HomeMy WebLinkAboutMiscellaneous - Academy Rd 58CD
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Form 4 -- System Pumping Record
Commonwealth of Mossachusetss
Massachusetts j
System Pumping Record /
System Owner
tr^
t-rtv 1, A r, N ' tly
.,.rrq ,r1,.... t;%' n1.;.
Type: EmergencyRoutine
Cesspool: No ( Yes
Date of Pumping: n ,/ "'()d-.
System Pumped Ry: Wind Rinner ABOWMnerrntoi, LLC
Contents transferred to:
System Location
I 2111 a G Y Ii
ir-Mrd^e.y , n
r th indr.v. t11
Septic tank: No =Yes
Quantity Pumped: a QrSD Gallons
Permit #:
Contents Disposed at: t rjtChbUI
v4at®C P1a�ts
Date:
of System/Other Comments
Pumper
Dep Approved Form - 12/07/95
Claim # 2099919
Advantage Claim Services Adjuster Assigned: Glenn Guarente
522 Chickering Road #B
North Andover, MA 01845
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec. 3B
To: Building Commissioner or Board of Health 1Y
Inspector of Buildings Board of Selectmen
Town Hall Town Hall
North Andover, MA 01845 North Andover, MA 01845
Re: Insured: Dana C. Adam
Property address: 58 Academy Rd.
North Andover, MA 01845-4003
Policy #: 2099919
Loss of: 2014/01/03
File or Claim No. AD 9905
Claim has been made involving loss, damage or destruction of the above
captioned property, which may either exceed $1,000.00 or cause
Mass._Gen._Laws,_Chapter_143,_Section_6 to be applicable. If any
notice under Mass_Gen_Laws,_Ch._139_Sec._3B is appropriate please
direct it to the attention of the writer and include a reference to the
captioned insured, location, policy number, date of loss and claim or
file number.
Glenn Guarente
Title: Adjuster
On this date, I caused copies of this notice to be sent to the persons
named at the addresses indicated above by first class mail.
O1-08-14
Signature ; and, -date,',
Claim # 2099919
Advantage Claim Services Adjuster Assigned: Glenn Guarente
522 Chickering Road #B
North Andover, MA 01845
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec. 3B
To: Building Commissioner dx Board of Health or
Inspector of Buildings Board of Selectmen
Town Hall Town Hall
North Andover, MA 01845• _ North Andover, MA 01845
Re: Insured: Dana C. Adam
Property address: 58 Academy Rd.
North Andover, MA 01845-4003
Policy #: 2099919
Loss of: 2014/01/03
File or Claim No. AD 9905
Claim has been made involving loss, damage or destruction of the above
captioned property, which may either exceed $1,000.00 or cause
Mass. _Gen._Laws,_Chapter_143,_Section_6 to be applicable. If any
notice under Mass_ Gen_ Laws, _Ch. _139_Sec. _3B is appropriate please
direct it to the attention of the writer and include a reference to the
captioned insured, location, policy number, date of loss and claim or
file number.
Glenn Guarente
Title: Adjuster
On this date, I caused copies of this notice to be sent to the persons
named at the addresses indicated above by first class mail.
01-08-14
Signature; and :date-
N° 3"-6
• Of NORTH ,�
F P
,2'7 C1405
Date ......... �... ��........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that nl . .. � �i,..... �..................................
.. ......................
.... ......
has permission to perform/ /�
...............................................................................
wiring in the building of_� 1?!�.............................................
ai .......`.: �.`....<....t. f ....................... , North Andover, Mass.
........
..J ...... Lic. No
ELECTRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
niaai vvar�arava rrr u.a..i+aa va ♦r�.�.w.r �vaivuaia ay - - .___
DEPARTMENI'OFPVBLICSAFETY . Permit No. G
BOARD 0FFIREPREVEW0NREGULATI0(S527CUR12.00 Occupancy &Fees Checked
PPLICATTONFOR 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) Dat
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to performth electrical work described below.
Location (Street & Number) C � J.
Owner or Tenant Ober•
Owner's Address C= F-
Is this permit in conjunction with a building permit: Yes= No (Check Appropriate Box)
Purpose of Building Utility Authorization No. 0j W7 •,
Existing Service Amps Volts Overhead M Underground No. of Meters
New Service P00 Amps f)01 Volts Overhead EM 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 Above
Below
Generators
KVA
andwound
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. of Disposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
1`
No. of Self Contained
Detection/Sounding Devices
LocalMunicipal
Other'
No. of Dryers
Heating Devices KW
Connections
a
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTHER• of nlcs di o ud t
IMM=CORNR) rtbthem*mwolsdMmmdusmQm aiLam
Iha%ea=utL+3tltyimrdioePbtitymckxkrgCarrp� • Cosa oriis�tble4ivalat YES ED' NO
Iha%embrn tadvAdpodof=netotheOffie YES O Ifjwha%edvdwdYES,pltmeitdicatefttA ofwvaaWbyd=kiwgthe
• ,rP
Wo0alt
SigrWuld eP=lbMofpajW
FIRMNAME
hWecfi ,l»Rgjftd
(PIS ) L�' CAO/
EViatim D*
E3tsm*dVahredY3ecftxa1Wodc $
Rao Faral
Lioa>seNa
AI<TeLNa
Six��-�
q171?-��
OViNM'SMJRANCEWAIq ;IamatvmehlftL nwdmnt met=WbyMmmdxsftGenalLam
and�ratmytaeonthis pem�app5cabotr waives 1i>is tegtmgrret.
(Please check one) Owner Agent _
Telephone No. PERMIT FEE $ ��
Date.......`. .. ........
Of HORTF,
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
♦ p9
SA HUS
K�� N
This certifies that!'.... ...... ...... ................
has permission for gas installation ... .. ?...................
in the buildings of ...::_!:...................... .
at. �.�.. ��: ....... North Andover, Mass.
Fee',) • .... Lic. NO... ......
INSrPECTPR
Check # Lf
36 7
r
-- Tvpe or print)
NORTH ANDOVER, MASSACHUSETTS
Building Locations / G�� A' —
MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FTI'ITNG
Dates] �� 19 �GD
Permit m
Amount
67/
Owner's Name ,6�P/"el J
New I Renovation ❑ Replacement ❑ Plans Submitted ❑
(Print or type)
.1--
Name if Licensed Plumber or Gas Fitter ���/ A//1 o f r
Check one: Certificate Installing Company
❑ Corp.
❑ Parmer.
FirmiCo.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes Ef-- No ❑
Ifvou have checked ves, please lndt ate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: [ am aware that the licensee does not have the Insurance coverage required by Chapter 1421 of the
Vlass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's ,-Agent Owner ❑ ,bent ❑
I herebv certifv that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued For this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Code and Chaptef 141 of the Gen -z` -al Laws.
BY:
Title
City/Town
APPROVED I0 Fi:u- USF )NI -Y)
Signature of Li
'"Plumber
❑ Gas Fitter
U iMasier
_�loumeyman
sed—P' ml�;,Id Gas Fitter
cense I\4umocr
:r
(Print or type)
.1--
Name if Licensed Plumber or Gas Fitter ���/ A//1 o f r
Check one: Certificate Installing Company
❑ Corp.
❑ Parmer.
FirmiCo.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes Ef-- No ❑
Ifvou have checked ves, please lndt ate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: [ am aware that the licensee does not have the Insurance coverage required by Chapter 1421 of the
Vlass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's ,-Agent Owner ❑ ,bent ❑
I herebv certifv that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued For this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Code and Chaptef 141 of the Gen -z` -al Laws.
BY:
Title
City/Town
APPROVED I0 Fi:u- USF )NI -Y)
Signature of Li
'"Plumber
❑ Gas Fitter
U iMasier
_�loumeyman
sed—P' ml�;,Id Gas Fitter
cense I\4umocr
fy Date
N° 437
r
".° TOWN OF NORTH ANDOVER
3? a`
0. PERMIT FOR PLUMBING
a s
,SSACHUS
Et
This certifies that ..... ``J ....... ...�...... • ....... • • • • • •
has permission to perform ....,.-.� )D ......................
plumbi!g in the buildings of.. ✓��_ ! .- � 1 ............. • .. .
r �
at .:: 5. .....
.......... " .. • • • • • • • , North Andover, Mass.
Fee_ t; .%.. Lic. No.c. �'�.. -7—..,-1 ............. .
C . PIUMB�G INSPECTOR
U
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR .PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building
r�
New �� Renovation M
�� �j, Date
)wners Name) �j 7� P Permit #
` Amount �� z
of Occupancy
Replacement 0
t
Plans Submitted Yes,,-El
No
(Pint or type) � Check one: Certificate
Installing Company Name -� h (, � t' h Q ❑ Corp.
Address �4 D e> Partner.
Business Telephone �p 3 - Fitm/CO.
Name of.Licensed Plumber. &42j/ �j �p�/���, t r
Insurance Coverage: Indicate the a surance coverage by checking the appropriate box:
Liability insurance policy
Other type of indemnity Bond
Insurance Waiver. I, the undersigned, have been made aware that the licensee ofthis application does not have anyone of the above
three insurance
Ignaturl Owner Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Plumbing Code and C apter 142 of the General Laws.
By: ,o„a
b-, 1unroe;—_i
Type of Plumbing License
Title ':�;) —3 S Z
City/Town i -Muse um er Master ® Journeyman
APPROVED (OFFICE USE ONLY
1
Location SW Ac Ae M PW
No. 9 Date
MORTM TOWN OF NORTH ANDOVER
Oi.•a° ,•,•yC
•. • O
Certificate of Occupancy $
b'•^°''<� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee
TOTAL
Check # V
I�.jr- IJ
Building Inspector
' TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING
'�.. a
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE:
Building Commissioner/I for of Buildings Date
SECTION 1- SITE INFORMATION
1.1 Property dress:
1.2 Assessors Map and Parcel Number:
O
Map Number Parcel Number
1.3 Zoning Information:
Zoning District Proposed Use
1.4 Property Dimensions:
Lot Areas Frorna e ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided R red Provided
1.7 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 OWNERSHIP/AUTHORIZED AGENT
2.1 Owner f Rec rd �
a : der A cG de- ,
Name (Print) 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 �pervis
Af416 ll�J S V'v
Licensed s ctron Supervisor: r"��
T f
Address
Signature ITelephone
Not Applicable ❑
h
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
w6oru�ue�Lc�
Not Applicable ❑
I g U
Registration umber
Company Name
Address �f
4nr�e
Expiratil Date
Tele hone
00
M
X
z
O
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 affida
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) ❑ TAddition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
e—
I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I
i
o
it will result
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL; USE ONLY'
1.
Building/
-(a) Building Permit Fee
Multiplier
I K
2
Electrical
(b) Estimated Total Cost of
Construction
3
Plumbing
Building Permit fee tat X (b)
/ f
4 Mechanical HVAC
5 Fire Protection
6
Total 1+2+3+4+5)
f4401--,
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 nOWNER/AnUTHO IZED AGENT
nDE/CLARATION
I, 14U- L) Uc— C"TS 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
4 L atS6it)
Print Namn, A NAA,) 2Z2%f� a 2
Sip -nature o Own]WAAeent /� Date
NO. OF STORIES SIZE
BASEMENT OR SLAB •
SIZE OF FLOOR TIMBERS 1 ST 2ND 3
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION TIIICKNESS
SIZE OF FOOTING (2 X X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE fJn
Location �–�5 'A W-2-tq v I<c/
No. :37:—Date J-0a--6
TOWN OF NORTH ANDOVER
9
Certificate of Occupancy $
e�� ;�� A`.r• a
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ IC3 %0r
Check #
14573 Building Inspector
Location >�'��� w1 �/ Kd
1
No. Date j—0Q-0j
,40*Th TOWN OF NORTH ANDOVER
OL r� �
A
9 �
Certificate of Occupancy $
J+cMustBuilding/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
i 1 573
Building Inspector
4 , 1*
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number / Date �% —/Z —0-2-CdD/
THISCERTIFIES THAT
THE BUILDING LOCATED ON V e A(2 a d'eM -1 �?O a ce
5 lw c� /� )t 4 e/2, �y ��'e-JN
MAY BE OCCUPIED AS ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY. 7 R a, S 8,4 ThS/cP 5/4
A- 44C h
f NORTM �
� s
s r
• � r
,�sACNus
CERTIFICATE ISSUED T
ADDRES
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1639
APPLICATION FOR SEWER SERVICE CONNECTION
-zoo(
North Andover, Mass. �Gffi� -z
Application by the undersigned is hereby made to connect with the town sewer main in �e{z` Street,
subject to the rules and regulations of the Division of Public Works.
i
The premises are known as No. '5 ee- Street
or subdivision lot no.
�VJC�J� L.T
Owner / V "
AIAVIt mCr7S�
Contractor
v 145 -Sg/ 2
j'Z�� S�ar'�i�t✓�' K�(�1�i'� .r.1
Address Gita X371
,3
Address
Applicant's Signature
C?C `tom `I U���oc(��'i G� G ��/ •gyp �t?t)� �C-'�'�
V l or 1! 1ir�v(//' C/ 4V l/ 4 ( eG�- e
PERMIT TO CONNECT WIJH
The Division of Public Works hereby grants permission to . �r_ `?'r
to make a connection with the sewer main at / lcce[
subject to the rules and regulations of the Division of Public Works..
Inspected by
Date
MAI N
Street
Di �sion of Public Works
By
See back for rules and regulations
oce,( Va rpt e -
DPW 3 1 4 Date ....�®..l' —E.1..
TOWN OF NORTH ANDOVER
RECEIPT
r- Aj�m
This certifies that .....:7"t.1 .................
has paid ...................t.. f.f?�1 ...................
4
Received by .............................L1.1-11 ............. .......................
Department ................... .....cJ.!.�t.r...... ..W..o ....................
WHITE: Applicant CANARY: Department PINK: Treasurer
n
x
FORM - U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that allnecessary approval / permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
APPLICANT Cot 6 1rq �Gr PHONE
ASSESSORS MAP NUMBER LOT NUMBER 0008
SUBDIVISION �% LOT NUMBER
"
STREET Cde-My1 STREET NUMBER v
OFFICIAL USE ONLY
RECOWAENDATIONS OF TOWN AGENTS
�!!■ ■!!..■■!ll....l....l.l..!!.!!!!!!!!■!!!!■!!■■■■■■now
■■1■■■■j■■■■■■.■
DATE APPROVED 17✓l 101
CONSERVATION ADMINISTRATOR
DATE REJECTED
a
DATE APPROVED
TOWN PLANNER
COMMENTS
DATE REJECTED
DATE APPROVED
FOOD INSPECTOR - HEALTH DATE REJECTED
DATE APPROVED
SEPTIC INSPECTOR - HEALTH
DATE REJECTED
CONi1VIE1E;NTS
s�,c P6R +f
PUBLIC WORKS - SEWER / WA�ER CONNECTIONS4e"7--21-01
/ DRIVEWAY PERMIT
ATE APPROVED J�1-0' 0 0
FIRE DEPARTMENT 47
DATE REJECTED
COMMENTS
RECEIVED BY BUILDING INSPECTOR
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
am a homeowner performing all work myself.
= I am a sole proprietor and have no one working in any capacity
[-Z:�fiam an employer providing workers' compensation for my employees working on this job.
/ T
Company name- F V V / A bso-ni
Addrpss 6dq ON
ri.- �l e r 1��! v d V l Phone #: "' 7 / 3
ecr1-cSS
Company name:
Address
City Phone #:
Insurance Co. Policy #
Failure to secure coverage as required under Section 25A or MGL 152 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. 1
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do herby certify
ory�imation provided above is flue and correct
Signature 7MZ7
Date
Print name Arj�y l� WA+,-sori
Phone #
Official use only do not write in this area to be completed by city or town official'
[]Check if immediate response is required Building Dept
❑
❑
Building Dept
Licensing Board
❑
Selectman's Office
Contact person:
Phone #:
❑
❑
Health Department
Other
FORM WORKMAN'S COMPENSATION
Town of North Andover
RECEIVED Office of the Buijding Department
JOYCE SR
TOWN cq�un.ity Development and Services Division
NORTH ANDOVERWilliam j. Scott, Division Director**
27 Charles Street Sf1C �
ZOJAN R a 12: 3 S North .Andover; Massachusetts 0-1845 Tele hone 978) 688-9545
l�t'N
D. Roo bert ie
.Building Commissioner
Fax (978) 688-9542
44��
Notice of Decision i S+
Any appeal shall be filed
within 1201 days after the Year 2001
date of filing of this notice
in the office of the Town Clerk. Property at: 56 Academy Road
i
NAME: Robert Kittredge, principal of KITCO Farm, LTD
DATE: January 10, 2001
ADDRESS: 56 Academy Road
PETITION: 041-2000
North Andover, MA 01845
HEARING: 1/9/2001
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, January 9,
2001 at 7:30 PM upon the application of Robert Kittredge, principal of KITCO Farm, LTD, 56 Academy
Road, North Andover, MA for a Special Permit (within the Watershed) from Section 9, Paragraph 9.2 to
allow for the attering/rebuilding of a caretakers residence and garage, therefore, shaving 2 dwellings on one
parcel, on a pre-existing, non -conforming lot within the R-3 Zoning District.
The following members were present: Walter F. Soule, Raymond Vivenzio, Robert Ford, Ellen McIntyre and
George Earley.
Upon a motion made by George Earley and 2nd by Ellen McIntyre, the Board 'voted to GRANT a Special
Permit from Section 9, Paragraph 9.2 to allow for the construction of a new care takers residence and
garage on the site of the previously existing dwelling, in accordance with the Plan of Land by: Graig A.
Vancura, PLS, #36127, Hancock Survey Associates, Inc., 235 Newbury Street, Danvers, MA 01923, dated:
(revision) 1/8/2001. Voting in favor: WFS/RV/RF/EM/GE.
The Board finds that the applicant has satisfied the provision of Section 9, Paragraph 9.2 of the zoning bylaw and that
such change, extension or alteration shall not be substantially more detrimental than the existing non -conforming structure
to the neighborhood.
Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, they
shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted
under the provisions contained herein shall be deemed to have lapsed after a two (2) year period from the date on which
the Special Permit was granted unless substantial use or construction has commenced, they shall lapse and may be re-
established only after notice, and a new hearing.
Town of North Andov
Board of Appeals, r
Raymond Vivenzio, acting Chairman
MI/Decisions 2001/4
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONTSLRV ATION 688-9570 HEALTH683-9540 PL: NTN7rNG 688 9535
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CA Cku f I/ /�- C%
No. / Date
TOWN OF NORTH ANDOVER
A
Certificate of Occupancy $
Eta' Building/Frame Permit Fee $
s�cHus
Foundation Permit Fee $
: Other Permit Fee D � 0lp $ �6 0, ..--
TOTAL $ J 6'
Check #
�5' ��f-
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Building Inspector
t Y
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1.1 Prop2rty Ad,
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
ry
BUILDING PERMIT NUMBER: /I DATE ISSUED:
SIGNATURE.
Building Comrnis66nei/16
r of Buildings Date
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1.1 Prop2rty Ad,
1.2 Assessors Map and Parcel Number:
Doi
Map umber Parcel Number
1.3 Zoning Information:
Zoning District Proposed Use
1.4 Property Dimensions:
Lot Area (so Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard
Side Yard Rear Yard
Required Provide
Required Provided Required Provided
1.7 Water Supply M G.L.C.40. ).`
Public ❑ Private ❑�i%Zone
1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
em:
Outside Flood Zone ❑ Municipal ❑ On Sita Disposal System ❑
SECTION 2 - PROPERTY OWNERSIUKAUTHORIZED AGENT
2.1 Owner of Re rd
' O' C e l�
Name (Print) Address for Sc ice
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervis r: Not Applicable ❑
Arl�u�L Woxsoo
Licensed Construction Supervisor: C's c)6 3 ,
License Number
aarE �Uj 2
o3 4 3� Expiration Date
Sig Mitore Telephone
3.2 Registered Home Im ovement Contractor Not Applicable ❑
14
Companymj 0�
Registration Number
Add ss /i 7 ^ Q/
YA �4 Expiration Date
Signature Telephone
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.
Si ned affidavit Attached Yes .......0 No ....... 0
SECTION 5 Description of Proposed Work Lcheck all applicable)
New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work: JJ
96 J S /tie IV
0C (VU1 Ca � C �q r"s
I SECTION 6 - RSTTMATRn CONSTRUCTION COSTS I
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
£}FFIC
s,��
USE C}N:�' 5
1. 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
V
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 71b OWNER/AUTHORIZED AGENT DECLARATION
I, as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief
Z', C( 0
Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS IST 2 ND 3 RD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHININEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
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INOV- B-00 WED $:51 AIM
Town of North Andover
Buildlug Department
27 Charie& StfCiO'i
North AndGvCr, MaSS&ON390 01845
(979) 689.9545 Fax (974) 6M-9542
Building m 11 a da 't
DATE !Z/ -aa
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BOARD OF BUILDING REGULATIONS
"s License: CONSTRUCTION SUPERVISOR
Number: CS 063168
Birthdate: 02/12/1956
Expires: 02/12/2002 Tr. no: 16627
Restricted To: 1G
ARTHUR F WATSON „ Q
Town of North Andover
RECEIVED Office of the Building Department
JOYCE BR
TOWN unity Development and Services Division
NORTH ANDOVER William J. Scott, Division Director
27 Charles Street
ZOJAN el Mi- �Z; 3 5 North Andover, Massachusetts 01845
D. Robert i e (9hone 978 688-9545
78) 688-9542
Building C0111111fSS10nB1
Any appeal. shall. be filed
within 1201 days after the.
date of tiling of this notice .
In the office of the Town Clerk.
This is to certify that twenty (20) daFax Teleys
have elapsed from date of decision, filed
lithout filing ofan a t.
Dated 9, "9N."/
Joyce A. Bradahaus
Town Clerk
Notice of Decision
Year 2001
Property at: 56 Academy Road
ATTEST:
A True Copy
o
Town Clerk
NAME: Robert Kittredge, principal of KITCO Farm, LTD
DATE: January 10, 2001
ADDRESS: 56 Academy Road
PETITION: 041-2000
North Andover, MA 01845
HEARING: 1/9/2001
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, January 9,
2001 at 7:30 PM upon the application of Robert Kittredge, principal of KITCO Farm, LTD, 56 Academy
Road, North Andover, MA for a Special Permit (within the Watershed) from Section 9, Paragraph 9.2 to
allow for the altering/rebuilding of a caretakers residence and garage, therefore, having 2 dwellings on one
parcel, on pre-existing, non -conforming lot within the R-3 Zoning District.
The following members were present: Waiter F. Soule, Raymond Vivenzio, Robert Ford, Ellen McIntyre and
George Earley,
Upon a motion made by George Earley and 2nd by Ellen McIntyre, the Board voted to GRANT a Special
Permit from Section 9, Paragraph 9.2 to allow for the construction of anew care takers residence and
garage on the site of this' previously existing dwelling, in accordance with the Plan of Land by Graig Q
Vancura, PLS, #36127, Hancock Survey Associates, Inc., 235 Newbury, Street, Danvers, MA. 01923, dated:
(revision) 1/8/2001.: Voting in favor. WFS/RV/RF/EM/GE,
The Board finds that the applicant has satisfied the provision of Section 9, Paragraph 9.2 of the zoning bylaw and that
such change, extension or alteration shall not be substantially more detrimental than the existing non -conforming structure
to the neighborhood.
Furthermore, If the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, they
shall lapse, and may lie re-established only after notice, and a new hearing. Furthermore, If a Special Permit granted
under the provisions contained herein shall.be deemed to have lapsed after a two (2) year period from the date on which
the Special Permit was granted unless' substantial use or construction has commenced, they shall lapse. and may be re-
established only after notice, and a new hearing.
:hairman
PLANNING 688-9535
CRESCIO
TRUCKING CO., INC.
8 Duby Drive
Billerica, MA 01821
(978) 667-3363 • (978) 670-5631 • Fax (978) 439-9166
AUGUST 31, 2000
KITCO
56 ACADEMY RD
N ANDOVER MASS. 01845
ATTN: DANA ADAM,
THANK YOU FOR ALLOWING CRESCIO TRUCKING COMPANY THE OPPORTUNITY TO QUOTE ON
THE DEMOLITION PROJECT AT THE ABOVE ADDRESS. FOR THE COST OF 54900.00 WE WILL
PROVIDE COMPLE'T'E DEMOLITION AND REMOVAL OF 'WOODED STUCTURE. IF ANY UNFOR.SEEN
HAZARDOUS MATERIAL OR ASBESTOS IS FOUND, IT WILL BE INVOICED AS A EXTRA. IF YOU
HAVE ANY QUESTIONS PLEASE CALL ME.
SINCERELY,
MANAGER
The Commonwealth of Massachusetts
Department of lndustnaUccidents
Office of Investigations
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
Name Please Print
Name:
Location:
CitN/ Phone
F7
1 am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
ERI am an employer providing workers' compensation for my employees working on this job.
nv name: 1-
W
i
Comoanv name:
Insurance Co. POIIC'J T
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition cf criminal penalties of a rine up to 51,500.00
and/or one years' imorscnment as ,veil as cavil penalties in the form of a STOP'NCRK ORDER and a rine cf (S100.00) a day against me. 1
understand that a copy of this statement may be forwarded to the Office of Investigations cf the DIA for coverage verification.
l cc hereby certify
Signature k-Z.V\-*%A UV-A,�,(�
Print name A r,&U)CL kA'415Ga
tion provided accve is true and correct.
Date 9— ?— I —oo
Fhone #(03— jJ — 6 t 3`-
Offic,al use only do not write in this area to Ce completed by city cr town cfficiai
City or Tcwn \ P=rmitJLUcensine
[I Check if immediate response is required
Contact person, rncne K
❑
Building Cept
Licensing Board
C
Selectman's Office
health Department
7
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