent of the Bylaw, as well as its specific criteria, are met. Specifically the Planning Board finds: 1. That as a result of the proposed construction in conjunction with other uses nearby, there will not be any significant degradation of the quality or quantity of water in or entering Lake Cochichewick. The Planning Board bases its findings on the following facts: a) The proposed structure is attached to a home which is connected to the Town sewer system; b) A deed restriction will be placed limiting the types of fertilizers that can be used on the site. C) The topography of the site will not be altered substantially. d) The limit of clearing is restricted to the minimum necessary to construct the structure and appurtenances; 2. There is no reasonable alternative location outside the Non-Discharge Buffer Zone for any discharge, structure or activity, associated with the proposed project as almost the entire lot is located within the Non-Disturbance Zone and the Non-Discharge Zone. In accordance with Section 10.31 of the North Andover Zoning Bylaw, the Planning Board makes the following firidings: a) The specific site is an appropriate location for the proposed use as all feasible storm water and erosion controls have been placed on the site; b) The use will not adversely affect the neighborhood as the lot is located in a residential zone; c) There will be no nuisance or serious hazard to vehicles or pedestrians; 1 10/12/00 d) Adequate and appropriate facilities are provided for the proper operation of the proposed use; e) The Planning Board also makes a specific finding that the use is in harmony with the general purpose and intent of the North Andover Zoning Bylaw. Upon reaching the above findings, the Planning Board approves this Special Permit based upon the following conditions: SPECIAL CONDMONS: 1) This decision must be filed with the North Essex Registry of Deeds. The following information is included as part of this decision: a) Plan titled: Site Plan 673 Great Pond Road North Andover,MA 01845 Prepared by: Robert Grill&Associates,Inc. 418 Bridge Street Lowell,MA 01850 Scale: 1"=40' Date: August 14,2000,revised September 28,2000 Sheet: 1 of 1 b) The Town Planner shall approve any changes made to these plans. Any changes deemed substantial by the Town Planner would require a public hearing and modification by the Planning Board. 2) Prior to any work on site: a) A performance guarantee of one thousand($1,000)dollars in the form of a check made out to the Town of North Andover must be posted to insure that construction will take place in accordance with the plans and the conditions of this decision and to ensure that the'as-built plans will be submitted. b) All erosion control measures as shown on the plan must be in place and reviewed by the Town Planner. c) The site shall have received all necessary permits and approvals from the North Andover Conservation Commission,Board of Health, and the Department of Public Works and be in compliance with the above permits and approvals. 2 10/12/00 3) Prior to verification of a Certificate of Occupancy: a) No pesticides, fertilizers or chemicals shall be used in lawn care or maintenance. The applicant shall incorporate this condition as a deed restriction, a copy of the deed shall be submitted to the Town Planner and included in the file. 4) Prior to release of the Performance Bond: a) The applicant shall submit an as-built plan stamped by a Registered Professional Engineer in Massachusetts that shows all construction, including storm water mitigation trenches and other pertinent site features. This as-builtp lan shall be submitted to the Town Planner for approval. The applicant must submit a certification from the design engineer that the site was constructed as shown on the approved plan. b) The Planning Board must by a majority vote make a finding that the site is in conformance with the approved plan. 5) In no instance shall the applicant's proposed construction be allowed to further impact the site than as proposed on the plan referenced in Condition# 1. 6) No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 7) The Contractor shall contact Dig Safe at least 72 hours prior to commencing excavation. 8) The provisions of this conditional approval shall'apply to and be binding upon the applicant, it's employees and all successors and assigns in interest or control. 9) This permit shall be deemed to have lapsed after a two- (2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced. cc. Applicant Engineer File 3 a Town of North Andover F N°RTN OFFICE OF RECEIVED °�<'�'o COMMUNITY DEVELOPMENT' AND SEIJ ER�A�� A 27 Charles Street NORTH AN DOVER x�o North Andover, Massachusetts 01845 �,ySsgcEHus�4�y WMLIAM J. SCOTT logo OCT 12 P 1: 22 Director NOTICE OF DECISION (978)688-9531 Fax(978)688-9542 Any appeal shall be filled within (20) days after the date of filling this Notice in the Office of the Town Clerk. Date: October 12, 2000 Date of Hearing: October 3, 2000 Petition o£ Robert and Glorianne Farnham Premises affected: 673 Great Pond Road Referring to the above petition for a special permit from the requirements of the: North Andover Zoning Bylaw Section 4.136 so as to allow: to construct a 300 sq. ft. addition to an existing dwelling located within the Non- Discharge Zone of the Lake Cochichewick Watershed Protection District. After a public hearing given on the above date,the Planning Board voted To: APPROVE the: Watershed Special Permit the conditions are on file at the Planning Department Monday through Friday 8:30-4:30. rl Signed � E,cz CC: Director of Public Works Alison M. Lescarbeau, Chairman Building Inspector Conservation Department John Simons, Vice Chairman Health Department Assessors Alberto Angles, Clerk Police Chief Fire Chief Richard S. Rowen Applicant Engineer Richard Nardella Towns Outside Consultant File William Cunningham Interested Parties 1 249 Marhleridoe Rnad—Watershed Snecial Permit BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 e. The site shall have received all necessary permits and approvals from the North Andover Conservation Commission, Board of Health, and the Department of Public Works and be in compliance with the above permits and approvals. f. All plans for the tie-in to the municipal sewer must be reviewed and approved by the Division of Public Works. 4 . Prior to verification of a Certificate of Occupancy: a. All roof drains and leach pits must be constructed as shown on the plan. b. A permanent boundary (wall; fence, hedge, etc. ) must be placed along the limit lawn area (Non-Disturbance Zone) as shown on the plan. The boundary must be reviewed and approved by the Town Planner. C. No pesticides, fertilizers, or chemicals shall be used in lawn care or maintenance. The applicant shall incorporate this condition as a deed restriction, a copy of the deed shall be submitted to the Planning Board and included in the file. d. The deed must contain language restricting the area of maintained lawn to that area outside of the Non- Disturbance Zone. Areas within the Non-Disturbance Zone are to remain in their natural state. e. The home, including the pool, must be tied into the municipal sewer system. f. The structure must contain a residential fire sprinkler system in conformance with the North Andover Fire Department. 5. Prior to release of the Performance Bond: a. The applicant shall submit a certified copy of an as- built plan which shows all construction, including sewer lines, leach pits and other pertinent site features including the replanting in the Non-Disturbance Zone. This as-built plan shall be submitted to the Town Planner for approval and shall be stamped by either a Registered Professional Land Surveyor or Practicing Engineer. b- The Planning Board must by a majority vote make a finding that the g site is ' in conformance with the approved plan. 6. In no instance shall thea licant's be allowed to further impact the site td than proposed on construction plan referenced in Condition # 2 . 3 Pb�8�1lHG BOAflO ��. ��yr. TOWN OF NORTH ANDOVER JoyrE MASSACHUSETTS NORTH TQ �0 Of NOa oT�1 JIJ€� t�•r i.'J Any ap= (, ? _ t _ be filed o ..rj within ! . _a .,,s after the date of `�s ; C 6�.this Notice y sS.A ust s5' .o CH in the G lce of the Town Clerk. NOTICE OF DECISION Date. June 22,. .1995 . . . . . . . . . . . . . . . . . . . . . . . . . Date of Hearing June 20, 1995 Francis L. DiNuccio Petitionof . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected 673 Great Pond Road Referring to the above petition for a special permit from the requirements of the North Andover .Zoning .Bylaw Section .4..136 .(Watershed .Protection District) allow the construction of a single family dwelling within the soas to PIOTMdt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Watershed Protection District. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :after a public hearing given on the above date, the Planning Board voted conditionallySPECIAL PERMIT to aPPzoYq . . . . . . . . . the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i based upon the following conditions : CC: Director of Public Works Building Inspector f Natural Resource/Land Use Planner Health Sanitarian Assessors Signed r Police Chief Joseph ahoney, Chairman Fire Chief . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Applicant Alison Lescarbeau, Clerk Engineer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . File John Simons Interested Parties . ... . . . .. . . . . . . . :. . . . . . . . . . . . . . . . Alberto Angles, Associate Member . . .. . . . .. . . . . . . .. . . . . . . . . . . . . . . . "151amm�g Board- ' ' Town of North AndoverNORTH OFFICE OF 3�°�`� 6., 0 COMMUNITY DEVELOPMENT AND SERVICES • o ° f 146 Main Street KENNETH R.MAHONY North Andover, Massachusetts 01845 4Ss4C HUS�- Director (508) 688-9533 June 22 , 1995 Ms. Joyce Bradshaw Town Clerk 120 Main Street North Andover, MA 01845 Re: Special Permit - Watershed Protection District 673 Great Pond Road Dear Ms. Bradshaw: The North Andover Planning Board held a public hearing on Tuesday evening, June 20, 1995 in the Senior Center behind the Town Building, upon the application of Francis L. DiNuccio, 143 Castlemere Place, North Andover, MA requesting a Special Permit under Section 4 . 136 (3) (b) of the North Andover Zoning By-law. The legal notice was properly advertised in the Lawrence Eagle- Tribune on June 5 and June 12 , 1995 and all parties of interest were duly notified. The following members were present: Joseph Mahoney, Chairman, Alison Lescarbeau, Clerk, John Simons and Alberto Angles, Associate Member. The petitioner was requesting a special permit to allow the construction of a single family dwelling within the Non-Discharge Buffer Zone of the Watershed Protection District. The premises affected is 673 Great Pond Road. Ms. Lescarbeau read the legal notice to open the public hearing. Scott Giles was present to present the plans. The applicant proposes to build a single family home in the watershed. All work is outside of 100 ' from the wetland; and the plan indicates roof drains and perimeter drains that direct the stormwater outside of 3251 . There is a swale on site. A concrete pipe runs under the driveway to connect both portions of the swale and to continue the natural drainage of the site. Mr. Simons: Is the whole lot a field? Mr. Giles: Yes, it is. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Par ino D.Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell Ms. Colwell: The storm water drainage must be drained outside 325 ' . Mr. Giles: The drainage will enter into the swale. Mr. Simons: Will property be hooked up to sewer? Mr. Giles: Yes. Mr. Simons: How far is the property from the lake? Ms. Colwell: Definitely more than 4001 . Ms. Colwell stated that in an agreement with Conservation the applicant will submit a landscape plan showing that nothing will be disturbed within the 100 ' area. The swimming pool is to be tied in to the sewer system. The entire home will be connected to sewer. Discussion of the house location. The best way to control stormwater drainage is through natural overland flow. The house location allows for optimum overland flow through the existing drainage channel. The loam pile is to be removed as soon as possible. On a motion by Mr. Simons, seconded by Ms. Lescarbeau, the Board voted unanimously to close the public hearing. Discussion of setting a bond. Consensus is that a $5, 000 bond would be in line for work being done in the watershed. On a motion by Mr. Simons, seconded by Mr. Angles, the Board voted unanimously to approve the decision as amended. Attached are those conditions. Sincerely, H Orth Andover Planning Board Joseph Mahoney, Chairman i proper operation of the proposed use; 5. The Planning Board also makes a specific finding that the is in harmony with the general purpose and intent of the North Andover Zoning Bylaw. Upon reaching the above findings, the Planning Board approves this Special Permit based upon the following conditions: SPECIAL CONDITIONS: 1. The following items must be added to the plan: a. The 325 ' line must be marked as the Non-Discharge Zone. b. The 100 , line must be marked as the Non-Disturbance Zone and as the limit of lawn. 2 . This decision must be filed with the North Essex Registry Deeds. The following information is included as part Of this decision: Plan titled: Plan of Land Located in North Andover, MA Owned by: Frank DiNuccio Scale: 1" = 40 ' Date: 5/31/95 Prepared by: Scott L. Giles, R.P.L.S. North Andover, MA Any changes made to these plans shall be approved he Town Planner. Any changes deemed substantial by the To n tPlanner will require a public hearing and modification by the Planning Board. 3 • Prior to any work on site: a• A performance guarantee of five thousand 0 in the form of a check made out to the T wn0 of dollarsofAndover must be posted to insure that construction will take place in accordance with the plans and the conditions of this decision and to ensure that the as- built plans will be submitted. b. The loam Piles must be controlled with haybales and must be removed as soon as possible. C. The replanting plan for the Non-Disturbance Zone must be submitted for review and approval by the Town Planner and • the Natural Resource/Land Use Planner. ►� d. All erosion control measures must be in place and reviewed by the Town Planner. 2 673 Great Pond Road Special Permit - Watershed Protection District The Planning Board makes the following findings regarding the application of Francis L. DiNuccio, 143 Castlemere Place, North Andover, MA 01845 dated June 1, 1995, requesting a Special Permit under Section 4 . 136 3 ( ) (b) (ii) of the North Andover Zoning g Bylaw to allow surface and sub-surface discharge of stormwater within the Non-Discharge Zone of the Watershed Protection District. FINDINGS OF FACT: In accordance with 4 . 136 (4) the Planning Board makes the finding that the intent of the Bylaw, as well as its specific criteria, are met. Specifically the Planning Board finds: A. that as a result of the proposed construction in conjunction with other uses nearby, there will not be any significant degradation of the quality or, quantity of water in or entering Lake Cochichewick. The Planning Board bases its findings on the following facts: i. a certification from a registered professional land surveyor dated June 1, 1995. ii. the' home will be connected to the Town sewer system. the location of the home and the grading of the site use the natural grading and topography of the site to control any stormwater discharge from the site. B. that there is no reasonable alternative location outside the Non-Discharge Buffer Zone for any discharge, structure or activity, associated with the proposed construction. as the house location places the home outside of the Non-Disturbance Zone and all stormwater is directed outside of the Non-Disturbance Zone. In accordance with Section 10. 31 of the North Andover Zoning Bylaw, the Planning Board makes the following findings: 1. The specific site is an appropriate location for the proposed use as all feasible stormwater and erosion controls have been placed on the site; 2 . The use will not adversely affect the neighborhood as the lot is located in a residential zone; 3 . There will be no nuisance or serious hazard to vehicles or pedestrians; 4 . Adequate and appropriate facilities are provided for the 7. No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 8. The Contractor shall contact Dig Safe at least 72 hours prior to commencing excavation. 9. The provisions of this conditional approval shall apply to and be binding upon the applicant, it's employees and all successors and assigns in interest or control . 10. This permit shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced. Therefore the permit will expire on 7'U//C as , 1,997 CC. Director of Public Works Building Inspector Health Agent Assessor Conservation Administrator Police Officer Fire Chief Applicant Engineer File 673Great.wsp 4 ' Date................Z.........fJ... - c t NORTI,, 3?�•':r``�;°_:"�O� TOWN OF NORTH ANDOVER - PERMIT FOR WIRING •O•°r,o��'h �,sSACHUS� This certifies that t y!�` 02'L' has permission to perform ...5416..1�.!�.? .. .. wiring in the building of................. ................................................ North Andover,Mass. .d G ` Fee... ..... Lic.No. ...... /............. .ucrmcni.Ixs �/ Check 4 9335 u 2012Massachusetts EIectrical Code Amendments 527 CM1212.00§Rule 8: in accordance-with the provisions of M.G.L.C.143,§,3L,the Permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed" " CTI c. 166,§32,aa electrical permit shall be on the prescribed form.After a permit application has been accepted by an inspector of"Wires appointed pursuant to M.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 shallbe limited as to the time of-ongoing construction activity,and maybe deemed by-the.insp.ector_of-Wires abandoned_and.inyalidEhe 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 extgnded by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose otthis act if 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 certaispermits"and licenses concerning the use or development of real property.With limited exceptions,the Act automatically dxtends,for four years beyond its othrwis a applicable expiration date,any permit or approval that was "in effector existence"during the qualifying period beginning on August 15,20.08.and extending trough August 15,2012. Mule 8—Permit/Date Closed: Note:Reapply for new per ' ❑Permit Extension Act—Permit/Date Closed: Commonwealth of Massachusetts Uncial Use Only Department of Fire Services Permit No. 3 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code MEC), o1NORK (PLEASE PM7flV W OR TYPE ALL INFORAfATIOA9 Date: City or Town of: NORTH ANDOVER To the By this application the undersigned gives notice of his or her intention to perform the ele electrical woorrk described Location (Street&Number) PG A� nbed below. Owner or Tenant Co ------ Owner's Address Telephone No. Is this permit in conjunction with a building permit? ' Purpose of Building Yes ❑ No (Check Appropriate Box) Existing Service Ames / _Volts Utility Authorization No. OOverhead ❑ Undgrd❑ No.of Meters New Service Amps _ / _Volts '--' Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and.AmP a ' ci ty Location and Nature of Proposed Electrical Work: c Com lefion Of the ollowin table m be waived by the Ins ector of Wires. No,of Recessed Luminaires No.of CeiL-Sus No.of gs.(Paddle)Fans Transformers Total No.of Luminaire Outlets No.of Hot Tubs V'l 7 A' Generators KVA No.of Luminaires Swig_=ung pool Above ❑ �_ o.o mergency ig g No.of Receptacle Outlets d' d. Batte Units No.of Oil Burners FMEAI, �S No.of hones No.of Switches No.of Gas Burners 0.of Detection and No.of RangesInitiatin Devices No.of Air Cond. T°ta► Tons No.of Alerting Devices No.of Waste Disposers eat Pump umber ons KW o.of Self-Contained Totals: - �` "- Deteetio ll . Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers g� A Connection Other Heating Appliances Ityl, Security Systems: No.of Water No.of 1Vo.of Devices or Equi Went Heaters o. Si s Ballasts. Data Wiring: No.Hydromassage Bathtubs No.of Devices or E uivalent g No.of Motors Total HP Telecommunications Wiring: OTHER No.of Devices or Equivalent Estimated Value of Electrical Work: GG Attach additional detail if desired, or as required by the Inspector of Wires. Work to Start )a � (When required by municipal policy.) 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 i� the licensee.provides-proof of liability insurance "completed undersigned certifies that such cove ge is in forcle,and has exhibi d proof of same to the permit issuing"coverage or its substantial The CHECK ONE: INSURANCE BOND O I certify,under the pains and penalties o ❑ OTHER 0 (Specify.) ffperiury,that the information on this application is true and complete FIRM NAME: e 2 r`c�A s e Licensee: LIC.NO.: y`' Signature (If applicable, en erem "in the li�nsnumber Line.) LIC.NO.: 1.,I)A Address: Bus.TeL No.:IIIII >�? J o S *Per M.G.L c 147,s 57 61,security work requires DePmrtrnAlt.Tel.No.: ent of Pubhc Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the Iiabili ty required by law. By my signature below,I hereby waive this requirement I am the check one insurance coverage normally Owner/Agent ( ) ❑owner ❑owner's agent Signature Telephone No. PEL1"FEE:$ J ��V The Commonwealth of Massachusetts f ! Department of Zndustdad Accidents Office of Investigations 'tan r 600 Maahinvtnn Street Boston, MA 02111 www-ftnuS.s ovI ita Workers, Compensation Iaseilrance Affidavit: Boild.ers/Contractors/Eiectriciaas/Pinmbers Applicant Information Please Print Legibly Name(Busincss/Organization/individual): Address: City/State/Zip- Phone#: . F,2 employer?Cheek.the.appropriate box: employer with 4. Type of project(required): ❑ I am a general contractlits ees(full and/or part-time).* have hired the sr�-con6. ❑New construction .sole proprietor or partrter- listed on the attached s7: Q Remodeling d have no employees These sub-contractors g far mein ts, 8• Q Demolition �Y�peci workers' comp.insuranrkers'comp.insurance 5. ❑ We are a corporation an9 Q Bui)ding additiond.] officers have exercised 1Q.Q Electrics]repairs or additions❑ I arrr a homeowner doing ail work right of exemption per 11.❑ Plumbing repairs or additionsrgyseIf. [Tio workers'comp. c, IS2, §I(4),'and we ha12 Roofirtsurance_ttquired .t ❑ repairs ] employees. [No workerscomp. irrsuranee.:requira13 ❑Other Any applicant that Chucks bon;#t must also fin out the section below showing their worked'bon t liotneownets who submit this affidavit indicating they ate doing all peasation policy information. =Cantraaton;that check this box must g work and then hire outside contractors must submit a new affidavh indicating such attached an additional sheet showing the mum of the sub. _ cOtif*PCt�!g.n�.l t_i_•.. ..,SII. f am an employer that is m , TN.tioli7 iniannaiion. {� tg:workers compensation tnsurancefornp e inforntafion. mPloyem Below is the Polu7 and job site Insurance Company Name: ' Policy#or Self-ins.Lic.#: Expiration Date: - Job Site Address: Attach a copy of the workers'con City/State/Zrp. pensation policy declaration PREP(showing the policy number and expiration date}. Failure to secure coverage as required,under Section 25A of MGL C. 152 Carl lead to the imposition of criminal fine up to $1,500,00 and/or one-year imprisonment,as well as civil penalties-in the fomt ma STOP WORK ORDER of and a a, F of up to$250.00 a da aof gainst gainst the ancviolator. Be advised brat a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains•and penalties of perjury that the informadioil prnvided�DYe true and correeL Si tare: Date: Phone#: FofHealtb only. Do not write in this area,to be completed by city or town offlaW n: Permit/License# hority(circle one): Iieatth 2 Building Department 3.City/Towu Gierk 4.Electrical Inspector 5. Plumbing I g nspectorson:: Phone#: 9 4 6 1 NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING SSACMUS Thiscertifies that ........ ..................................................... .............. has permission to perform wiring in the building of..,�.�.A.A. Y7 a................... ................ at ..... North Andover, Po- . - --- ; --"4 ......... -e ELECTRICAL PEC;0R Check # 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with theprovisions of M.G.L.c.143,§,3L,the Ai � Permit application form to provide notice of installation of wiring shall be uniforin throughout the Commonwealth,and applications shall be filed' "IlI t on the prescribed form.Atter a permit application has been accepted by an Inspector of Wiresappointed pursuant tom.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application.Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shalLbe limited as to the time of_ongoing construction.activity,and maybe deemedby_the,Iaspector-of_Wires abandoned_and-invalidaf-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 stat on the,permit application. ❑ The Permit Extension Act was created by Section 173 t- apter 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 certairrpermits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically dxtends,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 ext&,aing1kough August 15,2012. ule 8—Permit/Date Closed: 2 ._/ Note:)Reapply for new perm ❑Permit Extension Act—Permit/Date Closed: Commonwealth Of Massachusetts Official Use only Department of Fire Services [Occupancy ermit No.-- g 3,�---__ r BOARD OF FIRE PREVENTION REGULATIONS and Fee Checked [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrica4nspect C); 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALLXFORAM TION) Date: City or Town of. NORTH ANDOVER _ To the r of Wires: By this application the undersigned gives notice of his or her nt on to perform the electrical work described below. Location(Street&Number) 3 �j�4Q 1 d NL� (� A-L Owner or Tenant )f04.,i �v�y� De dc�,0 S Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Una rd g ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and.Ampacity Location and Nature of PrQposed Electrical Work: ppm s 1 7-ComOJ 07- Completion letion of the ollowin table may be waived b the Ins ector o W IQ No.of Recessed Laminaires No.of CeiL.-Susp.(Paddle)Fans No•of Total Transformers KVA r. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- o.o mergency g d. ❑ d. ElBatte Units No.of Receptacle Outlets No.of Oil Burners •.FIRE ALARMS IN..of lanes No.of Switches No.of Gas Burners No.of Detection and No.of Ranges No.of Air Cond. Tom Initiating Devices Tons No.of Alerting Devices No.of Waste Disposers eat Pump Number Tons KW No.of Self-Contained Totals: -` Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances I, Security Systems:* o.of Water No.of No.of Devices or Equivalent Heaters KW Si s Ballasts . Data Wiring: No.of Devices or E ...valent No.Hydromassage Bathtubs No.of Motors Total Hp ITelecommunications Wiring: OTHER: No.of Devices or E ..:valent Attach additional detail tf desired,oras required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Stark Ps,+�� Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE-�2 BOND ❑ OTHER ❑ (Specify:) I certify,under the airs and penalties of perjury, that the information on tis application is true nd complete. FIRM NAME: � CAI VC_ a Licensee: j 6� v M •NO.: Signature LI .NO.: �tj�-)44 (If applicable, enter "exempt 11 in the licence nu lin .) Address: en ter l�px 1!P Ss 75B inns.Tel.No.:�� *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt L cl 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. PERMIT FEE:$ '� r. . The Commonwealth of Massachusetts Department o f rndustrial Accidents Office of fnvestigaiions 600 Washington Street Boston, ALL 02111 www.rzassgovldia Workers' Compensation Insurance Anplieant nformation Affidavit: Builders/Contractors/Electricians/Plumbers I Please Print Legibly s . Name (Business/Otganization/Individual): i�f2''t�iL�S G7'l�7 � �"1.+7 Ad&ess: City/Sate/Zip: Phone e you an employer? Check the appropriate boa: 1 I am a employer with 4, ❑ I am a o 7[1Re=modehng (required): ,eneral contractor and I employees(full and/or part-time).* have hired the sub-contractors ruction .❑ I am a sole proprietor or partner- listed on the attached sheet 1 ship and have no employeesTheseb-coniractors haveworking for mein any capacity. workers' comp.insurance. moon [No.workers' comp. fimiran P ce 5. ❑ We are a corporation andits 9. Building addition 3.❑ redluired.] officers have exercised th10.0 Electrical repairs o additions .I am a homeowner doing all work rigeir ht of ex emption per MGL .11.0 Plumbing repairs or additions T} myself. [No workers' comp. C. 152,§I(4),and we have no insurance required.] t employees. [No workers' 12•7 Roof repairs comp.msurancerequired-] 13.[] Other :Anv aPPhcant that checks box#? mus?a?st+sYi out the u ..eceon b--'-ow ano.,^^_ r. Homeowners who submit this affidavit indi sting the z_doing a. wise and mcrt---s ComY d en Y c,r-a On. +Contractor that h r'„ his box moat attached ti additional sheet showing the��'�ide comets;.4=submit a new affidavit indicating such. �the name of the sub-contractors and their workers'co oii. information. I am an employer that is providing workers'compensation insurance or m e P information, n n f y employees. Below is the policy and job site Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: � 14>.4 j r_6 Attach a copy of the workers'compensation policy declaration age (showing A `r Failure to secure coverage as required under Section 225A of MGL page l ad to the osiumber and expiration date). fine up to$1,500.00 and/or one-year imprisonment as well as civil imposition of criminal penalises of a of up to$250.00 a da against the penalties in the form of a STOP WORK ORDER and a fine 3 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 c u e ns a 'es of perjury thcrt the inform provided above is true and correct n Si--mature: 1 � Date:-- Ph ne ate:_Phone#: Official use onh'. Do not write in this area, to be completed by cit),or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health Z.Building Department I Citv/Town Clerk 4.Electrical Inspector 5.PlumniRb Inst", Inspector 6. Other Contact Person: Yhone #: - f TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: Q DATE ISSUED: 1-7– SIGNATURE: N Budding Commissioner/I for of Buildings Date ZjjCZ G-S— SECTION t-SITE INFORMATION l.I property Address: 1.2 Assessors Map and Parcel Number. '0>� Gyewf i�•�� I iso—L-7 Map Number Parcel Number It to, Ar Jyv" - 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Proposed Use LA Area Fronts tt 1.6 BUILDING SETBACKS ft Front Yard Side YaM Rear Yard Required Provide RzqWred Provided RNaimd Provided 1.7 Water Supply M.O.L.C.40. 34) 13. Rood Zone lnformatioa: 1.1 Sewenp Disposal system: Public ❑ Private ❑ Zone Outside Flood Zane ❑ Mmkipal ❑ On Site Disposal System ❑ SECTION2-PROPERTY OWNERSHIP/AUTHORIZEDAGENT jiStrict: M 2.1 Owner of Record . 1Qn6z.--J- ��v/�.� l/bl ,`�N,ti� i�a�1 syec� j� � 4144 r Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: 0 z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: j .3Gj'z Not Applicable' ❑ Licensed Construction Supervisor. D n r License Number �8 Y e — Address 6620 Expiration Date Sig ure Telephone r 3.2 Registered frome Improvement Contractor / Not Applicable ❑ Company Name 1 a'tt Registration Number r Ad s E G) Expiration Date Si ature Tel hone �e�( 7w�3 0 ci— -7/7 Z � SECTION 4-WORKERS COMPENSATION(XG.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 unit. Si ed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check ad appocable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: o� Ve SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed b t applicant 1. Building (a) Building Permit Fee OG C90 Multi tier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC / 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print N Si ture of Owner A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 Nil 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH 0 Of over O NO. � � V �o ==�A E o dover, Mass., 7 o , G COCHICMEWICK ORATED BOARD OF HEALTH PERM/ IT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...��.�'.'.r�../�i�.I..'�.��.�..�.... ,�II'!I d�IIN�. ��:��L�1.s . .... .............. ...... .... Foundation has permission to erect...CAI."' Y....... buildings on �� .!'�. A&-s �..........,, Rough to be occupied as B O v O N �od �i1/' O CI+t r �t 1�. Ft rr 11 Chimney p ................................ ................................................................. ....... 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 -Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 4 3a #7 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS C.ONSTRUC CON STARTS ELECTRICAL INSPECTOR � Rough ..... , ........ .. .......... ` Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. R O PATS to-y 1,01e 6 ------------ V N A- 1 g� g s: it r r s a Ot ILr VA Chi —:A 1 iam JY "ma� n V a pZ ay `z M3 �J VL1,05) o -- m ZA � ___ .--_ L�1 G� --- ---- -- -- - - GECINpS STf;UC'TUi�C ENGINEE�;ING LLC o Z _ �_-.____ - - �� , Daniel L. Gelinas, P.E. o - - -- ___ ------ ----- 9 ! - -- 579A North End Blvd. Salisbury, MA 01952-1738 ] Phone 978.465.6436 Fax 5160 w e e�1 0 41 w • R` Ns 1 '- A LA TA 4 goy a �o S11351N�d�l m �� - ___- _! L _ _ _ GEUNAS STRUCTURAL ENGINEEPfNG LLC a Z ° Daniel L. Gelinas P.E. -- _ _-- _. _ _ ---, ,-1---..___ 579A North End Blvd. _. Salisbury, MA 01952-1738 t ® �� Phone 978.465.6436 (Fax 5160) r . S A- ' IS °x aOp ANI VO �d Cpl, 5 �O co 2� o w n� r S113SnN�d�, cn Z CECINAS S1 RUC'T U L ENgfNEERfAI q LLC' f Daniel L. Celinas, P.E.Z° 579A-N-Orth End Blvd. ........Salisbury,-MA 01952-1738 Lh 0 �� Phone 978.465.6436 (Fax 5160) TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATf.2 OR DEMOLISH A ONE OR TWO FAMILY DWELLING n BUELDING PERMIT NUMBER: DATE ISSUED. s-�O S 3 SIGNATURE: _ Bui ding Commissioner/1 for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Prope ty Address: 1.2 Assessors Map and Parcel Number �� CEJ �w •� o o"L-7 Map Number" Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use a Lot Area Fronts 8 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required I Provide w red. Provided Required Provided 1.14 Zone Wiamatim: 1.8 Seewerw Disposal System: 1.7 Supply M.G L C.40. 34) Z.oae X �d d Oataide nood 7me ❑ Public is� ❑ �� ❑ Municipal ❑ On Site Disposal System ❑ � SECTION 2-PROPERTY OWNERSHIP,/AUTHORIZED AGENT -C)l 1C; ''i C tr!Ct: YP?3 P,10 ISI 2.1 Owner of Record V T / /�\��4{L.6 V VL i-'/ / / /�'l h /Vi✓� A/,41. 3 Name(Print) d Address for Service: U' Signature Tell' hone 1R4 2.2 Owner of Record: Name Print Address for Service: C \7 ri Signature t NN Tele 5fic, )I SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Z Not Applicable ❑ Was Licensed Construction Supervisor: d C License Number AS -�, '—/310 f,e— Address IJC 0V "' Expiration Date Si re ' Telephone r• 3.2 Registered Wome Improvement Contractor / Not Applicable ❑ C' Company Name Registration NumberAd r s �� — 57�_ �� — y7��3 ExFMtiem Date ^2 Sigitature Telephone C V SECTION 4-WORKERS COMPENSATION(MG.L C 152 f 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 'No.......0 SECTION 5 Descri tion of Proposed Work check ad a ble New Construction 0 Existing Building ❑ . Repairs) 0 Alterations(s) Addition 0 Accessory Bldg. 0 Demolition 0 Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Com feted by permit applicant .`; 1. Building (a) Building Permit Fee oG "� Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, ,as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, `"" '`� �'�' as Owner/Authorized Agent of subject Property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief ff� � � � ✓ s Print N Si ture of Owner A ent Date NO. OF.STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T vIBERS 1Yr 2'JD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS M ENSIGNS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING -- MATERIAL OF CHIMNE Y X 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I NORTH F . TO" of over No. ® � - G v ' o �= E o f dover, Mass., COCKICKEWICK y ADRATED A �C , `s BOARD OF HEALTH PERM, IT T D Food/Kitchen x Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. p. '!�l' .. .....�.L'�L el .� 6A�o.*.A#..& . e.... .... ... �. ........... Foundation has permission to erect....h tN ....... buildings on w� P&N4 ka ........... . ............... ............................................................................ Rough B.0 yt o N god 1� 4e O " Cl+ a ^#A)c IL Fi r►�t lglA t0 be occupied as Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and B -Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 1P %3 a /' PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ......... ......... ` t 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. 6 3 U 2 ;x ]Date...`.. :.�t5/.......... S t NORTH q {' 3?0 ��- " TOWN OF NORTH ANDOVER p PERMIT FOR WIRING VSs^CHUS r It . , . This certifies that..................jj... ......:........................................ has permission to perform '........................................ . wiring in the building of:;....... ........ ..... .............................:. �� at..,��%'.`.�1...........:..-�................. .f.,-....�.....�........,.<..,, North Andover,Mass. k Fe� �r�'............ Lic.No � / )i . ,. .........:..�.........:........... ::....... ........�...................... ELECTRICAL INSPECTOR Check # j-3 �-- I Commonwealth of Massachusetts Official use only Department of Fire Services Permit No. (0 3 I r Occupancy and Fee Checked V�5 BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: C C, C2 � City or Town of: To the I f pector of Wires:" By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street& Number) ! a ,t Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Lr�-j (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 5�-e1-p Amps t 1&t,'ZEJL7Volts Overhead ❑ Undgrd No.of Meters / New Service Amps f15 /`;?:3r0 Volts Overhead❑ Undgrd No.of Meters P Number of Feeders and Ampacity ©- Location and Nature of Proposed Electrical Work: ,y -f—9)id ,r A& r Cunt lesion o'Ihe oNowing table may be waived by the Inspector of 1,11bres. No.of Recessed Luminaires No.of Ceil: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 Emergency Lighting rnd. rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total g Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No. of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection Heating Appliances Security Systems:* No.of Dryers g pp KW No.of Devices or Equivalent No.of Water No.of No.of KW Data Wiring: + Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ,attach additional detail if'desired, or as required by the Inspector oj'Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: J 1 `7 1 (0) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE AGE: 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 same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 1 11 LIC. NO.: Licensee: WAL-n� C {n'r.16# t Z�Signature LIC. NO.: �a7 ff1 7 (If applicable, enter "exempt"in the license number line.) us.Tel. No.: 658 560 Address: Alt.Tel. No.: *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee sloes 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/Agent PERMIT FEE. $ Signature Telephone No. f � Location 6 7J ., No. 4,o9 Date 12 i e✓ TOWN OF NORTH ,ANDOVER 3? � ., o0L f S 41 m" -, Certificate of Occupancy $ _V ►.�s',^�'t<�' Building/Frame PermitFee $ .�5 'Y J- s�cMus Foundation Permit Fee $ F Other Permit Fee $ TOTAL $ Check # �� 18815 J 5 ilding Inspector x TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: / d 3 SIGNATURE: Building Commi ionerfi of Buildings Date SECTION 1-SITE INFORMATION 0 / 1.1 Property Address: / 1.2 Assessors Map and Parcel Number: a ` �. r f7 n 06 c> Map Number Parcel Number G 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Repired Provide Rtqtlired Provided red Provided v 1.7Waw Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No m 2.1 Owner of Record C. 13 (2c ;N;7(Pri t) / Address for Service: Si ature Telephone 2.2 Owner of Record: ,;Name Print Address for Service: O , m Sig� tature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 0/57®/ License Number `�7j Q!-�✓y t7(let, - M Ad 114 Z v6� o-y7y Expiration Date Signature Telephone '... 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Namel M Registration Number C)r � Addres r 2,U0� C)U y7 � Expiration Date Z Signare Tel ^ Telephone ^ x SECTION 4-WORKERS COMPENSATION(NLG.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 buildg permit. Signed affidavit Attached Yes.......K No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Description of Proposed Work: LM ►may SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OF)FICAL USE ONLY Completed by permit applicanttn-- L bE 1. Building '-/q— (a) uildingPermitFee Multiplier 2 Electrical (b) Estimated Total Cost of a Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC 5 Fire Protection o� �2- 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 I, '6-1V P N/r'e �� ,as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,i ma ers relative to work thorized by this building permit application. signatur7o27- Date SECTION 7b WNER/AU ORIZED 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 Si ature ot Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvlBERS OT 2 13 3 RD SPAN DBAENSIONS OF SILLS DINIENSIONS OF POSTS DIlvMNSIONS 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 I, .• -- - � �lae -Panvmo�ru+.ea�l/a o�../�aaoac�ivaelta i BOARD'OF BUILDING,REGULATIQN$ I `License CONSTRUCTIOWSUPERVISOR. � • NumberCS� 012411 y' Birthdate06/16/1.9.58 ,,. Xpirest 6/ 6 006 Tr.no: 2654,0 Ret`trigte`�s��00 KENNETH M LAROS 7 ` 53 PORTER RQ ANDOVER, MA 01810'x` Comrhissioner ' Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration:, 126392 Expiration 6/5/2006. TT' We P vete Corporation ANDOVER EQUITIVB1111tDERS 11�� KEN LAROSE 53 PORTER RD ANDOVER,MA 01810 Administrator 9 Andover Equity Builders, Inc. Kenneth M. LaRose President Fifty-Three Porter Rd. Andover, Ma. 01810 Tel: 978-470-4753 Fax: 978-470-0258 Tuesday ,Nov 29b,2005 Demoulas Gas log and chimney veneer Proposal Andover Equity Builders Inc. proposes to remove the existing zero clearance gas fireplace unit from the living room. Andover Equity Builders Inc. will fabricate a wooden chimney box according to the structural engineers drawings and veneer it to match the existing veneer on the main house. We will also patch the existing gas vent hole in the side wall on the main house with wood clapboards to match existing as close as possible. Andover Equity Builders Inc. will apply and plaster gypsum wall board around the existing wood frame. To match existing as close as possible. Andover Equity Builders Inc. will have the gas log installed by a licensed gas fitter. The interior fire box will be of fire brick all non combustable material. Andover Equity Builders Inc. Estimates the cost to be $ 25,942.30 If this proposal is accepted Please sign and return one copy with a deposit check in the amount of$13, 00 000 . Balance wil e billed upon completion . Signed ��- -- Dated 1 1/2005 Signed ,� ixx o - -'� e' -- " Date / /2005 Nov 23 05 02: 27p NORTH ANDOVER 9786889542 P. 5 The Contmutrwealt/t of NTassacltusetts Department of Industrial.1ccidents r r ;.a.'1: `kit Office of Investigations 1}' 600 Washington Street �t A Boston, MA 02111 immmass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name 113urine,a/()rganiiation?Intliridual): Aydota— o(?yt� e ,+f14ej�:r Address: City,StaterZip: • /V OVe' A 0 Phone #: ?,26 y10— Are yo an employer?Check theappropriate box: Type ofurred ro'ect re p J (required): ) 1. 1 am a employer with 3 4. ❑ I am a general contractor and 1 6. El New construction employees(full and/or part-time).* have hired the sub-contractors ` 2.❑ l am a sole proprietor or partner- I isted on the attached sheet.* 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance. q, ❑ Building addition (No workers'comp.insurance 5. ❑ We are a corporation and its required.) officers have exercised their 10.Fl Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself.[No workers'comp. C. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees.[No workers' 13.❑ Other comp. insurance required.] *.\ny applicant That checks hos a 1 mast also tilt out the section below showing their workers'compensation tmlicy iufeirmation. I Imneowuers oho submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the"ante of the subcontractors and their workers'comp.policv ialiirmation. I am an employer drat is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: JJC��ii, � &,_/st Policy 11,or Self-ills. Lic.#: � I V)— Expiration .lob Site Address: G/ City/State/Zip:/_f_/0_-A C'Q veU-_(_ 1 C15— 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 NIGL c. 152 can lead to the imposition of criminal penalties of a 1 ine 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 title of up to$2S0.00 a Clay 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 elo hereby eer in r rhe p�irrr cr c p !ties of perjury that the infru•malion provided r bove is true and correct. Si-nature: Date: t � 30 6 5� Phtttte--t' 7�- e�L(�_ -7,57 3 OJfic•iol use only. Do not wrile in oris area,to be c•ompleted lip city or town otfc•iol. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk a. Electrical Inspector EInspector 6.Other Contact Person: Phone# 11/08/2008 23:22 8457946064 REMEK PAGE 01 i ( 44 ,' i Le 9 t 231 North Road Forestburgh, NY 12777-6009 Tel:(845) 791-4677 Fax:(845) 794-6064 Jul 15 05 07:14p jef bates 718-246-0138 p.1 J ' jt3F t IbA — ,@�tr1' ik��►T Slag Elmrrofi • u S The Provencal.e — •�yew 1—.�.�.—.�.��r.�� i�'��I`r.11 y�� w ti o t� r ULTATMAt'E Gas Log System EIKLOR FLAMES U. S. A. OWNER'S MANUAL Installation & Operating Instructions ULTIMATE Gas Log Systems 18"- 21" - 24" - 30" - 36" • THE ULTIMATE GAS LOG SYSTEM MUST BE INSTALLED BYA LICENSED PLUMBER OR GAS FITTER AND IN ACCORDANCE WITH ALL LOCAUSTATE/FEDERAL CODES. WARNINGS ► READTHESE INSTRUCTIONS COMPLETELY BEFORE USINGTHE ULTIMATE GAS LOG SYSTEM. ► The ULTIMATE gas log system must be installed in a'Class A'fully-vented solid-fuel burning fireplace constructed of noncombustible materials. ► Minimum fireplace opening MUST adhere to the size chart listed on page 3 of this owner's manual. ► Fireplace MUST adhere to: noncombustible hearth extending minimum 20", noncombustible lintel area extending minimum 14"; noncombustible materials extending minimum 8"on both sides of fireplace opening. ► If the information in this owner's manual is not followed exactly,a fire or explosion may result causing property damage, personal injury or loss of life. ► Do not store or use gasoline or other flammable vapors and liquids in the vicinity of the ULTIMATE gas log system or any other appliance. ► What to do if you smell gas: A. Do not try to light the ULTIMATE gas log system or any appliance. B. Do not touch electrical switches or the telephone. C. From your neighbor's telephone,call your gas supplier and follow the gas supplier's instructions. D. If you cannot reach your gas supplier,call the fire department. ► Improper installation,adjustment,alteration,service or maintenance can cause injury or loss of life. Refer to this owner's manual for assistance. ► Do not install the ULTIMATE gas log system in a manufactured home or mobile home without the home manufacturer's approval. ► Installer: Leave this owner's manual for the consumer;consumer:save this owner's manual for future reference. INDEX Tools Required ..............................................................................2 Lighting Instructions-Manual Valve or Ke Valve 8 System Contents...........................................................................2 Troubleshooting................ 9 Safety Instructions Before Installation.......................................3 Maintenance.................................::......... 9 . .................................. Installation Instructions-Gas Log Burner.................................4 Customer Service ............... 10 Installation Instructions-Gas Logs.............................................5 Lifetime Warranty........................................................................10 Safety Instructions Before Lighting............................................6 ThankYou......................................................................................10 Lighting Instructions-Remote Control Valve............................7 Warranty Card............................................................................11 Lighting Instructions-Safety Pilot Valve.....................................8 i . ULTIMATE Gas Log System Page 2 TOOLS REQUIRED 1. Adjustable wrench 2. 3/8" flaring tool 3. Open-end wrench (7/16") 4. Open-end wrench (3/4") S. Pipe thread sealer(Non-hardening) 6. Slip-joint pliers (7") 7. Flat blade screwdriver 8. Pipe wrench (10") 9. 50/50 soap&water solution 10. Flashlight SYSTEM CONTENTS The ULTIMATE gas log system consists of the following items. If any of the items below are damaged or missing,call us directly at 888.295.5647 and we will promptly answer your call. 1. ULTIMATE gas log burner with remote control valve,or safety pilot valve,or manual valve(gas type marked on the rating plate) 2. 3/8" x 1/2" brass supply fitting 3. Flared aluminum manifold with 3/8" brass flare nut 4. SUNGRO Horticulture vermiculite(EPA&OSHA safety tested and approved) 5. Embers 6. Rear gas log 7. Front gas log 8. Twig gas logs 9. Lava rock 10. Optional damper stop 1 1. Optional 3/8" x 1/2" brass elbow 12. Optional hand-held remote control #1 CUSTOMER SERVICE TECH-LINE 1 888.295.5647 I ULTIMATE'Gas Log System Page 3 SAFETY INSTRUCTIONS BEFORE INSTALLATION THE ULTIMATE GAS LOG SYSTEM MUST BE INSTALLED BYA LICENSED PLUMBER OR GAS FITTER IN ACCORDANCE WITH ALL LOCAL/STATE/FEDERAL CODES. WARNINGS ► When used without fresh air,the ULTIMATE gas log system may give off carbon monoxide,an odorless and poisonous gas. You must make adequate air supply accessibility or provisions for combustion and ventilation;carbon monoxide poisoning may lead to death. ► Check the ULTIMATE gas log system for proper gas type;the gas type will be marked on the rating plate. A liquid propane ULTIMATE gas log system MUST have a standing pilot;a manual valve or a key valve is NEVER to be used with liquid propane. ► The installation and provisions for combustion and ventilation air must conform with the National Fuel Gas Code, ANSI Z223.1/NFPA 54,or the CSA B 149.1,National Gas and Propane Installation Code. ► Solid-fuels must not be burned in a fireplace where the ULTIMATE gas log system is installed. ► To prevent accidental closing of the fireplace chimney damper,the fireplace chimney damper must be; a)welded FULLY OPEN or b) completely removed or c) FULLY OPEN using the enclosed damper stop installed on the edge of the damper plate. ► ,Fireplace chimney must have a permanent vent opening to the atmosphere of not less than 54"square or round. ► Fireplace must adhere to: noncombustible hearth extending minimum 20";noncombustible lintel area extending minimum 14"; noncombustible materials extending minimum 8" on both sides of fireplace opening. ► Minimum fireplace opening must adhere to the size chart listed below: ULTIMATE FIREPLACE WIDTH FIREPLACE HEIGHT BTU NATURAL GAS BTU LIQUID PROPANE 18" 28" 14" 57,000 57,000 21" 30" 14" 65,000 65,000 24" 36" 14" 75.,000 75,000 30" 40" 16" 85,000 85,000 36" 48" 18" 90,000 90,000 ► A fireplace screen must be in place when the ULTIMATE gas log system is operating,and unless other provisions for combustion air are provided,fireplace screen must have openings for introduction of combustion air. ► Gas supply pressures: . GAS SUPPY PRESSURES NATURAL GAS LIQUID PROPANE Minimum inlet gas supply pressure for the purpose of input adjustment 5"w.c. 10.5" w.c. Maximum inlet gas supply pressure 7"w.c. 13"w.c. Manifold pressure 6"w.c. 10" w.c. The ULTIMATE gas log system's gas control valve must be disconnected from gas supply piping system during any pressure testing of the ULTIMATE gas log system at test pressures in excess of 1/2 psi (3.5kpa). The ULTIMATE gas log system must be isolated from the gas piping system by closing the gas control valve during any pressure testing of the gas supply piping system at test pressures less than 1/2 psi (3.5kPa). ► The ULTIMATE gas logs are not convertible. ► Keep the ULTIMATE gas log system's area clear and free from combustible materials such as gasoline and other flammable vapors and liquids. ► Do not use the ULTIMATE gas log system if any part has been immersed in water. Call a qualified service technician to inspect the ULTIMATE gas log system. Replace any part of the ULTIMATE gas log system that has been immersed in water. ► The fireplace chimney and flue needs to be inspected and cleaned once a year by a qualified service technician. ULTIMATE Gas Log System ige 4 ISTALLATION INSTRUCTIONS-GAS LOG BURNER THE ULTIMATE GAS LOG SYSTEM MUST BE CHIMNEY INSTALLED BYA LICENSED PLUMBER OR GAS FITTER ACCORDANCE WITH ALL LOCAL/STATE/FEDERAL CODES. BAFFLE IN LINE WITH CHIMNEY REAR R the gas control valve is installed on the left side of the ULTIMATE gasTBURNER g burner and the gas supply line comes into the right side of the A eplace,the gas supply line must continue to the left side of the fireplace R s close to the rear fire box wall as possible) and terminate behind the gas' lye inlet using rigid 1/2" black iron pipe. At this point only the 3/8" iminum manifold can be used to complete the connection to the gas mtrol valve. It may be necessary to cut and reflare the aluminum manifold Diagram I the desired length for proper positioning of the burner pan. Remove all ashes and debris from fireplace. B Be sure gas control valve to fireplace is in the OFF position. Remove gas log lighter for solid-fuel burning fireplace if applicable. To prevent accidental closing of the fireplace chimney damper,the fireplace chimney damper must be:a) welded FULLY OPEN or b) f--•D completely removed or c) FULLY OPEN using the enclosed damper C A stop installed on the edge of the damper plate. (Diagram 1) Place the ULTIMATE 5TPd gas log burner in fireplace with grate spokes toward front of fireplace and vertical baffle should be in line with chimney. For a natural gas or liquid propane ULTIMATE gas log system with a remote control valve or safety pilot valve: Diagram 2((NATURAL GAS OR LIQUID PROPANE) (Diagram 2) NATURAL GAS OR LIQUID PROPANE A. Apply pipe thread sealer to gas supply line coming into fireplace (A) and install 3/8" x 1/2" brass supply fitting (B); tighten. B Install longer end of flared aluminum manifold with 3/8" brass flair nut (C) to 3/8" x 1/2" brass supply fitting connected to gas supply line coming into fireplace,and shorter end (D)to rear of gas control valve;tighten. s For a natural gas ULTIMATE gas log system with a manual valve,or with a key valve in the wall.or floor: (Diagram 3) NATURAL GAS ONLY F A. Apply pipe thread sealer to the gas supply line coming into the fireplace (A) and install the 3/8"x 1/2" brass elbow(B); tighten. B. Apply pipe thread sealer to the 1/2" pipe on the ULTIMATE gas p log burner(C) and install the 3/8"x 1/2" brass elbow(D);tighten. C. Install the longer end of the flared aluminum manifold with 3/8" Diagram 3(NATURAL GAS ONLY) brass flair nut(E) to the 3/8" x 1/2" brass supply fitting connected to the gas supply line coming into the fireplace, and the shorter end (F) to the 3/8"x 1/2" brass elbow; tighten. D. When connections are complete,NEVER TEST FOR GAS LEAKS WITH A LIT MATCH OR FLAME. Slowly turn gas control valve to the ON position and use 50/50 soap and water solution with a toothbrush or small paint brush over all gas connections. A leak will be evident by observation of bubbles on gas connections. If bubbles are observed, retighten leaking gas connectors. #1 CUSTOMER SERVICE TECH-LINE 1 888.295.5647 ILTIMATL.Gas Log System Page 5 ISTALLATION INSTRUCTIONS-GAS LOGS fi � I I. 4 �^.r '�� , �d�1 pJ4rG! � .�br„r rl,'N r��".`4(r�i (Diagram 4) Fill lower burner an with SUNGRO Horticulture �r fi� �, _;,� p t � vermiculite (EPA&OSHA safety tested and approved);burner an should be filled to the top of rear edge of burner pan. }� �j Si iMS r �V 1 It s j S 1�1 x7r�r Using embers, create small,thin embers (small like a penny and �YI'teti thin like a potato chip) to lightly cover exposed SUNGRO , r �.=, RFs � t� Horticulture vermiculite--too thick or too many embers will fti ;f' � 1 I..+ + � reduce glowing effect. a +fif+f` ' '� �j + 3 �.; r 1 a Place rear to and front IoQ on grate. Rear log and front log are interchangeable;recommendation:use longest log in front. Diagram 4 Push the front log toward the back log and create a 1.5" space between the front log and the spokes at the front of the grate. (Diagram 5) Remaining twig gas logs go on top of the front and j•. � ' fir rear log in any pattern you desire;recommendation:criss-cross g ¢� the twigs. �� r Place the lava rock up to and around the sides of the ember bed �tia r to simulate ashes. •�, �. � , WARNING Failure to position items in accordance with these diagrams or Diagram 5 24"Shown failure to use only parts specifically approved with the ULTIMATE gas log system may result in property damage or personal injury. I ULTIMATE Gas Log System Page 6 , SAFETY INSTRUCTIONS BEFORE LIGHTING THE ULTIMATE GAS LOG SYSTEM MUST BE INSTALLED BYA LICENSED PLUMBER OR GAS FITTER • ' AND INACCORDANCEWITHALL LOCAUSTATE/FEDERAL CODES. WARNINGS ► For safe operation of the ULTIMATE gas log system,a minimum inlet gas supply pressure of 5"w.c.is required for natural gas; minimum gas supply inlet pressure 10.5"w.c.is required for liquid propane. ► Improper installation,adjustment,alteration, service or maintenance can cause injury or property damage. For assistance or additional information,consult a qualified service technician or the gas supplier. ► The ULTIMATE gas log system must be installed in a'Class A'fully-vented solid-fuel burning fireplace constructed of noncombustible materials. ► Minimum fireplace opening MUST adhere to the size chart listed on page 3 of this owner's manual. ► Fireplace MUST adhere to:noncombustible hearth extending minimum 20";noncombustible lintel area extending minimum 14"; noncombustible materials extending minimum 8" on both sides of fireplace opening. ► To prevent accidental closing of the fireplace chimney damper;the fireplace chimney damper must be:a)welded FULLY OPEN or b) completely removed or c) FULLY OPEN using the enclosed damper stop installed on the edge of the damper plate. ► Fireplace chimney must have a permanent vent opening to the atmosphere of not less than S4"square or round. IF YOU DO NOT FOLLOW THESE INSTRUCTIONS EXACTLY A FIRE OR EXPLOSION MAY RESULT CAUSING PROPERTY DAMAGE. PERSONAL INJURY OR LOSS OF LIFE q. The ULTIMATE gas log system has a pilot assembly and it must be lit by hand. When lighting the pilot,follow these instructions exactly. 3. Before lighting the pilot,smell for gas around the ULTIMATE gas log system and next to the floor;gas can be heavier than air. What to do if you smell gas: 1. Do not try to light the ULTIMATE gas log system or any appliance. 2. Do not touch electrical switches or the telephone. 3. From your neighbor's telephone,call your gas supplier and follow the gas supplier's instructions. 4. If you cannot reach your gas supplier,call the fire department. 1 Use only your hand to PUSH IN and turn gas control knob; never use a tool. If gas control knob will not PUSH IN and turn by hand,do not try to repair it;call a qualified service technician. Force or attempted repair may result in a fire or explosion. �. Do not use the ULTIMATE gas log system if any part has been immersed in water. Call a qualified service technician to inspect the ULTIMATE gas log system. Replace any part of the ULTIMATE gas log system that has been immersed in water. #1 CUSTOMER SERVICE TECH-LINE 1888.295.5647 ULTIMATE Gas-Log System Page 7 LIGHTING INSTRUCTIONS-REMOTE CONTROL VALVE I. To prevent accidental closing of the fireplace chimney damper, WARNING: PUSH IN and turn by hand: the fireplace chimney damper must be:a) welded FULLY OPEN never use force or use tools or b) completely removed or c) FULLY OPEN using the enclosed damper stop installed on the edge of the damper Gas Control Knob Temperature Control Knob plate. 2. For a natural gas or liquid propane ULTIMATE gas log system + f witha remote control valve. NATURAL GAS or LIQUID PROPANE A. Read safety information label located on top of gas control valve. B. (Diagram 6) PUSH IN gas control knob and turn it clock- wise to OFF. Wait five minutes to clear out an s. If Y g� you Diagram 6 smell gas,follow step B on Page 6 of this owner's manual ual or safety information label on top of the gas control valve. C. (Diagram 7) Find pilot mounted on left side of gas log burner. D. (Diagram 8) PUSH IN gas control knob and turn it counterclockwise to PILOT and with keeping gas control knob PUSHED IN immediately light pilot with a match. E. After pilot is lit, continue to hold gas control knob in for approximately one minute to bleed air from gas supply 1 ' KMs! line. F. Release gas control knob and pilot should remain lit. If gas control knob does not PUSH OUT when released,stop " x and call your service technician or gas supplier. If pilot will not stay lit after several attempts,PUSH IN gas control ' "_• , ;.'<=,;, knob and turn it clockwise to OFF and call your services ;r technician or gas supplier. G. After pilot is lit, PUSH IN gas control knob and turn it counterclockwise to ON. Diagram 7 3. Keep glass doors OPEN during operation and have fireplace screen CLOSED during operation. WARNING: PUSH IN and turn by hand: 4. To turn the ULTIMATE gas log system OFF: never use force or use tools A. PUSH IN gas control knob and turn it counterclockwise to Gas Control Knob Temperature Control Knob OFF; pilot and gas log burner will extinguish. Diagram 8 ULTIMATE Gas Log System 'age 8 . _IGHTING INSTRUCTIONS-SAFETY PILOT VALVE To prevent accidental closing of the fireplace chimney damper,the WARNING: PUSH IN and turn by hand: fireplace chimney damper must be:a)welded FULLY OPEN or b) never use force or use tools completely removed or c) FULLY OPEN using the enclosed damper stop installed on the edge of the damper plate. ?. For a natural gas or liquid propane ULTIMATE gas log system withILqT`' a safety pilot valve. NATURAL GAS or LIQUID PROPANEruarw+wxo�rtv3 `� ME4E2US�e'SO4E A. Read safety information label located on top of gas control valve. s} � Karma °gin ar kds, itr� B. (Diagram 9) PUSH IN gas control knob and turn it clockwise to I: aircTruro k' T.AA ON .- OFF. Wait five minutes to clear out any gas. If you smell gas, follow step B on Page 6 of this owner's manual or safety informa- tion label on top of the gas control valve. C. Find pilot mounted on left side of gas log burner. D. PUSH IN gas control knob and turn it counterclockwise to PILOT and with keeping gas control knob PUSHED IN immediately light Diagram 9 .pilot with a match. E. After pilot is lit, continue to hold gas control knob in for approxi- mately one (1) minute to bleed air from gas supply line. F. Release gas control knob and pilot should remain lit. If gas control knob does not PUSH OUT when released, stop and call your service technician or gas supplier. If pilot will not stay lit after several attempts, PUSH IN gas control knob and turn it clockwise to OFF and call your service technician or gas supplier. G. After pilot is lit,PUSH IN gas control knob and turn it counter- clockwise to ON. 3. Keep glass doors OPEN during operation and have fireplace screen CLOSED during operation. 1. To turn the ULTIMATE gas log system OFF: A. PUSH IN gas control knob and turn it counterclockwise to OFF; pilot and gas log burner will extinguish. LIGHTING INSTRUCTIONS-MANUAL VALVE OR KEY VALVE I. To prevent accidental closing of the fireplace chimney damper,the fireplace chimney damper must be:a) welded FULLY OPEN or b) completely removed or d) FULLY OPEN using the enclosed damper stop installed on the edge of the damper plate. L For a natural gas ULTIMATE gas log system with a manual valve,or with a key valve in the wall or floor: NATURAL GAS ONLY A. Place a long lit match at least 12" in length at the base of the front log and just above the embers on the side of your gas log burner that is connected to the gas supply line. B. Slowly turn the gas supply valve to the ON position and your gas log burner will light automatically. C. If your gas log burner does not light in 5 seconds, turn the gas supply valve to the OFF position. Wait 5 minutes before trying again. Excess gas will dissipate in a few minutes. L Keep glass doors OPEN during operation and have fireplace screen CLOSED during operation. #1 CUSTOMER SERVICE TECH-LINE 1 888.2951.5647 L TIMATE Clas Lag System Page 9 AUBLESHOOTING :),OBLEM REASON SOLUTION lot will not light Air in gas supply line Bleed gas supply line Pilot hood blocked Check for debris or dirt • Clean pilot Low gas pressure Make sure manual gas control valve is in the ON position • Check gas line for size and blockage Dirty pilot Pilot should be blue and hitting the thermocouple properly • Clean pilot ilot will not stay lit Pilot hood not aimed at thermocouple Pilot hood bent;replace pilot or angle pilot hood properly so pilot flame hits thermocouple 1/2"below tip of thermocouple Pilot line bent Replace pilot line Thermocouple is loose Tighten thermocouple nut at gas control valve Thermocouple cracked Replace thermocouple Thermocouple worn out Replace thermocouple Excessive down draft Install chimney cap • Outside Chimney too close to other peaks • Check chimney flue for proper height • Poorly designed chimney .as log burner goes out Low gas pressure;pilot fades Make sure manual gas control valve is in the ON position • Dirty pilot • Gas line sized improperly Thermocouple is loose Tighten thermocouple nut at gas control valve Thermocouple worn out Replace thermocouple IINTENANCE e ULTIMATE gas log system will last a lifetime,but periodic maintenance (at.least once a year) is recommended. :LOR FLAMES authorized dealers are always available to help. They will clean and adjust the gas log burner and gas control valve I make sure that everything is working properly. They will clean the gas logs;heavy soot build-up on the gas logs should be removed a light soot build-up is desired for a realistic appearance. Soot can be removed with a small paint brush or vacuum cleaner;do not :uum the SUNGRO Horticulture vermiculite,embers or lava rock. n you clean it yourself? Yes you can if you have the proper training! Safety is of prime concern so we recommend that you call your ,LOR FLAMES authorized dealer for proper maintenance. If an EIKLOR FLAMES authorized dealer is unavailable,call us directly at 3.295.5647 and we will promptly answer your call. I ULTIMATE Gas Log System (Page 10 . .USTOMER SERVICE =1KLOR FLAMES is committed to customer service and exceeding customer expectations. We are available Monday-Friday 8:30 AM - 'i:00 PM CST toll-free at 888.295.5647 to provide technical assistance and answer any questions you may have regarding our products; 100% MADE IN THE U.S.A. LIFETIME WARRANTY Dur 20+years of success is the result of exceeding customer expectations and as we look ahead,this principle remains at the core of our culture. Our continued strong performance is achieved by our manufacturing excellence. fou have a LIFETIME WARRANTY with our products,our continuing commitment to our customers. f you should accidentally break a log,or any issue you may have with the ULTIMATE gas log system,please call your EIKLOR FLAMES authorized dealer,and if your dealer is unavailable call us directly at 888.295.5647 and we will promptly answer your call. t is important for you to register your ULTIMATE gas log system with us,so please complete the warranty card attached to the back of i:his owner's manual and send it to us mail,fax or email. I. The ULTIMATE gas log burner has a lifetime warranty against any performance defects. Z. The gas logs have a lifetime warranty against breakage; except breakage due to mishandling or negligence. 3. If the ULTIMATE gas log burner was purchased with a gas control valve installed at EIKLOR FLAMES,the gas control valve has a one year warranty against any performance defects. If the ULTIMATE gas log burner was.purchased with a gas control valve not installed at EIKLOR FLAMES,the gas control valve has no warranty. 1. All painted surfaces that get wet due to rain,flooding, household pets,wild animals or birds;or that get damaged due to negligence or disaster,have no warranty. i. SUNGRO Horticulture vermiculite,embers and lava rock that get wet due to rain,flooding,household pets,wild animals or birds;or get damaged due to negligence or disaster,have no warranty. (HANK YOU 'lease accept our thanks for choosing EIKLOR FLAMES for you fireplace.We will continue to do every thing possible to merit the :onfidence you have in our products. rL EIKLOR FLAMES U.S.A,. 282 E. Pivot Point Road Paoli, IN 47454 Toll-Free: 888.295.LOGS (5647) Phone: 812.723.3633 Fax: 812.723.5708 Website:www.eiklorflames.com E-mail: eiklor@kiva.net 1 y �•+Y � i�y r� Z� h A40 FDO 1 b � •' � L" Ii5lam, 1 rbU .y�R3A-hF 4 )j 1 NAIN i I 1tv.. y� c . - ♦ cly�' � '�7 i+� 4.A t +,M�1c,�� krF 6`� z��'�y'"t '4u-�A� ��, I 1 'r`x.lpor'�y"•'� ,s r ? w i A**$--xt k s rti ryv. h i. y . 'il Ar .r jlj� & _ I - - coast' co � c: m � fns ca C rto 2 ate' o A S 1135 \93Wahl� V Rso a � . �I � dolV (` � - - - - - - - GELINAS STRILIeTURAL ENGINEERING LLC Z ° Daniel L. Gelinas, P.E. 579A North End Blvd. 0 Salisbury, MA 01952-1738 Phone 978.465.6436 (Fax 5160) s. : r a j L E AM() tA TJ I --- - .�_ PIZ comko as Ni 0 9�A Gj .p :10 T Z Z,' C D cn r �® GEUNAS STOCTURAL ENGINEEZING LLC ��G / - _- - Daniel L. Gelinas, P.E. m z T �� 4 �_ -- 579A North End Blvd. o -- - ______ -.- MA 01952-1738 Z Salisbury, d -- _ _- �-- ----- x 5160) Phone 978.465.6436 (l=a hillrs� rr µ ; RM 1.4 ,a o-� as COM ) oCmo 9 i Cn~ �� r 0� S113sn�� CD mW --- - a. .. ...... .. . . ti m 44(W STRUCTURAL ENGINEER[NG UO Z ° Daniel L. Gelinas, P.E. 1 �� Blvd. � 1 aN Salisbury,_MA 01952-1738 0 b Phone 978.465.6436 (Fax 5160) N®RTH ToNvn of 0 No. A, dover, Mass., COCMICMEWICK �^ AORATE D S BOARD OF HEALTH Food/Kitchen PERMIT Septic System •... BUILDING INSPECTOR THIS CERTIFIES THAT............. ii........ �!. ... ri�..V. ��l.w�.................................. . ............ ..... .... Foundation has permission to erect.......... . ... buildings on.,C.?j.... 7 ...PPV. ...... ..... .......... Rough to be occupied as �!'(.��A!I�f�.A� Chimney provided that the person accepting this permit sgii/.�Vier�Y-6pict conform to they ms of the application on file in Final Ws 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 UNLESS CONSTRU N STARTS Rough ...... ELECTRICAL INSPECTOR .................................... Service BUI INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remo've Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENTUntil Inspected and Approved by the Building Inspector. Burner e Street No. PEE REVERSE SIDE Smoke Det. r 'l� Date. : . . . . �. . N2 4919 "oRTM tiTOWN OF NORTH ANDOVER SLOW PERMIT FOR PLUMBING ,SSACMUS� This certifies that nas permission to perform . . :� . . . . . . . . —� ?. . . � f plumbing in thebuildings of *z!` :-n .". . . . . . . . . . . . . . � �6 at North Andover, Mass. Feea?. . Lic. No%`. . .G',= . . . . . . . . . . . . . PLU .6'1N INSPECTOR Check # v WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Building Locatio "'- � dWc.� Owners Name l� !e1'N Permit `/^ Amount v�6 �" Type of Occupancy / New Renovation Replacement Plans Submitted Yes No FIXTURES r w w x fz E~ w d a a Q En d z SLR» BASE 1M M HOM �n FI1X.It 3M H-OCIR 4M FILM 5M FlaR six FLOM 7Ix FUM gm Imm (Print or type) ,�, Check one: Certificate Installing Company Name AYAZ-7%�G 1—"& 1,uy1o1 Corp. _� 4.Address 0 ® Partner. Business Telephone ® Firm/Co. Name ofLicensed Plumber. 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 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the t sued for this a lira will be in o under Penin Is best of my knowledge and that all plumbing work and installations erf rm p compliance with all pertinent provisions of the Massachus t 1 ng Code and ha ter 142 of n ws. By: Igna cens um er d�jof Plumbing License Title /o 'a City/Town icenseum— e�r Master Journeyman ❑ APPROVED(OFFICE USE ONLY /�_j Date. . . :�:.© . .. .. w 4y .NORTH 0� p TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION r�qh y,SSACMUSE� This certifies that . . . 3 .... . . . . .L'.:. . . . ... . .. ... . . . . . . has permission for gas installation . .`. ' .-` ". . . . . . . . . . . . . . . _ !f An the buildings of ; --.. ... . . . . . . . . . . . . . . . . . . . . . . _ at . ., '- . . . . . . .`. .... ... r, North Andover, Mass. fee. .7�.a . ." Lic. No/-�).<"? ,a1. . . ,� . . . . . . . . . . �f GAS IN�/��OR Check# 3711 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS / A�,� Building Locations'�9�1 e�Zf0— 1 '0 v &L Permit# /`r Amount$ Owner's Name �� ,.�•"f New Renovation ❑ Replacement ❑ _PlansaSubrriiffed❑ 90 o w c o o N H z x W ow44 SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print orone: Certific Installin Company Name �� i ,O Corp. Address ❑ Partner. lsusiness Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ k one- If you have checked M,please indicate the type coverage by checking the appropriate box Liability insurance policy Other type of indemnity 13 Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe 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 accyrate to the :w best of my knowledge and that all plumbing work and installations performed under Permit Issued for this ap licatio ill be in compliance with all pertinent provisions of the Massachusetts State a and apter 142 of a Gen By: e of Licensed Plumber Or Gas F' er ❑ Plumber a4 S"Q 2 Title � s t City/Town ❑ Gas Fitter License Nwnber Master APPROVED(OFFICE USE ONLY) Journeyman Date..../..........—.0./......... N2 3222 ... .. HORTp TOWN OF NORTH ANDOVER PERMIT FOR WIRING SAC US This certifies that."?-'::":......................................................................... has permission to perform.',:�' ....................................... wiring in the building of ........................... ...................... ............ at..... ....... ,North Andover,Mass. . '_f �� .... Fee'l-�!'........... Lic.No. ........... .......... ........................... ELECTRICAL INSPECTOR 17 Check WHITE: Applicant CANARY: Building Dept. PINK:Treasurer - _`- DII'ARTMENTOFPUBLICS9FE?Y . Permit No. BOARDOFFIREPREVENTIONRECUTATIOASS270MI2.0 Occupancy&Fees Checked N PWAPPUCATIONFORPERAff TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL.INFORMATION) Date S` 1-0 1 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address -SnNF Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building `� Utility Authorization No. Existing Service csc= Amp�l?b�olts Overhead Underground No.of Meters New Service Amps / Volts Overhead ® Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets g No.of Hot Tubs No.ofTransfonners Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets 12- No.of Gas.Bumers No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons Z—TO!V No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No..of Sounding Devices No.of Self Contained Al Detection/Sounding Devices No.of Dryers Heating Devices KW LocalMunicipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHERz)�-►. 0 ,r 1i F 1 .rtL.,s �`v-o.�.-,-ts� 1,.�.a-_ a?�.�.�+.s��t.rr-�,-.��. 2 s-�-c..e..�9•c. InstrnneCaaage Pt>tstlantb requ6ener�oflVl�rad>use�Gata-diLaws Iha\eaamutLiaikhtstaacePbbystdudmgCmvide ComaWoritstiate*i%rdatt YES ED NO ED Iha\esthn*dvaWptxf'ofsametotheOffm YES M (� Uf cubawdvdWYES,plcasewdc*ibetAxofwmaWbydtadmglbe WWI box u INS<IRANCE M BOND OT[-&R (PlemSpedfy) EVirAcnD* mad Valu dUecW dl Wo&$ WokmSWt —4 e l ._. ._ h D*Rapesed Ra.0 F>nal Sigtx�dtaxler�ePbr�llt+esafpajtay. .. FIRMNAME Lioemw f o kr T G,- N A R i`Fl Signwe BusimTdNa A&h,, t}� 1,fhS a20 S�. l.e�£1,2._ fl.`.. _��33f�_� AiTdNa. OWNE[t'SWSI.IRANCEWArVM-I.atnawat htthelioesisedoesnot $>eir aneoaeraget�ssubstas>bale asregtmedbyMa�adnsetasGataalLaws �td�atmysgt�tsernittis peulritapp6�atwai�sthis recd. (Please check one) Owner Agent Telephone No. PERMIT FEE Town of North Andover RECEIEp �O OFy t"cRr a 01'0 OFFICE OF COMMUNITY DEVELOPMENT AND SER�� ER�A� I A b NORTH AN 27 Charles Street DOVER North Andover, Massachusetts 01845 �Q�a OCT Ssgc►+ u5�4�h WMLIAM J. SCOTT 12 P +; 22 Director NOTICE OF DECISION (978)688-9531 Fax(978)688-9542 Any appeal shall be filled within (20) days after the date of filling this Notice in the Office of the Town Clerk. Dater October 12, 2000 Date of Hearing: October 3,_2000 Petition of: Robert and Glorianne Farnham Premises affected: t 673 Great Pond Road Referring to the above petition for a special permit from the requirements of the: North Andover Zoning Bylaw Section 4.136 so as to allow: to construct a 300 sq. ft. addition to an existing dwelling located within the Non- Discharge Zone of the Lake Cochichewick Watershed Protection District. After a public hearing given on the above date,the Planning Board voted To: APPROVE the: Watershed Special Permit the conditions are on file at the Planning Department Monday through Friday 8:30-4:30. SignedJd}2 �tl �r. 9 CC: Director of Public Works Alison M. Lescarbeau,Chairman Building Inspector Conservation Department John Simons,Vice Chairman Health Department Assessors Alberto Angles, Clerk Police Chief Fire Chief Richard S.Rowen Applicant Engineer Richard Nardella Towns Outside Consultant File William Cunningham Interested Parties 1 249 Marhleridue Road—Watershed Snecial Permit BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 70 Date.' 6 21 "OR 71y - TOWN OF NOATH ANDOVI=R ' ; pF .neo ,s,'40 .' '.. PERMIT FOR GAS INSTALLATION y . � SA USE .a This certifies that . . has permission for gas installation . . , !L ftp ." in the buildings of ; at . : Z2 . .G'n e14. l'G , North Andover, Mass. �7 Fee. .P . Lic. No.103 . . . . . . . . . GAS-INSPECTOR WHITE:Applicant., CANARY:Building Dept.. PINK:Treasurer GOLD:File 4 Date K!-e ��. . :° 2888 4 OR7M TOWN OF NORTH ANDOVER . PERMIT FOR PLUMBING + a �'" ,SSAC Nus This certifies that y . . . . PH.. . . . ... . . . . . . . . . . . . . has permission to .perform `: etc, . .Now .. , plumbing in.the buildings of e. . . . . . . . at-. . 7a3. 6 Act �?.. , North Andover, Mass. Fee. C . . ,Lic. No.../.0.9. `fir'. . . . . . . . . . . . PLUMBING.INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer, GOLD:.File fflAbbAL;r1usE rTS UNIFORM APPLICATION FOR PERMIT TO OO PLUMdtnU ..-\ IPrint of Typal NORTH ANDOVER, , Mass. Oats _10 Building Permit Location .6 Y)�o NOawnner's r-1�. )w (-� New Er Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ Na ❑ FIXTURES w = >t 4 • 16 _ xIP- U ~ it i N w s M Is u y 1- o a H s o $ w = s o V w�e > 1 i a=i o o s j s e'si i' 44 e0e i o sua-98UT. tAiaMOMT IST FLOOR SHO FLOOR Z 2 SRO FLOOR 4TH FLOOR aTH FLOOR eTH FLOOR. 1TH FLOOR •THFLOOR - n Check one: Certificate Installing Company Name D V' . //t(C_ ��p, % 06 Address L ❑Partnership ldr�,A ❑Firm/Co. Business Telephone Name of Licensed Plumber INSURANCE COVERAGE: Check 1 have a current liability Insurance policy or Re substantial equlvalenL Yes No ❑ It you have checked y1}, pleaseIndicatethe type coverage by checking the appropriate box. A liability Insurance policy Other type d indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 112 d the Mass. General Laws, and that my signature on We permit application waives this requirement., Check one: Owner ❑ Agent Signaturers o et a Owner s en I haaby cwUfy that all of the details and inlamation 1 have st&nttted for entmed)In above application are true and soaxate to the best of my tnowled;a and that a1 plumbing wait and Installations performed under the perwA Issued for this applleation will be in cornpff=with ail pedinan1 provisions of the Massachusetts State Plumbing Coda and Chapter 142 of the General laws. SY Signafixe This Ucense Number ptylTorm Type of Phrmbing License: Master ❑ MTfiUWD(OFFICE USE ONLY) Journeyman 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTII�t� (Print or Type) t NORTH ANDOVER Mass. /� Date �,l- building Location (�' �j G� kod `c l Permit <7 0 Owners Name New _ Renovation D Replacement Plans Submitted FIXTUR-- CC F- a LU w Q d V m � = F- o an d Q a xo � o` F- °; d m m t- w o a � >- N v W '4 z - w t- o a a w 4 LU W a( IN W a� —1 z < z W cc a a w w i. z c2 ac _ t.- W d "� } C W :3 z 4 cc d < O O W cc O w t-- c= z o c� z u. ca ca .t o tr y a a t- o Sua-6S1tT. BASEMENT IST FLOOR 2NO FLOOR f 11 31111 FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TK FLOOR 8TH FLOOR - (Print or Type) Check one: Certificate Installing Company Name -7 ,"4 Corp._ Address 2 6). 'a 6>r- -xw � Partner. Cl�eL�-- t//L1 9 (oc 3 Firm/Co. Business Telephone: 3 -2L(-/ ? y 3 Name of Licensed Plumber or Gas Fitter Insurance Covera e: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ET Other type of indemnity Q Bond Insurance Waiver: I , the undersigned, have been made aware that the licensee of Ch-is application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner L] Agent Q 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 Instillations performed under Permit irsued for this application will-be-Lis compliance with all pertinent Provisions of tho Massachusetts State Cas Code and Chapter 142 of tho General Laws. —" By TYPE LICENSE: Vrneyman mber Title fitter Signature of Licensed City/Town: ter Plumber or Gasfitter APPROVED (OFFICE USE ONLY) Ll P e Number L,l ' Office Use Only Q` 01 Liam ITunwralth If Permit No. 13tvaTtment tlf Public —Aafetg Occupancy A Fee Checked LT (/ = r 3190 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00_ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 61t 19 7 (%* or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work desc�rQibed below. Location (Street & Number) 613 G«&� Pe w @ Owner or Tenant ftdr:�C�S � P--05C Q\)-A U C'C.Va Owner's Address 143 C✓45Y\.e^etre ` �tqc_e-' �� CJ(f��^ VT C Is this permit in conjunction with a building permit: Yes v No ❑ (Check Appropriate Box) Purpose of Building s-3 I,,a ei- A,raL . Utility Authorization No. Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity ULocation and Nature of Proposed Electrical Work Y � u No. of Transformers Total No. of Lighting Outlets No. of Hot Tubs � KVA No. of Lighting Fixtures Swimming Pool Above In-In- g 9 2 g grntl. grnd. '� I Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners I Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Air Cond. No. of Ranges I tons Initiating Devices No. of Disposals I No.of Heat Total Totai Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Soace/Area Heating KW Detection/Sounding Devices Heating Devices KW Local ill Municipal Other No. of Dryers 9 _, connection No. of No. of Low Voltage No. of Water Heaters KW I Signs Bailasts /�6 Wiring No. Hydro Massage Tubs No. of Motors`2 Total HP 2\< 7 r `_ OTHER' f"1 ISC2 C�-��T e cKc- WG Cs�/��Js PA `�GAVi� (f f—/ c y-1, .mac U_444-444- 1AC&,A c � �►ia-� P e c INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Comc:eteci Operations Coverage or its substantial equivalent. YES = NO = I have submitted valid proof of same to the Office. YES = NO = If you have checked YES. please indicate the type of coverage by checking the aopprooriate box. c INSURANCE - BONO = Scec,f OTHER = (Please y) \ - Estimated Value off/Electrical Work S 6✓7 C� (Expiration Date) DoG ` fin,)G`i4\ C�' Work to Start �l�L� Inspection Date Requested: Rough ��\ ClAI,� Final U Signed under th Penalties of �y peryury: m�-�.� FIRM NAME v`� LIC. NO. L Licensee a Signature _LIC. NO. STel. q. Address Gt� L Alt. Tei. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re auireci by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner \Agent/1 (Please check one) (i/ U Telephone No. PERMIT FEE 5 (,J (/ C (Signature of Owner or Agent) x 55E5 ��1. 0 The Commonwealth of Mass 0 -mp g Massachusetts ce Use Only Department of Public Safety at f •ei Permit No. l/ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy b Fee Checked�� !{ 3l90 (leave blank) v� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL An worfc to be pedarmed in aceordancs with we Alassaunusads Elacr=coda.5Z7 CMR tzWORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date�— � > City or Town of ® /001Lo LP'2 -The undersigned applies for a permit to perform the electrical work described below, To the Inspector of Wires: Location (Street 8 Number) -7 n� c.0�Jy 7 s Owner or Tenant Owner's Address /� !�/' s•/46,tp,/a ,o �� c Is this permit in conjunction with a buildingpermit !� P yes no ❑ (C ropnate o Purpose of Building Utility Authorization Il. Existing Servicempsolts Overhead / l/d� Undgrd New Service ❑ No. of Meters Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampaciry Location and Nat-re of Proposed Eiecirical Work No.of lightingOutlets No. of Hot Tubs TOTAL No. of Transformers KVA No. of tLighfin Fixtures Above InSwtmmin Paol crud.❑ rnd (Generators No. of otaCie Outlets No.at Emergency Lighting KVA No. of Oil Burners 8atte Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No.of Zones No.of Ranges No. of Air Conditioners TONS No. of Detection and HEAT Initiating Devices j No. of Disposals TOTAL TOTAL No. of Sounding Devices No. of Pumos TONS KW No.of Self Contained tr No.of Dishwashers Soace/Area Heating KW Detection/Sounding Devices -- No. of Dryers Heatin Devi--- Municipal KW Local ❑ Conne-i ion ❑Other ' No. of Water Heaters KW No. of No. of Low Voltage t Signs Ballasts Wtrin 1 No. of Hydro Massa a Tubs No.of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy'fcluding Completed Operations Coverage or its substantial equivalent.YES ( O I heave submitted valid proof of same to this office. YES Q NO p It you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE LTJ BOND ❑ OTHER ❑ (Please Specify) i Estimated Value of Electrical Work S (Expiration oats) i Work to St — Inspection Date Requested: Rough— C ' Signed under the penalties of perjury: Final FIRM NAME LicenseeUC. NO Signature Address UC. NO. Bus. tel. No. j OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as r red y 1 Massachusetts General taws, and that my signature on this application waives this requirement. Owner b ent A 9 (Please check o Telephone No. (Signature of Owner or Agann PEHMIT Fee= s gid...\ The Commonwealth of Massachusetts office Use only wgp _ Department of Public Safety Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CSAR 12:00 Occupancy 3 Fee Checked �� r r 3M (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perlormed In acccmarKs with the Massachusetts Eleerncal Code.527 CMR 1290 l (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date_- City or Town of - .. /V 42,x"b o 0& }? -The undersigned applies for a permit to perform the electrical work described below. To the Inspector of Wires / Location (Street & Number) j :2 2 7- F® y-b FJ, Owner or Tenant 2 Owner's Address— Is ddresslIs this permit in conjunction with a building permit yes Zl*�no ❑ (Che-.k Appropriate Box) Purpose of Building (��✓� t� Utility Authorization No. �} e Existing Service Amps I Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps /.-;?o i= volts Overhead ❑ Undgrd No. of Meters__ Number of Feeders and Ampacity ,,�/ Location and Nat•n e of Proposed E!ectrical Work %J� (Qzz� No. of lighting Outlets No. of Hot TubsTOTAL No. of Transformers KVA AboveIn No. of Lighting Fixtures Swimming Pool arnd.❑grnd❑ Generators KVA No. of Emergency Lighting No. of Receotacle Outlets No. of Oil Burners Battery Units No, of Switch Outlets No. of Gas Burners 3 FIRE ALARMS No. of Zones No. of Ranges TOTAL j No. of Detection and No. of Air Conditioners TONS / Initiating Devices HEAT TOTAL TOTAL No. of Sounding Devices No. of Discosals No. of Pumos TONS KW No. of Self Contained No. of DishwashersSoaca/Area Heating KW Detection/Sounding Devices No. of D ersMunicipal Heatin Devices KW Local ❑ Connection ❑Other No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. of Hydro Massage Tubs 119o. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws 1 have a current Liability Insurance Policy iy�4luding Completed Operations Coverage or its substantial equivalent. YES 046 ❑ 1 haave submitted valid proof of same to this office. YES M--'NO 0 If you have checked YES. please indicate the type of coverage by checking the appropriate box. h � INSURANCE, ��BOND ❑ OTHER ❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work S J Work to Start �" ��" ��GJ Inspection Date Requested: Rough � _ inal U Signed under the penalties of erjury. l� FIRM NAME f 1 LIC. NO. Licensee SIgnatur LIC. NO. /' /� �•- Address 6_0Bus. tel. No. Af Z-3 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this application waives this requirement. Owner Agent (Please check oneW (Signature of Owner or Agent) / /jD Telephone No. PERMIT FEE $ ` v ��`s.-`'sF^'.�`A't,�..-;�r .�s r.: .;w t;,.,. .,.�„>:. _�...��-N["til.w�-+ayaax.';y,�r¢k"`'t�i i+3 va�.•s., -. `_- TO Date..... 2624 ,. t p40RT►�1 ' ° " TOWN OF NORTH ANDOVER a+ O - p PERMIT FOR WIRING SS C US This certifies that j has permission to perform .......�� G� !.C... /�!1`"t. .................... wiring in the building of....... :... !.. ..cc:�... ._.... at....: �t.3.....C,W ee,.t.'ad,Z,7 :�� ,`North Andover,Mass. ...... Fe d`.:-71.E.fOLic.No, .,'W......:. ............ ELECTRICAL INSPECTOR 10/20195:16:10:, 771.00 RRIp WHITE:.Applicant ;CANARY: Building Dept: PINK:Treasurer GOLD: File, qx . -a•V.•:s+•'�.,.e..�+ti�,: f'�:f:t'.�.:..,,,r< t�...„,8•,, ,. .4 A .. -s „1 �p.:.,. .. v Date 15) ..... b 54- NORTI{ 4, TOWN TOWN OF NORTH ANDOVER ° p PERMIT .FOR WIRING f t i ,SSAcMusEt z This certifies that ..... ......... .` rr �'� r.. has permission to perform .....- f't/!........ wiring in the building of..... � {.. . . r.t.. ....................... ................... .North Andover,Mass. Fe.. , ..4.t�..U... Lic.No.:f2'`: ............................................................. ELECTRICAL INSPECTOR _ /40 08/03/95 15:03 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File "`^'°"*`='—��e..:�w.+i.�r;e.=•' FN..:.v�-y,T:>t'-:-�:,.r-;ai�.-:a-a''cq'."�,n.�, �..�"K�*+-*�'�'+1..v�:�'.�,3^r�+1'. a....��,;,r� Date.....{:... ........ ............. 2471 ,,ORTF/ 040 TOWN OF NORTH ANDOVER ° - ° PERMIT FOR WIRING ,SSACMuyEt t.. ....)JI. '.............................. y This certifies that ..........`?..: ff has permission to perform ...... C�< j.......`l �:7.......... ...L ky............ t ti ;,,LC.......L1............................................. wiring m the building of.......�::.:.:............ -;. at............................................./............................ ... ,North Andover,Mass. Fee../..,�.,:J./"J Lic.No.............. ............... .......... ........................... } ELECTRICAL INSPECTORdo 08/08/9514:12 54.40 RAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File ` + MASSACHUSETTS UNIFORM APPLIC TION FOR PERMIT TO DO PLUMBING f ` e (Print or Tr pe) �� _ . Mass. Date 19 Permit # r 7 4 R ll r F �1 Building Location L� Owner's Name J Type of. Occupancy \� y (New Renovation l Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES z Z Z t!f C Y F� to y to U Z Z W W W X W y g H Z O V Vf d � U m m m Q UAe v Z G a y Z i p O ti UJ CW In C J am , � u < = p = � zy � �ea0yzz W � OU = 3x1015 = zinU. 3o�emo SUB-8SMT. BASEMENT 1st FLOOR 2nd FLOOR 3rd FLOOR 4th FLOOR 5th FLOOR 6th FLOOR 7th FLOOR 8th FLOOR Installing Company/�N//ame �a P �C�'IwlrC4 f StI5 "�"< ( Check one: Certificate Icate `'� /3 Address df832 ' �- ❑ Partnership Business Telephone 7 MIT- I ❑ Name of Licensed Plumber Ct ~� INSURANCE COVERAGE: I have a current I" Ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please Indic a the type coverage by checking the appropriate box. A liability insurance policyOther type of indemnity C 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 J Signature of Owner or Owner's Agent I herehv ceruiv that all of the detail,and information I have submitted for enter )i the ov tion re true a occur to the best of my knowledge and that all plumbing work and in,tallauom I>rrio:med under the permit issued for this, will b n mph ce wi all pert ent provi �ote.%,iassachusetts State Plumbing Crile and Chapter 142 of the General Laws- 1" By Signa of Licen,. Plumber 0111 G ��I Tide Type of License:Maste s // journeyman._ / City/rown Licence Number APPROVED(OFFICE USE ONLY) FINAL INSPECTION SKETCHES BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS L FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER _ PERMIT GRANTED Date 19 U.G. Insp. Rough Insp. Final Insp. Plumbing Inspector Yx z - a Vit.-" ."Q'a r�F 'r .+-�Y- ''. ✓. y.. , Date. ./Pl. " F?F. 165 ,,,,-o'; +ti- TOWN OF NORTH ANDOVER 3r �-......l� 0 PERMIT FOR PLUMBING SSACMUS� ,r This certifies that has permission to perform . .l. . . ( J(,tr plumbing in the buildings of . . .0 j;f(.t'. ! .0 . . . . . . . . . . . . . . . . . . at. ' .� . . . .`!. .. ' �'.•"��.��'. . . ., North Andover, Mass. r "�r Fee:�OOr ic. No..� "r!>z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR 10/16/95 14:35 200.00 PAID WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD: File Location V3 .� ' 1�0 No. t Date '. t„oRTM, TOWN OF NORTH ANDOVER, .e , p Certificate of Occupancy $ Building/Frame Permit Fee $ g �t s�cMus` Foundation Permit Fee $ OCA F Other Permit Fee $ 6 Sewer Connection Fee $ co Mater Connection FeePM $ TOTAL $ 0 Building Inspector Div. Public Works N ' 82214-1 Location (GO�?" ` o ma No Date 91V tORTPI TOWN OF NORTH ANDOVER Certificate of Occupancy $ _ OEM— Building/Frarrae Permit Fee $ �a •"��. �, *' cNus��. Foundation Permit Fee $ C!Iher Permit Fee $ u M Sewer Connection Fee $ -Water Connection Fee $ TOTAL 7 t Building Inspector <3 `f Diva Public Works r,;.;. .-.....,. ...,.••--R.w•:rM :--,c--';. rte- ��r'- ti,. y,°— �—"�--'�+2A _ ' Locations No.. Date .GF—Lt'"t✓ t A f N°oT;,tio TOWN OF NORTH ANDOVERg r F Ra A Certificate of Occupancy $ ` Building/Frani Permit Fee $ CFoundation Permit Fee $ T AMUS •et a '` - Other Permit Fee $ ` i Sewer Connection .Fee $ /¢ ., / Water Connection Fee $ 74.E TOTAL $ Buil i'glns for . s Works r�aatrr Ivo. %PPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 , 1iFAP,6.40. b�3b LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE zONE fjWQr4yV4.j SUB DIV. LOT NO. LOCATION 6 p#7� ✓1 PURPOSE OF BUILDING 'PP IOK7-t 7HoMe w 344p 4;A9. w O�IVNER'S NAME f- �r,4N�4-FA)*4� L11 ��^�� NO. OF STORIES �] SIZE `'�"�SF- 612 OWNER'S ADDRESS/4/? ./'�f1 W�� /'L d.A/ ` BASEMENT OR SLAB v\In('� e ll� FG`1I v mete L. N./7�Y n ti r f ARCHITECT'S NAMEIVI`/Z�M` G' O 1./��/_�-i SIZE OF FLOOR TIMBERS 1STQrj;?Sj0ND OJX JO 3RD ,. BUILDER'S NAME r/7�d1 X J)C ♦f/•/ ) 21�'l'. �V SPAN /tel - /` DISTANCE TO NEAREST�BIU�IL��DIiiNGG i! 6/KJ��4 DIMENSIONS OF SILLS --- DISTANCE FROM STREET '310 JF POSTS , DISTANCE FROM LOT LINES-SIDES 90 tftyp?o-fREAR f o " " GIRDERS AREA OF LOT 3.6 �(".�eS/� f�Y FRONTAGEI HEIGHT OF FOUNDATION `'O THICKNESS Ap 1 IS BUILDING NEW l P SIZE OF FOOTING ♦♦♦ ��, X O N IS BUILDING ADDITION J �►N MATERIAL OF CHIMNEY v /yo C / -e '' A/ IS BUILDING ALTERATION O IS BUILDING ON SOLID OR FILLED LAND o- G`• O WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Vp C IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY JGJ IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE �J INSTRUCTIONS 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST SEE BOTH SIDES a3� do0 p (� D /� EST. BLDG. COST , -sl PAGE 1 FILL OUT SECTIONS 1 3 REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST PERS . FT. n Al"TT 1 U - EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 i DATE S `�" FEE PAID Lc ^ SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING r-b 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 'DATE FILED 7 BUILDING IN*PKCTOR s` x SIGNATURE OF OWNER OR AUTHORIZED A T ., .. eD F E E 'T�. OWNER TEL # C�C]U CX�� 1 �C© PERMIT FOR FRAMUBUILDIN PERMIT GRANTED CONTR.TEL.A -14G'b 'g DATE: E PAID! NTR.LIC.a vi - H.I.C.N aQ 1995 XB3 BUILDING RECORD X i OCCUPANCY 12 SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES_ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH:PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT.PLAN.<,r� 1 CONSTRUCTION 'I � � r - a 2 FOUNDATION 8 INTERIOR FINISH a e I CONCRETE d t 2 13 y CONCRETE BL K. PINE __ _ a v BRICK OR STONE HARDW'D PIERS PLASTER DRY WALL UNFIN. °• `� 3 BASEMENT AREA FULL IN. B'M'T' AREA '/1 '/� '/ FIN. ATTIC AREA ` NO B M'T FIRE PLACES HEAD ROOM AT `MODERN KITCHEN / L / w ^� 4 WALLS 9. ' FLOORS ` t� OI V V` CLAPBOARDS B 1 2 3 1 �� DROP SIDING - CONCRETE WOOD SHINGLES EARTH �_ ASPHALT SIDING HARD\✓'D ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY ,, q _ STUCCO ON FRAME ,li ltio ch f$1 BRICK ON MASONRY ATTIC STRS. & FLOOR _ IF 4< MET ..F.L.�, BRICK ON,FRAME- •- V CONC. OR CINDER BLK. v�D STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR POOR �_ JI7.G. V„ .� _ J (°�Ip°". ADEQUATE Ij NONE ^— lt16 .a L 5 _ ROOF 10 PLUMBING 1 _ i/� GABLE HIP BATH 13 FIX.) 386 v GAMBRELMANSARD TOILET RM. (2 FIX.I FLAT A SHED WATER CLOSET ASPHALT SHINGLES LAVATORY - WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES P TILE FLOOR TILE DADO ,1^ 6 FRAMING 11 HEATINGY ''�y h: C WOOD JOIST PIPELE55 FURNACE 11 FORCED HOT AIR FURN. a TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR' Syt y' WOOD RAFTERS 17 AIR CONDITIONING r •E E p� 9 - SI;'O RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRICMDT tst 13rd Q I NO HEATING Si F 4 � �QRT►-1 Town of over 0 < .No. 175 �ivrt lover, Mass., 19 Ct7 A- c_oc i _HE N CK "ATE D PP a\ ,tC a BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THATh .... ..j..... > MI.... . 1. Mko............................................................... Foundation has permission to erectWO;P... I.M.. buildings on ...�) �.....Qrw...7%) .�?....Pp...................... Rough to be occupied as.(R.%K .AV-x ... .'bwaW.. or*...l4i�onform ... ..4k ...................................... Chimney provided that the person accepting this per shall in every respect 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR REGULATED BY PARA" 114.8-S. D.C. VIOLATION of the Zoning or Building Regulations Voids this Permit. Rrrrrkh AT°''.&' PERMIT EXP 6 MON'FPfzf FEE PAID t��-� E'inal ELECTRICAL INSPECTOR UNLESS C:O SI 1 , . _ N _TAI FS Rough f �.... Service BUILDING INSPEC'FOR � Firia Occupancy Permit Required to Oaujry 1►uil�_lirig �fqI G i cTOR Rough Display in a Conspicuous Place on the Premises ---- Do Not Remove nal No Lathing or Dry Wall To Be Done oA��' -- FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. f3urncr PLANNING FINAL CON SERVATION______-________FINAL street No. Smokc Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT------ . 61 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: lra�� l��l � I1/ TYI I�uC��D Phone t� g�"U079 LOCATION: Assessor' s Map Number 0 6 3 0 Parcel /&O-u", 27 Subdivision Lot(s) 60000 6 Street CS (�Q19-7-�01�� d �� St. Number /..� ************************Official Use Only************************ RECOMMENDATIO S OF TOWN ENTS: Date Approved Conservation Administrator Date Rejected Comments es Date Approved 1 L� Town Planner Date Rejected Comments rD&_ ) �Q 'C1�YlcU� oY1 1�,l Date Approved _ Food In ector-Health Date Rejected ' Date Approved -�Z — e i Inspector-Health Date Rejected Comments 6N1J Public Works - sewer/water connections , /-W 4-1-25- - --1-lS- driveway perm't Fire Department Received by Building Inspector Date ' 1995 ra-anly • s r a auv� I' L SZ 1�Z A3 11) i�) "A QS Cr2- ITiV L..2 x°11 v ca Z 521 �-2 �c''� �-►� -v$ - na I l Town of North Andover BUILDING DEPARTMENT Homeowner License Exemution (?:-_se print , Q501 WO RX2 . F' NLMZ__ S tree _ Address Sec -ion Or tow Na-` home ?hone 'dor:, ?'.:one - ; state ion iCr "homeowners" was extended to include ol.�ner d e' s oL s_x uns or Less and to a11ow such homeo`•ti,le- - t for hire who does not possess a Licence pro'. r-^^ �..` O lN L .. i ac - as su er"iso_ . (State Building Code Sec __on i i �..._ _. __ _r'.•1 U� L1v.�rv1�i�L�l . `.v:. O;v.,`. a parol OL 1a%d On WI7_C:1 he/she resided Or 1:: __..'.:� `-- - is , or is in _ended to be , a One to six La ��. ec or de_ac.I - struc ur_s accessor" 1_ suc:l use at:d;cr tar... - -_s , A person Who cons t_uc _s more than one home in a t-.tio- • -_- - be considered a homeowner . Such "homeo,,;ner" sna ' _ pe 3ua' �_"� - ca1 , on a fors acceptable to the BuLd_n� Ut= -oS n, s be resconsibi_ --or all such wor.% per:orme^Jui,c�_ _.._ c�- - �e_...i _ . ( -ecOn 109 . I . i ; - res :Dons of__ •, r O r ccm:: 1_r.... _ ..... -.- - _....... .1'J..... .Y llCr as_'.1.11.�...., r _ ' Ol...er a. --- ,l? COCe_ D;'- _a1:S - _ - _ " =y•• �� C` - - =-_- _ _.^.a� ne si.e '1P.Ccr �ai:C= _.._ _ _ ... � _ �_�- ry �ecar _..._.. _ ._.Tlu^ _nspe= iron pr Dc=z' _ _s - c _ - - Or Lar_=r } TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 4 GEORGE PERNA TELEPHONE 508 685-0950 DIRECTOR FAX 508 683-9381 DRIVEWAY ENTRY PERMIT DATE , Y LOCATION 673 BUILDER PHONE: OWNER ' �;�il ��^cr:� 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: i $ a ua.wr.-� „y".�.. �+w} t -"+g-.,.. .. „�.�.... ,�+y Y s,c �,.. emu r..•.. r.q �a. +N.s a...¢. _ -. '� ,,.,. aP',f y. "t, 'd 'gar:?'.+, r"i e .• Z. y»;k. `.� v w.- r; g. - ft"'2t,X i •:.y"cs.s.,�„' i + s rk s x +r.:1 ''�.s w a mom,, a y`"«: w s d u..i..�,f' sEY V O * wpm Y ext :'f �• :�F-r�� ..�,y,�K 8...4�� '..� r¢NT^�� YLK y .�r �, ;g ,�4 � ' ,c f a a�;a� � , y.' �,�'xK- ,X... i .• t " ck .4 �ray�ryixt -a^t 3 rwY +' ay, "iia s. ,r, r.•^� � � .��F ��. me� ms's •Y 'z.. 3 h�r "* '9r z -�"r' � th .}vr d a w.r ,r � �� s;w�.+ » �,'`. •s. w.H.... asg�sm+�r.ir. e.vW'y' w. �s m.' 'n,�a rr§'fi- S: i°., ?+a 4.>� •, 4 a 3ar�6 u� - i ¢ .+ - � M: s .a. " '�,.r _ ,Sr=—f'- „d'wm'°f M r!M�•a ...c .... �. a}, Lt:^4» + <-. _ 1['' �' _ w� ,�,r. - PPt1CAT11�N.FORaSEVI%ER SERVICCCONNECTCOt'I` _ E ° '4tfi .'Y `r. - 'i^"'S, a^ `.=.r` ....# .r-.-•.^ ..n..1';r �a .. �sse, r s `x .C. t -^' !.i,u- e- x,.�,: „e. - a...v... y .�;a. -- cp* ..,•, � �5.. •id;:�l,,� r n � � 2 Ita, C1: t31#� lad 1igt"ISa��iY �'3�C'IG"I „s Cs r` 4t r t# d" � ' _A:` �3 ;`ty`du`J J'at X .z^^-gym �•u�w-im^?Y'+r;r4 v:}..o-.:%A a.-,y ,.�.. r"�I 'Y c e� nd�YC ~L - t _ •• n . f t -.. c u § t 3 }}idt}Sa 4s�# 73�fi }ids '3 i €it`?�s 0m,99--m U �/� " ,tdk Y x .Ty1"� Lt7�+ yfi fi x<c u x c i �{o / res * r y - 't" a ar "'L. "lr'ti# 't w. _y x� ?:'f-��• �-f w,. S ei . x�'�- c',}'� x� 3'.�v -�'• ,,# �AppUc"atroii by t n l J'gn h�Y�by'�fi�ade to connect n ith tfi�town sev3 gg`r m in rr �fy ' i = treat,` x i i S xa v 3 k a 4 �-ar+r anar::sx''�i y to d'<'^t ^<t'ISE Td it fr';ti g3t.'.• �. 4 .,.�. `i s uI :iq t�the rules and reguiaeii ns 6f-w D 'Won�f PubircWorks r t y nwc .a. .a _ •�s,r.ae„:. 1 .� .�'+".�,...• , 001, :j M"• i iJt'R�!.Y:'i+9.WM^:M?/MA.^3 MA9[ 33:'syr.fr' `.YSi,'+KY4„ E/RF -iY` /� F �'r*G /J/// s}..-wt'f4K # Y Z'• -. 8 _ vP"rp X"n*T"°may- •tio £ew,' sn:r- 'Y+a ,t /� _ ”`'�-l..wt '�F". + y`fl' .: The premises are known as No `1 73 Cil 129, Street a,: ,.t .:.3f v4�r3+ ' e.::.4 i5 i a., r or subdivision iot no f� tfI 'Te3','ac+ t i`,f"7 :* f-� �Ci sC 4'; t,-a `9`3rs'vi a ixa ti �.µni. £ g1his z 'TI. � 51 a t] fSC., V'Sw .b i t rr_! erx t '; r Address C .-,....: .r e.:rrt < c-\ . ei-'S .. v_... •._,... z•: - - ' •C•., CF ' _ ,4,. _,� _.__.�. .._ _:-.__.._ _ -. :,__._-, _... �_ _ _,-.. - :-•i.r i9' - +fin.. ,rr c- 'c a„mac� _ r'r..7� _ Contractor Add _n.f -.`3 C' . ' i*- t r , E est }' .:�: _ tai' -.�t;^.i fl- .si , �s7'` .:Ikf .. 'Appl i n atu re, . �t-. .. 1.. SU to ..�.. J~ .. � - .... _ �. .. r.1f•3 • _r. _ �.} , .... '+ ><-.tit .anit ! >... .}.^.. "•,-:• .�, l t \lG1� tlti Or— r'l r - _ .f' -4 v sir -- PERMITTO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission toS>! -Is"6,make`a connection'wifh-'the'sewer4' ain at"� " = ` �lPA� � hj'�"� � ”`"''` 'ry' "i Street subject to the rules and regulations of the Division of Public Works. 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"z;°'� "' -T� � ��.:G�. k ERMITfiO-.CON'FECT WITH VNATE AIN -`�' i ��"iara>: y. .;. - n- � ar +Y->.-fu .^' r..3s �rcJ •v,y� s+>; •,*•,,, .a �" nF, aeF• -s-aFaya> .-�T?1t+Pt - - .� '�.� +m -- x -= a- etc:�y, -ti+q. a^4=p+ '^? s�� MW "` �>r �The Board of Public Works=herebyrgrants•permisswn�to• � -_ �' _ ` .lw'7-r.,` i«sr. r_e7+c:s�•5 sair� - - _ - ,�.+ ..-..,F as„♦xuw.� -�,r«�..��i'��rs.��-� �':�2�:z .'.'"�" �.,.. yyy�� - - ..�ry+ri," �.� a6iFRd`2 .hY.IIifO'@89}fttrl^'- 3EZW.ei3WiRiiuP[p'imwealL-^ F�acAr�:�r"i>C+NF � A"' � 562 .. �l- �� .��to�make a connect�onlwith�the water main=at ':... `- ._.-__.�"�r.�sxre��v$�•.t. ,..xs,..d..a' subject to a rules-:and rd t guat�onsofthe D�vis�on of IM ww xx di ee. rcwc�:r fib` •Y1� `z $ .-- � jt f?Y��t�.�.�.,.'`r'J...��K.3' .w�� ^A ." y d • ORTHlJ" Town Of (,Iover No. 175 1 dower, Mass., y t�A �' 19 °l�. LAKE It �COCHIC EWICK � - A°RATED P'Q�\ E BOARD OF HEALTH Food/Kitchen Septic System PEKMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT.. . v ..... *11% 1. rlAH .................................... Foundarion ............. has permission t. erect. .��.....�1��,.. buildings on ..(4?�3.....Q4 .....��ArtQ....�.......... c r ,iccon t ou h J µt to be occupied ttl ,. !I!Rt.. .. ,rw,? ? . t ... . ..��► 4 ............................. ..... .. chimney v res er/V2-foim to 0e terms of the application on file inprovided that tha person accepting this per shall in a ery pFinal 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. tERMIT FOR FOUNDATION ON L PLUMBING INSPECTOR. REGULATED BY PARA: 114.8.5. B.O. VIOLATION of the Zoning or Building Regulations Voids this Permit. ' Ate'°' PERMIT EXP 6 MONTRV, '9 FEE PAID t final Q 1 7 S6 ELECYRICAL INSPECT R UNLESS CO S N T TS - PERWT FOR FRAMFIBUILDING se Ce / BUILDING INSPECTOR j g/y Fi G FEE P cD:cu -M ermit Required to Occupy Building GAS INSPECTOR� Display in a Conspicuous Place on the' Premises Do Not Remove i al dk ,19/Q 7 No Lathing or Dry Wall To Be Done FIRL DEPARTMENT Until Inspected and Approved by the Building Inspector. Burnet PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. - elk�r • SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT �S I Z 8221 loZt �a CERTIFICATE OF USE & OCCUPANCY" Town of North Andover Building Permit Number 175 (1995) Date JAiwARY 29,'.1997 THISCERTIFFIES THAT THE BUILDING LOCATED ON 673 GREAT POND ROAD MAY BE OCCUPIED AS S.F. DWEIIING W/3 CAR GARAGE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATION AS iv$`ILY APPLY. CERTIFICATE ISSUED TO Rose Ann & Frank diNuccio �� •` ` 673 Great Pond Rd. ADDRESS North Andover, MA 01845 41 C)4 Building Inspector r� Location No. Date NORTIy TOWN OF NORTH ANDOVER + ; ; Certificate of Occupancy $ cMus Building/Frame Permit Fee $ s� Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # (,7 - . 1 142, 72 / Building Inspector/ TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ..., BUILDING PERNUT NUMBER: a DATE ISSUED: U3=30 d00 SIGNATURE: ( Building Commissioner/I for of Buildin2 Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 673 � ��d��ra,9r to 3 a Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.5. Flood Information: 8 Sewerage on: 1. ew DisposalSystem: 1.7 Water SupplyM.G.L.C.40. d ZIf 54) � � Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ e SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name(print) Address for Service: Q Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Si nature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable. ❑ / Licensed Construction Supervisor: �� 02�� License Number OTI Address Expir"n Dat S� nature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name ; Registration Number Address Expiration Date nature Telephone i ' II SECTION 4-WORKERS COMPENSATION(MG.L. C 152 § 25c(6) ' a 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.......0 SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 9-- Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: � • OQif//� �0��✓,a �OD,� X22�9lliTi��/ �STi�f3/aTf�ifl,O S�62 SV,J25 Z-6 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be .y_ @ICIAY, ....USE Completed by permit applicant 1. Building /D D O (a) Building Permit Fee '7 / Multiplier 2 Electrical 3 O O _ (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC 3 3 �• �QS, 5 Fire Protection 6 Total 1+2+3+4+5 3 U. Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ariue.of Owner/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB CRAW( SPACE SIZE OF FLOOR TIMBERS IST 7716 530 j6l3P�D SPAN DIMENSIONS OF SILLS DIIv1ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHItvNEY 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 approval/permits frony �z- ? Boards and Departments having jurisdiction have been obtained. Thus does not relieve the applicant-and or landowner from compliance with any applicable requirements. �rrrrr■rrrrrrrrrrrrrrrrrrrr■rrrrrrrrrrr■■rrrrr�rrrrrrrr■rrerrrrrrrrrrrrrrrr■ APPLICANT a ,v f ,LAocl e I t.- SSP, PHONE <.�dj3 9 9,6 QG Z ASSESSORS MAP NUMBER 65�-7 3 LOT NUMBER SUBDIVISION LOT NUMBER STREET �iQ�L�T `T� �O/�,D STREET NUMBER .rrrr■rr■rrrrrr■rrrrrrrrrrrrrrrrrr■rrr■■rrrrrrrrrrrrr■■rrrrrrrrrrrrrrrrrrrr■ OFFICIAL USE ONLY �yyy RECONIIvIENDATIONS OF TOWN AGENTS ..&..... ... _......... .r....................................r....'........... • DATE APPROVED.' g C014ARVATION AD TRATOR DATE REJECTED coNflyffirrrs 400/ �— DATE APPROVED r TOWN P DATE REJECTED CONflyI i-Nrs l Qp�1�� G. l,7��e c2c�r2e/12 aa-tep-d G��U < , DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENDS P�'t- -��+-c��✓" PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE D AR DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE Town of North Andover & tAaRTH o �t��° �� y .1, .. ,'' !b O Building Department o 27 Charles Street11 � North Andover, Massachusetts 01845 ?, .� 978 688-9545 Fax 978 688-9542 °�4° .ON-rea "V y1,� �4SSAcHuS�� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit.# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, s150a. The debris will be disposed of in/at: Facility location Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. t xoRTH ' Town of North Andover L Building Department A 27 Charles Street + = Y North Andover, MA. 01845 D. Robert Nicetta SSAo+u ` 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"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code dnd other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Town of North Andover p10RTH OFFICE OF 3�o�l""E0 o , 400 COMIdIUNITY DEVELOPMENT AND SER N4 1Ep JOYCE BRADSHAW 27 Charles Street TOWN CLERK `�9 . >>'� North Andover, Massachusetts 01845 NORTH ANDOVER ''.1"Arso•00�c5 WILLIAM J. SCOTT SgcHuSE Director (978)rector 31 NOTICE Off' DECISIONZ000 OCT 12 P 1: 22 Fax (978)688-9542 Any appeal shall be filled within (20) days after the date of filling this Notice in the Office of the Town Clerk. Date: October 12, 2000 Date of Hearing: October 3, 2000 Petition of Robert and Glorianne. Farnham Premises affected: 673 Great Pond Road Referring to the above petition for a special permit from the requirements of the: North Andover Zoning Bylaw Section 4.136 so as to allow: to construct a 300 sq. ft. addition to an existing dwelling located within the Non- Discharge Zone of the Lake Cochichewick Watershed Protection District. After a public hearing given on the above date,the Planning Board voted To: APPROVE the: Watershed Special Permit based upon the following conditions(attached) ( ' Signed CC: Director of Public Works Alison M. Lescarbeau, Chairman Building Inspector Conservation Depa*tmPrAl John Simons, Vice Chairman Health Department Assessors Alberto Angles, C1erk Police Chief Fire Chief Richard S. Rowen Applicant Engineer Richard Nardella Towns Outside Consultant File _William Cunningham Interested Parties t 249 Maihleridoe Road—Watershed Snecial Permit BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 ' 10/12/00 d) Adequate and appropriate facilities are provided for the proper operation of the proposed use; e) The Planning Board also makes a specific finding that the use is in harmony with the general purpose and intent of the North Andover Zoning Bylaw. Upon reaching the above findings, the Planning Board approves this Special Permit based upon the following conditions: SPECIAL CONDITIONS: 1) This decision must be filed with the North Essex Registry of Deeds. The following information is included as part of this decision: a) Plan titled: Site Pian 673 Great Pond Road North Andover,MA 01845 Prepared by: Robert Gill&Associates,Inc. 418 Bridge Street Lowell,MA 01850 Scale: 1"=40' Date: August 14,2000,revised September 28,2000 Sheet: 1 of 1 b) The Town Planner shall approve any changes made to these plans. Any changes deemed substantial by the Town Planner would require a public hearing and modification by the Planning Board. 2) Prior to any work on site: a) A performance guarantee of one thousand($1,000)dollars in the form of a check made out to the Town of North Andover must be posted to insure that construction will take place in • accordance with the plans and the conditions of this decision and to ensure that the as-built plans will be submitted. b) All erosion control measures as shown on the plan must be in place and reviewed by the Town Planner. c) The site shall have received all necessary permits and approvals from the North Andover Conservation Commission, Board of Health, and the Department of Public Works and be in compliance with the above permits and approvals. 2 Registry of Deeds Northern District of Essex County Lawrence, MA 01$40 03/22/01 ROBERT GILL AsSOG AN # 99 Rec; Type DECSN Inst 81;:,8 30.00 Total 30,00 # 100 Payment Check 30,00 THANK YOU! Thomas J. Burke Register of Deeds I I NORTH Town oE f dover No. ZSq ,Y 0 COCHIC L A dover, Mass., 10 0RATED P? S BOARD OF HEALTH Food/Kitchen PERMIT T D , Septic System . BUILDING INSPECTOR ............... Foundation THIS CERTIFIES THAT..R0..6.**.1r4+ 16 .......................................................................... has permission to erect... ........... buildings on ......&.93........ t,......P....0...O.J. .A....I.......X.......0. ............... Rough to be occupied as..M.A.U09...4.0*P*...... fAdOC41946412 &1* Chimney .................................................. provided that the person accepting this permit shall in every respectconform 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. $A 1# 3 40 & r) PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTSELECTRICAL INSPECTOR' Rough .........Wool ... .. .. ...... 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.