HomeMy WebLinkAboutBuilding Permit #Exception - 0 Great Pond Road Lot 128 5/1/2018 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0: Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION ® 6*PQ� 19Jh0 A40 _roo MPV 16-3 OAR /Z
PROPERTY OWNER y� �P � �T 446Lhlfo
Unit#
Print �I
MAP NO: 10�j PARCEL: ,� ZONING DISTRICT: , Historic District yes o
Machine Shop Village yes o
100 year-old structure yes o
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
ew Building ❑One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
® S�pfic ..MIKE,
Fz!r�
ood lam ®We I Ha
�' P � 0 Watershed "4WA
, fi_: v yr . ,�.::y Sw p.a ^ �� ry • a� moi,. # `' r 3 �, .i r
cQY\)NVC � 0 %�VORKTO BE PE D:
(Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
CONTRACTOR Name: Phone:
Address:
i
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER �' 'r " v � ' 1 U`� pho � � ��Z�``""7 9-7
Phone:
Address: rj�y� Reg. No. `� 17�K
FEE SCHEDULE.BULDING PERMIT.$12.000 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
!; Total Project Cost: $_ y��J C,,'-L,/ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
� ,�natu.re.of�Agentl0w ��.� W Signature
.I
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑T Tanning/MassageBody Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑
�I
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
t INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street 1
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
I
Dimension
Number of Stories: � Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.: 01 2
i
ELECTRICAL: Movement of Meter location, mast or servic
edroprequires approval of
Electrical Inspector Yes
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A_F and G min.$100-$1000 fine
NOTES and DATA— For department use
® Notified for pickup
- Date
I � '
Doc:.Building Permit Revised 2011 June/mi
k A"f
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits ,
❑ Building Permit Application
❑ Workers Comp Affidavit
o Photo Copy of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
o Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition or Decks
❑ BuildingPermit
Application _
❑ Certified Surveyed.Plot Plan
❑ Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic.Calculations (If Applicable)
❑ Mass check Energy Compliance Report If Applicable)
p p able
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
Building Permit Application
❑ Certified Proposed Plot Plan ,
❑ Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
o Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
+ Doc: Doc.Building Permit Revised 2008mi
Town of North Andover
ZONING BOARD OF APPEALS
pORTFC
Albert P.Manzi III,Esq.Chairman Associate Members
Ellen P.McIntyre,Vice-Chairmanc2 °0 Michael P.Liporto
Richard J.Byers,Esq.Clerk '' ! p Tyler Speck
D.Paul Koch Jr. I * Zoning Enforcement Officer
Richard M.Vaillancourt *ti4�9ATe0 <y# Gerald A.Brown
�SSACHUSE�
Legal Notice
North Andover Board of Appeals
Notice is hereby given that the Board of Appeals will hold a public hearing at North
Andover Town Hall 120 Main Street, North Andover, MA on Tuesday, March 13th
2012, at 7:30PM to all parties interested in the petition of David and Corliss Paolino
for property located at 0 Great Pond Road (Map 103, Parcel 128), North Andover,
MA 01845.
The applicant plans to construct a new single family home in the R-1 Zoning District.
A Variance is requested. under Section 4.136, (Building and Uses Permitted) 3(c) (ii)
(3) of the Watershed Protection District Bylaw, Construction of a new Permanent
Structure within the "Non-Disturbance Zone" is allowed by Special Permit by the
Planning Board only after a Variance has been granted by the Zoning Board of
Appeals.
Application and supporting materials are available for review at the office of the
Zoning Department 1600 Osgood Street, North Andover, MA, Monday through
Friday from the hours of 8:30 AM to 4:00 PM.
North Andover Board of Appeals}
Notice is hereby given that the
Board of Appeals will hold a pub
lic hearing at North Andover Town
Hall 120 Main , North Andover,
By order of the Board of Appeals
� MA on Tuesday, March 13th 2012,
f at 7:30PM to all parties interested
Albert P. Manzi II1 Es . Chairman m the petition of David and Corliss
EsqPaolino for property.located at 0
Great Pond Road (Map 103, Par-
cel 128),North Andover,MA 01845.
The applicant plans to construct
a new single family home in the R-1
Zoning District.
A Variance is requested under
Published in the Eagle Tribune on: Section 4.136, (Building and Uses
g ` Permitted) 3(c) (0) (3) of the Water-
Feb 28, 2012 _ shed Protection District Bylaw,Con-
-i-:1
on-
q=
C o L,d 6 - 5 4):!:!co 0 (6%t<m n c struction,of a new Permanent Struc-
March 6, 2012 ma n iu�¢ B jCmm0 j €m EN,o O O €N
2 Ir ture within the "Non-Disturbance
tE Zone" is allowed by Special Permitw F N aLm r ,v oacrcP by the Planning Board only after a
d"v v c $c� c''g�v 'rio
C-6 o c Variance has been granted by the vo . . Zoning Board of Appeals.cro ° m • W>t —AaNE
12 ¢zO B E•g € g me-
;
L c 3
a -8 a- a m caaca [Eo terialareofavailable for review at
tfficethe Zoning Department ono a 090) o he
T G N
reet, Andover, MA
1 tC9rit
mo ¢� M �o (ao � occo2o�'gQoo�M ougM � rmo ndyh
Thursday from he
¢cnay o° aSam : hours
� tt
216 (0 oBY deofheBoard of Appealsoo~a a !L _ a O
c o ° 0)9 o Albert P.Manzi III,Esq.,Chairman°�� —°rc3 IS
'c ¢ ET-2/28,3/6/12Z° '6.r- 2Q °
Z o 2Z c0d
M 3: (La 0 cao ,L�IMoN �mci?�EHo
Abutter to Abutter( ) Building Dept. ( ) Conservation ( X ) Zoning ( )
REQUIREMENT: MGL 40A,Section 11 states in part"Parties in Interest as used in this chapter shall mean the petitioner,
abutters,owners of land directly oppositeon any public or private way,and abutters to abutters within
three hundred(300)feet of the property line of the petitioner as they appear on the most recent applicable
tax list,not withstanding that the land of any such owner is located in another city or town,the planning
board of the city or town,and the planning board of every abutting city or town."
Subiect Property:
MAP PARCEL Name Address
103 128 Osprey Realty Trust 0 Great Pond Road,North Andover,MA 01845
John Pallone Trustee 861 Turnpike Street North Andover,MA 01845
Abutters Properties
Mae Parcel Name Address
103 3 Brooks School 1160 Great Pond Road,North Andover,MA 01845
103 8 Gale Kleiner` - 14 Randall Road Ipswich,MA 01938
103 25&132 John Pallone 861 Turnpike Street,North Andover,MA 01845
103 27 Marc Rudick 1046 Great Pond Road,North Andover,MA 01845
103 35 David Polino 940 Great Pond Road,North Andover,MA 01845
103 40 Christine Sylvester 1027 Great Pond Road,North Andover,MA 01845
103 41 Mark DiSalvo 1011 Great Pond Road,North Andover,MA_01845
103 42 Manuel Arista 1001 Great Pond Road,North Andover,MA 01845
103 56 James Carlson 25 Essex Street,North Andover,MA 01845
103 130 David Paolino 940 Great Pond Road,North Andover,MA 01845
This certifies that the names appearing on the
records of the Assessors Office as of
D
Certified i Date
I
I
i
Town of North Andover 1
ZONING BOARD OF APPEALS
Albert P.Manzi III,Esq.Chairman e�No 1. ' .a Associate Members
o
Ellen P.McIntyre,Vice=Chairman o= oY °� Michael P.Liporto
Richard J.Byers,Esq.Clerk F • p Tyler Speck
D.Paul Koch Jr. - * Zoning Enforcement Officer
Richard M.Vaillancourt c'94•�••••-�•,' ' Gerald A.Brown
��SSACHUS tty
Legal Notice
North Andover Board of Appeals
Notice is hereby given that the Board of Appeals will hold a public hearing at North
Andover Town Hall 120 Main Street, North Andover, MA on Tuesday, March 13th
2012, at 7:30PM to all parties interested in the petition of David and Corliss Paolino
for property located at 0 Great Pond Road (Map 103, Parcel 128), North Andover,
MA 01845.
The applicant plans to construct a new single family home in the R-1 Zoning District.
A Variance is requested under Section 4.136, (Building and Uses Permitted) 3(c) (ii)
(3) of the Watershed Protection District Bylaw, Construction of a new Permanent
Structure within the "Non-Disturbance Zone" is allowed by Special Permit by the
Planning Board only after a Variance has been granted by the Zoning Board of
Appeals.
Application and supporting materials are available for review at the office of the
Zoning Department 1600 Osgood Street, North Andover, MA, Monday through
Friday from the hours of 8:30 AM to 4:00 PM.
By order of the Board of Appeals
Albert P. Manzi III, Esq., Chairman
Published in the Eagle Tribune on:
Feb 28, 2012
March 6, 2012
SUBDIVISION PLAN OF LAND IN NORTH ANDOVER /����
Andover Consultants Inc., Surveyors
June 5, 1990
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Separate certificates of title may be issued for land
shown hereon as ....P5•lhrogph• P9_• •••••.
By the Court. - ) Copy of pert of plan
HtedIn—
LAND REGISTRATION OFFICE
AUBUST 8, 1990
. .. :........... Scale of this plan 150 feet to an inch
?wg4/ST fl. Reco e. Loma A.Moore,Engineer for Court
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