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HomeMy WebLinkAboutBuilding Permit #839-11 - 270 GREAT POND ROAD 6/9/2011BUILDING -PERMIT TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Date Received taORTH Ut�L;Kir 1 JUN Ut- wURK TO BE PREFORMED: Vou,n�s,��• (c�,.,o,1� �aw�•l� �ouSG w� ►g.-�'�a�•k� sIdentification PIease Type or Print CIearIy) OWNER: Name: 1:7V 6VO-A441 I ARCHITECT/ENGINEER aieso�Ovkw-cphone:_ ptR83 Address:_ 10 CA, FEE SCHEDULE: BULDING PERMIT. $1200 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Tota( Project Cost: $ FEE: $ . /90 "— Check No.: ��� Receipt No.. NOTE: Persons contracting with unregi a ed contractors do not have c ey to the gur my fund 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 o 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 Per. -nit .---,.New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Pian. ❑ 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: Building Permit Revised 2008 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 � r Doc.Building Permit Revised 2010 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 Z/1 COMMENTS CONSERVATION Reviewed on C IIVICIN i J HEALTH COMMENTS Reviewed . Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes ° Planning Board Decision: Comments i . Conservation Decision: Comments 1 Avvater & Sewer Connection/Si natu a Drivewav Permit Q'nPW Town Engineer: Signature: '. Located 384 Osgood Street Location F7� / IL/ No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ lae)— Other Permit Fee $ TOTAL $ Check # / 2 4 ze BlGilding Inspector L, Bk 1247 Ps79 - 823$ ABOVE FOR REGISTYOFDEEDS USE ONLY COVER SHEET THIS IS THE FIRST PAGE OF THIS DOCUMENT AO NOT jt0f0VE c-'�A+j O GRANTOR GRANTEE ADDRESS OF PROPERTY CITYITOWN MLC DEED MORTGAGE DISCHARGE AFFIDAVIT TYPE OF DOCUMENT ASSIGNMENT TYPE 6D V N/OTICE G' (S to TYPE SUBORDINATION CERT TYPE DEC OF HOMESTEAD UCC TYPE DEC OF TRUST OTHER DESCRIBE ESSEX NORTH REGISTRY OF DEEDS Robert F. Kelley, Register 354 Merrimack St. Suite 304 Lawrence, MA 01843 (978) 683-2745 www.lawrencedeeds.com I p.CE NED T�tte: :. a 4:r� Town of Noah AndovM 10 DEC 28 PH 4: 02 Office of the Planning Dep ent Community Development and Services 1600 Osgood Street"ii1 . f ASSACK ;. North Andover, Massachusetts (11845 NOTICE OF DECISION Any appeal shall be filed within (20) days after the date of'filing this notice in the office of the Town Cleric. Date: December 21, 2010 Date of Hearings: December 14, 2010, December2l, 2010 Date of Decision: December 21, 2010 Petition of Nancy Leland, 254 Great Pond Road. North Andover, MA, 01845 Premises Affected: _ 254 Great Pond Rd, North Andover, Massachusetts, 01845, Assessor's Map 37A, Parcel 6-2 and Iocated in the Residential 1 Zoning District. Referring to the above petition for a Watershed Special Permit from the requirements of the North Andover Zoning Bylaw, Sections 4.1363.bii.(i), 4.1363.c.ii and 10.3. So as to allow the construction of a new, single family residence within the non -discharge zone, with accessory structures within the non -disturbance zone and to remove an existing tennis courtwithin the non -disturbance zone of the Watershed Protection District. Af w a Public Hearing given on the above date, and upon a motion by R Rowen and 2nd by C. LaVolpicelo to APPROVE the Special Permit for the Watershed Protection District, as amended and based upon the following conditions. Vote was unanimous in favor of the ap &abion. Board . ohn Simons, Chairman` Ricdtard Rowen Timothy Seibert Michael Colantoni Courtney LaVoIpicelo This is to miry that twenV (2D) cays have elapead 5mn ddb of isms" fled without Sana M an ggvael. Date---Z&/L/A&V D , ��! ATTEST; Joyce A. Smdetatw / A True Copy Town aerk pj.. o W..,y.,r. Town Clerk X54 Great fond Road Map 37A, Parcel 6-2 Watershed Special Permit — Construct Single -Family Residence December2l, 2010 The Public Hearing on the above referenced application was opened on December 14, 2010 closed by the North Andover Planning Board on December 21, 2010. On December 21, 2010, upon a motion made by R. Rowen and seconded by C. LaVolpicelo toGRANT a Watershed Special Permit to construct a 2,793 sq. fL single-family residence with accessory structures, remove an existing tennis court, and install a stonnwatw management system, and related grading and landscape work within the I50 foot Non -Disturbance (from the edge of all wetlands resources) and 400 foot Non Discharge Buffer Zones (from the edge of all wetlands resources) of the Watershed Protection District under the requirements of Section 4.136 & 10.3 of the North Andover Zoning Bylaw. This Special Permlt was requested by Nancy Leland, 254 Great Pond Road, North Andover, MA 01845 on November 8, 2010. The applicant submitted a complete application, which was noticed and reviewed in accordance with Section 10.52 of the Town of North Andover Zoning Bylaw and MGL Chapter 40A, Section 9. The motion to approve was subject to the FDMINGS OF FACTS and SPECIAL CONDITIONS set forth in Appendix A to this decision. 'The Planning Board vote was unanimous. A special permit issued by the special permit granting authority requires a vote of at least four members of a five -member board The applicant is hereby notified that should the applicant disagree with this decision, the applicant has the right, under MGL Chapter 40A, Section 17, to appeal to this decision within twenty days af%r the date this decision has been filed with the Town Clerk In accordance with 4.136. the Planning Board makes the finding that the intent ofithe Bylaw, as well as its specific criteria are mei. This decision specifically stated by the Planning Board makes the following FINDINGS OF FACT: 1) That as a result of the proposed construction, there will not be any significant degradation of the quality or quantity of water in or entering bake Cochichewick. The proposed project will have the effect of improving the site in terms of store water management; as demonstrated by the implementing Best Management Practices as shown below. Based on these improvements, the Board has determined that the, site will be improved and that the quality of water maofiwiff be improved. ThePlannimg Board bases this finding on the following facts: a) The project is located within an utmmely environmental sensitive area and in close proximity to Lake Cochichawick The final design results in a decrease in impervious area and the implementation of Best Mamagement practices that reflect extensive discussions between the Town and applicant to ensure the continued protection of Lake Cochichewick and the safety and welfare of the residents of North Andover. b) The construction has been reviewed by Town Staff and the Town's consulting engineer, Lisa Eggleston, and with the application of the erosion control measures and modifications to the drainage and stormwater management designs, the consultant concluded that there will not be significant degradation to the quality or quantity of water in or entering Lake CochichewicL The site drainage system and storm water management design are designed in accordance with the Town Bylaw requirements and Best Engineering and Management Practices, and has been reviewed by the outside consulting engineer, Lisa Eggleston. See letters from L. Eggleston dated November 22, 2010 and a response from Christiansen & Sergi, 1nc. dared December 6, 2010. The applicant addressed all of the concerns and issues stated in the stormwater review and revised the plan as follows: A54 creat Pond Road Map 37A, Parcel 6-2 Watershed Special Permit-- Construct Single -Family Residence December 21, 2010 i} The project calls for a removal of an existing tennis cont, resulting in a reduction of impervious area from 7,700 to 6,311: a net roduction of 1,389, which will result in an improvement of water quality entering the Lake. All new impervious area will be constricted entirely within the non -discharge zone. There will be a new lawn area and gardens Iocated in the non -disturbance zone. At the request of the town's consultant; the applicant added 4 roof infiltration structures to capture all roof Mnoff from the new structu. The applicant has indicated on the plan the `proposed sedimentation and control and limit of work' ; all of which will be located outside Of the 100 ft. buffer to the nearby wetlands and withm the non -disturbance zone. iv) Fertilizers are limited to those which are either organic or slow-release nitrogen and phosphorous -free. This restriction will be noted on the deed V) The implementation of the above Best Management Practic os will result in an improvement to the overall water quality ofihe Lake. c) The proposed structure will be connected to the Town sewer and water systems. d) The applicant has provided a complete construction sequence and has noted on the plan the location . :For de -watering as well as the sod stockpile area. 2) There is no reasonable altemative location outside the Cenerai, Non.Disturbance, and the Discharge Zones for any discharge, structure or activity. In accordance with Section 10.31 of the North Andover Zoning Bylaw, the Planning Board makes the following FMINGS OF FACT - a) The specifc site is an appropriate location for the proposed use as all feasible storm water and erosion controls have been placed on the site; b) The use will not adversely affect the neighborhood as the lot is located in a Residential 1 Zoning .Distr'ic4 C) There will be no nuisance or serious hazard to vehicles or pedestrians; d) Adequate and appropriate facilities alp provided for the proper operation of the proposed use; e) The Planning Board also makes a specific finding that the use is in harmony with the general purpose and intent of the North Andover Zoning Bylaw. Upon reaching the above findings, the Planning Board approves this Special Permit based upon the following SPEQAL CONDITIONS: 1) Permit Definitions; a) The `locus" refers to the 186,370 sq. ft. parcel of hand with frontage on Great Pond Road as shown on Assessors Map 37A, Parcel 6-2, and also known as 254 Great Pond Road, North Andover, Massachusetts. 3 n awibucu Opcciai rennit — Uonstruct Single -Family Residence December 21, 2010 8) The provisions of this conditional approval shall apply to and be binding upon the applicant, ifs . employees and all successors and assigns in interest or control. 9) This Special Permit approval shall be deemed to have lapsed December 21, 2012 (two years from- the date of issuance) exclusive of the time required to pursue or await determination of any appeals, unless substantial use or construction has commenced within said two-year period. Substantial use or construction will be determined by a majority vote of the Planning Board. 10) This decision must be filed with the North Essex Registry of Deeds. The following information is included as part of this decision: Plan titled: Watershed Special Pemut Site Plan for 254 Ch -eat Pond Road, North Andover, Mass. Prepared for: NancyLeland 254 Great Pond Road North Andover, MA 01845 Prepared by: Christiansen & Sergi, Inc. 160 Summer Street Haverhill, MA 01830 Scale: 1"= 20' Date: November 3, 2010 and revised December 12, 2010. Sheets: 1 cc: Town Engineer Building Inspector Conservation Administrator John Carney, NAPD Fred McCarthy, NAFD Applicant Engineer Assessor's Offence File 5 E ❑C w O o w cn ° oco w r:4 U w_ ° C7 w w a � w cin x w z rA CO ° cn f s� Q Y= 0 W k' u Q ° 47 Q I�` oQ•�Q. `NG N a� O CD O v Z CL °D O y � C O OM I O CD h Co Co L- CD CD P— i CL f+ L O � 3� CD Cl cm CD L cc o a I CL a o-W C ccc C.3 J .� CD Z ts V CO)0 CL � C CO) v/ W W 19 UAW U) 0 o t \ C N \\C O n c •. O O C CD Z O +-' + • co �� m E Q L m H o m O �0 E L . ; 3 'c \C O,� c� N D N cc C C o a m o o, G ymo r o cc ..., .. cm cc, Cm 1 C2. L Ci .� zO O O .r. C C2 OI C LI CL y _O C Q = m mr 3o O N ~ CO 2 r •N O � dZ C Z E vw, o L3 `D c .o E' y d 0.5 O 8 m y'= g O = 1- A s ` :,$ a*- m N a� O CD O v Z CL °D O y � C O OM I O CD h Co Co L- CD CD P— i CL f+ L O � 3� CD Cl cm CD L cc o a I CL a o-W C ccc C.3 J .� CD Z ts V CO)0 CL � C CO) v/ W W 19 UAW U) Town of North Andovf u 23 i t;: 11 Office of the Planning Depment Community Development and ServicesDi- Won: 1600 Osgood Street North Andover, Massachusetts 01845`' fl F } Any appeal shall be filed within (20) days after the date of filing this notice in the office of the Town Clerk. NOTICE OF DECISION Date: December 21, 2010 Date of Hearings: December 14, 2010, December 21, 2010 Date of Decision: December 21, 2010 Petition of: Nancy Leland, 254 Great Pond Road. North Andover, MA 01845 Premises Affected: 254 Great Pond Rd, North Andover, Massachusetts, 01845, Assessor's Map. 37A, Parcel 6-2 and located in the Residential 1 Zoning District. Referring to the above petition for a Watershed Special Permit from the requirements of the North Andover Zoning Bylaw, Sections 4.136.3.bii.(i), 4.136.3.c.ii and 10.3. So as to allow the construction of a new, single family residence within the non -discharge zone, with accessory structures within the non -disturbance zone and to remove an existing tennis court within the non -disturbance zone of the Watershed Protection District. After a Public Hearing given on the above date, and upon a motion by R. Rowen and 2°d by C. LaVolpicelo to APPROVE the Special Permit for the Watershed Protection District, as amended and based upon the following conditions. Vote was unanimous in favor of the application. PKIming Board ohn Simons, Chairman Richard Rowen Timothy Seibert Michael Colantoni Courtney LaVolpicelo 254 Great Pond Road Map 37A, Parcel 6-2 Watershed Special Permit — Construct Single -Family Residence December 21, 2010 The Public Hearing on the above referenced application was opened on December 14, 2010 closed by the North Andover Planning Board on December 21, 2010. On December 21, 2010, upon a motion made by R. Rowen and seconded by C. LaVolpicelo to GRANT a Watershed Special Permit to construct a 2,793 sq. ft. single-family residence with accessory structures, remove an existing tennis court, and install a stormwater management system, and related grading and landscape work within the 150 foot Non -Disturbance (from the edge of all wetlands resources) and 400 foot Non -Discharge Buffer Zones (from the edge of all wetlands resources) of the Watershed Protection District under the requirements of Section 4.136 & 10.3 of the North Andover Zoning Bylaw. This Special Permit was requested by Nancy Leland, 254 Great Pond Road, North Andover, MA 01845 on November 8, 2010. The applicant submitted a complete application, which was noticed and reviewed in accordance with Section 10.52 of the Town of North Andover Zoning Bylaw and MGL Chapter 40A, Section 9. The motion to approve was subject to the FINDINGS OF FACTS and SPECIAL CONDITIONS set forth in Appendix A to this decision. The Planning Board vote was unanimous. A special permit issued by the special permit granting authority requires a vote of at least four members of a five -member board. The applicant is hereby notified that should the applicant disagree with this decision, the applicant has the right, under MGL Chapter 40A, Section 17, to appeal to this decision within twenty days after the date this decision has been filed with the Town Clerk. In accordance with 4.136 the Planning Board makes the finding that the intent of the Bylaw, as well as its specific criteria are met. This decision specifically stated by the Planning Board makes the following FINDINGS OF FACT: 1) That as a result of the proposed construction, there will not be any significant degradation of the quality or quantity of water in or entering Lake Cochichewick. The proposed project will have the effect of improving the site in terms of stormwater management, as demonstrated by the implementing Best Management Practices as shown below. Based on these improvements, the Board has determined that the site will be improved and that the quality of water runoff will be improved. The Planning Board bases this finding on the following facts: a) The project is located within an extremely environmental sensitive area and in close proximity to Lake Cochichewick. The final design results in a decrease in impervious area and the implementation of Best Management Practices that reflect extensive discussions between the Town and applicant to ensure the continued protection of Lake Cochichewick and the safety and welfare of the residents of North Andover. b) The construction has been reviewed by Town Staff and the Town's consulting engineer, Lisa Eggleston, and with the application of the erosion control measures and modifications to the drainage and stormwater management designs, the consultant concluded that there will not be significant degradation to the quality or quantity of water in or entering Lake Cochichewick. The site drainage system and storm water management design are designed in accordance with the Town Bylaw requirements and Best Engineering and Management Practices, and has been reviewed by the outside consulting engineer, Lisa Eggleston. See letters from L. Eggleston dated November 22, 2010 and a response from Christiansen & Sergi, Inc. dated December 6, 2010. The applicant addressed all of the. concerns and issues stated in the stormwater review and revised the plan as follows: 2 254 Great Pond Road Map 37A, Parcel 6-2 Watershed Special Permit — Construct Single -Family Residence December 21, 2010 i) The project calls for a removal of an existing tennis court, resulting in a reduction of impervious area from 7,700 to 6,311: a net reduction of 1,389, which will result in an improvement of water quality entering the Lake. All new impervious area will be constructed entirely within the non -discharge zone. There will be a new lawn area and gardens located in the non -disturbance zone. ii) At the request of the town's consultant, the applicant added 4 roof infiltration structures to capture all roof runoff from the new structure. iii) The applicant has indicated on the plan the "proposed sedimentation and control and limit of work", all of which will be located outside of the 100 ft. buffer to the nearby wetlands and within the non -disturbance zone. iv) Fertilizers are limited to those which are either organic or slow-release nitrogen and phosphorous -free. This restriction will be noted on the deed. v) The implementation of the above Best Management Practices will result in an improvement to the overall water quality of the Lake. c) The proposed structure will be connected to the Town sewer and water systems. d) The applicant has provided a complete construction sequence and has noted on the plan the location for de -watering as well as the soil stockpile area. 2) There is no reasonable alternative location outside the General, Non -Disturbance, and the Discharge Zones for any discharge, structure or activity. In accordance with Section 10.31 of the North Andover Zoning Bylaw, the Planning Board makes the following FINDINGS OF FACT: a) The specific site is an appropriate location for the proposed use as all feasible storm water and erosion controls have been placed on the site; b) The use will not adversely affect the neighborhood as the lot is located in a Residential 1 Zoning District; c) There will be no nuisance or serious hazard to vehicles or pedestrians; d) Adequate and appropriate facilities are provided for the proper operation of the proposed use; e) The Planning Board also makes a specific finding that the use is in harmony with the general purpose and intent of the North Andover Zoning Bylaw. Upon reaching the above findings, the Planning Board approves this Special Permit based upon the following SPECIAL CONDITIONS: 1) Permit Definitions: a) The "Locus" refers to the 186,370 sq. ft. parcel of land with frontage on Great Pond Road as shown on Assessors Map 37A, Parcel 6-2, and also known as 254 Great Pond Road, North Andover, Massachusetts. 3 254 Great Pond Road Map 37A, Parcel 6-2 Watershed Special Permit — Construct Single -Family Residence December 21, 2010 b) The "Plans" refer to the plans prepared by Christiansen & Sergi, Inc., dated November 3, 2010 and revised to December 12, 2010, entitled "Watershed Special Permit Site Plan for 254 Great Pond Road, located in North Andover, MA, prepared for Nancy Leland". c) The "Project" or "254 Great Pond Road" refers to the construction of a 2,793 sq. ft. single family residence with accessory structures, the removal of an existing tennis court, installation of stormwater management system, and related grading and landscape work within the 150 foot Non - Disturbance (from the edge of all wetlands resources) and 400 foot Non -Discharge Buffer Zones (from the edge of all wetlands resources) of the Watershed Protection District. d) The "Applicant" refers to Nancy Leland, the applicant for the Special Permit. e) The "Project Owner" refers to the person or entity holding the fee interest to the title to the Locus from time to time, which can include but is not limited to the applicant, developer, and owner. 2) The Town Planner shall approve any changes made to these plans. Any changes deemed substantial by the Town Planner would require a Public Hearing and Modification by the Planning Board. 3) Fertilizers are limited to those which are either organic or slow-release nitrogen and phosphorous -free. This restriction will be noted on the deed. 4) Prior to any work performed on the site and prior to the issuance of a building permit: a) A performance guarantee bond of four thousand dollars ($4,000.00) made out to the Town of North Andover must be posted to insure that the construction, erosion control, measures, and performance of any other condition contained herein will take place in accordance with the plans and the conditions of this decision and to ensure that the as -built plans will be submitted. b) All erosion control measures as shown on the plan must be in place and reviewed by the Town Planner and Conservation Department. c) Fertilizers are limited to those which are either organic or slow-release nitrogen and phosphorous - free. The applicant shall incorporate this condition as a deed restriction and a copy of the recorded deed shall be submitted to the Town Planner and included in the file. 5) Prior to release of the Performance Bond: a) The applicant shall submit an as -built plan stamped by a Registered Professional Engineer in Massachusetts that shows all construction, including storm water mitigation trenches and other pertinent site features. This as -built plan shall be submitted to the Town Planner for approval. The applicant must submit a certification from the design engineer that the site was constructed as shown on the approved plan. b) The Planning Board must by a majority vote make a finding that the site is in conformance with the approved plan. 6) No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 7) The Contractor shall contact Dig Safe at least 72 hours prior to commencing excavation. n 254 Great Pond Road Map 37A, Parcel 6-2 Watershed Special Permit — Construct Single -Family Residence December 21, 2010 8) The provisions of this conditional approval shall apply to and be binding upon the applicant, its employees and all successors and assigns in interest or control. 9) This Special Permit approval shall be deemed to have lapsed December 21, 2012 (two years from the date of issuance) exclusive of the time required to pursue or await determination of any appeals, unless substantial use or construction has commenced within said two-year period. Substantial use or construction will be determined by a majority vote of the Planning Board. 10) This decision must be filed with the North Essex Registry of Deeds. The following information is included as part of this decision: Plan titled: Watershed Special Permit Site Plan for 254 Great Pond Road, North Andover, Mass. Prepared for: Nancy Leland 254 Great Pond Road North Andover, MA 01845 Prepared by: Christiansen & Sergi, Inc. 160 Summer Street Haverhill, MA 01830 Scale: 1" = 20' Date: November 3, 2010 and revised December 12, 2010. Sheets: 1 cc: Town Engineer Building Inspector Conservation Administrator John Carney, NAPD Fred McCarthy, NAFD Applicant Engineer Assessor's Office File 5 Massachusetts - Department of Public Safet% Board of Building; Regulations and Standards Construction Supervisor License License: CS 79181 WILLIAM C PENNY 4 EMERSON PLACE #514 BOSTON, MA 02114 Commissioner Expiration: 11/6/2012 Tr#: 7791 Office of Consumer Affairs&1°ess Regulation. j HOME IMPROVEMENT CONTRACTOR Type: Registration:I;28016 A13. Private Corporatio Expiration: I NS', INC i AN VER RENO gym; I ! WILLIAM PENNY,! I 110 WINN ST i� WOBURN, MA 0180' Undersecretary i F I r � O'�tiao i°s'NO � m �F o t S5� CONSERVATION DEPARTMENT Community Development Division NEGATIVE DETERMINATION OF APPLICABILITY SPECIAL CONDITIONS 254 Great Pond Road, North Andover At the October 27, 2010 public hearing, the North Andover Conservation Commission (NACC) voted to issue a Negative Determination of Applicability for construction of a single-family home, utilities, driveway, garage, accessory structures, landscaping and associated grading outside the 100 -foot Buffer Zone to Bordering Vegetated Wetland (BVW). The closest point of work to the BVW is approximately 100 feet. Erosion control will be installed at the 100 -foot Buffer Zone to BVW at its closest point. No work is expected to occur outside of the limits shown on the plan referenced below. Applicant: Nancy Leland 254 Great Pond Road North Andover, MA 01845 Record Documents: Request for Determination of Applicability 254 Great Pond Road North Andover, Massachusetts 01845 Date: October 15, 2010 Prepared by: Wetlands Preservation, Inc. 47 Newton Road Plaistow, New Hampshire 03865 Record Plans: Plan of Existing Conditions for 254 Great Pond Road Date: October 14, 2010 Prepared by: Christiansen & Sergi, Inc. ' 160 Summer Street Haverhill, MA 01830 Stamped by: Michael J. Sergi, P.L.S. & Philip G. Christiansen, P.E. SPECIAL CONDITIONS: ❖ A pre -construction inspection shall be conducted to ensure the proper placement and installation of erosion controls. 1600 Osgood Street, Building 20, Suite 2-36, North Andover, Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web: http://www.townofnorthandover.com/Pages/NAnddverAiA.Conservation/index v tiny junstucuonai changes m me suQumreu pians causeu uy MC appuCeue uz auvLuCi ,Jvaru s decision must be submitted to the NACC for approval prior to implementation. ❖ All construction debris and waste shall be properly disposed of off site and stockpiled material shall be stored within the erosion controls. ❖ Construction equipment/vehicles shall not be staged overnight within 100 feet of a wetland resource area. Post Construction ❖ Upon completion of construction and permanent stabilization of all disturbed soils, the Conservation Department shall be contacted to conduct a final site inspection. ❖ The NACC shall be provided with a copy of the as -built plan for the property. 1600 Osgood Street, Building 20, Suite 2-36, North Andover, Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web: http://www.tovvnofnord=dover.com/Pages/NAndoverMA—Conservation/index The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ,A-*% Ao�ry Rir.,,wro. Nva S01 •� 5 t_c _ Address: 1(0 MA V(801 Phone #: 'l e 1 9 3 Are an employer? Check the appropriate box: 1. I am a employer with 15 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no employees. [No workers' coma. insurance reauired.l Typey project (required): 6. Z New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions I L ❑ Plumbing repairs or additions 12.❑ Roof repairs 13. ❑ Other "Any applicant that checks box #1 must also fill out the section 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. $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: Ans-s 1— Aet g5it?�eivS Policy # or Self -ins. Lic. #.WC -4 60c>0'14601 L 1 O ( O Expiration Date: I 1 •'L3. Job Site Address: Ji J torte k Tana Ae—X • City/State/Zip: , A Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration d�)(B4� 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 foKinsurance coverage verification. I do hereby certify under t*Aains andpenalties ofperjury that the information provided above is true and correct Phone #: Official 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 #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers 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 "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a 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 may 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 # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax ## 617-727-7749 www.mass.gov/dia 11/22/2010 16:11 7817299500 SCOTTI INS PAGE 03 ACORD,. CERTIFICATE OF LIABILITY INSURANCE OPID VG DATE(MM/DO/YYYY) AIQDOV -1 1I 2 2 10 PRDDuc�R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Scotti & Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 19 Mount Vernon Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Sox 1000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, UT.: nciiester M 01890-8300 Phone:781-729-9200 Fax:781-729-9500 INSURED Andover Renovation Solutions Inc, 110 Wirxn §treet, Ste, 207 Woburn MA 01801 COVERAGES INSURERS AFFORDING COVERAGE _ NAIC # INSURER E566x Insurance Co, 39020 INSURER B: Associated -EmFloX@L-a INSURER C: INSURER D. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH;(TANDING 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 SUrH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. M16 MIA= ULICY LTR NSR TYPE OF INSURANCE POLICY NUMBER oarl MMrDDrrY DATE MMlDprYY LIMITS A GENERAL LIABILITYI X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 3DE8091 10/01/10 10/01/17, _ EACH OCCURRENCE UA -Ab OTOR15MIurDpRgM MGD EXP (Anyann person) 8 50, 000 S 1,000 PERSONAL AOV INJURY 1 g OOO 1 000 " " -• GENERAL AGGREGATE 5Z, 000,000 -- GEN'L AGGRt;OATE LIMIT APPLIES PER: X POLICY PRO- k -JECT LDC - PRODUCTS - COMP/OP AGC -- -- $ 1, 00 0,0QQ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea Accident} $ ALL OWNED AUTOS -- --- SCHEDULED AUTOS BODILY IN. (Par per -.on)) $ MIREDAUTOS '-- _ _ NON -OWN ED AUT09 BODILY INJURY (Per accident) $ $ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY _ ANYAUTO AUTO ONLY - EA ACCIDENT S S $ — OTHER THAN EA ACC AUTO ONLY' AGG BXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE I $ DEDUCTIBLE, LRCTENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXFCLITIVE OFFICERIMEMBEREXCLUDED? WCC 5008746012010 11/23/10 11/23/11 $ —. —_ — y t _ X TORY LIMITS ER _.. .......... Ek. EACH ACCIDENT -350_0,000_ _ -- -- --- -- If ye- dAacrlbm under OTHERPROVISIONS below OTWER i E,I,. DISEASE - EA EMPLOYEE g 5 00,000 E. L. DISEASE - POLICY LIN4IT S 5 Q (1, Q Q Q -- DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS IIVIY TOWuwim SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 139 CANCE44FD 13FFORE THE EXPIRATION DATE THEREOF, THE 155UING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Town of WinchesterNOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALE. Building Department, IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 71 Mount Vernon Street REPRESENTATIVP$, Winchester MA 01890 AUTTIOPADREPRESENT V ACORD Ps 17nnvnAl ' LD AL L)MU t UPO'UKA I JUN 1 `lUU TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: 2 �� MPORTANT: Applicant must complete all items on this nage LOCATION a70 Q�r?VA 4on & K?Z� Print PROPERTY OWNER Unit # Print MAP NO: 57A PARCEL:OL ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure 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 ❑ Watershed District ❑ Water/Sewer (Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Home Improvement License: ARCHITECT/ENGINEER Exp. Date: Exp. Date: Phone: Address: Reg. N FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ LiOn FEE: Check No.: '70S`� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund _.._._ -- 1.1 1. Signature of Ag...__ent/Owner �gnature of contractor 1 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: Doc.Building Permit Revised 2008mi 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 NU I t5 and UA I A — wor department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi 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 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: Conservation Decision: Comments Comme Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Location,:2 7 No. 0 57 4) — /Z Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL Check # �1001 2 4 4/'- b -/,// — BAIding Inspector I i FR 0 z 0 O O L _ O V Z CD C. O CO) � C GD pm CD i O Ag O �O �E m m CD CL3 CD � O � � D O CDL co c CD � Ccc CD co ts C CD 0 CL LD y cc C d y cm LLI w to W W rg W 0 c o ai c O c O L O y � C O C U n O O W W = p p cc ID v m CD CL y L: EE co c .. 0 0 Q C CCr C E ail Z a v A q O y O 3 Z d w co � A N O u`� C � Q o Em • o w° cn w° w°' U w :3co a°', w w°' cn w � co r� w Co O Q c� cn cn CA. fl ._ Vt O 9 Go, L10 0 O O L _ O V Z CD C. O CO) � C GD pm CD i O Ag O �O �E m m CD CL3 CD � O � � D O CDL co c CD � Ccc CD co ts C CD 0 CL LD y cc C d y cm LLI w to W W rg W 0 c o ai c O c O L O y � C O C n O O = p p cc ID v m CD CL y L: EE co c .. 0 0 Q C CCr C E ail Z a O y O 3 Z moi` co � A N C C � Em • �moca oC ymm Co O Q C CA. fl ._ Vt O 9 Go, L10 Z OO C CL cmw C •O Q m : i m C = CD :n CA ev t m 4; r+ W Ws U..MD � vyi �E nr`cc v ama •y 2 o uj CWS O p 0 C ! COD FE n m 5 O -0 . o 1- tyv t .aoy OR n •_.. m 0 O O L _ O V Z CD C. O CO) � C GD pm CD i O Ag O �O �E m m CD CL3 CD � O � � D O CDL co c CD � Ccc CD co ts C CD 0 CL LD y cc C d y cm LLI w to W W rg W 0 The Commonwealth of Massachusetts Department of Industrial.Accidents Office oflnvestigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):. Address: c) J City/State/Zip: McOj�& �C�/,.Q,1/� M rr Phone #:_ Are you an employer? Check the appropriate box: L ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. t ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its quired.] officers have exercised their 3.I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c.152, § 1(4), and we have no insurance required.] employees. NO workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11. F1 Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other 'Any applicant that checks box 41 must also fill out the section below showing their workers' compensation policy information. 7 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. lam an employer that isproviding workers' compensation insuranceformy employees. Below is thepolicy andjob site information. Insurance Company Name: Policy 4 or Self -ins. Lic. Job Site Expiration 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 ofthis statement may be forwarded to the Office of Investigations of the DIA. for insurance coverage verification. I do hereb,�ei;tify un der the pat andpenalties ofperjury that the information providedpbovF is true and correct. Official 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): I. Board of Health 2. Building Department 3. City/Town Clerk 4. EIectrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone 4: Gerald A. Brown Inspector of Buildings Please print DATE: ,% Iii JOB LOCATION: c�i, l© Number HOMEOWNER K�2kL TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION C� Street Address Name t Home Phone Telephone (978) 688-9545 Fax (978)688-9542 d �oaxg !�7 A- 16 n Map/Lot PRESENT MAILING ADDRESS Q 5 �e&r And 7.e o_t City Town State Work Phone Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) 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 structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances with the 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. _ A /—% HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535