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HomeMy WebLinkAboutMiscellaneous - 99 MIDDLESEX STREET 4/30/2018 (4)9 a C,(, 4E-e- q- Dle c4 t 577- JCljg N�V-c 5�eAM Q' yol-e -�-tvu, ,,�N4IYIZ, Date .1k..%. ...... h. -a - TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... q4w...�x . . .......... has permission to perform ........ wiring in the building of7t...YLo-S ......... ft� Com,.( 0 ............. at .... q.q. ..... nev. —Zee., ............................ , "orthAndover, Mass. " Y ..... - 1 2 Fee ......... 5 ...... Lic. No. W ................. P� .0. E CAL INS 0 •Check It / /?S- ' 1 L\ Commonwealth of Massachusetts Offi cial se0"I Permit No. Department of Fire Services " Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: 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 Owner or Tenant Owner's Address Is this permit in conjunctiX1A5rAjC1C th a building permit? Yes P— No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. - Existing Service New Service Amps / Volts Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed EIectrical Work: Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Completion of the following table maybe waived by the Inspector of Wires. No. of Recessed Luminaires /,,Z 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- ❑ rnd. rnd. o, o meig ting Battery Units No. of Receptacle Outlets 8 No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas )Burgers No. of Detection and Initiating Devices No. of Ranges g No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Dis osers P Heat Pump Totals: Number ' ' Tons KW_ ........... No. of Self -Contained Detectio /Alerting Devices No. of Dishwashers S ace/Area Heating KW P g Local ❑ Municipal ❑ 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 qj Wires. Estimated Value of E ctri al Work: 169 � (When required by municipal policy.) Work to Start: / i La0j3 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C GE: Unless waived by the owner, no permit for the performance of electrical work may issue unless T 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 9 BOND ❑ OTHER ❑ (Specify:) X certify, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME:.s�� l�' ,Uc.�c g US LIC. NO.: Licensee: lhl-)PE't l— J Signature 1 LIC. NO.: / O �' (If applicable, enter "e mpt" int icense number line Bus. Tel. No.: Address: i'.0- 16jX /V/ � �fdnJ `� �3 Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires D partment 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'sagent. Owner/Agent PERMIT FEE. $' "Ignature 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 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 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 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. ❑ Rule 8 — Permit/Date Closed: *** Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Trench Inspection Pass 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass Failed Re- Inspection Required ($.) ❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: 6L Inspectors Signature: Date: ROUGH INSP CTION: Pass 0 Failed Re- Inspection Required ($.) ❑ Inspectors Co nts: 14,4 Inspectors Signature: Date: ]FINAL., INSPECTION: Pass ® Failed Re- Inspection Required ($.) ❑ Inspectors Co ts: Inspectors Signature: Date: DEB WEINHOLD ... TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com t, The Commonwealth of Massachusetts Department oflndustrictlAccidents 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 Leizibly Name (Business/Organization/lndividual):, / � ed cry Address: City/State/Zip: /7ky-7 4R PkJ N- l Phone Are you an employer? Check the appropriate box: - Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction a ployees (full and/or part-time).* have hired the sub -contractors listed on the attached sheet. 7. Remodeling 2. I am a sole proprietor or partner- ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] 3. ❑ I am a homeowner doing allwork officers have exercised their of right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑Roofrepairs insurance required.] uiloyees. q ] � employees. [No workers' 1311 Other comp. insurance required.] Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they a're doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I tcm an employer that is providing workers' compensation insurance for my employees. Below is the policy and joh site information. Insurance Company N Policy # or Self.im. Lic. Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A ofMGL o. 152 can lead to the imposition of criminal penalties of a .fine up to $1,500.00 and/or one-year imprisonment, as wellas civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of 'Investigations of the DTA. for insurance coverage verification. I do herehy cert under the the information provided ah a is tri a and correct. Date: �0 7/ �! 6 Official use only. Do not write in this area, to he 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 Instruct ion's 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 ofhire,- 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 ofthe 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.aceeptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any ofits 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 -contractors) 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/lieense 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 Com- monweaith ofMassochvsetts Department of indusWal Accidents OfRoe of I nyestigatito.m 600 Washington. Stroet Boston, MA 02111 TOL # 617-7274900 exp 4Q& or 1-877, M.ASSAk'1, Revised 5-26-05 Fax# 617-727-7749 XVWr_mace amxhlln -\n $m3 �� ,® , u A: � .�._ . \ \2 /� o . � �� � •o_} 6 / J . . a . Loq — �© :LL F O —> m \co ' 1� pe o � 9- g \ n . »� �«» • «4 w . 0 LAJ !2 . LLj.,2 .O f o « --3 : : \ -T � � > : x)Q .~ : � — a �Z It O \� "SA US Date .....?..: a7.......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......l...:.. has permission to perform ,. .roc ,........, ::...........,.,,� ._.....:.�.-................_ wiring in the building of ................................... at .....: ...... '': 1 ' ' r ��-.1.....�....f ....... , North Andover, Mass. t Fee .& �....... Lic. No. A/lGa................... .. LECTRICAL INSi R� Check # �la M 2 commorturea/�k of �a�ac%� BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 11W Z_ Occupancy and Fee Checked 85 [Rev. 11071 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 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: City or Town of: 1K) p fl�N Pt &0�24--J2 To the InspeUtorlof Wires: By this application the undersigned fives notice of hi o er intention to performythe elec 'cal work described below. Location (Street & Number) q [(� Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Yes Purpose of Building s-.1 Telephone No.L/t j(515041 -f No LJ (Check Appropriate Box) Utility Authorization No. Existing Service q.C�CL Amps / / 2qOVolts Overhead E[ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: —7'A -Tee— 0 F6 rcAk )�ti yV Completion of'the following table may be waived by the Inspector of Wires. No. of Recessed LuminairesNo. of Ceil.-Susp. (Paddle) Fans o. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators K -VA No. of Luminaires AboveIn- Swimming Pool rnd. ❑ rnd. EDBatte o. o Emergency Lighting 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 ' KW o. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal 1:1 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 E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Winng No. of Devices or Equivalent OTHER: 60 Aitach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: Mo `� (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE RAGE: 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 the pains�;and penalties of perjury, that thee information on this application is true and complete y FIItMNAME: (_/9h1l�lE� ,)hfl 1. 1�'_2,e" ,RCftl �C, LIC. NO.: r1 162D Licensee: Jud /�• [�AtV E y Signature LIC. NO.: (Ifapplicabl enter. "LTenwi",inihe 1w a igunberline.)Bus. Tel. No. Address: . y X L IYy e-tl illy} Q Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, security work requires Department 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 [-Iowner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. P6 , V, 0,/< r�,V d ze- f r. The Commonwealth of Massachusetts Department of Industrial Accidents 4._,,?. Office of Investigations 600 Washington Street U 1, Boston, MA 02111 ::� _ , www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 0soey I Address:To- o- &Y- �q City/State/Zip: Ak efk,Ltf_" JAVA Phone #: Q 79- Are 9- 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).* 2. I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t have hired the sub -contractors listed on the attached sheet. $ These sub -contractors have workers' comp. insurance. 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.0 Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other *Any applicant that checks boz # 1 must also fill out the section below showing their workers' compensation policy information. t 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. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # ?/c5 -/O `7 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 02111 Tel. # 617-7274900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia crJ- Location 1 I dd (,p S� �r No. Date �aRTM TOWN OF NORTH ANDOVER O - s 4 v + $ ; , Certificate of Occupancy _ Building/Frame Permit Fee $ sACHUSt Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # S �( 1563 563 ` 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: o_ SIGNATURE: Building Commissionerfinspe&or of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Ad' 99 /T ( i S ,� S 1.2 Assessors Map and Parcel 0_�_ Map Number Number. Parcel Number 1.3 Zoning Information: Zoning District Proposed Use Name (Punt) 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS ft 2.2 Owner of Record: Front Yard . Side Yard Name Print Rear Yard Required Provide Required Provided Re red Provided 3.1 Licensed Construction Supervisor: 1.7 water Supply M.G.L.C.40. 34) Public 0 Private ❑ 1.5. Flood Zane Information: Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSIIIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Punt) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction. Supervisor: 6tno License umber Address QC ZA;4,t zaz.,:!! b (�—s 1--2 (/ 3 S S Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ �2Company Na e Registration Number J j `6� Address/ /1/ Expiration Date A21-1 Signature Telephone SECTION 4 - WORKERS COMPENSATION (N.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. 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 ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: U I SECTION 6 - F.STIMATF.D C'ONSTRITrTION COSTS I a Failure to provide this affidavit will result Addition ❑ Item Estimated Cost (Dollar) to be '" 4 Completed b t applicant ' A� 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction < ,} G' 3 Plumbing Building Permit fee (a) x (b) �•�� 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number JEC;llUA "/a UWINEK AU lri"UKtZAllUr4 1U M UOMFLE ED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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. ISignature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 4' /O� l ) /G' 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 w I � Print Name -'/ �(- v9 Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIrvMERS 1ST 2 ND 3 SPAN DIMENSIONS OF SILLS DRAENSIONS OF POSTS DINIENSIONS 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 North Andover Building Department Tel: 978-688-9545 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: L!L I S L11 0- Z) v ,l) (Location of Facility) Signature of ermit Applicant C)2 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector l�hOVLLLv� Page of Free Estimates -u- 'r 105 Haverhill Street' ,11 Fully Insured Methuen, MA 01844, THOMPSON'S ROOFING (978) 691-1355 •` Shingles — Slate — Rubber Roof Single Ply — Copper Work PROPOSAL SUBMITTED TO PHONE DATE Tc)m F. Lynn T.Jr-c-jardilln t 4-22-02 STREET JOB NAME 99 Middlesex Street (,v CITY, STATE AND ZIP CODE JOB LOCATION North Andover MA 01845 ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Strip off all roof_ shingles on house and. garage Install 8 inch white drip edge around roof line Apply ice and water shield 3 ft. up all along edges and in valleys Apply 151b. felt paper on rest of roof area Reshingle witha 30 year Architect shingle Install new flanges around soil pipes Waterproof chimney flashing Install ridge vent Remove all work related debris 30 year warranty on material 10 year guarantee on labor construction lic. #060112 improvement#128612 ZDC propose hereby to furnish material labor and — complete in accordance with above specifications, for the sum of: Seven thousand four hundred ------ dollars ($ 400.00 Payment to be made as follows: )• $2,400.00 start of job balance upon completion All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving Authoriz , extra costs will be executed only upon written orders, and will become an extra charge over and Signature above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully Note: This proposal may be nnvnreri ti� Wn.4r..nn . � I ompensation nsurance. withdrawn by us if pit accepted with days. 2creptance of i9ropont — The above prices, specifications and `- conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signatur Date of Acceptance: Signature TUC Dnl TrTCC nr r,.irnneurr LUW btlN NOTWITHSTANDING ANYURMIME REQUIRE"'ENl( �tTERM ORVLCN- !_iONUEOf" '+.', THE '-ONTRA�REDORNAMHERABOVE TWITHPOLICY DOCUMENNT RESPECTETOODWHICHCTHIS CERTIFICATE MAY BE ISSUED OG MA,' PERTAIN. THE 1NS',)RAN'CE Al: --',_DED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO THE ALL TERMS. EXCLUSIONS AND COQ. :ONS OF SUCH PC(.i_:'S A,,,v%;,,A:" LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LNRR TYPE OF INSURANCE POLICY NUMBLk �JA!i MMIDi-DC /YYf) rDALL ?LV(MM/DD/AYY) LIMITS GENERAL LIABILiTY SHALL IMPOSE NO OBLIGATION WINDHAM NH 03087 OR LIABILITY OF ANY KIND UPON REPRESENTATIVES. THE INSURER, ITS AGENTS OR B Cx] COMMERCIAL GENERAL LIABILITY [ ] CLAIMS MADE [x] OCCUR NPP770609 04.17.02 04.15.03 EACH OCCURRENCE FIRE DAMAGE (Any one fire) 81,000,000 $ 50,000 7 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 EX]POLICY [ ]PROJECT [ ]LOC PRODUCTS - COMP/OP AGG $2,000,000 AUTOMOBILE LIABILITY [ ] ANY AUTO COMBINED SINGLE LIMIT [ ] ALL OWNED AUTOS (Each accident) $ E ] SCHEDULED AUTOS BODILY INJURY C ] HIRED AUTOS (Per person) $ [ ] NON -OWNED AUTOS C ] BODILY INJURY (Per accident) $ [ ] PROPERTY nAMAGE' (Per aceiuenL) $ GARAGE LIABILITY $ [ ] ANY AUTO AUTO ONLY - EA ACCIDENT C ] OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY $ [ ] OCCUR [ ] CLAIMS MADE EACH OCCURRENCE AGGREGATE $ [ ] DEDUCTIBLE $ C ] RETENTION $ $ $ B WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY WC2-31S-314995-019 04-21-02 04-21-03 [x] WC STATUTORY [ ] OTHER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE -EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Job: Roofing job rCDTTCTrAT[ +in+ nrn r 1nn,�.r,.,,...,.-. ....-.. _.._..___ _— _. I1iIL I�ULULR � JmUUI I IUIVAL INv )UKLU: !INSURED LEI IEK: CANCELLATION Page 1 of 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOM WINWARD 20 NEW ROAD THE EXPIRATION DATE THEREOF, THE TO MAIL 10 DAYS WRITTEN NOTICE TO ISSUING INSURER WILL ENDEAVOR THE CERTIFICATE HOLDER NAMED T', THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION WINDHAM NH 03087 OR LIABILITY OF ANY KIND UPON REPRESENTATIVES. THE INSURER, ITS AGENTS OR AUT RIZED REPRESENTATIVE (7/Q7) Page 1 of 2 m m zo m 0 m C �F CO) CD 'C7 az CD O CL r d m .� 0 o p CL c� CD o coCD CO) 10 CD n 0 7— CO) d d O CO) c 0 CO) Di CD 0 CD CD y� I CCD C CD _C cmoo mH _ O �•N?O Q C 0=2 .O CO2��m�o n mepco m o v, m r.c = Z =r -C y O. .'•r •O•► m ca T =r ma?d CO) O -40 O y p p =' O CD `) OZy.C: W .�0 c r m a = 3 VJ m a CL 0 H :O : cc CD y CA y er • JL, y �� Q � Q cn O.d ►� H 0 iC /n � 0 : N C� :. �m A q O� = ,CD CD CD CD ,rt o CD x cvn 11=m�O VJ '' ^^ .0 N CD:w 'S O ,rt n o C/) rD C/) o W ., a- G) y r '�. "C n Om cc a- O� � C G7 oO O a. 0 o Myo f" M c la 4 Location No. Q Date Check # ,✓L/ F TOWN OF NORTH ANDOVER Certificate of Occupancy $ v Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL $ l Building Inspectoi TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATF2 OR DEMOLISH A ONE OR TWO FAMILY DWELLING 7 77 BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Buildin Commissioner o dings Date - • SECTION 1- SITE INFORMATION 1.1 Pro eRy Address: 1.2 Assessors Map and Parcel Number: • Map Nim er Parcel NuIRger 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.; Water Supply M.G.L.C.40. 54) 1.5. Flood Zone information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSH W/AUTHORIZED AGENT i.I Owner of RecordH, c ' \ 1 l t.\ SJ ' \\�� \ `( \� so Name ( tint) Address for Service Signature Telephone t 2.2 Owner of Record: AF Nam P 'nt Address for Service: Signature Telephone ECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supe Not Applicable ❑ Licensed Construction Supervisor: m License umber Address WQQQLS�"%�, ? J Expiration Date Signature Telephone 3.2lZegistered_ Home I Not Applicable ❑ rontrac� �� V Company Name ,, ( /� � j Registration Number IA ` \77C dress dq477�(v-p)""-q?� Expiration ate Si nature Tele hone 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 .......0 No ....... ❑ SECTION 5 Description of Proposed Work check applicable) New Construction ❑ Existing Building _ Repair(s) Alterations(s) ❑ 7ition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify t Brief Description of Proposed Work: �CQ' I SRCTTON 6 - RSTTMATRTI CONSTRTTCTTON COSTS 1 Item Estimated Cost (Dollar) to be Completed by permit applicant '` OFFICIAL USE ONLY I . Building / (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 C -4-c C, C., Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , 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 OWN D,AGRNT DECLARATION ,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 Sienature of Owner/Aeent — Date I NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TUVMERS I ST 2 ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 0 A O o w° C/)Iv a cn O . a o 7 m o p' a U W U Cd a z C7 a rL —co w I w w P-4 m o cn v o cn E N t N O N C O co CD cc cm m 0 c .E N CD O Z 0 O a z 0 W w P-4 AM' O O C) CD ■ L _C) Z CD CL O CO) D c 0 U) VJ CC W W U) 0 �a� c c�a C2 O N O V V CL C ev � m c ;= O Cc O i N � CDCF �a o n N E o ON a JCD C CD c N R CD 0 N 3: 3 cm m c C � � � m � = N ecv M-CO O ID C (0,3 ` 4D 0 �o `C Za CDom go Z wc ao Q m imc moo = m CL W O �.=..�Z LL-rC sca ++ O N �E dt C p w v LU Q cm C.3 a om!c CD o � = A Z C4 a. -Ca E N t N O N C O co CD cc cm m 0 c .E N CD O Z 0 O a z 0 W w P-4 AM' O O C) CD ■ L _C) Z CD CL O CO) D c 0 U) VJ CC W W U) e El BOARD OF BUILDING REGULATIONS SUPERVISOR v License: CONSTRUCTION Number CS 028538 Birthdate. 09/05/1948 Expires: 09105/2001 Tr. no: 4729 - ' Restricted To: 00 MICHAEL V RODpEN (fie" 47 PRESCOTf ST 01845 Administrator N ANDOVER, MA r o r r %7 Date.... 3 " TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ �....��.e.l.l�...... .....�t'"t ..!.4..... t 1..' has permission to perform ........(22.............................................................. F 1 . I wiring in the building of Cf( C rt 1 `f %/ v .......... .......c............... ................................... at ...27.... j` / .A1'..... �� .:.............. . North Andover,:Mass. 1 Fee"; I' -N IM(,UA MUNW�'' 1LYHU14M4&"(:HVMJLJutnce usemy /� DEPARTAfEWOFPUBLIC&4FM Permit No. C 3 �/ BOARD OFFIREPREVEMIONRWRAT101 NS27CMR12:QD UVA Occupancy &Fees Checked PPUCATIONFOR PERMIT TO PERFORM ELECTRICAL WORK. ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DatS. a/0 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) q1 d?1(br-)11,tS--Se'y Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Underground Q No. of Meters New Service Amps- Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work .No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool AboveBelow Generators KVA groundground l+o. 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 Local MunicipalOther No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Sim Bailasis No. Hydro Massage Tubs No. of Motors Total HP 0 OTHER Ir�tr�rtceCo�eage PtnsuatYbthelagtwana�sofTvlassadtCalLaws Iha�eaa�er>tLi irilyhstranoePbticyet�IdingCar>p Comma cr �ialec}tiv YES ?.rn IhawsthritedvalidptoofofsamelothrOfx YES rJ NO r Kf whawche WYFS,pimeetdicalethetypecfcmm bycheddngthe qpLpi box INSURANCE BOND OVER (PleaseSpacify) _ F. cpa��ion Dnte Valueof echi nl Wait $ WorktoStatt � hg)ecxicnD*Ragtlesed Rough ...-�- / Final Signedurxkr"&2Nb L Lioa>seNa P� �O FIRMNAME (JCi csvUraC1G( 21r- 14 Signailue�� '�` � LiarlseNo (Z� Business Tel Na A - - -- Alt Tel Na OWNER 'SINSURANCE WAIVER, Iamawa dritthel-ioawLaws and � my signattaern the permit t?pplt�an wanes this IB�Ila11. (Please check one) Owner M Agent Telephone No. PERMIT FEE $ V t t a Date. -?. " No 4.753 TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING This certifies that ... . ..................... has permission to perform ................................ plumbing in the buildings of ........ ...... 7" - at. ................................. lNorth Andover, Mass. Fee. Lic. No.......... ....... : ....... PLUM81NG INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS / Date � � Building Location / ����1 els Sf9wners Name) / ,G--l'a-4elJ16 Permit # �7 Amount Type of Occupancy 00' - New Renovation Replacement ❑ Plans Submitted* eY s No (Print or type), � -, cam, G Check one: Installing Company NamejD 1 C -Ph �~ , 1-�% / ❑ Corp. ❑ Partner. ❑ Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ©/ Other type of indemnity ❑ Bond Certificate Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ 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 stallations performed jinder Permit Issued for this application will be in compliance with all pertinent provisions of the Ma!isachusetts State PAimbWandRpapter 142 of the General Laws. By: of Lyenseaum er Type of Plumbing License Title 7 (� City/Town icense um er Master ❑ Journeyman r7-11-- APPROVED /APPROVED (OFFICE USE ONLY L • ` Cis I -..-�--------------------� (Print or type), � -, cam, G Check one: Installing Company NamejD 1 C -Ph �~ , 1-�% / ❑ Corp. ❑ Partner. ❑ Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ©/ Other type of indemnity ❑ Bond Certificate Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ 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 stallations performed jinder Permit Issued for this application will be in compliance with all pertinent provisions of the Ma!isachusetts State PAimbWandRpapter 142 of the General Laws. By: of Lyenseaum er Type of Plumbing License Title 7 (� City/Town icense um er Master ❑ Journeyman r7-11-- APPROVED /APPROVED (OFFICE USE ONLY L Location No. Date I TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �3-3 //- 4- 4,5 i Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH AONE TWO FAMILY DWELLING �OR ts�:'�F (ltffileittt V,se �f"",. ' r v BUILDING PERMIT NUMBER: J / DATE ISSUED: 11AR SIGNATURE: Building Commissioner/IRtEtor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 99 n1`&6�Q7C_'K ®3i Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area (sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water S ly M.G.L.C.40. 54) 1.5. Flood Zone Information: Public Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal p000 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (P t� AddressforService : -7117 Signature Telephone 2.2 Owner of Record: � \ Name Print 3' n Address for Service: Signature U Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ �- ODa \&,d6ka I Licensed Constnicti� Supe jsor: License Number t";�t InS�aGi� 11a, f) fy4S Address n� 2 ( i°A Expiration 9Date Signature Telephone 3.2 Registered Home Improvement Contractor , Not Applicable ❑ f�c__Ajea 1 6 9& Company Name X_L `s9 '�> ,(� 1 r e Registration Number �--j I �a Expiration bate Address ( � \� � 9'72 %i `� Sign ture Tele hone 01-02-01 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 rmit. Si ned affidavit Attached Yes .......(9 No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building V Repair(s) ❑ Alterations(s) Cla" Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant UF)« ILIAL USE QNLX a a 1. Building k-2 U (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbin Building Permit fee (8) x (b) / 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR PERMIT �BUILDING I, /L��- C r Com" . �-• �%���C '' as Owner/Authorized Agent of subject property �Hereb uthorize r'l / C to act on yin all matt r re 3tve to work au og by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1,���C (� �� 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 am Si nature of 'ei-7 ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TPv1BERS I ST 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND - IS BUILDING CONNECTED TO NATURAL GAS LINE Y I 51, I C��� j.. _ I, qcr mldcftes�>c [ -_- _ . _ _ _____ _ ._____ ���^^ ^h' The C===eaCtfe o. f9V =acfiusetts ~• i tDepanment of FndustriaCAccrdents 0fJ = Of hrvestigatiOns :� .. 600 `DVashirg Street Boston, 5V49 02111 Workers' Compensation Insurance Affidavit APPLICANT INFORMATION Please PRINT Legibly." Name: Location: City: Telephone #: ❑ I am a homeowner performing all work myself. O I am sole proprietor and have no one working in my capacity ❑ I am an employer Company Name: Address: City: Insurance Company: workers' compensation for my S'1,��1SS working on this job Telephone #: C 7 2 e r 25�; Policy #: ❑ I am (circle one) sole proprietor, general contractor or homeowner and have hired the contractors listed below who have the following workers' compensation policies: Company Name: Address: City: Telephone #: Insurance Company: Company Name: Address: City: Policy #: Telephone #: Insurance Company: Policy #: Attach additional sheet if necessary Failure to secure coverage as required under Section 25A of MGL 15B can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DLA for coverage verification. I do hereby ce fy under the pa' e ti of a 'ury that the information above is true and correct Signature: Date: Print Name: Phone # Oti-ficial Use ONLY - Do not write in this area City or Town: Permit/License #: Check if immediate response is required Building Department Licensing Board o Selectmen's Office o Health Department o Other INFORMATION & INSTRUCTIONS Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law" 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 section 25 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, 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 in the workers' compensation affidavit completely, by checking the.box that applies to your situation and supplying company names, address and phone numbers as all affidavits 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. City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like.to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Fax # (617) 727-7749 Telephone 4 (617) 727-4900 ext. 406, 409, or 375 �ACORDT,, CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NORTH ANDOVER INSURANCE AGENCY 9 WAVERLY ROAD ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER, MA 01845-241 POLICY EFFECTIVE DATE (MWDDNY) P:978-686-2266 F:978-686-6410 INSURERS AFFORDING COVERAGE INSURED INSURER A: TRAVELERS PROPERTY CASUALTY Rodden Carpentry INSURER B: 47 Prescott Street INSURER C: INSURER D: North Andover MA 01845 - INSURER E: rnVFRAnrQ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDDNY) POLICY EXPIRATION DATE IMM/DDfYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) S ❑ COMMERCIAL GENERAL LIABILITY ❑ CLAIMS MADE ❑ OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ ❑ ❑ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ ❑ POLICY ❑ PRO ❑ LOC AUTOMOBILE ❑ LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ❑ F1SCHEDULED ALL OWNED AUTOS AUTOS BODILY INJURY (Per person) $ ❑ ❑ HIRED AUTOS NON -OWNED AUTOS - BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) ❑ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ ❑ ANY AUTO ❑ EXCESS LIABILITY EACH OCCURRENCE $ ❑ OCCUR FE -11 CLAIMS MADE AGGREGATE $ ❑ DEDUCTIBLE $ ❑ RETENTION $ $ WORKERS COMPENSATION AND Ell WC STATU- OTH- EMPLOYERS' LIABILITY XHUB849K419501 01/01/2001 01/01/2002 E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I LJ I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION TOWN OF NORTH ANDOVER Building Department North Andover MA 01845 - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL / (.. DAYS WRITTEN NOTICE TO THE CERTIFICATE ttI[QLjDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATI=RLI ILITY OF ANY KIND THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REP NTA VE ACORD 25-S (7/97) / / ©ACORD CORPORATION 1988 C/) M C m m 0 m H 'O CD Cl) Z Cp O C2. �. >C0 O p a � c� �F CD O CA 'O CD 0 CO) d O CO) C O C CO) d CD O CD CD CO) CD CO) O 'V 7s.; m b m cn o� C C?= • p 01 -y3Q N = S R m = y .� = o m C7 mCA ciaC.) m Z =r-5 y .. a �omd o y N � O I m O a = N�O Cc p' O .� p N CA Ok - )U: Cc c =r o a C a.m m 0 r Ms :0 W •' � � COL CD p44 CA CAN N cad C _p *1 = d r _ pmfp ti -yQ� 0 CD ; Cc = m :��� O Op CS va yid :s cn z H 0 0 c cm 7d tv d 7� c w z H 0 0 c TOWN OF NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 MEMORANDUM TO: Mark Rees, Town Manager FROM: Mchael McGuire, Local Building Inspector #p DATE: 12/1/00 RE: Tom Licciardello 99 Middlesex St. Hot tub/deck installation Telephone (978) 688-9545 FAX (978) 688-9542 In regards to the above noted property the Licciardello's were sent a cease and desist on the use of the hot tub on September 18, 2000, a copy of which is enclosed. On September 21 an electrical permit was issued and an inspection was performed by the electrical inspector and was approved, a copy of which is attached. As of this date no building permit has been applied for. Also attached you will find a letter from myself to Mr. Nicetta regarding the history of this address. The situation at this time remains open. Cc William J. Scott, Director, Community Development & Services James Xenakis, Chairman, Board of Selectman D. Robert Nicetta, Building Commissioner file Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been done. This is a very dangerous situation as you could electrocuted Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub. Respectfully, Michael McGuire Local Building Inspector 0 o+ o• s . .;; Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT W. & 41 f� " s PERM S PROJECT: /s' ITN .. INSPECTION DATE: —2� UNIT NO.: FLOOR: WING: BUILDING NO.: 73i REMARKS: n e 2 e -C f C�14'd Q. ✓1. C1 U1., J s C, k A , 211 u -A It Yo i Pt c) 1� �6 c- -e- t 4� /a ItC�h2r'CA. t C.0E. QS S < C) C-4, �/� / �� was C �,�y.� Fv2 /t/y7` T Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of O # Inspector Inspector Inspector rwm #x ncuon rrem, 000-ruw TOWN OF NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, Telephone (978) 688-9545 FAX (978) 688-9542 September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been . done. This is a veru dangerous situation as you could be electrocuted. Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub. Respectfully, Gee Michael McGuire Local Building Inspector BU?T?D OF <'.PIIE I -.S heti-9i-1i IKA DI\GS 60-9543 C.);vSER\' TiO\ 688-9 0 't1EA1 ; iI o8R-9' a Pi.A-NN1'INCi 6N8-953 MEMORANDUM To: D. Robert Niccetta Building Commissioner From: Michael McGuire Local Building Inspector Date: September 14, 2000 Re: Tom Licciardello 99 Middlesex St. The following is my best recollection of the chain of events in regards to the above noted address: In mid or late March Mr. Licciardello came in and inquired about putting a 14 x 18 foot, 1 story addition on the rear of his dwelling. At that time I informed him that I will need a certified plot plan in order to have him go before the Board of Appeals as his structure is preexisting nonconforming due to side and rear setbacks. I received his plot plan and issued a denial for rear and side setbacks on the subject property on April 4, 2000. A Zoning Board hearing was held on May 9h of 2000 and was continued for 1 month by request from Kathryn M. Tannert Niang an abutter. She was in the process of obtaining a certified plot plan of her property as she felt that the proposed addition would encroach on her property. Several times during the interim while waiting for the hearing Mr. Licciardello came into the office and inquired about a patio. I explained to him that patios do not require a building permit as it is not considered a structure. Sometime after he came back in and asked about building a platform as a patio. At which time I explained to him that if he was to sit a platform of approximately the same size as the hottub (+/- I Ox 10 or l Ox 12 ) directly on the ground and had no roof or walls than I would consider it a patio. I paid no attention to the matter after this time as I was under the impression that he was looking down the road should his case be rejected by the board. I remember talking with Kevin Murphy a local contractor some time after that about a platform / patio and that was the last I heard about it until the inspection of 9/14/00. Mr. Licciardello was in the office on 9/14/00 in the morning regarding the fence he installed in his rear property and his correspondence with Ms. Niang and their ongoing dispute, which I informed him that it was a civil matter between them. Mr Licciardello then asked if I was aware of last nights meeting which I stated I was not, but was asked by you to visit the site at 10:0 AM. Cc William J. Scott Director, Community Development & Services James Xenakis Chairman, Board of Selectman William Sullivan Chairman, Board of Appeals Tom Licciardello, Homeowner file TOWN OF NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 MEMORANDUM TO: Mark Rees, Town Manager FROM: Michael McGuire, Local Building Inspector 'Iqo� DATE: 12/1/00 RE: Tom Licciardello 99 Middlesex St. Hot tub/deck installation Telephone (978) 688-9545 FAX (978) 688-9542 In regards to the above noted property the Licciardello's were sent a cease and desist on the use of the hot tub on September 18, 2000, a copy of which is enclosed. On September 21 an electrical permit was issued and an inspection was performed by the electrical inspector and was approved, a copy of which is attached. As of this date no building permit has been applied for. Also attached you will find a letter from myself to Mr. Nicetta regarding the history of this address. The situation at this time remains open. Cc William J. Scott, Director, Community Development & Services James Xenakis, Chairman, Board of Selectman D. Robert Nicetta, Building Commissioner file v Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been done. This is a very dangerous situation as you could d be electrocuted Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub. Respectfully, Michael McGuire Local Building Inspector Y !+ • , ooC .. �C ail{ O yy Town of NORTH ANDOVER Y BUILDING PERMIT INSPECTION REPORT q olSv� se PERMIT NO.: �R�JECT: y INSPECTION DATE: UNIT NO.: FLOOR: WING: BUILDING NO.: %3� REMARKS: n e / 2 / �C C' cw/ Q. ✓1. 04 S L l w l -A 111!q /a tC_f/? l C.0ejcoo, QS �S < 1d) 0 r) c,c. I? A/ �� w cys /U7` 1i/c clfl? CtL 0 tt V't kt to a Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas -final Other: Date: Date: Date: Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of O # Inspector Inspector Inspector rorm sx hcnon rrem, oao-ivvv TOWN OF NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT A" SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, Telephone (978) 688-9545 FAX (978) 688-9542 September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been done. This is a very dangerous situation as you could be electrocuted. Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub. j Respectfully, \ Michael McGuire Local Building Inspector BG: -'.RD OF <.PYEaI..S bS8-9> i R `1'LDINGS 688-9545 CO;"�SF,R\l.1;'IO\ 685-9>30 HEALTH o8? -9'4t1 Pi.k\- d1tiG 6 Y-9;3 MEMORANDUM To: D. Robert Niccetta Building Commissioner From: Michael McGuire Local Building Inspector Date: September 14, 2000 Re: Tom Licciardello 99 Middlesex St. The following is my best recollection of the chain of events in regards to the above noted address: In mid or late March Mr. Licciardello came in and inquired about putting a 14 x 18 foot, 1 story addition on the rear of his dwelling. At that time I informed him that I will need a certified plot plan in order to have him go before the Board of Appeals as his structure is preexisting nonconforming due to side and rear setbacks. I received his plot plan and issued a denial for rear and side setbacks on the subject property on April 4, 2000. A Zoning Board hearing was held on May 9t' of 2000 and was continued for 1 month by request from Kathryn M. Tannert Niang an abutter. She was in the process of obtaining a certified plot plan of her property as she felt that the proposed addition would encroach on her property. Several times during the interim while waiting for the hearing Mr. Licciardello came into the office and inquired about a patio. I explained to him that patios do not require a building permit as it is not considered a structure. Sometime after he came back in and asked about building a platform as a patio. At which time I explained to him that if he was to sit a platform of approximately the same size as the hottub (+/- 1 Ox 10 or l Oxl2 ) directly on the ground and had no roof or walls than I would consider it a patio. I paid no attention to the matter after this time as I was under the impression that he was looking down the road should his case be rejected by the board. I remember talking with Kevin Murphy a local contractor some time after that about a platform / patio and that was the last I heard about it until the inspection of 9/14/00. Mr. Licciardello was in the office on 9/14/00 in the morning regarding the fence he installed in his rear property and his correspondence with Ms. Niang and their ongoing dispute, which I informed him that it was a civil matter between them. Mr Licciardello then asked if I was aware of last nights meeting which I stated I was not, but was asked by you to visit the site at 10:0 AM. Cc William J. Scott Director, Community Development & Services James Xenakis Chairman, Board of Selectman William Sullivan Chairman, Board of Appeals Tom Licciardello, Homeowner file TOWN Of NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 MEMORANDUM TO: Mark Rees, Town Manager FROM: Michael McGuire, Local Building Inspector 'q&� DATE: 12/1/00 RE: Tom Licciardello 99 Middlesex St. Hot tub/deck installation Telephone (978) 688-9545 FAX (978) 688-9542 In regards to the above noted property the Licciardello's were sent a cease and desist on the use of the hot tub on September 18, 2000, a copy of which is enclosed. On September 21 an electrical permit was issued and an inspection was performed by the electrical inspector and was approved, a copy of which is attached. As of this date no building permit has been applied for. Also attached you will find a letter from myself to Mr. Nicetta regarding the history of this address. The situation at this time remains open. Cc William J. Scott, Director, Community Development & Services James Xenakis, Chairman, Board of Selectman D. Robert Nicetta, Building Commissioner file 1% Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been done. T_ his is a very dangerous situation as You could be electrocuted. Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub. Respectfully, Michael McGuire Local Building Inspector pr. Fr ...•„ � SVa yA'� Town of NORTH ANDOVER ' t' BUILDING PERMIT INSPECTION REPORT s%01/ v PERMIT NO.: PROJECT:_ y INSPECTION DATE• UNIT NO.: FLOOR: WING: BUILDING NO.: 73 11'"h. REMARKS: n 5 Ae 2 d{'- CL Vol cel 04 d S C. � A LVaJary�,ICt f,ca c Q. A107L 7`a hl,�iy OU0,01.A7 i to a d Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -Cof 0# Inspector Inspector Inspector Form 1995 Action Press, 585-7000 TOWN OF NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, Telephone (978) 688-9545 FAX (978) 688-9542 September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been done. This is a very dangerous situation as You could be electrocuted. Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub. Respectfully, Michael McGuire Local Building Inspector BC):^^ -.RD i?F '.PYEAI.S 61 -9> i BU1LDiN<iS 6�8-9�q? C.)ivS:;R ;'. TION 68S-930 HEA -LIN -1. -954( PL:��' f\'Ci 6,N8-9 53 MEMORANDUM To: D. Robert Niccetta Building Commissioner From: Michael McGuire Local Building Inspector Date: September 14, 2000 Re: Tom Licciardello 99 Middlesex St. The following is my best recollection of the chain of events in regards to the above noted address: In mid or late March Mr. Licciardello came in and inquired about putting a 14 x 18 foot, 1 story addition on the rear of his dwelling. At that time I informed him that I will need a certified plot plan in order to have him go before the Board of Appeals as his structure is preexisting nonconforming due to side and rear setbacks. I received his plot plan and issued a denial for rear and side setbacks on the subject property on April 4, 2000. A Zoning Board hearing was held on May 9h of 2000 and was continued for 1 month by request from Kathryn M. Tannert Niang an abutter. She was in the process of obtaining a certified plot plan of her property as she felt that the proposed addition would encroach on her property. Several times during the interim while waiting for the hearing Mr. Licciardello came into the office and inquired about a patio. I explained to him that patios do not require a building permit as it is not considered a structure. Sometime after he came back in and asked about building a platform as a patio. At which time I explained to him that if he was to sit a platform of approximately the same size as the hottub (+/- 1 Ox 10 or 10x12 ) directly on the ground and had no roof or walls than I would consider it a patio. I paid no attention to the matter after this time as I was under the impression that he was looking down the road should his case be rejected by the board. I remember talking with Kevin Murphy a local contractor some time after that about a platform / patio and that was the last I heard about it until the inspection of 9/14/00. Mr. Licciardello was in the office on 9/14/00 in the morning regarding the fence he installed in his rear property and his correspondence with Ms. Niang and their ongoing dispute, which I informed him that it was a civil matter between them. Mr Licciardello then asked if I was aware of last nights meeting which I stated I was not, but was asked by you to visit the site at 10:0 AM. Cc William J. Scott Director, Community Development & Services James Xenakis Chairman, Board of Selectman William Sullivan Chairman, Board of Appeals Tom Licciardello, Homeowner file MEMORANDUM TO: Mark Rees, Town Manager FROM: Michael McGuire, Local Building Inspector DATE: 11/15/00 RE: Tom Licciardello 99 Middlesex St. hot tub installation In regards to the above noted property the Licciardello's were sent a cease and desist on the use of the hot tub on September 18, 2000, a copy of which is enclosed. On September 21 an electrical inspection was performed by the electrical inspector and was approved, a copy of which is attached. As of this date no building permit has been applied for. Also attached you will find a letter from myself to Mr. Niccetta regarding the history of this address. The situation at this time remains open. it I< TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS M -E -M -O -R -A -N -D -U -M TO: Robert Nicetta FROM: William J. Sullivan W�S DATE: October 16, 2000 SUBJECT: Property at 99 Middlesex Street (petition #016-2000) Please be advised that a site visit to 99 Middlesex Street was done in mid- September by. the following Zoning Board of Appeals. members: Walter F. Soule, Raymond Vivenzio and myself. Upon making the site visit the following observations were made: side setback violation rear setback violation structure (platform) violation All of the issues stated are in violation of the zoning bylaw. Would you please take the appropriate steps to correct this matter. Thank you. Cc: Michael McGuire /violation 0 Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: �`5^ PROJECT: N'1 /t°Se INSPECTION DATE: UNIT NO.: FLOOR: WING: BUILDING NO.: REMARKS: Zn 54 / S U J C t c-'haegC� Q, ✓1 (n„ J S C, A 2 014!q 4 l wy 2 !14 1 c- 't t'>6 Inspector Footings and foundations and drains - Date: Insulation - Date: Inspector Other: Date: Inspector Inspector S S < - 6 6 � A / f) was Fog 1U)7` L/f Cil "l' C,0L d i_Q.,w". � i- 1` to r. 4-1.L4,P. (IJ l=CcS 4 d YI Excavation - depth and soil conditions Date: Inspector Framing - Date: Other: Date: Inspector Inspector Footings and foundations and drains - Date: Insulation - Date: Inspector Other: Date: Inspector Inspector Electrical - rough - Date: Plumbing and/or gas - rough - Date: Other: Date: Inspector Inspector Inspector Electrical - final Date: Plumbing and/or gas - final Date: Inspector Other: Date: Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Date: Final inspection Date: Inspector Certificate of Use and Occupancy Date: C of O # Inspector Inspector— Form IWb Action Frew, "b-1000 N2 25,016 ,--d /-? , C) Date..,� ........... / ................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................. .............................................. has permission to perform ...... ......... wiring in the building of ... ....... .......... ............................ ...................... atZ2 ... .. .................... ............................. . North Andover, Mass. Fee�f-,# .... ..... Lic. No.. ..... . .............. c.:.� ........................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Official Use Only Permit No. !Fee �G Deeantreutt o� �utflte $may Occupancy &ecked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date /i OGS Town of North Andover To the Inspefctorof Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number (/9 rnf (1 o ie s,-� !a -i Owner or Tenant * 7 ! 6 r✓IG. ( L ` C C- t Cy Owner's Address Is this permit in conjunction with a�buuilldding permit Yes ❑ No A (Check Appropriate Box) ^� Purpose of Building_ S.lr� e c `% Utility Authorization No. Existing Service 1 �' Amps a /� o Voits Overhead Undgrnd ❑ No. of Meters I New Service o_Amps- Za 0`/() wits Overhead_._.. Undgrnd ❑ No. of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work --c �-,T hs-1-c/l 3 OcH Ezle- L1'5titS No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacles Outl No. of Switch Outlets Cihcl OrLIL iU'i /r'sh7' Total Swimming Pool Above ❑ In ❑ grnd ❑ grnd ❑ GeZKVA Noy Lighting No. of Oil Burners No of Gas Burners FIRNo.ofZone Total No.and No of Air Cond Tons Initi Heat Total Tntai rvu. rums . Ions KW No. of Sounding Devices No.! of Self Contained No. of U' hwashers S ace/Area Heatin KW Detection/Sounding Devices No. of Dryers ❑ Municipal ❑ Other Heating Devices KW Local Connection E EE No. of No. of Low Voltage No. of Water Heaters KW cis No. Hydro Massage Tuds I No. of Motors Tntnl HP I INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE = BOND = OTHER = (Please Specify) r. (Expiration Date) Estimated Value of Electrical Work$ GJ r� — Work to Start Inspection Date Signed under the Penalties of perjury: FIRM NAME 'Loa h w' W �.i � Final LIC. NO. _IC. NO. Address Bus. Tel No. r' /C1�r ehAlt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. (Signature of Owner or Agent) PERMITt'EE $13D.0__ TOWN OF NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, Telephone (978) 688-9545 FAX (978) 688-9542 September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been done. This is a very dangerous situation as You could be electrocuted. Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub. 17 Z4� Respectfully, ; \ Michael McGuire. Local Building Inspector BOARD OF APPEALS 688-9541 BUILDINGS 658-9545 CONSERVATION68',-9530 HEALTH 688-9540 PLANNING 6x8 -9>)i TOWN OF NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, Telephone (978) 688-9545 FAX (978) 688-9542 September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been done. This is a very dangerous situation as you could be electrocuted. Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub. Respectfully, V . 9�r Michael McGuire Local Building Inspector C BOARD OF APPEAJ.S 688-9541 BIJILDINGS 688-9545 CONSERVATION 688-9530 IiEAL.TH 688-9540 PLA\NTNG 08-9535 Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been done. This is a very dangerous situation as you could be electrocuted. Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub. Respectfully, Michael McGuire Local Building Inspector Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been done. This is a very dangerous situation as you could be electrocuted. Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub. Respectfully, Michael McGuire Local Building Inspector BUILDING PERMIT INSPECTION REPORT sl PERMIT NO.. PROJECT: me, INSPECTION DATE: UNIT NO.: REMARKS: FLOOR: WING: BUILDING NO.: 736th Iva a / C ,D cje-., QS S < f of OF k6c,4, 6Lt Avg— lcv2 /l/07- Excavation - depth and soil conditions Framing - . 0 01 Date: 3! i a Town of Inspector Inspector. Inspector NORTH ANDOVER Insulation - Other: BUILDING PERMIT INSPECTION REPORT sl PERMIT NO.. PROJECT: me, INSPECTION DATE: UNIT NO.: REMARKS: FLOOR: WING: BUILDING NO.: 736th Iva a / C ,D cje-., QS S < f of OF k6c,4, 6Lt Avg— lcv2 /l/07- Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector. Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector. Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector. Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector. Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of O # Inspector Inspector Inspector form Vfib Action Nrese, Wb-iuuv TOWN OF NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT AD SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, Telephone (978) 688-9545 FAX (978) 688-9542 September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been done. This is a very dangerous situation as you could be electrocuted. Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub. Respectfully, G�LtiL�e w�� z� �k--If-� ;� Michael McGuire Local Building Inspector i c 5-9 54; C jiySl:R\'.� i i0\ 08;-9 HE.A—"-i-I 'M,-9>4,1 Pi '-NN`IN0 6YY_953 RliLi>i� 'G., �»� MEMORANDUM To: D. Robert Niccetta Building Commissioner From: Michael McGuireu Local Building Inspector Date: September 14, 2000 Re: Tom Licciardello 99 Middlesex St. The following is my best recollection of the chain of events in regards to the above noted address: In mid or late March Mr. Licciardello came in and inquired about putting a 14 x 18 foot, 1 story addition on the rear of his dwelling. At that time I informed him that I will need a certified plot plan in order to have him go before the Board of Appeals as his structure is preexisting nonconforming due to side and rear setbacks. I received his plot plan and issued a denial for rear and side setbacks on the subject property on April 4, 2000. A Zoning Board hearing was held on May 9P of 2000 and was continued for 1 month by request from Kathryn M. Tannert Niang an abutter. She was in the process of obtaining a certified plot plan of her property as she felt that the proposed addition would encroach on her property. Several times during the interim while waiting for the hearing Mr. Licciardello came into the office and inquired about a patio. I explained to him that patios do not require a building permit as it is not considered a structure. Sometime after he came back in and asked about building a platform as a patio. At which time I explained to him that if he was to sit a platform of approximately the same size as the hottub (+/- 1 Ox 10 or 10x12 ) directly on the ground and had no roof or walls than I would consider it a patio. I paid no attention to the matter after this time as I was under the impression that he was looking down the road should his case be rejected by the board. I remember talking with Kevin Murphy a local contractor some time after that about a platform / patio and that was the last I heard about it until the inspection of 9/14/00. Mr. Licciardello was in the office on 9/14/00 in the morning regarding the fence he installed in his rear property and his correspondence with Ms. Niang and their ongoing dispute, which I informed him that it was a civil matter between them. Mr Licciardello then asked if I was aware of last nights meeting which I stated I was not, but was asked by you to visit the site at 10:0 AM. Cc William J. Scott Director, Community Development & Services James Xenakis Chairman, Board of Selectman William Sullivan Chairman, Board of Appeals Tom Licciardello, Homeowner file TOWN OF NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Thomas & Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 Dear Mr. & Mrs. Licciardello, 4 Telephone (978) 688-9545 FAX (978) 688-9542 September 18, 2000 Please accept this letter as an official cease and desist on the use of your hot tub immediately for your safety. Upon the inspection of 9/14/00 and subsequent research it has been discovered that there has been no permit for the electrical work that has been done. This is a very dangerous situation as you could be electrocuted. Please be further advised that building and electrical permits will need to be applied for and inspections will have to be performed so that you may continue to utilize the hottub Respectfully, Michael McGuire Local Building Inspector BOARD OI APPEALS 688-9541 BUILDINGS 688-9545 CONSERVATION 688-9530 HEALTI-1 68&9540 PLAN TING 688-9535 .k.--. , i MEMORANDUM To: D. Robert Niccetta Building Commissioner From: Michael McGuire��^-� Local Building Inspector Date: September 14, 2000 Re: Tom Licciardello 99 Middlesex St. The following is my best recollection of the chain of events in regards to the above noted address: In mid or late March Mr. Licciardello came in and inquired about putting a 14 x 18 foot, 1 story addition on the rear of his dwelling. At that time I informed him that I will need a certified plot plan in order to have him go before the Board of Appeals as his structure is preexisting nonconforming due to side and rear setbacks. I received his plot plan and issued a denial for rear and side setbacks on the subject property on April 4, 2000. A Zoning Board hearing was held on May 9h of 2000 and was continued for 1 month by request from Kathryn M. Tannert Niang an abutter. She was in the process of obtaining a certified plot plan of her property as she felt that the proposed addition would encroach on her property. Several times during the interim while waiting for the hearing Mr. Licciardello came into the office and inquired about a patio. I explained to him that patios do not require a building permit as it is not considered a structure. Sometime after he came back in and asked about building a platform as a patio. At which time I explained to him that if he was to sit a platform of approximately the same size as the hottub (+/- 10x10 or 10x12 ) directly on the ground and had no roof or walls than I would consider it a patio. I paid no attention to the matter after this time as I was under the impression that he was looking down the road should his case be rejected by the board. I remember talking with Kevin Murphy a local contractor some time after that about a platform / patio and that was the last I heard about it until the inspection of 9/14/00. Mr. Licciardello was in the office on 9/14/00 in the morning regarding the fence he installed in his rear property and his correspondence with Ms. Niang and their ongoing dispute, which I informed him that it was a civil matter between them. Mr Licciardello then asked if I was aware of last nights meeting which I stated I was not, but was asked by you to visit the site at 10:0 AM. Cc William J. Scott Director, Community Development & Services James Xenakis Chairman, Board of Selectman William Sullivan Chairman, Board of Appeals Tom Licciardello, Homeowner file MEMORANDUM To: D. Robert Niccetta Building Commissioner From: Michael McGuire VU ML I_ - Local Building Inspector Date: September 14, 2000 Re: Tom Licciardello 99 Middlesex St. The following is my best recollection of the chain of events in regards to the above noted address: In mid or late March Mr. Licciardello came in and inquired about putting a 14 x 18 foot, 1 story addition on the rear of his dwelling. At that time I informed him that I will need a certified plot plan in order to have him go before the Board of Appeals as his structure is preexisting nonconforming due to side and rear setbacks. I received his plot plan and issued a denial for rear and side setbacks on the subject property on April 4, 2000. A Zoning Board hearing was held on May 9t' of 2000 and was continued for 1 month by request from Kathryn M. Tannert Niang an abutter. She was in the process of obtaining a certified plot plan of her property as she felt that the proposed addition would encroach on her property. Several times during the interim while waiting for the hearing Mr. Licciardello came into the office and inquired about a patio. I explained to him that patios do not require a building permit as it is not considered a structure. Sometime after he came back in and asked about building a platform as a patio. At which time I explained to him that if he was to sit a platform of approximately the same size as the hottub (+/- 10x10 or 10x12 ) directly on the ground and had no roof or walls than I would consider it a patio. I paid no attention to the matter after this time as I was under the impression that he was looking down the road should his case be rejected by the board. I remember talking with Kevin Murphy a local contractor some time after that about a platform / patio and that was the last I heard about it until the inspection of 9/14/00. Mr. Licciardello was in the office on 9/14/00 in the morning regarding the fence he installed in his rear property and his correspondence with Ms. Niang and their ongoing dispute, which I informed him that it was a civil matter between them. Mr Licciardello then asked if I was aware of last nights meeting which I stated I was not, but was asked by you to visit the site at 10:0 AM. Cc William J. Scott Director, Community Development & Services James Xenakis Chairman, Board of Selectman William Sullivan Chairman, Board of Appeals Tom Licciardello, Homeowner file MEMORANDUM To: D. Robert Niccetta Building Commissioner From: Michael McGuire Local Building Inspector Date: September 14, 2000 Re: Tom Licciardello 99 Middlesex St. The following is my best recollection of the chain of events in regards to the above noted address: In mid or late March Mr. Licciardello came in and inquired about putting a 14 x 18 foot, 1 story addition on the rear of his dwelling. At that time I informed him that I will need a certified plot plan in order to have him go before the Board of Appeals as his structure is preexisting nonconforming due to side and rear setbacks. I received his plot plan and issued a denial for rear and side setbacks on the subject property on April 4, 2000. A Zoning Board hearing was held on May 9t' of 2000 and was continued for 1 month by request from Kathryn M. Tannert Niang an abutter. She was in the process of obtaining a certified plot plan of her property as she felt that the proposed addition would encroach on her property. Several times during the interim while waiting for the hearing Mr. Licciardello came into the office and inquired about a patio. I explained to him that patios do not require a building permit as it is not considered a structure. Sometime after he came back in and asked about building a platform as a patio. At which time I explained to him that if he was to sit a platform of approximately the same size as the hottub (+/- 10x10 or 10x12 ) directly on the ground and had no roof or walls than I would consider it a patio. I paid no attention to the matter after this time as I was under the impression that he was looking down the road should his case be rejected by the board. I remember talking with Kevin Murphy a local contractor some time after that about a platform / patio and that was the last I heard about it until the inspection of 9/14/00. Mr. Licciardello was in the office on 9/14/00 in the morning regarding the fence he installed in his rear property and his correspondence with Ms. Niang and their ongoing dispute, which I informed him that it was a civil matter between them. Mr Licciardello then asked if I was aware of last nights meeting which I stated I was not, but was asked by you to visit the site at 10:0 AM. Cc William J. Scott Director, Community Development & Services James Xenakis Chairman, Board of Selectman William Sullivan Chairman, Board of Appeals Tom Licciardello, Homeowner file r Thomas and Marilyn Licciardello 99 Middlesex St. North Andover, MA 01845 May 9, 2000 Mr. William Sullivan, Chairman Zoning Board of Appeals Town of North Andover 27 Charles St. North Andover, MA 01845 Re: Response to letter from Kathryn Tannert Niang dated 5/4/2000 Dear Mr. Sullivan: 1) There is no uncertainty as to how the proposed structure would be positioned. The proposed Florida Room will be constructed on the existing structure. It will extend 14 ft. from the structure and be 18 ft. wide. The closest point to the Tannert property line is 5 ft. 2) There should be no doubt that the property lines are accurate. The position of the iron rod delineating the property line in question has bee certified six times by two professional surveyors since August of 1997. The most recent was March 30, 2000 by Scott Giles. (see attachment) 3) The replacement of the fence is not part of our request. We had always presumed the fence to the rear of our properties was owned by the Tannerts. Because the fence is old and in a state of disrepair, we thought we were being neighborly by offering to replace the current fence at our expense. Further, we made it clear that we would not ' replace the fence until our project was completed (target date: end of September), and with their approval of location. We even offered to allow them to approve the style of fence. At no time did we ever deny them these opportunities. 4) The position of the lot line has been an issue for the Tannerts since the start of construction of the garage on the Munro's property over 18 months ago. Further, we strongly agreed with Kathryn Tannert on March 201h that she should have a survey performed if she had lingering questions. During that phone conversation we advised her that we were applying for the May 9th meeting. On April 25th we called Veronica Tannert to let her know that the newspaper advertisement was in the Eagle Tribune announcing the May 9th meeting. During that phone conversation Veronica said, "Kathy has been so busy, she hasn't had time to fmd a surveyor yet." We have been diligent in preparing all the information required, in a timely fashion, for a fair hearing of our request. The time lines required by the town are stringent to ensure due process. We believe the request for a postponement is without merit. Sincerely, �C Thomas and Marilyn Licciardello cc: Robert Nicetta, Building Inspector s MAY -04-2000 19:02 HPTP P.01 ® `4L" DEPARTMENT QF HEALTH Rudolph W. GluUM Neal I.. Cohen, m.D. MQiloT CommissWw i FACSIMILE TRANSMITTAL SHEET TO: FROM: DATE: FAX NUMB TOTAL NO. OF PAGES INCLUDING COVER: PHONE NUMBER: SENDERS TELEPHONE NUMBER: (212) 442-3380 SENDER'S FAX NLMMR: �%t rah kXA CIL �� --- (212) 442-3535 URGENT Q FOR REVIEW ❑ PLEASE COMMENT PLEASE REPLY ❑ PLEASE RECYCLE NOT8S20s, MAY 5 ill.'. �� •. � ,t -...n i ,iq -far NEW YORK CITY DEPARTMENT OF HEALTH HEALTH RESEARCH TRAINING PROGRAM 346 BROADWAY, ROOM 707A, CN -65 NEW YORK, NY 10013 MAY -04-2000 19:02 HRTP Kathryn M. Tannert Niana, MPH 35 Milton Street No. Andover, MA 01845 978-682-6212 May 4, 2000 By Facsimile: (978) 688-9542 Mr. William Sullivan Chairman Zoning Board of Appeals Town of North Andover 27 Charles Street No. Andover, MA 01845 Attention: Ms. Mary Ippolito 341 East 6" Street, 4A New York, NY 10003 212-673-0089 P.02 Re: Proposed building construction at 99 Middlesex Street and Zoning Board Meeting 5/9/00 Dear Mr. Sullivan: As an abutter to the property of 99 Middlesex Street, I am writing on behalf of myself and my mother, Veronica Tannert, as co-owners of 35 Milton Street, to request a continuance of one month with respect to the review of the building plans and request for a variance by Tom and Marilyn Licciardello. Our reasons are offered as follows: 1) We believe that the proposed construction of a "Florida Room" on the Licciardello property potentially encroaches on our property lines. To this end, we are in the process of retaining Alphonse Haley, R.L.S. of Middlesex Survey, Inc. in North Reading to do a survey, stake the boundaries and provide an "as built" plan of our property_ We wish to confirm our true property lines and have a clear understanding of how this proposed structure will be positioned in relation to our property. 2) We have reason to doubt that the property lines between 99 Middlesex Street and 35 Milton Street are accurately marked and that we must verify the boundaries with our own survey (as discussed above). 3) We have reason to doubt that all the information required for review has been presented to the Board. It is my understanding that the Licciardello's would like to replace our backyard fence (at their cost) and that this idea was proposed to my mother on the 20" of March. The proposed new fence would stand exactly where our fence is now on the property of 35 Milton Street. In a long conversation on the morning of March 21, 1 advised Mrs. Licciardello that I did not want the fence removed and that my mother and I felt it necessary for our property to be surveyed in order MAY 5 2000 JI "ill ,1C: Ml- .rs i-,1Ei!�_ MAY -04-2000 19:03 HRTP P.03 Mr. William... Sullivan, page 2. to verify that the proposed construction would not unreasonably encroach on our property line. It is my undepstanding that the construction of the fence is not included in the LicciardelIo's current building plan proposal. Further, Mr. Licciardello and his wife denied (iia a phone conversation last evening) any recollection of our detailed discussion in March of my concerns about our property boundaries and my request that the fence not be removed (or a new one put up) without a formal verification of these boundaries. 4) It has taken a great deal of time over the past month to identify and research local survey funis, compare costs, services and schedules as well as to educate ourselves on key issues and potential problems. As stated previously, we are now in the process of retaining a firm and will be proceeding shortly. I submit that it would be most helpful to proceed with a review of the Licciardello's request for a variance based on the facts provided by a certified plot plan of our property and the full consideration of this information by the abutters. This request is made with the hope of ensuring that the proceedings will include all information that directly affects the 35 Milton Street property - Sincerely, cc: Robert Nicetta, Building Commissioner Alphonse Haley, R.L.S. TOTAL P.03 rC3 w¢ Q yW U O X J � 1 Z 0 J¢ ~ AF ail i C A 2 J i� J EXISTING PROPOSED 4 I I C I I I U Z F~— H X W m W y O tL cm a_ I II I 1�1 1111 11111 I I 1111111 III 11111111 IIIIII111 1111111111 I�I�1�1�1�111 II11111111111 1 1 1 1 1 1 1 I�1�1�1�1�1�1 1 1 1 1 1 1 1 1111111111111 11111111111'1 1'lll'1'1'I'I lililililil 11111111111 (111111lilt 1'111'1'1' V I I I I�I�1�1�1 11111111 1111111 1111111 IIf111 rll 11111 1 I 1�1 I� :1W I ❑ J 't' W ❑ X,y,) X y 1+1 Z W Z z a Q QU �W U X0 F I J W OZ WQ 7: J dS � ZMZ J y I II I 1�1 1111 11111 I I 1111111 III 11111111 IIIIII111 1111111111 I�I�1�1�1�111 II11111111111 1 1 1 1 1 1 1 I�1�1�1�1�1�1 1 1 1 1 1 1 1 1111111111111 11111111111'1 1'lll'1'1'I'I lililililil 11111111111 (111111lilt 1'111'1'1' V I I I I�I�1�1�1 11111111 1111111 1111111 IIf111 rll 11111 1 I 1�1 I� :1W I ❑ J 't' W ❑ X,y,) X y 1+1 Z W Z z a Q W y 0 ix a U z H h H X LJ DDD DDD I D W WQ Q L ry 6 R7 U , ^ W VJ Lj O z W V M J¢ Lo A HN ti F- tim N L7 OV a 0 Zm z X 0 2 W Z W H W y 0 ix a U z H h H X LJ DDD DDD H I 0 O -ii. 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H m 0 J J � � L1 W Q x LZ A Q C4 W U H W� 9 J (4z aLJ J¢ 06 g � Z Q Z ON 4 bi J low I oc C3 C3 L`' w a I" I t ac X X N LJ H Li L_ .z-� L_ f gOR7M 1 ► ,c., r qs °'+n° .x•`13 ,SSACHU941 Zoning Bylaw Review Form Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street: 99 Middlesex St Ma /Lot: 31/33 Applicant: Thomas & Marilyn Licciardello Request: For rear sunroom addition Date: 4/4/00 'Please De'advilsed that after review of your Application and Plans your Application is DENIED fo'r the following Zoning Bylaw reasons: Zoning Remedy for the above is checked below Item # Special Permits Planning Board Item Notes C-3&5 Setback Variance Item Notes A Lot Area Common Driveway Special Permit F Frontage Variance for Sign 1 Lot area Insufficient Independent Elderly Housing Special Permit 1 Frontage Insufficient Earth Removal Special Permit ZBA 2 Lot Area Preexisting Planned Residential Special Permit 2 Frontage Complies Yes 3 1 Lot Area Complies Yes 3 Preexisting frontage Yes 4 Insufficient Information 4 1 Insufficient Information B use 5 No access over Frontage 1 Allowed Yes G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies Yes 4 Special Permit Required 3 1 Preexisting CBA 5 Insufficient Information 4 1 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient Yes 2 Complies Yes 3 Left Side Insufficient Yes 3 Preexisting Height Yes 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient Yes l Building Coverage 6 Preexisting setback(s) Yes 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies Yes D Watershed 3 Coverage Preexisting 1 Not in Watershed Yes 4 Insufficient Information 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district 1 Yes 1 2 Parking Complies 3 1 Insufficient Information Remedy for the above is checked below Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit C-3&5 Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non -Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit I Special Permit for Sign R-6 Density Special Permit Other Watershed Special Permit Supply Additional Information The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The uilding department will retain all plans and documentation for the above file. y/ykz') —Building Department Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: Referred To: Fire Health Police X Zoning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT