HomeMy WebLinkAboutBuilding Permit # 1/10/2017 BUILDING PERMIT of aQ�T 6"•
Building Department 6R`E
TOWN OF NORTH ANDOVER
0
APPLICATION FOR PLAN EXAMINATION
The following is a list of the required forms to be filled out for the appropriate permit to be obtained. *-
Permit tdo#: tr Date Received �R e
Roofing, Siding, Interior Rehabilitation Permits = J ;eL?%q r, a oq '� 'SSa�H�s
Date Issued. r I6
❑ Building Permit Application BIPORTANT:Applicant must complete all items on this page
❑ Workers Comp Affidavit
Li Photo Copy Of H.I.C.And/Or C.S.L. Licenses �LOG�ATION Print
❑ Copy of Contract PROPEEFY OaNR , s w
❑ Floor Plan Or Proposed Interior Work �, Pn ?oDYearStruetufe yes no
❑ Engineering Affidavits for Engineered products MAP .PARCEL: ZONING bI§TRIGT: Hisfonc District Yes no
g g g p Machine_Shop Village _yes no
N®TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit —
TYPE OF IMPROVEMENT PROPOSED USE ( i
Addition Or Decks Residential Non-Residential
❑New Building G family f milt'
❑ Building Permit Application ❑Addition j [i Two or more family ❑Industrial
❑ Certified Surveyed Plot Plan Alteration No.of units: ❑Commercial
o.❑ Workers Comp Affidavit Repair,replacement 0!"�ssessory Bldg ❑ O hers:
p ❑Demolition ❑Other
❑ Photo Copy Of H.LG.And G.S.L. Licenses ❑Septir o Well D Floodplain ❑Wetlands I - Wate' Kbd District
❑ Copy Of Contract ❑Vyater/Sewer
❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And DESCWPTIONrOF WORK To BE PERFORMFo: C�
`a
Hydraulic calculations(If Applicable) � �
❑ Mass check Energy Compliance Report(if Applicable) �c 1 ��t 41 -CA 14,
2 O11
❑ Engineering Affidavits for Engineered products �—
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Identificafion-Please Type or Print Clearly
New Construction(Single and Truro Family} OVV`NER: Name:�. � Phone:q71`�ly�`
Address OI
❑ Building Permit Application
❑ Certified Proposed Plot Plan � Gontrac�r Name: _ . Phone:.
❑ Photo of H.I.C.And C.S.L. Licenses
❑ Workers Comp Affidavit Address:
p
❑ Two Sets of Building Plans (One To Be Returned)to Include Sprinkler Plan And Supervisor's Construction License: _Exp. Date:
Hydraulic Calculations(If Applicable)
❑ Copy Of Contract Ii Home Impfovemet License. Exp. Dater ]
r+ Mass cheek Energy compliance Report , .��. - _ - e __
❑ Engineering Affidavits for Engineered products ARCHlTECTIENOINEER 1 -kr) n Phone: C �`C b
40TE: All dumpster permits requila sign off from Fire Department prior to issuance of B;dg. Permit � i
Address: GYM �Uv —{1 � F�a�—�J —Reg.No. ()
Ts all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of App`a1s FEE SCHEDULE:-U_D JG PERMIT•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST&ASED O 125.0 S.F.
that the appeal period is over. The applicant must then get this recorded at the Reg 'ry of Deeds. One cop}and proof of recording (� FEE:$— -----
must be submitted with the building application i _ rotal Project Cost:� _JS� �J
Dc Building Permit RevisA 2014 Check No.: ! �-_ Receipt No,.__3 1 _O _
VOTE: Persons contracting with unregistered contractors do not have,access to the gurranol fun j
Signatute of A e_ntJOwn ; ` I
g l � gnature of contractor
Plans Submitted❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑
IYp13r FSEWERAGEDISP(}sAL 1[rTtenSlOn
Public Sewer ❑ Tannia,�X-m e/BodyAA ❑ Swimming Pools ❑
Number of Stories: Total square feet of floor area,based on Exterior dimensions.
well ❑ Tobacco Sales ❑ FoodPa&aong/Sales ❑
Private(septic tank,etc, ❑ permanent Dempster on Site
Total land area,sq.ft.:
ELECTRICAL:Movement of Meter location,mast or service drop,Yequt""res approval of
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
Electrical Inspector Yes No
INTERDEPARTMENTAL SIGN OFF-U FORM
ft DAN{�ER ZONE LITERATURE: Yes No ..
tt /1 MGL Chapter 166 Section 21A—F and G min.sioo-si000 fine
PLANNING&DEVELOPMENT Reviewed On t Signature_ 1�11UtU1t
COMMENTS `y) &- NOTES and DATA— For department use)
CONSERVATION Reviewed on Signature`
COMMENTS
1
HEALTH Reviewed on k� t'1 Si nature f
/ f '
COMMENTS 457���u Wrjkt' GS'iQ
Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments _
Conservation Decision: Comments
!Nater&Sewer Gonnection/Signature&Date Driveway Permit
❑ Notified for pickup Call Email
DPW Town Engineer:Signature:
Gated 384 Osgood Street ate Time Contact Name
FIRE DEPARTMENT-Temp Dumpster on site yes no
Located at 124 Main Street / Doc.BaildingPermit Revised 2014
Fire Department signature/date
COMMENT _. ..
Town of "4RT, q Andover
p - 0
*� i ver,Mass,
S U
BOARD OF HEALTH
Food/Kitchen
PERMI T ILD Septic System
THIS CERTIFIES THAT....... .. BUILDING INSPECTOR
�® Foundation�°'
has permission to erect..........................buildings on........�I.l ...........,- q.4. . ..R.. .... .�y+�i.....S 'j°�
Rough
to be occupied as.............1!�.. .�r.. �.�.urr.................................................... Ch mney
provided that the person accepting this per it 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 10MOTHIS ELECTRICAL INSPECTOR
UNLESS COSTRUCTITS Rough
Service
.............. .. .. .........
Final
BUILDING INSPECTOR
GASINSPECTOR
Occupancy Permit Required t® Occupy Building Rough
Display in a Conspicuous Place on the Premises—Do Not Remove Final YY
No Lathing or Dry all To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
'V F
Town of North Andover
ZONING BOARD OF APPEALS
,\lbc,t 11.Nland III,E,q.CblKtaaK1P %40RTH
Ell—P.NIeI.ty'I -
I't Koch In F,q.Clete
201 G SEP 27 PN 4= 4 5
I�ongl.,Ludgin
\11-C'
fil C,11"i i I
Nathan lx cu,xuch
US
Al--cf,m Aj,b,Fl+ This is to e"y that twenly;
have elapsed from date of dodsi'!
without filing of an p
[)at. 0 1,#ile
A.
Any appeal shall be filed within(20) Notice of Decision TownJoyoo Cl13radshaii,
days after the date of filing of this Year 2016 ark
notice in the office of the Town Clerk, Property at:360 Winter Street(Map 104.A,Parcel 0012)
per Mass.Gen.L.ch.40A,§17 North Andover,MA 01845
NAME:Keith&Amy Harley HEARING(S):September 13,2016
1 ADDRESS: 360 Winter Street, PETITION:2016-011
North Andover,Ad.01845 Special Permit—Construct a Family Suite
The North Andover Board of Appeals held a public hearing at The School Administration Building,at 566 Main
Street,North Andover,MA on Tuesday,September 13.2016 at 7:30 PM on the application of Keith&Amy
Harley for property located at 360 Winter Street(Map 104.A,Parcel 0012)North Andover,MA 01845.
A Special Permit for the R-1 Zoning District is needed.The Petitioner is requesting a Special Permit to construct a
Family Suite from 4.121&4.121,17 of the Zoning Bylaws in the R-I Zoning District.
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,August 30,
2016,and September 06,2016.
The following regular voting members were present:Albert P.Manzi 111,Ellen P.McIntyre,Doug Ludgin and
D.Paul Koch. The following Associate members present:Alexandria Jacobs.
D.Paul Koch made a motion to GRANT the Special Permit from 4.121&4.12.17 of the Zoning Bylaw to allow
for a Family Suite in the R-I Zoning District at 360 Winter Street(Map 104.A,Parcel 0012)North Andover,MA
01845.
Ellen McIntyre second the motion to Grant the Special Permit.
All those in favor to Grant the Special Permit:Albert P.Manzi 111,Ellen P.McIntyre,D.Paul Koch,Doug Ludgin
and.Alexandria Jacobs.
Vote 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 are provisions for
the required off-street parking. Adequate and appropriate facilities are provided to the existing residential dwelling
and will be provided for the proper operation of a-Family Suite, The Board finds that the Family Suite will not be
substantially more detrimental than the existing single family dwelling to the neighborhood and that this use,to
allow a Family Suite to the single family dwelling,is in harmony with the general purpose and intent of this Bylaw.
ATTJ'S'11
A Trite CoPY
quA
Town Uerlc Page I o172
Site: 360 Winter Street(Map 104.A,Parcel 0012)north Andover,MA 41845
The Petitioner is requesting a Special Permit to construct a Family Suite from
4.121&4.121.17 of the Zoning Bylaws in the R-1 Zoning District.
Special Permit: Section 4.121&4.121.17 of the Zoning Bylaw in order to grant a Family Suite in
the R-1 Zoning District.
Plans(s)and titles 1)"Plot ofthe Land"containing one(1)sheet. Prepared by Sullivan Engineering
Group,Dated June 16,2016,66 P.O.Box 2004,Woburn,MA.01888
j2)Proposed Modifications The Harley Residence,containing nine sheets;Floor
Plan,Front Elevation,Left Elevation,Rear EIevation,First Floor Plan,Second
Floor Plan, Front Elevation,End Elevations,Rear Elevation,Dated 05/25(2016
&0610511484
Voting in favor of the Albert P.Manzi III, Ellen P.McIntyre,D.Paul Koch,Doug Ludgin and
Special Permit: Alexandr a Jacobs
Voting in the Negative: m'a
The Board finds that the applicant has satisfied the provisions of Section 4.121&4.121.17 of the Zoning Bylaw in
order to allow for a Single Family Suite located at 360 Winter Street(Map 104.A,Parcel 0012)North Andover,MA
01845 in the R-1 Zoning District.
Notes:
I. 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 pennit as
required by the Inspector of Buildings.
3. If the rights authorized by the Special Pernit are not exercised within 2 years of the date of the grant,it shall lapse,and may be re-
established only atter notice and a new hearing.
No Andover Zo ng Boa of Ap eals
ert P.Manzi I11 sq.,Chairman
!len P.McIntyre,Vice-Chairman
D.Paul Koch
Douglas Ludgin
Alexandria Jacobs,Esq,
Decision 2016-011
Page 2 of 2
Town of North Andover
ZONING BOARD OF APPEALS
.filbert P.Manzi 111,Esq.Chairman �����,, associate Afeinbers
Ellen P.McIntyre,Vice-Chairaann Deney Morganthal
Doug Ludgin Nathan Weinreich
D.Paul Koch Jr.,Esq. Alexandria Jacobs,Esq.
Allan Cuscia Zoning Enforcement Officer
Donald Belanger
Date: September 28,2016
Dear: Keith&Amy Harlev
As you know,the Zoning Board of Appeals granted your application for a Special Permit—Family Suite
for the premises at:360 Winter Street North Andover,41A.01845
Your 20-day appeal period will have passed at midnight on the following date:October 17,2016,
allowing you to begin the following three steps startinu on:October 18,2016.
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 bring the Town Clerk-certified copy of the Decision&the signed Mylar to the Essex North
Registry of Deeds,354 Merrimack Street,Suite 304(use Entrance C)Lawrence,MA.01843
(978.683.2745),as the decision and the Mylar must be filed at the Registry of Deeds as soon as
possible.
3. Once this is completed,please bring to The Building Department:
a) A Copy of the Town Clerk&Registry stamped Decision
b) A paper copy made from the ZBA Board-signed and Registered Mylar
c) A completed Building Permit application along with two(2)sets of Building Plans(that have
been approved by the ZBA noting any/all revisions)in order to obtain a Building Permit
upon review.
Failure to file the decision and the Mylar with the Registry of Deeds will result in your inability to
exercise your Variance and/or Special Permit and/or Finding due to,your inability to obtain a
building permit from 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 a new hearing."
If you have any questions,please feel free to call(978.688.9541)or fax(978-688.9542).
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9541 Fas 978.688.9542 Web Fnvw.to+enofnorchandover.com
S
Town of North Andover
ZONING BOARD OF"PEALS
CENCIE)
Albert I.Manzi 111,Esq.Ckd,,, Tov,
Mlen P.McIntyre,Via-Chairwan
D Paul Koch)c.Esq.Clerko
Douglas Lu4n 201G SEP 27 PM 4:45
Allan C.sri.
Deney,Morganthsl
N-0 R T H A,',,-'D'.0 V E
Nathan W6.,eich
_'u—thm A.Jacobs Esq.
Any appeal shall be filed within(20) Notice of Decision
days after the date of filing of this Year 2016
notice in the office of the Town Clerk, Property at:360 Winter Street(Map 104.A,Parcel 0012)
per Mass.Gen.L.ch.40A,§17 North Andover,MA 01845
NAME:Keith&Amy Harley BEARING(S):September 13,2016
ADDRESS: 360 Winter Street, PETITION:2016-011
North Andover,Ma.01845 Special Permit—Construct a Fa.JILS.it
The North Andover Board of Appeals held a public hearing at The School Administration Building,at 566 Main
Street,North Andover,MA on Tuesday,September 13,2016 at 7:30 PM on the application of Keith&Amy
Harley for property located at 360 Winter Street(Map 104.A,Parcel 0012)North Andover,MA 01845.
A Special Permit for the R-1 Zoning District is needed.The Petitioner is requesting a Special Permit to construct a
Family Suite from 4.121&4-121.17 of the Zoning Bylaws in the R-I Zoning District.
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,August 30,
2016,and September 06,2016,
The following regular voting members were present:Albert P.Manzi III,Ellen P.McIntyre,Doug Ludgin and
D.Paul Koch. The following Associate members present:Alexandria Jacobs.
D.Paul Koch made a motion to GRANT the Special Permit from 4.121&4.12.17 of the Zoning Bylaw to allow
for a Family Suite in the R-I Zoning District at 360 Winter Street(Map 104.A,Parcel 0012)North Andover,MA
01845.
Ellen McIntyre second the motion to Grant the Special Permit.
All those in favor to Grant the Special Permit:Albert P.Manzi III,Ellen P.McIntyre,D.Paul Koch,Doug Ludgin
and.Alexandria Jacobs,
Vote 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 are provisions for
the required off-street parking. Adequate and appropriate facilities are provided to the existing residential dwelling
and will be provided for the proper operation of a-Family Suite. The Board finds that the Family Suite will not be
substantially more detrimental than the existing single family dwelling to the neighborhood and that this use,to
allow a Family Suite to the single family dwelling,is in harmony with the general purpose and intent of this Bylaw.
Page I of2
ilASSACHrJSETTS STf,)E EXCISE TAX .
r'_sex P;ersh P �istra
ALA
y;2: c iocx: 572
,39 tions: ?5?S.EjQCt.ttEj
Massachusetts Quitclaim Deed Short Form(individual)
We, Daniel G. Thomas and Susan L. Thomas, of North Andover, Essex County,
Massachusetts,being married, for consideration paid,and in full consideration of
Five Hundred Twenty-Five Thousand{$525,000.00)Dollars,
grant to Keith M.Harley and Amy E.Harley,husband and wife,of 360 Winter
o Street,North Andover,Massachusetts,as tenants by the entirety,
Q
2 with quitclaim covenants, the land in North Andover,Essex County,Massachusetts,
v situated on the Easterly Side of Winter Street and the southerly side of Dale Street,and
o being shown as Lot A on a plan of land entitled"Plan of land located in North Andover,
Q
Ma, prepared for Harold Clayton, dated October 31, 1980, Frank C. Gelinas &
< Associates, Engineers & Architects", recorded with Essex North District Registry of
: Deeds as Plan#9052,as bounded and described as follows:
0
W Westerly by Winter Street,by several courses,as shown on said plan 337.25 feet
more or less;
Northerly by Dale Street(prior to relocation)by two courses,as shown on said plan
u 206.28 feet;
Easterly by land now or formerly of Lewis,by several courses as shown on said
plan. 324.10 feet,more or less;and
ID Southerly by land Lot B,as shown on said plan by two courses 204.63 feet more or
m
less.
Containing according to said plan 60,475 square feet,subject to exclusion below.
0
EXCEPTING AND EXCLUDING.from this conveyance, and from the premises
described above,the following described portion of said premises which was taken by
Essex County Commissioners for relocation of Dale Street by instrument dated June 6,
1957,recorded with Essex North District Registry ofDeeds,Book 855,Page 333:
Northerly by Dale Street(prior to relocation)as shown on said plan,by two courses
206.28 feet;
Easterly by land now or formerly of Lewis(prior to relocation of Dale Street)52
feet more or less;
Bk 14555 Pg21 #5372
Southerly by Lot A,as shown on said plan,after relocation of Dale Street,212.6 feet,
more or less;
Westerly by Winter Street,as shown on said plan,18 feet,more or less.
Property Address:Lot A 360 Winter Straet North Andover Mass 01845
For Grantors'title,see deed from Vernon M.Hawkins to Grantors dated June 10,1983
and recorded in said Registry Book 1683 at Page 2.
Witness our hands and seals on this_day o£March,2016.
Daniel G.Th as Susan L.Thomas
COMMONWEALTH OF MASSACHUSETTS
Essex,ss.
On this 3cd day of March,2016,before me,the undersigned notary public,personally
appeared Daniel G.Thomas.,who is[ ]personally known to me or[A proved to zne
through satisfactory evidence of identification,which was aOSSAGhtiyA driver's
license or to be the person(s) whose name(s) is/are
si ed on tb e e ' ehed document, and acknowledged the foregoing
l
i marlin:F€d H !ltY#R�11 A5�@. et and deed.
� tlTHFMASS
ACHUS
MDNy1FATa OF MASSETTS
My comftsw n&PV 1d lc•
oec m�ber 5,2019 Notary Public
COMMONWEALTH OF MASSACHUSETTS
Essex,ss.
on this .�7.' day of March,2016;befog me,the undersigned notary public,personally
appeared Susan L.Thomas.,who is[r']personally known to me or[ ]proved to me
through satisfactory evidence of identification,which was driver's
license or to be the person(s) whose nazne(s) is/are
signed on the preceding or attached document, and acknowledged the foregoing
instrument to be his/her/their free act and deed.
>� ROBERT P. FORD
;g Nflrary Public 96t*l�tibllC
un�(} soawoxweasn�of aassnaawar
My Commisaian Ez{itTrds
-.member 17,2021
Thms$.NAnd.P&S.Ereed
y '
dann norris batting < architect
planning, design, architecture
one sandown road
chester,new hampshire 03036
603• 887-0086
May 25,2016
To whom it may concern;
The plans prepared by my office for the proposed conversion of a portion of the first
floor of the Harley residence located at 360 Winter Street,North Andover, MA,into an
in-law apartment will provide approximately 784 square feet of gross living area for that
purpose.
This area represents approximately 24%of the approximate gross living area of 3,230
SF contained in the first and second floor of the existing home.
cerely
L'a
QED ARC,
' SA
Dann N. Batting, Architect No.6027
Mass. Reg.No.6027 MAIDEN
MASS.
IN{}F
North Andover MIMAP December 13,2018
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N°RTN TOWN OF NORTH ANDOVER
°t OFFICE OF
3= •
BUILDING DEPARTMENT
} :i 120 Main Street
North Andover,Massachusetts 018=15
4ssncNus�
Telephone(978)688-9545
Donald Belanger
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
Building Permit Application
Please print
DATE: _ U \v \
JOB LOCATION:3U
Number Street Address Mapd ot
Wl
HOMEONER Am 1iCt
N me Home Phone Work Phone
}
PRESENT MAILING ADDRESS ��`1 1 u
of �1 0v�_ 1%�N 0 t T
City Town State Zip Code
The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family
dwellings and to allow such homeowners to engage an individual for hire who does not possess a license,provided
that the ovraer acts as supervisor.
DEFINITION OF HOMEOWNER
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 accessory to such use and/or farm structures.A
person who constructs more than one home in a Uvo-year period shall not be considered a homeowner.(780 CMR
Section IIO.R5.L2)
The undersigned"homeowner'assumes responsibility for compliance with State Building Code and other applicable
codes,by-laws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department
minimum inspection procedures and requirements and that he,=she will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL '-
Revised 9/16
Form Homeowners Exemption
BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9510 PLANNING 688-9535
the Commonwealth of Massachusetts
_ Department oflr,dusttI.IAcdd-ts
1 Congress Street,Suite 100
Boston,MA 02114-2017
e www mass.gov/dia
yPoTkers'CompensationXnsuxanc8 A-Mdavit:BuildexslCantractoxs/Electr3cians/Plnmbers.
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T an ahomeovver doing ell workmYself.(Ado workeas'comp.intanccrequired.]' 10 Building addition
4.W Iao,ahomeo�txter andwill ba hiring contractorstocondnotallwukmmyproperty.Iwill
11.EI Electrical repejrs or additiops
ensurethat all coahactors eitheshavewoncers'compensation insurance or arc sole 1_21 1 0 p1mabing rep airs or additions
Propriems wilhro Snip}oYeirs.
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13.[}RbBfrepairs
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g,❑ple areaeargondcl aad rts.,Edcdrsbase exercissdthsirright e£'exemg#IonperMGI.a. L--t
152,§1(4},and v hove no amployM.[No v�,ahe,comp.insurance required+] .
a czrtthat rlreobsbbx#1 rpnst s-iso fill outthe sectionb=•Sowsowingtheirworke-s'uompensationpolicyinfo�ation'
boy FPh ugfid it indicating they aro doing 0 Wakandthen hfte outside cont eter onat submit anew affidadt indicating such.
fi Iiomeaw•aers who sabmit-this,..
+Contractors That ebeckitsa Eo$o no attaehed'tad additimal sheet showing the name of the sub-confractars and statzwhether o}'naithose entitiw,havo
employees.Tfthe sub-,on6.torshmeemploYm.thvmwtprowdothei workers'comp.pohcyaumber. .. .-
iam an employer that isgrovid rzgwarlie s'eorngensation insurancefor my employees, Below is tkegoTicy arzdjob s to
information.
Insurance Company Name:
Exp rationDate•
Policy#or Self-ins.Lic.#:,
City/State/Zip:
lob Site Address: p showing the policy number a ada pirationdate).
Attach a copy of the workers'compensation policy declaration age( t 500.00
Failure to secuxo coverage as requ ed underl GL o.152,§25A is a crivainal violet on pun shable by a fine up o SI,r
ER and a F
and(or one-year imprisonment s Tell s Civil
enenma be forwarded to the ffices in e O lnvesgations oftho DXA fothe me ofuli r��n 0 a
day against the violator.A copy y
coverage verification.
attd correct.
do hereby cern:fy zctzder the pains rznd penttlties ofperjar}+that tke izzformafiorz pxavided abave is tree
I
Date:
Si afore:
Phone :
Offzeat use only.Do not write in flus area'to le'
co rzpleted by c ty or town offeia7.
1.'ermit2icense#
City or Town•
Xssuing Authority(circle ono):
1.Board of Health 2.But
Department 3.Cityjpewn Clerk 4.Electrical Xnspector 5.PlnmbingXnspector
6.Other
Phone#-
Contact Person:
Enter construction cost for fee cal- North Andover Fee Calculation
Construction Cost
$ 155,000.00 m
$ $ 1&0.00
Plumbing Fee $ 22.50
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 22.50
Total fees collected $ 325.00
360 Winter Street
Family Suite
702-2017 on 1/10/2017
PLAN PURPOSE:
THE APPLICANT IS SEEKING
TO CONSTRUCT AN IN—LAW �J
APARTMENT tMTH NO FOOTPRINT 'Lt"
CHANGES TO THE STRUCTURE. TAX MAP 104A LOT 11
#951 DALE STREET
NJF NORTH ANDOVER SOXFORD REALTY TRUST
510'44'29"E _ _ S10'27749"E
8.66'S08'03'56"E SO8'52'37"E 92.17' S07'35'17'E
'36.73" 85.73' Ex 48.81' — 1
Shea Shed
78
LOT AREA
60,471 S.F.3 to N z
11 z
68
am r°inP°r rig '"z a
o a
Q
ell 3
e ! �hn
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fig !!
N0939'28'W
! NiD'00'50"W 41.54', 80,80'
172.93' y J- N0337'46"W
43.98'
NJ
1-5
WINTER STREET
"I HEREBY CERTIFY THAT THE PROPERTY LINES GRAPHIC SCALE
SHOWN ON THIS PLAN ARE THE LINES DIWtDING SCALE:1"-40'
EXIS77NG OWNERSHIPS,AND THE LINES OF THE 40 O 20 40
STREETS AND WAYS SHOWN ARE INOSE OF PUBLIC Y
OR PRIVATE STREETS OR WAYS ALREADY
ESTABLISHED,AND THAT NO NEW LINES FOR
DIVISION OF EXISI7NG OWNERSHIP OR FOR NEW ZONING TABLE:
WAYS ARE SHOWN AND THIS PLAN CONFORMS TO THE
RULES AND REGULARONS OF THE REGISTRY OF DEEDS." ZONING DISTRICT., R1
I DECLARE, TO THE BEST OF MY PROFESSIONAL
KNOWLEDGE,INFORMATION,AND BELIEF, THAT THIS PLAN REQUIRED PROWDED
WAS PREPARED IN ACCORDANCE M771 THE RULES
AND REGULA77ONS OF THE REGISTERS OF DEEDS MAX.HEIGHT 35 FEET <35 FT
MIN,FRONT SETBACK 30 FT 41 FT
PAUL J.RNWCMO,PLS t TE MIM SIDE SETBACK 20 FT 108 FT
RESERVED FOR REGISTRY USE ONLY MIN.REAR SETBACK 30 FT 78 FT
MIN,LOT FRONTAGE 175 FT 319.25 FT
MIN.LOT AREA 87,120 S.F.60,471 S.F.
PLAN REFERENCE: PLOT PLAN OF LAND
PLAN#: 9052 #360 WINTER STREET
DEED R F R NO. ANDOVER, MA 01845
BOOK: 1883 PAGEGE:: 2
ACCFSSOR NFORMATION PREPARED BY:
MAP 104A PARCEL 12 SULLIVAN ENGINEERING GROUP, LLC
OWNER INFORMATION, P.O. BOX 2004
DANIEL&SUSAN THOMAS WOBURN, MA 01888
360 WNTER STREET (761) 854-8644
NORTH ANDOVER,MA DATE: 6114/16 SCALE: i"=40'
UN
Zoning Bylaw Review Form
Town of North Andover Building Department
,p Mwus 1600 Osgood St.Bldg 20 Suite 2-36
North Andover,MA.01845
Phone 978-688-9545 Fax 978-688-9542
Street: 360 Winter Street
Ma /Lot: — Map 104.A/Lot 0012W__1
Applicant._ Amy Harley _
Request: _fArlSuite
-Date: 08/1112016
Please be advised that after review of your Application and Plans that your Application is
DENIED for the following Zoning Bylaw reasons:
Zoning
Item Notes Item Notes
A Lot Area F Frontage
I Lot area Insufficient I Frontage Insufficient
2 Lot Area Preexisting X 2 Frontage Complies X
3 Lot Area Complies 3_ Preexisting frontage
4 Insufficient Information 4 Insufficient Information
B Use 5 No access over Frontage
I Allowed G Contiguous Building Area
2 Not Allowed I Insufficient Area
3 Use Preexisting 2_ Complies X
4 Special Permit Required X 3 Preexisting CBA
6 Insufficient Information 4 Insufficient Information
C Setback H Building Height
1 All setbacks comply X I Height Exceeds Maximum
2 Front Insufficient 2 Complies X
3 Left Side Insufficient 3 Preexisting Height
Right Side Insufficient 4 Insufficient Information
5
5 Rear Insufficient I Building Coverage
6 Preexisting setback(s) I Coverage exceeds maximum
7 Insufficient Information 2 Coverage Complies X
D Watershed 3 Coverage Preexisting
11
Not in Watershed X 4 Insufficient Information
2 In Watershed j Sign NIA
3 Lot prior to 10/24/94 1 Sign not allowed
4 Zone to be Determined 2 Sign Complies
5 Insufficient Information 3— Insufficient Information
E Historic District K Parking
I In District review required 1 More Parking Required
2 Not in district X 2 Parking Complies X
3 Insufficient Information 3— Insufficient Information
1 4 Pre-existing Parking
Remedy for the above is checked below.
Item# Special Permits Planning Board Item# Variance
Site Plan Review Special Permit Setback Variance
Access other than Frontage Special Permit Parking Variance
Frontage Exception Lot Special Permit Lot Area Variance
Common Driveway Special Permit Height Variance
Congregate Housing Spedial Permit Variance for Sign
Continuing Care Retirement Special Permit X Special Permits Zoning Board
Independent Elderly Housing Special Permit _ Special Permit Non-Conforming Use ZBA
Large Estate Condo Special Permit Earth Removal Special Permit ZBA
Planned Development District Special Permit X Special Permit Use not Listed but Similar
Planned Residential Special Permit Special Permit for Sign
R-6 Density Special Permit Special permit for preexisting nonconforming
Watershed Special Permit
The above review and attached explanation of such is based on the plans and information submitted. No definitive review
and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant
serve to provide definitive answers to the above reasons for Any inaccuracies,misleading information,or other
subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the
discretion of the Building Department.The attached document titled"Plan Review Narrative'shall be attached hereto and
incorporated herein by reference.The building department will retain all plans and documentation for the above file.You
must file a new permit application form and begin the permitting process.
Building Department OfficialSignature Application Received Application Denied
Denial Sent: K
If Faxed Phone Number/Date:
hqh�,
Plan Review NariratiVe I
The following narrative is provided to further explain the reasons for DENIAL for the
APPLICATION for the property indicated on the reverse side:
Item Reasons for
Reference
B-4 A SPECIAL PERMIT FROM 4.121.17 OF THE ZONING BYLAW
(FAMILY SUITE IN THE 11-1 ZONING DISTRICT)IS REQUIRED
FROM THE ZONING BOARD OF APPEALS
Referred To:
Fire V X j Health
Police Zoninq Board
Conservation
I Department of Public Works
X Planning Historical Commission
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PLAN PURPOSE:
THE APPLICANT IS SEEKING
TO CONSTRUCT AN IN—LAW
APARTMENT WITH NO FOOTPRINT `— ofsavnr
CHANGES TO THE STRUCTURE.
TAX MAP 104A LOT 11
#951 DALE STREET
N/F NORTH ANDOVER BOXFORD REALTY TRUST
S10'44'29"E _ 1 0:2774 9"E
8.66' S08'03'56"E S08° 2 37"E 92,17' S07'35'17"E
36.73— 85.73' FET___� 48.81
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WIN TER STREET
"I HEREBY CERTIFY THAT THE PROPERTY LINES GRAPHIC SCALE
SHOWN ON THIS PLAN ARE THE LINES DIVIDING SCALE.-I"=40'
EXISTING OWNERSHIPS, AND THE LINES OF THE
STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC 40 0 20 40
OR PRIVATE STREETS OR WAYS ALREADY
ESTABLISHED, AND THAT NO NEW LINES FOR
DIVISiON OF EXISTING OWNERSHIP OR FOR NEW ZONING TABLE:
WAYS ARE SHOWN AND THIS PLAN CONFORMS TO THE
RULES AND REGULATIONS OF 7HE REGISTRY OF' DEEDS ZONING DISTRICT.- Rl
/ DECLARE, TO THE BEST OF MY PROFESSIONAL
KNOWLEDGE, INFORMATION, AND BELIEF, THAT THIS PLAN REQUIRED PROVIDED.
WAS PREPARED IN ACCORDANCE WITH THE RULES
AND REGULATIONS OF 771E REGISTERS OF DEEDS. MAX HEIGHT 35 FEET < 35 FT
35
MIN. FRONT SETBACK 30
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3ACK FT 47 FT
UL RIVOYH10, PLS DATE 4"
MIN. SIDE SETBACK
20 FT 105 FT
RESERVED FOR REGISTRY USE ONLY
MIN. REAR SETBACK 30 FT 78 FT
MIN. LOT FRONTAGE 175 FT 319,25 FT
MIN. LOT AREA 87,120 S.F. 60,471 S.F.
PLAN REFERENCE:
Jo PLOT PLAN OF LAND
PLAN #: 9052
#360 WINTER STREET
0 M DEED Ej�FERIENCF-
7;> 4 BOOK: 1683 PACE: 2 NO. ANDOVER, MA 01845
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m PREPARED BY:
zm ASSESSOR INFORMATION:
MAP 104A PARCEL 12 SULLIVAN ENGINEERING GROUP, LLC
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<M OWNER INFORMATION- P.O. BOX 2004
m DANIEL & SUSAN THOMAS WOBURN, MA 01888
360 WINTER STREET (781) 854---8644
NORTH ANDOVER, MA DA TF: 6,/14116 SCALE- "'40'
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