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HomeMy WebLinkAboutMiscellaneous - 870 OSGOOD STREET 4/30/2018-N J�-, QJ CIS 77' C � c G) d r' CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number of)-9�1 THE BUILDING LOCATED ON MAY BE OCCUPIED AS - 5 b Date 46 —j C/0 C) THIS CERTIFIES THAT ,890 oS CoOoD S -[-- .T" `!' IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. a staJI W V DE/2 «°RTIC / °• , �� -77 CERTIFICATE ISSUED TO -HA2 T eS ¢ �A- 2 y p ADDRESS 6'20z k, L, s,C""'� Building Inspector CO m C/) 0 m C2 C � CA CO) 'v O n Z y CL r o� � � o d � y 0 v CD CD CL cr "C d CD CD O CCD mwaC CD y. CD CZ O CO2 Ca CD B v CA10 O CD Z CD � O CD a O CCD a C� cn n O V I d n. C W?� ;c, -1 c•v,oa ro a 0 c m y n O O m m Cl) m m , D c N� �. .►O~a �CL-0 C T in - =r CD N > o�m m 2 >� 0 - A co O �c W O H C2 O O C a �O� �: N O R 4r Q.m a� o =? m y Z7 CD : OO CL ee O W CD t0 X m y VJ NAir,N ^� m i �- m :ED 4WAIM: n 0 o: N � O CAZ � to g : z' . CD 24,4 ob SR ~d_ CAw � d o+�: h _ CD � o CL W. n C13CD :� ir d C/) CD mcp w 1 21. G ri7 3t\ , p? wn A 1 r cn 1� ^� �e H 0 g. 0 c Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 ti tAORTH O �z�eo [6gti 0 ~ 1� q� <O[MK [wK• APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS �'`l O © S9 b o A LOT NUMBER SUBDIVI DATE REQUEST FILED _ �^ DATE READY FOR INSPECTION ® �� FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE ROUTING CONSERVATION PLANNING (---� 1 D.P.W. — WATER METER OFFICIAL USE ONLY _4 ( DATE DATE DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR T f THE INSPECTION RE UEST DATE. SIGN / DPW AUTHORIZATION k^" FA U-li':i;l 14.:i1 1-.__> i.i,.-£�illl�'fllly �/� y � � �. K.via J. suilivan Matthew J. Amorello ��l /�■ Jai -,g swift e Commissioner A �1��rQ �'r:i 'i X811 %:i $eCf@tiry Gutfer,tor t_;e )tenant C:�:ernor S / 1D PNrDOVER ! 1 % Permit #: 4-1999-0521 Subject to all the tei'ms, ItTT:c:t!1T`'•, �'rT.' r`�:t+ irr"�"; printed o.r ui the St:1teH1ch written. beknor low n as 7Dis hereby graisted to NII RY �N •,1 .,c up —� 120CTE 1�ti ar OSG%"�I} �'T?r._f �i'r i+:r purtuse of cUtlstructin.g tr�'o ('') driveway approaches on the ww est-Lrly side of the roo.ci�� ay. i ut Mt, the approach is between stations 141+68 to station 141`84 at the wvesterly l;:cation tine and flaring to stations 141+64 and 141+93 at the edge of the roadw2v. as indi4.lted tin the attached sketch. Lot M2, the stations 141'-13 to st:.id011 141 29, at the westerly location line and approach is beoveen flaring to stations 141.+09 anµ 14 3t titl' edge of the roadway. IRE DRIVEWAY ,,PPRO ACR :FOR 101' # 2 SHAIL BE :MOVED APPROXIMATELY F14-; (51 FEET S"), -- Iffl�:kLY SO AS NOT TO INTERFERE WITH THE EXISTING CATCH B3 kS1N. The work will be performed 1s Pef- F�"at:s lii3 ��1. at ihe'�Zassachusetts Highway Department District Four Permits Office. A copy of this perniiz 111ust be on :he j+:,, Site at all times for inspection. Failure to have this permit available will result in suspension of the rights granted by this permit. The Completion of NVork Farm shall fie to the Grantor vis certified mail as soon as possible after the cotnpletiau of the p111 -YO -.t1 Fork. All wort: shall be in compls:+.nce Nillt the . eFrr�.:4 edition of the "Massachusetts Txighway' I -F Fnr ' '^h * .i; s and Bridges", 1995 Metric Edition. Department 5taadai cl Specif<c ati, No equipment, true ;s; etc, shall dvvp4y"t «f the travelled way except between the hours of 9:00 r%..M, and 3:04 P,N't. No work shall be done under the terms of this permit on Saturdays, Sundays or holidays. WORK HOURS: 9:00 A,JM. turoUch 3.00 P. -M. �vZanday through Friday. Provisions shall be made for the sa e`y :'w' cc 0. Pedestrian Traffic during the construction. period. It shall bet: sporsilility ��f rl:e r=�.a :T:°e i nr�� d4 access to nhe property of residents and .h. r business owners duriri- proms Css of -lie The Grantee shall notify,, the Disrricr Ptn-i _ z l 'if; neer at (781) 641-8451, two (2) days prior to the start of work. The ranree shall rnak-e contact Concracr Specialist III via Pager (7:30 AM to rre��, ,Arlin ton. MA 02476 - (781) 641-8340 � a:OG 1'i�l lvlunday tr!rl: I Lwr p�-y) pa°er N�lnlber i81) 114 1626, foray -eight hours prior to the start of work. No wor, shall be an'1:onzecl without said notification. T'" --n -Safe at 1. - _ _ or 1-aQ8-�4�+-1233 at least 72 hours prior Tile Urai:tce -kali not: y _._ S t f er�*oulid utilities. - CT L�1-n, tY1T)'; tyle: iucai0l Gfurld to the start of wor!. for the PLUPC-e Dig -Safe # 19992503810 0 trees shall be cut or removed under this pern�!t. wr �,r . tlr (4 after along vVeek-end which involves a Tr) `York- ill be pe-- or ie l Ci�i, _ }� - ` holiday oil any lugliwLy, roadwsy pri ,ptl:-'y Lr'nde- the cor!tioi of the Massachusetts Highway Department or in areas r..=i? Ti1� l�`�rI- 1.0,:1,1 _.`i`,'�:S�1y LTLpact the normal flow of traffic on the r State Highway System, �hiLt-,out perr_iss c,.; , 7istrict Hi riwav Director or his Representative. There shall be s R e.mbu :s�!? -� a=r''-';=r T'_'= "_ _' .'vire: tr..e P t'rsornet while inspecting this job. This permit is issued tivitll u"le tipu?a:io:i ,�s` i+ ; t ;. tie rat�cttled or revoked at any time at e• discretion of the Distref Foto High:{ = renre;erita+ave without rendering said Department or the Co=ior:Wealth liable in any way. Uniformed °once OffiLers shall �;e iL. attcrda :cc ut :ii Tiii: s vrhile work is being done under this permit. � i ;;l �r ��_ n =�e'� or n -i. -e ik dovm lanes shall wear safety vests All person. � :o u e wo . n- and hard hats. The ;>lrtlishin a and ere_tirg of al tffic safetf devices shall be the responsibility of the Garitee. All signs and devices shall confo,l n to fly `: 4= '=:Ct0", Of t_I'i� Manual On Uniform Traffic Control Devices (NfUTCD). Cones alld I!Cn-rGflZCtIi1 �_: a nin? de races s<<<:ii nc}* be 1-£L in operating position on the highway when the d. v' e cpe:ata ns',ave ceas•�c.. it b; -,or les necessary for this Departr_�ent to �ir:i + , _r t. r, ;,. i , - he project due to remove any cors' r . tion =var_�ipa, dee'-,5 J. I i app ntcnarices liom i. v L , 1 - 1� b1-1-- L r a re to the Grantee. `. negligence by t:14' raft: e iii cost:, f�: rids _�¢.. wi:-� cn u�... i tia occupy the roadw-ay and shall Flashirig arrow boards .-: ill b�_ �.�.v��l be available for use at all times. T * rF Lei iC•L,ilent and repositioning by the Grantee All war.iincr devi es si_a�l b;: sulo�ec� o _s:I.c :..�. - as often as deemed necessary by the £:faince•r. Free ,low oI tr�fi'tc shall 'oc aiailltu_:�ed at a" times. 09. 14 9& 11 121 rA I ;._r, y` , At any rime duci118 111:' c.peratinr '�'ll�'? ;' tra.fti dt.laV of end operatiotwelve ns, minutes occurs and the situation is worsening, th:, Grantee `N! hNgtu t`� suspend P ,Iwo way traffic shall be vaaiutairtck at all times. 1"1C'er•. Hilt �( rr jr.pr' :lilStitutes a hazard to traffic hours and to remoc In any area, `'hen in th. opini,3n of tLG il> : the Grantee may be required to sasp and op�;ratica s d�,rrili ccrt�ve his equipment zronl the roadway. �14'henevei wort is to be done xit'.-in two hundrr:1' (200 ) lee+ of traffic signals, the District Office must be notified by the Grantee at least 4.w i,_o,;.rs pt -tor t-. tl:e stL*t ofworkby calling the District Per^:it Enuineer at (iE1) G41-8845? . Care shall be exercise3 do ;� n` to ui;tt.;,;t?ng State highway Traffic Duct Systems or any underground str'acal.C-5 dhat e:d;st. If ,.. _ m is disturbed, it shall be restored lrru�lledlately to 1IS arinlna' conditi0',�. �i''� l.'; {"-= ;t'd Traffic lines shall be restored to their original condition. All 11S shall be chased to the Grantee. The Grantee will be responsible for �t, �' il-'- L�:e ca,�isc'4 by his operation to curbing, structures, roadway, etc. The Gr=tee shall bc responsible for Lny p•or=ni-]� o- water which may develop within the State Highway Layout, caused by tl-ds work. When a s11ew oricG condition eX is, -s nil iwu 'Lhe' -nn�)j ,,ss of this work, the Grantee shall keep the highway tivcli sanded to s pout not less v." o i''ndred (2U0) feet b.yand the limits of the banters and signs_ No xvork- Shall be autl:o:-1zed during snVv, e storms and.subsequent snow removal operations. No bituminous concrete shall be installed ben? • en November 15th an p ril 15th. The Highway surface shall be kept citari of dtebrics at all times and shall be, thoroughly cleaned at the completion o: this permit. At the completion of this pea:, -lit, all distuzbed meas shall be restored to a condition equal or similar to that which existed prior to the work. If it becomes necessary to open t'ze roadway sur ace in a larger area than specified in this permit then the Grantee shall apply for an additicr J-, permit to cover this project. All utility companies whose serv'ces are located within or adjacent to the proposed installation areas shall be notified in writing of the p;oposOd ir_stallation at least 48 hours prior to the start of any excavation in said areas. T his is independent cif the IT dig safe notification. UJ•14 y,3 14 i:.oto::-Ii_•S-UOy bL ;t,rf :c^d �• it}: Rittlt11inrnis Concrete, Type I and shall be laid in two The driveldtiVe; s" till courses to a deorh of thrce uncl=es, after rolling. with a foundation of at least sax inches of compacted gravel. T11e firdshed surface shall butt into and iloi overlap the existing highway C rade at the road edge. The drive/drives shall be so graded that no Water shall enter the layout nor pond or collect thereon, 'including the roadway. The curb corners or radii niay be painted at the tune tune iristal!ation. Said curb shall be painted yellow only. If applicable, the ccnc:e'=e-idewai;; shall be ;�'_ �cc is alternate slabs 30 feet in length. The slabs shall be -:puri:eu cyr'r�:Ils:erSe. ^re*c;n?^?d expLnsion ja:nt filler 1/2 inch in thickness (shall coc1forn1 to i S.H'IC) Iii )- .'r f«n:L: j-.�Datlsion joint filler shall be placed adjacent to or around existing stxl:ctues also. ' ' -Entrained 4000 psi, 314" 610) shall be On the foundation as sp°cified c:hc;ve, tl r t:�;r� �; (.-ur placed in such quantity that after ;.eirz the:r � r, i_, ccnsolidated in place it shall be 4 inches in depth. At driveways, the aide• v`aik shah be 6 int:hes in depth_ It applicable, the bitunihious concrete s?d:walk surface shall be laid in 2 courses to a depth after rolling of 2 1,/2 inches. The bortonl course -zhail be 1 1/4 inches in thickness and its surface after rolling shall be 1 1,4 ircres beio,-v the. paral'_el `a the proposed grad;. of the firdshed surface. The top course shall be 1 1l4 inches ir.1 thi ?mess after rolling. The Grantee shall indenL`u-fy and sa,:e'rwn.-less :he Corns .or_wealth and its Highway r Q ; �r 1' L� .I •: 1'I;' ra:. e and nature arising at any time out Department agai zs: all sUits, c�a.rns :� _ of or in consequence of the acts .;f t'�.= tr�u ev i�� ti. performance of the work covered by this permit and or fsilur� to ccn7p}; w -_sir t��,-r:s a t� c:�Iditiolls of the permit whether by themselves or their employees or subcontractors. APPLICA`iT'S REPRY,SEITAT1V-E; I chaeX Ryan TELEPHOINT INU 1BER: (978) 688-1408 No wort: shall be done udder this permit uB it he Grantee has communicated with and received instructions from the District Muhl}'ay Director of the Massachusetts Highway Department at 319 Appleton Street, Arlington, Nita. 02476-7009. The permit shall be void unless the work herein contemplated shall have been completed before September 10, 2000. Dated at Arlington this 10th da%' of Septeu-sber, 199, "Massachusetts ITigh*vay Department, B 6AA. JDJd Eric W. Botterrnan, P -E. District Highway Director 09, 14 au 14: om CN olf | � ��-�.���- Q o (.) 6 ., (.1 (I'S Truck Mcurq.ed Anvuatcr (cpIticn3l') j _ƒ ROZ WORK AH�D �gurs —iA-6. Shccj,'.4-r wcek Vvifli m;rror @r?Cfc3chrr-&fl(- U\\���..� -���\��\� \�\ ��� /�\���� �:l Q o (.) 6 ., (.1 (I'S Truck Mcurq.ed Anvuatcr (cpIticn3l') j _ƒ ROZ WORK AH�D �gurs —iA-6. Shccj,'.4-r wcek Vvifli m;rror @r?Cfc3chrr-&fl(- 7.vc-.:3r Traffic T apar 50-1100' )"'14-twowl, v friffic Coll traf. AVV 11 Iia i4 .3 :.:.:i 17 i, R,ESIQENT lAL DRIVES �o'" sia�woit LQ7oat +to +zy +4.s+49 29 L leo - �T 84q Of 5jdowafz Or L5COtlae (Unr - — Sketch a: Sidardk L9y00 - Sta3 ++o +29 +36+39 29 Ld,-9' PCi5, r' Curb aC tUr� BaC1t .Of Stda.+atk ' � - Or MOTE: Wh'4n The Sidswaik it Pavld Ta T'he Curb Line, Usr Short Curb Alums Al Thr M14AVaT Curb Lln" pr -3. Shore in ThA44 04:ignt Not Drown To Scale "I �- A 9 ,N /- - 0 Date ... �f t;?- ��" - r) ........................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING -4 This certifies that .. ................... ............................................ has permission to perform ..................... : ......................................................... wiring in the building of ...... ..................... ................. ........................... at ................. ,North Andover, Mass. ................ ...... .................. Fee. 7;.�? ..... . ..... Lic. ....... .................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer •—•\ T1E09MV0AWE4LTHOFM ASS4(�LISE77S Office Use only DEPARTAXF TOMBLICS4FM Permit No. p� BOARD OFMEPREYE7W0NREGUL4T10AS-W 01R 12* ' Occupancy &Fees Checked APPUCATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED 1N ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date S-r�13 Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) � q Q — (7) S (900 r -Q S �" Owner or Tenant J,CV-v e Owner's Address i a ' To the Inspector of Wires: Is this permit in conjunction with a building permit: Yes ED No L.J (Check Appropriate Box) Purpose of Building `rA vv1 . �AO V-1, Utility Authorization No. 00 q0 Existing Service Amps / Volts OverheadUnderground No. of Meters New Service CQob Amps /Zl /ZyUVolts Overhead [E] Underground r --J No. of Meters J— Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work , -e- V,c w. e No. of Lighting Outlets No. of Hot Tubs No. of Transfo_ rmers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA and 1:1and No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners 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 LocalMunicipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of SI Ballasts 4�p(� y — Q -� O ::- 1N,a No. Hydro Massage Tubs No. of Motors Total HP 2- 1-A -e 04 ,fie+ t Ir>ura=C0A28M RERMIDthe=gtMrtSdMamd.BdiscamalLaws 1ha%eaax=tLmbiityh&==Poicymciu&rgCQr'pk* ra' 'C".o►eragecrdssibstartbale valat YES NO 0 Iha� %*rninedvalidpmd6fsam� eiDthe0YES NO r7 Ifj uha%ededccdYESpfeasehdaretheWafw"dFbydmckii gthe sPPmPr� u _ btrc W.SIJRANCE BOND r7 OTHER M (Pl MSpM&y) p 00 z ExpiationDale Edd Valuecf 3mftml Woac $ WaktDSM _3 - ��� - O hpetirn CDtaeRa*x-3--ce sled Rough 3 0 p FinW UJ J) 1 1 C IPJ I Signed m*r' a Ptruhm s e(pt3W FIRM NAME 50 S e Qh PD C, K©e ✓vl 51�-k `- v- \ C ✓y Li==Na S,:9,r 9 Cl i G Siglaaae IioaseNo S `� BtsimTel. Na 9?S-Co (o 3` 3�c1r-1 A I r) �o x C 3 3; (I r r, c 61 )A i �a l AItTeLNa OWNI-R'SMJRANCEWAIVER;IamawarethattheLioew Iheir==ammaForesstbtx= e*r4mtastagtmedbyMtsadxseusC, rrdLaws anda>a"sgraaaeonarspwmappficmmn thisraltliienat (Please check one) Owner a Agent a Telephone No. PERMIT FEE $ C;b a� N2 t-rJ67J TOWN OF NORTH ANDOVER a PERMIT FOR PLUMBING This certifies that .. �- ... F`t!t:'.`�?! .� :� • ' • `• ... • •/�- l1> has permission to perform .::..,. _ . � : ........................ plumbing in the buildings 0�11. e�. �.�,t�. _-.-........... ...................... ................ , North Andover, Mass. Fee -25 ...... Lic. No.= �.y.-' .; .-,.r ..: f:..- . i ,...... . PLUMBING J STOR � l/ WHITE: Applicant CANARY: Building Dept. PINK: Treasurer V D 0 a MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) aL, Mass. Date _ J/.__ U __Permit# _ b i Building Location W OSISWO S_T Owner's Name —�Ar, E S �ITGc�,tn New f�' Renovation ❑ Replacement FEATURES Type of Occupancy Plans Submitted Yes F! No : Installing Company Name C6 eiS Yh1bT `TP Address 9 4 0XKJr31A UIQ S,% Check one: Certificate O D Corporation I�ll�Si3l�il� f OIg7 t ! Partnership Business Telephone �� Fi4?l,,`JLI�s i- Firm/Co. A _ Name of Licensed Plumber 2i STOP{�52 ;1 INSURANCE COVERAGE: have a curre liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes V No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy l:/ Other type of indemnity ❑ Bond ❑ OWNERS 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: 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Signatureto nsePlum er Title Type of License: Master ❑ Journeyman PKI City/Town License Number d-WcU APPROVED OFFICE USE ONLY) II • MEN ONE 1 ST FLOOR r OEM ON .. - ■ONE■MO■■■■ENNOMENOM■N���■ NEI Installing Company Name C6 eiS Yh1bT `TP Address 9 4 0XKJr31A UIQ S,% Check one: Certificate O D Corporation I�ll�Si3l�il� f OIg7 t ! Partnership Business Telephone �� Fi4?l,,`JLI�s i- Firm/Co. A _ Name of Licensed Plumber 2i STOP{�52 ;1 INSURANCE COVERAGE: have a curre liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes V No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy l:/ Other type of indemnity ❑ Bond ❑ OWNERS 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: 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Signatureto nsePlum er Title Type of License: Master ❑ Journeyman PKI City/Town License Number d-WcU APPROVED OFFICE USE ONLY) Location C(;7 I 0 0-S6 � � /D No. C6 Date Of NORTH TOWN OF NORTH ANDOVER � D * i Certificate of Occupancy $ ,s e� Building/Frame Permit Fee $ s�CMus Foundation Permit Fee $ Other Permit Fee $ i TOTAL $ Check # ` Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE:4j..�a4LI176a / V/6 a --BT11ding CommissioEEI for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1290 oSC� C)o� �--t-- 1.2 Assessors Map and Parcel Number: / 4 c�2 Map Number Parcel Number 1.3 Zoning Information: R Zoning strict Proposed Use 1.4 Property Dimensions: .SS 1)p Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided O G ,3 0 36 16 o 1.7 Water S ly M.G.L.C.40. § 54) 1.5. Flood Zone Information: Public Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal —,7K On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record -4 6rnv--5 _+C0 tM Name (Print) Address for Service 0/8 7 9' �- 7a V a S tore Telephone caner of Recor : Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address"' a Signature Telephone Not Applicable � ©m -eo uj l`, le k License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone N SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction X I Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ 1 Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: tear �orVK 4-10 ew oV" e CNS v% 3 A L 0 AJ 30 — (--inaro n \ a C, -C- I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant =<(IEF3CIAL USEI}NI.' ` 1. Building (a) Building Permit Fee Multiplier � 10 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) low 4 Mechanical HVAC 5 Fire Protection1 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, -�Jyk vK e vyt 0 {Zy --r 'rCQ t �j 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 rint Name y anature of Owner/Aeent / Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 ND 3 SPAN DIMENSIONS OF SILLS DM ENSIONS OF POSTS M ENSIONS 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 t'ORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. �***`*APPL1CANT FILLS OUT THIS SECTION**********************` APPLICANT T,,rte iY\ A RV T dC r) wyla LOCATION: Assessors Map Number �y SUBDIVISION PHONE�ha� PARCEL LOT (A d STREET ST. NUMBER S' 70 OSj o oA *************** OFFICIAL USE ONLY ******* *`***`* y` R OMMENDATIONS OF TOWN AGENTS: CoV,5in0 c -+X ` SDP- 2 CONSERVATION ADMINISTRATOR DATE APPROVED Z I U J, DATE REJECTED COMMENTS �b "'I (UJ/ 70 TLA NNI=R COMMENTS FOOD INSPECTKTFZ' SEPTIC INSP COMMENTS TH DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEYVERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING ii ISPECTOR Revised 9197 im DATE Town of North Andover 0 , HORT19 OFFICE OF ��°°o COMMUNITY DEVELOPMENT AND SERVICES a 27 Charles Street North Andover, ivlassachusetts 01845 �9sJ^••° °��� WILLIAM J. SCOTT ACMUSti Director (978)688-9531 Fax (978)688-9542 H0�1EOW�'ER LICENSE E='YIPTIO� 1 Please print. DATE /A- 20-`1'� JOB LOCATION'0'/0 C? s �- "'o A —, Number Street address Section of town "HONIEOWNFER" Name PRESENT l&LULING ADDRESS / G C 11 FYI _C?' CityiTown Home phone S tate 688 18�- - alp p7 Work phone 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 Sec- tion 109.1.1) DEFINITION OF HOiV1ECWNER: 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 dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersi-n'dT"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by -lacus, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of iNo . Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWN-R'S APPROVAL OF BUILDING OFFICL-�L code ,Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. BOARD OF A2PcALS 683-9541 BUILDING 683-9545 CONSERVATION 688-9530 HEALTH 683-9540 PLAINNNG 682-9535 O CD o f• f� OM d Cl) CD O co B. w CD cn O O CD 0 C CD CD O CD N 0 CQ O CL to CD co c d C .I C ?� O Q d = N O N no5m vs O O O CD C-) to c) n co, s CU -+ n m CD O N p y -1 2 O CD C n O O N C7 m Ca CL n o ? 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Pu is rk G-Z5_sy K,— Ln wtr,r !l, ri LA LA I nL C-) n Z n p p .� -n 'n cn o o b N o O rn o m O 0 _ O r v> Ln Cn rc, .Y.{ rr, O ;n p v O Y O O r-. (� I Clo DD Z i I m LA \ n Jr ,j ;. � O , w 7 � C h ry —,Ibe / s OGS I b =91 r -I )i -II ,2(4/ I I 46) Q 4 0 L S°7 ®�� ort = afi 9 2° f,NZ° A Iv A -C f ;:f -.33G+ v t FORM U�- LOT RELEASE FORM, t- I INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *APPLICANT FILLS OUT THIS SECTION* APPLICANT 1 ArACS 4JA AQ�7�w�(.a. PHONE_ LOCATION: Assessor's Map.Number !2e-/ PARCEL_ SUBDIVISION LOT (S)2 STREET 6 ST. NUMBER *****" ►',t"***, *************************OFFICIAL USE ONLY********'i �**r ck- RECOMMENDATIONS OF TOWN AGENTS: �1 CONSERVATION ADMINISTRATOR COMMENTS t? DATE APPROVED(nT�OT��i DATE REJECTED 9 tni/ I 1 160 Lc<zz, y TOW P ANNER DATE APPROVED r,130 7-7 DATE REJECTED COMMENTS 1/e� CJ"OL�rSOC�/ L�C�Oi/�P1G�1 fit-' - FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED E�,�PTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEW AY PERMIT FIRE DEPARTMENT -u - RECEIVED BY BUILDING INSPECTOR DATE I • z +- 3. a z • m _ �. — to V./ ,� S Q A Z 7 Y ^..1 Y 1 � c �J z V: �J _ A Z m D _ N rr. C1 n' _ rn C LM V+ D r7 m = E — Y m I n z +- 3. a z A m _ Z — 70 V./ S Q N ^..1 Y � c �J z V: �J I 0 A T. z n Ln I I N v I I 'C i Z ti 70 V./ N F Z m _ N rr. C1 n' rn LM V+ D r7 m = E — Y m r- m Q, O `r �_ Z Se N Z nK LA — Z;u p T _ ^ m ^ m m V ' � r m m A Z Co c 1_ `r N I �_ N U• N N � N �_ ? _ ,7 N N 2 � N d C d C7. D m 7 7 7 y y�y N M. z N x Y L n T z T — _ ... r m m m — N N V. D a^� G X^• C ]� G ? N = c c¢( Z m Z Z LR R bcj 0 A T. z n Ln I I N v I I i Z ti 70 V./ N oil lio p lam^ -- d E x 4 o ,6'x13 IVY 14 R63 x g d I y yo? V o2/ Xay ��- Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit (below) Address of Property for Permit (below) - J in-, + nn Hr� TrT oM h V0 0S(Yo(.) A s -r - Map and Parcel: Purpose of Application (check below) Pho a um r Ap li ant: L/ Single Family Two Family - � -? �4M4a �� — I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit iq issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. ByThe lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning law. This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents, where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section "senior' shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40% permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. l✓ This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit. iture of Owner or Authorized Agent who signed the Attached Building Permit Date form must be attached to the Building Permit upon application for such permit. The Commonwealth of Massachusetts Department of Industrial Accidents 0/i%01111yestf9w8ns 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit name: r 4- Al,R location: d S GU d j 0 address. - _ city " phone #• insarance>co:. Failure to secure coverage as required under Section 25A of MG L 152 can lead to the imposition of criminal penalties of a fine up to S1400.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby rterrify under the pains and penalties of perjury that the information provided above is true and correct Print ;# 9 9-7(3y4aka ofTcial use only do not write in this area to be completed by city or town official city or town: permit/license # rlBuilding Department ❑Licensing Board 0 check if immediate response is required C]Sefectmen's Office C]Health Department contact person: phone #; rtOther (revised 3195 PIA) I op l J-1 APPLICATION FOR" WATER SERVICE CONNECTION North Andover, Mass: 19 Application by the undersigned is hereby made to corinect•with th'e town water main in `G� Street; subject to the rules and regulations of the Division of.Public Works.' '3 • ... -. .f .. ,-ups na �'•.: -, The premises are known as No. �� Street or subdivision lot no. 7 �� , l Ze— Owner Address Contractor - - - A ress . a - �_ pplic is Signature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to to make a connection with the water main at (�� 4/! Gt, t L' - Street subject to the rules and regulations of the Division of Public Works. - Board of Public Works By Inspected by Date \ See back for rules and regulations 1433 APPLICATION FOR SEWER SERVICE CONNECTION T -( -- L North Andover, Mass. Z 19 Application by the undersigned is hereby made to connect with the town sewer main in s ) I L . Street, subiect to the rules and regulations of the Division of Public Works. The premises are known as No. or subdivision lot no. 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Abd �� 1 �� ° e an 9 _ 107 /LLQ I I _u - O p 1 Q S _ Q >` a i` Ila �1 F'� �f i• E u ' S 1 fl- m cA• N • Q 4 to c hQh d Q cn ♦ ��� V/ w P -t w� a t• U� Q� c� u N I ' O U d .p� N "� C-4 x 'a' ,� � � 1 1 1 O — — Ln ca N X N N O w x 'a' ,� � � 1 1 1 O — — Ln ca N X N N O w � � ` r 11 �� � � x , 1 • , � 1 1 ' � ' Ln 1'll Cn N 1 z� .o '� 1.[1 M N N O m Q O cam+ .1, �* � 4 oyo 0000 �- (L � � lV � [V •,• LV �D N �Q LV .D N � SY � X x x �c� �a � O� N N IL u 1 A a a W , (p c N x O 13'b" b" b � N v x p 0 0 N X w 1 OO x U L A '71 Q Ul 1 A p6 a m x s a� 0 h b z h Q 7-t a o m @ - p d p X (�/ N N � r X LLm N Q a 13 0 U N X N m � a m � o u qk p o n X co N � V V U E 6 34' I' - Approx. 5uild(ng Height (92 5/8' studs) 4" T-8" (+/-� ; I�-I' B' -I I/8" 10' 8'-1 I/8' 10II (92 5/8" stud) 02 5/8" stud) EP IW Qgo � I I I I� IIA IIg 'x I I I I� I I ( I 1 1 I 1 I W n2 pOOOO o 30 N o O� � p a b �. � to � O -�' Q (� � x ca x U7 U o -�, O U) E '^ o �. w • � n n— x O )c� � m .� 11 X is �_ X_ � O N tc Oo La o Ca, m cocis \ an N o Is 41b'cn O � � m (b _ O _ 3 CP Cb ► 6, to II Window 4 Doorway x rough openings W n2 pOOOO o 30 N o O� � p a b �. � to � O -�' Q (� � �• x -�, �. w • � � 0 � O )c� � � O Oo o �'p Oo o Ca, m cocis \ an N o Is 41b'cn O (b _ O Cb to m x Q�6'SOa. • t 1 U3 d 3 W70 X O eo_s WET W _ �_ TOV2' X s- aiai-do Pi E UJ 13 4�a Q9 lb N N 5 N () X Q N r+ l]1 co M U3 Iy Q � Q (0 rt o �- o � N3 N N 5 N () X Q N r+ l]1 co M U3 Iy Q � Q (0 rt Il o � m tLl. 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