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HomeMy WebLinkAboutMiscellaneous - 75 SETTLERS RIDGE ROAD 4/30/2018N v m m Q m J 9 o m o � S� b n 0 This certifies that ... N (... t9 4S „C has permission for gas installation �'`.�V.A,,,.-r"" in the buildings 3-ai46to. of. .�" d, ,�'►'l.�-�t,�� , , , , , , , ... . at .. �.� .. . ��'. � , . �• ,.North Andover, Mass. Fee �OLic. No.. 7�� .3.5 ....................... �6. . GASINSPECTOR Check # As L 8340 kA G \ - ogll-• as 91.1113 k MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK jv CITY a aC MA DATE -- PERMIT # JOBSITE ADDRESS �� 5 _ 'qSs "�o��TOWNER'S NAME GOWNER ADDRESS SQ. TE FAX TYPE OR PRINT _'ia•l$_�• _ OCCUPANCY TYPE COMMERCIAL] EDUCATIONAL RESIDENTIAL CLEARLY NEW�N RENOVATION: 0 REPLACEMENT: D PLANS SUBMITTED: YES -1 NO-� APPLIANCES 7 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER (T .: j =J =j =j _ .. I I= 1. BOOSTER.: CONVERSION BURNER COOK STOVE - .,� 1 . ^_ — . I . . DIRECT VENT HEATER.I �I DRYER FIREPLACE FRYOLATOR FURNACE ^ - -- I GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER,—r �_. WATER HEATER OTHER INSURANCE COVERAGE 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES __I NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF �OV.ERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY j— OTHER TYPE INDEMNITY ( BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER (� AGENT �I SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to th best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will bei pliance ith all Pertine provision of the ��� Massachusetts State Plumbing Code and Chapter 142 of the General Laws. , - PLUMBER-GASFITTER NAME a _ -* -I _ LICENSE # 31351 SIGN URE MP ED MGF JP 0 JGF L] -j LPG] 0 CORPORATION N# ( PARTNERSHIP 0I(#[ LLC I# COMPANY NAME: DDRESS �-V "� CITY STATE `-JZIP dS�TEL t' _ FAX ELL! AIL MAIL'W�'S .j % �Vlllv O Z O H U W a w o o a z o y� w } 1_ W [�- a Z LU Q w 5 O LU � w w w N a z a a a � U J E., a CL Q � M: w W H z° 0 F U W a rA d �7 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 °www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: \N�� City/State/Zip %-S Phone #: re you an employer? Check the appropriate box: 1. I am a employer with C'� 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑ 1 am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 1Roof repairs 13. Other C( - *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. f Ho;reovvners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' col ensation insurance for my employees. Below is the policy and job site information. Insurance Comnanv Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: �� — - ``�'C S� ��\OC City/State/Zi� Attach a copy of the workers' compensation policy dec aration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. t do here i y ung r the ins r d penalties of perjury that the information provided aboy is true and correct. Si nature:, Date: Of 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): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone #: r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or 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, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) 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 or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn 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 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www,mass.gov/dia ol OMM > CD M > M ol z NEC z N C o < r M M M Lnc= 0 CA M r- . M -4 , (n Mg z CA C: r- ch 03 cn n cn C: Ln — c am M oz` M 0 : cn— V) > M M M M M cn r M cn MI —j -4 --q Cf) > r Cl) —4 a) z co z > V) 0 )>a 01 X V) co EZ (n 7� < -n 1, M x < >0, I M G) :3 M M "n 1: >�> c , > > M U) > -< (n M M > z U) Z ;,cn V) (Mf) Cj) Cl) -n �10 M U) M 0 po--i 0 110 01>—i of r1i MM M W (n (A cnm O;u a U) .;u 1. U) r\) =i(n Cl) N M co z N M C) CD M un %%U: Date ..6/!rt?�/ t ....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that X : zl... �,q1 07-4. !° �! . !`?...... . has permission for gas installation in the buildings of . r`%. .�. I./94. y!'. I .. ... . at.7.5� ...F-ell&t�5... k9t. 144, aNqrth ver Mass. Fee�,AQ•Lic. No.. r0 4.(,. ./ u.. .. . GAS INSPECTOR Check # / L) / (r, I ew•r� mre. W W MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town:` °, /f/,J V V-04- , MA. Date: Permit# Building Location: V-S,e /2d Owners Name: `AA V ftZ -i Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: [j�- Plans Submitted: Yes ❑ No ❑ ew•r� mre. W W Cd ~~ U) m= O W 0 x W z f- Q W Z -� >- u) H Z 0 O w tY 0 w y W m 0 F- w W Op Q H W )�, fn V W W z ~ = cn 0 W H 0= z W>- W co J 0 X H W I- a O to Z -u W O (7 z 0 IN— W > H z W W I'" x � t=i Cal Ute' x 2 � O a � � H > > > � I -- SUB SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4 TH FLOOR 5 FLOOR 6 FLOOR T"—FLOOR 8TH FLOOR Installing Company Name: _f�r 6�i�/��i�n� �rL%� Check One Only Certificate # Address:- /City/Town:% �" Q .!fJ&A-----gtate• ',k El Corporation [I Partnership Business Tel:17 Flo F*?, —10 Lfjib Fax: S Ur Firm/Company Name of Licensed Plumber/Gas Fitter: v „ys ,e - INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes 92- No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 9"' 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only _Signature of Owner or Owner's Agent Owner El Agent E] By checking this box ❑, I hereby certify that all of the details and information I have submitted (or entered) regarding this aoolication are true and .•.. •� •••� �Vo w: Illy "IjW WIeuye anu uJac au pwmomg worK ana installations performed under the permit issued for this application will be in -- - -- •••• �•• • F—VNOIWII V: NIC 11114, JZN lIu56LL5 mace riurr�g u:oae an cnapter 142 of the General Laws Type of License: By &Vlumber �'� /Y Title ❑ Gas Fitter ignature of Li sed Plumber/Gas Fitter R'Master City/Town ❑Journeyman License Number: APPROVED OFFICE USE ONLY ❑ LP Installer e� Location, 7`5 Sc 7TL,�-�-e, No. Date ? 114IT7 TOWN OF NORTH ANDOVER p Certificate of Occupancy Building/Frame Permit Fee $ $ ;7s 'Argo '��' s�CHU Foundation Permit Fee $ Other Permit Fee $ / Al , 12-56 Sewer Connection Fee $ a 75'5- Water Connection Fee $ TOTAL $ Build' s tor* N2 10165 Div. 136blk Works Uhe &mmonw alth of ifluuousrm P.r,,,� ���� i9cPmttntttt of Public *afttq Oocupfutty 6 Fie CMdtedl"%�' BOARD OF FIRE PREVENTION REGULATIONS 527 UIR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 1- �•-9K Q*or Town of NORTH ANDOV .R To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant 1 t �• L-62�16 of p' -"_4't e-•� i C4-) Owner's Address _ 16 -!�) V1 C.i -/ I -Y Is this permit in conjunction with a building permit: Yes ✓ No C (Check Appropriate Box) Purpose of Building -6--_" {-[��,,v� �,r� Utility Authorization No. S'O I Or S _ Existing Service Amps _J Volts Overhead Undgrnd C]No. of Meters �,_ • New Service 'ZOO Amps Volts Overhead Unogma lY No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work __ C() 7c,-(—?7E� L) f i.ytv� No. of Lignting Outlets I No. of Hot '-cs I No. of Transformers Total KVA No. of Lighting FixturesAbc Swimming Pcoi ve n- — r—. grro. _ grna. _ I Generators KVA No. of R•ceotacis Outlets b0 No. or Oil corners No. of Emergency LightingBattery Units No. of Switch Outlets Q I No. of Gas _utters 2— FIRE ALARMS No. Of Zdn•a No. of Detection and Initiating Devices No. of Sounding Devices No. of Soft Contained 0olection/Sounofng Devices Local — Municipal ^Other Connection No. of Ranges I No. Cf Air Czr..c. oia' / :Cris NO. 01 Disposals I No.of Heat o:ai -otai ?urnz;s :ons K%V No. of Dishwashers I SoacerArea r♦eatir.q i(%•/ No. of Dryers I Heating Cevices KW No. of Water Heaters KW _ 100 No. of I Signs as ias:s Low voltage Wiring No. Hyoro Massage Tubs I No. of Moicrs Total HSP OTHER: INSURANCE COVERAGE. Pursuant :o the reouvements at r.tassacnusers ;eneral Laws I have a current Liability Insurance Policy inducing Ccmc:et Cera lions Coverage or its substantial eduivaient. YES ANO 1 have suominea valid proof of same to the Office. YES v0 = If you nave checxeo YES. Please inoicate the type of covereq@ by 4 cnecking the appp its Dox. INSURANCE v BOND = OTHER Z (Please Scec:"�) Estimated Valt E!Electrical Works ow L (Excitation oatel Work to Start 4— 7 Insoec:ion Date Race es:ec: Rough Foal Signed uno•r • e Penalties of penury: FIRM NAME /\' M rz�G ill ICC �C 4 F Jtil J tic. NO. K7- 7 M Licensee S g^azure 1 LIC. NO. Address "► !J �CO� �- `j ��w �tfq Sus. Tel. No. J�11 3 ZD % Y ..1 Alt. .el. No, OWNER'S INSU ANCF. WAIVER: I am aware that the Ucensee toes moi nave ins insurance coverage or its substantial equivalent as re- duireo by Massacnusens General Laws, ono that my signature an ^is --ermit aopucation waives this reouuernent. Owner Agent (Please cnecK onel• eieonone No. PERMIT FEE S -- ISignatun at Owner or Agsnti i Date .......... No .. . ....... a j4oRT#j TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that / .............................................. has permission to perform ............. wiring in the building of ............. . ....... ...... :� ............................................ at ...... ............ ...../.... .. ........ . ......... . North Andover, Mass. Fee.... ............ Lic. No(. . ................ ** *** **........................... *** **' **R"' ALINSPECTOR WHITE: AppIicanP2/18/99A*AP: 13.11ding16400 PAMNK Treasurer PER111T NO APPLICATION FOR PERMIT TO . BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP x�0. LOT NO. ', 2 RECORD OF OWNERSHIP 1DATE BOOK 'PAGE . 6f. I SEPTIC PERMIT NO. IA -1 t ZONE - SUS -DIV. LOT NO LOCATION , 1 PURPOSE OF BUILDING (� a S OWNER'S NAME NO. OF STORIES SIZE q OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAMEe,f �, '+ SIZE OF FLOOR TIMBERS IST 72ND f 3RD 'J BUILDER'S NAME1 f Vt�� SPAN .��t /L ,/ 6+.Q �! — DISTANCE TO NEAREST BUILDING �/ - DIMENSIONS OF SILLS ( , �- #.._ DISTANCE FROM STREETPOSTS z�J�. DISTANCE FROM LOT LINES — SIDES + L REAR /4, GIRDERS AFEA OF LOT -7 7 e) R-S7S 1'^ i' FRONTAGE O-YQ HEIGHT OF. FOUNDATION - !u/ THICKNESS '] IS BUILDING NEW SIZE OF FOOTING '� X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND ✓ WILL BUILDING CONFORM TO REQUIREMENTS OF CODE !J IS BUILDING CONNECTED TO TOWN WATER \1 BOARD OF APPEALS ACTION. IF ANY i / IS BUILDING CONNECTED TO TOWN SEWER )-e l IS BUILDING CONNECTED TO NATURAL GAS LINE 1 INSTRUCTIONS SEE BOTH SIDES 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 FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED F A 3 S OR FEE PERMIT GRANTED FiR Hi�ii Imo_ 19 F J l FU& 1 3 1997 WILDING ®EPARTMr-1 S .I+' 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST S U e"-) -' 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST S U e"-) -' EST. BLDG. COST PER SQ. FT. . 6f. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. IA -1 t 4 APPROVED BY BUILDING INSPECTOR OWNER TEL.# (r�� ��-" S #CONTR. TEL. b,F' % Z CONTR. LIC. # S ' 3 77 H.I.C. # BUILDING RECORD 1 OCCUPANCY 12 INGLE FAMILY MULTI. FAMILY STORIES OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH 3 1 2 ( 3 PINE CONCRETE CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER DRY WAIL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 14 1/t % FIN. ATTIC AREA NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS CONCRETE EARTH B _ I 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARDtr✓'D COMMCN ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK N MAS NRY BRICK ON FRAME ATTIC STRS. & FLOOR_J_ CONC. OR CINDER BILK. WIRING STONE ON MASONRY _ STONE ON FRAME SUPERIORPOOR _ ADEQUATE I 'NONE 5 ROOF 10 PLUMBING GABLE GAMBREL I BATH 13 FIX.) MANSARD TOILET RM. (2 FIX.) FLAT 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 I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 3 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 I cri tst 3rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. 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 lawn regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: r!) Phone LOCATION: Assessor's Map Number G.1 Parcel Subdivision it l rs i Lot(s) Street rs AT St. Number 7 *********** ******* ****Official Use Only************************ RECO DA I NS T AGENTS: �✓ Date Approved Conservation Adm nistiatop ,r%Q�te Re jected Comments C la4ffier Health Agent Comments c=� Date Approved> Date /�Rejected 'tom I /r -t -Qg l �i /,Y(�I .5r, cC-P) l�f lic Works - sewer/water connections - dr-iveway permit re Department "L ceived by Building Inspector Date Approved Date Rejected Li l 1�7 7 7-L- Date b 1� 4T 5 PR4Pd�i�1� 5►rE PLAN /,LASE I" = ya +oo io+oo ' — r. .� N Tara Leigh Development Corp. w, 185 Hickory Hill Rd. N. Andover, .MA 01845 LA - i irp' �A 27, o®S 5.j:. 1. JL � / \ 'no AW 1 3 1997 L GILDING DEPARTIV EN'i _ F m I v N > > O O m n z z Z m O O r m -n1 3 n m r m r CI m z z > m N N V r _ F m I v N > m I v N > > Y m 1 m m m m rr r 4 0 fn c r 0 c P. m N O O r m -n1 3 0 _-4 0 CI m z z > m N N r I Z Z A O z m n - w ° O m o -N{ m A 0 ! c C 0 ° Z c oil V a A m 0 0> w 9 i i i Z i o n O r r n °n n z a; n n n 0 p i 01pp O 0 0 Oz M W O D 2 � O 3 1 ..f N - Y ..f N w y> of o o m> O O r N 3 pl,r CI C c > >>> r I Z Z A O z m ° O m C r O r ° r ° 0 Z Z z m 1°9 A i A a H L > O 0 0 0 rni rnn n > Z 2 'Z > > Z AA 0 O 0 z > i> N 0 ° > ; m m y .0 0 r A a m 0 i m A m m m H n , Z-1 0 i zz irl� :r m 1 1 �N 0; Z ^J N to ? o � 4 � r o c W 0 o > rn o °t) ° J �' 0 m z Z n 0 A m , 0 z m \ > O > A , rn N N N m z 0 S N m c m c m c m I z m 0 O I m z Z m 0; m .m jisl 0 0 0 0 0 > r m 1 0 N 0 '� m Z i m 1 m R� n z 0 z 0 Z 0 z 0 OT on 0 TI. z r 0 A 0 A .0 0 0 0 0 z n =_ z 0 c 0 A N N c O z Zzzo; z Z 0 0 z 0 0 V m i> !r ° a n1 m v M 4 m O -1 m O r_ O O z < >ANr 0 z o p m 0 N r m m A m Z 0 < „I 0 < Z 0 0 0 A '+ - m > "1 0 f 0 r O v� N C > m z z f > _ n la A m N z ' x -4 ° m M I \ N a �-o O ID m +p1 i t � �•'1� N=/ 8 ' A -IN 9>>8-.> TG1�1 t^r D b e NNnm titi ZZZn _A NN< CC�.y AA yy OA QQAr x r^IO ZED 'D 1O ,W T T N�(Z� N nn AI4O D.; _ A.rr- TO D m .^O -Aim n0 xQ�Qv"r y D ON:.% O OrA O '� AN r mmA7C O -�IA A� O'I�C * ; T Z ANdI D O H 8A =� Q b, ZZ A Z OOO_NO ZZZu'oZZ0 u,_ xpA -p O r� ATT (m _ T ZDD uN O p� N a 'r' Zx Om NN_ q O DUO; I .T0G: ZOzGGm1l !; � -T Z 7t c H3_� <{ as " �O mD o , -3:0 low. 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N �n a =1 m CD�omyoy N N > >� C O O Z �• co W .�0 O� C_ =r O 4 �c o •~ +r m m H d -% 11 J 0 y C" Od N T C '�.. CA .•� _ ' V, V' y y O a .O .. es 00, t %J - CD y Oaa� H a- m a "ft � Hco CD d A- CL :� : �+ nom' CA �D O v � cn hC'il o X, (gyp Oa Ri � ° OG CA x T ° pGp S - m b � E. 0 G r a PO � -- 9 G G G w TJ n \ 2' 10 0 c -. t FORM U -.LOT RELEASE FORM INStRUCTIONS: This form is used to' verify that -all necessary . approvals/permits from boards! and Departments havin P g jurisdiction i• have been obtained. This -does not relieve the applicant and/or ` landowner firom compliance -with regulations oany applicable local or state lam; r requirements.. ****************Applicant fills *'rout this section***************** APPI,YCANT: Phone �y_ I LOCATION: Ass.essor'"s Map* Number 6.l Parcel , Subdivision' r,T Lot(s) Street St. Numbdr ****Official Use Only************************ cd ' A I ISS T ' ' AGENTS : = Date Approved r° Conservation Adm nistdto ip to Rejected f � Comments • Date Approved I ► 01 ner Date Rejected i comm is Health A gent Date Approved 1I1 g Date Rejected ' Comments Public Works - sewer/water connections driveway permit i•�ll� Fire De rtment ' �, l�; �, G�Tur�GCX • �.a. Received by Building Inspector Date SETTLERS KI-r> Ab E I I LqT 5 PRdPd�i`�]7 ` IrE FLAN o too 10+00 Tara Leigh Development Corp. jy, 185 Hickory Hill Rd. N: Andover, MA 01,845 r IS AO % 10 ✓ 27 P LOT 5 Ui AvX00 j ,x'90 gORTH Ot,�y�o '�y0 0: oA RECEiy'E t JOYCE BRADSIHAW > TOWN CLERK NORTH ANDOVER' � 'SSAcsWSE< OCT 16 221 ISM '91 TOWN OF' NORTH ANDOVER Any appeal shall be flied : MASSACHUSETTS within (20) days afte date of fiiing of this Notice in the Office of the Town BOARD OF APPEALS ATTEST; A tae Copy Clark, 1d&44A4W- Thiz is to certify that twent! (2()c : 7bWn Clerk havaelapwfrom date;otdecisio:, : t NOTICE OF/DECISION ►rithout filing of an appeal, Dal le Joyce A.6rad,,natq —Property: 75 & 30 Settlers Ridge Rd., Lot 5 and 11 TOM C:�;* NAME: Tara Lei h Develo ment Colr . DATE: 10/15/97 i ADDRESS: 75 8< 30 Settlers Ride PETITION: 027-97 North Andover, MA 01845 HEARING: 10/14/97 The Board of appeals held. a regular meeting on Tuesday 19vening, October 14, 1997 upon the application of Tara Leigh Development Corp., (Thomas Zahoruiko), requesting a Variance from the requirements of Section 4:2, paragraph 1, from the Phase' Development Bylaw as a party aggrieved. Said premises are lots 5 and 11, which is in the R-2 Zoning District. The following members were present; William Sullivan, Raymond Vivenzio, Robert Ford, John Pallone. The hearing was advertised in the Lawrence Tribune on 8/26/97 and 9/2/97, and all abutters were notified by regular mail. The party aggrieved section of this petition is as follows: Robert Ford made a motion to sustain the decision of the Building Commissioner with respect to 4.2 and 8.7 to Tara Leigh Development. Corp. as its2 provisions currently exist in the by-laws Raymond Vivenzio seconded the motion. Voting was unanimous, William J. Sullivan, Raymond Vivenzio, Robert Ford, -John Pallone.. Upon a motion made by Raymond Vivenzio, and seconded by John Pallone, the Board of Appeals NOV unanimously voted to GRANT the petition for a Variance from the terms of section 4.2 of the North Andover Zoning By-law as it applies to the requirement to schedule building permits using the "anniversary date". As such the petitioner shall be entitled to a development schedule that will be controlled by section 8.7 of the North Andover Zoning By-law. This variance shall in no way exempt the petitioner from any other sections of section 8.7 of the North Andover Zoning By -Law. The petitioner is caused undue hardship by the application of both of the sections of the Zoning By-law 4.2 and 8.7. Such hardship is directly related to the soils and slope of the land as the petitioner is required to maintain the sloping site with wetlands over a longer period of time than originally planned by the petitioner. The Board further finds that the petitioners case is unique. This is the first case under which both by-laws are required to apply. Voting in favor: William J. Sullivan, Raymond Vivenzio, Robert Ford, John Pallone. Note:, The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily ensure the granting of a Building Permit as the applicant must abide by all applicable local, state and federal building codes and regulatiori„s, prior to the issuance of a building permit as requested by the Building Commission. BOARD OF'PP L , /decision + William J. S Ilivan, Chairman 10 Ma, f A f l 1 -A.A AIr / 11.1 i<JI r' t + i I � � ESSEX NORTH REGI RY Off' bEE08 . LAWRENCE.,MASS. A TRUE COPY: ATTEST: r I i F REGISTER OF DEEP CERTIFICATE OF USE & OCCUPANCY V Town of North Andover { Building Permit Number 572 Date April 7, 1998: THIS CERTIFIES THAT s I 1F.,` THE BUILDING LOCATED ON 75 Settler Ridge r; MAY BE OCCUPIED AS single 'Family y Dw 1 1 ; gg IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Tara�, Leigh Dev 7s:: i o 185 Hickory Hill Rd 41 ADDRESS s„""S�ui din nspector U ca c?-Ro d = So o -OC cr 0 y O =n co CD on m L. "` = m CD oom� c y o CD ��m = o•+. m y : m a Sop Zp� O m 0.o=LA -, o H• n 0 CD CSD c ? Cob C/ CD p '�. CT7 m oa .P � � c � m m �� CrJ s d a�it c 4f CD CL c� C v per,► HC/I � �`•` y m CD CD p (n ? y ,� o m� cr CD W— ac" CD O CCD Q� O o A oCD �• n z C CDCA CD '^7 •o o G �. a. D CO)c m p ;J CD o m : j-16 r � CD . 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CD _ .. pm.vi _ -;:a n C)71 t3D � 0 CT T� Q o D . .'9 y — �' T w I w ° cn `G (D (/) � f n C, 0 w a 0 -.1 m - -n rsy mCIT, cr y O -S O i T (D C ° 0 CD W O -n C-+ () (D (D w w° (Doa n°o D O �. o w a� ° 0 T —h J D J i5 n T Q (D OL CD 10 a > J c ( o CL - °0 c mM $ A) S a w Om oc _ F 3�3 J iL v _0 cn c° cn `- T -p --h O T w y w n w o m CD O O C (n <D CD a N 7 m m r n { J O U] QZ -h O O ylz 0.0 (D c m .. �� Z :3 CL y W / m c+ O y w O N '� p� .Z.( (D Q w Q W Cm1 l 3 n U) �. m 0o m Oi m SD a 08 (D m D - cJ cf °o C p ?Ij Q Off' Way -5 N a O (D O S2o v tz (X C' - f.� '� o cN-F N z m NZ . N (D 13 Q -+ (n O O m ° m Q y w a o , o I N o j 1 G7 to -4 m co y 'N O m �� ml i� " z �I , O O (D i a � p I i I m O= l w (" f v 3 (D — -. MASSACHUSETTS URIFORM APPLICATIOWFOR PERMIT, TO-'DOVLun�etry� (Type or Print) •;...:. , NORTH ANDOVER ,Mass. Building Location �,,� �S elf �tw I& P Perm t _ Owners Name New Renovation j] ' Replacement Plans Sybmitted F TU F w. lA x Y < • tri err! O Z F > ld 0 a .Q N z OI < cc = O 2 z 0. ' 0 .. W �- W ¢ _ W Z .. Z J a ai X¢ 1'.. a w t» Z a a v i V = or o oc 0 W >,• � I- a � O a W = cc a 1G o • M. W O 7 W 4 .� < W .� aC J p •p J . W X ~ 1— � O � 39 J X 1•• < >< Is. fK •' ~ V Y 1- O X a a !- Y 0 O _Z _Y < W k >< W < y vl v! Z O p vl W 1 O t) Z • � •c i < < X _ 4 d O < J J < a: (Y IC. < O < H 3 ac .A m a o 0= h vi v o < at o O SUB-BSMT. + BASEMENT IST FLOOR 2140 FLOOR 3R0 FLOOR F 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR I FF ' 8TH FLOOR t (Print or Type) Check one: Certificate Installing Company Name en uL 0?0� � Xe)'% (� Corp. Address /,� (, f� C06,x , ),(�Partner. �l1/eLAJ715X) fU _ h 3 3 S'-57 Cj Firm/Co.,� Business Telephone /,a &? Y2 /**, Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: • Liability insurance policy Other type of indemnity Bond Li Insurance Waiver: I, the undersigned, have been made aware - that the licensee of I this application does not have any one of the above three insurance coverages. . . • Signature of owner/agent of property Owner Aged% I baebr cerdry dial all of Ure derails and in(orntation I loa.c subuniucd (or sniped) in alwa.c Applicadoa irs low 4:214 to dw Oast al u h mwkdp and that all plumbing work and installatinns lscrfnrmcd undo reriiiit ltsued for this application will be is buspWltoa II'llt W ratio" owl# vifiona of lbs Maws a Belts Stale rlumbiag Code and Clupw 142 of tlic General tXws. .w By Title City Town: pe of Plumbing License ,, 36•x. Dat'.'. ?�.���. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ssACNUS� This certifies tha .................... , , • ..... . _ . has permission to perfor,.. ... ..... . , 'u73 pg in a buildings -o �� �•_ .... , North Andover, Mass. ...Lic. NA.5 ..... .............................. PLUMBING INSPECTOR '/09/98 14:18 190.00 PAID nlicant CANARY: Building Dept. PINK: Treasurer MASSA►CHU$ETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITnko (Print or Type) FORTH ANDOVER Mass. Date ; tuilding Location G ,S Permit #c;7. Owner Namel�q 1p V, New 7-7.1 Renovation Replacement D Plans Submitted D FIXT�IO=� ^ (Print or Type) Installing Company Address Name Check one: Certificate Q Corp.. Partner. _....,_ ._ -Al, c.�17$)t% f/. h��sCf Firm/Co._ Business Telephone: („ n 3 3d'a���9 Name of Licensed Plumber or Gas Fitter— AJ8)2 � , L9 j.Z,c/� P Insurance Coverace: Incica:e ,ne :ype of insurance coverage b' heckin� tithe < appropriate._ box: , , - . Liability -insurance -policy =�Ot;.er type o; Insurance Waiver: I, the uncersicned, have this application. does not have ar,v one of the Signature of-owner/agent of property indemnity, been made aware that..,the licensee;,Qir above three insurance___coyer4ges. Owner Agent I haebY K:ti[Y that all o[ the deuds and Wortnadoa 1 hare aabmittcd (or e-itered) in stove application ars true and accurate to the bq**i mr 8nowtcdCa and that all plumbing Wort and lnratlatioes ?aioraicd undcr ftrrait iueed to: this spptleation Trill be in Compliance nitb all PIMUeat proriaions o[ Ute :Ytassachwetta Slate Cas "a and QAV= !a: c[ tae Cr- e- L w . o ` By ._P= LICZNSE C � "urger, Title I Gas fitter Signature of Lic+pnse City/Town: Master Plumber Gasfitter Journeyman &"//-S-Fe APPROVED (OFFICE use ONLY) License Number ttf W � I w+ - � � I o v r t•- W -.� �.. O O in �. — 11�-i W +! , O Cs C -- x za �= y. "z. .w '.s _.... _ .� FW- h W W O T Y ~ V us W sua-as;aT. I ) ..._ .. I I I I ► t I I I :.:,t _ : j ....._,.I __ , _.. �. �-.�.. �., ..� . BASEMENT z a T FLOCK • I f I- I I I i l I I i i I I I i I u i_...._.}._Y: :�. �.:, 21HO FLOOR 1 3R0 FLOOR 4TH FLOOR 5TH FLOOR GTH FLOOR I I I I ( I I I I I I I I I I I I TT){ FLOOR I I I I I I I I I I I I I taTH FLOOR r I I I I I ( I I ,. .ya (Print or Type) Installing Company Address Name Check one: Certificate Q Corp.. Partner. _....,_ ._ -Al, c.�17$)t% f/. h��sCf Firm/Co._ Business Telephone: („ n 3 3d'a���9 Name of Licensed Plumber or Gas Fitter— AJ8)2 � , L9 j.Z,c/� P Insurance Coverace: Incica:e ,ne :ype of insurance coverage b' heckin� tithe < appropriate._ box: , , - . Liability -insurance -policy =�Ot;.er type o; Insurance Waiver: I, the uncersicned, have this application. does not have ar,v one of the Signature of-owner/agent of property indemnity, been made aware that..,the licensee;,Qir above three insurance___coyer4ges. Owner Agent I haebY K:ti[Y that all o[ the deuds and Wortnadoa 1 hare aabmittcd (or e-itered) in stove application ars true and accurate to the bq**i mr 8nowtcdCa and that all plumbing Wort and lnratlatioes ?aioraicd undcr ftrrait iueed to: this spptleation Trill be in Compliance nitb all PIMUeat proriaions o[ Ute :Ytassachwetta Slate Cas "a and QAV= !a: c[ tae Cr- e- L w . o ` By ._P= LICZNSE C � "urger, Title I Gas fitter Signature of Lic+pnse City/Town: Master Plumber Gasfitter Journeyman &"//-S-Fe APPROVED (OFFICE use ONLY) License Number s NORTH , TOWN OF NORTH ANDOVER pf ao ,"ti0 `A PERMIT FOR GAS INSTALLATION This certifies that- ......� .............. �. has permission for gas installation ` . h ' �''-r': .. • . • • • in the buildings of!� t .... -!�� !.... • • . • • • • • • • •� at �:� ....� -�-' `"` "..��>>••�, North Andover, Mass. ..... O` . Fee. - .. ' .. Lic. No........... .... GAASS I -.......... . NSPEECTOCTO R S WHITE: Applicant CANARY: Building Dept. PINK: Treasurer