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HomeMy WebLinkAboutMiscellaneous - 79 BEAVER BROOK ROAD 4/30/2018 (2)Date ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... & ................................................. — ............................. has permission to perf orm.............. e.(.r�Y4,/U .................................. wiring in the building of ........... ................................................. at ..... 164,w.4 .........K n.. -North Andover, Mass. Lic.Noj.e..i?4)z4 ....... .. /-/ I ..... . . . ...... .......... ....... WEcrRICAL INSPECT6R Check # ZS 8851 y "�'` C.omrnonwealth o` ///a�dac e} 1 Official Use Only cc��rr�� cc77 Permit No. .sUePartment' o�,tire �eruice� BOARD OF FIRE PREVENTION REGULATIONS [Rev. Occupancy and Fee Checked 1/071 (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC 527 R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 70 16- la City or Town of Aj ,�S y+ tzXvP 2 To the Inspector of Wires: By this application the undersigned gives notic of his or her intention to perform the electrical work described below. Location (Street & Number) 117 K Owner or -Tenant Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Boa) Purpose of Building Utility Authorization No. Existing Service Amps /moo /2 -fo Volts Overhead ❑ Und rd g No. of Meters New Service Amps - / Volts Overhead ❑ Und rd g ❑ , No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ���e No. of of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of ota Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. nd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. o ate— and Initiating Devices No. of Ranges No. of Air Cond. Tons Tons No. of Alerting Devices. g No.,of Waste Disposers eat Pum Totals um._.er ' ' "' " Tons ...............�_ �'' "' No. oSelf-Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Connection Other No. of Dryers Heating Appliances KW ecurityystems:- No. of Devices or Equivalent Heaters No. o aters KW o. o o. o Si ns Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommunications ir- No, of Devices or E uivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) 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 work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cover e is in force, and has exhibited proof of s e to the permit issuing office. CHECK ONE: INSURANCE. OND ❑ OTHER ❑ (Specify:) rleeOtCQEel 6�d I certify, under the paips�and penalties of perju , that the information on this application is true and complete. FIRM NAME: ^� t L _ LIC. NO.: O. Licensee: LIC. NO.: (Ifapplicable, enter " i" in the h ease nu ber line.) _ Bus. Tel. N Address: � Alt. Tel. N,. *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Sa &9 "S" License: Lic. 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's a ent. Owner/Agent Signature Telephone No.PERMIT FEE: $ r--e-� d-�, e ---t F - Z- ? - e f /-?�, Date..................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that V has permission for gas installation :-- ` in the buildings of .......................... at ........... North Andover, Mass. FeF- Lic. No.��. GAS -IN. S -P--- ........... Check # MASSACHUSETTS UNIFORM APPUCA"PON FOR PERW To DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSEDate Building Logations ✓�G� VG C' TT (lejp kc - Permit Owner's Name Amount $ New Renovation /e " Q � S ❑ � Replacement ❑ Plans Submitted ❑ c viW w Z Z ,' ' -a a w 0 p co e a o° F 0 r 3w F C7 iw. Z Ez^ Q x a 0 P. m Z d w e a fw w c7 C W w U C Z W G F W SU B-BASEM ENT eO. Ew. BASEM ENT O IST. FLOOR ZND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR, 8TH. FLOOR (Print or type) Name�jh + �.��� Check one: Certifi I .s�a�Iing Company Address. Corp. v 'B- ,�—r._� /i'I a 777 SS's , Partner. Business ►eiephone Name of.Licensed Plumber'or Gas Fitter + INSURANCE COVERAGE I hLLian rent liability Insurance, policy or it's substantial equivalent. Yes Check one: checkedyes, please indicate the type coverage by checking the appropriate box NO ❑ surance policy ❑� Other type of indemnity ❑ ❑ Bond urance Waiver i am aware that the licensee doesdoes °—�a_e the insurance coverage required by Cha ter !4ral Laws, and that my signature on this.permit application waives this requirement. P 2 of the owner or Owner's Agent Check one: I hereby certify that all of the details and informatiAgent on 1 have submitted (or enOtered) in awner bove application e best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application compliance with all pertinent provisions of the Massachusetts state G and accurate to the C4ba f the General Laws. n will be in By: Si nater Title g LicenrPlumbaCity/Town Gas Fitter ❑'� aster APPROVED �(OFFJCEUSE Y7 ❑ Journeyman C7w 1 roe commonwealth o Department o 'f Massachuset'c .f Industrial Accidents. Office of Investigations 600 Wasizirneton Street BOStoOL, ALA 02111 Workers' Coinpe;asatioa Insurance w�-mass.;ozy/dia 11Iica.nt Informationcav'it' -Builders/Contractors/Electricisns/piumbers Name (Business/DrganizabonMdividual): Address: City/State/Zip: Phone #: Are you an employer? Check the appropriate box: ❑ [ an. a employer with 4. ❑ I am a aerier�l ..mpioy=s (roll and/or part-time).* 2. ❑ 1 an a sole proprietor or partner- ship and have no employees wonting for mein any capacity No workers' comp. insurance required.] 3 • ❑ l am a homeowner doing all work Myself [No. workers' comp. insurance required.] t L_ cont -actor and I have hired the sub -contractors listed an the attached sheet $ These sul>-contractors have workers' comp, insura. 5•. ❑ We area cnce. orporation and its officers have exercised.their right of exemption per MGL C. 152, § 1(4) and we have no employees. [No workers' cam TYPe of project (required): '6• ❑ New construction �• ❑ Remodeling . 8• ❑ Demolition 9. ❑ Building addition 10:❑ .Elegy ical repairs or additions 1 l.❑ Plumbing repairs or additions 12,11 Roof repairs H. Insurance required.) l 13 ❑ Other *Any applicant.that cheeks box #I .must also fill out the section below showing th_–ir workers' com nsation t 7iomrc,woets who subn�h.fliis rsitdavtt inuieatittg L`�ei ere dciEe�; s.�,.a W. , P' pof�cy, mformahon. lconlr=ors that check this box.musi attached an additional sheet showing _— iu Enrn hire outside eonlrat:iun r�- a�n i n new amdavit in,;,, the name.of the sob-c,,;.aactors an ' �nnF soon. I an. employer that cs Providing wori,._' cnr� fs n 1 1=, Comp• Policy irrrormation. infnr►natiorc �zsurancefor ng' employeeselow is the oft , Insurance Company Name: P c3 job sit.- Policy ite Policy # or Self .ins. Lid. #: Job Site Address: Expiration Date: Attach a copy of the workers' compensation policy decFaration Q City/State/Zip: Failure to secure coverage as required under Section 25A of pabe (showitrg the policy Dumber and expiration bate). fine up to 51,500.00 and/or ane -year im sanme MGL c. 152 can lid to the imposition of criminal penalpes of a of up to .1250.00 a da against nt well as civil penalties in the form of a STOP WORK ORDER and a fine Investigations of the DIA forsinsurance co* Be advised copy of this statement may be forwarded to the 'Office of ... •«, Qtlj, cerccJy canner the pains and penalties of perjur3'the information provided above is true and correct Signature: Uncial use snip. Do not write in this area to be completed by city or town nffl.Cla( City or Town: issuing Authority (circie one): Permitfucense # L Board of Health 2. Building Department 3. City/Ta�y n.�erk 4. Electrical inspector 6. Other p for S. PiumbiuQ b Inspector Contact Person: Phone #: lniormanon and instructions p , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined. as ".. Xvery person in the service of another under any contract of hire, express or implied; oral or written." An e►npinyer is defined as `pan individual, partnership; association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and includi n.g the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, associat n or other legal entity, employing employees. However the owner of a dwelling house -having not more than three ap zax ments and who resides therein, or the occupant of the dwelling house of another who employs persons to do mcint,.-nance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall neat because of such employment be deemed to be an employer," MGL chapter 152, §25C(6) also states that "every state o r 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 forany 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 evid.enee of compliance with the insurance requirements of -this chapter have been presented to the contracting authority.". Applicants Please fill out the workers' compensation affidavit compll-etely, by checking the boxes that apply to yoi r situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificates) 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 affda.vitmay .be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit Theaffidavitahould 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 regi -ding the law or if you are required to obtain a workm' compensation policy,please call the Department at the nn-mnber,lisred below. Selfur insed companies should enter their self-insurance license number on the atmropriate 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 foryou to fill but in the event the Office of Investigations has to contact you regarding the applicant; Please be sure to fill in the peninit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/hcense applications in arty given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Adcii-ess" the applicant should write "all locations in (city or town)." A may 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 Iicennses. A new affidavit must be filled out each year. VNrhere a home owner or citizen is obtaining a ticens� 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 ibis affidavit. The Office of investigations would Iike 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 lmdustrial Acmdsnts. Office of Investiptions 600 wash ngton Street Boston; SLA 62111 Tel. # 617-727-4900 ere 406 c r 1-97/7-MASSAFE Revised 5-26=05 Fax # 617-7-7-7749 v%W,-MamV_aov/Elia Ot NORTH ,M O M i ,SSACMUSE� .. Date.:!? i TOWN OF N ORTH.ANDOVER PERMIT FOR rPLUMBING This certifies that ................ has permission to perform •..... plumbing in the buildings of :,��!-:..................... . at . �%( .. - . 't .............. North Andover, Mass. Fee. . .... Lic. No.� -- �. PLUM �jBING INSPECTOR Check f r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING �. (Type or print) NORTH ANDOVER, MASSACHUSETTS - I ,Q c Building Location �� �no✓r-1- &co JJffwners Name b Date Permit # ! ca Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes No ❑ (Print or type) / // / Check one: Certificate Installing Company Name �� n G(� So �S !�/syr, 41" /��y�`:� j torp. ' 663 U L❑�1 Partner. Firm/Co. 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 ❑ 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 ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code an hapter 42 the General Laws. By: igna ure 01 Licenseaum er Type of Plumbing License Tide %d 1?9 It/ City/Town icense um er Master Journeyman ❑ APPROVED (OFFICE use ONLY --�-.----.--------------- MMMMMMMMMMMMMMMMMMMMMMWM (Print or type) / // / Check one: Certificate Installing Company Name �� n G(� So �S !�/syr, 41" /��y�`:� j torp. ' 663 U L❑�1 Partner. Firm/Co. 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 ❑ 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 ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code an hapter 42 the General Laws. By: igna ure 01 Licenseaum er Type of Plumbing License Tide %d 1?9 It/ City/Town icense um er Master Journeyman ❑ APPROVED (OFFICE use ONLY The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 TTrashingion Street Boston, MA 02111 www-nzassgov/dia . Workers' Compensation 1whrance Affidavit Builders/Contractors/Electricians/Plumbers anlicant Warmaiinn Name (Business/Orgenization/individual): Address: City/State/Zip: Phone #: . Are you an employer? Check the appropriate box: I. ❑ I am a employer with 4. ❑ I am a general contractor and I Type of project (required): employees (foil and/or part-time).* 2. ❑ I am.a:sole proprietor. or have hired the sub-comracors listed 6. ❑New construction 7. partner- on the attached sheet t ❑ Remodeling ship and have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity, [No workers comp. insurance ' p workers' comp, insurance. 5. ❑ We are a corporation and its 9. Building addition required.) 3. ❑ 1 am a homeowner doing officer; have exercised their 10. [3 Electrical repairs or•additions all work myself. [No -workers' camp. right of exemption per MGL c. 152, § 1(4), and we have no 1 l.❑ Plumbing repairs or additions insuance. wiret req d. ] .employees. [No workers' 12.[] Roof repairs comp. insurance required.] 13.❑ Other Any applicant that checks bo)C# I must also fill out the section below showing their workers' compensation t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors xContmctots that check this box rteusratreehed an policy infotmation must submit a new affidavit indicating addrtionai I am an employer that is sheet showing the name of the sub -contactors and such. their workers' temp, pone; information. providtng:workers information. compensation insurance for cry employees: Below is the policy and job site . Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: Ci /State/Z' . ty tp. Attach a copy of the workers' compensation polficy declaration page (showing the policy number and expiration date), . Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a - fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjwy that the information provided above is true and correct Phone #: -------------- ficial ase only. Do not write in this area, to be completed by city or town ofcia! City or Town: _ Permit/License # Issuing Authority (circle one): - L Board of Health 2. Building Department 3. City/Town Cierk 4. Electrical Inspector 6. Other 5. Plumbing Inspector Contact Person: Phone #: 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 includi"g the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, associatioru 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 maimtenance, 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 it license or permit to operate a business or rto 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 t3he 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 compimtely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es). acrd phone number(s) along with their certificates) 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' cornpensation 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, notthe Department of Industrial Accidents. Should you have any .questions regarding the law or if you are required to obtain a workers' oon. pensation policy, please call the Department at the number listed below. Self=inci�rgri En,,,,,"nigc ehn„i' PnrPr tnP;T self insurance-iicense number on &e* 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 Red out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investibations 600 Washington Stm=t Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-977-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/ciia T9 O 1 Date .................................. 14ORTH ANDOVER FOR WIRING M a A ............................................... naspermission to periorm .......Q.............................................................. wiring in the building of .. J at..... `r .:................................... .......................... . North Andover, Mass. Fee....... . ...... _ L ..... Lic. No................................................................. ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Permit 7 5 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cade 527 CMR 12: (Please Print in ink or type all information) Date Q To the Inspector of Wires: Office Use Only Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number Owner or Tenant Owner's Address L-C%�/ % '7q 6r-Ayeil. 13KO0fL R I ) Is this permit in conjunction with a building permit Yes ❑ No O (Check Appropriate Boot) Purpose of Bullding� Iza-0 _- Utility Authorization No. E-csting Service Amps Volts New Service Amps Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Overhead ❑ Overhead ❑ Undgmd ❑ Undgmd O Fee Checked C� No. of Meters No. of Meters NSU NCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws havtM current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES NO = have submitted valid proof of same to the Office YES = NO = K you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of E146. I Work$ Work to Start . " k Inspection Date Resquested Rough Final Signed under the Pehatdak of perjury: FIRM NAME LIC. NO. j 77& Ucenaee Signature / 1 Q -7� UC. NO. / D Address '3V Aft ( J ((�7 (1" 1 S BTel No. Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the Insurance coverage or Its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) (Signature of Owner or Agent) Telephone No. PERMIT FEE $ Total No of UgMl8nq Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimminq Pool gmd ❑ gmd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Diooaal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Space/Area Heading KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of D m Heabrvq Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massae Tuds No. of Motors Total HP NSU NCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws havtM current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES NO = have submitted valid proof of same to the Office YES = NO = K you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of E146. I Work$ Work to Start . " k Inspection Date Resquested Rough Final Signed under the Pehatdak of perjury: FIRM NAME LIC. NO. j 77& Ucenaee Signature / 1 Q -7� UC. NO. / D Address '3V Aft ( J ((�7 (1" 1 S BTel No. Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the Insurance coverage or Its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) (Signature of Owner or Agent) Telephone No. PERMIT FEE $ Office Use Only Permit No Occupancy & Fee Checked BOARD OF FIRE PRfANTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wont to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 Date � -� _10 ­ 5 R (Please Print in ink or type all information) To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street Number �v "e eg Owner or Tenant�`� Owner's Address 1 ba, CiJAJ AWL Is this permit in conjunction with a building permit Yes e— No C3 (Check Appropriate Box)Sv � yU, l� Utility Authorization No. t� Purpose of Building Existing Service 'fps Voits Overhead ❑ Undgmd &--� No. of Meters -7 ',-,� � /ayo Overhead ❑ Undgmd ❑ No. of Meters New Seance C�� — Amps L ' Voits Number of Feeders and Ampacity n Location and Nature of Proposed Electrical Work --LLQ LPt'c- , �e - OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you hive checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Eli Work to Start_ Signed under the Pe FIRM NAME Inspection Date Resquested (A rUC�Rough Final LIC. NO. ITS Z) 1, N0. Ucenaee - J'y""•"'" �-- /j� Bus. Tel No. n 6e Address 1 dtV ` ' v' �� Alt Tel. No. OWNER'S INSU CE WAIVER: I am aware that the Licenses does not have the insurance coverage or Its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent Please Check one) Telephone No. PERMIT FEE 5--- �D "Co (Signature of Owner or Agent) � 8' � C- 5 No. of Transformers KVA No. of Light8ng Outlets No. of Hot fuse Above ❑ In ❑ KVA SwimmingPool and ❑ and ❑ Generators No. of Ligating Fixtures No. of Emergency Lighting No. of Oil Bunters Battery Units No. of Rece races Outlets FIRE ALARMS No. of Zone No. of Switch Outlets No of Gas Bumers Total No. of Detection and No of Air Cond Tons Initiating Devices No. of Ranges Heat Total Total Pum s Tons KW of Sounding Devices No. of Di sal No. NO./ of Self Contained NO./ KW Detection/Sounding Devices No. of Dishwashers S aca/Aree Hheabung ❑ Municipal ❑ Other Heatin Devices KW Local Connection No. of D rs No of No. of Low Voltage Si ns Bailases Wirin No. of Water Heaters KW _ r..._ No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you hive checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Eli Work to Start_ Signed under the Pe FIRM NAME Inspection Date Resquested (A rUC�Rough Final LIC. NO. ITS Z) 1, N0. Ucenaee - J'y""•"'" �-- /j� Bus. Tel No. n 6e Address 1 dtV ` ' v' �� Alt Tel. No. OWNER'S INSU CE WAIVER: I am aware that the Licenses does not have the insurance coverage or Its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent Please Check one) Telephone No. PERMIT FEE 5--- �D "Co (Signature of Owner or Agent) � 8' � C- 5 mo 1 u u 6 Date ...../ t"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that . � �U��� S� (� /PC .......................................................................................... has permission to perform .... �v �� 1/0.✓ wiring in th building of ... ! q./?, q ..�.. .�-l.f ./� ....4'.y 4� ..... #.....t.... �� ���.l�P,r'.�<td�ti , North Andover, Mass. 0�rr // dJ Fee....tTS �:. Lic. No.(.. ., .ZP............................................................... ELECTRICAL INSPECTOR 06/10/99 09:03 250.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number 0 90 THIS CERTIFIES THAT Date �D- a 7— 5� THE BUILDING LOCATED ON % q MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUS S STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 04"o "' .1 CERTIFICATE ISSUED TO ADDRESS-^"'��grC! • c �aACMUS B u i I d i nj Inspector O E04 k. ON \V\ u o q m c z�\�\a~ c H O d c 00 G.) u � o � v c° o _O r.L u w o o ? c c A y n: u. as cn c u N, 6 0 CD O E L O V Z O CO) G C CD CM y 0 :2 LA C� O 'E m m i 0 _ O � � 0 O O d o- os Q y C o *" � C.3 �cc � •O. O ,� o Z CO V C c C Q. is o q m c c H O c G.) _O r.L c A y 4- y 4- L r V `� La y • • m m a a C y O O Em L fl73 Ims C _y m ; CD o °° O LO,cm Z C +. n m = m :04-3 N ~ •O. y m .2 F- m L r.+ w M .`m C o . y O V ci CD V m O'fl C4CL _ A O'er co) = C a�m> N, 6 0 CD O E L O V Z O CO) G C CD CM y 0 :2 LA C� O 'E m m i 0 _ O � � 0 O O d o- os Q y C o *" � C.3 �cc � •O. O ,� o Z CO V C c C Q. is Location / C . Jo. ZC-) Date � G C NORTq TOWN OF NORTH ANDOVER ,. Certificate of Occupancy. $ 41 Building/Frame Permit Fee $ Foundation Permit Fee $ -1 CHUSa r Permit Fee Sewer Connection Fee $ Water Connection Fee $ TOTAL - $ Building Inspector UA. OD PAID Div. Public Works X M fh ' 30 1 1) o I m z -1 m i r C 1 m m r O x a n z O z' A A a a i -1 A 4 Y� } i m 1 0 c 0 N b QN X M fh ' 30 c o 0 z z z m i r C 1 m m r m m r a n w O z' A A a a i I 4 r } i m 0 c 0 c 0 N N QN ran Ian c %v 'n A w a u > -1 1 i z 0 RRA0 w0 " o 7 9 A x Q �Q 0 'I m M z 0 0 z a A O 0 mM m Yri n 0 z r > > m m t m m a n w O z' A A a a i I r r a i m 0 c 0 c 0 N i 3 ran Ian c n 'n a i i i 2 j a H z m a a r _ zo I 0 c N W I i a Z MO i zJ C n c 2 N 0 2 z N i O 0. 0 m n 0 m 0 A A w a u > -1 1 i z 0 RRA0 w0 " o 7 9 A x Q �Q 0 'I m M z 0 0 z a A O 0 mM m Yri n 0 z f r c Z o n ZA 0 ; 0 h cc 0 n r > i Z w 0 o o `i z in C 0*n n-4 m f > > 0 i > n z i O -4 r' m H I o -- > n m m I 1 A m i o > n m 0 Z A m ul i c r a r 0 A z I> m > = A n 0-0 O z' A A a a I 0 ,r A A a > R z v N z m > s c 0 •I A fn N 0 W � c H 0 i 2 N 0. 0 m n 0 m 0 A Q m Z m A � O m Q 1 a aaaamm a a N; a I a Az 7 a a z' oA p r r r r A T i 1m n w 3 0 z n 0 z n 0 z c, 2 z o r m 0 0 0 0 za m o z i 0 A 0 ` m n 0 n i n 0 n z o z n n 0 i m 0 ,°, a 70 i c O m t m m ai r m a r mIn Z 0 a a a m • r C 0 -4 o m 0 m o 0< a Q O z A a N I a A a o 0 0 0 >f i 0 m r m� m - i 2 m A o ` A r Z m Z > r z a� O > a A A 0 N AN _ r m x i n z 0 C "� -� m x N� $ a � S � I> m -1 FA 0 FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary Y 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: AA 1 t_S S hog Ro L) 4 /LC., Phone qD ? LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) LZ Street e -A 4St. Number ************************Official Use Only************************ RECO DAT NS WN AGENTS: Date Approved 1 �6 Conservation Ad inistrator Date Rejected Comments V a CAJ�5twDate Approved �- Town Planner Date Rejected Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - /water connections driveway permit Department S .1' by Building Inspector Date Approved Date Rejected Date Approved . x/1619 Date Rejected Date 0� _ne wcr uesdr bed below, :_ch ncl,Udes all/pa=t of the work described ,n vcur _ eques t , is wI C.n 4 n e Bu_f f er Zone as de f fined in the : ecL' l at _ons . any _ rotecz_-On Under t: 11 l t l v � o O Z z N R•' < D O O I n 1 1 �1 � O � V c � N 1 MAR 12 lags (14 ao 3 75 0 &b 19 OLL -tt4; 4, a �0 J-1 giL-J AW a �0 MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.0 CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 3-18-1998 DATE OF PLANS: or 2 family, detached Other (Non -Electric Resistance) TITLE: PROJECT INFORMATION: G. J. Bruno Associates Plan #4216 COMPANY INFORMATION: Barbagallo Construction COMPLIANCE: PASSES Required UA = 776 Your Home = 743 Permit # Checked by/Date Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA CEILINGS 1970 30.0 0.0 69 WALLS: Wood Frame, 16" O.C. 3706 11.0 0.0 330 GLAZING: Windows or Doors 428 0.500 214 GLAZING: Windows or Doors 40 0.500 20 DOORS 57 0.350 20 FLOORS: Over Unconditioned Space 1891 19.0 90 HVAC EFFICIENCY: Furnace, 90.0 AFUE COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1255i5 of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 3-18-1998 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C., R-11 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U -value: 0.50 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] 2. U -value: 0.50 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U -value: 0.35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] 1. Furnace, 90.0 AFUE or higher Make and Model Number THERMOSTATS: [ ] Adjustable thermostats required for each HVAC system. AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating ,�. w equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts in unconditioned spaces must be insulated to R-5. Ductsdouteide the building must be insulated to R-8.0. DUCT CONSTRUCTION: All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 1250-. of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- —v, y 10 C d 'v O CD n Z y CD O 06 n� � � O CL = y O n O CD CDCL O C7 d CD CD O CCD w E3 C O Va, G. v y —• o �CD � v CA O 'O Z CD o CD 0 CCD a N OQ V! a .0.�. ...c Co. .O V� Hd:i - Cl) _ n Z g'-ScA m -n m d CL 0 O1 = y • Cl) -40 O y p O .+ O IE c m O > > N CD 2>4 O ; m C CD O N O V � C Er Nom•►. r �iJ a a 5 A Xm C16 .i, cO O ? Cn m Amy: � m c CD O CO, t"f Z y n C C/) J]]y CL O y,C = n � C C/) �7 CD 1 y Z �.' . D O O O Cl) o =r �. CD o z C� rn �,,,] H C2� CD ;w co) oq d �. C r: m d „ d CL ate: 1 �= O S o y 0 0 c Z P Ki �o ��� 5 0] rd r tz 9 � lo: m ro- 0 a G7 d g x y 0 0 c The X bottom of bed; ( ) septic system located at ZQT /7' Z:3619Ve--. dA&0AC p , has been inspected and approved on M9Rfxf/-/y, 1998 by Board of Health personnel, and the Health Department has no objection to a construction permit being issued for this lot. Inspector Date M"',112 W8 -N2 1633 Date... ...... .... ....... .. ../.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that - ..................................................................................... has permission to perform ...... ............................ wiring in the building of ...... 7 ...... at ........................... ,North Andover, Mass. Fee —;�5 '0 ...... Lic. ELECTRICAL INSPECTOR 04/27/99 13:37 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer n C0MV0NWE4LTHOF1Y W ]AQKMnN / Office Use only DEPARTAfi VTOFPUBLICS4= Permit No. BOARD OFFIRREPREY=ONREGUT4TIOM-V70M 12 UVA Occupancy &Fees Checked PPLICATION FOR PI RXff TO PERFORM=CMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTs ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DateL$/ "-7- > Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number)�����-� Owner or Tenant Owner's Address M r. Is this permit in conjunction with a building permit: Yes [�No r7 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service =Amps o2U d, Volts Overhead Underground �` No. of Meters l New Service Amps / Volts Overhead Underground No. of Meters Nus:�per of Feeders and Ampacity Location and Nature of Proposed Electrical Work N4 of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground eround No. of' Receptacle outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bumers FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Connections F7 Other No. of Dryers Heating Devices KW No. of Water Heaters KW No. of No. of Signs BailaS13 Nov Hydro Massage Tubs No. of Motors Total HP s OT PIER 1 02- 121 005101151110VAN Esimar�lValue�ElechralWodc$ lJ?J-� Rolagh S,�- Final L Id& e i & (/x/11 [� L mseNa /'O -,J .J J-3 I bmseNc J J J Business TeL Na 4 z64 a J -1,-,'&-c4-5z 11-" Arir,,2ssZ&/'?/�,e /3 177?4 S7 --,n/,- /-i A- i/!tl6'-1-J 111 -2 AILTeLNa OWNER'S INSURANCE WAIVER; I am aware thatthe Liarse does not Mate the it raceoras a s=Uai e#alatas mquiredbyMassadxEetts Cil Laws and thatmy q2-ak0Cnthis pennitappfxbottwaities fZ M4MMneM (Please check one) Owner Agent Telephone No, PERMIT FEE $ Location No. z Date �o TOWN OF NORTH ANDOVER S Certificate of Occupancy $ Building/Frame Permit Fee $ .z— /�'b �ss��wusEt Foundation Permit Fee $ N° 10305 Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works Location f�ilX> No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ �IlWater Connection Fee $ TOTAL $ Bu' Insp or N2- - #4 N- 913 8 Div. Public Works A Location % CLL No. Z Date ,%pR7� TOWN OF NORTH ANDOVER is �t p Certificate of Occupancy $ b `� Building/Frame Permit Fee $ CD cMh Foundation Permit Fee $ � s�us t Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector �T 1V 2 10306 Div. Public Works PERMIT NO. PA APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ` PAGE 1 MAP t40. LOT NO.2 I RECORD OF OWNERSHIP ]DATE BOOK iPAGE ZONE SUB DIV. LOT NO. z �) 4-OCATION ��, �ONy %/�i�/�'>/SA/✓tJ PURPOSE OF BUILDING S1hOjI� FP+1"�► �� AWC��tv� OWNER'S AF1EAj::'v&%$,keC,+/ E,jtATEf RQJ NO. OF STORIES SIZE 3 /�j%Vt✓yr®a,e OWNER'S ADDRESS 1/6 //v%t//]urTTO— �d on/ ^4 BASEMENT OR SLAB vL- ARCHITECT'S NAME M I C 1 C 1 L y,� R Z �I K �f�/1/S K I IQ•1p�s11#0�` SIZE OF FLOOR TIMBERS 1ST :l x10 2ND ry X/47 3RD af V T BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS a'6 DISTANCE FROM STREET q O 1 POSTS / DISTANCE FROM LOT LINES – SIDES 30. REAR go' GIRDERS )'X 10 1' I/„I"dA ai et.5 31y\C0 y\ AREA OF LOTb FRONTAGE ,� U I a. (� HEIGHT OF FOUNDATION B / THICKNESN J i✓/� IS BUILDING NEW eS SIZE OF FOOTING /IXd D X IS BUILDING ADDITION MATERIAL OF CHIMNEY /I1 G^/Ps � IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LANDf�//� % WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /„/ es 7 IS BUILDING CONNECTED TO TOWN WATER e S BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IV Q IS BUILDING CONNECTED TO NATURAL GAS kiNE G' g. A. 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 SIGNATURE OF OWNER OR AUTHORIZED ARGENT // 3 INFORMATION MND COST E\ . BLDG. COS 8� EST'. BLDG. COST .ER SQ. FT. 6.!rL" 0` EST. BLDG. COST PER ROOM �l BE IC PERMIT NO. 4 1 APPROVED BY ou OWNER TEL. N 617 3 7S 8 0 6 PERMIT GRANTED OrA CONTR. TEL. Il s4O 7 6'0 Q y40y MAM CONTR. LIC. r7 s Q y H.I.C. # 1 OCCUPANCY SINGLE FAMILY S ORIES r 1 VLA-.rrlr�+�-� to trrTii`�[ Di..y i MULTI. FAMILY OFFICES _ APARTMENTS _ CONSTRUCTION 2 FOUNDATION ✓ 8 INTERIOR FINISH B 1 2 13 PINE CONCRETE CONCRETE BL'K. BRICK OR STONE HARDW D WOOD RAFTERSy/ _ AIR CONDITIONING PIERS PLASTER RADIANT H'T'G DRY WALL UNIT HEATERS GAS 7 NO. OF ROOMS _ UNFIN. 3 BASEMENT ELECTRIC NO HEATING AREA FULL Y. 1/2 1/. FIN. B M AREA FIN. ATTIC AREA _ _ N_O 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS CONCRETE EARTH HARD"✓'D COMMCN ASPH. TILE B 1 2 �_ _ 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY _ STUCCO ON FRAME BRICK N MASONRY BRICK ON FRAME ATTIC STRS. 8 FLOOR la CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I_1 POOR ADEQUATE NONE 10 PLUMBING g ROOF GABLE I HIP GAMBRELMANSARD FLAT I SHED r BATH 13 FIX.) TOILET RM. (2 FIX.) WATER CLOSET .2— ASPHALT SHINGLES LAVATORY,_ WOOD SHINGES KITCHEN SINK / SLATE NO PLUMBING _ TAR a r.RAVFI STALL SHOWER / BUILDING RECORD 12 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. 6 FRAMING 11 HEATING r 1 VLA-.rrlr�+�-� to trrTii`�[ Di..y i WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. jei1j TIMBER BMS. & COLS. ✓ STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERSy/ _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OIL BT 2nd _ 'M' 1st 13rd ELECTRIC NO HEATING • 0 z r-4 0 L U ID F4 0 U v J • U 0 CD O O v Z co C. O N? co cm 0 � ' O C y CO •E m m CLCD co o CO ® Q u L - _O O Q iii Q CO) O GCC Cc C.3 J -M •Q O aCD C Z co O C. V W m 0 CV � O � /1 O t 0 o Z CO w ;O mi O Z z U :p a O z O ~a UO CIS CSO Q Q Q R+ G E v Q evO u O CO u V) w cit o > c EX Ciu w° � U w w�' ri. U Lt i a iv w0' w C7 rL ti o Q G v u) cn 0 L U ID F4 0 U v J • U 0 CD O O v Z co C. O N? co cm 0 � ' O C y CO •E m m CLCD co o CO ® Q u L - _O O Q iii Q CO) O GCC Cc C.3 J -M •Q O aCD C Z co O C. 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O 0 0 0 O J Z Z Z < O O O Ir W] 7 ] {- p� m m < y N N F _ - Oi J W O 0 U 4 0 N r Z w F W 0 Z w < z �. 0 Z z F 0 a r 0 p < 0 < Ir Z N r_ 0 O H U< 0 J U' < < z a 0 0 o < Z Z J n 0 a ] 0 J J m O ]] J m M m J < N y 3 Om W C7 d w � 0 a� � a < S < � u IL i G r zT _ o- r, ; 1v O 1n !1Wl1 VV W A W O m 100 0 6 a 0 6 0 F O a U o A^ U O d` IL Cis N W J Lj H J p U m m m %C z Q a ~ ~ Z Z �? m j W I •� Y Z N - O oq N IL O x k Loh A. 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N 0 F0 K �, rV/rJ�Uj W a -j ( J Cc .j C� 0 ° W � N Z IlI Z° Z W z 0 z 0 H > m W ~W J U 7 LL 0 In m 0 a d' V) W O 0 H m 0 W Z — N F D F 0 > 0 N Fr ° 0 Oi FI - _ - 0 z O LL z U a < N Z 0 N Z 0 W m F ► 0 Z < < ¢ 0 %- F W F W N f N L'I O J - ir Z 3 \IL N 0 0 0 0 < < LL W m O IL 0 W z N F J LL J 4 U 0 W N 1 W J W j C 0 0 _ N = LL H t F W W YI d IL W W r< < IL I• 0 z N W C LL d 6 z ON. C\ r-•1 w O Q O o w° U a V) z o a D. °7° � C U Cd G w pS O U c O z : C4 m G w � O W z '-a u U W °�° � 5 y C/)w m� PG O U z C7 cL w W < Q as o v y cn Q o V) � o o Y c O N �} R O Q VV E O CLt N O N cm m cm C O m O cm c �C O N CD L O Z C) Q J cm CL G C R R �O d C :H W Ea o m �_ y' N C O O is O7 Q U[ C N m -meW C O � � vS m \- J CIO O CC c N R O : N m CD 0 � U N O m O I L � Cl) r -a C Oca QC dC.0 Cr��r / m O i Q� W V y O V'> Z - R O CAS C G O Q � m �o i C7 C = dd�' p O O F— N W C _ r 'O mo O CD y.. C R P N E C ai � O ccD LU U m p® C_ 'O = cc =�a_m E O CLt N O N cm m cm C O m O cm c �C O N CD L O Z C) Q J cm GD O E CD L O O V Z CD O y D � ICD C O O C G co) CD •ff m m co 0 CD Cus O L CoCD em cl L CC O Q CL CMa co c Cqu o c C V CR CD O d C COOR CC d �O :H W Q CIO O O : u 0 � U Cl) Cr��r / Q� W O U CAS ^Lj� O GD O E CD L O O V Z CD O y D � ICD C O O C G co) CD •ff m m co 0 CD Cus O L CoCD em cl L CC O Q CL CMa co c Cqu o c C V CR CD O d C COOR CC d TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 GEORGE PERNA DIRECTOR /µORTIy� /l�2O� Z�Eo 6'91'O O L DRIVEWAY PERMIT Date: j [116Z91MOM Telephone (508) 685-0950 Fax (508) 688-9573 BUILDER: 4SS)A,0_ v phone: OWNER: phone: The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the grade and set -back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: FORM U - VERIFICATION 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: l v l L,<-,S' ,S S &J12 Y J 0'a • � /l�C, Phone 7 LOCATION: Assessor's Map Number Parcel Subdivision 2 j Lots) `713 Street L -C) CA St. Number ************************Official Use Only************************ RECO DAT NS WN AGENTS: Conservation Ad inistrator Comments Date Approved �6 Date Rejected -V i Q Q 0 Date Approved B]Zq4. - Town Planner Date Rejected Comments Date Approved Food Innfspector-Health Date Rejected Date Approved 5"/�?9� Septic Inspector -Health Date Rejected Comments Public Works - /water connections) - driveway permit V :S(Vd Ul291/ ,� .Fire Department Received by Building Inspector Date Nq 649 .. APPLICATION FOR WATER SERVICE CONNECTION North Andover, Application by the undersigned is hereby made to connect with the town water main in subject to the rules and regulations of the Division of Public Works.',,,,/ The premises are known as No. r V V or subdivision lot no. Owner Address r \► �� �/�zJC�1i%i �� Contractor K01 Street PERMIT TO CONNECT WITH WATER The Board of Public Works hereby grants permission to S 1 to make a connection with the water main at I ► _ Rvt subject to the rules and regulations of the Division of Public Works Inspected by Date By N rSf eei---' See back for rules and regulations RULES AND REGULATIONS GOVERNING THE INSTALLATION OF WATER SERVICES 1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town of North Andover without a valid permit from the Division of Public Works. 2. All water services shall be installed a minimum of five feet below the finish grade. 3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964. 4. Service connections shall be 1" type k copper tubing. 5. All fittings shall be brass flange type Mueller or equal H 15202 Corporations H 15212 Curb stops H 15402 Three part unions H 8185 stop and waste valves 6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 4�/z foot rod and brass plug type cover. O z x o a o f� p �2 b o° w cAo v Cf) o w z q o ° w a L. U w a O v c4 w G w a O w a w w o cb v cn c w a O �' o pG cu w w a A w a PQ p cn v Q o U) z 0 w w a. I �i O C cr- _O V Z CD CL O CO) � C C C ca p 'O O M O O m m .c O O CL CD O O � i O O a a CMa co c -a o � Cc ca O C Z O V ca C .0 0 c o o Y c N O R o t1 C2 y c o � Ea v o c N Es C2 rn (� WE CLE ® m a• L h \ = �- vs QI ��3 m y C m 'O _ co N c o Em cm CD y m m = o OC I a� c Cgs m :mor 0 mZ o` 'coo n c H CLD- i m C •O = m :moo N CL WLL Z y,,, c +• � .E V3LLI c, •p v .y O V m p ®= C VD CL a) F. 0:5 CL.mi z 0 w w a. I �i O C cr- _O V Z CD CL O CO) � C C C ca p 'O O M O O m m .c O O CL CD O O � i O O a a CMa co c -a o � Cc ca O C Z O V ca C .0 0 4 WILLIAM J. SCOTT Director Town of North Andover NORTH , OFFICE OF 3?Ott«co ,et6tiOL COMMUNITY DEVELOPMENT AND SERVICES ° 146 Main Street North Andover, Massachusetts 01845 May 1, 1997 Mr. Tony Palmisano 116 Huntington Road Boston, MA Re: 79 Beaverbrook Road (Lot #17), North Andover Dear Mr. Palmisano: Please be advised that your Building Permit #425 dated 8/28/96 has expired. You do have the option of renewing the Permit at a fee of $25.00 (Twenty-five dollars). If you do not respond within 14 days from receipt of this letter, your Permit will be null and void. In order to declare your intent as to the above, kindly contact me at 508-688- 9545 as soon as possible. Very truly, yours, ,Aenneth Surette, Local Building Inspector sig MAY - 7 1997 BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 WILLIAM J. SCOTT Director Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 May 1, 1997 0 Mr. Tony Palmisano 116 Huntington Road Boston, MA Re: 79 Beaverbrook Road (Lot #17), North Andover Dear Mr. Palmisano: Please be advised that your Building Permit #425 dated 8/28/96 has expired. You do have the option of renewing the Permit at a fee of $25.00 (Twenty-five dollars). If you do not respond within 14 days from receipt of this letter, your Permit will be null and void. In order to declare your intent as to the above, kindly contact me at 508-688- 9545 as soon as possible. Very yours, Kenneth Surette, Local Building Inspector S/g BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 MASSACHUSET'i`'S UNIFORM APPLICATION FORPE IT TO DO PLUMBING ;ype or print) NORTH, Duilding Loca Owner's Name New r7* Renovation Replacement FIXTURES Plans Submitted n Date, --- Permit . rt. Amount (Print or type) Installing Company Address Name of Licensed Plumber: Insurance Coverage: Indicate Liability insurance policy 1 Check one: 13 Corp: Partner. UTA�Co. ance cove fage by checking the appropriate box: Other type of indemnity ❑ Bond ❑ Certificate 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` El Agent .1, I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations. Wormed unde it Issued for this application will be in compliance with all pertinent provisions of the Massachusetts to umbing nd,CJrdpter General Laws. Title City/Town APPROVED (OFFICE USE ONLY Type gePlumbing License Master ElY Journeyman ❑ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING 'ype or print) NORTH ANDOVER, Building Locations ' !y — / Owner's Name New � Renovation Replacement El FIXTURES Date Permit # Amount O�i'�'//fir/ l��'��✓ Plans Submitted l l (Print or type) Check one: Certificate Installing Company Name I di! f e_ o Corp. Address iZ� Partner. G Business Telephone —L(Z Z Firm/Co. Name of Licensed Plumber: 0/ C Insurance Coverage: Indicate th type of insurance coverage K checking the appropriate box: Liability insurance policy E]� Other type of indemnity ❑ Bond ❑ 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 11 Agent 11 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issu for this application will be in compliance with all pertinent provisions of the Massachusetts to umbing Co a and 14 the Gene ws. By:Igna ure o nse mer 1001, Type of Plumbing License Title/ 7 � City/Town License Numuer Master Journeyman ❑ APPROVED (OFFICE USE ONLY • -N • 1 1 • • -M _ 1 1 `D m--.---.-u--.-.--.--m--- /, , UM,A.-M---------------- . I ©-unum-.mm.--.m.-- . . . I . 1., / $ , .-mm-...m...m-®m..------.I • .........................' (Print or type) Check one: Certificate Installing Company Name I di! f e_ o Corp. Address iZ� Partner. G Business Telephone —L(Z Z Firm/Co. Name of Licensed Plumber: 0/ C Insurance Coverage: Indicate th type of insurance coverage K checking the appropriate box: Liability insurance policy E]� Other type of indemnity ❑ Bond ❑ 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 11 Agent 11 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issu for this application will be in compliance with all pertinent provisions of the Massachusetts to umbing Co a and 14 the Gene ws. By:Igna ure o nse mer 1001, Type of Plumbing License Title/ 7 � City/Town License Numuer Master Journeyman ❑ APPROVED (OFFICE USE ONLY 4- 3722 ,AOR'rh FO 9 Dat . A . s TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSAcmus� This certifies tha�t' _ ' ....r-1 .................. f has permission t perform ... Z) . ..................... . plumbing in the buildings of ... .. .. ............... . a' ;. !� ...... North Andover, Mass. F4. ....7LiCNJ i.. ............................. . PLUMBING INSPECTOR 06/11/98 15:22 225.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 947 Date.7 ........... N0RTh TOWN OF NORTH ANDOVER a Jo ,e,100 py p PERMIT FOR GAS INSTALLATION 8 M This certifies that ............A/ •;:.: :......... . Lias permission for gas installation ............. �.....�......... L in the buildings of .... ....... ............................. at ..............1 1 .:. ' �!' `.:. '.......... , North Andover, Mass. Fee. Lic. No. ... .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer J MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITT gING L/ ,y or print) Date 4 19 �?l rvutcIH ANDOVER, MASSACHUSETTS Building Locations Owner's Name New Renovation ❑ Replacement ❑ 4a7 Permit # 9Q7 y Amount $ Ale Plans Submitted ❑ (Print or type)AM-, Name z�r% Check one: Certificate Installing Company ❑ Corp. Address l%�2 ❑ Business Telephone ,�g� 2 z ❑ NIme of Licensed Plumber or Gas Fitter Partner Firm/Co. f! INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked yes, please Indic he type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ® Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: ❑ Signature of Owner or Owner's Agent Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts StateCo e and Ch 142 of the General By: Title City/Town APPROVED (OFFICE USE ONLY) Signature,6f Licensed Plumber Or Gas Fitter ❑ Plumber tLz, ❑Gas Fitter LicenSe Number M-l"aster um er taster ® Journeyman w m n U F vi z C W F Z W V � W w V7 w z 's7 Z U z c. %C z W -e. z C 7 W C vFi •• SUB-BASEM ENT BA SEM ENT IST. FLOGR 2N D. FLOG R 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6T H. F L O O R 7T If FLOOR .8"r H. F L O O R (Print or type)AM-, Name z�r% Check one: Certificate Installing Company ❑ Corp. Address l%�2 ❑ Business Telephone ,�g� 2 z ❑ NIme of Licensed Plumber or Gas Fitter Partner Firm/Co. f! INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ❑ If you have checked yes, please Indic he type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ® Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: ❑ Signature of Owner or Owner's Agent Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts StateCo e and Ch 142 of the General By: Title City/Town APPROVED (OFFICE USE ONLY) Signature,6f Licensed Plumber Or Gas Fitter ❑ Plumber tLz, ❑Gas Fitter LicenSe Number M-l"aster um er taster ® Journeyman Location No. 5 l / Date �7- 0 - 6 Z-- NO^TM TOWN OF NORTH ANDOVER Of.o •,hG Certificate of Occupancy $ �SS�CHUStt Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # (,4 S f- 15533 Building Inspector �4. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: {ter} / DATE ISSUED: SIGNATURE: G Building Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: a gam„ a« k 1.2 Assessors Map and Parcel Number: /3 Map Number Parcel Numbtr 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: . /r�3 or IS(, Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Recgired Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private 0 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 �D,� �`Q �/� T +f 6 r� t9-►-t� J�CAt ry Name (Print) Address for Service: Signature U Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: IL Licensed Construction Supervisor: I Address Signature Telephone Not Applicable C License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number Address Expiration Date Signature Telephone T M X ic z 0 0 m 0 z M 90 0 mn r M r r Z V a r 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 (chegl all applicable) New Construction ❑ 1 Existing Building A I Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ I Demolition ❑ I Other ❑ Specify Brief Description of Proposed Work: V u u L rl (J!R w 9S, X SQ /6 /d& I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant OFICIAL USRONLY - 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) -----� 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 r rsU Check Number SECTION 7a OWNER AUTHORIZATIYN TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 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 SECTIObN 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 k C 41 VJ._-> i v r Print N me e Siggature of (616er/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3 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 J FORM U - LOT RELEASE FORM 1qy&4 (6,-YaO stingy INSTRUCTIONS: This form is used to verify that all necessary approvals/permits shy Boards and Departments having jurisdiction have been obtained. 'This doenot relieve the applicant and/or landowner from compliance with any applicable or requirements. l Hrl'LIC:ANT FILLS OUT THIS SECTION********************* APPLICANT_ LOCATION: Assessor's Map Number ) 0 � (� SUBDIVISION STREET 7Bf6 u-gT' I � A COMMENTS TIONS/OF TOWN AGENTS: `f') � -_� SSI - i r 3 i PHONE PARCEL ` 3 y LOT (S) ST. NUMBER OFFICIAL USE DATE APPROV5D, DATE REJECTED TOWN PLANNER DATE APPROVED DATE REJECTED vwv,vuvartV I UK -HEALTH SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED. _ COMMENTS h ML PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 jm DATE____ D. Robert Nicetta Building Commissioner Town of North Andover 0' '110 -:0- '- 0 Office of the Zoning Board of Appeals Community Development and Services Division 1.0- 27 Charles Street Norda Andover, Massachusetts 61945. C us This is to certify that twenty (20) days have elapsed from date of deClftk"orie (978) 688-9541 witho uA filing of an a Da Fax (978) 688-9542 Joyce A. Bradshaw Any appeal shall be filed Notice of Decision Town Clark within (20) days after the Year 2002 date of filing of this notice in the office of the Town Clerk- Property at: 82 Beaver Brook Road I NAME: Thomas & Kathy Murphy DATE: 4122/02 I.ADDRESS: 82 Beaver Brook Roai:d� PETMON: 2002-015 North Andover, MA 0 1 L45 R BEARING: 4/9/01 The North Andover Board of Appeals held a public hearing at its regular. meeting on Tuesday, April 9, 2002at 7:30 PM upon the application of Thomas & Kathy Murphy, 82 BeaverBrook Road, North Andover, MA, requesting a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 for relief of right side & rear setbacks of an existing un -permitted shed and right side setback of an existing un - permitted pool house within the R-2 zoning district. The following members were present: Robert P. Ford, Wa . her F. Soule, Ellen P. McIntyre, George M. Earley and Joseph D. LaGrasse. Upon a motion made by Walter F. Soule and 2"d by Joseph D. LaGrasse, the Board voted to GRANT a dimensional Variance of 7.2 feet relief of the right side setback for the existing un -permitted -pool house; and for relief of 23.2 feet right side setback and-20.'I'feet rear setback f6r the existing uri-permitted garden shed upon th ' e condition that the garden. shed be less than 14 feet high. Inaccordance with the Plan to accompany a Vari of Land . ance petition as drawn for ThdZ" Kathy Murphy February 19, 2002 prepared by Paul J. DeSimone, Registered Land Surveyor #30466, D & A Survey Associates, Inc., I I Touro, Ave., Medford, MA 02155. Voting in favor: Robert P. Ford, Walter F. Soule, Ellen P. McIntyre, George M. Earley and Joseph D. LaGrasse. &A Cc U, -d-v V� "Me Board fainds that the applicant has satisfied the provisions of Section 10, Paragraph 10.4 of the zoning bylaw and that such change, extension or alteration sUtnot be substantially more deb-hnental than the existing structure to the neighborhood. 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, 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, and may be re-established only after notice, and a new hearing. Decisions'2002-01.5 Town of North Andover BOARDOFA-PPEALS6880-9541 BUILDING688-9545 CONSERV.ATION689-9530 HEALTH689-9540 PLANNING 688-9535 C> Appeals P QD -:ZD oer%tp. ord ActingChilrman --0 R7f ATTEST. - A True Copy czl 1'own. Cjlorl� -:70 co BOARDOFA-PPEALS6880-9541 BUILDING688-9545 CONSERV.ATION689-9530 HEALTH689-9540 PLANNING 688-9535 C> Registry of Deeds Northern District of Essex County Lawr ei- -HA 01.840 05/13/02 THOMS & KATHY t9URPHY KB # 146.Rec: Type PLAN 14.00 Inst 24608 C. P. 24.00 # 147 Recz Copies Type CERT 1.00 10.00 3" Inst 206 C. P. 20.00 .Total 61.00 # 108 Payment Check 61.44 THANK YOU! Thomas J. Burke Register of Deeds E$S C NORTH (;IST OF DEEDS LAWRFt4CE, MASS: EST Town of North Andover Building Department 27 Charles Street . North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978.) 688-9545 •:t978) 688=9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE .13 fM ri 2vu '� J013 LOCATION Number "HOMEOWNER �'�a�YY1y17 61,w Name I PRESENT MAILING City Town D, &Qd Street Address / /r -'5J / Home Phone Map / lot � � 7 Work Pt Zip The current exemption for "homeowners" was extended to include owner -occupied: dwellings of two units or,Iess and to allow such homeowners to .engage an individual,W. hire .who: does . not possess a license,. provided that the owner acts as supervisor. (State Budding Code. Section 1{)8.3 5.1) .DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intendstoreside, on which there is, or is intended to be, a one or two family dwelling, attached ordefachis! sbuctures ac- cesso.y to such use and/or farm structures_ A person who c onstnxts 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 Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner' certifies that helshe understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE \ / I iT7�^ �l �% l/1 ✓{� , APPROVAL OF BUILDING OFFI • a a North Andover Building Department Tel: 978-688-95q 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: fV I �- (Location of Facility) Sign ure of P unit Applicant M a� -J Date NOTE: Demolition permit from tide Town of North Andover must be obtained for this project through the Office of the Building Inspector i 0 N A w M M M M M ►y M M M b a N � h h h ,h 0 C Q ?� O L UO L N vyi 2 M Q �Atn M j w PC o tiOc 2 W w o z LLJ w QQ.� zca� LC Q Z L w �. Z, W Z oo O �o mm b'3 9 W Q LO O k g C:) LAJ w w M M M M M ►y M M M b a N � h h h ,h 0 C Q ?� O L UO L N vyi 2 M Q �Atn M j w PC o tiOc 2 W w o z LLJ w QQ.� zca� LC Q Z L w �. Z, W Z oo O �o mm b'3 9 W Q LO O -- r -- _,.._. _ ... . - . _.. �Um VENT---, 4' WIDE X 27' LONG—� LEACHING TRENCH (TYP.) D—BOXY` pl M 1 1500 GALLON SEPTIC TANK LOT 16A AREA = 1.03 ACRES L EXISTING FOUNDATION TOP FND. = 142.6' LOT 15A 1' 1131 1 1.77' 57.33,�� 1 20 & 'TIL DE ACCESS UTILITY EASEMENT ELEVA TIONS DESIGN AS -BUILT INV. Of Pipe OUT Of NOOSE 138.66 /38.70 INV. OF PIPE AT SEPTIC TANK INLET 138.46 138.41 "I I INV. OF PIPE AT SEPTIC TANK OUTLET /38.21 138.19 LOT 17 /NV. Of PIPE AT D -BOX INLET 137.87 137.86 IINV. OF PIPE AT D -BOX OUTLET 137.70 137.68 INV. AT END OF DISTRIOU77ON PIPE 1 137.50 137.47 INV. AT END Of AISTRIBUTION PIPE 2 1 136.50 136.50 O K R OA o INV. AT END OF DWBU170N PIPE 3 /35.50 135.52 IINV.AT END Of D/STWNIBUIION PIPE 4 ' J4.50 131.52 aRO NOTE: THIS PLAN 1S NOT A WARRANTY OF THE SYSTEM. 1T IS A RECORD OF THE LOCATIONS OF THE EXISTING STRUCTURES. INTERIM AS—BUILT PLAN OF Q 6 o7.y� SUBSURFACE DISPOSAL SYSTEM AT m LOT 16A BEAVER BROOK ROAD `ffI^►A� Ems'`° NORTH ANDOVER, MASS. PREPARED FOR: THOMAS MURPHY SCALE. 1' = 20' DATE: NOV. 20, 1996 SERGNAL I ENGINEERS CHRISTIANSEN Q SERGI PRO 160 SUMMER Sr HAVERHILL. MA 01830 TEL 508-373-0310 © 1996 BY CHRISTIANSEN R SERGI INC. - ob 6SEMENT 1 \ \ A00 \ 1 EASEMENT' 1 LOT 15A 31.7' i�/� �vo� h1�us� n � .6•, � � _11.8' \x a� 30.3• \ cp � .O•\ � BEA VER BROOK ROAD FOUNDATION LOCATION PLAN CLIENT. THOMAS MURPHY THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. LOCATION:LOT 16A "EVERGREEN ESTATES" NORTH ANDOVER,MA. SCALE. 1"=60' DATE: 11/6/96 'S S°�SCHRISTIANSEN &SERGI RVEYR 160 SUMMER ST. HAVFRHUAA, 01850 TEL 508-573-0510 C 1996 BY CHRISTL NSEN & SERGI INC. LOT 17 I C17P11FY 7NAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO 7HE HORIZONTAL SE78ACK REWA MEMS OF 7HE LOCAL APPLICABLE ZONING BT -LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CER71FICATLON DOLS NOT CONSIDER ANY OTHER RE57R1CIIONS SUCH AS COVENAN7S.WE7LANOS,EASEMENM ORDERS OF CONDITIONS,ETM) INNS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER -MM 1NAT OUTLINED ABOVE,E=7r WAN THE WRITTEN PERMISSION OF CHRIBT/ANSEN & SERGI INC. FURTHERMORE THIS DRAWING IS INE COPYRIGHTED PROPERTY OF CHRIMANSEN & SERGI INC, AND ANY UNAUTHORIZED USF. IS PROH/817ED.CHRIS71ANSEN & SERGI TAKES. NO RESPONSIBILITY FOR THE UNAUTHORIM USE OF INIS DRAWING OR ANY INFOR- WTMN CONTAIMED HEREC•Y. OF 6fq�9�y � G a � 191 r f tl P ss/ L LANA Sa DWG.NO.: 94036076 a 204.8' Y 1 717.0' —y?8 EASEMENT LOT 15A � a5 I � EASEMENT 7- I � I A 03 31.7' t J I � \ Ix 30.3' \ \ BEA VER BROOK ROAD FOUNDATION LOCA TION PLAN CLIENT.- THOMAS MURPHY THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. LOCA T ION: LOT 16A "EVERGREEN ESTATES' NORTH ANDOVER,MA. SCALE. 1'`=60' DATE: 11/6/96 CHRISTIANSEN & SERGI PROFESSIONALSURVENGI EYORS ERS 150 SUMMER ST. HAVERHILL;MA. 01830 TEL 508-373-0370 © 1995 BY CHRISTIANSEN & SERGI INC. 0 LOT 17 I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EfFECT WHEN CONSTRUCTED. (THIS CER77i7C477ON DOES NOT. CONSIDER ANY OWER RESMC77ONS SUCH AS COVENANMWEIUNOS EA.SEMENM ORDERS OF CONDMONUM) THIS DRAWING SHALL NOT BE USED BY THE CLIENT f17R ANY PURPOSE OTHER THAN THAT OUTLINED ABOMEXCEPT WITH THE WRII7EN PERMISSION OF CHRISTIANSEN & SERGI ma FLIRT F&RAilORE THIS DRAWING IS 774E COPYRICHTED PR(haERTY OF CHRISRANSEN & SERGI INC. AND ANY UNAU7HOR12ED USE IS PROH/BITED.CHRIST/ANSEN h SEW TAKES. NO RESPONSIBILITY FOR 771E UNAUIHORMED USE OF THIS DRAWING OR ANY INFOR- MA77ON CONTAINED HEREOM DWG. NO.: 94036076 • Cl) m x U) Cl) m a CO) 'O Cl)CD Z CD CL a � coa� O v C;L� c "C cm_ CD 0 a H .o CD a O �-AF CD 0 C CD SO CA mgoc o a m m c 3 >D i z = y CL 06 m �W = y O m O O y O =CD l oCD a _ o V n -1 a. to OO p Zn iO 1 O H C's N CC CD CD O y :� /^ m C")•p Cn C d m m O o = d H ry N cl Q d Cl)CL`c g ,.cQxca 3E CD � U2 3 " � fL O Lvm o 'k o =S : 1 ,.� CO) a ra m a rkCD a 0 z ►� aq w aq ro tz o cmw a ro r t OQ Q.C/) C7 b n x H 0 9 O C CD —a t• N340484ZW UNLIMITED/� ro s� ,� �� / LAND USE 3o EASEMENTS ,0 /•'// AREA / F / z 0 9 QD D m r n O LOT 14 204.82 D.H. FND. 10.9 , 6.8 _SHE, D \0.2 16, � �° T 16A . �2, N A=1.03 AC. / C�° / moo,\ WGOD FRAME G� ih _ / .+,. POOL SHED . 00 / // /1, UNDER CONSTRU i0N) D.H. 2 15. 1' a' ground level / / i Os �0 'n LI M ITED . / LAND USE POOL SHED /EASEMENT' ELEVATION ,AR / OUN N.�f. 0\ °2 NOT TO. SCALE I / / ,.� POOL p /,�'/ SCJ" 0� t 15.1 00. °�/ SEPTIC ° TANK 156 8 / DECK N LOT 15A 31.4 IN, 2'STORY `° N RES_ IDENCE o. C. N/F DON 8,. ABDIE ro RITCHIE i ( NO. 82 GN\NG �+,� UTILITY a. ACCESS` _ 1 EASEMENT \50.76 �pul / 2 p SB/DH %slo, FND. p9• °�' QO, 38., SB/DH FND. p OK 8Ro Av LOT 17 E R .;: rg E. N/F BRIAN a FR AN qw HEALEY S)PAULul L0 T 18 DeSrMcrvr No '11)46t -,c : ; L-�- 19 N/F DON a MARLEEN WILKES N/F CINDY 81 nt, MICHAEL LUNDEEN NOTES. PLAN OF LAND 1. THIS PLAN WAS PREPARED FROM AN TO ACCOMPANY A INSTRUMENT SURVEY..VARIANCE. PETITION 2. PLAN REFERENCE: BEING LOT 16A SHOWN ON IN A PLAN BY CHRISTIANSEN a SORGI INC. DATED NORTH .ANDOVER- M APRIL 30, 1996 (REVISED SEPT. 4, 1996) AND RECORDED WITH ESSEX NORTH DISTRICT AS DRAWN FOR REGISTRY OF DEEDS AS PLAN NO. 12-919. THOMAS a KATHY MURPHY 3. LOCATION OF SUBSURFACE DISPOSAL SYSTEM FEBRUARY EpRI IApY I9 2002 TAKEN FROM AS- BUILT PLAN BY CHRISTIANSEN a SORGI DATED NOV. 20, 1996. 0 40 80 120 4. ZONING DISTR I CT: R-2 RECORD OWNERS: SCALE: I"= 4.0 - THOMAS IN KATHY MURPHY PREPARED BY 82 BEAVER BROOK ROAD D a A SURVEY ASSOCIATES., INC. NORTH ANDOVER, MA 978-557-1131 11 TOURO AVE. MEDFORD, MA 02155 DEED REF BOOK 4598 PAGE87 (781)324-9566 (781;•321-2501 (FAX) t MA MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING or print) Date 4. LI G A INUKIH ANDOVER, MASSACHUSETTS Building Locations Owner's Name New Renovation ❑ Replacement ❑ Permit # / Amount $ Plans Submitted ❑ "heck one: Certificate Installing Company ❑ Corp. Address Partner. Business Telephone ®F' irm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ Non If you have checked ves, please indicate t e -type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity .❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts to G s Code anhpter 142 of the Gel Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) S' ture of Licensed Plumber Ot'Gas Fitter FTIP(urnber ? ❑ Gas FitterLicense Nu nerr aster ❑ Journeyman w z � W � � W F in y � W •j v� W C W v1 ;� U W n 'zd c Ci z F -t Z W F -t z� ` `l �" W (." �, i z E.W. V ..7� W C z �' =s c w c 4 c Q a a c O w SUB-BASEM ENT BASEM ENT IST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR ST Ii. FLOG R 6TH. FLOOR 7T 11. FLOG R 8T 11 . F L O O R "heck one: Certificate Installing Company ❑ Corp. Address Partner. Business Telephone ®F' irm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ Non If you have checked ves, please indicate t e -type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity .❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts to G s Code anhpter 142 of the Gel Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) S' ture of Licensed Plumber Ot'Gas Fitter FTIP(urnber ? ❑ Gas FitterLicense Nu nerr aster ❑ Journeyman b19 Date ..`� . /v . � ...... . Y 1 b A NORTH TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . ... ... ,.d°— has permission for�as installation .... !-! ............... in the buildings of �.... f� '- �' ....................... at ............ . , North Andover, Mass. Lic. Nod... ........................ GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer