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HomeMy WebLinkAboutBuilding Permit #473 - 100 OLD FARM ROAD 1/28/2008 BUILDING PERMIT o*"0 oT 6�ti TOWN OF NORTH ANDOVER FO�4 •e oA APPLICATION FOR PLAN EXAMINATION 41 Permit NO: � Date Received 2, J Date Issued: IMPORTANT: Applicant must complete all items on this page .LOCATION /—.7/f 61d n ed Print PROPERTY OWNER S(0-77­0��'-? Print MAP NO: PARCEL: . ZONING DISTRICT: Historic District yes no Machine-Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One famrtq� c72 iion Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Sbe Floodplain Wetlands Watershed District ater/Sewer -DE/] CRIPTION OF WORK TO BE PREFORMED: O /mit c�; i�sv c�✓ 9c ` v Identification Please Type or Print Clearly) OWNER: Name: 5c:M IrQa,,, ,v i Phone: 3t i? Irk Address: c� -A �du CONTRACTOR Narae: . , ' f Phone- > Address: Supervisor's Construction License; /5�� rC Exp. Date: /n Home Improvement;License / Exp. Date: Z zz cxJrr' ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BIASSED ON$125.00 PER S.F. Total Project Cost: $VZ�, ee0 FEE: $ so/ Check No.: 11K Receipt No.:�6 Sao NOTE: Persons contracting with unregistered contractors do not have accss to the guaranty fund Signature ofAgenibvvnec v��ignatureb contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS i DATE REJECTED DATE APPROVED CONSERVATION L),-s COMMENTS t\1Q WJ" (GD DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT -'Temp.Dumpsteron site yes° no n. Located.at:124 Main Street Fire Department signature/date. COMMENTS a Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No 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 2007 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 ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ 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 ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ 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 ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location A" No. 3 Date MORTM TOWN OF NORTH ANDOVER 3? •. OL ► �� 9 t Certificate of Occupancy $ JACMUS E<� Building/Frame Permit Fee $ , Foundation Permit Fee $ Other Permit Fee $ (� TOTAL $ Check # 209 ;, u Building Inspector V% TIy Town of2 Andover 0 10 .44 No. 4073 C% 0 yy dower, Mass., 0 LAKE A E COCHICHEWICK 0"�ATED PP0� C7 S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... ..'d........ d.. .. '1. `''.......................................................................... Foundation has permission to erect........................................, buildings on /0-40.......I a 0 po I.........*.... .............. Rough to be occupied as..) ........ov. wv. .................................................................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 CONS"I, I 'A ARTS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. �oRTti own of over No. 4073 - o over, Mass., O LAKE A. T COCHIC HE WICK V ORATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System d �� M�` BUILDING INSPECTOR THIS CERTIFIES THAT...........�. ................................................. Foundation has permission to erect........................................ buildings on /0.6....... . 0.0.0/ ........... ....... .............. Rough tobe occupied as �........M. 4,1_4 .^W.......................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 CONSTR ARTS Rough . .. ......... ............................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place o�n the Premises — Do Not Remove Final No Lathing or D' 7 Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Northpoint Survey CERTIFY THAT TO THE BEST OF MY APPROVED BY THE Services, Inc. PROFESSIONAL KNOWLEDGE AND BELIEF TOWN OF NORTH ANDOVER 180 Water Street THE PROPERTY LINES SHOWN ON THIS PLAN ZONING BOARD OF AP EALS, Haverhill, MA. 01830 REGISTRY OF DEEDS ARE THE LINES DIVIDING EXISTING (q?b)-3?2-0835 OWNERSHIPS AND THE LINES OF STREETS Northern District of Essex SS AND WAYS SHOWN ARE THOSE OF PUBLIC DAT Received and Recorded OR PRIVATE STREETS OR WAY5 ALREADY !4664:�� OOD�?' �n , • , 2001- DIVISION OF EISESTABLISHED XDTING OWNERSHIP OR FOR � l�C..THAT NO NEN LINES FOR O R� 12 6ARKBR � '� A� o'clock NEW WAYS ARE SHOWN. In. ,per PLAN NO. I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL KNOWLEDGE AND BELIEF -per Attest: THIS PLAN CONFORMS TO THE RULES AND REGULATIONS OF THE REGISTERS OF DATE OF APPLICATION -01 X7 -pyc SITE o '� LOCUS DEEDS. "OF DATE OF HEARING la �y �� s,� Register of Deeds DATE ao. GREGORY `I DATE OF DE0151ON I A" A 7- DATE 130 EN # 10 LOCUS PLAN 346 FOR REGISTRY USE �9p� ��` N/F N.T.S. JEFFREY 4 ANN N/F t&(, 07 LU TIMOTHY 4 PATRICIA GREGOR L-BOWDEN . .S. DATE 5K.40-12 PG.341 WILLIAMS M35 L65 BK.5526 P&.305 PROPOSED q0 OLD FARM ROAD M35 L102 12' X 20' 103 BARKER ROAD ADDITION 343.25' ' �® EXISTING 0 EXISTINGN BULKHEAD 2 STY 1+ TO BE d WD RES RELOCATED #loo ms- LOT &A Z72 4?,g3q�.F. D� o`� ASSESSORS tD� � -------- D 263 o't M35 L62 \�h 0�� _------ N/F �j ��• CHRISTINE NE GOMOGLIO Q s SHED /52.3,t BK.blbb P6.240 M35 L54 J� 120 OLD FARM ROAD R-2.. ZONE �. N/F PLAN OF LAND � � REQUIRED APPLICANTS PLA 0 CARMEN 4 DEBRA LOT AREA 43,560 S.F. 4?,q301 S.F. � IN 0 ��0 1E 13<6255 PG 330 FRONTAGE 150' 150' NORTH ANDOVER, MA �Q M55 Lqb SETBACKS OWNER/APPLICANT: 114 OLD FARM ROAD FRONT' 30' 54' SCOTT BOWMANSIDE 30' A 24.0'± B 31.5'± 100 OLD FARM ROAD O 20' 40' b0' REAR 30' 250'± NORTH ANDOVER, MA. DATE: NOVEMBER b, 200'7 SCALE: I" = 40' DEED REFERENCE: 5<6600 F6.175 MAX HEIGHT 35' Ib' PLAN REFERENCE: PLAN #41gO2 I" = 40' PARKIN& 2 2 JOB NO: 4244.00 i ESSEX NORTH RET TRY OF Dam LAWRENCE, MASS. A TRUE CORY•.A T. RE 219TC13OF DEEDS Town of North Andover ZONING BOARD OARD ~~�� APPEALS Albert PManzi � (3«"nx� P. vnu .�, Ellen PMcIntyre, [ice-Chairman tkORTH mcamu].Dy��Ev� G�k lvmyh[ L^Gzas*c 0 1nN ~31 p'. David KWebster ,lsso"awx/°mbeo 7 Thomas IlIMxlim Di6w, M.v^�^ucm,� ~— / r�' ` ^�""" - � � Daniel S.Dmm^ Esq. SA LUI ' ~ 'Town ClQrkmme StAmp The Board finds that owing tocircumstances relating to the shape uythe parcel \000|dParnRou (Map 35, Parcel 62),having both side lot lines at right angles to the street for ca.45',then both side lot lines turning to the East,the shape and placement ofthe existing single-family dwelling parallel to Old Farm Road with the attached garage and driveway on the right side to the street especially affects this land and structure but does not affect generally the Residential I zoning district in which it is located. The Board finds that a literal enforcement of the provisions of Paragraph 7.3 &Table 2 and Section 10, Paragraph 10.4 would involve substantial hardship,financial or otherwise,to the petitioner. The Board finds that the left side abutters Ann M. and Jeff-rey S. Lu,90 Old Farm Road, spoke for the applicant during the hearing and that there was no written or spoken opposition. The Board finds that desirable/e|iu[ may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent orpurpose of the North Andover Bylaw. Note: 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 utthe applicant's expense. 2.The granting ofthe Variance and/or Special Permit avrequested 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 hythe Inspector ofBuildings. Furthermore, i[the rights authorized hythe Variance are not exercised within one(l)year oythe date ofthe grant, it ahuO \upae,and may 6ere-established only after notice,and unew hearing. Furthermore, if 8pcuiu| Permit granted under the provisions contained herein m6u||hedeemed tohave lapsed after utwo(2)year period from the date on which the Special Permit was granted uo\emo xuhstundu| use or construction has commenced, it shall lapse and may be re-established only after notice, and anew hearing. North Andover Zoning Voard of Appeals Albert P. Manzi, 111, Esq., Chairman Richard J. Byers, Esq., Clerk Joseph D. LuGmmon David R. Webster Associate Member Daniel S. Bmexo. Esq. Decision 2007-025. M35p62. Page 2of2 DATE(MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE $ 2007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Circle Business Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 247 Newbury St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Danvers, MA 01923 978-777-7030 INSURERS AFFORDING COVERAGE NAIC# INSURED Joseph Blanchet INSURER A: PENN-AMERICA INSURER B: ZURICH AMERICAN 124 Lake Street INSURER C: Haverhill, MA 01832 INSURER D: 78-994-6134 INSURER E: COVERAGES 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 WITH 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADDL POLICY EFfECTNE POLICY EXPIRATION LTR NERD TYPEOF INSURANCE POLICY NUMBER DATE M/DDIYY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE_ $ 1 000 000 X `ETD REATE6 COMMERCIAL LIABILITY PREMISES Ea occurence $ 50,000 CLAIMSMADE CIOCCUR MED EXP(Any one person) $ 5 000 X PAC6613201 9/1/07 9/1/08 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2x000,000 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Peraccident) PROPERTY DAMAGE $ (Peraccident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTOONLY: AGG $ EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CICLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONAND EMPLOYERS'LIABILITY X TORYI MITS I ER ANY PROPRIETORMARTNERLEXECUTIVE UB-5 617 C19 0 9/6/07 9/6/08 E.L.EACH ACCIDENT $ 100,000 B OFFICERNEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 Ifyes,describeunder SPEC IAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN HALL DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL ATT: BUILDING INSPECTOR IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR NORTH ANDOVER MA REPRESENTATIVES AUTHORIZED RFJ! NTATIVE ACORD25(2001/08) ©ACORD CORPORATION 1988 Town of North Andover ZONING BOARD OF"PEALS Albert P.Manzi III,Esq.Chairman Ellen P.McIntyre, T/ice-ChairmanAORTFI 0.* ttao Richard J.Byers,Esq. Clerk Joseph D.LaGrasse 0 JAN -3 P B David R.Webster #_ Associate Members Thomas D.Ippolito 4RTH Richard M.Vaillancourt tWif'g Daniel S.Braese,Esq. CHU Town Clerk Time Stamp Any appeal shall be filed within Notice of Decision (20)days after the date of filing Year 2007 of this notice in the office of the Town Clerk,per Mass. Gen.L. ch. 40A, §17 Property at: 100 Old Farm Road(Map 35,Parcel 62), NAME: Scott Bowman HEARING(S): December 18,2007 ADDRESS: 100 Old Farm Road PETITION: 2007-025 North'Andover, MA 01845 TYPING DATE: December 27,2007 The North Andover Board of Appeals held a public hearing at its regular meeting in the hearing at the North Andover High School Lecture Hall,430 Osgood Street,North Andover,MA on Tuesday the 18'h of December,2007 at 7:30 PM at 7:30 PM upon the application of Scott Bowman,100 Old Farm Road(Map 35,Parcel 62),North Andover,MA requesting a dimensional Variance from Section 7,Paragraph 7.3 (Yard Setbacks)and Table 2 of the Zoning Bylaw for relief from the left side setback requirement in order to construct a single story family room addition to an existing single family dwelling. Said premise affected is property with frontage on the North side of Old Farm Road within the R-2 zoning district. Legal notices were sent to all names on the abutter's list and were published in the Eagle-Tribune, a newspaper of general circulation in the Town of North Andover,on December 3 &December 10,2007. The following voting members were present: joseph D. LaGrasse,Richard J.Byers, Albert P. Manzi., 111, David R. Webster,and Daniel S. Braese. The following non-voting members were present: "Phomas D. Ippolito and Richard M. Vaillancourt. Upon a motion by Richard J. Byers and 2nd by David R. Webster.the Board voted to GRANT a dimensional Variance from Section 7,Paragraph 7.3 and Table 2 of the Zoning Bylaw for relief of 6' from the left side setback in order to construct a proposed single story family room addition to an existing single family dwelling per: Site: 100 Old Farm Road(Map 35,Parcel 62),North Andover,MA 10845 Site Plan Title: Plan of Land in North Andover,MA,Owner/Applicant: Scott Bowman, 100 Old Farm Road,North Andover,MA. Date(&Revised Dates): November 8,2007 Registered Professional Land Gregory L.Bowden,P.L.S.#34610,Northpoint Survey Services, Inc., 180 Surveyor. Water Street,Haverhill,Ma.01830 Sheet/Drawing: Job No: 424.00 Building Plan Title: Scott Bowman, 100 Old Farm Road,North Andover Date: 11/24/07 Sheet/Drawing: Side View, Rear View,First Floor House Plan, Second Floor House Plan Voting in favor: Joseph D. LaGrasse,Richard J. Byers.,Albert P.Manzi, Ill., David R. Webster,and Daniel S. Braese. Page 1 of 2 1600 Osgood SL,Bldg.20,Suite 2-36,North Andover,Ma 0184/5 Ph.—978-688-9541/Fax—978-688-9542/Web—www.townofaorthandover.com 4 • General Contractor ESTIMATE Contractor/Supervisor Lic. #065280 Joe Blanchet Home Improvement Lic. # 145193 124 Lake Street Fully Insured Haverhill,MA 01832 978-994-6134 Date of Estimate: October 8, 2007 Client Name: Scott Bowman Job Location: SAME Address: 100 Old Farm Road N. Andover, Ma Phone: 508-958-9697 Description Of Work: 12 X 20 Addition with slope roof as'drawn by Owner. Foundation: 10"concrete wall,roughly 92"high with a 4"poured floor over stone fill. Also cut for attachable bulkhead stairs. Not responsible if bulkhead unit cracks or breaks during removal and installation. Bulkhead doors will be new and sealed. Framing: Deck will be 2 X 10 frame lined up with existing floor. T&G%plywood, glued to floor joist. Walls will be 2 X 4 with %i inch ply on exterior. Exterior will be wrapped and then sided with clapboards. (primed non-finger jointed) Insulate walls and ceiling. Sheetrock to primer. Roof will be framed with 2 X 10 rafters using 2 X 8 ceiling joist. Roof sheathing will be 5/8 with primed pine trim on exterior. Windows: Remove existing dining room windows and patch holes with plywood and sheet rock. Install windows(approximately 7 windows)that owner will supply. Remove and replace window on existing gable end. (owner will supply)Exterior trim on windows will be 1 X 4,primed pine. Painting: Exterior and interior painting will be done by the owner. i Debris: A.B. Custom Carpentry will responsible for removal of all debris into rental dumpster. Permits: Permits needed for construction are: Building and Dumpster.. Owner Responsibilities: Owner will be responsible for ALL Permits,purchasing of windows,the painting of the interior and exterior of building and all interior trim. Additional Work: Any alteration or deviation from above specifications involving extras will be discussed and will become an added charge over and above the estimate. Work performed at$50.00 per hour/per man. Laborers will be$20.00 per hour/per man. Total Cost of Estimate: $34,000.00 Payment: A deposit is required before work can be started. Starting payment will be 1/3 of total and a 1/3 after framing inspection. Last payment due after final inspection. Contractors Signature Date L'--��Xsde4m;� .Z -f/,),W, Homeowners Signatur Date Z6 -7111_c-1 Z _�;7_ .7_�:_ -:7:: i if om Z i OS 21V2 vo� 67 ry�5cWrr,;y Ana-�'o�-—l,.(o1-,Z t ! 3 f f41; nrxz t � ! / -�-� 1�:7.JS'xC��t -f• .�S't'y�i'� '� �~/��) Lr� , ` Jl��yhal �7) \ I � + + (77 jZ71 ii 11 11 N-17-1 110d �514�71 aYas andSta�J °F o�d Bc�°�SvpeS 6528° 1g9 t< 6 t B °ps � se G pI�9 3 t C �`G a4 l9�; Sip,, 1 NP q. ,per ✓fie V�omr��zo7uuec�lfi o�✓vuxaaac�ivae%� -\ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR R Registrati.on:, 145193 Expiration:, 1?/22/2008 Tr# 259737 !Type: Individual JOSEPH BLAC4 : JOSEPH BLANCHET 124 LAKE ST. ATKINSON,MA 08311 Administrator Bk 110.40 P01'9'9 1605 01-23-200 : a 12248g:3- COVER 2248PCOVER SHEET THIS IS THE FIRST PAGE OF THIS DOCUMENT DO NOT REMOVE GRANTOR GRANTEE ADDRESS OF PROPERTY CITY/TOWN TYPE OF DOCUMENT MLC ASSIGNMENT TYPE DEED 61) MORTGAGE NOTICE TYPE DISCHARGE SUBORDINATION AFFIDAVIT CERT TYPE DEC OF HOMESTEAD UCC TYPE DEC OF TRUST OTHER AL DESCRIBE Essex North Registry of Deeds Robert F. Kelley, Register 354 Merrimack St. Suite 304. Lawrence, MA 01843 (978) 683-2745 narcar �QtVNO»nnl�anlle nnm - w Town of North Andover �0^Y�X7��� � �� &� ~~^ ,.^ ,'~ v�/�u�� ~� "PEALS ����r|`/­� AU6e�P K{*^iDI �vY C���u - ` ` �'-� ` - ' ~^ Joseph D.LaGrasse David R. Webstel, '---'---' This= ocertify - -` / ---- - pr-'-`a,~elapsed from date f ded io Richard M.VaillaTICM91101,ltfiling of appe Daniel sommcF=. Date SA US TwwnClafk Town u,�Time otai"p ATTEST: A True Copy Any appeal shall bcfiled within Notice m[Decision (2O)days after the date offi|ing Yeur2007 ' Town Clerk oythis notice inthe office ofthe Town Clerk,per Mass. Oen. L. ch. 4O/\ , §17 Pronertvat-_ 100 Old Farm Road(Map 35, Parcel 62), NAME: Scott Bowman HEARING(S): December 18,2007 ADDRESS: 100 Old Farm Road PETITION: 2007-025 - North Andover, MA 0 1845 TYPING DATE: December 27,_2007 The North Andover Board of Appeals held a public hearing at its regular meeting in the hearing at the North Andover High School Lecture Hall,43OOsgood Street,North Andover,M&onTuesday the /8'ho[December,2OO7u17:3OP�� ut7:3OP��upon the application of8co� Bovvnouo, lO0��1d FormoKXoud(0�up35. Puoe|62).y4o�hA`ndovo� -/\ requesting dimensional\/u�unuc from Section 7, Paragraph 7.3 (Yard Setbacks)and Tu6|c 2 o[the Zoning 8-'vvfor relief 6omthe left side setback requirement inorder k/000m000tuuin�|exto[yfami|yroom uddidontouncxio�- ung single family d~cUin&. Said premise affected ispnopeuywith frontagesingle 0d F----- -'-ithintho R' zoning district. Legal notices wor oon tuall names onthe `ulist and wor publiahedi`��e'--- '-�6un� ancvvmpuperofgonoru u�ou�6on in�eTown of North Aodover,on December 8t December |O.2OO7-=� The following voting members were present: Joseph D. LuGomme, Richard J. Byers,Albert P. Manzi, llL David Q Webster,and Daniel S. 8mc»c. The following non-voting members Thomas D. 1ppo|itound Richard�� Vuii|unoou�� M. Upon umotion by Richard J. Byersand 2dhy David R. VVebmter,the Board voted toGRANT udimensional Vu6uooe from Section 7, Paragraph 7.3 and Table 2 of the Zoning Bylaw for relief of 6' from the left side setback in order to construct aproposed single story family room addition toanexisting single family dwelling per: Site: 100 Old Farm Road(Map 35, Parcel 62),North Andover, MA 10845 Site Plan Title: Plan of Land in North Andover, MA,Owner/A-pplicant: Scott Bowman, 100 Old Farm Road,North Andover, MA. Date(& Revised Dates): November 8,2007 Registered Professional Land Gre ory L. Bowden, P.L.S._#34 9 6 10,Northpoint Survey Services,Inc.,_180 1 Surveyor: Water Street, Haverhi 11, Ma. 0 183 0 Sheet/Drawing: Job No: 424.00 Building Plan Title: Scott Bowman, 100 Old Farm Road,North Andover Date: 11/24/07 Plan- Voting in hmoc Joseph D. LuOcmoo, Richard J. Byers,Albert P. Manzi, |lL David K. Webster, and Daniel S. Bmcse. Page \ o[2 61at4 160wOsgood uu'Bldg.zo.Suite z-3a.NoilhAndover,muo1o4/5 Ph.-y7"V8-*5*1/Fax-o7n-6on-9»uz/Web-WWWAownofiionhandover.corn Town of North Andover ZONING BOARD OF APPEALS - -i.f;= Albert P. -Manzi III,Esq. Chairman Elim P. -Mclntyre, i'ire-Cbairmar, Q µORTH ' A Richard 1.Bveix,Esq. Clerk. .t 6e,, 6•a O n n r} #t .J a I (3 Joseph D. LaGrasse 0 0� �81 •1y Ft i °d e David R.N ebsrer F- p fl.;snra/e Alemhers � a ±«NN?is 'I1101rias D.Ippolito Richard M. Vaillanconrt 'jl9s RAre. # �(y Daniel S. Braese,Esq. SACHUS� �" Town Clark"rime Stamp The Board finds that owing to circumstances relating to the shape of the parcel 100 Old Farm Road, (Map 35, Parcel 62),having both side lot lines at right angles to the street for ca.45',then both side lot lines turning to the East,the shape and placement of the existing single-family dwelling parallel to Old Farm Road with the attached garage and driveway on the right side to the street especially affects this land and structure but does not affect generally the Residential 1 zoning district in which it is located. The Board finds that a literal enforcement of the provisions of Paragraph 7.3 &Table 2 and Section 10, Paragraph 10.4 would involve substantial hardship, financial or otherwise,to the petitioner. The Board finds that the left side abutters Ann M. and Jeffrey S. Lu,90 Old Farm Road,spoke for the applicant during the hearing and that there was no written or spoken opposition. The Board finds that desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the North Andover Bylaw. r Note: 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 Variance and/or 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. 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. "7 North Andover Zoning Vloard of Appeals Albert P. Manzi, III, Esq., Chairman Richard J. Byers, Esq., Clerk Joseph D. LaGrasse David R. Webster Associate Member Daniel S. Braese, Esq. Decision 2007-025. M3 5 P62. Page 2 of 2 1600 Osgood St,Bldg.20,Suite 2-36,North Andover,Ma 0184/5 Ph.—978-688-9541/Fax—978-688-9542/Web—www.townof iordmdover.corn The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ` Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricans/Plumbers Applicant Information // Please Print Legibly Name(Business/0 g izatto ndividual):�;��y� Addr s: 1Z / e S City/State/Zip: ,g;/ /„�/ �i.� Phone.#: Are you an employer? Check the appropriat�e bo . ' 4. Ell am a general contractor and I Type of project(required): 1.❑ I am a employer with g employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.[ Tam a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance.t 9. E-*9�ilding.addition , required.] 5. F� We are a corporation and its WE Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.]t c. 152, §1(4), and we have no . 12.E]Roof repairs employees. [No workers' 13.❑ Other comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affida«t indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors 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 workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: n o 4 m e_cl c I-q- Policy#or Self-ins. Lic.#:'Fq-C aws ZD ) Expiration Date: Job Site Address: 166 City/State/Zip:_ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Signature: Date: Phone#: Off ciaL.use only. Do not write in this area, tb 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/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact.Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employ6rs to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the.occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"ever state or local licensing agency shall withhold the issuance or renewal of a license or permit to,bpergte7a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s),address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit rnay'be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town.Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel.#6.17-727-4900 ext.40,6 or 1-877-MASSAFE ` Revised 11-22-06 Fax# 617-727-7749 t www.mass-gov/dia f pORTH 7 3r 6 QL F p �/ �'►�reo�� q5 9SSgCHUSE� ZONING BOARD OF APPEALS Community Development Division Date: 1 -3 -09 Dear: we, V) As you know,the Zoning Board of Appeals granted your application for a Variance and/or Special Permit or Finding for premises at: 10a 6,/ /,.,/ Fq rwi &211(z Your 20-day appeal period will have passed at midnight on the following date: 0 3 —e)V 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 Lawrence, [use Entry C)MA 01843(978-683-2745),as the decision and Mylar must be filed at the Registry of Deeds as soon as possible. 3. Once this is completed,please bring:A.copy of the Town Clerk&Registry—stamped decision,B.a paper copy made from the ZBA Board-signed and&Registry-marked Mylar, & C.the Registry of Deeds receipt to the Building Department,which is located at 1600 Osgood 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/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 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 Friday, 8:30-4:30. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9541 Fax 978.688.9542 Web www.townofnorthandover.com