HomeMy WebLinkAboutMiscellaneous - 93 MARTIN AVENUE 4/30/2018 (3)rl)
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November 4, 2013
Town of Andover
Town Hall
Andover, MA 0 1845
Building Commissioner or
Inspector of Buildings
Policy:
Insured:
Loss Locations
Date of Loss:
File No.:
HP2607439
Stuart Miller
93 Martin Avenue
January 1, 2013
C44P-13-6757CM
447 Boston Street, Suite 9
Topsfield, MA 01983
(978) 887-8112
FAX (978) 887-8113
Craig McDonald / Owner -Operator
Board of Health
Board of Selectmen
A claim has been made involving loss, damage, or destruction of the above captioned property
which may either exceed $1,000.00 or cause Massachusetts General Laws CH. 143 Sec. 6 to be
applicable. If any notice under Massachusetts General Laws CH. 139, Sec. 313 is appropriate,
please direct it to the attention of the writer and include a reference to the captioned insured,
location, policy number, date of loss, and claim file number.
C%gig Atd)onc"
Claims Representative
On this date, I caused copies of this notice to be sent to the persons named above at the addresses
indicated above by first class mail.
November 4, 2013
Date
Main Office: 447 Boston Street, Suite 9; Topsfield, MA 01983 (978)887-81120(978) 887-8113 FAX
Boston, MA 9 Boston / Lynn, MA
Gloucester / Beverly, MA * Framingham, MA 9 New Bedford / Fall River, MA
Providence, RI 9 Cranford, NJ e Toms River, NJ e Philadelphia/Bensalem, PA
Shenandoah, PA 9 State College, PA 9 Williamsport, PA e Winston-Salem, NC
I ocation �7',3 ct--,
No. c:?: 9 o
Date // /,� -0/
Check # 7
'15164 Building Inspector
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
S C
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
Check # 7
'15164 Building Inspector
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ................. 6�".j .......................
.............. ....
has permission to perform ....
wiring in the building of ... . ...............
....................................................
at ....... A ............................ . North Andover, Mass.
.......... ......... .....
FeeATKv4e4.t!�-. Lic.Nol ............... �' Jx. 4 1, o &t. zcee-g
ELE&nhcAL INspwroR
Check # A3017
5417
BOARD OF FIRE PREV NTIOI
E
7
For Cfftiq�use only
Permit 8
Occupancy& Fe
ULATIONS
(AU WORK M, F
WrrHnMMASSA1
PLEASE PRINT IN INK OR TYPE ALL, INFORMATION
City or Townof: ANDOVE'R
,(..0
41 __j
By this application the undiIarsigneri gives notice Ot his or her'intention to
Location: (Street &
Owner or Tenant:
Owner's Address:
CODE 527
Date:.
-1.... 1. ---T-7—`��
. To the. Inspector'Of Wires.
the electrical work described below,
I n "wilhIlding Pe
Is tftpermIt in conjunction with a uIlding PermIt? Yes o. NX
(qheck Appropriate Box)
Purpose of Building.
Utility Authorliation
Existing Service: --�_Arn
Ps ��-Volts Overhead P Undergmund.13 #
of Meters
New Service:*
�--_Amps__�__Volts Overhead,13
Underground.0 # of Meters -
Number Feedem e -A 6
pacily.
Location and Nat, lm r%f M
MIJUCIOU Izzleomcal Work, ZLL&-1e-1 /U000 , -7
Jj� IkTD 009. -
No. of Recessed Fixtures
------
No. Of Cell.-Susp. (Pad
"D OT u61i busP (Peddle) �ons
No. Of Lighting Outlets'
No. of Hot Tubs
No. of Lighing Fixtures
BYAmming Pool: Above ground j3 In Ground o
No. of Receptacle Outlets
No. of Oil Bumere
No. of Switches
--------
No. of Gas Bumers
No. of Ranges
No. of Air Conditioners. TOTAL TONS -
No. Of WaSte Disposals
Heat Pump Totols;
Number TONS:_ KW:
No. of Dishwashers
Space /Area Heating: KW
No. . of Dryers
7-- =gApP1=113nOeS
He
KW
No. of Transtom-mrs Total KVA
Generators KVA
0 of Emergency Lighting Battery Units
Fire Alarms . #of Zone,
# of Detection & Initiating Devices
# Of Sounding Devices.
# Of Self Contained
Dst6cftn/Sounding Devices
Security Systems:
No. Of Devices or Equivalent
Data Wiring, No. Of Devices or Equivalent
Toiacommunications Wiring: No Of Devices or
E uIv.1+ -
No. of Water Heaters KW No. of Slgns.-.�_# of Ballasts:
OTHER;
# of Hydro Massage Tubs ------
.No. of Motors—_ Total HP ---------
INSURANCE COVERAGE: Unless waived by the owner, no pe for the performance of electrical
for
including mCOMplated oPoretion'cOverage or Its substantial a,; Kalaft work they Issue unless the licensee provides Proof Of liability insurance
The undersigned corlIfies that such coverage is In force, ��has exhibited f f
issuing office. 'CHECK ONE: INSURAN E BOND 0 OTHER 0 please specity: prod 0 ssmetotheparrrdt
Estimated Value of Electrical work
(When required by municipal policy)
Work to Start:
InEPBellons to be'requeste
7n �ejdainsondpon ffiesc�fperj — d In accordance with MEC Rule 10, and u
Firm Name: . ury, that the Intormation an this APPlic6tiOn is true and complete, Pon completion:
JD 10 Id rr
Licensee:— LIC.
Signature:
(if applicabi , enter 110-KQMJDI i LIC�.
n1he conso nu or hne)
Address:
Bu&*.Tel.*! �/IfOSL Aft. T,I. v
—In— 0 MQIUKANCE WAIVER: I a
waive this requireme aware 'no' me ucensee does not have the liability
' nt. I am the (Oeck one) Owner 0 OR Agent D 116t, Coverage normally require . d. by my sipriature Deiow, I hereby
Signature of Owner/Agent
Telephone #
N2 34rl
4
7. 0
0
................
Date ........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
1� ........... /
This certifies that ................. .......................................
haspermission to perform ..... : .........................................................................
- ' -2 ' 'i)l-'
vwiring in the building of ...................................................................................
at ... .................... : ...................................................... . North Andover, Mass.
Fee ... . ............... Lic. No . ............. ............ f -,,-4
.......... ............................
z ELECTRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
DEPARTAIENTOMBLICS4FE7Y Permit No.
BOAM 0FMEPREYM0ArRWUAT10AS 527CM 120 1 Occupancy & Fees Checked
VJAAPPLJCATIONFORPERWTOPEUORMELECMCALWO),R,K
ALL WORKTO BE PERFORMED IN ACCORDANCE WITHTHE MASSACIiUSSTS ELWTRICAL CODE, 527 am 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) 13.,.�O/
Town of North Andover
The undersigned applies for a permit to perfbrm the electrical work described below.
Location (Street 6
Owner or Tenant
Owner's Address
To the Inspector of Wires:
Is this permit in conjunction with a building permit: Yes [3:JNo (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead Li Underground
New Service Amps Volts Overhead M Underground
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Meters
No. of Meters
No. ofLighting Outlets
No. ofHot Tubs
No. ofTransformers
Total
KVA
No. ofLighting Fixtures
Sivirruning Pool Above
Below
Generators
KVA
15
ground
1:1
ground
No. ofReceptacle Outlets
SC
No. OfOil Burners
No. ofErnergency Lighting Battery Units
No. of Switch OWets
No. of Gas B uTners
FIRE ALARMS
No. ofZones
No. of Ranges
No. ofAir Cond. Total
Tons
No. of Detection and
No. ofDisposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. ofSounding Devices
No. of Dishwashers
Space Area Heating KW
No. ofSelfContained
Detection/Sounding Devices
Local Municipal
M
Oth.7r'
No. of Dryers
Heating Devices KW
Connections
M
No. of Water Heaters KW
No. of No. of
I
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTTiER
-*aranceCaAraW- Lam
lha\eaomutlnbddykarmxPbbcymdukgCm#AtO
LwahonsCovaaWcrAs%bsWWeqr.rdlat YES NO
t=vandP0d0f=X110*COffi= YES M NO M ff�uha%eduiWYESpimemdc*ft�WcfwyaaWbydcckirgthe
INSUR�E rv—T BOND r--1 oTHR M vasesmcirv) A 13 a /0. �-
WorkoStwt hpAwD*RaWe*d
Sgn0dunJX'&RnaJbescfPffW
FRMNAME
EViratim D&
FArngtodValtlectBec"Work $
Ro%h Final
Li==X,,1 Sigran -A - Zlgadj:�,e,� Licenseisic, -E-- 3 16
J &sinessTdNh
Ad,,�� -9- AiTeL N4
OWNM'! 1, Des nut required byMmmdu& Canal Lam
and dAnTy Wa�waift permit Wplication w; mits this m4ii-ot
(Please check one) Owner M Agent El Telephone No. PERMIT FEE $
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
41,11""111", A31i" 11�
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE:
' Building Commissio;er/12§�Sctor of Buildings Date
SECTION I- SITE INFORMATION
1.1 Property Address:
AWtri Vc-
1.2 Assessors Map and Parcel Number:
0 Qi
o 4 00C�o
Map NumJAr Parcel Number
1.3 Zoning Information:
Zoning District Proposed Use
1.4 Property Dimensions:
Lot Area (sf) Frontage (ft)
1.6 BUIULDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide RegWred Provided
Required
Provided
154)
1.7 Water Supply M.G.LC.40 1.5. Flood Zone Information:
Public 0 Private 0 Zone Outside Flood Zone 0
1.8 Sewerage Disposal System:
Municipal 0 On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSIHP/AUTHORIZED AGENT
2.1 Owner of Record
(fu
Name (Pn`6t) Address for Service
a
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licens Construction Su pery
o (L
Licensed Construction Supervisor:
2 --
�5 ry XV630 5 a
Add ess 1
n't iv�� 6 6 3 66 / 673 60
Signature Telephone
Not Applicable 0
)(0
C
License Number
)2- 0 Z
Expiration Date
3.2 Registered Home improyment Contractor
F _ w 0
Not Applicable 0
lz�4s
Company Name
�5T Arl-y
Registration Number
4— — zs
Expirationbate
Address
Signature Telephone
I SECTION 4 - WORKERS COMPENSATION (NtG.L C 152 § 25c(6) 1
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavitwill result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... 0 No ....... 0
SECTION 5 Description o Proposed Work (check applicable)
New Construction 0
Existing Building V
Repair(s)
Alterations(s) 0
Addition 0
Accessory Bldg. 0
Demolition 0
Other
0 Speciif�
Brief Description of Proposed Work:
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by perinit applicant
OMCIAL
M
VMt,
1. Building
Ao/ 000, d 6
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
X00"0 a
Building Permit fee (a) x (b)
4_ Mechanical (HVAQ
5 Fire Protection
A 41±
6 Total (1+2+3+4+5)
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUHDING PERMIT
1, , as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNERIAUTHORIZED AGENT DECLARATION
I, #9,tk,4- as Owner/Authorized Agent of subject
property
Herebv declare that the statements and information on the foregoing application are true.and accurate, to the best of my knowledge
and belief
Print Nanie
Si ature of Owner/Agent
Mqw��.— Saw
NO. OF STORIES
Date
SIZE
BASENENT OR SLAB
SIZE OF FLOOR TIMBERS IS1
2ND 3RD
SPAN
DMENSIONS OF SILLS
DINENSIONS OF POSTS
DlIvIENSIONS OF GIRDERS
HEIGHT OF FOUNDATION
TMCKNESS
SIZE OF FOOTING
X
MATERIAL OF CHMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
()j CASC)N
LIVING AREA
489 sq ft
15
Tuc4rt wJ1paz-
q-�, o"t"i 4,1(f,
0
1.
j1Z.
B oard of Building Regulations and Standards
HOME IMPROVfMENT CONTRACTOR
Registrafi6n:' 118848
Expiration: -04/284
�qP3
Type, DBA
A -F. WATSON GEN CONTRACTIIN
ARTHUR WATSON
3 EDGEMONT ST
DERRY, NH 03038
Administrator
1304
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:�L�)AASSAC HUSE TTS UNIFORM APFUCATICNI FCR PERMIT TO DO FLUMEING
(Filni or Tyv4i
. A-
6 $ vv
NORTH ANDOM. M&SL Date > 2a I
Bunding
Lociflon 93
cwnees,.,-
Name
New (Er Renovation C) Rep4camerA [3 Plans Submifted: YesCl No C]
FIXTUREt
Installing C,-Mp-any Name b�6ecj �c,
Address ,,� 4-,� "', )c 0 � --/ /Z 14
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Business Te!e-,hone (-.., 6 3 3,?,D ':�,9 Z
Name d Ucensed Plumber
Chetk we:
c! Carp.
01 Pirtnership
0 Frm/Co.
N-"JUk1AM-- L;UVh8ALie..* L;41ecx —
hAve a current llablitty Insurance p-dicy Or Its zubjt&ntW e-quN-jjer;L Yet No C1
If YOU have checked 1—es, plesse U-4cite the *-pa c.—veraga by c'neckling the apprcpriate box.
A ItablAy insurinca pcilcy 13""' . Crther typ-a of k-,dermAy C! Scnd El
Cart)(I=ta
OWNE.R*S INSURANCE WANER: I am avrare that the license* pcj h4ye the Insuranc:s crversqa requfred ,.y
Chapter 142 & the Mass. GeneraJ Laws. and that my slgnatLxe on U -Js permrt s;:01cition watves this requirement.
Check one:
50nattme of ow—nal oc LWnef I Acant Cwnef C3 I Ag" C3
I htfobY carUtY that &A of the det0s LM Informitlen I hays r—berAjod bt ent "I in &1:5rre app&aLlon a* true and ac=ate to the b4ast of rry
kncw4dge " that &A p4umbing woik and InStLAAGOnl -.+rfcq.—P*d UrK�w tt%* tvfwd lot LN a Pk bo in =Ancflanca vnLh 0
peninont pro-Avons of the malzachusatts S,14(4 PIVM6'---7 14� #L'on will
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Name d Ucensed Plumber
Chetk we:
c! Carp.
01 Pirtnership
0 Frm/Co.
N-"JUk1AM-- L;UVh8ALie..* L;41ecx —
hAve a current llablitty Insurance p-dicy Or Its zubjt&ntW e-quN-jjer;L Yet No C1
If YOU have checked 1—es, plesse U-4cite the *-pa c.—veraga by c'neckling the apprcpriate box.
A ItablAy insurinca pcilcy 13""' . Crther typ-a of k-,dermAy C! Scnd El
Cart)(I=ta
OWNE.R*S INSURANCE WANER: I am avrare that the license* pcj h4ye the Insuranc:s crversqa requfred ,.y
Chapter 142 & the Mass. GeneraJ Laws. and that my slgnatLxe on U -Js permrt s;:01cition watves this requirement.
Check one:
50nattme of ow—nal oc LWnef I Acant Cwnef C3 I Ag" C3
I htfobY carUtY that &A of the det0s LM Informitlen I hays r—berAjod bt ent "I in &1:5rre app&aLlon a* true and ac=ate to the b4ast of rry
kncw4dge " that &A p4umbing woik and InStLAAGOnl -.+rfcq.—P*d UrK�w tt%* tvfwd lot LN a Pk bo in =Ancflanca vnLh 0
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MTT)04'E0 (CfF)CE USE ONLY) Journevrnan 0
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TO
1.- 2821
of. t4o Irk
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SS US
This certifies that ....
Date.2.-.2.2—j
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
............
. ( � �7 . ...... '
has permission to perform 11 .....
plumbing in)hhe buildings of
at ... .... 6dA.A .......... North Andover, Mass.
J/ t'o
Fee.,7.v ..... Lic. No./ ...............
/?A PLUMBING INSPECTOR
%�r - J-91 4261% 11-19 45. 00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer. GOLD: File
A
, V(5/
�==M=1± ME
G LA 5-7 CJ
EIM EE
R12:10
BOARD OF FIRE PRVE. CN R u MONS
cffice use cwy
Permit No.
C=pwcy A Fee Clocked
(leave blank)
APPLICA71 ION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in ac--rdance with tr*e massacnuserts E.ec*.ricai Ccde, S27 CNAR 12:00
(PLEASE PRINT IN INK OR TYPE At 1 INFCR,'.lA7,CN) Date _,-9
=)-� or Town of NORTH AN"JOY-7-2 To ttie inspector of Wires:
The udersigned applies 'or a permit ta perform. tne electrical -.vcrK descrit:eC !:e1c--
L.::ca,,icn (Street & NurnCer) f
S
Cvvner or -tenant T_74�
Cwner's Ad=ress SZ2='-"
Is -,,-,is permit.in canjuricticrt witm a zuiicirts =errnit: Yes/K 1,4 a (C-,,ec,( Ipprccriate Bcx)
P-.:r=cse cf Buiicir.c
Utility Autincrization No.
=A;s-,mc 4zerjica Arr,,,s 1_11C�ls Cverreac Uncanna L-1 No. of Meters
Ne�.-j Amcs VC -S cvefneaa No. of *,,Ie!erS
zf =eecsrs ana Arncac:ry
94 'SIg,
:_:cZ--cn anz Na*, -:re --f =-C:CSeC ne I
fe" —P --A e 7jr-P 49A_::
�.c. 7-=z Ne. v --ansiormers atai
C. --v7nng _-�;::e!s
I Acz.de— �n- _. 1
.140. zt
No. at E-nergenCy i-gMtIng
Nc. Z? =-3CqC-aC!e CL;t!e!s :,4c. Sa-zer./ Units
Nc. z� Swimn Ct.;l!ets Nc. Z! Sas No. Ct Zzmes
-et
ec*-.cn anc
Nc. =: .-N,r Z.:n=.
Nc. --! .=angss I uating .'evicas
Nc. V :isccsais Nc.,.*
-z:-s
No. v Zisnwasners
,No. zi Scurton; Cevicas
Nc. ct Sett C.;rirainec
Ce'e=arilsouncing cavices
Nc. at 1 -niers ��ea=nt; =qv--CzS
Munlc:zat —C-ner
-=Cal I — Cznnec,:On
Nc. at No.
veitage
No. t water �qeaters 1117,11 - Ba:�ass
Wimic
-
No. �.vwo Massace %�-_S =rs -z-3:
C -7-
t.14S;.;qANC=_ =VEPAGE. P-.:rsuarit :0 mte recuirerrents ;aMefal '-3-s
�_zverage
YE NO
I nave a c%;nrent L.�actiity InsurariC9 Pcllcl -nc:%;c:r.g Czrn=:e!ec Cze-3::Cris Cr
..3 Suc-vantial ec,.ilvalenl. -53
"lave -0 =!G C!tr-3. y=S NC -icu nave cnecxeC Ylr�-'. -tease ricicate T18 rYr.9 Ot
sucr-t1rgat valid ::--at at same
=necxtnq -no ac==_rtate :ex.
lNSL;PANC_= k_ BONO = OT)-'E�; = tPeasO _S=eC`!?2
(Exciraticri Ca-zei
'Norx S
Es-urnateo; value at S!2C-_Cw
A'Crx *0 Star- lM=eC_Cn _a:0 =cu;n
91nal
S'-qtneot -.;ncer -no Pertait:821 at ;enurr.
UC. NO.
'741. 140.
Bus. - -S-000
Alt. Tat. �10.
Accre$3 et;�
CWNF_=I.s INSUA'ANCE I.VAIVF-q: I ar- a'-- .,ave -rig nsurax-49 C.verage or its 3u0starmal iliculvaient as re-
Agent
cuireol W M&"&Cnuz*az General Laws. at%c -Mat my =;namas an =er.-.:t aa-,licaticm -atves trils recuirgrrignt. Owner
,.P,qas,* crigociol ones
ej,,CnCng No-
PSSMIT F=-= 3
clk
Date .....
..A6.. . ..
.. .. .....
40RTH
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
oZ
A US
This certifies that.. cl.r . ............... e.. ...................
has permission to perform ........ A-.. (A t ....... . ...............
wiring in the building of ...... 5"&.: ....... fitm�#.;Vz .............................
.at ..... 7.3 ... ...................... . North Andover, Mass.
Fe e Lic. No. .........................................................
ELECTRICAL INSPECTOR
9 5 "'
02/271% 14:44 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
Location A(Lb 0 AVV�
ti�p. Date
CL
TOWN OF NORTH ANDOVER
0
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
S C S
Other Permit Fee $
C
Sewer Connection Fee $
Water Connection Fee $
TO,TAL $
Building Inspector
(10t
1.- 95-4
0 Div. Public Works
PER311T NO.
MAP +40. LOT
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
. 7 INSTRU�TlOqS
A –
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS I - 3
PAGE 2 FILL OUT SECTIONS I - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AN[) APPROVED BY BUILDING INSPECTOR
DATE FILED-al,�N q (,
19
A , a por,
r/i
3 PROPERTY INFORMATION
N 0. -S;)
2 RECORD OF OWNERSHIP IDATE
BOOK "PAGE
NE
SUB DIV. LOT NO.
EST. BLDG. COST PER ROOM
F—
4 APPROVED BY
LOCATION ,,i
A
PURPOSE OF BUILDING
OWNER'S NAME -t; —\U
OWNER TEL. #
NO. OF STORIES SIZE )c
OWNER'S ADDRESS 9 3 MAKI) PTUE,
6 - 15`7 0
BASEMENT OR SLAB 61ZAtUL 5p,& -f -
ARCHITECT'S NAME
H.I.C. #
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
SPAN CT
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS C.
DISTANCE FROM STREET
DISTANCE FROM LOT LINES - SIDES REAR
GIRDERS 5 2- o
AREA OF LOT FRONTAGE
is 00,?Ll
/oo
HEIGHT OF FOUNDATION THICKNESS /o
ped ("
IS BUILDING NEW I
SIZE OF FOOTING x 24�
IS BUILDING ADDITION yc-s
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY L
IS BUILDING CONNECTED TO TOWN SEWER y k-�6
55�-� -13plcll/1- -70 G-9 ,
IS BUILDING CONNECTED TO NATURAL GAS LINE Y11j,5
. 7 INSTRU�TlOqS
A –
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS I - 3
PAGE 2 FILL OUT SECTIONS I - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AN[) APPROVED BY BUILDING INSPECTOR
DATE FILED-al,�N q (,
19
A , a por,
r/i
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. cosf
EST. BLDG. COSTIPER
SQ. PT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
A
BUILDWO INSPKCTO*
OWNER TEL. #
Cl Llf 3 z
CONTR. TEL. #
6 - 15`7 0
CONTR. LIC. #
0 a 8
H.I.C. #
9;S-54-
BUILDING RECORD
OCCUPANCY
12
SINGLE FAMILY
S;ORIES,
THIS SECTION MUST SHOW EXACT DjMENSIOkS OF LOT'AND DISTANCE FROM
MULTI, FAMILY
LOT LINES AND EXACT DIMENSIONS OF� BU I LDINGS. WITH PORCHES. GA -
APARTMENTS
RAGES, ETC. SUPERIMPOSED. THIS REPLACIESIPCOT PLAN;
CONSTRUCTION
2 FOUNDATION
8 INTERIOR- FINISH'
CONCRETE
a
1
2 13
CONCRETE BL*K.
PINE
BRICK OR STONE
HARDW D
PIERS
PLASTER
D RY WALL
-5NFIN
3 BASEMENT
EULL
FIN. B M T' AREA
6A
'I, '1�
'FIN. ATTIC AREA
NO BMT
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS
q FLOORS
CLAPBOARDS
B
1
2 3
DROP SIDING
CON�FZETE
—
WOOD SHINGLES
EARTH
ASPHALT SIDING
DW'D
ASBESTOS SIDING_
COMMON
VERT. SIDING
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
'ATTIC STRS. & FLOOR
BRICK ON FRAME
CONC. OR CINDEiBLK.
STONE ON MASONRY
WINING
STONE ON FRAME_
0
SUPERIOR P O�R
ADEQUATE I�CNE
5 ROOF
10 PLUMBING
BATH 13 FIX.)
TOILET RM. (2 FIX.)
FLAT
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
TILE DADO,
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN..
TIMBER BMS. & COLS.
-7
STEAM
STEEL BMS. & COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
><
AIR CONDITIONING
RADIANT H'T*G
UNIT, HEATERS
GAS;
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.P= /63, /4 ' 14X4 to / 80
MART/N rsa' woe> AVENUE
REB Y CERTIFY THAT THE PROPER T Y
SHOWN ON THIS PLAN ARE THE
DIVIDING EXISTING OWNERSHIPS, AND
LINES OF THE STREETS AND WA YS
ARE THOSE OF PUBLIC OR PRIVATE
EIS OR WA YS ALREAD Y ESTABLISHED
THAT NO NEW LINES FOR THE
ON OF E NOWNERSHIP OR
EW W" ,iQ WN.
E
IWPM � •
1\ r�
THIS PLAN CONFORMS TO THE RULES AND
REGUL A TIONS OF j '. " R Y OF DEEDS.
MK � iTE E • ` ' `
to
FOW( U L40T RELRASE FOR14
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,vith any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: Phone
IA)CATION: Assessor's Map Number Parcel
Subdivision Lot(s)
Street Au St. Number _'�3
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Conservation Administrator
Comments
Town Planner
Comments
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Food Inspector -Health Date Rejected
Septic Inspector -Health
Comments
Public Works - sewer/water connections
- driveway permi
A _/
Fire Department
.- Zl ,
Date Approved
Date Rejected
Received by Building Inspector Date
JAN 4 Jr _,�
F,F
I -Y
a, C E
T GNU C, L E R, K
XGR,.Tfj; A.NIC0 T8wn of North Andover 40RTN
DU OMCE OF
0
0�Mi,XIYY;EV1EL0PMENT AND SERVICES
146 Main Street
KENNETHR.MAHONY North Andover, Massachusetts 01845 C U
Director
(508) 688-9533
This is to certify ftt twentj (20) da,,S
.--,�ve elapsed from date of d9ciijon filed
n y a
0out filN of
j-, BOARD OF APPEALS
date of I: i JOM A. lbefthmi
in the Office of the Town NOTICE OF DECISION Tmmawk
Clerk. Property: 93 Martin Avenue
The Board of Appeals held a regular meeting on Tuesday evening, November 14,
1995 upon the petition of Stuart & Nancy Miller requesting a variance pursuant to
Section 7, Paragraph 7.3 and Table 2 of the Zoning Bylaw( Zoning Setback
Dimensions). The petitioner is also seeking a Special Permit pursuant to Section
9. Paragraph 9.2(Non-conforming Stucture). The petitioner is seeking to expand
the existing house to add a first floor addition so as to construct a bedroom and
bathroom.
The following members were present and voting: William Sullivan, Walter Soule,
Raymond Vivenzio, John Pallone and Scott Karpinski.
The hearing was advertised in the North Andover Citizen on 10.25.95 and 11.1.95
and all abutters were notified by regular mail.
Motion by Walter Soule to Grant the left side setback variance of 8.1 feet from
the required 15 feet, seconded by John Pallone. Vote: Unanimous.
Voting in favor: William Sullivan, Walter Soule, Raymond Vivenzio, John Pallone
and Scott Karpinski.
The Board finds that the petitioner has satisfied the provisions of Section 10, �
Paragraph 10.4 of the Zoning Bylaw and that the granting of this variance will not
adversely affect the neighborhood or derogate from the intent and purpose of the
Zoning Bylaw.
Motion by Raymond Vivenzio to Grant the Special Permit to add onto a legal
non -conforming structure, seconded by John Pallone. Vote: Unanimous.
Voting in favor: William' Sullivan, Walter Soule, Raymond Vivenzio, John Pallone
and Scott Karpinski. ATTES Tj,
A True Cq-py
aer,4W,.-L,
Town Clerk
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 6M9540 PLANNING 688-9535
JuLie Parrino D. Robert Nioetta kfichael Howard Sandra Starr KatWeen Bradley Colwefl
b)
MAI
I
The Board finds that the applicant has satisfied the provisions of Section 9, para.
9.1 of the Zoning Bylaw and that such change, extension or alteration shall not be
substantially more detrimental than the existing non -conforming structure to the
neighborhood.
BOARD OF APPEALS,
William Sullivan, Chairman
12��I�� _. , I 1�
2��0/9/ 1�
C� M/
?3
ESSEX NORTH REG!IS��IY
I �YF EEDSI
UWRENCE, MASS -k-
1 TRUE COPY: Al TEST:
cl, I 'J''. A --
REGISTER OB DEEQO
Location 9-3 ae-c .
No. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ Z/2
Foundation Permit Fee $
Other Permit Fee $
Cc" 112
D Sewer,Connection Fee $
A , ,
w1r, a ,-.�A
ater Connection Fee $
' A ' 2
(FQ" $ Cy
u I nspe
?,&-Ildinil I 'ctor
A10* A'do"e' C011cdor
Div. Public Works
PERlfff NO. 13
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PA G E I
MAP 4-40.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK PAGE
zo
SUB DIV. LOT NO.
F
PURPOSE eg==13=111141G
Stomf e- dhcd e'X 1 2-
OWNYP"S NAME Yy ov IV,&-* e- v )9. fi7t /Ica
NO. OF STORIES / dizk
R'S ADDRESS
ce
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
<UILDER'S NAME
SPAN
DIMENSIONS OF SILLS
DISTANCE TO NEAREST BUILDING
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES SIDES REAR
GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
<-ILL BUILDING CONFORM TO REQUIREMENTS OF CODE e
IS BUILDING CONNECTED TO TOWN WATER
-B&9RD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIONS 1 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLAS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE LED
SIGNAT(JRE OF OW'*f` R OR AUTHORIZED AGENT
-4 , 0
F E E 6L�
1%
PERMIT GRANTED
19
3 PROPERTY INFORMATION
LAND COST
fiF
-TST. BLDG. COST V3&0
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF GELECTMEN
mum"Inu INDIFFLUTUR
BUILDING RECORD
OCCUPANCY 12 1
SINGLE FAMILY
S'ORIES
MULTI. FAMILY ::::�
�
APARTMENTS
— I .2FFICES
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
3 1 2 13
E
CONCRETE
CONCRETE BIL K.
BI K OR STPNE
HARDW D
ER
I S
PLASTER
-�51?Y —VVALL
UNFIN.
3 BAAMENT
AREA FULL
FIN. B M T AREA
1/1 1/1 l/.
FIN. ATTIC AREA
NO BMT
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS
9 FLOORS
CLAPBOARDS
B
1
2
3
DROP SIDING
WOOD SHINGLES_
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
—
-�ARDVV D
COMMON
ASPH. TILE
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR
CONC.OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR POOR
7-- W
DEQUATE ONE
5 ROOF
10 PLUMBING
GABLE
HIP
BATH (3 FIX.)
--
GAMBREL
-;�ANSARD
A
TOILET RM. (2 FIX.)
i FLAT ]
LAT
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM I
STEEL BMS. & COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T*G
HEATERS
7 NO. OIF ROOMS
GAS
OIL
B'M'T 2nd
ELECTRIC
10 1 3rd
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
Aw
IJA OF
T.
a KING
No. 17871
r IsTt 14
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I CERTIFY To 71-1,F ,IlvDo
VER 6.4AII-r .4,,Vo 17-S rl7-Z-,E 11VSZ1,qER
r,"A r r,4tS PI. AN DEPIc rs THE * RjSUj. rs OF A CURRrvr E
DCSCR1BED-lN RrCORD * XAMIVArloN OF TNE pR,-,WIScS
AND BOOK /0 60 -PA alr ROC� OF THE A.)o.,�EF s 5 4�X -
REGis r.9 y,- Or
rHAT All. EASEmf-Nrs,FNCROACHAeE*JrS AND BUILDINGS ARE LOCArE -
AS SHOWN HEREON, /�1450 7:--k-,.Vj Aj D Oov rkC GROUND
,Vfj Y.F C
1, rH/S PL A A' WA 5 AOr Am De
I. . FROM AN INsrvvArArr
SURVEY AND IS Aor FOS RECORDING PURPOSES.
rHE PLAN SHOWS THE COIVDIrlo)vs
OF rHf DA rE EXISTING AS
S"OWN Hl-RCON. Cf-Rr1FIC4rlO* IS
FOR 44oRrGAGE PURP05ES ONLy Pfflopi-R ry
I-INES AS SHOWN ARE APPAvi-Nr ONLY.
Z- THE PREAfISES 01D NOTCONFORM w1rH LOCAL
ZONING ORDINANCES Ar r1mF OF
CO&ST'RUCrIoN. -T11,6z:)
Y."', -/? 0- ed-4j/�J(-- 'ay
'rWE PREMISES DO NOT FALL WITHIN A
flLOOD HAZARD ZONE,
AlOR7'GAGE CER77FICATION
SKE 7 -CH FOR
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4. L- EO,,
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Date. ......
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
"'!� NQ��x - 11
This certifies that w .......
has nermission for eas
in the buil.din s, of t ..
at.......
Fee.
Lic. No..
-Ji Check #
4928
.............................
...... I North Andover, Mass.
.........................
GASINSPECTOR
MASSACHUSEnS UNIFORM
(Type or print) -
NORTH ANDOVER,
Aj
Building Locations
Owner's Name
New Renovation Replacement
UJB-BASEM ENT
!iASEM ENT
fST.
FLOOR
j-N—D.
FLO OR
3��.
F L 0 0 R
-
4TH.
j—LOOR
1TH.
IFILOOK
6TH.
FLOOOR
7TH.FLOOR
8TH.FLOOR
(Print or type)
Name -
FOR PERM TO DO GAS FfrMG
Date
&v --e Permit# 10,29 -
Amount $ /fj
Plans Subri-jitted
Address (0 ti-� L)
10
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P
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r74
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one: Certificate Installing Company
C�f Corp.
Name of Licensed Plumber or Gas Fitter ISL) A 5,�Ve --(�
11 Partner.
13Frm/C0.
INSURANCE COVERAGE Check one- No
I have a current liability Insurance policy or it's substantial equivalent. Yes ff�
If you have checked yes, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity [J Bond
owner's insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner Agent E]
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 perf
,Vmed und I ed for this application will be in
,er Pem)d ssu
assa te Clds Code r 142 of ��eneral Laws.
compliance with'all pertinent provisions of the M C , C��
By:
Title
City/Town
1APPROVED (OFFICE USE ONLY)
_Signature of Licensed Plumber Or Gas Fitt r
[:[ Plumber . XV13
rl Gas Fitter =icense Number
r-1,Master
Jour-neyman
0
;a
CA
U
Address (0 ti-� L)
10
z
P
0
r74
0 0
one: Certificate Installing Company
C�f Corp.
Name of Licensed Plumber or Gas Fitter ISL) A 5,�Ve --(�
11 Partner.
13Frm/C0.
INSURANCE COVERAGE Check one- No
I have a current liability Insurance policy or it's substantial equivalent. Yes ff�
If you have checked yes, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity [J Bond
owner's insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner Agent E]
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 perf
,Vmed und I ed for this application will be in
,er Pem)d ssu
assa te Clds Code r 142 of ��eneral Laws.
compliance with'all pertinent provisions of the M C , C��
By:
Title
City/Town
1APPROVED (OFFICE USE ONLY)
_Signature of Licensed Plumber Or Gas Fitt r
[:[ Plumber . XV13
rl Gas Fitter =icense Number
r-1,Master
Jour-neyman