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HomeMy WebLinkAboutMiscellaneous - 7 DUNCAN DRIVE 4/30/2018 .` V ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accozdance-with theprovisions of M.G.L.c.143,§.3L,the permit application form to provide notice of installation of wiring shall be uniform throughoutthe Commonwealth,and applications shall be filed- on the prescribed form.Atter a permit application has been accepted by an Inspector of Wires appointed pursuant to M.01 o.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 thetime of ongoing construction.activity,and may be-deemed-bythelnspector_of_Wires abandoned.and-invalidafhe—. or she has determined that the authorized world has not commenced or has not progressed during the preceding 12 month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the.permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job;growth and long-teen 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 extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence'during the qual"rfying period beginning on August 15,2008.and extending-through August 15,2012. ❑ Rule 8—Permit(Date Closed: �, - / — ***Note:Rea ly for new perMK ❑Permit Extension Act—Permit/Date Closed: /L--� `/� ❑ 2012 Massachusetts Electrical Code Amendments 527 CMIi 12.00§Rule 8: In accordance-with theprovisions of M.G.L.c.143,§•3L,the permit application form to provide notice of installation of wiring shall be uniform throughoutthe Commonwealth,and applications shall be filed' on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.RL o.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 y notification of completion of the work as required in M.G.L.c.143,§3L. Permits shallbe limited as to the time of ongoing const uction.activity,and may be,deemed by-the 7nspector_of_Wires abandoned-and.invalid,if he_. or she has determined that the authorized world has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the.permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Secti<ons.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job;growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits-and licenses 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 extending-through August 15,2012. ❑ Rule 8—Permit/Date Closed: Mote:Reapply for new permit❑ ❑Permit Extension Act—Permit/Date Closed: Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING S S IN4 U This certifies that ..(. ........ ....R ..... . ......................... ........................... has permission to perform .... wiring in the building of.... ................................................... at......7...... .................,�orth Andover,Mass. • Fee.Y;-� Lic.No.1kY 7 7,,.'/........... ...... ....... ELECTRICAL INSPE( t Check # L) Commonwealth of Massachusetts Official Use Only ' Department of Fire Services Permit No. O-�,� BOARD OF FIRE PREVENTION REGULATIONS Occupancy 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 Electrical Code( EC),527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: 10 610 7 City or Town of: NORTH ANDOVER To theIn pec or of Wires: By this application the undersignedill gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) U/y �� Owner or Tenant-Qs 41- �p-- � � Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ N (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und rd g ❑ No,of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and.Ampacity Location and Nature of Proposed Electrical Work: ; G Completion of the ollowin table may he waived by the Inspector of Wires. 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 Lig g d. nd. Batte 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 InitiatingDevices No.of Ranges No.of Air Cond. ToTot No.of Alerting Devices No.of Waste Disposers Heat pP Number Tons KW No.of Self-Contained Totals: .'.""""""""'....... Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local ElMunicipal - A Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems: No.of Water No.of No.of Devices or Equivalent Heaters KW Bal of Data Wiring: Si s Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total gp Telecommunications Wiring:ent No.of Devices or E uival OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Valuesof Elec cal Work: 130 (When required by municipal policy.) Work to Startf"t�-P Inspections to be requested in accordance with MEC Rule 10 and upon completion. ompletion. 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 co rage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) P �Y:) I certify, under the ains and penalties of perju , th t the information on plication is tr a and complete. FIRM NAME: 2rlS `o �`Go� S�G P LIC.NO.: Licensee: ,^j GA Signature �y (If applicable ter '. m t"in the license nu er line.) LIC.NO.: Address: Q �� l 6('S ��M rQ A a t� Bus.Tel.No.:`00 / IJ *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt.L cl.No. f/� 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: $ The Commonwealth of Massachusetts k� ! Department of Industrial Accidents l' �' Office of Investigations ' 600 Washington Street Boston, MA 02111 www.n2ass.gov/dia . Workers' Compensation Insurance Affidavit. Builders/Contractors/Electricians/Plumbers Aapticant Information Please Print Legibly Name (Business/organization/individual)'a `—,rU'P—�—c;''"E' � �ool Address: F0 ! City/State/Zip: 1 t/UI Qj�1 Phone#: . re you an employer?Check.the appropriate box: L I am a employer with�_ 4. Type of project(required): ❑ I am a genera(contracE7heet : employees(full and/or part-time).* have hired the sub-co6 [1 New construction 2.❑ I am a.sole proprietor or partner_ listed on the attached 7. ❑Remodeling ship and,have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. [No workers'comp. insurance 5. 9. ❑ Building addition p ❑ We are a corporation and its required_) officers have exercised their 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself. [No-worke'rs'comp. c. 1.52, §1(4),and we have no 12. Roof • insurance required.]t employees. ❑ repairs [No workers'comp. insurance required.] 13.❑Other Any applicant that checks boX#I must also fill out the section below showing their workers'compensation poi icy information. r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing:workers'compensation insurancefor my employees, Below is the policy and job site information, Insurance Company Name: ' Np` `" r t*) Policy#or Self-ins. `LLiie.#: Expiration Date: . Sob Site Address:_ / vJ L City/State2ip: }� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a • fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. 1 do hereby cerci unde a aloes of perjury that the information provided above is true and correct ' Si tore: Date: O `D O Phone#: Official use only. Do not write in this area,to be completed by city or town ofjciaL City or Town: Permit/License# Issuing Authority(circle one): I. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: R Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the'foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or triustee of an individual,partnership,association or other legal entity,employing employees. 'however the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance'coverage required." Additionally, MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation•affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. if an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should r be returned to the city or town that the application for the permit or license is being requested,notthe Department of r Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' ' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: , The Commonwealth of Massachusetts ` Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, lu1A 02111 Tel. # 617-727-4900 ext 406 or 1-11.77-MASSAFE Fax#617-727-7749 Revised 5-26-05 4vww.mass.gov(dia n 1 No Date.. !� y NORTH °��•``°;•�"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ACMUSEt This certifies that ` has permission to perform ' ' wiring in the building of ... .................................................. .,�:. .................. at..../ ........ ,North Andover,Mass. Fee. .................. Lic.No..,�. .yl/) ... :.... ! ....f:... ............................... / ELECTRICAL MpECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer V Opp ;'q_e lel d SCA '�//�• /RF h�?ley a, e oc ap , Ir, !UIs�ltlj.,i ysv Jpy�elrattrq tiiar cTreAss/i�lo°rU- Ujiefr ° 0 e OArA7(S O ° ra ° eoffy/'l acc°rgM etse Dfwant tt /10Q, � J l� y�022 wih�!'c O Ill IOt�s e�`f� Ott . 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T. rt O �'°� '',• "� O dha co.72- °•,Q/ eco or a: s0 Otjte t!t es � �` It,s s eYlt�bAjete�t/U�t Pr?�! t�,0.0 tt el'. tyF�; c�'r r, Aectlotsi O t`PdAr°Aeralhe'oerf �Ps�%c e�catt° of F yalettt red S�. c'`%. G�� t°b (Spe oo f ot', ori�� by YS ter'' �r✓i, ere (lv, ci/e • ofs cOy a0c °r tti a!e I'�ct 11[�: C' ��r ren, U,rr�Uesre� ten re9v y) an'e ru l!a`�e O°f elec.�,,�P� Iyal tt r v g _ r''ys � Iy4�=" c�•,r �,,��cr x /Ni,, ` 'S natt!!ejbLrl�t i//i S.al`6��vr'`'ZJ- St°oieJorltrt�ra?errrU/refQi'tbs�rr1tU,jt�Cj�l�e,per7/,rtsj `sTIraCJ jdIeoPrri/n'a,sy�/e'N,scsrUOe~ e coSL alceo � ss��'�°e/u apttpj"rr t of' 9U'yocea t er rRUle0 / ) l` I/cess (j,is re9U, P��Oc rf r'PQ'�d c,°o co �c) rote e,ncl, f,,Or L oi%r. ilk t ! a It tI e`/te 461, as, c Ur oce o ` 1'JjrfTOOrtaler co011. iPtaU I Den i J J i I Date..!.. ...... . ...... .. NORTH TOWN OF NORTH ANDOVER O PERMIT FOR GAS INSTALLATION ,• 9 a io a ` SACMUSEtt This certifies that . . ,'. .'./ . . . . . . . 1. . . . . . . . . . . . . . . �� has permission for gas installation . . . t. :. � :. . . .:.�. . :�. . . . . . . . in the buildings of . . . r I. . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . :. . . . . . . . . . . . . . . . .'. . . . . . . . . .. North Andover, Mass. Fee. . . . .: :. . Lic. . . . . . . . . . . . . . . .'. : . . . . . . GASINSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer z MASSACHUSETTS UNIF,�O.R^M, APPUICATON FOR PERMIT TO DO GAS F rMG 2 Type or print) " 4 ``�'U Dat —/0 4?00 MASSACHUSETTS �r Building Locations '_,���f �-�-- Permit# Amount$ Owner's Name jo,t f � New t/� Renovation ❑ Replacement ❑ Plans Submitted 13 • a F F C z z a m m F w a x V ZG z -t Wh x '" V i E, r+ $ :sr F SUB-BASEM ENT BASEM ENT l l �AST. FLOOR 1 2ND. FLOOR ° 3RD. FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7T It . FLOG R ST I1 . FLOOR (Print or type) Check one: Certificate Installing Company Name Galinsky Plumbing & Heatins Inc. ® Corp. 1906 Address P•O.Box 1701 Haverhill, MA 01831 ❑ Partner. Business Telephone 978-374-1743 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Stenh�Galinsi kv 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 the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity. ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the bgst 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 Massachusetts Stat Gas Code C a r 142 of the General Laws. By: Signature of Licensed Plumbe56r Gas Fitter Title ® Plumber City/Town ❑ Gas Fitter License Num ber ® Master APPROVED(OFFICE USE ONLY) ® Journeyman No Date../........... ( NORTq TOWN OF NORTH ANDOVER O 9 PERMIT FOR WIRING �sS^cMUS This certifies that z................... . .......... ............................................... 1 + has permission to perform . ......:.................................................. wiring in the building of.......�%.............: at.......:.....:...:....'..:.........::...'.:. �...-..:.:.� ........ ,North Andover,Mass. Fee !...'..... ...... Lic.No ............ .... ...... .......... . . ..... ...... ................................ ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THE cowoNWEALTHOFmtmcHUSETIS Office Use only DEPARTMF.NTOFPUBLICSAFM Permit No. C,�OJ?o BOARD OFFIREPREVE7MONREGU ATIONS527CMR12:00 UV"4PUCATION Occupancy&Fees Checked FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work escribed below. Location(Street&Number) 1 t/ Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes© No (Check Appropriate Box) Purpose of Building I NyC4dt M r L y � 4 L-Li NUtility Authorization No.0• Existing Service Amps� Volts Overhead a Underground Q No.of Meters New Service bcs,-, Amps/(O IdVt, Volts Overhead © Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work des;;�-r: 6t��/�„v� J;g (N6« km icy _-L,Lr.+-G No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground grourid No.of Receptacle Outlets No.of 0il Burners No.of Emergency Lighting Battery Units *, No.of Switch Outlets No.of Gas Burners ,4o.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons 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 Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP 1 OTHER 0 Irmr&neC.o�aag�.Ptttsuatt�o�ktetequnaretsoEl�iCtenaalLaws Iba%eaax=tLmbkyhw&=PbhcymAdffgCatvkt Co►e<ageoritsstkstattialeWhdat YES a NO a Ihawsu rdWdvandpnxbfsametothe0ffmYES ..� IfycuhiwdledcedYFSspleasenhc*thetAxofeoawWbydladongthe MURANCE BOND O1HR ftweSpo fy) EVirafim D& Fst mEkdVal xdUeclt A Wak$ WakIDStalt InspadcnD*Ragt e*d Re* Final SignedunderTiePpt itesofpffm FIRMNAME O /Z -11(c- U=iseNa 6 (2W J& /� Btt,a>essTd.Na 7S(r `' A�.s �����1�%L n I[� c�A-0I�C,Y✓If� AkTeLNa OWNER'SiNSURANCRWANFR;IamawatethattheImt thehuan amWorilsWjmtiala ovalartasm}ImedlryNinggg- C,enedLaws anddy,tnrywcnftpwntWpinmmvai%esitnsm manat. (Please check one) Owner Agent o Telephone No. PERMIT FEE$ C�2 _� Date.. . . . .'. . .`. : . . No ",O RT" �o TOWN OF NORTH ANDOVER 10 15 PERMIT FOR PLUMBING • 040 �`� • S'•4T/O 4A. SACHUS This certifies that .. . . . . . . . . . . . . . . . . . . . . . . . . . l l f L i has permission to perform . . I . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . ... . r: .!.! . . .��i . . . . . . . . . . . . at. . . . . . . . .i .`... :. � � � r'-- :. . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . .-� Lic. No.. . . : . . . . . . . . . . . . . . . �. PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 12 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING O)w or print) 1\QJ�T''� V3,•,�,, —_- - MASSACHUSETISL —`U _00 Building Locations _ Permit # 3 Amount 7 p, Owner's Name ...�.,...` �. New E Renovation ❑ Replacement ❑ Plans Submitted l l FIXTURES F WW v� W � a F W dti' SUMIM BA�IVFN[' � ISE Rfm t t i To KOM 3 a[t�l�,00R 7�t IB.D(R sa;Ir�+orR (Print or type) Check one: Certificate Installing Company Name G a l i n s k v P l u m b i n g & Heating ❑ Corp. 1Q 6 Address P.O. Box 1701 ❑ Partner. Rnvprhi 1 1 MA Ill R'll Business Telephone 978-374-174- Firm/Co. Name of Licensed Plumber: Stephen C. G a l i n s k y��� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity ❑ Bond ❑ suratice 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 pli &tion are true and accurate to the best of my knowledge and that all plumbing work and installaXs "med under P ' ss this application will be in compliance with all pertinent provisions ofthe Massachusetts Cod ap of the General Laws. [By: re aOr MEMO PIUMDerType of Plumbing License itle ,��33,,��,gity/Town LICe9��'IPii r Master ❑ Journeyman ❑ APPROVED(OFFICE USE ONLY Date. .... .......... . . ........ • ,ORTk TOWN OF NORTH ANDOVER Of 4.Sao ,a,�0 0 '_ a Op PERMIT FOR GAS INSTALLATION ,SSACHUSES Thio'certifies that . . . . . . . . . . . . . .. . . ... . . . . . . . . . . . . . . .. . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . .r . ' . . . . . . . . . . . . .. . . . .. . . ... . . . . . at . . . . . :. . . . . . . . . . . . . . . . . . . ., North Andover, Mass. i' Fee_.-..,,,`. . . . . . Lic. NoZ., !. . . . . . . . . . . . . . GASINSPECTOA WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) p MA Date (J(j Receipt# p Permit# � �l Building Location r? DiJnCAn Vrf V1L OwneesName �W 1 I /a11 "4 s Map: Lot• zone:_ TypeofOccupancy 61)cp— New Renovation(3Replacement❑ Plans Submitted: Yes❑ No ❑ Fee: W W ¢ U! GY w x ai W y N U Z F Q ry ¢ 0 CC O ¢ rn x O w ¢ O 0 > � x 0 Z J ¢ W F > m = 2 F Q us Q O W 4 ¢ cc Z O 0 Z F Cr �o/ m 0 F W W O G 0. w O w a ~ ¢ > N ¢ U W N W Q ¢ D x t'J F CC 2 '� H Z W W-C XU O > LL cc ccw U J N W 2 Q W < ¢ �- f' } to m Z 0 Q 0 0 x Q W > Q W n 2 R S < O W — O W 0 ¢ x o 0 x a 3 o t, v > o SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company NameEAS4't?rn Checkone: Certificate Address'I Lt�Q�er W-1 _DmnyF; rn el O i 4 3 Corporation Estimate Valueof Work: ❑ Partnership Business TelephoneI- o©3�a- ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter F�l�C- ��il�'"`�t!A// INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 9 No ❑ If you have checked yam, please indicate the type coverage by checking the appropriate box. A liability insurance policy a Other type of indemnity❑ Bond ❑ • OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Checkone: Owner Agent❑ Signature of Owner or Owner's 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 bestof my knowledge and that all plumbing work and installations performed underthe permitissued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: Plumber Signature of Licensed Plumber or Gas Fitter Title Gasfitter Master License Number ICY I City/Town Journeyman APPROVED (OFFICE USE ONLY) M/ �O" d s r BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTINO NAME& TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 19 GASINSPECTOR 2-08-1995 7:04AM FROM P. 2 r Flagged Jure P$rrino' W, - r March'98' r Lot A j - l Flagtty8 Area I lr R09#13 ` ►iACC 90r9a -Ragx27 CY I FiaV27 Q Fiag#14 1 \ t+` axi 11 N' '� +• Flagal5 C� L 11 ala � L+ \ FIeg�16 .0 ¢ + 37' U tD l Fla. ++L 1 W FIag#24 + • 1 U) �Pllagtt23 • • L+ y 1 WCTt.�ND Flag#22 1 ,04 l of Flag42l� + + L • L "� a ��e� �Q 2007588 ' CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number �� Date — _ 00 THIS CERTIFIES THAT THE BUILDING LOCATED ON DOIOC,4N I /�, MAY BE OCCUPIED A5 Vt E= /Jim. a,s/j//A J AN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. MORT: y CERTIFICATE ISSUED TO s ADDRESS �0/1)Ci411) Building Inspector NORTH Town of Andover No. 0A1 z = 1A o dover, Mass., COCHICHEWICK V %p ADRATED P?�,`�� S BOARD OF HEALTH PER.. M IT T D Food/Kitchen Septic Systema i"U //7, ad THIS CERTIFIES THAT... j�! ... ,. � f�'�,�0 BUILDING INSPECTOR .... . ........... ........... ................................................ . Foundation, has permission to erect............. ........................ buildin son x07f 40..�...�.. iv /4� b� Rough `C' ��/3/� �• �rao ...... .�/. ... ` ... . .?� � t,�w✓ fir/ ''�`6 " to 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 6-8-ov 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. M 105C. 12'40 PL BING INS ECTO VIOLATION of the Zoning or Building Regulations Voids this Permit. ou PERMIT EXPIRES IN 6 MONTHS ELEC IC C UNLESS CONSTRUCTIO S T C Rou ........ ...... . ........ .. ... . .. .. .. . . ...... BUILDING INSPECTOR in Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Roughr7 1 G� No Lathing or Dry Wall To Be Done DEPARTMENT /� Until Inspected and Approved by the Building Inspector. Burner BLDG. U!"I ,o2 0000 d LESS �1�'� � O Street No. �� � 2p n;;r_ rt : / ® I'7 0.. SEE REVERSE SIDE Smoke Det. NORTH 0 lug* 3? OOL O ,o ~ p • TOWN OF NORTH ANDOVER 9SSACMUSEt APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY : 7 Oyn Coo O rri f ? DATE REQUESTED FILED/READY FOR INSPECTION 3 Ca CLOSING DATE ON PROPERTY: t!n9/00 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND PERMIT SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARD $20.00) .WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES, , .. SIGNED ROUTING +lks Nt CONSERVATION C PLANNING TJ 0 DPW -WATER METER we, I wo NOTE: DPW MUST INDICATE THAT WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYIINSPECTION REQUEST . DPW rV A Signature r' Location -', No. '/i Date 'r NORTq TOWN OF NORTH ANDOVER 3?O:� .•o .•,BOG F A i • • Certificate of Occupancy $ Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ ' Other Permit Fee $ TOTAL $ Check # Building Inspector 4'1:A41T.NO. C? APPLICATION FOR PERMIT TO BUII.1)^^T**YT*NOI-ZTIT ANDOVER, AIA %I%1, !0 ^� LOT Nn. 6 2. RLcOItDOF•O\\NFItslllr DA'1-E BOOK PAGE Still MV. LOT NO. ::)I'.\I ION. I v N N �r 11111trOsl:Of IMILDIM; NO.OF S'EORILS Z SILL: kMN1It's.u)Uucss DASEAIENTORSLA 11 u:r117II'C1'SN.%A11: - SILLOFFLOOR'l MIIIFIVS aa( / 11t ��/ O 2KD p�,XIO 3uI, ,II iInF1I'S NAAIl: // v SPAN L!/ WNI\NC'1. IONEARESI-I11:Il DING /J--p I DISI ENSIONS OF SILLS �� L .3%71 DIMENSIONS OF rOS'IS y L irhI\NCE FROM LOT I.INES-SII)l:S/M/diE.4ll j Z 7'- of GUIueuS \IUA(iF1.lIT Z.Od FRONTAGE �,� 11EIGl1TOFFOUNDAON / 7IIIClCNESS o; fI ! p • h 11111 I,ING N1:W C SIZE OF FOOTING Z x 2- 1'.Ill 1170ING AIIDI I ION nUl1170INGAIIDIIION N� AIATERLAI.OFCIIMINEI' i'-til 11 D1Nl:.\IJI:R:►"I ION IS Dlill.DING ON SOLID Oft F11.LED LAND lt11 L I11Ill DiN(;CONFORM TO 11EQUIREAJENTS OF CODE C IS I)IIII.I)ING CONNEC"I'EI)'1O'1'O\\'N N'.\'I'F1I N� 'till\IID OF AI'r1-\I.S AC'IION, IF ANY - Is BUILDING CONNrc.I.ED'FO"FO\\'N sn%I It NV IS 111111 DING CONNECIED'IO NA"IIIIlALG.AS LINE I\,,Iltc'IILINS 3. I'llON1:R'11' INFORMATION LANUCOST �`� — EST. DI.DG.COST e%cr. 1 rD I urrsrc-rims 1-3 �� � EST.111I1G.cos-1.alt SQ. rT. 8Z o0 (4, f7i — ESI SLUG.COST I'I:It ROOM Z.Z a ;I II'I IIIc'\IIA IRIS\ll!S I'lilt ON OlITSIDE OF IMILDING a _ S1 1'l IC 1'I:ItAlll'NO. U rU"111"U t:\Ii\Gt:5 Alli�l'('ONPORAI TO 5TA"FC PINE RL'G111.:\TIONS -I. APFRON'I:I)IIY: I'l.\\S MUST 4W FILF1)AND APPROVED R\'IIIIII.DiNG INSPECTOR BUILDING INSPI.CTOR Ir 111"III 1"D 0\1'NEItS TEI N I�kl — CONI"It."I i:I.H G Z— z 3 Z D z_e CONIIt.I.IC'k •.II:\\7I R1: OF O\1:\FR II.LC.1v FORIM 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 compliancy with any applicable or requirements. *****APPLICANT FILLS OUT THIS APPLICANT K047�- Zee l d- L �A /^Gi✓ PHONE6/-�5'�8'Z. LOCATION: Assessor's Map Number Las' �- PARCEL /(0 SUBDIVISION/G�.� ,rc/ v 111 AG c� LOT (S) A STREET U NGq Al b/4-- ST. NUMBER, ****OFFICIAL USE ONLY* ****************** RE OMMENDATIONS OF TOWN AGENTS: C NSERVATION ADMINISTRATOR DATE APPROVED Vila DATE REJECTED COMMENT TOWN P (fl ' VE (� IECT — - COMMEN' I (n \� FOOD IN PROVED .JECTED C I 'PROVED !J EJECTED COMMENTS PUBLIC WORKS -SEWERfWATER CONNECTIONS !� /A —7— 9W Z9 -Da DRIVEWAY PE MIT FIRE DEPARTMENT U �'" 1 , 2- 7-6o, 2- 7-6y • RECEIVED BY BUILDING INSPECTOR DAZE Revised 9197 jm 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 complianc-- with any applicable or requirements, **********APPLICANT FILLS OUT THISSECTiON*" '* " `*�' ' APPLICANT Ko47�- eeAl ¢ JOZ. e�;A'/"4i✓ PHONE LOCATION: Assessor's Map Number 16,5— C— PARCEL �(0 5-FoN Acle a�� SUBDIVISION boj,/CA� /' , v i l) AG c- LOT (S) � STREET 0 NGrq Al�/`� ST. NUMBER *OFFICIAL USE RE OMMENDATIONS OF TOWN AGENTS: C NSERVATION ADMINISTRATOR DATE APPROVED Z DATE REJECTED COMMENTS r 5 "'" �� c✓� �i` TOWN P NNER DATE APP VE DATE REJECT 1 COMMMMf1ENTS All (ya:i �7Gt FOOD INSP T R-HEALTH DATE APPROVED DATE REJECTED C SPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTSPUBLIC WORKS WORKS -SEWERNVATER CONNECTIONS AILA zf -oa DRIVE'NAY PE MIT FIRE DEPARTMENT u ��" / � z 7—© V RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm Growth Management Eylaw Exemption Statement Town of North Andover Building Department This farm shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of,North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested'below. Name of Applicant an Puilding Permit(below) Address of Property fcr Permit(below) kdr�LOe.v T TOO. 6'0*14o,.' y ryL<},� b�. (Xo��� Map and Parcel :/oSt�yoPurpcse of pplicaticn (check below) Phc Number of p(icant: Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the wilding Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Oepartment and is only offiGally accepted when the Building Permit is,issued. Based an section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement. restoration,or reconstruc:icn of a dwelling in existents as of the effective date of this by-law,provided that no additional residential unit is created. The lots)werelwas created prior to May 6, 1996 are exempt from the provisions of this Section 9.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conaitidns of 8.7.6.care met and/or represents Oweiling units for senior residents,where eccupancl of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior'shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots),below the density, (buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable aces and permanently designated as open soace and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel an the effective date of this Section 8.7 shall receive a ane-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit an the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and Tom—missions have been received and the project is in compliance with those permits), and the Oevelopment Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knowledge or not, is grounds for refusal b in Department to issue a Building Permit. \•. / QO *ignatu,,iC,t :.Wr'1.r or Authorized Agent wno signed the Attached Building Permit ate This form must be attached to the Building Permit upon application far such permit C x MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 1-26-2000 DATE OF PLANS : 1/15/00 TITLE : Corner of Boxford and Duncan Dr. COMPANY INFORMATION: Barrett Development Co, Inc COMPLIANCE: PASSES Required UA = 444 Your Home = 402 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA --------------------------------- --------------------------- CEILINGS 1560 38 . 0 3 . 0 43 WALLS : Wood Frame, 16" O.C. 1872 15 . 0 3 .0 125 WALLS : Wood Frame, 16" O.C. 152 19 . 0 3 .0 8 GLAZING: Windows or Doors 313 0 .500 157 FLOORS : Over Unconditioned Space 1448 19 . 0 69 HVAC EFFICIENCY: Furnace, 86 . 0 AFUE COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code . The heating load for this building, ,and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125$ of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer Date__ 1/3/00 5:09 PM FROM: 224-0973 Tarpey Insurance TO: +1 (978) 6822397 PAGE: 002 OF 002 FWater DATE(MMIDD/YY) 01/03/2000 246-2677 FAX (781)224-0973 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION nce Group Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 567 I COMPANIES AFFORDING COVERAGE Wakefield, MA 01880-4667 cOMPANY Zurich Insurance Company Attn: AAI,CPCU, Mark Tarpey Ext: A INSURED Barrett Development Co. Inc. COMPANY 1049 Turnpike Rd B N. Andover, MA 01845 COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 16 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TWE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MMIDDIYY) I DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 A CLAIMS MADE ❑OCCUR PERSONAL&ADV INJURY $ 1,OOOj 0O0 OWNER'S&CONTRACTOR'S PROT BOUND 01/01/2000 01/01/201 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ --- --50,000 MED ERP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO I$ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIREDAUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM i I AGGREGATE �— OTHER THAN UMBRELLA FORM ' i$ WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS'LIABILITY S A THE PROPRIETOR/ EL EACH ACCIDENT 100,000 �INCL BOUND 01/01/2000 01/01/2001 EL DISEASE•POLICY LIMIT $ 5QQ QQQ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL j �EL DISEASE-EA EMPLOYEE $-- 1QQ QQQ OTHER r I I DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS esidential Carpentry and Remodeling SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, w BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Town of North Andover AUTHORIZED REPRESENTATIVE ` �fiP, (rio•�ir i�uliacueau� o �,��a<1sac�uwella . BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR I Number: CS 052241 ' `� Birthdate: 10/10/1952 Expires: 10/10/2001 Tr. no: 7876 Restricted To: 00 WILLIAM K BARRETT, 1049 TURNPIKE ST N ANDOVER, MA 01845 Administrator 2-04-200 S:OSPM FROM P. 2 r wcz<� g \ �CSZL \ A , I I s l \ +1+ 1 � ° { t f�cc45 SCM r � � 3 1 G >n r m N 1 � , Omit �1�` $► > > h t, d , 'EU I !�Zis[I1 tsar t 2 ! ! %•0'PLt�nv�11 iv � �� v � � , ' C'SL1 C vi SLI t � / 09, co 1 / o Ov 96'or. BK1306 _ 1 MAaaACNUaaTM OYITCLMM 0990 SHOAT PORN(INDIVIDYAU M% w IL r 470 I, Catherine C. Donovan 1 ij of North Andover, Essex wry,Massachusetts, I being monanied,for consideration paid,and in full 000sideration of Less than One Hundred Dollars r grant:to Catherine C. Donovan, Trustee of the Donovan Family Trust IS l of 500 Boxford Street, North Andover, Massachusetts, with quitrintm rcurnants (hafam±a A certain parcel of land with the buildings thereon situated on the North- erly side of Boxford Street and being shown as Lot A on a Plan of Land entitled: i (Dewipti�"W exxn6ruh ,if=rl f "Plan of Land In North Andover, Massachusetts, owned by Catherine C. Donovan, Y Stowers Associates, Reg. Land Surveyors", recorded with North Essex Registry of Deeds as Plan No. 7530, which lot is more particularly bounded and described $' as follows: I t Beginning at an iron pin at the Southwesterly corner of the conveyed premises on the Northerly line of Boxford Street; f + Thence running North 070 48' 00" East 228.29 feet to an iron pipe; f Thence turning and running North 460 15' 00" East 220.00 feet by land now or `f formerly of Adams; a Thence turning and running South 02°41' 30" West 354.15 feet by Lot B as 1 shown on said Plan; Thence turning and running South 810 58' 10" West 175 feet by Boxford Street d I to the point of beginning. r ' ,. Meaning and intending to convey Lot A, containing 46,050 square feet, more i or less. Being part of the same premises conveyed to me by Deed of Cornelius J. Donovan, dated November 14, 1969, and recorded in the North Essex DtFtrict Registry of Deeds, in Book 1144, Page 71. I r Uttttraa•MY.»hand and seal thisT)Kertx-S(�.clgn�duy of.....................Ap.M..... 1937.. i ) Cathertne C. Donovan ..»..»......_........... .... »......».._.............»...................»..................... ....»..»..».............................»... ..»..... ............... ....»..... »._».».».............................. ' I zqt C'Maman:ar44 of t?laaaurtlttnetis 1 Essex, as. April 22,1977 ' 7ben personally appeared the above named Catherine C. Donovan I and acknowledged the foregoing instrument to be her f ce act spd deed,before we n 4� 44- t/,F<.r' ....r�... ........._. Ignatius R. J Piscite1 � _ x ,1,;�1pc rTj 1�1•nom • Recorded Apr.22e1977 at 4:53PM 03172 u' apir� Aprl1.9, _ r984 r SEX NORTH REGI TRY OF DEEE DS +,,VRENCE, MASS. RUE COPY: ATTEST: M , REGISTER OF DEED ORTH Town o C..,,, ,o n over O No. o ndover, Mass., T O LAKE COCKICHEwICK ADRATED Pl?�L C� SSA C H L35� I T FOR EXCAVATION AND FOUNDATION rms� G.A. ....,,o.. .......... THIS CERTIFIES THAT . ,p .�. ......... has permission to excavate and pour fo nd ... ation t of A * � DVAiMPAX) D� 1 • for the purpose of... J— ................ �w� Sta��.. `1 ..... ..................... ...... . The person accepting this permit must return to the office of the Building P P Inspector a certified pot plan show of building thereon before Foundation will be inspected. /Y) iosC A#6 VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. SLOG. PERM"T FEE 42 kQ It MEMO C LESS FDA FEE .. . ......... ..... DUE FRAME PERMIT$ 4� BUILDING INSITC,FOR NORTH Town of :RAndover O x;1' M 0# 07 i _ aoo� C, o dover, Mass., a COCHICHEwICK 2 ` -/ AERATE f) BOARD OF HEALTH Food/Kitchen - PERMIT T Septic System BUILDING INSPECTOR 'THIS CERTIFIES THAT... !" ...*4 � .N........ 0... ............................. Foundation has permission to erect............./........................ buildin son .�0.. .. .. ... ....Pv�A� 10 ' Rough p al/ t wl/ �w�r/ Chimney tobe occupied as..�....�.r.�....�......�../�...................�....................................�........................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 1O� C 40 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST-RUCTION S T Rough 060* ..................... ........... .... ........ ... ............................................ 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 Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner 8L DGvl.. PER IN", Y Fd,. '� Doom Street No. LESS FDA EEE----- a- Smoke Det. DUE FRAME PERMIT � 10 ;op SEE REVERSE SIDE NORTh [ Zoning Bylaw Review Form Town Of North Andover Building Department *+,'•o,; ;:M�," 27 Charles St. North Andover, MA. 01845 "sgACNUgE` Phone 978-688-9545 Fax 978-688-9542 Street: Duncan Drive Map/Lot: 105C/40 Applicant: William Barrett Dev. Co. Inc&Todd Hopper Request: Building Permit application of 2/4/00 Date: 2/4/2000 Please be advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient Yes 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies ? 3 1 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed Yes G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information Yes C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies Yes 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient l Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information Yes 2 Coverage Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed Yes 4 Insufficient Information Yes 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district Yes 1 2 Parking Complies 3 Insufficient Information Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Al Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non-Conforming Use ZBA Lar a Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit Other Watershed Special Permit X Supply Additional Information The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new building permit applicatigg form and begin the permitting process. oC� a 0y /�mL Department Official Signature Applicati Received Application Denied Denial Sent: If Faxed Phone Number/Date: r OW Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: Item Reasons for Denial Reference Section 7& Rl District requires 87,120 square foot lot size, 175 foot frontage and 30 foot Table 2 front, side and rear setbacks Also missing is proposed plot plan, contractors license and insurance forms Referred To: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT Zoning)3ylawDenial2000 NOIR III AO0d !nu Taal l -jodUAN d eta 11 1 �laa�s �alda , i I I II � II I I I I d II � I I I I I I II ? 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I I I I � ° I I I I �p 10"X 8'WtMAVON WALL W/m01. v MOM fop AW BOffOM I 1 O I I ° 9"CONMtE SLAB O SECTION VOUGN M1A51M MWOOM �� Location r , r No. Date MORTq TOWN OF NORTH ANDOVER Ot �ao ,a'�ti f 9 + + ; , Certificate of Occupancy $ ,.o•i",<•,� //J CNUstt Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ r� TOTAL Check # Building Ir}p ctor F. CERTIFIED FOUNDATION OFFSETS SHOWN ARE FOR THE USEOF THE BUILDING INSPECTOR PLAN OF LAND ONLY AND SUCH USE IS FOR THE DETERMINATION OF ZONING DRAWN FOR CONFORMITY OR NON-CONFORMITY WHEN CONSTRUCTED. A. KATHLEEN & JOSEPH GABON--- - �- I CERTIFY THAT THE OFFSETS SHOWN COMPLY WITH THE LOCATION ZC4It1G BY-LAWS OF NORTH ANDOVER,MA WHEN BUILT. NORTH ANDOVER, MA SCALE: 1"=40' DATE: Feb.24, 2000 SCOTT L.GILES,PLS { 0' 40' 80' 120' DATE SCOTT L. GILES, R.P.L.S. Ot FRANK S. GILES, CAD '\tVl NORTH ANDOVER, MA 01845 (978) 683-2645 Assessors Map 105C;Parcel 40 Jp ' WL 10 Duncan Drive (D.P.W.) 0 ^� Plan#7580 N.E.R.D. ZONING DISTRICT R1 Builder: Min.Area =87,120 s.f. / Barrett Development Co.,Inc. Min.Frontage =175.00 109-123 Main Street Suite C3-3 Front Setback =30.00' North Andover, MA 01845 Side Setback =30.00' / (978)681-7582 Rear Setback =30.00' Owner:Applicant / Kathleen&Joseph Garon 15 Wood berry Lane Andover,MA 01810 (978)681-8582 4 U) S.B. j w / FNe co I Lot A N/F I I DONOVAN I Area=58,200 s.f. Map 1050 Parcel4l I Deed Book 36511117 ' I 1 SB FNO. ` N Q 1 1 n \ \\ 1 \ �, 1 -4 `L\ L CD \ ✓ / '\ N6 �$ / Stitee