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Miscellaneous - 707 WAVERLY ROAD 4/30/2018
213 Date .,� ...`Z ,ORTk TOWN OF NORTH ANDOVER pf o ,e1h0 p� PERMIT FOR MECHANICAL INSTALLATION This certifies that .. .0`. .� Lvd.(-�..t.. /.. . . has permission for mechanical installation .............. . in the buildings of ..%'1/t( .L?%�.!'� at ... North Andover, ass. Fee.. tic. No..714� ...............: Y GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealth of Massachusetts Sheet Metal Permit Date: Permit # Estimated Job Cost: $_ Permit Fee: $ [5.�4•.�� Plans Submitted: YES NO ,>( Plans Reviewed: YES NOX Business License # 5a Applicant License # q � ? Business Information: Property Owner / Job Location Information: Name: Ceakal ooh i na � � Tic Name: bcx./ VJ CS-�f IZ- Street: q Nd rte► OnOLSire-4- Street: -76-7 —� CL City/Town: WALjrn, City/Town: - AnJz fir, M./\ O Telephone:i'?�-1-3 5'--I c.! cl 9 V Telephone: Photo I.D. required / Copy of Photo I.D. attached: YES _ NO sarr rntnat unrestricted license H -2 -restricted to dwellings 3 -stories or less and commercial up to 10,000 sq. I/ 2 -stories or less Residential: 1-2 family _YL_ Multi -family Condo / Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. K. over 10,000 sq. ft. Number of Stories: 2 - Sheet metal work to be completed: New Work: _2S, Renovation: HVAC .� Metal Watershed Roofing Kitchen Exhaust System Metal Chimney / Vents Air Balancing Provide detailed description of work to be done: COVERAGE: I have a current H&WIily insurance policy or Its equivalent which meets the requirements of M.G.L. Ch. 112 Yes 0 No ❑ H you have dratted Yes. indicate the type of coverage by checking the appropriate box below: A liability insurance policy ® Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's agent By checking this box®, I hereby certify that all of the details and information 1 have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application wll In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General taws. Duct inspection required prior to insulation Installation: YES NO Prot><ress Inspections U Date Comments Final Inspection Date Comments Type of License: By ® Master TWO ❑ Master -Restricted Ckyrrown ❑Joumsyperson Permit # Signature of Licensee Fee $ ❑Joumeyperson-Restricted Ucense Number. �i �% Check at wwwAwss.aov/dal Inspector Signature of Permit Approval Central Cooling & Heating Inc. 9 NORTH MAPLE STREET WOBURN, MA 01801 May 21, 2013 Webster Residence 707 Waverly Rd North Andover, MA 978-239-3449 dwebster00na,gmail.com Page 1 of 4 PEABODY AREA (978) 531-4422 WOBURN AREA (781) 939-8288 NEWTON AREA O y�Y (617) 928-3368 YOUR COMFO'1% Project Manager: Jason Shea Carrier Infinity Cooling Proposal (2 Zones) System Design: Proposed systems are designed to serve cooling needs for 1St and 2nd floors using 2 -stage condenser with variable speed fan coil. All staging shall be automatic so as to operate in the most efficient manner possible. System shall consist of (2) zones. Equipment: 1 St and 2nd Floor (2 zones) 1 Carrier 24ANB724AO03 Carrier FE4ANF002 Carrier SYSTXCCITNOI Carrier SYSTXCCSMS01 Carrier SYSTXCC4ZC01 Your Comfort is Our Priority... (781) 932-9017 fax 2 Ton 17 SEER Infinity Series 2 -Stage Condenser with Puron 41 Oa refrigerant Infinity Series Variable Speed Air Handler (Fan Coil) Infinity Series Thermostat (Non-WiFi) Infinity Smart Sensor Thermostat Infinity Zone Control Panel 38 years Serving the Boston Area www.centralcoolinjz.com a rier 2 of 4 Work Included: • Installation of listed equipment. • Fan coil shall be installed within 2nd floor knee wall. • Condenser shall be installed right side of home. • Installation of (2) zone dampers. • All installed ductwork shall be fabricated of galvanized steel and insulated to meet energy code. The supply branches shall also be galvanized steel. Each branch includes a manual balancing damper. • All ductwork serving 1st floor shall be installed within 2nd floor closets. • Installation of supplies to each room (except bathrooms). • Installation of (3) returns (2nd floor bedrooms/hall). • Standard Hart & Cooley (white) supply and return registers to be installed. • All equipment and ductwork locations shall be approved by home owner prior to installation. • Installation of refrigerant piping. • All exterior refrigerant piping shall be concealed in slim duct enclosure (ivory). • Installation of condensate drains. • Condensate for system shall drain to existing gutters. • Installation of (1) poured concrete condenser pad. • Installation of power and control wiring for listed equipment. • Sheet metal permits. • Start up and check of system. • Central Cooling and Heating, Inc. guarantees all parts & labor for (2) years including (1) free maintenance tune up after the first full year. • Carrier issues a (10) year parts/compressor warranty. Work not Included: painting/plastering carpentry, fire caulking, coring/ cutting of masonry, upgrade of electrical service, water piping, removal of hazardous material. Note: Access panels will be required (by others) to properly install system. We propose hereby to furnish material and labor - complete in accordance with the above specifications, for the sum of $16,980.00 dollars. 1/3 deposit upon acceptance, balance due to the service technician at the start up of the system. Past due balances will be charged 1 1/2% interest charged per month which is an annual percentage rate of 18% on past due amounts. 16,980.00 - Rebates: National Grid/Nstar $500.00 National Grid/Nstar (QIP $150.00 National Grid/Nstar (QIP $325.00 Carrier 900.00 Energy Tax Credit $300.00 ------ ------- --------- ---------- ---------------------------------------$14,805.00 Total Your Comfort is Our Priority... 38 years Serving the Boston Area 4M. (781) 932-9017 fax www.centralcooling.com 3 oT 4 Eligible for a $500.00 rebate for National Grid/ Nstar customers only if purchased and installed between 1/1/2013 and 12/31/2013. Rebate applications must be received by the electric company by 1/31/14. It is the customer's responsibility to pursue available rebates. Central Cooling & Heating will provide the customer with the appropriate rebate forms, after job has been completed and paid in full. Eligible for a $150.00 (QIV) rebate for National grid/Nstar customers only. This is an additional and separate rebate from electric company for performing a post QIV startup of the system including an air flow test. In order to obtain rebate, the new system must be tested when outside temperature is above 60 degrees. Test may be performed at a later date, after system has been installed, weather permitting. Electric company will issue customer a separate check for this rebate, after QIV has been performed. Eligible for a $325.00 (QIV) instant rebate. Central Cooling is reimbursed directly from the electric company for performing a QIV startup of system including a duct test. In order obtain rebate, the new system must be tested when outside temperature is above 60 degrees. Test may be performed at a later date, after system has been installed, weather permitting. This is an "instant rebate and will be deducted from final payment to Central Cooling & Heating Inc. ble for a $900.00 instant rebate from Carrier Corporation (must be purchased by 3/1/2013, installed and in full by 7/15/2013.) We are being reimbursed directly from Carrier for providing you this rebate. This is offered to you as an "instant rebate" that will be deducted from your balance due. The above listed equipment is eligible for 2013 Federal Tax Credit (10% of job cost, up to a maximum of $300.00) Equipment cannot be installed in a rental property; it must be located at your primary residence. This may not be eligible if the home owner has received other energy improvement tax credits in the past. Home owner should consult with their tax professional to verify eligibility. Authorized Signature: terms, warranty information and home owner's responsibility are listed below. Note: This proposal may be withdrawn by us if not accepted within 30 days. Your Comfort is Our Priority... (781) 932-9017 fax 38 years Serving the Boston Area www.centralcooling.com L ;:7� e Cernral (e> his► Project Summa Job: rL I"�e8t1 Inc. � � Date: May 23, 2013 Entire House By: Central Cooling and Heating, Inc. 9 North Maple St., Woburn, MA 01801 Phone: (781) 933-8288 Fax: (781) 932-9017 Email: sales@centralcooling.com Web: www.centralcooling.com License: MA Master Sheetm... For: David Webster 707 Waverly Rd, North Andover, Ma Notes: Design Information Weather: Winter Design Conditions Outside db 1 OF Inside db 70 OF Design TD 69 OF Heating Summary 1.00 0.47 Structure 37664 Btuh Ducts 5158 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Piping 0 Btuh Equipment load 42822 Btuh Infiltration Lowell, MA, US Method Simplified Construction quality Semi -loose Fireplaces 1 (Average) Heating Equipment Summary Make Trade Model AHRI ref no. Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 0 HSPF 0 Btu h @ 47° F 0 OF 945 cfm 0.022 cfm/Btuh 0 in H2O Summer Design Conditions Heating Cooling Area (W) 1440 1440 Volume (M) 12240 12240 Air changes/hour 1.00 0.47 Equiv. AVF (cfm) 204 96 Heating Equipment Summary Make Trade Model AHRI ref no. Efficiency Heating input Heating output Temperature rise Actual air flow Air flow factor Static pressure Space thermostat 0 HSPF 0 Btu h @ 47° F 0 OF 945 cfm 0.022 cfm/Btuh 0 in H2O Summer Design Conditions Outside db 88 OF Inside db 75 OF Design TD 13 OF Daily range M Relative humidity 50 % Moisture difference 28 gr/Ib Sensible Cooling Equipment Load Sizing Structure 17248 Btuh Ducts 4701 Btuh Central vent (0 cfm) 0 Btuh Blower 0 Btuh Use manufacturer's data n Rate/swing multiplier 0.93 Equipment sensible load 20413 Btuh Latent Cooling Equipment Load Sizing Structure 2806 Btuh Ducts 498 Btuh Central vent (0 cfm) 0 Btuh Equipment latent load 3304 Btuh Equipment total load 23716 Btuh Req. total capacity at 0.85 SHR 2.0 ton Cooling Equipment Summary Make Trade Cond Coil AHRI ref no. Efficiency 0 SEER Sensible cooling 0 Btuh Latent cooling 0 Btuh Total cooling 0 Btuh Actual air flow 945 cfm Air flow factor 0.043 cfm/Btuh Static pressure 0 in H2O Load sensible heat ratio 0.87 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wri htsoft' Right -Su 2013 -May -24 09:53:36 S\Webster Residence 707 Waverly Rd North Andover Load Calc.rup Calc = M.18 Front Door faces: Pagel (:e►mal (1)q ,lilt=,: AED Assessment Job: & Heatir ln1 . Date: May 23, 2013 Entire House By: Central Cooling and Heating, Inc. 9 North Maple St., Woburn, MA 01801 Phone: (781) 933-8288 Fax: (781) 932-9017 Email: sales@centralcooling.com Web: www.centmlcDoling.com License: MA Master Sheetm... Project• • For: Location: Lowell, MA, US Elevation: 110 ft Latitude: 430N Outdoor: Dry bulb (°F) Dailyrange (°F) Wet bulb (°F) Wind speed (mph) David Webster 707 Waverly Rd, North Andover, Ma Heating 1 15.0 Cooling 88 21 (M 72 7.5 Indoor: Heating Indoor temperature (°F) 70 Design TD (°F) 69 Relative humidity (%) 50 Moisture difference (gr/lb) 50.3 Infiltration: Fbrdnv / Hxny to Aaage P®9rttt Maximum hourly glazing load exceeds average by 15.1%. House has adequate exposure diversity (AED), based on AED limit of 30%. AED excursion: 0 Btuh Cooling 75 13 50 27.8 wrl htsOf+t' 2013 -May -24 09:53:36 g Right-SuRe®Unlversal 2012 12.0.03 RSU15857 Page 1 ...S\Webster Residence 707 Waverly Rd North Andover Load Calc.rup Calc = MJ8 Front Door faces: The Commonwealth of Mussaduisd Depmfteat of Industrial Accents Office of Inveidgadons Map Lot # 600 Washington Strad Address: Boston, MA 02111 Permit # UT www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/orgmizaaon&dividuat): Address: lila*-� i, .ro►c.d /Q Sh-er_�f� - - City/State/Zip: WA tart e l ro l Phone #: 7 rl- 933 -T"35' Are you an employer? Check the appropriate box: 1. I am a employer with . 7 O 4. ❑ I am a general contractor and I employees (full attd/or part-time)."` Dave hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.* required.] .5. ❑ We are a corporation'and its 3. ❑ I am a homeowner doing all work officers have exercised their myself [No workers' comp. right of exemption per MGL insurance required.] t c. 152,1(4), and we have no employees. [No workers' Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ phunbing repairs or additions 12.❑ Roof repairs 13.® Otherrf p� ��r CJ s 0 U F7 `may applicant that checks box #1 must Ww tui out dw section below showing rheic worlaxs' m Weantian policy && mmtion. t Homeowners who submit this affidavit indicating they an doing all wwk and dw hire outside, contmcbm *taut submit a new affidavit indicating such *Contractors that check this box must dtac]rod ao additional sheet showing the name of the sub-conaactm and state whether or not those entities have employees. If the sub-conttactera have cuiployees, dmy must provide their aotlaeas' comp. policy number: I am,aie eiitployer drat isprvWdb1g wrken'tompmsagon insurance for my employees: Below b depollcy and jab siite information. Insurance .Company Name: (s1&10-3_ Tr►sa^roti vie g_ . �p f� - /� a_ r Ac- Policy e.Policy # or Self -ins. Lic. #: T°,r d p n J 9 f_3 Expiration Date: 141Q �� Job Site Address•'l OTl VJa4'--r` P—A city/sumaip. N8aagm 01 h, 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 hiprisammest, as well as civil penalties in the form of a STOP WORK ORDER and a fie 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 I do lki_ �"' %►card s paid and penalty of perjury dial the infomaden provided above is true and eomift f- 73.f-YJL" use only. Do not write N thk area, or town ofJ`idaL City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #• ! " 0 . , GOMMk)HWEA�.0114.1: *;A� J`jAk.'; 4IS" 1'"' SHEET METAL VVUKKtR5 AS A BUSINESS V A 10VI W: DOUGLAS A HAMILTON CENTRAL COOLING AND HEATING 9 N MAPLE ST WOBURN MA 01801-0' 0-V7 52 08130/14 22294'91 lboti ljohch Ah wi All 1'olhlatiofl}; COMMONWEALTH OF MASSACHUSETTS AS, A MASTER-UNRESTRICt D ISSUES 141E AF30VI: LICENSE TO: ,.oOUGLAs.A HAMILTON ,.(�ENTRAL COOLING & HEAT NOPTH'MAPLE STREET ffuRW MA 01801,= pp 469 12/28/13 79335'`-a LICENSE NO. EXPIRATION DATE SERIAL NO. n -N 14 12-16-19%�,,,,�, Mw NOT sa HAMILTON 4 A DOUGLAS 70 LOM S -T, N ANDOVER, MA 01845-M 124sl* A i --i. r'7 te �r4 J, '4� •Lj J!ilk SJ w:--' 9 ti This certifies that ......1r -� Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBIN �0j-� 4� 4: A -l. .... 194........... has permission to perform ......9 elr.e....................... plumbing in the buildings of ....... 6 s t at ...� �. ?...� �. �` .t Y...! .... .... , North Andover, Mass. Fee. ,..... Lic. No -9.4"e4(.. .c; ... PLUMBING INS ECTOR Check # 8607 • MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS //��,,� � Date �/�lA Building Location ��d ! > �f/C�! Owners Name , f,�;s_ p_v ___b� Permit # n Amount Tvue of Occunancv New Renovation Replacement 0 Plans Submitted Yes No FIXTURES 6o? (Print or type) _ � , /� Check one: Certificate Installing CoRany Name/ , Corp. Address Gy Partner. PI -1119 n 0 % 76 BusinqV Tel hone �7��/ ! E] Firm/Co. Name of Licensed Plumber: 4� Insurance Coverage: Indicate th type o insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond Q 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 0 Agent I hereby certify that all of the details and information ave submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work d ' s ormed under Permit Issued for this application will be in compliance with all pertinent provisions of the M State umbing Code and Chapter 142 of the General Laws. By: i eDUERO FlumDer Title Type Plumbing License �, City/Town Licenseer Master Journeyman rj PROVED (OFFICE USE ONLY IBJ NE ..t Date ... C�..�..Z.'j..' n��. 1foo' TH TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that ........ �.�. ..... `�........... has permission to perform ....... l ...... wiring in the buil^d�ing of ..........r% �,� . /,'��................................... .. ...... 'L , North Andover, Mass. Fee.14...-...... .. .... Lic. No.. �....... ...... .......... ........ .. _y ELECTRICALINSPECTOIC Check # d Gi5L1 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 7 I Occupancy and Fee Checked ,[Rev. (leave blank, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perionmd ;n accordance .vi:li the Massach:.. tts Eiec:rical Cod ° MEC). _-. CNIR . _.00 IPLEASEPRI_VTLV LVKOR T�YPE.-ILL LVFORVf4TIO:�) Date: Citv or Town of: ✓y p, - i4 A n byPr To the Inspectoi- otWires: By this application the undersigned giVes noticepf his or her intention to perform the electrical work descr bed beiov . Location (Street & Number) o �] IW/,(r {l lC N - ` �;� Owner or Tenant y ' o l e " Telephone No. V" Owner's Address Is this permit in conjuncYllm with a building permit'? Yes No ❑ (Check Appropriate Bos) -� Purpose of Building / [ y /A, P_ Utility Authorization No. Existing Service 100 Amps I ! D 1,21p Volts Overhead � Undyrd ❑ No. of Meters / New Service — 2_1L. Amps 1 t o / ,2 J O Volts Overhead F71.0- L'nd,rd ❑ No. of Meters f Number of Feeders and Ampacity Location and NatureofProposed Electrical Work: taeA A 44 A Con ini✓rinn fit', ho rnilmvi" a y:;,;:, --A. , " t.. ,, •.,.• ...'.r. „,. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) FansNo. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above In- Swimming Pool ' � '� Swimming arnd. ❑ grnd. o. o mergenceLighting Emergency I Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARNI No: of Zones No. of Switches A4No. of Gas Burners No. of Detection and Initiating Initiating Devices No. of Ranges No. of air Cond. Total Tons of aIertina Devices No. of Waste Disposers Heat Pump _Number ............__ Totals: I Tons .................................... K�V No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating appliances KW Security Svstems:Y Vo, of bevices or Equivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Dvices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wirin,: No. of Devices or Equi OTHER. [trach additional detail if desired. or as required by rhe Rupe :jr ql Estimated Value of Electrical Work: (When required by municipal policv.) Work to Start: 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 ,voek 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 F] OTHER ❑ (Specify:) I certify, under tiW'Aw ais and- enalties of perjury, that the information on this application is true and complete. FIRM NAivIE: . .^ o c 1 D % e, r Ie t 1" r LIC. NO.: t�¢� Si -nature � ,,,� o�Zof:! ,, LIC. r0.: (If applicable, enter "exempt in the license nit. erg line.) n 1 y Bus. Tel. NO.: — G ��- o� O�i(y Address:pZ n /� !i K � r s Alt. Tel. No. *Security System Contractor License required for this work; if applica , enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) Elowner Elowner's agent. Owner/;gent SignatureTelephone No. PERrYIIT FEE: S , aS 014 14" Fo' G, colla mg, reg f -t 7- 0fL 3 t cD 10- 9 L( - OG r t_ r Location 41*+{�`'�'� No. Date NORTH TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ �7s'••° tt�' Building/Frame Permit Fee $ SgCHUs Foundation Permit Fee $ Other Permit Fee $ ¢ TOTAL $ c Check # 2-,-, 18�"�0 Building Ins6ctor TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING qb, - °z" !.l k. 9' ' .,aR%ttC'��^SR' "F `i'rc".....Y'kv' :..SY .P.: .:'+i. . �$ .— BUILDING PERMIT NUMBER: DATE ISSUED: _ SIGNATURE: Building Commissioner/I for 4—Buildings 4—BuildingsDate SECTION 1- SITE INFORMATION 1.1 % Property Address: -7V r wCG%) l/, I j r` . 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 11, 0/-� AltoJ e p A dol 1.•3Zoning Information: Zoning Distr Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BIJUDING SETBACKS ft Front Yard Side Yard Rear Yard RNWred Provide Required Provided R 'red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public A Private ❑ Zone Outside Flood Zone )4 1.8 Sewerage Disposal System: Municipal &— On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT historicDistrict: Yes NO fi 2.1 Owner of Record nav11 A e. We ie�l t., ed. M4 Name (Pant) Address for Service: SignatuTelephone 2.2 Owner of Record: Name Print Address for Service: 0 2— Signature Si nature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licen, *ed Construction Supervisor: AdAss Signature Telephone Not Applicable, License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone V M X z O 0 Z M SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 DesciA tion of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition J. Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Co.6• -`aP-a � e, ON d (!afT el c, Ar eC 11`0 PlyM,;ng) kir SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIALUSE'ONLY, ' 1. Building I Doo 00 (a) Building Permit Fee Multiplier 2 Electrical(b) Sl?O. O D Estimated Total Cost of Construction �Q s `S 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection ,� 5th • ©V 6 Total 1+2+3+4+5 I b S" ©.00 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �� v i �Ar�� S /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 I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date MEN NO. OF STORIES SIZE 160 .55. BASEMENT OR SLAB q b SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION 1/-f- ,,.Q v0'7'1THICKNESS in SIZE OF FOOTING X MATERIAL OF CHIMNEY A)b yl Q IS BUILDING ON SOLID OR FILLED LAND fb IS BUILDING CONNECTED TO NATURAL GAS LINE p 4 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. 1. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT Dlav *, C W -06,s Fe- — LOCATION: Assessors Map Number 2 SUBDIVISION STREET ��J y q -d **********OFFICIAL USE ONLY OF TOMAGENTS: ,TOR DATE APPROVED DATE REJECTED PHONE 976- (081 -tom ZB PARCEL_ LOT (S) ST. NUMBER -_71)_7 TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED xr i it, 114srM; i UK-HLALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm N / , / �r—�� // .//// Essex North County Reuistry, of Deeds 381 Common Street 1O/2O/O4 #. 27 Rec: Type PL 50.00 DOC 48728 C. P. 2100 R. D. / 5.00 # 28 Rec: Type DECN 51). C6 DOC. 48729 C. P. 2100 R. D. 100 Total ° 150.00 } # 29 Payment Check 150.0'0 THANK YOU! Thomas J. Burke L.r Town of North Andover , AORTH Office of the Zoning Board of Appeals 3? •" O Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 'SSwcHus% D. Robert Nicetta Telephone (978) 688-9541 Building Commissioner Fax (978) 688-9542 'this is to certify that twenty (20) days have elapsed from date of decision, filed without filing of a a peal. Any appeal shall be filed Notice of Decision Date ��%/Jr_3 X_ within (20) days after the Year 2004 Joyce A, Bradshaw date of filing of this notice Town Clerk in the office of the Town Clerk. Pro at: 707 Wa erley Road NAME: David Webster HEARING(S): September 21, 2004 ADDRESS: 707 Waverley Road, PETITION: 2004-025 North Andover, MA 01845 TYPING DATE: September 27, 2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120R Main Street, North Andover, MA on Tuesday, September 21, 2004 at 7:30 PM upon the application of David Webster, 707 Waverley Road, North Andover, MA requesting a Variance fwm the requirements of Section 7, Paragraph 7.3 and Table 2 for dimensional relief of front and side setbacks in order to construct a garage and a breakfast room; and a Special Permit from Section 9, Paragraph 9.2 in order to extend a pre-existing, non -conforming structure on a pre-existing, non -conforming lot. The said premise affected is property with frontage on the West side of Waverley Road within the R-4 zoning district. The legal notice was published in the Eagle Tribune on September 6 & 13, 2004. The following members were present: John M. Pallone, Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, III. The following non-voting members were present: Thomas D. Ippolito and Richard M. Vaillancourt. Upon a motion by John M. Pallone and 2`d by Joseph D. LaGrasse, the Board voted to GRANT a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 for relief of 7' from the South side setback in order to construct -the proposed 1 -story garage and breakfast room; and GRANT a Special Permit from Section 9, Paragraph 9.2 in order to allow a pre-existing structure to be extended by a one-story attached garage and breakfast room on a pre-existing, non -conforming lot per Variance Plan, 707 Waverly Road, North Andover MA, Assessors Map 27, Parcel 2, Prepared for David & Anne Webster, Date: August 18, 2004 by James E. Franklin, P.L.S. #37045, New England Engineering Services, 60 Beechwood Drive, North Andover, MA and Owner: David Webster, by New Nature Design, Garage Addition, Existing Conditions, Garage Addition, Plans, Garage Addition, Building Elevations, and Garage Addition, Framing Plans with the following condition: 1. The ground to height elevation of the addition shall not exceed 181. Voting in favor: John M. Pallone, Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, III. The Board finds that the petitioner has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw because of the narrow shape of the lot, the existing left side concrete foundation, the walk -out cellar door in the rear, and the sloping back yard and finds that the granting of this variance will not adversely affect the neighborhood or derogate from the intent purpose of the zoning bylaw. The Board finds that the proposed addition extends less into the front setback than the existing structure. Also, the Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.2 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. ` Pagel of 2 ATTEST: A True Copy Town Clerl,, U w Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 'V- Town of North Andover t I►ORT1/ Office of the Zoning Board of Appeals 3? •' ' ' 0 Community Development and Services Division 27 Charles Street ♦ off+ 4d North Andover, Massachusetts 01845 y'ss�CHusj D. Robert Nicetta Building Commissioner Telephone (978) 688-9541 Fax(978)688-9542 Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein 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, it shall lapse and may be re-established only after notice, and a new hearing. Town of North Andover Board of Appeals, 4t gd. . n X L Ellen P. McIntyre, Chair Decision2004-025. M27P2. Page 2 of 2 A Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 of Noer :1ti TOWN OF NORTH ANDOVER OFFICE OF A BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 D. Robert Nicetta, Building Commissioner HOMEOWNER LICENSE EXEMPTION Please print DATE: PfPri 1 l 1 '?,00T Telephone (978) 688-95454 Fax (978)688-9542 JOB LOCATION: 70 uk-,,j CfN'l 4 2-1 12 Number Street Address Map/Lot HOMEOWNER Dcw ` d W-il6aJ 9'26?- (09 q -79— -2,31 3Y q � Name Home Phone Work Phone PRESENT MAILING ADDRESS % /,orf, v-64 y - City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to 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 HOMEOWNER 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 structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances with the State Building Code and other Applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE (�n oo. APPROVAL OF BUILDING OFFICIAL 11OARD OF ATPEALS 688-9541 CONSIi.R.VATION 698-9530 1 r1 63R-9540 PLANNING 6"-9535 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant -zoos- Date NOTE: NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector I FLOOR PLAN 19:Z• • GARAGE ADDITIONI I I 0wfiR• EXISTING CONDITIONS DAVID WEBSTER 2004 1 1 JOB N0. WEBSTER wro DEV6LP1 M NDYE DEEM AMMONS GARAGE ADDITION FRAMING PLANS DAIS OWNER: DAVID WEBSTER LAND DEVELOPMENT NOW DESONS AMMONS , GARAGE ADDITIONI I I DAVID WEBSTM D""°R' BUILDING ELEVATIONS SCALE: 1/4' - 1'-0' I DATE May 16. 2004 LAND DrAmnpmm NDYE DEEM AWTIM , GARAGE ADDITION 01N"ER: �" PLANS DAVID WEBSTER A711� DATE MeV 16. 2004 LAND DEVanPMDT Now oEvans AMTKW h O v wwCd o = M _ WW O = LL C o Q: /d V1 o 4i O Y = o = NO o Z o 001'. . U -C Q �; 0. O a ' o V oQO� vi � C � t O. 1 N � Ql +-' ,� 0Lnz to. � .0_ Ol 0 c 3 0. mm c c, c�b ` c % (a ow > ` O X C E 0 ~a. o 00.0 �Qm cac) _0 o `= ,y �, o cQ r r O H L c . c n }. L M C o c � .c E v a 0 �i N L° a z 5 a� LU .00. o do m O � �z 0 °1 u L o a, z ©> N 0� w o w a w x w W aa cn a U w o� Q y � c .Q C Z�am m c o �� E a � �: Cf) " o CF2 Qc E c Z w m o 00 cm y0 �' mc�fti E 0 3cm oC/) �= �m L C y O 0 Ay U CD �I m o cm Cn t w x� c oQ � W �cal0yr m 0 c� Z `o Vco�o c a C = O a_.. p N w -S .y CA Z O E v y C �? LU m o m c F=- N M1 h a 4D � -0 ts�m `y' aw N KO a i� fil O 0 � w Z °3 CL O h D c c c Coy y O O ff mm CD o a� CL ~ y=••+ CD �3 .O C O O G O eov o o- � a a�Q c V �O 00 O. O CD C Z0 CL � V y O C c ev o. ca 0 U) w W LLI ce W U) Town of North Andover f OOWT#t Office of the Zoning Board of Appeals 3� •'a" Community Development and Services Division 27 Charles StreetToo "- North Andover, Massachusetts 01845 SS C" D. Robert Nicetta Telephone (978) 688-9541 Building Commissioner Fax (978) 688-9542 This is to certify that twenty (20) days have elapsed from date of dedslon, filed without filing of a a peal. Any appeal shall be filed Notice of Decision DateCT/J /� a�7. 7d4 within (20) days after the Year 2004 Joyce A. Bradshaw date of filing of this notice Town Clerk in the office of the Town Clerk. Property at: 707 Waverley Road NAME: David Webster HEARING(S): September 21, 2004 ADDRESS: 707 Waverley Road, PETITION: 2004-025 North Andover, MA 01845 TYPING DATE: September 27, 2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120R Main Street, North Andover, MA on Tuesday, September 21, 2004 at 7:30 PM upon the application of David Webster, 707 Waverley Road, North Andover, MA requesting a Variance fwm the requirements of Section 7, Paragraph 7.3 and Table 2 for dimensional relief of front and side setbacks in order to construct a garage and a breakfast room; and a Special Permit from Section 9, Paragraph 9.2 in order to extend a pre-existing, non -conforming structure on a pre-existing, non -conforming lot. The said premise affected is property with frontage on the West side of Waverley Road within the R-4 zoning district. The legal notice was published in the Eagle Tribune on September 6 & 13, 2004. The following members were present: John M. Pallone, Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, III. The following non-voting members were present: Thomas D. Ippolito and Richard M. Vaillancourt. Upon a motion by John M. Pallone and 2°d by Joseph D. LaGrasse, the Board voted to GRANT a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 for relief of 7' from the South side setback in order to constnrct-the proposed 1 -story garage and breakfast room; and GRANT a Special Permit from Section 9, Paragraph 9.2 in order to allow a pre-existing structure to be extended by a one-story attached garage and breakfast room on a pre-existing, non -conforming lot per Variance Plan, 707 Waverly Road, North Andover MA, Assessors Map 27, Parcel 2, Prepared for David & Anne Webster, Date: August 18, 2004 by James E. Franklin, P.L.S. #37045, New England Engineering Services, 60 Beechwood Drive, North Andover, MA and Owner: David Webster, by New Nature Design, Garage Addition, Existing Conditions, Garage Addition, Plans, Garage Addition, Building Elevations, and Garage Addition, Framing Plans with the following condition: 1. The ground to height elevation of the addition "shall not exceed 181. Voting in favor: John M. Pallone, Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, III. The Board finds that the petitioner has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw because of the narrow shape of the lot, the existing left side concrete foundation, the walk -out cellar door in the rear, and the sloping back yard and finds that the granting of this variance will not adversely affect the neighborhood or derogate from the intent purpose of the zoning bylaw. The Board finds that the proposed addition extends less into the front setback than the existing structure. Also, the Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.2 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Pagel of 2 rk'PTEST: A True Copy Town Clerk >� w Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta Building Commissioner Telephone (978) 688-9541 Fax (978) 688-9542 Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein 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, it shall lapse and may be re-established only after notice, and a new hearing. Town of North Andover Board of Appeals, aV Ellen P. McIntyre, Chair ' Decision2004-025. M27P2. Page 2 of 2 4 1 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 o�OCIT 12 012 014 PY BOARD OF APPEALS ' / ,�_+� / / //// Essex North County Registry of Deeds 381 Common Street ` � � WEBSTER # 27 Rec: DOC. 48728 # 28 Rec: DOC. 48729 KM 1O/2O/O4 } / Total ' # 29PaymentCheck Type PL 50.00 Q P. 2100 R. D. 100 �� �� 5�OO C. P. 2100 % D. &0O THANK YOU! Thomas J. Burke Register of Deeds 150.00 ,r r It office USO04 _. uLfflof 51ass 52 Permit Na - �� tiIIIIL Occupancy s Yteckted �C. (leave biankl BOARD OF FIRE PREMMON REGULATIONS 527 CUR 1200 APPLICATION FOR PERMIT TO' PERFORM ELECTRICAL WORK All work to be performed in z rdance with the Massacrtusetts Electrical Code, SZ7 CMR 12:100 (PLEASE PRINT IN. INK OR TYPE ALL INFORMATION) - Date =Q or Town of NORTH ANnOVER ' To the Inspector o Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address -511111,1_7 � Is :his permit in Ccnjunc:ion with a duilcir.5 aerr„tC Yes No r (Check Approariate Box) ?urccse at Suilding ���1/L� J Utility Autncrizatiaa-n No Existing Service Amps _� Vcits Cverread Uncgrnd New Service Amps _J Vests Cvernead r Unegrnd G No. of Meters No. of Meters Numaer of Feeders and Ampacity Location and Nature of Proposed E:ec:-cal `Ncrx �z%�Cdy�l/Yt- `✓�I� `��'�g �d��' ' Total i No. ar ransformers Nc. at �;gnang Cut:ats � No. -f—....,.cs Ktlq No. Zr '_:grt:ng = xtures No. Of fieceotac:e Cutlets No. at Swttcn Cutlets No. at Ranges No. Of Cisccsats Na. -t Cil Burners i No. cr 3as Somers No.at Alf Car.c. otat :Ins No.at -eat:ar :;:a+ os 'or.s K:! No. at Cisnwasners Szace'Area . -_..rg �•V No. at Crvers ea^ng Cev:css K•f Generators KVA I No. at=r;sergency L;gnung j Sarery Units FiPE AL.APMS No. of Zones No. Of Cetection ana j Initiating 0evtces I Na. ct Sounaing Devices No. zf Sart Cantainee Cetec::cniSouncing Cevlces Munic:aai Ctmer Cannecnon i No. at NO. -: I Law :citage I No. of Water Heaters KW i Sigr.s-a:las:s Wirtr.- { NO. Hvcra Massac@ Tubs No. ct Metc..-s CTdi _riP C—, H,Ems: 1NSUPANCE CCVE?AGc: Pursuant :o ase rect::rerrers -r :tassac-sers yer.erat Laws _ I ave a current l ae+iity Insurance Polio! :nc_c:rg _ tec Ccera ons Coverage or ;is suns:annal ecwvatent. YES /V NO _ nave sucmtttea valid proof at same :o :r.e C'fcs. v Q NC = ycu nave cnecxee `!_3. -tease inctcate .he y a of coverage -v -nec+ctng ttse accrocnate pox. ` 6 rf' INSURANCE !TQ SCNO = OTHEA = ;P�easa Saeo..il, s��� (Ex ration Oates Estimatea Value at E?ectrtcai Work S Worx to Start Signea uncer •flie Penalties of per)ur) FIRM NAME Licensee in=ec`cn Casa Pec_es:ec: Rcugn ACCreS3 d d w r r Au. .al. Na. CWNEP'S INSUR ANCc WAIVER: I am aware nal .e L;cer.see Ices ret nave :r,B Insurance coverage or its suostannal eautvalent as re- cutrea �y Massacnusetts General Laws. an that -rr s grature On tis �errr tt acc+icatton waives tuts reautroment Owner Agent (Please cnecx one) :e,eorone No. PSAMIT F S (Signature of Owner of .tcernl :.;i56: Wil 6 4 5 °�t"'D:•�"� TOWN OF NORTH ANDOVER p PERMIT FOR OTMG SA US This certifies that ...................., .1 ...;.................................. has permission to perform ..........; . ............................................................ wiring' in the building of .a .......... . .... .:�.............................................. at ....../...�?....... . .......................... . North Andover, Mass. �Lic. No. C ... L Fee ..... .. 7 .... .............................................................. ELECTRICAL INSPECTOR 12/11/97 12:25 25.40 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer pk �o IDrk q vq .a<.ratit� + Ag RRATlG �df`Y,(�i � sAC us, Zoning Bylaw Review Form Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street:_ ....._... .o _.w A v .es- L . . _. Map/Lot: a,3 / �'.... Applicant: Re uest: �D,4 cs_ r D We- S -5 � � G e A«,,,, Date:— m Ole 1......d. -24 _ra__ _ M.aM19 U0 QUYf�CU 611421 deer review or your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning n —� for the above is checked below. Item # Special Permits Planning Board I Item # I Variance L— Site Plan Review Special Permit I n Access other than Frontage Special Permit Frontage Exception Lot Special Permit Common DrivTw Special Permit Congregate Housing Special Permit _ Continuing Care Retirement Special Permit Independent Elderly H-ou sing Special Permit Large Estate Condo Special Permit Planned Development District Special Permit Planned Residential Special Permit R-6 Density Special Permit Watershed Special Permit Lot Area Variance Height Variance Variance for Si n Special Permits Zoning Board Special Permit Non -Conforming Use ZBA S ecial Permit Use not Listed but Special Permit for Sign �~ I Special permit for preexisting I nonconffirminn The above review and attached explanation of such is based on the plansand 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 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 permit application form and begin the permitting process. Building Department Official Signa . i e Appli tion Received Tpp�ficafionDenied �l Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting e S 2 Frontage Complies 3 4 Lot Area Complies Insufficient Information 3 4 1 Preexisting frontage Insufficient Information S B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use. Preexisting 2 Complies 4 Special Permit Required Lf e- 5 3 Preexisting CBA e S 5 Insufficient Information 4 Insufficient information C Setback HI Building Height 1 All setbacks comply 1 I Height Exceeds Maximum 2 Front Insufficient 2 1 Complies 3 4 Left Side Insufficient Right Side Insufficient e s 3 4 1 Preexisting Height Insufficient Information q e,:5 5 Rear Insufficient --F Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 D 1 Insufficient Information Watershed Not in Watershed 5 2 3 4 Coverage Complies Coverage Preexisting Insufficient Information e S 2 3 In Watershed Lot prior to 10/24/94 d 1 Sign Sign not allowed 4 5 Zone to be Determined insufficient Information 2 3 Sign Complies Insufficient Information E Historic District K Parking 1 2 3 In District review required Not in district Insufficient Information3 -717 e S 2 More Parking Required 1 Parking Complies Insufficient Information 4 1 Pte -existing Parking for the above is checked below. Item # Special Permits Planning Board I Item # I Variance L— Site Plan Review Special Permit I n Access other than Frontage Special Permit Frontage Exception Lot Special Permit Common DrivTw Special Permit Congregate Housing Special Permit _ Continuing Care Retirement Special Permit Independent Elderly H-ou sing Special Permit Large Estate Condo Special Permit Planned Development District Special Permit Planned Residential Special Permit R-6 Density Special Permit Watershed Special Permit Lot Area Variance Height Variance Variance for Si n Special Permits Zoning Board Special Permit Non -Conforming Use ZBA S ecial Permit Use not Listed but Special Permit for Sign �~ I Special permit for preexisting I nonconffirminn The above review and attached explanation of such is based on the plansand 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 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 permit application form and begin the permitting process. Building Department Official Signa . i e Appli tion Received Tpp�ficafionDenied �l Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: Referred To: Fire Health Police Zonin Board Conservation De artment of Public Works Planning Historical Commission Other Building Department TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .r BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/IREREtor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 107 W6k jtv- lel Poo J 1.2 Assessors Map and Parcel 02-3.0 Map Number Number: -z1® IV 27 . 0— 0002 --= Parcel Number o Pr 2.2 Owner of Record: Al A A ttt-k- Name Print 1.3 Zoning Wormation: Zoning District Proposed Use Signature Telephone 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Front Yard Side Yard Expiration Date Rear Yard Required Provide Required Provided Required Provided Registration Number Address Expiration Date 1.7 Water Sopply M.G.L.C.40. 54) Public 1� Private ❑ 1.5. Flood Zone lnfomration: Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: IN, On Site Disposal System ❑ SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT r n 5 w r i u u i si n cl: Yes N O t/ 2.1 Owner of Record Doty-, d R -207 kx ✓et -el s Name (Print) y� Address for Service L",7v- (eel -(as -,7&3 Signature Telephone 2.2 Owner of Record: Al A A ttt-k- Name Print -7')-7 W a V e-� Rd, Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Si nature Telephone Ma M X ic e z O z M 0 Mn a� r v M r r a® z^ Q SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Description of Proposed Work check all a licable New Construction ❑ 1 Existing Building ❑ 1 Repair(s) ❑ I Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: I SECTION 6 - RSTTMATF.n C0NSTR1TCT1nN CnCTR I Item Estimated Cost (Dollar) to be Completed by permit applicant 01WICIAL USE ONLY I. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE 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 I> as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 'D Ar y Q ,. J L 3 S r C dL 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 �c� ► (z.b s i-P/t-- Print !ft Q- Z�,2 h k� ZoyY Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T ABERS iST 2 ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Town of North Andover Building Department 27 Charles Street North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE ZZ A�_Cs,H Zb V JOB LOCATION —10-1 W Abp 021. C � F DCA D Number Street Address Map / lot "HOMEOWNER U� f> WGr3ST%52 Y10-(001- (asL43 -3 H LlCi Name Home Phone Work Phone PRESENT MAILING ADDRESS '-7D-7 X14 V G Z L L't RO P D X�Dal-tt �A)D0JGC- 1 M$ QByS City Town State Zip Code The current exemption for "homedwners" 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 Buik ing Code and 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. A HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFF North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be �. disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: Qa-y-ri a-05. k5posa ( St f (n6 (Location of Facility) D,, - a Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector FORM - U LOT RELEASE FORM INSTRUCTIONS: This form is used.to verify that ail necessary approval /permits 'from Boards and Departments, having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. a!.!!!\l/..!!!!!!!l-/-r!!!!!!\1. l:■.f\\!!-.r....lf.... ■'a rtr..l.rrl.......w f fl.... APPLICANT DA -4 1 0 w e(� Srt' >✓ (� PHONE 7 8 - % . (oSL 5 ASSESSORS MAP NUMBER 2 LOT NUMBER fi SUBDIVISION LOT NUMBER ------------- STREET W 0. •► e -V" STREETNUMBER ..■r•.rlra.aa.rrlrrra.\r .arrrr.roma.a!■rr..r..r...........-..:©�.....\. OFFItCLAL USE ONLY �■fr...........srffsrrs.■carr.....■-ru.r..fuas■\f.... RECOI 4MENDATIONS OF TOWN AGENTS* ..rrus■rrs.....r.....-...■ .l.........r.lar.•..fr.....\.r)f....al.....farfara■Ira ..!■■■■■■.■f..■■woman CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS s TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED SEPTIC INSPECTOR - HEALTH DATE APPROVED DATE REJECTED CON NIENTS PUBLIC WORDS — SEWER ! WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT DATE APPROVED DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR je J Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division \ 27 Charles Street \' North Andover, Massachusetts 01845 D. Robert Nicetta Telephone (978) 688-9541 Building Commissioner Fax (978) 688-9542 Any appeal shall be filed Notice of Decision within (20) days after the Year 2004 date of filing of this notice in the office of the Town Clerk. Pro at: 707 Wa Hey Road NAME: David Webster HEARING(S): September 21, 2004 ADDRESS: 707 Waverley Road,. PETITION: 2004-025 North Andover, MA 01845 TYPING DATE: September 27, 2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120R Main Street, North Andover, MA on Tuesday, September 21, 2004 at 7:30 PM upon the application of David Webster, 707 Waverley Road, North Andover, MA requesting a Variance from the requirements of Section 7, Paragraph 7.3 and Table 2 for dimensional relief of front and side setbacks in order to construct a garage and a breakfast room; and a Special Permit from Section 9, Paragraph 9.2 in order to extend a pre-existing, non -conforming structure on a pre-existing, non -conforming lot. The said premise affected is property with frontage on the West side of Waverley Road within the R-4 zoning district. The legal notice was published in the Eagle Tribune on September 6 & 13, 2004. The following members were present: John M. Pallone, Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, M. The following non-voting members were present: Thomas D. Ippolito and Richard M. Vaillancourt. Upon a motion by John M. Pallone and 2°d by Joseph D. LaGrasse, the Board voted to GRANT a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 for relief of 7' from the South side setback in order to construct the proposed 1 -story garage and breakfast room; and GRANT a Special Permit from Section 9, Paragraph 9.2 in order to allow a pre-existing structure to be extended by a one-story attached garage and breakfast room on a preexisting, non -conforming lot per Variance Plan, 707 Waverly Road, North Andover MA, Assessors Map 27, Parcel 2, Prepared for David & Anne Webster, Date: August 18, 2004 by James E. Franklin, P.L. S. #37045, New England Engineering Services, 60 Beechwood Drive, North Andover, MA and Owner: David Webster, by New Nature Design, Garage Addition, Existing Conditions, Garage Addition, Plans, Garage Addition, Building Elevations, and Garage Addition, Framing Plans with the following condition: 1. The ground to height elevation of the addition shall not exceed 18'. Voting in favor: John M. Pallone, Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, M. The Board finds that the petitioner has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw because of the narrow shape of the lot, the existing left side concrete foundation, the walk -out cellar door in the rear, and the sloping back yard and finds that the granting of this variance will not adversely affect the neighborhood or derogate from the intent purpose of the zoning bylaw. The Board finds that the proposed addition extends less into the front setback than the existing structure. Also, the Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.2 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Pagel of 2 w Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta Building Commissioner Telephone (978) 688-9541 Fax(978)688-9542 Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein 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, it shall lapse and may be re-established only after notice, and a new hearing. Page 2 of 2 + Town of North Andover Board of Appeals, i ] Ellen P. McIntyre, Chair Decision2004-025. M27P2. A Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688.9535 Location won No. Date In 't TOWN OF NORTH ANDOVER n Certificate of Occupancy $ Building/Frame Permit Fee $ �'�s',•°'�� s�CHuso Foundation Permit Fee $ Other Permit Fee $ a Sewer Connection Fee $ •4 Water Connection Fee $ TOTAL $ Building inspector r� 6 (��J (� 7 07/10/7Q pp 1 �( D9iL! 35.00 Y�RTn .:., �- I Div. Public Works c Location (C JCL C_1`- No. _```No. , Gf ~� �f Date � TOWN OF NORTH ANDOVER o�97 o� n Certificate of Occupancy $ • ; ; Building/Frame Permit Fee $— Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ x Water Connection Fee $ TOTAL $ Building Inspector 1-22/98 09.21 35. Cg FAI:, Div. Public Works D N - L K J CA Z Z L W ¢ VJ V) r Z C 1 � W Li ~ Y ~ N y ICCS L Q Q \ cn Zuj L w LU Q < Q w © 3 v z u J d u z Z < _ y < a.4 v .r. r Z _ C L n. :u C a'� n l — z S :L .. N C ZC 4'� LTJ F 0%00 O r � z CC Lj � Q S 3 V, 'k c v 0 C Mv i o .. 5 5 ... ? 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CIS mom~ m W y.. 0 " "' . • Com w . _ C_c 2 Ec�p oW � CO)U ID a mem=� g 8 aw m y CD h a O CO3 O C3 y 0 V u� L ts a .y C 0D CM O C 0 mm C c h D v Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE 1 0-$-�1�' JOB LOCATION UA-UMUi Ru/-fZ� Number Street A dress Section of town "HOMEOWNER"(�=ya3- � y Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town tate Zip code The current exemption for "homE!owners" was extended to include owner -occupied dwellings of -six 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 109.1.1) DEFINITION OF HOMEOWNER: 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 to six family dwell- ing, attached or detached structures accessory.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 rtoweowner. Such "homeowner" shall submit Lo the Building Official, on a form acceptable to the Bulding Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the g1 -ate Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and ,requirements. HOMEOWNER'S SIGNATURE "j L) - APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. 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Z ti N 3 A T .LJ�LL O D m I I I a s S O Z D v _ x�,ZB AH II-LLIA IIII"_ m A J -ii �11N II I I IIIIIII- IIII VIII" �� zr-i D01 .� ��N N Nrin 'z m 400 D0 yZZ Cox �XN D� 0 0�0 Nva p3rn mx -IZD Itn0 uf0� .. �Z_ mN3 '0 m pv OZ _C Tsz v_ r rv0 Oor Z 0 ANO r DSD n� 2�Z A =o O 0-1 nz xn m m N -n ,. m D0 .3 W W , rPi . w O C � 0 z O m C Z O O a ooU COD a •v) C H O W .E C U w° u cit a G�.� z w° a°' U itt wrz° f\ C w a cq in w O w w W �' cn ° cn 'COL C � mo aC.3 O m C Z O C+ o � COD y •v) C H O W .E C -0 0, a v V _y Z A y 7 f\ C m C t 4 O Ea C s :on cMe o mc csr �• 'mo E: 3 m C Go to I- y :.I- :Em E Z CA Vl cm m CD C ca 0 CD c m t_ O Z O 3 0 E O Z � d O h Q = = C O•— ca Q _ h 4i 'E ca ca, O O Q i cc O CLQ C:j Cc v _ CL O C C_ _ cc CLCos 1 mo aC.3 O y o C Z O O O :AD COD y •v) CO2 Z E Z CA Vl cm m CD C ca 0 CD c m t_ O Z O 3 0 E O Z � d O h Q = = C O•— ca Q _ h 4i 'E ca ca, O O Q i cc O CLQ C:j Cc v _ CL O C C_ _ cc CLCos c o c a � O y o C Z O O O :AD COD •v) c +- O C W .E O.t -0 0, a ® � O -0 _y Z A y 7 =ZZaowCID E Z CA Vl cm m CD C ca 0 CD c m t_ O Z O 3 0 E O Z � d O h Q = = C O•— ca Q _ h 4i 'E ca ca, O O Q i cc O CLQ C:j Cc v _ CL O C C_ _ cc CLCos NILLIAM J. SCOTT Director Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 In accordance with the provisions of MGL c40, S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: L 10-/ 5 ( 5�71614 . 06,�/ (Location. of Signature of Permit Applicant Date NOTE: Demolition permit from the Town Of North Andover must be obtained for this project through the Office of the BiAlding Inspector. o \AA__9 7�Q�4�i10 •PP �'�y/ BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 9z8io tlN 1n0vao 3Ad N019NI18VHOWHiSINiw0v SI1n098039 -0 1100 ')NI 'NOI10na1SN00 SI1n098039 86/Zi/Zi UOTIPIrdx3 NOI1b80da00 31dAI8d - adAl 018111 UOTIPIIST608 8013VNIN03 AMA' dNI 3NON ty IM SCOTT C G&GOULIS 23 BEACON ST #2 LOWELL, MA 01850 Detach bottom, fold , sign on back, and laminate la.cc'n.se card. Kp.,�, fc!; i—eceipt and change of addrr- lni i, fJi, c,a.`i.c;n. M Of. PUBLIC r� SAFETY ONE ASNEURT014 PLACE, RM .1.30J. BOSTON, M ; '1�';. l.c; l ._ `I'' CONSTRUCTION SUPERVISOR LICENS[ JuN 1995 Number: Expires: Birthdate: CS 058498 10!21:1.99 Restricted To: 00 SCOTT C G&GOULIS 23 BEACON ST #2 LOWELL, MA 01850 Detach bottom, fold , sign on back, and laminate la.cc'n.se card. Kp.,�, fc!; i—eceipt and change of addrr- lni i, fJi, c,a.`i.c;n. M IV MASSACHUSE'i TSU NIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) /�/ /¢iiCIOC!Cii Mass. Date // 2 �19 1735 Permit Building Location %14 �{ Ownees Name n 21n 6�r Type of Occupancy New 0— Renovation ❑ RePlacement Q Plans Submitted: Yes ❑ No [�-- ' B.P.O. sus—BSM-. BASEMENT SEWER# FIXTURES SEPTICS y07 to O 93 Y < p. y tv tt O ."U,tu = _L- Jr tit 3lu fa¢ < r < Y U- it i mssaln CL 93 :. — — yr r Y = a o o „ = z � a� =,x.fn -11 � c rl03i U. alp 3 c m IST FLOOR 2ND FLOOR (� I ZRD FLOOR I I 4TH FLOOR ! I STH FLOOR f ! 6TH FLOOR ! 7TH FLOOR STH FLOOR Installing, Company Business Te!ephcne . 30j,- Name 4j'-Name of Licensed plumber �c A Cheat one: ❑ Corporation ❑Z=co. hip G 1 1 1 1 1 1 ( I Certificate -71 INSURANCE COVERAGE: . I have a current T insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes &- No ❑ If you have checked=, please Indicate the type coverage by checking the appropriate box A HabJity Insurance policy 19-' Other the of Indemnity 171 M^...r ("I 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 requiremenL • Check one: ` Signature of owner or Owners Agent Owner ❑ Agent ❑ f1 1 — uty uu" au or Ne detatis and information I have submitted (or entered) in above appGcafion are true and a=rate to the best of my knowledge and that aft plumbing work and instatlatlons performed under the permit issued for this application wt71 be in compliance with all pertinent provisions of the Massachusetts State F�umA�ne and Chapter 142 of th a scat Laws, A% Tttle .gnaure of Ucensed lumoer aty/Tcwn Type of License: Master Journeyman ❑ O r U c ONLY) License Number�— 0 r, Date Y� : °= 3540 �'<t��� •�"o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SS�CHUS� This certifies that . �� .... ..... ... , has permission to perform . ............. ............. plumbing in the buildings of . ... _.amu -1 . ..... ri at ... �� .. ..... .......... ,North Andover, Mass. Fee. Lic. v PLUMBING INSPECTOR', WHITE: Applicant CANARY: Building Dept. PINK: Treasurer IASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) _4 �Mass. DateOe-' 199 permit # G Building Location -20 Owner's Name_ Ze-) L l AJ)3 Type of Occupancy �S> 0 e---,uen.,5 New ❑ Renovation Replacement ❑ Plans Submitted: Yes[] No ❑ Installing Company Name. BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET �p Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone 508-687-1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 91 No O If you have checked ve, please indicate the type coverage by checking the appropriate box. A liability insurance policy 1$( 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'sgent Owner❑ Agent ❑ I\ hereby certify that all of the details and information I have submitted (or entered) in ate to bo knowledge and that all Plumbing work and installations Performed under the permit Iss f rpthis application will on are true d a n�mpl ance with all the best of my Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. (� i T of License: 4 Title Plumber Signature of License Plumber or Gas Gasfitter (,lty/Town Mki Master License Number 8697 O FIC SE O Journeyman V • ■�f���t�l����t��i�mom����s■ mom 011010100010 NutON .. NOMMEENNEENESon mom MEMO 0 so M .. ■NKMNINM NONEMENMENE ��ft�t fern■ son • •• ■t��00000000101 son��r�■ on ONE MENMENNE MMM v■ Installing Company Name. BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET �p Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone 508-687-1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 91 No O If you have checked ve, please indicate the type coverage by checking the appropriate box. A liability insurance policy 1$( 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'sgent Owner❑ Agent ❑ I\ hereby certify that all of the details and information I have submitted (or entered) in ate to bo knowledge and that all Plumbing work and installations Performed under the permit Iss f rpthis application will on are true d a n�mpl ance with all the best of my Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. (� i T of License: 4 Title Plumber Signature of License Plumber or Gas Gasfitter (,lty/Town Mki Master License Number 8697 O FIC SE O Journeyman Z - O U W a � , N Z N N w cr n O CL n v z• Q x z o a j h k N y Q J n z O . O p W .. N h a W H • a o a z p z J O O U. w n O p J h w w d m v o. h J h a a a U z 0 N Z 1 d z u. It I �f v co M Q x z o a j 0 je Town of North Andover NO eT" �h Office of the Zoning Board of Appeals Community Development and Services Division ; 27 Charles Street North Andover, Massachusetts 01845 ®r .4c D. Robert Nicetta Building Commissioner Any appeal shall be filed within (20) days after the date of filing of this notice Notice of Decision Year 2004 Telephone (978) 688-9541 Fax (978) 688-9542 in the office of the Town Clerk. Pro at: 707 Wa Hey Road NAME: David Webster HEARING(S): September 21, 2004 ADDRESS: 707 Waverley Road, PETITION: 2004-025 North Andover, MA 01845 TYPING DATE: September 27, 2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120R Main Street, North Andover, MA on Tuesday, September 21, 2004 at 7:30 PM upon the application of David Webster, 707 Waverley Road, North Andover, MA requesting a Variance from the requirements of Section 7, Paragraph 7.3 and Table 2 for dimensional relief of front and side setbacks in order to construct a garage and a breakfast room; and a Special Permit from Section 9, Paragraph 9.2 in order to extend a pre-existing, non -conforming structure on a pre-existing, non -conforming lot. The said premise affected is property with frontage on the West side of Waverley Road within the R-4 zoning district. The legal notice was published in the Eagle TnUne on September 6 & 13, 2004. The following members were present: John M Fallon, Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, III. The following non-voting members were present: Thomas D. Ippolito and Richard M. Vaiilancourt. Upon a motion by John M Pallone and 2°d by Joseph D. LaGrasse, the Board voted to GRANT a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 for relief of 7' from the South side setback in order to construct the proposed 1 -story garage and breakfast room; and GRANT a Special Permit from Section 9, Paragraph 9.2 in order to allow a pre-existing structure to be extended by a one-story attached garage and breakfast room on a pre-existing, non -conforming lot per Variance Plan, 707 Waverly Road, North Andover MA, Assessors Map 27, Parcel 2, Prepared for David dt Anne Webster, Date: August 18, 2004 by James E. Franklin, P.L.S. #37045, New England Engineering Services, 60 Beechwood Drive, North Andover, MA and Owner: David Webster, by New Nature Design, Garage Addition, Existing Conditions, Garage Addition, Plans, Garage Addition, Building Elevations, and Garage Addition, Framing Plans with the following condition: 1. The ground to height elevation of the addition shall not exceed 18'. Voting in favor: John M. Pallone, Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, III. The Board finds that the petitioner has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw because of the narrow shape of the lot, the existing left side concrete foundation, the walk -out cellar door in the rear, and the sloping back yard and finds that the granting of this variance will not adversely affect the neighborhood or derogate from the intent purpose of the zoning bylaw. The Board finds that the proposed addition extends less into the front setback than the existing structure. Also, the Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.2 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Pagel of 2 w Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 t' FA Town of North Andover MCR111 , Office of the Zoning Board of Appeals ;� •''��� `' �` Community Development and Services Division 27 Charles Street • "°•'sk..� North Andover, Massachusetts 0184.5 D. Robert Nicetta Building Commissioner Telephone (978) 688-9541 Fax(978)688-9542 Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein 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, it shall lapse and may be re-established only after notice, and a new hearing. Page 2 of 2 Town of North Andover Board of Appeals, ,y /Y Ellen P. McIntyre, Chair ' Decision2004-025. M27P2. A Board of Appeals 978-688-9541 Building 978.688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 a .',669 Date. %✓/.!.'P. ....... A H cc 4 NORTH TOWN OF NORTH ANDOVER o py` Sao ,e16 1h•OL S PERMIT FOR GAS INSTALLATIOB r. This certifies that ..<�..�` .? ?'�...�'! ..... • • °' has permission for gas installation . <�'�.) ................. . . in the buildings of 6.''r'..7 ......................... at (� .. • • • . • ... • , North Andover, Mass. Fee. c9}. . Lic. No.�z. 9. ?.... ...s ...... . G INSPECT R WHITE: Applicant CANARY: Building Dept. PINK: Treasurer