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Miscellaneous - 87 CHESTNUT STREET 4/30/2018 (2)
2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the f permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an �1 electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall -be limited as to the time ofongoing construction activity, and may be -deemed -by the.inspector_of _Wires abandoned.and-invalidsf_he—__ .. _ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending"through August 15, 2012. 8 — Permit/Date Closed: 0 Permit Extension Act — Permit/Date Closed: *** Note: Reapply for new permit Date/? ."..3 /z . TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... T..��..................... has permission to perform ...�!`�! '... /H. 7��i!/G.� t-� r .......... . wiring in the building of .../%w...... r.t7 . '............... at ..S 7...��_ �.f�� ?`:.... fT - North Andover, Mass. Pee . SS . Lic. No.. 1 . ELECTRICAL INSPECTOR Check # 1.3 11268 I Commonwealth of Massachusetts I o Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. // , 6 Occupancy and Fee Checked [Rev- 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASEPRINTWINK OR TYPEALL MFORMATIOA9 Date: 12-- 3 —/Z— City /Z— City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 7 C/L es7ti v -.A— Owner or Tenant />p t— S,, , f/l . Telephone No. Owner's Address 7 Is this permit in conjunction with a building permit? Yes Purpose of Building o ❑ (Check Appropriate Box) Utility Authorization No. - Existing Service Ampg, Volts Overhead ❑ New Service Amps / Volts Overhead ❑ Number of Feeders and Ampacity Undgrd ❑ Undgrd ❑ Location and Nature of Proposed Electrical Work: A— 4�7, No. of Meters No. of Meters Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Cell: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ No. of Emergency Lighting rnd. grnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons I KW . No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KWLocal ❑ Municipal E] other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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: %L ' 3 / L Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under thepains andpe lues of erjury, that the information on this application is true and complete. FIRM NAME:. - Z' �� Y 7� LIC. NO.: 1!I �2 Licensee: k Signature ,s LIC. NO.: (Ifapplicable, en r "exempt" in the license number line.) Bus. Tel. No.: �Ez r —61, r7— a/C'Lf Address: S ; d /yl • Alt. Tel. No. *Per M.G.L cs. . 147, 57-61, security work requires Departme of Public Safety "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 agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the r permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed Pass IN on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an Re- Inspection Required ($.) ❑ electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall.be limited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written Inspectors Signature: request of either the owner or the installing entity stated on the permit application. Date: ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this Pass M purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With Re- Inspection Required ($.) ❑ limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8 — Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Trench Inspection Pass IN Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass M Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: ROUG SPECTION: Pas Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: (FINAL INSPECTION: Pass 0 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: DEB WEINHOLD ... TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com i 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/Organizati6n/Individual): Address City/State/Zip: Phone #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I ' employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. # ship and have no employees These sub -contractors have y . 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'b ❑ I 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.] f employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. F1 Electrical repairs or additions 11. El Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other A,ny applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ontractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site :formation. isurance Company Name: olicy # or Self -ins. Lic. #: Expiration Date:. )b Site Address: City/State/Zip: 4 ttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). a ilure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ne 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 "up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of ivestigations of the DIA for insurance coverage verification. do hereby certify under the pains and penalties ofperjury that the information provided above is trite and correct. :gnature: Date: Official 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 5. Plumbing Inspector 6. Other 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 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 021.11 Tel. # 617-7274900 ext 406 or 1-877-MASSAFE evised 5-26-05 Fax # 617-727-7749 www.mass..gov/dia I TOWN OF NORTH ANDOVER Building Department 0 1600 Osgood Street Building 2- Suite 2-36 Building Dept North Andover MA 01845 O Tel: (978) 688-9545 Fax (978) 688-9542 COMPLAINT FOR INVESTIGATION DATE: �1 '� 1 C3 TEL #: 7 NAME OF COMPLAINTANT: ADDRESS: <', 7 C �. t S T- COMPLAINT TYPE: C ,FZG 1 Electrical:CD' y Plumbing: ��rr 2U1� �.!r� '� z 2010 Gas: E3UILDING DEE-PT. &UILG1.1 , DcFW�. Building: Property Owner:— Address: Other: �-, `' `''' 0 o CQ CQ Z a V C'-�r C- C>cca j CSigned: Complaint Form - Revised 6.2007 lv �t Lav ,646 yO ` 3 a o1 k b A qAM n\ i_ OBUILDING DEPARTMENT Community Development Division July 17, 2009 Brasseur Residence 5 Longwood Avenue North Andover MA 01845 Dear Mr. Brasseur, Please be advised your property is in violation of a North Andover Zoning decision dated November 19, 2001, PETITION: 025-2001, see attached. The decision clearly stated you property was to be clear of all material, debris and multiple miscellaneous infractions as noted in the attached documents. The sale of firewood also violates the zoning bylaw by having a. retail business in a residential area. Please see section 4.121 of the zoning bylaws sections 9, 10, 12 a, b, and f. You are hereby ordered to immediately ease and desist the storage of wood, construction debris, and unregistered vehicles immediately and arrange for the removal of said violations. Your Failure to fully comply with this Notice of Violation letter will result in my filing an application for criminal complaint against you in District Court with possible fines of $300 (see,10.13) for each day during which violation continues to exist, Sincerely Yours, Gerald Brown_/ Inspector of Buildings Cc: Curt Bellavance, Director Receipt Received: 7002 0510 0000 0894 2851 1600 Osgood Street, Suite 2-36 North Andover, Massachusetts 01845 Phone 978.688.9545 Fax 978.688.9542 Web www.townofnorthandover.com D. Robert Nicetta OBuilding Commissioner L Town of forth Andover Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 f VaORTH R 0� 0 41p �SSgcHu5�4 Telephone (978) 688-9541 Fax (978) 688-9542 _N Any appeal shall be filed Notice of Decision ;z C_ 0 CD within (20) days after the Year 2001 0 C) C ) date of filing of this notice -� - + :Uz�mrn in the office of the Town Clerk. Property at: 5 Longwood Avenue > m r'noM -D=CD. D NAME: Judith-Brassemr KDATE:11/19!01 ADDRESS: 5 Longwood Avenue ON• 025-2001 North Andover, MA 01845G(s):9/18,10/9,1 61 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, November 13, 2001 at 7:30 PM upon the application of Judith Brasseur, 5 Longwood Avenue, North Andover, MA requesting a dimensional Variance from Section 7, Paragraph 7.3 for front, side, and rear setbacks, and for a Special Permit. from Section 9, Paragraph 9.2 to allow for a proposed addition of a.2ud floor with 3 bedrooms and 1 bathroom on a pre- existing non -conforming structure within the R-3 zoning district. j The following mwmberS were present: l'3lisan'. J. S•, u-nian, Waiter F. Soule, John Pallone, Ellen McIntyre, George M. Earley. 0 Upon a motion made by Walter F. Soule and 2nd by John Pallone, the Board voted to GRANT a dimensional Variance for relief of 1. l' front setback,_ 7.6' right side setback, and 2.9' rear setback in accordance with the Plan of Land of Bradford Engineering Co., 3 Washington Sq., Haverhill, MA 01830.dated 7/31/01, revised; with the following conditions: 1. The tractor trailer will be moved within six months of the issuance of the building permit; 2. _ The tree branches and scrap wood, including the railroad ties shallbe removed during the first quarter of year 2002; 3. The excess material, presently under tarps, used for the construction of an addition shall be removed within six months of the issuance of a building permit; 4. No recreational vehicles shall be parked or stored beyond the front line of the house; 5. Storage of trash barrels shall be shielded by shrubbery or behind the front line of the house; 6. This residential property shall be kept free of construction yard material within six months of the issuance of a building permit. Voting in favor: WJS4FS/JP/EM/G&1E. The Board finds that the applicant has satisfied the provisions of Section 7'Paragraph 7.3 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. . Upon a motion by Walter F. Soule and 2nd by John Pallone, the applicant was allowed to withdraw without prejudice the Special Permit because it wasn't required. Voting in favor: WJS/WFS/JP/EM/GME. Page one of two BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HFAL TH 688-9540 PL ANNING 688-9535 Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Pennit 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 comrnenced,•it shall lapse and may be re-established only after notice, and a new hearing. OBoard of Appeals William J. S ivan, Chairman Decision2001-025 Page two of two Iii C Pile Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG_0393.JPG Auto :1/160 :4.9- 0 4.90 400(High ISO Auto) 17.4 mm Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance 0 IMG_0395.JPG Auto :1/500 :2.8 :0 400(High ISO Auto) :5.8 mm : Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG_0394.JPG Auto :11/160 4.9 :0 500(High ISO Auto). 17.4 mm Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG 0396.JPG Auto :1/160 4.9 :0 400(High ISO Auto) :17.4 mm : Auto AMA t "Yugo � f t V I kli / �lnit a GAL. n la'° OR;. � 'r'j Al / 1 f mowsr �• `��L�('>r 3 l r f4�y��,g `u YJ���,�*tii��v�y',I,.,v � .. I a A r R OR;. � 'r'j Al / 1 f mowsr �• `��L�('>r 3 l r f4�y��,g `u YJ���,�*tii��v�y',I,.,v Vogl ;%Ms rf i x o, t �, �, i1'ai i' M4�'+"�c � h e r �'" P �: qr� '� 1•',{y ,, � .;t� � r `^, .��# rr`n, F•.a '!Jh u'F !,. h '� - t.! 'S s- f �m : .t.i r rb�� I 4 Y���(�gy.+�.1 y�,l�y �i�'W,�,,��'�} u�� ra{ F�gdl � qg�y-`.• Y M �•ZS 1��� fir µ ' P . � a c { I �- v �a . ry, py � 4 r��'.,r+'" � r a ^, i C r,�y,3� � ... �Z "�7 .�q. y �,�"rJ`.✓y�,. r ra >1 r f w ' Ay J >r z ' r'b` t �„ �� � fir. � s �+ • } y b ' c✓ r t c� t r , r y� P �'egg -s T �'.�-SKr- ' �; ✓ ,� i r� � 7 '� a .� INA 71.:ss Town Of North Andover Office Of the Zoning Board Of Appeals Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta OBuilding C01111)7issioner^ Telephone (978) 688-9541 Fax (978) 688-9542 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, November 13, 2001 at 7:30 PM upon the application of Judith Brasseur, 5 Longwood Avenue, North Andover, MA requesting a dimensional Variance from Section 7, Paragraph 7.3 for front, side, and rear setbacks, and for a Special Permit from Section 9, Paragraph 9.2 to allow for a proposed addition of a 2°d floor with 3 bedrooms and 1 bathroom on a pre- existing non -conforming structure within the R-3 zoning district. The following members were present: William J. Sullivan, Walter F. Soule, John Pallone, Ellen McIntyre, George M. CD Earley. Upon a motion made by Walter F. Soule and 2°d by John Pallone, the Board voted to GRANT a dimensional Variance for relief of 1.1' front setback, 7.6' right side setback, and 2.9' rear setback in accordance with the Plan of Land of Bradford Engineering Co., 3 Washington Sq., Haverhill, MA 01830 dated 7/31/01, revised; with the following conditions: 1. The tractor trailer will be moved within six months of the issuance of the building permit; s 2.. The tree branches and scrap wood, including the railroad ties shall be removed during the first quarter of year 2002; 3. The excess material, presently under tarps, used for the construction of an addition shall be removed within six months of the issuance of a building permit; S /I D 4. No recreational vehicles shall be parked or stored beyond the front line of the house; S. Storane of trash barrels -,hall he shielded by shnibbery or behind the front lire of the hovse; 6. This residential property shall be kept free of construction yard material within six months of the issuance of a building permit. Voting in favor: WJS/WFS/JP/EM/GME. The Board finds that the applicant has satisfied the provisions of Section 7 Paragraph 7.3 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. . Upon a motion by Walter F. Soule and 2°d by John Pallone, the applicant was allowed to withdraw without prejudice the Special Permit because it wasn't required. Voting in favor: WJS/WFS/JP/EM/GME. Page one of two `ZOARD OF APPFALS 683-9541 BUILDING 688-9545 CONSERVATION 688-9530 I4EALTH 688-9540 PL: NNUNG 688-9535 ti O Any appeal shall be filed Notice of Decision o 0 0 within (20) days after the Year 2001 0 :Loq o A date of filing of this noticeN z m in the office of the Town Clerk. Property at: 5 Longwood Avenue 7 - D� CD mpm NAW. _• Juditb Brasseur DATE: 11/19/01 _�aCno -r_ ADDRESS: 5 Longwood Avenue PETITION: 025-2001 North Andover, MA 01845 HEARING(s): 9/18,10/9,1 6 &11/13/01 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, November 13, 2001 at 7:30 PM upon the application of Judith Brasseur, 5 Longwood Avenue, North Andover, MA requesting a dimensional Variance from Section 7, Paragraph 7.3 for front, side, and rear setbacks, and for a Special Permit from Section 9, Paragraph 9.2 to allow for a proposed addition of a 2°d floor with 3 bedrooms and 1 bathroom on a pre- existing non -conforming structure within the R-3 zoning district. The following members were present: William J. Sullivan, Walter F. Soule, John Pallone, Ellen McIntyre, George M. CD Earley. Upon a motion made by Walter F. Soule and 2°d by John Pallone, the Board voted to GRANT a dimensional Variance for relief of 1.1' front setback, 7.6' right side setback, and 2.9' rear setback in accordance with the Plan of Land of Bradford Engineering Co., 3 Washington Sq., Haverhill, MA 01830 dated 7/31/01, revised; with the following conditions: 1. The tractor trailer will be moved within six months of the issuance of the building permit; s 2.. The tree branches and scrap wood, including the railroad ties shall be removed during the first quarter of year 2002; 3. The excess material, presently under tarps, used for the construction of an addition shall be removed within six months of the issuance of a building permit; S /I D 4. No recreational vehicles shall be parked or stored beyond the front line of the house; S. Storane of trash barrels -,hall he shielded by shnibbery or behind the front lire of the hovse; 6. This residential property shall be kept free of construction yard material within six months of the issuance of a building permit. Voting in favor: WJS/WFS/JP/EM/GME. The Board finds that the applicant has satisfied the provisions of Section 7 Paragraph 7.3 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. . Upon a motion by Walter F. Soule and 2°d by John Pallone, the applicant was allowed to withdraw without prejudice the Special Permit because it wasn't required. Voting in favor: WJS/WFS/JP/EM/GME. Page one of two `ZOARD OF APPFALS 683-9541 BUILDING 688-9545 CONSERVATION 688-9530 I4EALTH 688-9540 PL: NNUNG 688-9535 Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was granted unless substantial use or construction has comiiienced,•t shall lapse and may be re-established only after notice, and a new hearing. Decision2001-025 Board of William I Page two of two Conservation Commission May 9, 2005 Building Inspector Zoning Board of Appeals Dear Sir or Madam, The occupant of 5 Longwood Ave. has continued to cut down trees and vegetation on town owned land (Maplewood Avenue, a paper street running parallel to Hewitt Ave. ). Additionally, the occupant of 5 Longwood Avenue has filled in areas on this paper street that were described as wetland by the North Andover Conservation Commission Agent. The land filling involved construction debris and household trash that was bull dozed, covered and graded. It appears that unregistered vehicles (a truck and camper) are also stored on the town property. Additionally, yard waste, brush and branches, discarded household fixtures and other debris have been dumped on this public property. ,The occupants of 5 Longwood Ave. received a zoning variance with conditions to which they have not fully complied. Information about non-compliance has been conveyed on previous occasions to the Building Inspector. I would appreciate your attention to this situation as it is my understanding that said paper street (Maplewood Ave.) is town property and is 40 ft. in width and parallel to Hewitt Ave. as shown on plot plans on file with the Town of North Andover. The destruction of wetlands and the cutting of trees and vegetation on public lands is a violation of town by- laws and should be investigated and appropriate enforcement carried out. I would appreciate hearing from you concerning any actions taken. Thank you. Sincerely, Donald N. Smith 87 Chestnut St. North Andover, Ma PLAN OFLAND IN "'5�Tfi ANDOVER D. J w -3055: November 2,, .eta XM -L t. .3,0 RFLEIVED FOR ',REGISTRATION- CLOCK-4--E—m CERTIFICATE NO. 90 A IN REGISTRA . TION BOOK - u7. ,. �. X� 1\ C�- 11% L44 .40-00 <_.40.00— p Linlef. yR MINUTE ST. V LQ Zi O A0.00 k, J4 COPY LAND RMSTRA 710S. Off/CE, ------ XCINBC9 2, %uy SWle. of this plan,,49_ fmt, to, p. /00 <_.40.00— p Linlef. yR MINUTE ST. V LQ Zi O A0.00 k, J4 COPY LAND RMSTRA 710S. Off/CE, ------ XCINBC9 2, %uy SWle. of this plan,,49_ fmt, to, n TOWN OF NORTH ANDOVER Building Department 1600 Osgood Street Building 2- Suite 2-36 Building Dept North Andover MA 01845 Tel: (978) 688-9545 Fax (978) 688-9542 RECEIVED JUL 16 2000 BULDiN DEPT'. - COMPLAINT FOR INVESTIGATION DATE: 1 v o TEL #: 9-19 � S -Z 6 t f 3 NAME OF COMPLAINTANT:, ADDRESS: 6 ` ► Cl S ,� S COMPLAINT TYPE: Electrical: Plumbing: Gas: Building: S Property Owner:, Address: Other: Gyl,-,r,,. •� -.r•G ; �.. L A-4.- �^.-C. 5 6 Cttl r `� c..> '.t" . �...z \ �l G4 � �!' G•_ 5 Y \ Com,, �� C� � C� to S� 1�C�� � � tom. �i� C.��C' 'e �^ � (i � J Signed: Complaint Form - Revised 6.2007 w N29695 MORT#4 F 9 ,SSAC14US� This certifies that Date )21�J.1��: . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING sie Ylry 7 ... . . . . . . . . . . . . . . has permission to perform...��re:�-�'................ . plumbing in the uildings of .. '. ! ' .................... . A . (� -i • • •m� r w...... ..... , North Andover, Mass. A� .}q.... Lic. Nost .... H&� ........................ . ' PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer / '4 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITYy- ]/L(.. MA DATE J Z 3 f PERMIT # OIU-1 JOBSITEADDRESS d C .e v OWNER'S NAME ` POWNER ADDRESS _7 'p v TEL FAX _ TYPE OR OCCUPANCY TYPE COMMERCIAL © EDUCATIONAL Q RESIDENTIAL" PRINT CLEARLY NEW: f RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES[] NOD FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OILISAND SYSTEM DEDICATED GREASE SYSTEM € __......._.I _-_..__1 .__.�J _ 1 ....._..___1 _......___i .__-..___J _._.__I __.€ ......_.__.€ DEDICATED GRAY WATER SYSTEM l _._ ! 1======1 DEDICATED WATER RECYCLE SYSTEM (_-.._ ._.i ._._..._f DISHWASHER w._ I ._..._._f J ___... € --.__� ! I _-_-_-_I .._._._! --_ € _._..1 DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN INTERCEPTOR (INTERIOR) _€ ___._f ___._i ___._-i ....__._f ._----_l KITCHEN SINK LAVATORY ROOF DRAIN € .-----._..J € _f € _._1 .__._J f _ - ..___..__ -_.i _.___.___.(. ___. _€ SHOWER STALL _._€ .._._-J J ...___.._€ .--. 1 1__._- J SERVICE / MOP SINK TOILET I .._.___._€ _...___J .-- _.__. _ ._.__._. i ._ �J URINAL _.r _? .._..._..� i _..._.._�-----.___! .-....._.1 ........____.€ _......._.__i __-.._._.._.) .__....__I f I :_._._1 ___....__€ J WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER --- ------ _E _....__.1 .____i _ f ______-€ ... __..... .; IF IF INSURANCE COVERAGE: I have a current liabilifv insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES (�� NO M IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY _; BOND , ®WNER'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 SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be/n--com com Iia with II Pertin t provisi of the ' Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME S sir e d- LICENSE # _fid 3 _. SIGNATURE 1PO JP�.i CORPORATION PARTNERSHIP0# E= LLC $ , `SNY NAMEG v►� ,F— ! f ;ADDRESS ANcrd.�-rte......_.__._.._.._....._j STATE I apt✓- 1 ZIP!� 1(? �� i TEL { . EMAIL F O z o H U a � o0 z N O ~ W w O W CL z U = U) w W Cf) aLU w co p z a w ~ 1 U J a CL = w LL. rA W H °z 0 H U W rA C7 P P-4 C7 O 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 Name (Business/Organization/Individual): Address: 03 City/State/Zip:110 , ef 4 -'dl 04/+Phone #:__I -2 4- CD Are you an employer? Check the appropriate box: 1. "1 ').-- L am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* 2. ❑ I am a sole have hired the sub -contractors listed proprietor or partner- on the attached sheet. $ 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.] 3. ❑ 1 am a homeowner doing all work officers have exercised their 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 reauired.l Type of project (required): 6. ❑ New construction 7. FEtRZmodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.0 Roof repairs 13.❑ Other Any applicant that checks box #1 must also fillout the section below showing their workers' compensation policy information. Homeowners 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. am an employer that isproviding workers' compensation insurance for my employees. Below is thepolicy and ob site nformation. j nsurance Company N 'olicy # or Self -ins. Lic. #: 610 Expiration Date: ob Site Address: City/State/Zip: kttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a he 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 f up to $250.00 a day against the violator. Be' advised that a copy of this statement may be forwarded to the Office of ivestigations of the DIA for insurance coverage verification. do hereby certi and t/iepains andperldeyfperjury that the information provided above is true and correct D6 Official 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 5. Plumbing Inspector 6. Other /"Z/�//2 Contact Person: Phone z ul r7 X .61 01 bi of -n 03 .my: mcn O-ZK" M Yc im \/��� � \� d \ /� Ignatur. f TOWN OF NORTH ANDOVER RECEIVED Building Department JUL 16 2009 1600 Osgood Street Building 2- Suite 2-36 Building Dept North Andover MA 01845 BUILDING DEPT. Tel: (978) 688-9545 Fax (978) 688-9542 COMPLAINT FOR INVESTIGATION DATE: 1 v o TEL #: Gl (� -Z 61 3 NAME OF COMPLAINTANT: ADDRESS: CA, S �- •� COMPLAINT TYPE: Electrical: Plumbing: Gas: Building: Property C S � - C'm ljx�p 10 v S �. �.n �� c wt ► -C cs�,-, Address:N U� o Other: Cccc -�, CC Signed: UL oto ti 5 1 y- L -l- -j' C_4 \ o I cc� pp � Complaint Form - Revised 6.2007 File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance I MG_0393.JPG Auto :1/160 4.9 :0 400(High ISO Auto) :17.4 mm : Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance I MG_0395.J PG Auto :1/500 :2.8 :0 400(High ISO Auto) :5.8 mm : Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG 0394.JPG Auto :1/160 4.9 :0 500(High ISO Auto) 17.4 mm Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG_0396.JPG Auto :1/160 4.9 :0 400(High ISO Auto) 17.4 mm Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG_0389.JPG Auto :1/400 3.2 :0 400(High ISO Auto) 7.1 mm Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG_0391.JPG Auto :1/500 3.2 :0 400(High ISO Auto) :7.1 mm : Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG_0390.JPG Auto .:1/400 :3.2 :0 400(High ISO Auto) :7.1 mm : Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG 0392.JPG Auto :1/320 4.9 :0 400(High ISO Auto) :17.4 mm : Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG_0385.JPG Auto :1/320 4.9 :0 400(High ISO Auto) 17.4 mm Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG_0387.JPG Auto :1/160 4.9 :0 : 500(High ISO Auto) 17.4 mm Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG_0386.JPG Auto :1/250 4.5 :0 400(High ISO Auto) :14.4 mm : Auto File Name Shooting Mode Tv (Shutter Speed) Av (Aperture Value) Exposure Compensation ISO Speed Focal Length White Balance IMG 0388.JPG Auto :1/320 3.2 :0 400(High ISO Auto) 7.1 mm Auto TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 1600 Osgood Street North Andover, Massachusetts 01845 Judith Brasseur 5 Longwood Avenue North Andover MA 01845 Dear Mrs. Brasseur, July 16, 2009 Telephone (974) 688-9545 FAX (978) 688-9542 Please be advised you are in violation of a North Andover zoning decision dated Nov27, 2001. The decision clearly stated you property was to be clear of all material, debris and multiple miscellaneous infractions as noted in the attached documents. The sale of firewood also violates the zoning bylaw by having a retail business in a residential area. Please see section 4.121 of the zoning bylaws sections 9, 10, 12 a, b, and f. You are hereby ordered to immediately cease and desist the storage of wood, construction debris, and unregistered vehicles immediately and arrange for the removal of said violations. Your Failure to fully comply with this Notice of Violation letter will result in my filing an application for criminal complaint against you in District Court with possible fins of $300 (sec.10.13) for each day during which violation continues to exist. Sincerely Yours, Brian Leathe Building. Inspector e b Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta Building Commissioner Telephone (978) 688-9541 Fax (978) 688-9542 N 0 Any appeal shall be filed Notice of Decision `? :Z o within (20) days after the Year 2001 o A C) date of filing of this notice m r -r, in the office of the Town Clerk. Property at: 5 Longwood Avenue J v O M C NAME: Judith Brasseur DATE: 11/19/01 ADDRESS: 5 Longwood Avenue PETITION• 025-2001 North Andover, MA 01845 HEARING(s): 9/18,10/9,1646 &11/13/01 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, November 13, 2001 at 7:30 PM upon the application of Judith Brasseur, 5 Longwood Avenue, North Andover, MA requesting a dimensional Variance from Section 7, Paragraph 7.3 for front, side, and rear setbacks, and for a Special Permit from Section 9, Paragraph 9.2 to allow for a proposed addition of a 2nd floor with 3 bedrooms and 1 bathroom on a pre- existing non -conforming structure within the R-3 zoning district. The following members were present: William J. Sullivan, Walter F. Soule, John Pallone, Ellen McIntyre, George M. Earley. Upon a motion made by Walter F. Soule and 2nd by John Pallone, the Board voted to GRANT a dimensional Variance for relief of 1. P front setback, 7.6' right side setback, and 2.9' rear setback in accordance with the Plan of Land of Bradford Engineering Co., 3 Washington Sq., Haverhill, MA 01830 dated 7/31/01, revised; with the following conditions: 1. The tractor trailer will be moved within six months of the issuance of the building permit; 2.. The tree branches and scrap wood, including the railroad ties shall be removed during the first quarter of year 2002; 3. The excess material, presently under tarps, used for the construction of an addition shall be removed within six months of the issuance of a building permit; 4. No recreational vehicles shall be parked or stored beyond the front line of the house; 5. Storage of trash barrels shall be shielded by shrubbery or behind the front line of the house; 6. This residential property shall be kept free of construction yard material within six months of the issuance of a building permit. Voting in favor: WJS/WFS/JP/EM/GME. The Board finds that the applicant has satisfied the provisions of Section 7'Paragraph 7.3 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. . Upon a motion by Walter F. Soule and 2nd by John Pallone, the applicant was allowed to withdraw without prejudice the Special Permit because it wasn't required. Voting in favor: WJS/WFS/JP/EM/GME. Page one of two BOARD OF APPEALS 688-9541 BLIILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PT .,-U\7N1NG 688-9535 G !1 V Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. _ Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was granted unless substantial use or construction has comfYlenced,-it shall lapse and may be re-established only after notice, and a new hearing. Decision2001-025 Board of William Page two of two Location Y/ No. 'j- Dates ". e? TOWN OF NORTH AN -DOVER + - s + ; , Certificate of Occupancy $ _ •. s Building/Frame Permit Fee $ swCMus Foundation Permit Fee $ Other Permit Fee TOTAL $ Check # ,36 n 15544 /`--Building Inspect ' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING -_ ¢ viz �i n.< oir BUELDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/IEEeEtor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS 00 Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record L -1 c*� h �t: 4- .Name (Print) Address for Service: -7 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: .Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not ApplicablejA License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone ou M X ic Z O 0 M 90 O Mn ic M r z 0 I 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 in the denial of the issuance of the buildine hermit Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) [IAlterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: I SECTION 6 - FSTIMATF11 CnNCTRTTCTTnN CncTc I Item Estimated Cost (Dollar) to be Completed by pen -nit applicant OFFICIALUSE UNLY-.-- 1. Building G©, do (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee ce) x (b) 4 Mechanical HVAC 5 Fire Protection -� 6 Total 1+2+3+4+5 F/ 6 00 s Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, i/ o ---, a -� U` 1� t -E "� as Owner/Authorized Agent of subject property Hereby authorize to act on My be calf, In all matt r rive to wor au orized by this budding permit application. / Pi � s 1 1 G l aZ Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/Agent Date ,1 NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 ST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIN ENSIONS OF POSTS DIvIENSIONS OF GIRDERS HI?IGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fro Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. --AFF'LIGANT FILLS OUT THIS SECTION*********************** t APPLICANT LOCATION: Assessor's Map Number G © c SUBDIVISION STREETSS 1 C �e - PHONE ft7K 6 g Z G IC( 3 PARCEL LOT (S) ST. NUMBER_ *****************************************OFFICIAL USE ONLY*********************************** RECOM NDATIONS Q CONS RVATION ADMINIS COMMENTS w�Ianc�S TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS AGENTS: TF TOR DATE APPROVED S D DATE REJECTED a•crf?Sc5 ',e 54re,+ .. w!oO k h DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 jm DATE II. D. Robert Nicetta Building Commissioner (978) 688-9545 - - -(978) 688=9542 Fax Please print DATE JOB LOCATION '9-7 Number "HOMEOWNER 1 , o Name Town of North Andover Building Department 27 Charles -Street North Andover, MA. 01845 HOMEOWNER LICENSE EXEMPTION C_ Address Map /lot (�7&-279-6Fi1 ,me Phone Work Ph PRESENT MAILING ADDRESS ---------------- .00 City Town The current. exemption for "homeowners" was extended to include owner -occupied: dwellings of two units or less and to allow such homeowners to .engage an individualfior hire who does. not possess a license, provided that the owner acts as supervisor: (State Buddng Code Section 1o8.3.5. 1) .DEFINITION OF HOMEWOWNER. Person(s) who owns parcel of land on which he/she resides or intends. to reside, on which there is, or is irrtended to be, a one or two family dwelling, attached or detachi:d stnutures ac- cessory to such use and/or farm structures. A person .who MM than one home in a two-year period shall not be'consicered a homeowner. The undersigned "homeowner•' assumes responsibility for compliance with the State Buikting Code and other Applicable codes, by-laws, rules and regulations, ; The undersigned "homeowner" certifies that he/she •under sbrids the Town of No. An Building Department minimum inspection procedures and requirements and that heyshe will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL 4` IV North Andover Building Department Tel: 978-688-954 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid- waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Location of Facility) Signature of permit Applicant i Date NOTE: Demolition permit from ti1e Town of North Andover must be obtained for this project through the Office of the Building Inspector PLAN OF QN ,IN �TORTI ANDOVER D. . M,CcraCkQ"' 5urtteyox November 2,'•]55 r[ RFLEIV.ED FOR 'GI iTR�TION ` se. ) _ _� CLOCK.---It-.E--.m —lam m Tzao.00 T _1� �� CERTIFICATE NO.: 90 \ \so., I L IN REGISTRATION BOOK-aA—PAGE.Q UR /� �/ r, J: 40.00— .00— ... lazz 6 � A. "3 ` C q o hh V o . ♦1 , i 4n 00.2 e _ - 40.0o- e °rn 6 Ne LA ef- w M/NU TE O 3 sr. Z Ltj 0 J 00 r Copy of a �°fyanalh .•,. � �� :>n E°? LAND R4'GIST AT/ON Off/CE isss.---- 5 .504. oftuspian.40fort to aoPill indi z a s N.:1� fr:M Anderaon, Engineer for Coart ✓ch g C/) M m C/) 0 C40) O ►r� CD O C CD O -• H O Q Co r no5o.o N O t O O m n Wim„ a) n� m z �-o H =r mneo y m O m y p O � m 7 O m 0 m cc p O N• n W •O ca m cc c cm ; .. . / ^ S m m N : C/) / m n� V ^ ;� cCD: � �1/ CA O M co): /�•f• O N aOSf : 7 C a O y O m /A CA m a : •_ Cc C4: �o z CO. o�o ,►`��. z 91 V N o �o �. 0. o b: nE �o 'O m Cl) Cn .^.� zr w c o trf -x � gj O n yy �O z O R. 'id O �- ttd-' M Ix p _ 'j7 O C" b 'm p' � O :0r O a wcpg a7 ro y C n n x O y 0 0 c Location No.!P Date 10 ,koRTN 41 TOWN OF NORTH ANDOVER 0 i-odgidIMLp Certificate of Occupancy $ Building/Frame Permit Fee $ CHUS Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ Mr -j �. 9 TOTAL $ F E 6 10 1992 Building iZ!pector Div. Public Works 1-4 W a � 0 a - �4 Y 0 = T < a Z W F - p H Vf d N 0 X N � Ge W °c W Z 3 o L z m z Z4' 0 a a J 3 y < J y O Z 0 W 0 w W 0 y o w I < a ILL LL 0 y M Z m n H r - i g ' at W d Z /- m m Z � IQ � IJ ^d wQ I k 0 y W a it K Q W rc y y W Z Y U I F s rt h W 0 Q F Z 0 C LL 0 J LL 0 a W C a X p Z J p J `. v LL C 0 } p W E H Z U 0 O O a p J N Q m y i y 1 } Z a LL Z O f U Q U) J a W CL a a LL O a G W 3 z 0 mWe 0 = < a 0 � � m z p � < a n g Z m m � wQ / W Wa a m t 0 IL Ir 0 U U U d a o 0 d a 00 Ummmu Z M J W W WIm II K iL \L J W LAI U w _ t � N Z J 0 J W 1 .• LL V � Z W z Z_ 0 \ 0 _ H J > m 4 W Q p J > Z U IL m D If k Oy 0 N FO li a W 111 p Z y xF f W > N h .. O 0 a Ir 0 r� z a O U a < z Z Z W m p y 1 \1 0 O j < O y 2 W I W W f y J Z F F 2 0 LL 3 p k • p 0 0 F m 0 Z N J J J J 0 N a W a y H LL LL U W f J 0: U' 0 N FLL V yf 4f F F Z w 0 0 w �• < f �_ W LL y LL LL W < LL a y 4. LL C m O V W m 00 0 LL v; WW UI Z Q0: NO _a �I o� aha 0 1 JUF. Ii Z0 0 -1 N Z5U1 OmU W Woa.g low Z UNI QZF- W1W F- U NWS I W IL �Z� ZaN UW - W 41 Z W I0a 4 . I K O U' 0 0 a Z 0 Z - w Z °� LL p w Z LL Ixl prot I I Y�I I "'w S O °_� f LL t- Q Q� > Z 0 a¢ °d N o�� Y<J Z X W i za �0�N 1- (f Z 0 W ►, j_ V W 1_ UY Iiw LL ��}NmpLL00 Z 3 LL H p 0 �ox� W Z ¢ y Z Q ¢Z a �„ �Or v~i Oa ro°CupZ�N�OQ LL O Wp '-zz 3 V a y V 0-_ U s Q> m o v? Z p S= a V ' Q a 0 S w J> w Q a 2 a -+ w J u a i w a o~ N 2 w N O a x a o Z Z Z LL LL s 0 LL O1 O¢ u a w x O N U a a 0 N a Q p m a_ 3- O Y Z N O_ .- 0 a O' N x¢ a u Z a U O O w Z .TTT I z 0 O ► "' Q w p 0 } z m r �Z ON O y Z as="' N N z G 6 OUO e� " O vv Y mN Z O W a 3- .� Z Z oc�iLLa<Za� a K O a 0 K zc� U LL V NLL, a ¢Z LLLL O LL www wO m f 1O O OZZ�NzZZ:LL �pxv'No00ZZ°`ZZ ¢ Nt U� SZ "'x O 0 mN� LL� Oen 00000 m Zia N V U OOo u �- w m o a m a O a4ppNNw�� S w O O u u 2 Z 00 Z Ip m i x aa0�° 0. t0 O 0 m iw0 0 P ;AlF a V U _ m a a O¢ ZI2 U 0 3 a a> N V m m pU v v� aU LLQ 3 N H p6 3 H 3 m 4 . �J n c cr -v at IT B H• H r-. L_ O V) N w m 1! fA m m -n 0 m c o 0 o c = o m rc m< c T d w? =r f- v c ��� o O H K z v cl n o V O rn m z z z - V V _ n n M _ F Ll i CR Aak L Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE -2- — - Z-- JOB LOCATION FS 7 S+�-- Number Street Address Section of town "HOMEOWNER" U �• �►^'1 �•{ S -z6 i z G -S Name Home rnone work Phone PRESENT MAILING ADDRESS�— ` -111(f c/ WL C— City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code, Section 109.1.1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwell- ing, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Bulding Official, ,-.that he/she shall be / responsible for all such work performed under the 'building Permit. (Section 109.1.1 ) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of -North Andover Building Department minimum inspection procedures and .'requirements and that he/she will comply with said procedures and requirements. '-HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. (Z© ftAA-,,-v S`T_ -m1 -Ta i,v f -c)2 t0 L, L dvvCi a- L_ S„� �G'GYt vi sem - %�?� � b !� '� i "2_ G t, c �1� S f i -1-t Itv�tS� �L 5 ��,vi�✓s M LcCca—cC"S v i /�Y� NU G d y✓6c �9 SS Ira�----- T -m N-0 ! Vr.2J - y��l �► f� SCR _ 6 Iqq? -4 �,� FF8 6 1997 ACJ I LD IN G.DERARTM ENT • �� t f r t AIRBIL L' 3735410475PACKAGE NS?CALL800-23 00 23-53E.QUESTIO55 TRACKING NUMBER 4 3735410/ Date ,r ,REY,PIE I rSTO 1 jt Tom" From (Your Name) Please Print Your Phone "Number(Very Important) " To (Recipient's Name) Please Print Recipient',Slone Number (Very lmportanp � 17—. 23Y-Q09fi �r; �b:n i to/41f -F'= f --. _... ,. rr 4§) Company Department/ Floor No. "C6mpanyDepartment/ Floor No. � XTURE COATING OF NEV ENGLAND'ter-t,r•v �r ' %�.�.��'`i� Ar`'�,ftty.�Clt/..J'� Street Address Exact Street Address (We Cannot Deliver to P 0. Boxes or P. 0. Zip Codes.) 218 1CRGADWAY City State ZIP Required City StateZIP Required q SAUGUS MA 0 1 9 © 6 Ai�c tr, }/ ��ic�r�utr_r�_ /Jt%� YOUR INTERNAL BILLING REFERENCE INFORMATION (optional) (First 24 characters will appear on invoice.) kj IF HOLD FOR PICK-UP, Print FEDEX Address Here address AYMENT 1 Bill Sender 2 F-1Bill Recipient's FedEx Acct No 3 ❑ Bill 3rd Party FedEx Acct. No. 4 ❑ Bill Credit Card CIl� i f g $t3te A-1.4 J ,Required SERVICES I DELIVERY AND SPECIAL HANDLING (Check only one box) J10, (Check services required) Priority Overnight Standard Ovamight -Cash Received t] ReturnIShipment (oennrbynexrbaex,esamnmegt) (oenverybymxrba:xmrsaeer f) 1 ❑ HOLD FOR PICK-UR(F,II in Bo, H) 11 ❑❑OCKAGING 51 11 PACKAGING 2 14, 0,eE�ERWEEKDAY 111.04 i6J+C I FEDEXLETTER' 56 ❑ FEDEX LETTER ' 3 DELIVER SATVR6AY(I:xo-rinarge) ❑ (NOl9vail bl I SAI 12 ❑ FEDEX PAK' 52 ❑ FEDEX PAK aliopa)' 4 ❑ DANGEROUS GOODS IExlra charge) 13 ❑ FEDEX BOX 53 ❑ FEDEX BOX 5 ❑ 14 ❑ FEDEX TUBE 54 ❑ FEDEX TUBE 6 ❑ DRY ICE „„,.....„.,.„....,_„_.... Los. ” 7 F-1OTHERSPECIAL SERVICE conomy wo- y vemment emig t (DN-'bys—nnbusr,essaayt) IflewGm'araiArvaroiaasarY) v....._4..n. 30 ❑ ECONOMY 46 ❑ LETTER S ❑ GOVT 9 ❑ SATURDAYPICK-UP 41 PACKAGE ❑ (Extra charge) 1D ❑ felg (la Exva Large aeny package over 150 Ws.1 VERNIG 70 ❑ FREIGHT*' 60 ❑” TWO-DAY a FREIGHT 11 ❑.�... ” ICmm tlresern�aregaxml t De" epmMnW may 'Dedmee VV.L.I$I00. HOLIDAY DELIVERY ( 12 ❑ n onerea) be later m sane areas. "Catl la deli schetlule. (Exva charge) GES WEIGHT In Pl & 6,11 YDUfl-RED VALUE Einp.,iNo.' 7 t'i at oo 111- 0* -Cash Received t] ReturnIShipment _ - - ---- Third Parry Td " L7 chg. TO F City State Zip Total— Totel - �Yotibl - -. 1 weight) Received By: X DIM SHIPMENT (Chargeable ❑ Date/Time Received FedEx Employee Number lbs. Uj X x 4 ❑ BSC. I FedEx 2 ❑ On -Call Stop 5 0 Station Emp. No. Federal Express Use REVISION DATE 6/91 PART 11137204 NCREC 10/91 FORMAT 11099 099 01990-91 F.E.C. PRINTED IN U.S.A. L_. i4WLTIPLE PACKAGE SERVICE IF YOU ARE MAKING AN MPS SHIPMENT, APPLY THE SELF ADHESIVE MPS COPY HERE TERMS AND CONDITIONS DEF►n►TIONS On this Airbill, we, our and us refer to Federal Express Corporation, its employees and agents, You and your refer to the sender, its employees and agents AGREEMENT TO TERMS By giving us your package to deliver, you agree to all the terms on this Airbill and in our current Service Guide, which is available on request. If there 13 a conflict between the current Service Guide and this Airbill, the Service Guide wd conlrol No one is authorized to alter or modify the terms of our Agreement RESPOOSMILITY FOR PACKABILIG A110 COMPLETING AMBILL You are responsib:e for adequately packaging your goods and for properly fib ng out this Airb:ll. Omission of the number of packages and weight per package from this Airb:l! wi!i result in a billing based on our best estimate of the number of packages received from you and an estimated "default" weight per package, as determined and periodically adjusted by us. AIR TRANSPORTATION TAX I CLUDED Our basic rate includes a federal tax required by Internal Revenue Code Section 4271 on the air transportation portion of this service. L10TAT13119 OU OUR LIABILITY ArD LIABILITIES NOT ASSUMED Our f abi'.ity fur loss or damage to your package is limited to your actual damages or $700, whichever is less, unless you pay for and declare a higher authorized value. We do not provide cargo liability insurance, but you may pay an additional charge for each additional $100 of declared value. If you declare a higher value and pay the additional charge, our liability will be the lesser of your declared value of the actual value of your package In any event wu will not be liable for any damages, whether direct, incidental, special or consequential in excess of the declared value of a shipment, whether or not Federal Express had knowledge that such damages might be incurred including, but not limited to, loss of income or profits. We won't be liable for your acts or omissions, including but not limited to improper or insufficient packing, securing, marking or addressing, or for the acts or omissions of the recipient or anyone else with an interest in the package. Also, we won't be liable if you or the recipient violates any of the terms of our agreement. We won't be liable for loss of or damage to shipments of prch;bited items. We won't be I!able for loss, damage or delay caused by events we cannot control, including but not limited to acts of God, perils of the air, weather conditions, acts of public enemies, war, strikes, civil commotions, or acts or omissions of public authorities (including customs and quarantine officials) with actual or apparent authority. DECLARED VALUE LIMITS The highest dsclared value wa allow for FedEx Letter and FedEx Pak shipments is $100. For other shipments, the highest declared value we allow is $25,000 unless your package contains items of "extraordinary value;' in which case the highest declared value we allow is $500. Items of 'extraord;naryvakr,'!ncude artwork, jewelry furs, precious metals, negotiable instruments, and other items listed in r«tcdurrentService Guide. If you send more than one package on this Airbill, you may fill in the total declared value for all packages, not to exceed the $100, $500 or $25,000 par package limit described above. (Example: 5 packages can have a total declared value of up to $125,000.) If more than one package is shipped on this airbill, our liabilityfor loss or damage will be limited to the actual value of the packages) lost or damaged (not to exceed the lesser of the total declared value or the per package limits described above). You have the responsibility of proving the actual loss or damage. FILING A CLAW ALL CLAIMS MUST BE MADE BY YOU IN WRITING: You must notify us of your claim within strict time limits. See current Service Guide. We'll consider your claim filed if you call and notify our Customer Service Department at 800-238-5355 and notify us in writing as soon as possible. Within 90 days after you notify us of your claim, you must send us all relevant information about it. We are not obligated to act on any claim until you have paid all transportation charges, and you may not deduct the amount of your claim from those charges. It the recipient accepts your package without noting any damage on the delivery record, we will assume that the package was delivered in good condition. In order for us to process your claim, you must, to the extent possible, make the original shipping cartons and packing available for inspection. RIGHT TO INSPECT We may, at our option, open and inspect your packages prior to or after you give them to us to deliver. NO C.O.D. SERVICES NO C.O.D. SERVICES ON THIS AIRBILL. If C.O.D. Service is required, please use a Federal Express C.O.D. airbill for this purpose. RESPONSIBILITY FOR PAYLlENT Even if you give us different payment instructions, you will always be primarily responsible for all delivery costs, as well as any costs we may incur in either returning your package to you or warehousing it pending disposition. RIGHT OF REJECTION We reserve the right to reject a shipment at any time, when such shipment would be likely to cause damage or delay to other shipments. equipment or personnel, or if the transportation of which is prohibited by law or is in violation of any rules contained in this Airbill or our current Service Guide. MONEY -BACK GUARANTEE In the event of untimely delivery, Federal Express will at your request and with some limitations, refund or credit all transportation charges See current Service Guide for further information. Part #137204/137205 Rev. 6/91 O � C� W O W H Q V6 W v 2 z IL 2 m F - w w a 2 F- cn w 0 U a 1-1 O U 2 U y Z O O a zz O+f S A O O 00 O �a m c � o N y ,mV^ < , d. Z � A 0 Ol I m y M -n rn rn AD �4- (/1 w C CD rm -1 (a y I m A C 5 T Z I _\ m �. C to m O CD T s o O T In z 0 V� k.�-f*1 —4 PF O T T t 9 O M rl A o n a ii � 3 H H t m CL O a zz O+f S A O O 00 O �a m c � o N y ,mV^ < , d. Z � A 0 Ol I m y M -n rn rn AD �4- (/1 w C CD T m C co -1 (a y I m A C 5 T Z I _\ m �. C to m O CD T C O T In z 0 o k.�-f*1 —4 T T t 9 O M rl ._ CA CA v 0 c c� Location 1rJT �7 { No_Date � / h-� /r % N°R7" TOWN OF NORTH ANDOVER 3? • a pL ' p Certificate of Occupancy $ ♦ s � > s o•+ i� ; Building/Frame Permit Fee $ s�CHU Eta. cMus Foundation Permit Fee $ Other a mit Fee $ nection Fee $ Water Connection Fee $ Building Inspector ' Div. Public Works N z w L U) W I � 7 0 F - Z W m e N CW7 a W � 0 w 4 I N 0 a 0 F- wZ K a g C z ' 0 LL W Z 0 a r _J w 0 O 00 LL p 0 L "! o Ix M O W O I Z a w. I•- mo g d 0 0 M Z O J W U I O J 0 c Z a t Z C I a W 0 O O O o J Z Z QZ J 4 w U 0 0 c o o Q 0 m L N a~D 0 I W J W N m Jir f 4. 1 L) a N N Iq O O 0 d O Jm Jm Jm ' to 0 U J F 0 _z 0 m i I 99 J IO a m w KIr + 0 W W 0 O 0 O 0 Z 'Q WN Z LL O LL 0 I O Z Q IO C w N m W N Z t CL w: 1 IL Z N N O I I j ( I _ 1 � A �O S ¢Q .9 z_Z T ?' H 0 m N v o `�y m 1 n N W m W i C a f m .nn w C Z w i Z F a Z Z < m Z 0 m LL x0 N w U U Y Q wizzs Z I U z W J a a u~i N0 O O t m O O 1 w4• �J tij If", N Ir W I Z O F t 0 Z D O LL LL O F I w I� W _J LL K 0 > O W Z J F m Z U O 0 LL O 0 Z LL a O 0 w W J N m 0 � N I Q I I i 2 I I I I I Q I I N I J Z O H I D � I NI z N N j N N I Z Z I 0 O I W W ; Vl N p 0 0 N J J F LL LL 0 N m W W I W N L d I I � 0 f U z w L U) W I � 7 0 F - Z W m e N 0 w 4 I N 0 i a a 0 F- wZ K g C z ' 0 LL W Z 0 a r _J w 0 00 LL p 0 L "! W O W O I Z a w. I•- 0 g d 0 0 M Z O J W U I O J 0 c Z a t Z C w a W 0 O O O o J Z Z Z J 4 w U 0 0 c o o z 0 m L a�n 0 a~D 0 ♦ W m m m Jir f 4. L) a N N N 3 0 I Q I I i 2 I I I I I Q I I N I J Z O H I D � I NI z N N j N N I Z Z I 0 O I W W ; Vl N p 0 0 N J J F LL LL 0 N m W W I W N L d I I � 0 f U z w L U) I � _z O I J j m F - Z W \ m m 0 (w V 1� w > N i a a 0 F- I z i Z K t 0 1 0 LL W Z _J w 0 00 LL O W Zr N 1 W O W I Z a w. I•- < � g d 0 0 U. d Z m m C C w d w d W m z 0 IL a�n 0 a~D N O U 0 U f 4. O O 0 d O Jm Jm Jm U 0 IL W W W 0 Q 01 J 'Q I Q I I i 2 I I I I I Q I I N I J Z O H I D � I NI z N N j N N I Z Z I 0 O I W W ; Vl N p 0 0 N J J F LL LL 0 N m W W I W N L d I I � 0 f U w L U) I � _z O I J j m F - Z W \ m m 0 (w V 1� w > N i a a 0 F- I z i Z K t 0 1 0 LL W Z _J w 00 LL O W Zr N 1 W O W I Z a w. I•- < � W W cc d 0 0 U. d AP B 11 1 1 1 1 I I I� • l i l l l l I I IT _I I I f -I O o Z o 0 Z 2, O ro l I I w w p O - w m f LL s � Q a 9� O W ¢ S W QwO Z O'- W VY W� > >vi mOO.O7pZjNZOZQZUVr- OD ¢} Z Z� O Z ��d i w O2 [0- a Q '-0< 0�- J,n0Z) aOLL O� Q J� O 'a x a o z u. LL LL� Of 0¢¢ V w x u N V a - a 7 0Q N Q O m H a Y z N 1- F- .- d N S ¢ GmO Z¢ O W z l TT [A I I `�0 z U IX 0 C Q i w a w U ZW> o aLLO�oOQ z m> -z 0 zz aQx =� W new � O ccs J J Z YZ �O a ; Zz i� oc�i ¢aZaLL O m �U z0 e6O� r O m N m Z Z N Z Z Z LL U z x Z wN s0 LL .."O Q�vxiNv�� 00zzoczz 000 p min J Cj'-oc N UUO� ¢' m0 a mo.�=O�-:OOooOZ2 0 0 N Q F=Ou'�� �0 00 mm0 n �nl i 'a O O m °` OI < zx `L J a U 3 Q Q> w N m m N a CSU LL �' O r <3 0 � ? N 3 m AP B E�,vv ti SUBDIVISION FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM ASSESSORS MAP /!fA-P B:2<: SUBDIVISION LOT(S) PERMANENT ADDRESS (ASSIGNED BY D.P.W. STREET % APPLICANT 9e. -"Z.1 PC ,,,,s Ccyc�^ PHONE DATE OF APPLICATION TOWN USE BELOW THIS LINE PLANNING BOARD TOWN PLANNER Otr CONSERVATION COri�IISSION CONSERVATION ADMIN. BOARD OF HEALTH HEALTH"S i C3 7cx</4 DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER CONNECTIONS FIRE DEPT. RECEIVED BY BUILDING INSPECTION '1 DATE DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED Ap / S=° DATE REJECTED This form shall be signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. p S r., a,F ':fir as u`;� k r��5`�'.¢* �`"�"� .: {� .�•,��,�' ":��'S::�r;�' .. .. Y :.COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY u *� OF ti n $010 COMMONWEALTH AVE: MASSACHUSETTS , ,STON, 00 MASS. 02215 I y eg z w dl .. • . LICENSE s EXPIRATION DATE 3'.2 520 CONSTR. SUPERVISOR Y 06/30/1993 RESTRICTIONS -, EFFECTIVE DATE LIC -NO. NONE 025077 .6/30/1991 }, ETER C MEOMARTINO ' `N SS032.38-7697 FRANKLINNMAT02038 7 � PHOrp"J(BLAST D OPR ONLY) FEE: 100.00' HEIGHT: :7 NOT VALID UNTIL SIGNED By LICENSEE AND OFFICIALLY DOB: STAMPED OR SIGNATURE OF THE COMMISS N ^ u�, 04/ 12/1.950'' THIS DOCUMENT MUST BE CARRIED ON THE PERSON OF SIGNATURE OF LICENSEE .3 ! ^THEMOLDER ,WHEN ENGAO• ti , • �� T EO IN . rN18 OCCUPATION.�� •46v .�G�!'r4'!.�-�-✓ �./.sae-�.-�— t - P E 0 7 i 01 cc a L t,. O H E 6.to O _ O • O O J Q Q W W W W Nu ' V ,► W N z H z z W d. W O u V I ? ° ° z z u oe oc Q o Ln Op oc vs Q u. c 0 -g u V �� m m t 4)T C J 4. L L U L W m � E Of W ` O ` O 6� V -Ai C U LL CC LL -^ cc fn ll. c LL m Cl) 01 cc a L t,. O H E 6.to O _ O • O o ' V ,► Q Ln Q v C ba r 6� V -Ai rn • ..e H `u un � H Cd C •� cc U `-L' d. 0 W —i >, o ACL ::D as r_ 3 o a s C. b V V � �i L- O � O �m z OFFICES OR. APVEAL�S l3l1il101NG CONSERVATION HEALTH PLANNING OF NORTHMina, "° Town of NORTH ANDOVER DIVISION OI: PLANNING & COMMUNITY DEVELOPMENT KAREN H.f . NELSON, DIRECTOR 120 Main Street North Andover, MaSSWIIIISCIIS O 1845 (61 7) 685-4775 In accordance will) the provisions of MGL c 40, S 54, a condition of Building Permit Number ZN is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: 10 (Location of Facility) yz " zeo Signature of Permit Applicant Da e NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector.