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I I 100.00' g 0 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUU,DING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/InstWor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number Vo -N /)n , 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: f0 -00-0 /0 0 Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 2 0 Q 30 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public l/ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal li/ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Joh u D, V),-- rh 1,Q Name (Print Address for Service /7 -,S-?o SG a Signatur Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor �JtV cC�i�� /3005. Const- C40 . Not Applicable ❑ -;)P-1- _ l Company Name / J// l /W�� Addre Registration Number / Expiration Eon Date Sin re Telephone T 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 affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ....... El No ....... ❑ SECTION 5 Description of Proposed Work(check au applicable New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 1A '04 P (Ao Show, -,5 `i-/ i L b Tom" A�)c7SlFIr. I SECTION 6 - ESTIMATED CONSTRUCTInN rncTQ I Item Estimated Cost (Dollar) to be Com leted bermit applicant OFFICIAL USE',ONLY' 1. Building � (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee (8) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number aht;iivrr is VWINEKAUltlOKlZAllOtN TO HE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUR DING PERMIT 1, , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION C 1> 1 ' as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief il/ (-chime Print Ramel Si�n�a urt e of Owner)AP-en Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS ILF-IGHT 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: C L . + S () COD aloccgslh) (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through. the Office of the Building Inspector Permit Number REScheck Compliance Certificate Checked By/Date 1995 MEC RES check Software Version 3.5 Release lc Data filename: C:\Program Files\Check\REScheck\DEVEHCCIA.rck TITLE: 66 HEWITT AVE CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: Single Family DATE: 06/06/03 DATE OF PLANS: 06/06/03 PROJECT INFORMATION: N ANDOVER MA COMPANY INFORMATION: JOHN DEVECCHIA NOTES: ALL INFO SUPLIED BY BUILDER COMPLIANCE: Passes Maximum UA = 521 Your Home UA = 519 0.4% Better Than Code (UA) Boiler 1: Other (Except Gas -Fired Steam), 80 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC requirements in RES checkVersion 3.5 Release lc (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. Builder/Designer Date Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1920 30.0 0.0 67 Wall 1: Wood Frame, 16" o.c. 3152 13.0 0.0 223 Window 1: Wood Frame:Double Pane with Low -E 332 0.340 113 Window 2: Wood Frame:Double Pane with Low -E 59 0.330 19 Door 1: Solid 22 0.160 4 Door 2: Solid 22 0.280 6 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 1843 19.0 0.0 87 Boiler 1: Other (Except Gas -Fired Steam), 80 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC requirements in RES checkVersion 3.5 Release lc (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. Builder/Designer Date REScheck Inspection Checklist 1995 MEC REScheckSoftware Version 3.5 Release lc DATE: 06/06/03 TITLE: 66 HEWITT AVE Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Above -Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: Windows: [ ) 1. Window 1: Wood Frame:Double Pane with Low -E, U -factor: 0.340 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: [ ] 2. Window 2: Wood Frame:Double Pane with Low -E, U -factor: 0.330 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: [ ] 1. Door 1: Solid, U -factor: 0.160 Comments: [ ] 2. Door 2: Solid, U -factor: 0.280 Comments: Floors: [ ] 1. Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Heating and Cooling Equipment: 1. Boiler 1: Other (Except Gas -Fired Steam), 80 AFUE or higher Make and Model Number Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials. If non -IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values and glazing U -factors must be clearly marked on the building plans or specifications Duct Insulation: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. Duct Construction: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating Runouts Circulating Mains and Runouts Temperature ( F) Up to 1„ Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. NOTES TO FIELD (Building Department Use Only) Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Tel: 978-688-9545 Town of North Andover Building Department 27 Charles Street North Andover MA 01845 HOMEOWNER LICENSE EXEMPTION Please print. DATE 6 ` to ` o31 JOB LOCATIO N 6 r y W i �`i�=,� of Number C� Street Address / Section of Town "HOMEOWNER 17�' 6 Y ` hs 02 2, Number Home/Phone Work Phone PRESENT MAILIN G ADDRESS C SC&D / �( 1-4A.)F City Town 0 State Zip The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 109.1.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures ac- cessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner" certifies that he/she understands the Town of No. Andover Building Department minimum inspection proc dures nd at he/she will requirements an comply with said procedures and requRemeryt�s . HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control. 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: y-' L 1. S ALj5m Aj, g, (Location of Facility) Lv Signature of Permit Applicant -/y -c)3 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through. the Office of the Building Inspector 05/06/2006 07:42 9787944720 BAY STATE GAS PAGE 01 T protect 1.F. ARDistribu4ion Work Order Identification: Location Pbome Work Order w At houseTo Htn�e stmt KcSc b R TT AVE Pbw Initiated Witte BI . w vnti w A t, w snitr w Town I�TORTti �1ND©VER W��J 04 15/2003 Cudotnec Acctnmt * Initlatad Time — 1 At 1,4K rM Lot At poleTo Vote At I niet mat tion 08-.40 I To nter umhcr Source_ Kit et>d Gild M TCCS N42_!(''(7,ty'T(jMR pi t:ondittons Source NAM C.u�itomcr Name � Entered B r.�."�--•-�'------- —� C. y DIVEECRIA Data: Pipe Size pile Type Coat `type Pressure Length, Cut Depth Yew Pipe Conti. Coat Cond. Pit Depth # of Pits Fit Size Kate Clays RE SSRVZCE - NONREPORT no HOUSE TO BE 0 BE RE14OVED JOHN 17-590-8627 LRestoration Needed Restoration Dont t..r......ari— A -A aove.,rofi— 1. 1s."fltnn nn R—k MPY-6-2003 TIE 08:41RM ID: 1 Rill tO CUWMICO �f SoeduW Fate 04/15/2503 }j Ern b ee Alan red ANY EMPLOYEE, 11 BSG Crew Axs1 nai Other Faletr Sipe Anode Inst. 1�.. Flow Limiter E ,j IRstalle+d I`eLFf"'1 Flow Liotti Tagged Curti Cock installed Meter Barnet Instalitrd Rterar Fit installed Inside Outtiide Strep Test M Y t "i Fressuru.. �: •; Fe 'Square 'Square Ineit Elped, PSI �� I Time Faletr Sipe t,cngth Width 1�.. PAGE: 2 LS 003 1-a1 Town of North Andover afi �JORTH •q Building Department �,? °o� 27 Charles Street North Andover, Massachusetts 01845 f ,� (978) 688-9545 Fax (978) 688-9542 �62 Building Demolition Affidavit �ss'�CHL1'S�� DATE 1-I�-�Q3 OWNRI �AMT-4 A)D� 1�- ,Ci PROPLOCATION DESCRIP ON �6 , ',�,eLJ A), A,40.1Ah< )W"V, 19 li?bl '�' DEPART'M SIGN-0FFS D.P.W./ W_,��R SEINER TA3CES POLICE EIRE B2) TTRML'�ATOR DUWi STER ON/ OFF STREET DICT SA,FE_Nt.7MBER BLDG. INSPECTOR DATE REC'D THU 11 : =.1Hf,l TC.,: I b T,-, T ,-, I G ,', .- C ii f i I 05/06/2003 07:42 9787944720 Sketch: Restoration Data: BAY STATE GAS P nAR I rf i Permit Data: PAGE CK 019 Safe- Ticket # Date Efftt�tiv„ Notification: Permit Required: Date Sent Date Rec'd pe"lit 0 Town state! Water Notifleation: Im. cam -- Sewer Notification: El Da,, C,,11,4 Stamps: Completion Data: Comments: Completed Date Date Started Completed Units Signature MAY -6-2003 TLIE 08:,42AM ID: PRGE: 3 yl - S BAY STATE GAS P nAR I rf i Permit Data: PAGE CK 019 Safe- Ticket # Date Efftt�tiv„ Notification: Permit Required: Date Sent Date Rec'd pe"lit 0 Town state! Water Notifleation: Im. cam -- Sewer Notification: El Da,, C,,11,4 Stamps: Completion Data: Comments: Completed Date Date Started Completed Units Signature MAY -6-2003 TLIE 08:,42AM ID: PRGE: 3 J all Town of North Andover Buildiog Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 Building Demolition Affidavit DATE '-- --Q3 �IORr" o` `lute '66 a V 0 ~ -DESCRIP'iiON DEPAR7M SIGN -OFFS W, � %d' TELEPRONE BLDG. INSPECTOR DATE RECD Ir HIJ 11 _1Fjj.I TCj: c L02 PROPERTY LOCATION 6-6 40 77 /89� U2—� -DESCRIP'iiON DEPAR7M SIGN -OFFS W, � %d' TELEPRONE BLDG. INSPECTOR DATE RECD Ir HIJ 11 _1Fjj.I TCj: FORM U -LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION APPLICANT LOCATION: Assessor's Map Number "0— SUBDIVISION STREET__��� PHONE_9 PARCEL " LOT (S) ST. NUMBER__(/ ***********************" OFFICIAL USE ONLY****►y►�►***,****,�* I nr-L;V MhN1Ja10NS OF, TOWN AGENTS: /% CONSERVATION COMMENTS MMENII S k h I Ka u TOWN PLANNER COMMENTS AOR DATE APPROVED 1 DATE REJECTED_ too awcky -- d�u,"�►��.e. ah tx s r (C",- 4 .. FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS R_ DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE -REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT ` FIRE DEPARTMENT / RECEIVED BY BUILDING INSPECTOR Revised 9W im DATE &,Js Date. /..��.. •otic TOWN OF NORTH ANDOVER 0 to PERMIT FOR PLUMBING s ;' �O..r�o �A�4•� ,SSACMUSE� This certifies that .. :1:.. .. ............................. a has permission to perform .-..--....................... . plumbing in the buildings of .c'��!�,L`� at . . .... r ............... .... . , North Andover, Mass. Fee l�/!S.... Lic. No...... `' ................. C' PLUM91NG INSPECTOR Check # 1"),23 6831 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) City, Town Building jj AT: Location 6/ 176W1 d'�v,?,r New ❑ Renovation L�1 Date' Permit # a -> Owner's Name Type of Occupancy: Replacement ❑ FIXTURES Plans Submitted Yes ❑ No ❑ (Print or Type) Installing Company Name JN ye -F� �`d%' Address 16 CI A1—/4 #1-- Rb -FeW k sd i, Gj 070 Check One: ❑ Corp ❑ Partnership _ M Firm/Company Certificate Business Telephone Name of Licensed Plumber or Gasfitter 2>6 VE ZA 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 pro stons of the Ma%%R�husetts State G Code and Chapter 142 of the General Laws. 1 hainf fr ted the lo-+Vl This agenNat 1 do not have liability insurance including completed operations coverage. e a current liability insurance policy to include completed operations coverage. ❑ By Title City/Town APPROVED (OFFICE USE ONLY) a -I� Signature of Licensed Plumber 6 !3 Type of Plumbing License ❑ Master ® Journeyman License Number ,// Td Date.. . ............'.. �....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... �z �......J.........4 ... �-_A.......................... has permission to perform .......................... .:.;,. 1:1. ....................... wiring in the building of...:........:.... -.-.5::. --.:-.�. ............................. at ....1.1....... � ..�:.,�-c:-:?-�................ , North Andover, Mass. "II Fee .�'.`.'. Q .... . ...... Lic. No.3GQ�`1. � �. !!� .� ..... . .... . . ..... .. ELECTRICAL INSPECTOR / Check #-;y 6 4. Y/ 111h (,'U& MUIV WP:f LJ H UP'A1M&4C;11U6P,113 DEPAR7AfENT OFPUBIICSAFETY BOARD OFFIREPREVEMONREGUT4770NS5270tlR1200 Office Use only Permit No. �7 Z Occupancy & Fees Checked APPLICATION FOR PERMFFTO PERFORM ELECTRICAL WORK o ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (P ESE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to Location (Street & Number) (/ Owner or Tenant ---bAy Owner's Address the electrical work described below. Is this permit in conjunction with a building permit: Yes Purpose of Building Existing Service d U Amps / Lo Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Elt No a To the Inspector of Wires: (Check Appropriate Box) Utility Authorization No. Overhead Underground Overhead Underground No. of Meters No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures/ Swimming Pool Above Below Generators KVA round 1:1round No. of Receptacle Outlets 2 v No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets A? 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 I Pumps . Tons KW Initiating Devices No. of Sounding'Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections � No. of Water Heaters KW No. of No. of Si s Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER• 16SLU eCDWrW- PU[Manttothe cagtZMXIZOMassadU9&CalaalLaws IhaveacuumLi*k1nst==R)hcyi dx&gCornplee OErAm CoNaagecrilsakstantelgrmlat YES NO Ibaveabriwdvandptoofofsametothe0ffica YES I"iGb If)mbaNedolodYES,pleasein&&thCMVOfcovWby dleckir die Ropre— box INANCE BOND MIER 71 (Please Spey) Q F-ViralimD& �� O �° 2)OFrnmdVahleofDectricalWolic� Wodcto,Sla<t Signoduofpe w. HiRMNAME IicenseNo. Lime /�/V • Cdy 2L / Siglalure L `^ Lx=No o BushmTel.No. J��-36D a At. Tel. Nam°—'''P -�'7�- f97 - C)1 -2.r OWNER'S INSURANCEWAIVER;IamawatethattheUmisedoes nothavetheinsutameoort'Woritssubstantialeq dla1asIaq1tadbyMassactxzMGalaalLaws and thatmyq' on appliratiorlwaivrsthisMgz,emalt (Plea he one O n L Agent ' `�' CC/ u Telephone No.PERMIT FEE $� Signatum of Uwneror Agent IRE UULI1LIl UIV VYP 1L111 UP 1V1[7113A(111UI3UI 13 UL116C'USC VILA)' DEPARTAfiMOFPUXJCSA= Permit No. �'7 7 BOARD OFFIREPREVEMONR CYUMHONSM7CM12M 1:5— ov Occupancy & Fees Checked 0 APPLICATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 9 (PLL PRINT IN INK OR TYPE ALL INFORMATION) Date o'- ' 7 Town of North Andover The undersigned applies for a permit to Location (Street & Number) Dwner or Tenant b,4 L/ owner's Address the electrical work described below. is this permit in conjunction with a building permit: 'urpose of Building 3xisting Service2,17 U Amp / Lo Volts Vew Service Amps Volts Vumber of Feeders and Ampacity .ocation and Nature of Proposed Electrical Work Yes ® No M Overhead Overhead To the Inspector of Wires: (Check Appropriate Box) Underground Underground Utility Authorization No. No. of Meters No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures / Swimming Pool Above Below Generators KVA round ground No. of Receptacle Outlets ` 1 V No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Fof Ranges No. of Air Cond. Total Tons No. of Detection and ^nasals _ �, No. of Heat Total Total Pumps . Tons KW Initiating Devices Space Area Heating KW bsFiwashers No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local Municipal _ Other f Dryers � Heating Devices KW Connections f Water Heaters KW No. of No. of - Signs .: Bailasis jydro Massage Tubs No. of Motors Total HP I R' 4Coreragp. Rus<iartto ft wgxemmisof NlassaclusemGerSa' Laws Co�rageorilssubstantialequivala�t YES NO jV77 �dvalidptoofofsametolheOffioe YES ffyouhaNededodYFS,plea9eirrTi*drM)eofawwigeby ,fle. box NICE BOND � a 'lER PC=** F�cpaatirnDate tut Flo �R Rao o'7hf O VahleofF7ecfacal Wodc $ 6161 � M_ ' ofkuty. y a iicenSeNT0. S;gr>an>te G (o o BusilmTel.No. Alt. TeLNo. °P —T7F- S'97 - 0/7.r VNI l'"�T� [JRANC� WANFR; IamawatethattheLioaw doesnothave drirm rmoocowWorits mbsfar><ialgMlatasregtl WbyMasmdxl,,ct Galaallaws (tlrat.scnntappkationwaivesftler�men-01 ea he onn C Agent// Telephone No. 1a �"' 7 PERMIT FEE $ 1gna 11 o caner or gen R,I,t, CJS a. - 7-e9 C� �D 0 Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ... kY .. ........ ....... ............................................ has permission to perform .......... A—:?:. S!'�r ...... .. . .............................. wiring in the building of ..... ' ................................................ -............................................ . e�� ................ .North Andover, Mass. at ...... ...... (, -. -... .. ... Fee .... 32�� ....... Lic. No...r ....... ......... ................. ..... .... .................... i6 EcTRICAL INSPECTOR Check # � 0 5143 7,;(8 e67&W ,67M5,4C' De xart o� Pat- S16dy BOARD OF FIRE PREVENTION REGULATIO APPLICATION FOR PERMIT TO PE All work to be performed in accordance with the Vas: (Please Print in ink or type all information) Town of The undersigned applies fc Location (Street & Number. Owner or Tenant Owner's Address 14 Official Use Only Permit No. '5! 1 Y3 57577.5 CMR 12:00 Occupancy & Fee Checked_ 11 ELECTRICAL WORK Electrical Code 527 CMR 12:00 Date l7Zo To H.n 1... dor of Iv ulc nlaNca.avl v •ril ca. Is this permit in conjunction with a building permit Yes No 0 (Check Appropriate Box) 7 j y� Purpose of Building N�Gc! /�j'l�� , Utility Authorization No. ;�� / Existing Service Amps Voits Overheadt/ Undgrnd a No. of Meters New Service � 0o Amps�aovoits Overhead 0 Undgmd 0 No. of Meters dumber of Feeders and Ampacity Location and Nature of Proposed Electrical Work w n S. e d //�� Total No. of Lighting Outlets /0 No. of Hot fuse No. of Transformers KVA Above 0 In a No. of Lighting Fixtures Swimming Pool gmd 9 gmd a Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Batte Units No. of Switch Outlets No of Gas Bumers F1RE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat TotalTotal No. of Di I No. Pum Tons KW No. of Sounding Devices NoJ of Self Contained / No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices a Municipal a Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP OTHER: 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 = (9 - If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE - BOND HER - (Please Specify) �r Estimated Value of. le r"cal W rk$ (Expiration Date) y�� Work to Start Inspection Date Resquested Rough Final Signed under the ffienaTresof perjury: FIRM NAME / /��j� �% LIC. NO. C� Licensee/✓ `i! '� g/ Signature LIC. NO. 0 Bus. Tel No. . Address _ Alt Tel. Noe =� _( OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurantLicmierzige or its substantial equivalent as required by Massachusetts General Laws., And that mxsignature on this pe it application waives this requirement. Owner Agent (Please Check one) of Owner or Agent) Telephone No.61/"J'/O `=[7 PERMIT FEE $ Name: City Phone am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity = I am an employer providing workers' compensation for my employees working on this job_ Company name: Address City: Phone #: _ ruiiGy' it Company name: 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 under the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name Phone # Official use only do not write in this area to be completed by city or town official' n Building Dept ❑Check if immediate response is required Building Dept p Licensing Board p Selectman's Office Contact person: Phone #: Ej Health Department 171 Other FORM WORKMAN'S COMPENSATION Location 46 , : ¢/ /� v t p I . No. Date ~ f NORT1y, TOWN OF NORTH ANDOVER • ; ; Certificate of Occupancy $ ,t3 Eta' Building/Frame Permit Fee $ X76 ACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 18941 Building Inspector 00 M X — z O TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT ;N RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING WELDING PERMIT NUMBER: ., ., .. .. .. . DATE ISSUED: / C� SIGNATURE: Building Commissioner/I r of Buildings Date SECTION 1- SITE INFORMATION 1.1 Pr erty Address: r 1.2 Assessors Map and Parcel Number: Map N Parcel Number 1.3 Zoning Information: Zoning Dislrid Proposed Use 1.4 Property Dimensions: Lot Area Fronts ft 1.6 BURRING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Regured Provided 1.7 Water Supply M.G L.C.40. 34) Public ❑ Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record Dfto AA)ln � Name (Print) % � P,5 is W t AV" / Address for Service Signature Telephone 2.2MOwner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Cons ction Supervisor: �c Licen=Conon Su r. Ad Signature Telephone Not Applicable ❑ �S - 0� ;7/ 413 License Number d0,7 Expiration Date 3.2 Registered Ho Improvement Contractor y7C71 0-S' Gr Not Applicable ❑ Company Name Add —/� `! ///7 (�'Y►` Registration Number Expiration Date Sigpb re Telephone 00 M X — z O SECTION 4 - WORKERS COMPENSATION (XG.L. C 152 6 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 buil rmit. Signed affidavit Attached Yes ....... V No ....... ❑ SECTION 5 Descri tion of Proposed Work check au applicable) New Construction Exiglittg Building 11Repair(s) ❑ Alterations(s)f= Addition El Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description ofPropose Work: P aw cf,l(}-"01, ---` s *0 U r SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OF�CIAt.USE{?NLy, �.: 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction - 3 Plumbinj Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 o r 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 � 1 to act on My behalf, in all ma relative to work authorized by this building permit application. t a Signature of Owner Date SECTION 7b OWNER/AIVIVORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject grv�property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date , NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TI14I3ERS 1 ST2ND 3RD SPAN DEMENSIONS OF SILLS DI1vIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYI� A 4/28/05 PRODUCER THIS CERTIFICATE IS ISSUEDASA MATTER OF INFORMATION A 6 K Fowler Insurance Agency •ONLYAND CONFERS NO RIGHTS UPON T HECERTIFICATE 200 Park Street HOLDER THIS CERTIFICATEDOES NOT AMEND, EXTEND OR MED EXP (Any one person) $ 5,000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BROW. North Reading, MA 01864 INSURERS AFFORDING COVERAGE NAIC # I NSUR EO DiVecchia Brothers Const. Co. INSURER A Preferred Mutual Inhurance CO INSURERS: Safety Insurance Company 6 School Hill Ln. INSURER C: St. Paul Travelers Insurance North Reading, MA 01864 INSURER D: INSURER E: �nvmnr_ce THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. IN SIR DD' POUCYEFFECTIVE FOUCYEXPIRATIJN LTR NSR TYPE OF INSURANCE" POLICY NUMBER ATE MMIDD/YY DATE MWDD! LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR CPP0120566728 3/14/05 3/14/06 EACH OCCURRENCE $ 500,000 PREMISES(Eaoccurence) $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 500,000 GENERALAGGREGATE $ 1.000,000 PRODUCTS -COMPlOPAGG $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JET LOC AUTOMOBILE LIABILITY R ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 300,000 ALL OVNVED AUTOS SCHEDULED AUTOS 1803373 3/12/05 3/12/06 BODILY INJURY (Per person) $ HIRED AUTOS NON-OVINED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGELIABILITY AUTO ONLY - EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTOONLY: AGG $ E)CCESS/UMBR ELLALIABILITY EACH OCCURRENCE $ OCCUR CLAIMSMADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ C WORKERS COMPENSATION ANDVAC EMPLOYERS' LIABILITY ANY PROPR IETOR/PARTNER/DCECUTIVE OFFICER/NIEMBER EXCLU DED? 7PJUB7334A78405 3/22/05 3/22/06 STATU. 0TH' TORYUMITS ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, d escri be under SPECIALPROVI90NSbebw OTHER E.LDISEASE- POUCYLIM[T $ 500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEH CLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Insurance Verification %,Ml IrIUAI t HUL.L&K CANCELLATION DiVecchia Bros. ACORD25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIESSE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS W RITTEN NOTIC ETO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO D OSO SHALL IMPOSENOOBLIGATION OR LIABILITY OF ANY KIND UPON THEINSURER, ITSAGENTS OR REPRESENTATIVES. _ ,UTHOR)2§D ffPRfSENT1ATIVE ;' CORPORATInN I-Qgjt DiVecchia Bros. Construction Inc. 6 School hill L me No. Reading, MA 01864 Dan Artone 66 Rheitt N. Andover MA, 01845 propos'at Date invoice # t 1/27/2005 1. I Description I Amount Builder to supply all material and labor to finish basement according to plans. All walls will be 2x4 studs @16" o.c. with 1/2" blue board and skim coat of plaster. All bottom plates will be pressure treated. All 2x4 walls will be insulated with R I l insulation and vapor barrier. Soffits inclosing Ducts/pipes 2"x3" wd frame with 1/2" blueboard and skin coat. All ceilings to be 2'x2' Armstrong suspended in all new areas. Builder will also supply all interior doors, closets doors, and all closet shelves as needed plus all finish woodworking, and all interior primer and paint for all new walls and doors. Builder will also supply all electrical work and all necessary lighting fixtures, telephone, and cable, at owners request. Plumber will supply all necessary inaterials and labor to construct a full bath, toilet, vanity, sink, 3'x3' shower, faucets, ejector pump, and tank Owner will be responsible for all necessary flooring. JU� i Total 8,000.00 3,400.00 6.400.00 17.800.00 I Im- .Olkc Ql� kQ o ai cv v i L � O a. L G 5 j M In 15N l u O -00 b M C i eC 6. La. 0 R C CO a 0 C II y 00 LU N !�1 6> '0 •� ate+ ..0. E •p CtEA ad C6 o •o Cd y [ .. j > �Al cn .a 7 c .. o C �� yv°bQ C L L a0•+ CO o 0 CZ r y Mmo b O A l O L «3 O O LU O M 05 Q W QQJC o V d V= J H M V 7 UJ_� w � N o LijUW20 a w r M >>0Z o o a pOp a w - T Q �a m g m ~ zZ=wo W 0 K w It z 2 o g m W 2U� < < 91" > F o 0 /zeanv�nnnneix/f� n %i BOARD OF� +xaaan/xccaeCt License: CONSTRUCTION SU ERVISIORS Numb er: CS 087143 Birthdate: 05/18/1954 Expires: 05/18/2007 JOHN DIVECCHIAr'cted: 00 6 SCHOOL HILL LANE NORTH READING, MA 01864 Tr. no: 87143 Acting c mts oner Q 1 O z : o w a cn o IS c w° a ao' U ro w a ao' co w pG w w W r� cgi w" x d p Z rx cu w" z w w a cra o V) o cn : y = o f- o W G .y j_ °C W E w a C+* y H t c o m c o ts O y oO C) ,dam CL C O ea 0 C :t O O 4D EQ CF _ .) �. 0 o n Ca :O= O O cm 0 C cgom E mo � CD��p = 0 yr mJ h m � Go O O E m :ave m LO 0 Q L = O CMQ C CP O y h �S O p f m V H O p Z c o ca CL c :coo N o z O y' C S O '°mc .CLE y ,0C0i •d0 O C3 CD IcmCD 10 g ja ` y O I• s O O CD L O Z CD CL O y D C I cm CO) C p C M O .O 'F m m C. ��•• 3.0 O O � O cc O a CL cMQ C o c !O ca Z CD 0 CL V y O C C _c d CA GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipeistone/fabric filter/cover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at wails. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed wl hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. Gins - solid brick or steel plate bearing at foundations 1/2 " air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode SIR wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. �S of required glazing shall be openable. Bedrooms required min. 2044 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36 " high, Baluster max space 5" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. E\terior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $30.00 (Be Ready). Certificate of occupancy,re aired prior to occupying structure Date ...J.. �I/ ... 0' TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . . . . . . . . . . . . . . . . . has permission for gas installation ........ X-71/ ................ in the buildings of . .................. at ................... North Andover, Mass. Fee,�� ..... Lic. Nw�V. � . . .......... -gas INE Check # Gf 4699 MASSACHUSErIS UNIFORM (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations c W i 'H - Owner's New Renovation ❑ Replacement C DO GAS M ITiG Dates Permit # Amount $ �oh►1 ioIVCC-C•�d a� ` Plans Submitted (Print or type) Check one: Certificate Installing Company Name w�`{ n� � — FrCorp. Address N S Partner. —mac w6cs b vr&LA Business Telep one Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0-- No Q if you have checked Yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ®' Other type of indemnity D Bond �. Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Q Agent Q 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 Gas Code and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber (p -?")' 7 ® Gas Fitter License Number "Master r7 Journeyman x W a I U w O o a o a w F E" �' x z O F" w Q 0 o o z z x ril z U w z w � o H A H tea' W 0 F U a aj z W WW� a - E fOA z O O W F' bi LL x O x w A C7 .Q� U a A a H O SUB-BASEM ENT BASEMENT 1ST. FLOOR i 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. F L O O R 8TH. FLOOR (Print or type) Check one: Certificate Installing Company Name w�`{ n� � — FrCorp. Address N S Partner. —mac w6cs b vr&LA Business Telep one Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0-- No Q if you have checked Yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ®' Other type of indemnity D Bond �. Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Q Agent Q 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 Gas Code and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber (p -?")' 7 ® Gas Fitter License Number "Master r7 Journeyman Date3. TOWN OF NORTH ANDOVER •`. � -'• Oft p PERMIT FOR PLUMBING This certifies that ....// . 4•./ .................. . ' .� has permission to perform ................................... . plumbing in the buildings of ,,,,<' r��:� :f --''.......... . at ll. - V. .............. North Andover, Mass. Lie. N&.7,.,9,7 .. ,L ............. . G-PLUMBI G INSPECTOR Check # 5;67 MASSACHUSETTS UNIFORM APPLI (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location K4, r— W i, New Renovation ri Replacement ON FOR PERMIT TO DO PLUMBIN- .o jrt ,1 ID 1'Vc cc k Jc S �' ►•q I� �qw�r' � FIXTURES Date 3 -3o o kf` Permit # �G Amount Plans Submitted Yes 1:1 No ❑ (Print or type) Check one: Certificate Installing Company Name S + rc V"� -1— � [LTJ- �3 Corp. G -7 C Address ' q / y r+k ❑Partner. 7cVI/ kc, hvr 6 o (> - Business Telephone 9 y S- [,14 d o Fs ( — Firm/Co. Name of Licensed Plumber: w a q Y� L S `}' Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy rp-; Other type of indemnity ❑ Bond 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 El 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 Chapter 142 of the General Laws. (APPROVED (OFFICE USE ONLY Type of Plumbing License License NumDer Master L Journeyman ❑ 7 3 Iro 1 Location 14 V "� No. A180 Date �ORTh TOWN OF NORTH ANDOVER • OL S Certificate of Occupancy $ s'"'•°' E<� Acmus Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ c2 y 3 ` Check # 310 1767 Building Inspector ,is 80 04 00 z LO P4 r I Q > o o ma` T���.,, rr�� W Lo I I- z b���'Q Z D D 00 > 0 o o V)WWO0 PR�� W O0 _ ,: O W 0 CJ v oo N Q p 24 F- Z�Li o r� II N 11 z >' w (n r- C) Z coZ N m 0 z W IX W = a W 1wll Q� LAJ W J IBJ p W Q O_ Q F- O Ix F-oD W Q l,j Z �z �N nn� LLI I z �0 �' 3U Q<o0 W 0-1 0 V) N O 100.00' It I O N 39' W 4: �C 0 0 0 ci 30.9 WhoLij I � � Q Z � Q o � Q® �- N 100.00' ry � c g a� cti 0 Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS b HE 6) LOT NUMBER DATE REQUEST FILED 9) ,--)-,-) SUBDIVISION DATE READY FOR INSPECTION cl l TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE ROUTING D.P.W D.P.W OFFICIAL USE ONLY — WATER METER 17- fJ DATE MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / A& HORIZA ION I Location �./ No. _A — Date NORTH TOWN OF NORTH ANDOVER 3?O� `t`•e ,•',hO O � R A Certificate Occupancy * ; , of $ JACHUSE Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 17644 —Building Inspect r 0 SIGNA Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: O, �LT� r j J ©� // ZoningDistrict Proposed Use Lot Areas Fronta e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard aeUred I Provide Required Provided R red Provided `m 3° 30, 1 39' 1.7 Water Supply M.GL.C.40. § 54) 1.5. Flood Zane Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2- PROPERTY OWNERSIIIP/AUTHORMDAGENT historic Uistrict: Yes NO 2.1 Owner of Record Name nt) Address for Service Sign a Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ � rin Ark) 'nJ k mL19 CS Licens onstructio Supervisor: © 71 y 3 _ License Number Expiration Date d Sig re Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ &OS 6,x�p - Company Name 13 , 3 / 3 sdor2 All//t Registration Number Address f.4,01050"zF Al -0- �-tid Expiratiolf Date Si natur Telephone 00 M z O SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 6 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 all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: q' X Ad J�iP''S sup, SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OMCIAI,:IUSE 01NLY " 1. Building 3 ®(Q b (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 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Sig2ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TUVIBERS iST 2 ND 3 RD SPAN DUVIENSIONS OF SILLS DMtIENSIONS 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 FORM U - LOT RELEASE FORM 1, tC } SKV__TCJ INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ******APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT Oh LOCATION: Assessors Map Number 6 ID 0— swni STREET PHONE (5/7-570-162_? PARCEL LOT (S) ST. NUMBER 66 """""OFFICIAL USE ONLY ***** RECOMMENDATIONS OF TOWN AGENTS: —1 fCONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm 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: f (Location of Facility) ___U A�- - Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Name The Commonwealth of Massachusetts Department of industrial Accidents Office of Investigations Boston, Mass. 02111 . Workers' Compensation Insurance Afdavk Please Print am a nomeowner perrormmg all wont myself. 3?r I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers' compensation for my employees working on this job. Company name: Address City Phone # Insurance Co. _ _ Policv # 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 $1,500.0o and/or one years' imprisonment.as.v¢ell_as_civil penaftiesinlhefnrmcfa..SIOP WORK.ORDER..and..aflne.of (.$1110.00.).a day agaiastme. l understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone # Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensin ❑ Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Selectman's Oirfice Contact person: Phone #.- ❑ Health Department ❑ Other Town of North Andover Building Department 27 Charles Street `y North Andover, MA. 01845 ,SSAtHtts� D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542. Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION Number Street Address Map / lot "HOMEOWNER Name Horne Phone Work Phone PRESENT MAILING ADDRESS City Town State The current exemption for "home6wners" was extended to include owner -occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner" certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATU APPROVAL OF BUILDING OFFICIAL Zip Code s r 4 0 r s r 4 r s r 4 w ��SEtTS ao4 e ti wr1e) 5W ZO _ pMp Q aa� N _� I a ~o w LLJ U) v1 Z II F, o _ m m m w o 00 P > " o C Q o vO N �+ >- z U) J F- z O J Q I ZU w 3E V) of ofM m w �- = z w q oDz it 04 o F-o —m w afw- � Q w >w LLJQ _ r0 W O li.J J z F z w ~ U Q U z z of o a w O OJ o V) ON �� a o w Al 11 S O Oo 1 O z 10 a� ui am o r 5 0 a •'chi a 0 0 O N vlzA w° v w dC y ea m C � rn cn cn ui am ts 9 y CD y CL C 0 Q C3 _Q CO) 0 CL CO2 C O 0 C Q CO) 0 0 Q L � O CL. CL ca cac 10 Q Z s CDCLW C 0 W W LLI W C4 if r 5 0 •'chi 0 0 O N v ACL dC y ea m C O ' 0 CLO) CF- :v AVc2 s ,. - CL -- E C. NCD :�3 = y.+ C m O 3 ;_u C N C o • {V E.00 aC.3 m N o ; 1= QI goo ' :�vio Z c :onoos c H w N m Z ��' 0 c *� .E ==oCZ N o LD 42 O :E C ca d • o� S eyv a .o., •N- � O ts 9 y CD y CL C 0 Q C3 _Q CO) 0 CL CO2 C O 0 C Q CO) 0 0 Q L � O CL. CL ca cac 10 Q Z s CDCLW C 0 W W LLI W C4 if Location ly 1-1-e w �2 No. qz?o Date NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ CNUs <� Building/Frame Permit Fee $ Foundation Permit Fee $ C� Other Permit Fee $ w TOTAL $_ Check # 0 CY8 17L48 'AA `C - Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: SIGNATURE: Building Comm' issioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1..2��11Assessors Map and Parcel Number: `, � 6 6 /7,5(C) �� rl� / /! 0bVt � / h f 1 ,/�1 D 0 ,,.A , Map Number Parcel Number 1.3 Zoning Information: Information:ji 1.4 Property Dimensions: /0, 00o 6ell Zoning District Pr used Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R edProvided Reqwred Provided 3o r ` o' 30' .30 1.7 Water Supply M.G.L.C.40. 54) 1 1.5. Flood Zone Information: Zone Outside Flood 1.8 Sewerage Disposal System: Public V Private ❑ Zone ❑ Municipal On Site Disposal System ❑ SECTION -2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record D Aj 14 Name (Pri Address for Service: ` l G -90 S# tore Telephone 2.2 Owner of Record: t Name Print Address for Service: r Signature Tel hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Si nature Tele hone ou M z O I SECTION 4 - WORKERS COMPENSATION (NLG.L C 152 & 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction Ne Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: /9 a0/ 5; /= AIEW 1400s = /95 SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be}IF'iCiUSE,QNI:Y Completed by permit applicant 1. Building a (a) Building Permit Fee Multiplier 2 Electrical Q Gs� (b) Estimated Total Cost of Construction a6� 3 Plumbina Building Permit fee (a) 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 BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, J0 TDI (Z/�j , as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief C Print N Signaft VUY6winer/Agent Date NO. OF STORIES 6Z SIZE__T ic� BASEMENT OR SLAB SIZE OF FLOOR TINIBERS iST 2 ND 3 RD SPAN DEVIENSIONS OF SILLS DIN ENSIONS OF POSTS DINIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax Please print./ DATEL �`,P6 `.. O Y JOB LOCATION 6i Number "HOMEOWNER PRESENT MAILING ADDRESS Town of North Andover Building Department " 27 Charles Street "PM 1 North Andover, MA. 01845 .s.arwlcs City Town HOMEOWNER LICENSE EXEMPTION Street Address Home L% `6_5_�V0,-- State Map / lot Work Phone The current exemption for "homeowners" was extended to include owner -occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner' certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and reggjremergs. / /J HOMEOWNER'S SIGNA APPROVAL OF BUILDING OFFICIAL Code FORINT - U - LOT RELEASE FORM71�� 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. asssasssssesses^ e�jssesssss'sfssss• saasssssss.fssslsssssssssssssssssssss/s■ h APPLICANT t'� /? AlV f� C 60 PHONE ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION�� LOT NUMBER STREET to saf. � .....1f� �i U STREET NUMBER C� ......f.ar�-.a..... ..f...la.a..a.....aal....a.a.....a.......... OFFICIAL USE ONLY aaaaa■fsasu-aaaasssaafaasas■■■!!l■a.■aa■■f■■aa■uuasuuaaaalaaasflsssssaaa■ RECOMMENDATIONS OF TOWN AGENTS a!!f■ 1.ffff•!!flfalfff!!!!lffff!!!!!!f!•■alff■ftflfaf■■!.!!a!!!!!af!!■■fffa■ / DATE APPROVED D A Y CO SERVATION ADMINIS,YATOR DATE REJECTED COrrIIyIENTs � ".. � '"- DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED Com' DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED CON ENTS CCC, //// PUBLIC WORKS - SEWER ! WATER CONNECTIONS DRIVEWAY PERMIT ' Z� � G��-,��sn✓w�car. DATE APPROVED � -4Z - © q IRE AR �itl DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVER BUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. Permit Applicant Property address Map / Parcel 41 �- Sc/ -O - 276 2-7 l/ Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not absolve me or any. party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. V"- This is an application for building permit for the enlargement, restoration or reconstruction of a dwelling in existence as of the effective date of this bylaw, provided that no additional residential unit is created. The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. . , This application is for dwelling units for low and or moderate income families or. individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. . I This application represents a lot which is ready fora building permit ( all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF TIM ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WCH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT I RO S F REFU AL BYTHE tILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. ICANTS SIGNATURE DATE S FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION Town of North Andover Office of the Zoning Board of Appedls Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta Telephone (978) 688-9541 Building Commissioner Fax (978) 688-9542 Dear: M r, a rl Ve c,c, �; a Date: / )- - / 2-0 As you know, the Zoning Board of Appeals granted your application for a Variance and/or Special Permit or Finding for premises located at: & (af f e��� AvLool" 'c—, Your 20 -day appeal period will have passed on the following date:�yo n , 3 / . 1. Once the appeal period has passed; please pick up your Town Clerk -certified copy of the Zoning Board of Appeals decision, and your ZBA Board -signed Mylar (if a Mylar was required) from the Town Clerk's office located at 120 Main Street, North Andover, MA 01845 (978-688-9501) 2. Please make a paper copy of the ZBA Board -signed Mylar. 3. Please bring the Town Clerk -certified copy of the decision & the signed Mylar to the North Essex Registry of Deeds, 381 Common Street, Lawrence, MA 01840 (978-683-2745), as the decision and Mylar must be filed at the Registry of Deeds as soon as possible. 4. Once this is completed, please bring: A. copy of the certified decision, B. a paper copy made from the ZBA Board -signed Mylar, & C. the Registry of Deeds receipt to the Building Department, which is located at 27 Charles Street, North Andover, MA 01845. Failure to file the decision and Mylar with the Registry of Deeds will result in your inability to exercise your variance and/or special permit and your inability to obtain a building permit with the Building Department. "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." If you have any questions, please feel free to call (978-688-9541) or fax (978-688- 9542), Monday through Thursday, 9:00 AM to 2:00 PM. Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division # i 27 Charles Street North Andover, Massachusetts 01845 �4SS�cNuSE� D. Robert Nicetta Telephone (978) 688-9541 Building Commissioner Fax (978) 688-9542 Any appeal shall be filed Notice of Decision within (20) days after the Year 2003 date of filing of this notice in the office of the Town Clerk. Property at: 66 Hewitt Avenue NAME: John DiVecchia HEARING DATE(S): October 14 & December 9, 2003 ADDRESS: 66 Hewitt Avenue — — -'--_---�— PETITION: 200.3-035 North Andover, MA 01845 TYPING DATE: 12/11/03 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, December 9, 2003 at 7:30 PM upon the application of John DiVecchia, 66 Hewitt Avenue, North Andover, MA requesting a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 of the Zoning Bylaw for relief of front setback requirements and a Special Permit from Section 9, Paragraph 9.2 of the Zoning By- law in order to allow for the addition of a proposed family room, kitchen, bedrooms and garage to a pre- existing structure on a pre-existing, non -conforming lot. The said premise affected is property with frontage on the South side of Hewitt Avenue within the R-3 zoning district. Legal notices were published in the Eagle Tribune on September 29 & October 6, 2003. The following members were present: William J. Sullivan, Ellen P. McIntyre, Joseph D. LaGrasse, Joe E. Smith, and Richard J. Byers. Upon a motion by Joseph D. LaGrasse and 2°d by Richard J. Byers, the Board voted to GRANT the Special Permit from Section 9, Paragraph 9.2 in order to construct a new dwelling within the R-3 setbacks on a non -conforming lot per Guy Messier Residential Design, 148 Park Street, North Reading, MA, Job # 1437. Dated 11/14/03, sheets 1-7 and Plot Plan - Owner: John DiVecchia, Location: 66 Hewitt Avenue, North Andover, MA, Date: November 28, 2003 by Stephen P. Des Roche, PRLS #27699, Engineering & Surveying Services, 70 Bailey Court, Haverhill, Massachusetts 01832 in conjunction with Neponset Valley Survey; on the following conditions: 1. The existing dwelling and shed will be razed and removed. 2. The existing foundation will be filled according to the Building Commissioner's instructions. 3. If the old septic system is still on the site, then it will be removed and the area filled according to the Building Commissioner's instructions. Voting in favor: William J. Sullivan, Ellen P. McIntyre, Joseph D. LaGrasse, Joe E. Smith, and Richard J. Byers. Upon a motion by Joseph D. LaGrasse and 2°d by John M. Pallone, the Board voted to allow the petitioner to WITHDRAW THE PETITION FOR THE VARIANCE WITHOUT PREJUDICE. Voting in favor: ` I Iliam. J. Sullivan, Ellen P. McInt- - Joseph D. LaGrasse, Joe E_ Smith, and Richard J_ Byers. The Board finds that the applicant's smaller dwelling plan and revised site plan now conform to all R-3 setbacks, and the applicant has satisfied the provisions of Section 9, Paragraph 9.2 of the Zoning Bylaw that such change, extension, or alteration shall not be substantially more detrimental than the existing"' conforming structure to the neighborhood. Pagel of 2 J - Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Town of North Andover �oRTh Office of the Zoning Board of Appeals o? •'v'���_K� '� Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 SsActiuse% D. Robert Nicetta Building Contnrissioner Telephone (978) 688-9541 Fax (978) 688-9542 Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced, it shall lapse and may be re-established only after notice, and a new hearing. Decision 2003-035 M60CP37 Page 2 of 2 Town of North Andover Board of Appeals, William J. Sullivan, Chairman t r Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Panning 978-688-9535 10'. it Essex North County Registry of Deeds 381 COMMon Street Lawrence, Massachusetts 01840 01/07/04 JOHN Dl�,ECCIA KM , # 10 Rec: Type PL 50.00 DJC. 680, C. P. L0.00 R. D. 5.00 # 11 €ec: Type DECI,% C50. ,00DJC. ,til C. P. 20. W R. D. 5.00 Total 150.00 # 12 Payment Check 150. ()10 THANl�, YOU! Thmias J. Dun Register of Deeds � I O Z • 3 - C I 'p t`0 C ED �a in -0 33 O!5 m 4- t. yj 2 a,m cu ®� Q� 70 m C ED O, ' a C N O ` m ° '0 .� �E ! Li cu Ln CLa a C L_ f y-. O Q ai O Q C L Ocy in m Q� NA aan NI 0 A WD E *� z 0o w v cn � U C7 o w o C2 :c U a w O H W aa o a4 a w" O W-4 W o w v U) r14 � o r2 G w W w v w o co z cn o cn z T I c cm CO) Q O m m �' CL Z O � � Q Q 16. d CLCOFJ �a C Cc .0 CCO2 Zts � V VD cv c C . 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