HomeMy WebLinkAboutMiscellaneous - 7 PATRIOT STREET 4/30/2018 (2) 7 PATRIOT STREET
J 210/019.0-0013-0000.0
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Office Use Only OI�
fr u�P LIIItIIIIIIITIUPII IS
of fousar� mtts Permit No. p( (Q
EC�tarimtai of f lablic *afeiq Occ:apancy&Fee Checked p��
(leave blank) `
BOARD OF FIRE PREVENTION REOiJLATIONS 527 MR 12:00
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Codeti527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 5, ls---; s
CM or Town of NORTH ANEOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical 'Mork described below.
Location (Street & Number)
Owner or Tenant
Owner's Address ar
Is -n:s permit in conjunction with a Building cermit: Yes N0 (Check Appropriate Box)
toiurccse of Builcing Utility Authorization No.
Undar-nr Nc. of Meters
Cxistirg Ser✓ice 4mGS 'GitS
New Service �4 U Amps -20c� 0 `.tits C'+erreac Uncgrnc � No. of Meters
Nurncer of Feeders and Amcacity-
_ cat...•
: and Nature of Prcpesea ='ec- :`Jcr4 � �
atal
No. of L ignnng Cut!ets No. .r_s No. ansformers KrA
No. of Ligr,nng Fixtures s S^"^n''^g =' _ _ ,-rc. — Generators K`JA
No. of Emergency Lignting
„^ =ems ctac!e Cutlets (f `:c. o'• =:! Ez.:-hers Battery Units
No. urgers
;t Gas ` -:RALARMS No. at zones
Switc.. Cut
:e-,s E=
No. at Cetection anc
Ne. of Ranges No. 'x :r Ccre. vrs i fnivaung Devices
--tai
No. of Disoosals No.v :D.--mos ons C:J I No. of Souneing Devices
No. at Serf Containee
Sc �o,t; t;1 I Detect,oniSouncing Cevwes
No. at Disn�.vasr.ers aceiArea ,ca �
j Municieai ^Cther
'ca Connec:;cn
No. of ^veyers Healing _evices �+V � i i
No. ofc. of ( Low Voitace
Na. of Water heaters K`N Sicns So••ass
Wiring
No. Hycro Massage Tubs
No. at motors o:a:
CT,.En.
:NSL:RANCE C C`,EFAGE: Pursuant :a :re recutremer:s .iassacnt sens =eneral Laws
I have a c .rent L.ac:iity !nsurance Policy nc:uc:r.g reg era::cr.s Coverage or its sucs:anual ecuwaient. YES
nave sucmired valid proof of same to 'ne C'ice. ES v'�'�- t ,,cu nave cnecxea YES. ;lease negate :he type afcoverage --vcnecxine the aecroortate box. ,4 -f,
NSURANC'E SENO - OTHER = tr ease Scec:^1f
(Expiration Date)
Es::mated Value ; .S, ctncal C'�Ncrx 5 / ` L _
'.Vora ;a Start S /S rscec::cn _-._ =__cestec: Rauch�'`'' -:nai
Signed uncer the Penalties of perjury: .�s�-- fly 3 3
RM NAME £ s�a L�t / _!O. NO.
/ i^r N ��_ ur 2- '-!C. NO. 911 3
Licensee �O!/4T/G _S_lI~ r Sicnat
�/ mus. Tef. No.
ACCresS L a r s t� r Alt. :ei. No.
CWNER•S iNSURANCE WAIVER: I am aware that t^e ' cersee aces my nave :he insuranca cz+erage e as substantial equrvatent as re
au rea by Massacnusetts General Laws. arta tna[ my signature an :hs cermit acoiicauan waves :his rewrement. Owner Agent
;Please check one)
eteonone No. PERMIT Fc_= S
f � tSi nawre of Gwner or%•gang x-5°cam
G(/� L
Date...
22 13)3
0 f
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
7
,SSACNUSES
This certifies .......................................
that
has permission to perform .........
wiring in the building of..../.;../...... ......... O...................................
at......
................ ........................ ............................. .North Andover,Mass.
FeAKI.aO... Lic.No. ....... ...............................................................
ELECTRICAL INSPECTOR
17
Q95 13:57 60-00 PAID
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File
,i
(` office use Only
r U�je Lfum IwnweAth IIf _1nra;#1mrtts Permit No. j 3�r�
itpartmtttt of Vublic gafttq Occupancy S Fee Checked "v
BOARD OF FIRE PREVENTION REGULATIONS 527 VJR 12:00 3M (leave blank)
` I
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massacnusetts Electrical Code, 527 CMA 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) pate /Z
Q )Q or Town of_ NORTH ANn0VER To the Inspector of Wires:
The udersigned applies for a permit to perform
the electrical work described below.
it
Location (Street & Number) l / � � ;� S "--
Owner or Tenant (1- 1'7c �/ a
Owner's Address �--_
Is this permit in conjunction with a building permit: Yes N
(Check Appropriate Box)
Purocse of Building Utility Automation No.
Existing Service l�' " Amos/2y l__2_Lzlcits Overhead E---_ .Unagrnc r No. of Meters
New Service Amps —_J `/arts Cverneac _ Uncgrna f_ No. at Meters
Numoer of Feeders and Amcacity
Lccattcn aria Nature of Prccosec Electrcal .11crx
No. at _:gnnng Outlets i No. c: tct '._s i Na. of :ranstormers Total
KVA
Na. of L;gnttng r.xtures !n-
Swimming ?:of Above.—grnd. _ grnc. _ Ganerators KVA
I No. at Emergency Lighting
No. of Recectac:e Outlets 2 y No. at Cit Eumers j Sarery, Units
No. at Switcn Outlets 2_ No. = Gas Eurners I FIRE ALARMS No. of Zones
Total No. is ngtecadn aria
No. at Ranges No. ct Air _crc. tons initialing Oaion a
No. of Oisoosais I No.ct Heat Total Total
Purr.cs Tons KW No. at Sounding Oevfces
No. of Satt Contained
No. of Oisnwasners - � ScacerArea Heating Oetec::onrSaunnfng Oev,cea II
No. at pryers Heating Cev:ces KW _ccai -' Munfcioai ^-Other I
_ C.3nnect:on
No. ct No. of Low Voltage
No. at .Yater Heaters K`N I Signs Sailas:s Wiring
No. Flvcro Massage Tubs I No. of %Iotcrs Total HP
OTHER:
INSURANCE CCvERAGE: Pursuant :o one reaufrements ct Massac::usecs ;eneraf Laws
I have a current Liaotiity Insurance Policy Inducing Cz-m^:ete ceratfcns ::average or :is substantial ecuivatent. YES L_;_'ICr- = I
nave suomtttea valid Groot at same to one CHice. YES 4=- NO = It ycu nave cnecxea YES. atease Indicate :tie type at coverage cy
checxing the abproanate bax.
INSURANCE C---3CN0 = OTHER = (Pease Scec:y)
(Exotratton Oatef
Estimated Value at E!ec:ncal Wont S
WorK :o Start A- z -9 7' Inscec:ion Data Racues.ac: Rough W e FXV Final
Signea under the P nafties of perjury: _
FiRht NAME 7 �"' G LIC NO. 33
Licensee Z- Gl Sigratwe gf UC. NO.
r. / 3us. '761. No.
ACdresa S.�'- ^- 'L !J` t.c-• Alt. 791. ."Ia.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee aoes not nave the insurance coverage or its substantial eaufvalent as re-
aufrea by Massacnusetts Ganeral Laws, aria that my signature on 7.^.ts _ermit aopttcation waives this rebutrement. Owner Agent
(Pease cnecx ones ✓,9Lf
7efecnone Na. PEAMIT FEE S 9 /
ISgnature of Owner or Agents
r-i.b5
N2- 16 , 6 Date..../ .
t pCRTM 9
o: off TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
SACHUS��
This certifies that .... .........�..ywa... ..1.........
.�. �. .f(..�. ........... .
has permission to perform ........AAA.Lf J..
wiring in the building of r .....j.�.� C .�F�f f�. ...................................
at.........?.....P. �i.. .... JA.\�..................... .North Andover,Mass.
Fee...W.:J�... Lic.No.............. ...............................................................
ELECTRICAL INSPECTOR pi
C �� 1 v7�
O
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer y
CU
s
PERMIT No. ® APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE
MAP 4,40. LOT fJO. 2 RECORD OF OWNERSHIP (DATE BOOK :PAGE
ZONE SJB DIV. LOT NO.
LOCATIONPURPOSE OF BUILDING
v -
•, . . _ OWNER'S NAME NO. Of STORIES
••I - OWNER'S ADDRE 6 BASEMENT OR BLAB N. II
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME SPAN
DISTANCE TO NEARE T A-JILDIN DIMENSIONS OF BILLS
DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES - SIDES REAR GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDIMG NEW SIZE OF FOOTING X
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON 6OLIJ3 OR FILLED LAND '
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 16 BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER
16 BUILDING CONNECTED TO NATURAL GAG LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES I
[t'T.j BLDG. COST
.. .. ..
PAGE 1 FILL OUT SECTIONS 1 - 3 (I 1 �EST.� BLDG. COST PER SQ.
i
a 0
`} �`jj 'Ef7. BLDG. COST PER ROOM
' PAGE 2 FILL OUT SECTIONS i - 12 � �, -I ? �'r.��.�"- i
![DTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING -
I� G6feti r-�:.r a ROVED BY
S ATTACHED GARAGES MUUT CONFORM TO STATE FIRE REGULATIONS Y, -
PLANS MUST B[FILED AND APPROVED BY BUILDING INSPECTOR /� {7,
DATE FILEDol
IND INSPLctol
SIGNATUICE OF OWNER H RIZE -AGEWT-
-S _
FEE �� OWNER TEL 1 1:519
PERMIT GR Eo CONTR.TEL Iiv
19 CONTR.LIC.I
HICI
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY j — S THIS SEC ION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI, ENTS _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
,. APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION B INTERIOR FINISH
CONCRETE a- I 2 13
CONCRETE BI K. PINE
BRICK OR STONE HAROW O
PIERS PLASTER
DRY Y/All
UNFIN.
3 BASEMENT '
AREA•'FUII FIN. B'M'T- AREA _
%1\ lh FIN. ATTIC:AREA _
NO B M FIRE PLACES _
HEAD ROOM _ MODERN KITCHEN _
4 WALLS ' 9 FLOORS S
CLAPBOARDS e t tt 111 3
DROP SIDING CONCRETE
WOOD SHINGLES EARTH
ASPHALT SIDING /TAR-01"D
ASBESTOS SIDING COMMC:N _
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME
ATTIC STR$. d FLOOR _
BRICK ON FRAME
CONC. OR CINDER BEK.
STONE ON MASONRY WIRING '
_ STONE ON FRAME
SUPERIOR
ADEOU E I� NONE
5 ROOF 10 PLUMBING
GABLE HIP BATH 13 FIX.) _
GAMBVEL MANSARD TOILET RM. 12 FIX.1
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING
TAR 6 GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES
TILE ROCR
TILE DADO
6 FRAMING 11 HEATING
WOOD JOIST PIPELESS FURNArE
FORCED HOT AIR FURN.
TIMBER BMS. 6 COLS. STEAM _
STEEL BMS. 6 COLS. HOT W'T•R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
_ UNIT HEATERS
.. . ....;
7 NO. OF ROOMS LAS
-
B'M T 13 ELECTRIC
d I NO HEATING
t �
F
-----------_ The Commonwealth of Massachusetts
T ( ' Department of Industrial Accidents
_- � — 0If/ceof/noesUgatJoas
\ 600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
r
name*
I c t ion:
E3 I am a homeowner performing all wor yself.
I am a sole proprietorand have no one working in any capacity
E] I am an employer providing workers' compensation for my employees working on this job.
comnary isrz..
address.
City::: phone:#,ix
insurance co:: 'pgy#
I am a-sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below-who have
the following workers'compensation polices:
__. _ __. . __....... .... _ . ......... .....
_... _..__ _ . . ..... .. . . `..... _ . _ ........._ _ _ ...... ..... ._... .. ..........
ci _
inso
co;npAnY'natne
X.
AddYeS9..
phone:4
In9t178nt�.CO: <�aE1GY.#
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby certify under the pains and pe alit s 0fgthat the information provided above is true and correct.
Signature Date
Print name Phone# Sf-a
official use only do not write in this area to be completed by city or town official
city or town: permit/license# MBuilding Department
oLicensing Board
check if immediate response is required oSelectmen's Office
[]Health Department
contact person: phone#; 00ther
(revised 3/95 PJA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", 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 trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not.because of such employment be deemed to be an employer.
MGL chapter 152 section 25 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, 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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names, address and phone numbers as all affidavits 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 be returned to the city or town that the application for the permit or license is being requested,
not the Department of 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.
City or Towns
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. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
SIT
The Department's ad-dnass,telePhcm, aqui is nL,,,r. r:
The
D �rn`w 1" Gi`4. :d1..€'r:1':wR ACCS__.. 'p�''�l
�ff�aa>�til�llues;<ia��t4orf��
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from j
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*****************************APPLICANT F LLS OUT THIS SECTION***********************
14APPLICANT ��6 AC
PHONE
/LOCATION: Assessor's Map umber PARCEL
V SUBDIVISION LOT (S)
V STREET_/ _4&0 Zs,,�,� ST. NUMBER
**"""OFFICIAL USE ONLY*
RECOMMENDATIONS OF TOWN AGENTS:
i
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
COMMENTS
f
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
i
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
i
PUBLIC WORKS -SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
/FIRE DEPARTMENT .
j
��(;u'Y°I VI�?Iy�,r� L�� ��`�;��;�` j/�Z�r / C' ��< I✓' �-��
�- YI1/7f
RECEIVED BY BUILDING INSPECTOR DATE
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MARTHEBT OF PUBLIC SAFETY
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CO]1SPRT�flN SUPERVISOR LICENSE �•�
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OVER, MA 0:1945 � � ,, �� �� 1 �•;
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FeraistrY °f Deeds
Essex County �
VWthern District °
MA 01840
10/09/91
aN
aCExaNDER t1CGREGOR
T.{pe FLaN
1rj.00
0 c 00
last z6" T��Pe DEC94 1}.
0 3:, Rec.
Inst ".5" Postage
^0
i •jam
Total 2
20.3�
� �4 PaVmert Check
Thomas J. Burke
TNaNK. f0��
eds
Resister °f De
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R E C EC
�.�`°•,,,,•��'�15 JOYCE BRADSHAW
Any appeal shall be filed SS,CHUSE TOWN CLERK
Within (20) days after the NORTH ANDOVER
date of tiling of this Notice TOWN OF NORTH ANDOVER
the Office of. the. Town
MASSACHUSETTS SEP I� 59 PM '97
Clerk.
BOARD OF APPEALS
NOTICE OF DECISION
Property: 7 Patriot St.
Date: 9117197
NAME: Alexander J. Mc re or petition: 029-97
ADDRESS: 7 Patriot St.. Hearin 919197
North Andover, MA 01845
The Board:of Appeals held a regular meeting on Tuesday evening, September 9,paragraph o
Section 7.1
the application of Alexander J. McGregor, requesting
lot, of Table 2, and for aSpec al Permit
and 7.3 for relief of a front and rear setback, a
under Section 9, paragraphs 9.1 and 9.2 to enlarge c prop orming frontage Withstructure.
onithe East
premises are land and building and premises affected are p P
side, which is in R-4 Zoning District.
The following members were present:: William Sullivan, Walter Soule, Robert Ford, John
Pallone, Scott Karpinski, Ellen McIntyre.
,
and seconded by Scott Karpinski, the Board of
Upon a motion made by Ellen McIntyre .1 and on a
Appeals unanimously voted to GRANT relief of req 3 700 sq ent Section
Cf front setback of 14 feet relief
PP
-` .2nd floor, to grant a Variance of a lot dimension o ,
and rear setback of 10 feet. Voting in favor: William Sullivan, Walter Soule, Robert Ford,
! i
Scott Karpinski, Ellen McIntyre.
The petitioner has satisfied the provisions of Section 10,Ipaffect aragrat !
0 .4 of the Zoning Bylaw
Th heneighborhood or derogate
I! �
and that the granting of these variances will iatnadverse y
from the intent and purpose of the Zoning By
licant has satisfied the provisions of Section 9, paragraph 9•more
The Board fords
that the app be substanti y
1 the Zoning Bylaw and that such change, extension or alteration shall no
i detrimental than the existing non-conforming
structure to the neighborhood.
Variance and/or Special Permit as requested by the applicant
Note: The granting of the granting of a Building Permit as the applicant must
does not necessarily ensure the 9 g prior to
abide by all applicable local, state and federal building codes and regulations, p
the issuance of a building permit as requested by the Building Commission.
j BOARD OF APPEALS,
i
William J. Su livan, Chairman
/testded5
i
I
I
I
A", �
{` 3 . Ownership :
a). Name and address of owner (if joint ownership,
names) give all
YA
Alexander J. McGregor
Date of Purchase 4/20/95 previous Owner Antonetta Casale
b) 1 . If applicant is not owner, check his/her interest
` in the premises :
Prospective Purchaser Lessee Other
2 . Letter of authorization for Variance/Special Permit
required.
4 . Size of proposed building: 33 front ; 23
feet deep;
Height 2 stories ; 32 feet .
a) Approximate date of erection : October, 1997 _
b) Occupancy or use of each floor : Residential-Single family
c) Type of construction: Wood Frame
5'. Has there been a previous appeal, under zoning, on these
premises? No If so, when?
6 . Description of relief sought on this petition See attached
7 . Deed recorded in the Registry of Deeds in Book 4246 page 35
Land Court Certificate No. Book Page
The principal points upon which I base my application are as
follows : (must be stated in detail)
See attached
I agree to pay the filing fee, advertising in newspaper, and
incidental expenses*
Si ature f oner (s)
6 of 8
ccev. v� . U3 . 76
e
PLAN OF LAND
IN SEE ASSESSORS MAP19 PARCEL 13
THE ZONING DIST. IS R4
NORTH ANDOVER, MASS. SEE DEED BOOK#4246, PAGE#36
OWNED BY RECORDED AT THE N.E.R.D.
ALEXANDER J. MCGREGOR THE PROPERTY LINES SHOWN ARE THE
SCALE: 1°=30' DATE-8118197 THE
DIVIDING EXISTING OWNERSHIPS,AND
THE LINES OF STREETS AND WAYS SHOWN
Q' 30' 60' 90' ARE THOSE OF PUBLIC OR PRIVATE STREETS
OR WAYS ALREADY ESTABLISHED,AND NO
NEW LINES FOR DIVISION OF EXISTING
OWNERSHIP OR NEW WAYS ARE SHOWN.
SCOTT L. GILES, R.P.L.S.
FRANK S. GILES
NORTH ANDOVER, MA. t0 or
NIF ZACCARl
H
79.72 s GlSTEa72
Lot Area L LAYAD
8200+/'S'
. 41'
N
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CSD
Ft C _
v C
Francis ti o N c)
Street ,6 �� � m
.o
oe-
toe-
NORTH ANDOVER ora
BOARD OF APPEALS Q-
E �
DATE OF FILING:
17
DATE OF HEARING-
DATE
�q Q
DATE OF APPROVAL:
THIS IS TO CERTIFY THAT I HAVE CONFORMED
WITH THE RULES AND REGULATIONS OF THE
REGISTERS OF DEEDS IN PREPARING THIS PLAN
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NORTH TOWN OF NORTH ANDOVER
G� a 00? O
p Certificate of Occupancy $
° R. Building/Frame Permit Fee $
��s Eery Foundation Permit Fee $
sACHUs
Other Permit Fe $
Sewer Connectio Fee $ aA
Water Connection Fee $
TOTAL $
OAKR� Building Inspector
%EUcl s Div. Public Works
PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE i
j4AP 4-40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK :PAGE
ZONE I SUB DIV. LOT NO.
' OCATION PURPOSE OF BUILDING
OWNER'S NAME NO. OF STORIES SIZE
OWNER'S ADDR SS BASEMENT OR SLAB -- `
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD I
BUILDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET "' POSTS
DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW SIZE OF FOOTING X
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS A 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES �,�/��� EST. BLDG. COST
i PAGE 1 FILL OUT SECTIONS 1 - 3
/L/ 1�6 j!iG(�/aA,2- EST. BLDG. COST PER SQ. FT.
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
___,,- If 4 w
BUILDING INSPECTOR
1 NATO E OF OWNER OR AUT RIZED AGENT
E E ��^.010 OWNER TEL.#
PERMIT GRANTED CONTR.TEL.#
5 119 qS�
CONTR.LIC.#
H.I.C.#
A�
l,�t 1 O w
BUILDING RECORD
1 OCCUPANCY 12 F
SINGLE FAMILYS-ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM r
MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE 3 1 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDW D —_
PIERS PLASTER
_ DRY—WALL _
UNFIN.
3 BASEMENT 11
AREA FULL FIN. B'M'TAREA _
114 /i V. FIN. ATTIC AREA _
NO B M FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDW D _
ASBESTOS SIDING _ COMMON
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC.STRS. 8 FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR I� POOR
ADEQUATE NONE
5 ROOF 10 PLUMBING
GABLE I HIP BATH (3 FIX.) _
GAMBRELMANSARD TOILET RM. 12 FIX.) _
FLAT 11 SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR 8 GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. 6 COLS. STEAM
STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
L
OI
B'M'T 2nd _ ELECTRIC
1st 13rd NO HEATING
ItAORTFI
Town o over
0
No. 193
r dower, Mass., la*lk( k(o
0 LAKE
COCHICHE
0RATED
BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
THIS CERTIFIES THAT...k.. ...... BUILDING INSPECTOR
..t...... ...............................................................................................................
37r Foundation
has permission to emM Ate................. buildings on '-?A
..................... ................................................. Rough
Chimney
to be occupied as.Rf
,%0'qA-1L.....1::A �- .. ....!.....
0 1 . 0
P rovided that the person accepting this permit shall in eve y 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. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS COICSTRU S S
Rough
.......................... ....................... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
PLANNING -FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT