HomeMy WebLinkAboutMiscellaneous - 73 FURBER AVENUE 4/30/2018 (2)\wl
TOWN OF
NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
NOTICE
Notice is hereby given that the Board of Ap-
peals will hold a public hearing at the Senior
Citizen's Center located at the rear of the
Town Building, 120 Main Street, North An-
dover on Tuesday evening the 13th day of
September 1994, at 7:30 o'clock, to all par-
ties interested in the appeal of Howard Tay-
lor requesting a special Permit under Sec. 9,
Paragraph 9.2(1) of the Zoning By Law so
as to permit extension of a non -conforming
structure on the premises, located at 73
Furber Avenue By Order of the Board of Ap-
peals
Wiliam .t. Sullivan
Chairman
North Andover, 8/24,8131,2T
NORTH
O�tt`ED 'aq�0
O ;• ......, �,.. A
4 �;� •
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SSA US
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
NOTICE
Notice is hereby given that the Board of Appeals will hold a
public hearing at the Senior Citizen's Center located at the rear
of the Town Building, 120 Main Street, North Andover on Tuesday
evening the 13th day of September
19 94 , at 7:30 o'clock, to all parties interested in the
appeal of Howard Taylor requesting a Special
Permit under
-XMYaXtP1WDW Sec. 9, Paragraph 9.2(1) of the Zoning By Law
so as to permit extension of a non -conforming structure
on the premises, located at 73 Furber Avenue
By Order of the Board of Appeals
William J. Sullivan, Chairman
Publish in the North Andover Citizen on August 24 & 31, 1994
Date.�!
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ........................ ( ...............................................
has permission to perform .....................................
wiring in the building of ...
T...............................................
....... North Andover, Mass.
at.: ...... .................. .........�u+•.
- —6& a
Fe�-'-§J ....... . ....... Lic. Nd�� ..... ............... . ... . ..e........
ELECTRICAL INSP R,
Check #
8516.'1
Commonwealth of Massachusetts Official Use Only
Department of Fire Services Permit No. yo
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev. 1/07] t�P.AVP hlnnirl
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1P -;)I -v<.,
City or Town of: NORTH ANDOVER To the
By this application the undersigned gives notice of his or her intention to perform the Inspector
electrical workidescribed below.
Location (Street & Number) -7,
Owner or Tenant 1 o M F; t J S a n
Telephone No.
Owner's Address -7 --z, G _.� i—a
Is this permit in conjunction with a building permit? Yes ❑
Purpose of Building '5'for-& I
Existing Service )60 Amps I g r / gqo Volts
New Service )DD Amps lao / 9q0 Volts
Number of Feeders and. Ampacity
Location and Nature of Proposed Electrical Work:
.,cC
No. of Recessed Luminaires
No. of Luminaire Outlets
No. of Luminaires
-- No. of Receptacle Outlets
No. of Switches
No. of Ranges
No. of Waste Disposers
No. of Dishwashers
No. of Dryers
No. of Water I
Heaters
No. Hydromassage Bathtubs
No g, (Check Appropriate Box)
Utility Authorization No.
Overhead & Undgrd ❑ No. of Meters
Overhead ❑ Undgrd ❑ No, of Meters
No. of Ceil: Susp. (Paddle) Fa
No. of Hot Tubs
Swimming Pool Above ❑
d.
No. of Oil Burners
No. of Gas Burners
No. of Air Cond. Tot;
Ton
Heat Pump Number Tons
Totals: _........._....... _.............
Space/Area Heating KW
Heating Appliances )F
No. of No. of
Signs Ballast
No. of Motors To I
the following table may be waived by the Trnnprt— ni w;
ns
No. of Total
Transformers W17
Generators KVA
rnd. 0
of Emergency ig g
Battea Units
FIRE, ALARMS iNo. of Zones p
No. of Detection and
IISf-Co
s
No.
KW __
No. &Fm'edEd
DeteLoc
:W
Security Systems:*
No. of Devices or Equivalent
Data Wiring:
s
No. of Devices or E uivalent
IP Telecommunications Wiring:
No. of Devices or E uivalent
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 11 /6)0 -ep (When required by municipal policy.)
Work to Start: (a - �P J_og Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 54 BOND E]OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that the information on this application is true and complete
FIRM NAME: 7,•,
LIC. NO.: 100 d 713
Licensee: Sr, M e,5 Signature
(If applicable, enter "exempt 111n the license number line - LIC. NO.:
Address: % F',rber A ae ti A nBus. Tel. No.: Spic y� 99p9g
. Te
*Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: . No.
AltTel. No.:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner
Owner/Agent ❑owner's agent.
Signture Telephone No. PERMIT FEE: $���i
Ake P
fWM
k, r
jASP
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lk
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Dice of Investigations
600 Nlashington Street
Boston, MA 02111
c ; www.mass gov/dia .
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le--ibly
Name (Business/Organizafion/Individual):-S-,,o-4e5
Address: I[) Fv be 4, ja
City/,State/ZiP: J� _ �} d ✓ 40" 61 g,q 5/Phone `74
Are you an employer? Check the appropriate box:
I • ❑ Iam a employer with
4. ❑ 1 am a general contractor and I
employees (full and/or part-time).*
2.g...I am a.sole proprietor or
have hired the sub -contractors
listed #
partner_
ori the attached sheet.
ship and have no employees
These sub -contractors have
working for mein any capacity.
workers' comp. insurance.
[No walkers' comp. insurance
5. ❑ We are a corporation and its
required.]
3. ❑ I am a homeowner doing all work
officers have exercised their
right of exemption per MGG
myself. [No -workers' comp.
c. 1.52, § 1(4), and we have no
insurance required.] t
employees. [No workers'
YAC
comp. insurance required.]
Type of pralect (required):
6. ❑ New construction
7. ❑ Remodeling
8. [] Demolition
9. ❑ Building addition
I O.ZElectrical repairs or additions
11.❑ Plumbing repairs or additions
12.[] Roof repairs
13.❑ Other
• ..., -rr ...... w a. Wl"Ab ooz U i mus[ elso nil out the section below showing their worker;' compensation policy informatiom
t liomeowners who submit this aiidavii indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box mustattaehed an additional sheet showing the name of the sub -contractors and their workerz' comp. pool it b-
,ma6on.
1 am an employer that is providing workers' compensation insurance for my employees; Below is the policy and job site
information.
Insurance Company Name:
Policy # or Self -ins. Lic. #: Expiration Date:
Job Site Address: City/State/Zip:
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 imprisonment, as well as civil penalties in the farm of a STOP WORK ORDER and a fine
of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
Phone #:
F
fficial use only. Do not write in this area, to be completed by City or town official
City or Town:
Permit/License #
Issuing Authority (circle one):
I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Otber
Contact Person: Phone #:
Im
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the'foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or 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, 525C(6) also states that "every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance 'coverage required."
Additionally, MGL chapter I52, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation. affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should,
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 dr if you are required to obtain a workers' l
compensation policy; please call the Denar tment at the numberlisted below. Self-insured companies should enter their
self insurance license number on the appropriate dine. -
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid adavi
fft is on file for future permits or licenses. A new affidavit must be filled out each
year. When a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-8.77-MASSAFE
Revised 5-26-05 Fax # 617-727-774
www.mass.gov/dia
LaMarche Associates
P.O. Box 179
Natick, MA 01760
508-650-9777
Fax: 508-650-9870
August 16, 2010
Building Commissioner/Inspector of Buildings
NORTH ANDOVER, MA 01845
Board of Health/Board of Selectmen
NORTH ANDOVER, MA 01845
NOTICE OF CASUALTY LOSS TO BUILDING
Claim has been made involving loss, damage or destruction of the property captioned below, which
may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be
applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate,
please direct it to the attention of the writer and include a reference to the captioned insured,
location, policy number, date of loss, cause of loss and LA file number.
Insured:MA EBS AUSANG
Loss Locatio• 73 FURBER AVE
ANDOVER 45
Policy Number: HP005075409i'
Date of Loss: 8/13/2010
Cause of Loss: Wind
LA File Number: MA -2-18545
On this date, I caused copies of this notice to be sent to the persons named above at the addresses
indicated above by first class mail.
Ann Martin
Adjuster
LaMarche Associates, Inc. - 800-349-1525
Page 1 of 1
'�
14
Location 73 1`c../Zrtc'7Z. &VI .
No. Date
NORTH
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$�
Building/Frame Permit Fee
$
/ g
*�0j•+ne►�'`.h
,SSACHUSE�
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
Water Connection Fee
$
v
TOTAL
$
..� 7563
klff� -
Building Inspector
Div. Public Works
PERlfff"NO. -44ii
G r
AP KVO.
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
INSTRUCTIONS /LECv2D� /4'�REGi577�yC�.���$
SEE BOTH SIDES �o�I3�Qy • JnsrRume.�Ir293�/
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FALED ANDDtAPPROVED BY BUILDING INSPECTOR
DATE FILED
i
SIGNATURE OF OWNER OR AU]HORIZED AG
F E E
/-D w /3 . P•
PERMIT GRANTED
%S ov b 19
OCT
OGT 1 :8 1994
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM 3/lso 7rJ�
SEPTIC PERMIT NO. /01 7
4 APPROVED BY
BUILDING INSPECTOR
OWNER TEL. a
LOT NO. /tos /& `O
2 RECORD OF OWNERSHIP iDATE
BOOK 'PAGE —
ZONE 2 (/
u
SUB DIV. LOT NO. PLA�1'�1085lo
I
LOCATION!
PURPOSE OF BUILDING J,y 2LM Aic, fee/
OWNER'S NAMI
NO. OF STORIES SIAE Z / �'Z-D= 4q• SII
!, ^{e `�t"
OWNER'S ADDRESS
/TU1`1'
BASEMENT OR SLAB /���r.�
G7IST
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS ./K`y/Q7{'/ 2ND qK8 3RD
BUILDER'S NAME JreTF
SPAN
DISTANCE TO NEAREST BUILDING ' �O/
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET 9(� �� / 9
DISTANCE FROM LOT LINES - SIDES 1.11J�REAR qZ /
7
GIRDERS
AREA OF LOT p'/. FRONTAGE
OpO /
HEIGHT OF FOUNDATION p./ /�Jg�nl THICKNESS /O 'W
( /
IS BUILDING NEWO /70
SIZE OF FOOTING IO A0/0 X
IS BUILDING ADDITION Yrn
7y.-
n MATERIAL OF CHIMNEY d
IS BUILDING ALTERATION
-
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yr6
7�/
IS BUILDING CONNECTED TO TOWN WATER yes
-
BOARD OF APPEALS ACTION. IF ANY U
IS BUILDING CONNECTED TO TOWN SEWER yes
IS BUILDING CONNECTED TO NATURAL GAS LINE nQ
INSTRUCTIONS /LECv2D� /4'�REGi577�yC�.���$
SEE BOTH SIDES �o�I3�Qy • JnsrRume.�Ir293�/
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FALED ANDDtAPPROVED BY BUILDING INSPECTOR
DATE FILED
i
SIGNATURE OF OWNER OR AU]HORIZED AG
F E E
/-D w /3 . P•
PERMIT GRANTED
%S ov b 19
OCT
OGT 1 :8 1994
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM 3/lso 7rJ�
SEPTIC PERMIT NO. /01 7
4 APPROVED BY
BUILDING INSPECTOR
OWNER TEL. a
995•/z87
CONTR. TEL. #
sfif)7�
CONTR. LIC. NL.�
H.I.C. # --
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY SiOR1ES•THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY _OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA -
APARTMENTS , RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
0
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4
CONSTRUCTION
2 FOUNDATION
CONCRETE
_
8 INTERIOR
FINISH
PINE
3
_
1
-A;-f/•
2 13
CONCRETE BL K.
BRICK OR STONE
PIERS
PLASTER
DRY WALL
UNFIN
3 BASEMENT
AREA FULL
14 1/1 1/1
FIN. B M AREA _
FIN. ATTIC AREA
N_O B MT
HEAD ROOM
FIRE PLACES
MODERN KITCHEN
_
_
4 WALLS
I 9 FLOORS
CLAPBOARDS
CONCRETE
EARTH
B
y
1
y
2
�_
3
_
_
_
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
HARDW D
COMMCN
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME -
_
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. &FLOOR
_
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR 1__d POOR _
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE I
GAMBRELMANSARD
FLAT A
HIP -
BATH 13BATH FIX.)
TOILET RM. (2 FIX.)
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
_
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
_
_
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
_
TILE DADO
6 FRAMING II
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & 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
OIL
B -M -T 12nd
lar 3rd
%
ELECTRIC
NO HEATING
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4
Registry of Deeds
Northern District of Essex County
Lawrence, MA 01840
10/13/94
HOWARD TAYLOR PL
# 38 Rec:time 1'_6 Hype j,o.0-1j
Postage 0.2'--.'
Total 10.257
# 39 Payment Cash 10.9
THANK YOU! Thomas Jo Burke
Register of Deeds
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FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: _I`7`o D 4ZI ycalz_ Phone Y 7S - /28 7
LOCATION: Assessor's Map Number Parcel
Subdivision Lot(s)
Street 9 F -u 23 e7Z AjE St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Conservation Administrator
Comments
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Public Works - sewer/water connections
1///Fire
/ - driveway permit
(/ Fire Department."=���---�
e.
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Received by Building Inspector ' Date
C�rT 1-3 i 1994
0
FORM U - IAT REMASE FORM
INSTRUCTIONS: This form is used to verify that all necessary K
approvals/permits from Hoards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: Phone ns -/Z8'7
LOCATION: A=ssessor's Mar) Number PG # 6853 Parcel
Subdivision Lots; 6S
� r ee� Fu It, - St. Nu.:�cer _
Use Only******************xxx**x
RECOHY-ENDATIONS OF TOWN AGENTS:
Ac-_nistramvr
Cc:�= erm=
Date Approved
Dame Rejected
Date Approved "L
Tcwn Planner Dame Re' ecmed
CC er.:-_
Fcc:: _: =_mean.,_- ealt
wcr�:s - connections
- driveway pe=-- it
Fire Depar--"en': r katihy te-fi[,I ��29
Dame Annrcved
Dame Re-iec:__
Date Annrcved
Dame Rej ec:ed
Reca_ved by Building Inspector Data
OCT IA 1994
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Town of North Andover
BUILDING DEPARTMENT
Homeowner License Exemption
(Please print)
DATE /� 749k
JOB LOCATION
It
"HOMEOWNER"
mber Street Address
Name
Home Phone
PRESENT MAILING ADDRESS 73 Ar,t4ylc, 44"
Section of town
07- UY,
Work Phone
ty/Town'' State Zip code
The current exemption for "homeowners" 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 homeowner. Such "homeowner" shall submit
to 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
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. � -11,
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFI IAL
Note: Three family dwellings 35,000 cubic feet, or larger, will be
required to comply with State Building Code Section 127.0, Construction
Control.
j
Location z
No. jvi Date '-/ -26
TOWN OF NORTH ANDOVER
A
Certificate of Occupancy $
',S'•"°.•�sry Building/Frame Permit Fee $
s�C14U
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ - -;..5
Check #
Building Inspe64or
5Z "o
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE:
Building Commissioner/1or of Buildings Date 4/ �� Z
SECTION 1- SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number: ' [
^ ^ r Number Parcel Number
(�7
i
1.3 Zoning Information: Zonng Information: 1.4 Property Dimensions:
Zoning DiA6c—t Proposed Use Lot Area Frontage ft
-1.6 BUILDING SETBACKS ft
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
ReqWred Provided
1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information:
Public 0 Private ❑ Zone Outside Flood Zone 0
1.8 Sewerage Disposal System:
Municipal ❑ On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record
3
C �y
(7P Address for Service:
czj-01,01. - ? 444N
47? L5
SignatmW ephone
2.2 Owner of Record:
Name Print 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
Signature Telephone
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 ....... ❑
SECTION 5 Description of Proposed Work check au applicable)
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
SECTION 6 - R.CTTMATTiiI
Item
Estimated Cost (Dollar) to be
OFFICIAL USE ONLY
Com leted b ermit applicant
.
1.
Building
a Building Permit Fee
Multi Tier
2
Electrical
(b) Estimated Total Cost of
Construction
3
Plumbing
Building Permit fee (a) X (b)
od
4 Mechanical HVAC
5 Fire Protection
6
Total 1+2+3+4+5
Check Number
CTi f`T7nN 7., nAvXTUn A TT'TTTAT1 ♦
< WIVIT"LL' 1 L'IJ VVIrly.l\
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
[1, & Y as Owner/A thorized Agent of subject property
/H/erYby authorize to act on
My behalf, in all matters relative to work authorized by this building permit application.
6
c
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1, as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge '
and belief
Print Name
Signature of Owner/Agent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 2ND3
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
D. ROkiert Nidetta
Building Commissioner.
(978) 688-9545
-1978) 688-9542 Fax
Town of North Andover
Building Department
27 Charles Street
North Andover, MA. 01845
HOMEOWNER LICENSE EXEMPTION
Please print
DATE .
JOB LOCATION/ 1 V (- ��
Number
"HOMEOWNER
Name
PRESENT MAILING /
Address
Map / lot
Work Phone
190 oz: I
City Town StateZip Code
Q�
The current exemption for "homeowners" was extended to include awner-occupied: dwellings
of two units or less and to allow such homeowners to engage an indivviduallbehire who :does.
not possess a license, provided that the owner acts as supervisor. (State Budding Code Section 108.3.5. 1)
.DEFINITION OF HOMEWOWNER-
Persons) who owns a panel of land on which hOshe resides or intends. toreside, on which
there is, or is intended to be, a one or two family dwelling, attached or debchw
stnx tures ac-
cessory to such use and/or farm structures. A person who constructs is more than one home in a
two-year period shall not be -considered a homeowner.
The undersigned "homeowner" assumes responsibility for compliance with the Slate Building Code and other
Applicable codes, by-laws, rules and regulations,
The undersigned "homeowner" certifies that he/she understands the Town oflover
Building Department minimum inspection procedures and requirements an helshe will
comply with said procedures and requi ements.
HOMEOWNER'S SIGNATURE
1-7
APPROVAL OF BUILDING OFFICIAL
4f a
n
North Andover Building Department
Tel: 978-688_954
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 irl a properly licensed solid. waste disposal facility as defined by MGL
c11,S150A.
The debris will be disposed of in: o S
143 ELe!��TT,s-
i
i
U
Date
NOTE: Demolition permit from tlae Town of North Andover must be obtained for
this project through the Office of the Building Inspector
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appeal shall
Any app
be filed
'
,vithin po) c�at�s
after the
_ y1
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the Town
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34 al9"i
OA�TEO nPPy.�S
�9SSACHUS�t
TOWN OF NORTH ANDOVER
MASSACHUSETTS
BOARD OF APPEALS
*******************************
*
Howard Taylor * DECISION
73 Furber Avenue
North Andover, MA 01845 * Petition #051-94
*
*******************************
The Board of Appeals held a regular meeting on Tuesday evening
September 13, 1994 upon the application of Howard Taylor
requesting a Special Permit under Section 9, Paragraph 9.2 (1) of
the Zoning Bylaw so as to permit extension of a non -conforming
structure on the premises located at 73 Furber Avenue. The
following members were present and voting: William Sullivan,
Chairman; Walter Soule, Vice Chairman; Raymond A. Vivenzio,
Clerk; Robert Ford; and Scott Karpinski.
The hearing was advertised in the North Andover Citizen on August
24 and 31, 1994 and all abutters were notified by regular mail.
Upon a motion by Mr. Vivenzio and seconded by Mr. Karpinski, the
Board voted unanimously to grant the Special Permit as requested
with the understanding that if the foundation of the existing
sunroom is inadequate, the applicant is authorized to raze and
rebuild that portion of the renovation project under the
direction of the Building Inspector.
The Board finds that the applicant has satisfied the provisions
of Section 10, Paragraph 10.3 of the Zoning Bylaw and that such
change, extension or alteration shall not be substantially more
detrimental than the existing non -conforming use to the
neighborhood.
Dated this 19th day of September, 1994
BOARD OF APPEALS
William J. Sul Ivan d`xs�L
Chairman
vjl�;., , i ie
Ch "i'il;� or` I, Town
TOWN OF NORTH ANDOVER
MA,SSACHUSEWS
BOARD OF APPEALS
NOTICE OF DECISION
SEP I9 II 34
September 19, 1994
Date............................
051-94
Petition No. ..................... .
Date of Hearin September 13, 1994
Hearing ..............
Howard Taylor
Petitionof..................................................................
Premises affected 73 Furber Avenue
...................................................................
SPECIAL PERMIT UNDER
Referring to the above petition for a t�`i�ti[e Section 9,
Paragraph 9.2 (1) of the Zoning Bylaw
.......
. ............ ................................
so as to permit extension o.f..a non -conforming .structure ....... . . . . . . • • • . . • . . . . .
.............. I ........................ I.........................
After a public hearing given on the above date, the Board of Appeals voted to . GRANT. the
Special Permit as requested and hereby authorize the Building Inspector to issue a
permit to Howard Taylor
for the construction of the above work, based upon the following conditions: if the foundation of
the existing sunroom is inadequate, the applicant is authorized to raze and rebuild
that portion of the renovation project under the direction of the Building Inspector.
The Board finds that the applicant has satisfied the provisions of Section 10,
Paragraph 10.3 of the Zoning Bylaw and that such change, extension or alteration
shall not be substantially more detrimental than the existing non -conforming use
to the neighborhood.
Signed
�
William' J. Sullivan, Cli2irinan�a
Walter Soule,..Vice.Chairman .
Raymond A Vinvezio, Clerk
.................................
Robert Ford
.....................................
Scott Karpinski
.................................
Board of Appeals
Registry of Deeds
Northern District of Essex County
Lawrence, MA 01840
HOWARD TAYLOR
# 38 Rec,time 1036 Type
Total
# 39 Payment Cash
10/13/94
PL
10.00
Postage 0.29
10.==
10.29
THANK YOU! Thomas J. Burke
Register of Deeds
DANIEL L01IG
i0'JN (;LETT;
Received by Town Clerk: NORTH AtiloOVER
AUG ZZ 10 53 All '34
TOWN OF NORTH ANDOVER, MASSACHUSETTS
BOARD OF APPEALS
APPbICATION FOR RELIEF FROM THE ZONING ORDINANCE
Applicant H o ,-)Aa 7A -y L0 2..-- Address 7 3 eua, s E12_4v-g
Tel. No. 975-17,62
1. Application is hereby made:
a) For a variance from the requirements of Section
Paragraph and Table of the Zoning Bylaws.
b) For a special Permit under Section Paragraph q•�- ���
of the Zoning Bylaws.
c) As a Party Aggrieved, for review of a decision made by
the Building Inspector or other authority.
2. a) Premises affected are land and building(s)
numbered 73 etc--�XYL- #W Street.
b) Premises affected are property with frontage on the
North ( ) South (1-r East ( ) West ( ) side of
Street, and known as No. nt- R4 n
Street.
c) Premises affected are in Zoning District , and the
premises affected have an area of 8113 square feet
and frontage of 80 _ feet.
3. Ownership:
a) Name and address of owner (if joint ownership, give all
na es):
Date of Purchase 2 Previous owner Cgj r�--
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: front;Z N
Height feet deep;
Hei
g �� stories; Zi -(o feet.
a) Approximate date of erection: _SrNT,zocT
b) Occupancy or use of each floor: �e�zr� itrn/CHi��t��1'I�•n. /rr�e
c) Type of construction: 60&0!b ICA~
Srtrt
5.
6.
Has there been a previous appeal,
premises? AD If so, when? _
Description of relief sought on this
hove-cuv��Gvtzrv��►nt� (s r(3i�Ck1 <-MULTLnkf, 60=0
under zoning, on these
petition ExTMS101-4 Of
rL PE1ixY111- nm o sTA c �
7. Deed rgcorded in the Registry of Deeds in Book Page
Land Court Certificate No. Book Page
The principal points upon which I base my application are as
follows: (must be stated in detail)
I agree to pay the filing fee, advertising in newspaper, and
incidental expenses* A ().
ignature of Petitioner(
Every application for action by the Board shall be made on a form
approved by the Board. These forms shall be furnished by the
Clerk upon request. Any communication purporting to be an
application shall be treated as mere notice of intention to seek
relief until such time as it is made on the official application
form. All information called for by the form shall be furnished
by the applicant in the manner therein prescribed.
Every application shall be submitted with a list of "Parties of
Interest" which list shall include the petitioner, abutters,
owners of land directly opposite on any public or private street
or way, and abutters to the abutters within three hundred feet
(3001) of the property line of the petitioner as they appear on
the most recent applicable tax list, notwithstanding that the
land of any such owner is located in another city or town, the
Planning Board of the city or town, and the Planning Board of
every abutting city or town.
*Every application shall be submitted with an application charge
cost in the amount of $25.00. In addition, the petitioner shall
be responsible for any and all costs involved in bringing the
petition before the Board. Such costs shall include mailing and
publication, but are not necessarily limited to these.
Every application shall be submitted with a plan of land approved
by the Board. No petition will be brought before the Board
unless said plan has been submitted. Copies of the Board's
requirements regarding plans are attached hereto or are available
from the Board of Appeals upon request.
Rev. 4/93
LIST OF PARTIES OF INTEREST
SUBJECT PROPERTY
MAP PARCEL LOT NAME ADDRESS
16S 16(o 1 H000n4> + PA17X4A TAyco 73 Fo(ZM , n -t .
rsK . 1324
PG• �o?
ABUTTERS
MAP PARCEL LOT NAME
ADDRESS
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