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Building Permit #Exception - 22 HARKAWAY ROAD 5/1/2018
` BUILDING PERMIT o*NO oTH TOWN OF NORTH ANDOVER c ., p APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received �gSSgcHus���y Date Issued: IMPORTANT:Applicant must complete all items on this page i LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands 0 Watershed District El Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: Address: - Supervisor's Construction License: Exp. Date: a Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to theluar;�nty fund z � Signature of Agent/Owner' Signature of 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 i PLANNING & DEVELOPMENT Reviewed On IIS `� �J Signature_ COMMENTS �'CtA1�11 k96 > IIjDT SOS d�t/�S��w NOT WAta.� d r CONSERVATION Reviewed on b Si nature COMMENTS HEALTH Reviewed on Si nature j COMMENTS G� .��w•cY Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning g Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: _ Located 384 Osgood Street FIRE DEPARTMENT - Temp pumpster on site yes no _ Located at 12.4<'Main,Street - Fire Department signature/date COMMENTS _ _ N 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 Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 u Building Permit Application u Workers Comp Affidavit u Photo Copy Of H.I.C. And/Or C.S.L. Licenses Li. Copy of Contract Li Floor Plan Or Proposed Interior Work u Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks u Building Permit Application u Certified Surveyed Plot Plan u Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract Li Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) 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) u Building Permit Application u Certified Proposed Plot Plan Li Photo of H.I.C. And C.S.L. Licenses u Workers Comp Affidavit u Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) u Copy of Contract Li Mass check Energy Compliance Report u 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:Building Permit Revised 2014 Location No. Ir '� % Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ r- Other Permit Fee $ TOTAL $ Check# ��r, Building Inspector i � � AL 4A SIL 3A 2A J. A � A-- - - -& — & _ . . 1A gW EDGE OF WETLANDS OWNER UNKNOWN o o 69.85' S36'47 28"E 1 � LOT 4 w 5,715 S.F. FOUNDATION N x p 9.5' 14.3'— O t000 j N DECK U L N N/F Z zo N TAMMY A. & TIMOTHY M. "' N/F FRANCIS NOEL A. & THERESA A. AND BEAUDOIN J.P. MORGANMORTGAGE EXISTING #26-28 AQUISTION CORP. DUPLEX #16-18 Cr vi 0 PO N N m HSE.#20 HSE.#22 m 69.84' N37'42'00"W PIN(FND.)-TPIPE(FND.) H ARKAWAY ROAD P: \1 3\1 3-37\DWG\CERT.DWG 2--c — ,22- PLAN --c -- 2ZPLAN OF LANDoHOFM,4SS G INPEMR Vo tj' NORTH ANDOVER, MASS. andover �� GOODWIN N consultants No.481 Prepared for Inc. 19 EILEEN A. & ANDREW J. BRIEN � Fss'0��csLE oS`' QJ 1 East River Place ,����►r� SCALE: 1"=20t DATE: 5/4/2016 Methuen, Mass. ❑❑ ❑❑ _ _ _ _ _ _ ______________________ PROP05ED REAR ELEVATION 1111111111 0�� F I LLLLI I I I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i PROP05ED LEFT ELEVATION i i i Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 25;5300000 m $ - $ 303.60 Plumbing Fee $ 37.95 Gas Fee 100 comm. $ 400.00 Electrical Fee $ 37.95 Total fees collected $ 479.50 22 Harkaway 975-2016 on 3/16/2016 10x25 One Story Addition F NORM own of _ Andover Oti. t 1 oh ver, Mass, COC NIC MF WIC�t y�• �.9s RATED U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .........AA ..................................................................... BUILDING INSPECTOR o Foundation has permission to erect ..................... .................1. buildings on ...��..�.�..... . .... .. . ......................... Rough r to be occupied as ............ G�.. !.Q: ..��... :...��...•............ .......................................................... 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 I VIOLATION of the Zoning or Building Regula'fiions Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S ARTS Rough Service .......... ......... . . . .. . . ..�UKLI)IiNG ................... Final INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. 2 n�� Ra F't't:�•S Mcit. s iA"u&cL3 i 02�C i 0 cc(. hrZ vitz 2 3 iz IAL'5cii-Ai1d�/ r W,,(LL. f_4t:gLLe> wa Bk 14030 PS134 :F24;B-71 11-03-2014 & NORTHERN ESSEX % REGISTRY OF DEEDS �i A division of the Secretary of the Commonwealth essyyp„<.�ti4r M.Paul Iamuccillo Register DOCUMENT COVER SHEET For use with documents that do not meet Document formatting standards This is the first page of this document—Do not remove PRINT OR TYPE DOCUMENT TYPE: 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 . _. �'��-C,�l1lEi3 �i,f::.?'s� CLERK � n Albert P.Manzi I.II,Esq.Chairmait oRrk CLERK S OFFICE Ellen P.McIntyre,Vice-Chairman o�N,eo q + r Richard J.Byers,Esq.Clerk o� 2014 SEP 29 PM 4� 04 D.Paul Koch Jr. . x Allan Cuscia 4, Associate[14embers TOWN OF, 9e 'r MATH ANDOVER Michael P.Liporto 'bys q,Tto P" 4`� R ' Doug Ludgin 5' CHus� Deney*Morganthal This is to certify that twenty(20)days Town Clerk Time Scamp have elapsed from date of decision,filed without filing of an appeal. Date_ A.Bradi Any appeal shall be filed within(20) Notice of Decision Town Clerk h days after the date of filing of this Year 2014 notice in the office of the Town Clerk, er Mass.Gen.L.ch.40A,§17 Property at:22 Harkaway Road(Map 95,Parcel 51)North Andover,MA 01845 NAME:Andrew and Eileen Brien 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 Harkaway 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 room/mudroom. 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 room/mudroom to the duplex, is in harmony with the general purpose and intent of this Bylaw. ATTEST: ATrue Copy vq d.>� c.(7--6 Town Clerk. Page 1 of 2 r Parcel 1 North Andover MA 01845 Site: 22 Harkaway Road(Map 95,Parc 5 )), , 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 inc, 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 10,2014 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 room/mudroom at the location of 22 Harkaway Road (Map 95, Parcel 51)), North Andover,MA 01845 in the R-4 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 authorized 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. Noo Andover Zoning Aoard of Appeats AlVert P.Manzi 111,Esq., Chairman Richard J.Byers,Esq., Clerk D.Paul Koch Jr.Esq. Allan Cuscia Deney Morganthal Decision 2014-007A Page 2 of 2 The Commonwealth of Massachusetts Department of IndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Anulicaut Information Please Print Letr-ibly Nalne(Business/Organization/Individual): kAGC Address: P© At* t 37- City/State/Zip: k) aNbrr,,L'T- 1`1A. Phone#: T78 6(,c( `Z(o(( Are you an employer?Check the appropriate box: Type of project(required): 1.�ni as employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3. I am a homeowner doing all work myself t 9. ❑D olition ❑ g y [No workers'comp.insurance required.] � 10�'Buiiding addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.E]Roof repairs These sub-contractors have employees and have workers'comp.insurance.= 6.r-1We are a corporation and its officers have exercised their right of'exemption per MGL c. 14. Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant h at checks box#1 must also fill out the sectio n below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors 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 lam an employer that isproviding workers'compensation insurance for n:y employees. Belmv is thepolicy andjob site information. Insurance Company Name: iu 5. CO Policy#or Self-ins.Lic.#: AtVC. —'fOb— -70ZTZ-(.o7 —Z jM Expiration Date: 111,11 's- Job f1t(1iSJob Site Address: LZ [We-q wq R1' City/StatelZip: ti W kr(' Attach a copy of the workers'compensat on 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 DTA for insurance coverage verification. I do hereby cewy under thepains and penalties of perjury that lite information provided above is true and correct Signature: Date: Phone#: bvt q[tsl(v Of lciat use only. Do not write 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/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• 7/27/2015 10 : 03 : 43 AM 8740 ® 02/02 AC R CERTIFICATE OF LIABILITY INSURANCE °"TE(Mwoo'"M illi.� OF12712016 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 WANED,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 04983-001 CONTACT MTM insurance Associates LLC AtC.No. : 497e)sei-57Do 1320 Osgood Street Q ,No.; 4978)681-5777 North Andover,MA 01846 ; INSURE A.I.M.Mutual Insurance Comp GE Porth Andover Building Corp INSURERS BO Box 132 INSURER C North 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. N07WTHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VWTH RESPECT TO VYHICH 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. iHSR TYPE OF INSURANCE POLICY NUMBER LTR M� LIMITS GENERAL LIABILITY S COMMERCIALEACH OCCURRENCEGENERAI LIABILITY OAMAGET R ED CWMS-MADE OCCUR PREM occunence S MED EXP(Arty one person) S PERSONAL&ADV INJURY S ELIMITAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE OUCY ECa C PRODUCTS-COMPIOPAGG S AUTOMOBILE LIABILITY COMBI EDSI GLE UMIT ANY AUTO Ea aodd mt S $DED OMED SCHEDULED BODILY INJURY(Per pemon) f OS AUTOS NON-OWNED BODILY INJURY(Peraoddent) S WAUTOS AUTOS Perseciden0 f RELLA LIAR OCCUR $ EACH OCCURRENCE S ClA1M8MAGEAGGREGATE S RETENTION S ,gAog p���pSp77 p q��RRIp M�ppRR���Y��ETRppSpp'��pIAARRE��ILryryOIEETppY��p� �r X TORY UMRS OER J� IMande ry In NK t7CCLUDED7 ECUT�I Al 1 NIA AWC-M-7023287-2014A 1111112014 11/11/2015 E.L.EACH ACCIDENT $ 1001000.00 (MendeEory in NH) I.J E.L.DISEASE-EA EMPIAYEE S 1001000.00 b r o' PERAr1oNs below E.L. DISEASE-POLICY LIMIT S 500,000.00 DESCRIPTION OF OPERATIONS!LOCATIONS f VEHICLES IAUKII ACORD 101,AaditlonatRemark;SCIleduK U more SWe isIII R9 rsd1 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. AUTHORRED REPRESENTATIVE 1500 @ 1988-2010 ACO D CORPORA 3N.An riahts reserved. r Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 137552 Type: Private Corporation Expiration: 11/26/2016 Tr# 260459 NORTH ANDOVER BUILDING CORP. -_ JOHN LEEMAN P.O. BOX 132 N. ANDOVER, MA 01845 _-- Update Address and return card.Mark reason for change. J Address Renewal (— Employment Lost Card C SCA 1 C; 20M-05111 Massachusetts -Depar vita r of Public Safe<,; ` Board of Buildingv.=� .a peg ations and Starch; Construct:()n Supere•isor License: CS-082816 moi•r iy J r"S JOHN R LEE `; � 70 PILLON ROo AD ---MMTON MA 02186 r � , r ' Expiration cammiss?3ner 06/16/216 : - I I I I I I I I I I � ❑ � I I O I I � I I O ' I tll I I X l_1 — M I I { I I dz I I � Az IIH*i IL Hfifli - rn 1 1 I O � � z I I ❑ n1 11 0o O v � ZZ 16-01, 41-0" Zut '- a Y a � F1 . Z \'� \ \\ m i� Ca PROJECT INFORMATION: DRAWING NO. 234 APPROVED BY: DATE: P4. A. I-IURLE1r' ,�ND A550GIA�TES ARCHITECTURAL DESIGN AND RENDERINGS 22 HARKAINAY RD 88 NORTH MAIN 5T NORTH ANDOVER MA DATE: 1/10/2014 ANDOVER MA 01810 978-415-8203 wahurleyassocQgmail.com uAL w.andoverplans.wm as - ❑❑ PROP05ED REAR ELEVATION i qLl - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- PROP05ED LEFT ELEVATION I i I I I , I I I I � ❑ � I I O I I I I rn II d I I mlTo II ❑ UX I 1_I rncn -i I I- --- - - - n -i rn I I 7� z rn I I -o O O ii � I I rn I I Q I 43 I I O X r 41_O-1 Z -o > do rnrn O O y O ❑ b z ❑ Yet. A. HURLEY AND A5 5001A TES PROJECT INFORMATION: DRAWING NO. 234 APPROVED BY: DATE: ARCHITECTURAL DE516N AND RENDERINC75 22 HARKAYVAY RD 88 NORTH MAIN 5T NORTH ANDOVER MAA- 1 DATE: 1/10/2014 ANDOVER MA 01810 918-475-8203 wahurleyassoc@9171ail-com uuw.andoverplans.com