HomeMy WebLinkAboutBuilding Permit # 3/16/2016 OORTH
BUILDING PERMIT o�
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO:. 7 Date Received "
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Date Issued:
IMPORTANT:Applicant must complete all items on this page
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LOCATION
Pfi{3PERTC� \ \\
,,MAP NO y�yv y� G ?l I1stto Chsftt v ���
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
D New Building ❑One family
Addition 3`ffwo or more family ❑Industrial
❑Alteration No.of units: ❑Commercial
'✓1 Repair,replacement ❑Assessory Bldg ❑ Others:
Demolition Ei Other
St+ 'R WWII L Flodpiain >Wt( rads C 1rshd=District
Identification Please Type or Print Clearly)
OWNER: Name: � s� •` 6, 4k Phone: nc` sr-"
Address: L-Z� r ?
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ARCHITECT/ENGINEER Phone:
Address: Reg.No.
FEE SCHEDULE:BULDINO PERMIT:$42.00 PER$4000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost:$ `�� �,�iu'--" FEE:$ —
Check No.: �?t`�f Receipt No.: -7
I ` 7
NOTE: Persons eontracting with unregistered contractors do not have access to the guaranty fiend
Signature of AgentlOwner� t 1 Signature of contractor
Plans Subr riftdcl-ll Plans Waived J Certified Plot Plan [ Stamped Plans 01
TYPE OF SEAT i 1 DISPOSAL
Public Sewer
Eg vlacsag�Bodv A t u Swimming Pools
Well
=� o Sales
Private(septic tank,etc_ ❑ Food Packaginglsales DI
ent Dmmpster on site Ef
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
PLANNING&DEVELOPMENT Reviewed On '00110
i Signature_
COMMENTS AILR Pk0ok46su��w�sta-AMOT ya h
f
CONSERVATION Reviewed on j 4 Signature 1,
to
COMMENTS
HEALTH Reviewed on
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COMMENTS
Zoning Board of Appeals:variance,Petition No:
Zoning Decision/receipt submitted yes
,Planning Board Decision: Comments
Conservation Decision: Comments
Water&Seger Connection/Signature&Date
Driveway Permit
DPW Town Engineer:Signature:
FIRE DEPARTME T located 38A Osgood Street
` ` \ I Temp Qumpster on site yes \
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Fcre�Depart`°e }..signa�uretdate `` �\\\�\`�`
Town of) ndover
No.
h ver, Mass,
q1'5
r1% M Ar—ft BOARD OF HEALTH
Food/Kitchen
PEKMIT Tu ILD Septic System
THIS CERTIFIES THAT.......... /../.-..0..,--/`r' ...................................................................... BUILDING INSPECTOR
has permission to erect..........................buildings on /.................... Foundation
Rough
to be occupied as............ ............... chimney
...................
provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIS ARTS Rough
Service
..........
...........
61�Di�G INSPECTO.R. Final
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildin Rough
Display in a Conspicuous Place on the Premises—Do Not Remove Final
No Lathing or Dry all To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
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,5 :5 NORTHERN ESSEX
REGISTRY OF DEEDS
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_ A division ofthe Secretary of the Commonwealth
M.Paul Iannuccillo
Register .
DOCUMENT
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For use with documents that do not meet
Docnnnent formatting standards
This is the first page of this document—Do not remove
PRINT OR TYPE
DOCUMENT TYPE:_A ,,
NUMBER OF PAGES(including cover sheet)
TOWN:
PROPERTY ADDRESS:
INDEXING SHALL BE ABSTRACTED FROM THE DOCUMENT SUBMITTED
Town of North Andover
ZONING BOARD OF APPEAL EOEO
.t rFIV
Albert 11.\Rnn III E>q.Clvi oaraj � '
en P.llc7 nm L'rn CLannrarr of�µ�.o ,ttio SEP
OFFIE
Gl
Rkh.,a l aver-,E,9.Ct1014.1 3�eyt 29 PH 4-04
D.Paul Koch)r. °
AOan C.n.ei. Y TtliYN ar-
oueu.upnrt� �9`=, ;'��5 SSACHTH SE
VER
Dgl .TTS
Doug udgin SSgclaosE _
Deny Morganthal
This is to certify that twenty(20)days
T.—CIM,Ti-,Sc mp have elapsed from date of decision,filed
without filing of an appeal. _
Date l/ j
Joyce A.Brad he
Any appeal shall be filed within(20) Notice of Decision Town Clerk
days after the date offiling ofthis Year 2014
notice in the office of the Town Clerk,
per Mass.Gen.L.ch.40A,§17 Property at:22 Harkaway Road(Nlap 95,Parcel 51)North Andover,MA 01845
NAME:Andrew and Eileen Brien I HEARING(S): 16 September 2014
ADDRESS: 22 Harkaway Road(Map 95,Parcel 51) PETITION: 2014-007A
The North Andover Board of Appeals held a public hearing at the Senior Center,at 120R Main Street,North
Andover,MA on Tuesday,16 September 2014 at 7:30 PM on the application of Andrew and Eileen Brien for
property located at 22 Harks way Road(Map 95,Parcel 51),North Andover,MA 01845.Petitioner is
requesting a Special Permit from Section 9.1 of the Zoning By-laws for a pre-existing non-conforming structure or
uses however may be extended or altered and also a Variance from Table 2(Dimensional Requirements)also from
the Zoning By-laws for a rear yard setback in the R-4 Zoning District,to construct a sitting roomlmudroom.
Legal notices were sent to all the certified abutters provided by the Town of North Andover,Assessors Office,and
were published in the Eagle-Tribune,a newspaper of general circulation in the Town of North Andover,on
September 2,2014 and September 9,2014.
The following regular voting members were present:Albert P.Manzi III,Richard J.Byers,D.Paul Koch Jr.,and
Allan Cuscia. Associate member Doug Ludgin and Deney Morganthal
Koch made a motion to Grant the Special Permit from Section 9.1 of the Zoning Bylaw for 22 Harkaway Road
(Map 95,Parcel 51),to construct a sitting room/mud room.
The Special Permit is needed for a pre-existing non-conforming structure or uses however may be extended or
altered.
Byers second the motion
All in favor to Grant the Special Permit;Albert P.Manzi III,Richard J.Byers,D.Paul Koch Jr.,Allan Cuscia,and
Deney Morganthal
The motion was unanimously approved and the Special Permit was granted.
5-0
The Board finds that this use, as developed by the building and site plans, will not adversely affect the
neighborhood. There will be no nuisance or serious hazard to vehicles or pedestrians since there is provision for the
required off-street parking. Adequate and appropriate facilities are provided to the existing residential dwelling and
will be provided for the proper continued operation of a duplex home. The Board finds that the duplex along with
the proposed addition will not be substantially more detrimental than the existing duplex-family dwelling and that
this use,to allow for the addition of a sitting roomfmudroom to the duplex,is in harmony with the general purpose
and intent of this Bylaw.
ATTEST:
A True Copy -
Town Werk Page 1 of
Site: 22 Harkaway Road(Map 95,Parcel 51)),North Andover,MA 01845
Petitioner is requesting a Special Permit from Section 9.1 for a pre-existing
non-conforming structure and a Variance From Table 2 (Dimensional
Requirements)for a rear yard setback of the Zoning Bylaws in the R-4 Zoning
District to construct a sitting room/mud room.
Plan(s)Title: 1)"Plan of the Land"containing one(1)sheet.Exiting&proposed,Prepared
by Andover Consultants me,1 East River Place Methuen,MA 01844 Dated
January 21,2014
2)"Proposed Rear Elevation,Proposed Right Elevation,Proposed Left
Elevation,Proposed Floor Plan",Containing one sheet,
Prepared by W.A.Hurley and Associates,88 Main Street Andover,MA Dated
January 1Q 2014
Voting in favor: Manzi,Byers,Cuscia,Koch and,Mor anthal
Voting in the Negative: 0
The Board finds that the applicant has satisfied the provisions from Section 9.1 for a pre-existing non-conforming
structure and Table 2(Dimensional Requirements)for a rear yard setback of the Zoning Bylaws in the R-4 Zoning
District to construct a sitting roomtmudroom at the location of 22 Harkaway Road(Map 95,Parcel 51)),North
Andover,MA 01845 in the R4 Zoning District.
Notes:
1. This decision shall not be in effect until a copy of this decision is recorded at the Essex County Registry of Deeds,Northern District at
the applicant's expense.
2. The granting of the special Permit as requested by the applicant does not necessarily ensure the granting of a building permit as the
applicant must abide by all applicable local,state,and federal building codes and regulations,prior to the issuance of a building permit as
required by the Inspector of Buildings.
3. If the rights nuthorizod by the Special Permit are not exercised within two(2)years of the date of the grant,it shall lapse,and may be re-
established only after notice,and a new hearing.
L _
Nor Andover Zoning oard of ppeals
Al rt P.Manzi III,Esq.,Chairman
Richard J.Byers,Esq.,Clerk
D.Paul Koch Jr.Esq.
Allan Cuscia
Deney Morganthal
Decision 2014-007A
Page 2 of 2
The Comnaontvealth of Massachusetts
Depar ttnetat of Industrial Accidents
1 Congress Street,Suite 100
Boston,MA 02114-2017
wipmmass govfdia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name(Business/OrgmizatioWMdividual): t er
Address: leu X 13-Z-
City/State/Zip: 0 Phone#: I2� cel t
Areyou employer?Cla,el,theaplum riots boa: Type of project(required):
1.�m a employer with 1:'' employees(hdl andforpart-time).' 7. New construction
2.Q I am a sole proprietor or partnership and have no employees working forme in S. Q Remodeling
any capacity.[No workers'comp.insurance required.]
3.J I ma hmnemvam doing all work mywy[No workers'emap.marrource required.]t 4. ❑D olition
n
4.Q I am a homeowner and will be hiring contractors to conduct all work on my property.I will 1 uilding addition
ensure that an contractors either hii—ecacen'eompemmimr insumnee or aro sale 11.0 Electrical repairs or additions
proprietors with no employees.
12.0 Plumbing repairs or additions
5.❑Iam.general contractor and I have hired thesub-cmaractom listed on the attached sheet 13.Q Roof repairs
These sub-contractors have employees and have werkere'comp.insumm e.t
6.F]We aro a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other
152,§1(4),and we have no employees.[No workers'eomp.insumnee required.]
*Any applicant that cheeks box ftI must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all vook and than hire outside contractors must submit a new affidavit indicating such.
tContraetom that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees.If the sub-contractors have employees,they must provide their w erkers'comp.policy number.
I ars nn einployer tltat is piovidhtgrporlrers'conipetisation iiisurouce for•ney employees.Belotp is the pokey and job site
Information.
Insurance Company Name: klpl �j t q t-- JA->) _
Policy#or Self-ins.Lic.If: A -you—-7o'2-TZ-L,7-.Z-C--t44 Expiration Date: t
Sob Site Address 42 Aadc W RD City/StatedZip: Ai res$,o—
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
_ Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification. '..
I do herebycer*under Nle pains and penalties ofperjury that the informt.
information provided above is trite and correct.
',.
Sianafore: ` Date:
Phone#: ckY�bG-( q ("
Official use only.Do not sprite in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City[Fown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
7/27/2015 10:03:43 AM 874.0 02102
AC M ® CERTIFICATE OF LIABILITY INSURANCE DATEIMMIMi YYYY}
07/2712015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed.if SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER O49B3. 1 %V CT
MTM Insurance Associates LLC (978)681-5700 No. (978)681-5777
1320 Osgood Street
North Andover,MA 01046 DREas:
U co a c
A.A.I.M.Mutual Insurance Company
INsuREo
Porth Andover Building,Corp INSURER B;._
S
PO Ho#132 ---
Porth Andover, MA 01845
INSURER E:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ItTYPE OPINBVRANCE 1 POLICYNVMBER pppp
GENERALLIABILitt M q1M LIMITS
EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY ET RENTED
PREMI ES Ea e¢onen
CLAIM MADE EJOGGUR MEDEXP(A, person)
PERSONAL&A1 JURY
GENERAL AGGREGATE
FM AGGREGATE LIMIT APPLIES MR: PRODUCTS-COMPiDPAGG
OLICY 0. OC
ECT
AUTOMOBILE LIA81LIrY C0181 SINGLE LIMIT
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ANYAUTO Ea a em) --..
ALLOY,WEp EGHEDUIED BODILY INJURY(Per Perscrt) Y
AUTOS AUTOS BODILY INJURY(PoracadenU Y
HIRED AUTOS NONIOIMVED
AUTOS PR DANA Y
Para i
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UMBRELLA LIAR OCCUR EACH OCCURRENCE
E#CESS LIAR CLAIMS MADE AGGREGATE 5
DEDRETENTION S
INKARROWRAVOIY
X T'ORYL}MITS OER
AI��DN I Two+► � cEcurnrEM MIA AWCd00-7023267.2014A 11111120014 11711,2615 E'LEACHACCIDENi 100,000.00
IMandamry In Nw}
es GG¢acyyoo�y� EL OIBEASE•EA EMPLOYEE F 900,000.00
A SCRIPTION oOP OPERATIONSbebw EL DISEASE-POLICY LIMIT S 600,0DO.00
DESCRIPTION OP OPERAITONSILOCATIONSI VEHICLES(Attach Atone 101,AGGHIonai Remarks Schetlole,R mom apace m mpla a}
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPREW NTATNE
(}9000-2990 ACORO CORPORA ON.AB no is reserved.
1500
U
J6 — Office of Consumer Affairs and Business Regulation
c f' 10 Park Plaza-Suite 5170
Boston,Massachusetts 02116
Home Improvement Contractor Registration
Registration: 137552
Type: Private Corporation
Expiration: 11726/2016 Tr# 260459
NORTH ANDOVER BUILDING CORP. __-- ---- --
JOHN LEEMAN
P.O.BOX BOX 132
N.ANDOVER,MA 01845 ------
Update Address and return card.Mark reason for change.
J Address -Renewal `I Employment (—!Lost Card
SCA 1{)20M-05111
C>lL.-tin Oon Si�+-rrnsoi-
is CS-082816
JOHN R LEER4WJR .
70 PILLON ROAD
'Iffi.TON MA 02186
❑n = 06/16/2016
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PROP05ED REAR ELEVATION
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K A. HURLEY AND A550CIATE5 PROJECT INFORMATION: DRAWING NO. 294 APPROVED BY: DATE:
®1 ARCHITECTURAL DE516N AND RENDERINC75 22 HARKA 4AY RD
as NORTH MAIN 5T NORTH ANDOVER MA DATE:1/10/2014
ANDOVER MA 01810
918-415-5203 wahurlegassoc®gmaii.com
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PROP05ED REAR ELEVATION
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PROP05ED LEFT ELEVATION
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W.P..HURLEY AND A550CIATES PROJECT INFORMATION: DRAWING NO. 234 APPROVED BY: DATE:
ARCHITECTURAL DESIGN AND RENDERING5 22 HARKAWAY RD
® 88 NORTH MAIN 5T NORTH ANDOVER MA DATE:1/10/2014
ANDOVER MA 01810
9"18-4'15-8203 wahurteyassoc 9mail,com
uuw.andoverpians.com