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HomeMy WebLinkAboutBuilding Permit #702-2017 - 360 WINTER STREET 1/10/2017BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#:--��i I Date Received gr a 1 ®g Date Issued: IUVIPORTANT: Applicant must complete all items on this page 4'�. = - _ �.-.Pnnt"t 4 Pnnf ear ruc ure s no 'MAP 1. }PARCEL L.. _ZONING DISTRICT LHis#Dart District yes '~no y x Machi e Shop_Village Yom- - _.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 q Well ` ❑ Flo odplain El Wetlands Watershed Disf�ict i l Water/Sewer.. DESCD113TION,,QF WORK TO BE PERFORMED: nU�f� et�iS� r Icy < m a2 °0'46 0. aacV 2 bq 2 OVVNER: Name: Address: 18dntr-8ctor: Narne ,. Address. Identification - Please Type or Print Clearly MA 01-6, Phone:_..V. Phone: Supervisor's Construction License:., . LHome Improvement License: Exp: Date,,-, 4 - ARCHITECT/ENGINEER ��rl �l� ' Phone: �,��?YT 9'7-��I� C Address: o 3o3k Reg. No.. FEE SCHEDULE: 3uLD,`:'JG PERMIT. $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASEDO 925.00 P S.F. <71 i - - _ �'�tal Project Cyst. $ � � FEE. $ Check No.: �� Receipt No... I _ NOTE: Persons contrueting with unregistered contractors do not have. access to the guaranty fund Sigr atia�e of_Agent/Ow e r Signature of contractor; t ■ r Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ TYPF bF 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 PLANNING & DEVELOPMENT Reviewed OnSignature_ 4& COMMENTS 1ti1r(iCi CONSERVATION N COMMENTS i HEALTH COMMENTS I." V% Reviewed on Reviewed on t r Sianature rJ\k ri ri Q GA Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes f ~� 61anning Board Decision: Comments c Conservation Decision: Comments Water & Sewer Connection/signature & Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site yes Located at 124 main Street Fire Department signature/date COMMENT $. Jd4 usgood Street no -)imension 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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine No 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 ❑ 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/Cross Section/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 o Certified Proposed Plot Plan a Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) ❑ Copy o CContr act ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products 40TE:.All dumpster permits require sign off from Fire Department prior to issuance of B'dg. 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 Dec: Building PermitRevivA 2014 Location %+1 .,y 1 r�1 5% No. 20J1 -,a01-7 Check # 1F Date /04,701 7 TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL Building Inspector v CA 0 O n Z y C omo jar• � �• N > `o � O vm c� o Q C cr m M •O _•v N. � v O U) n O O O CD �A O O 1* r,rn c� cn- nm Z X -v cn �v c Cl)m q Z I - ''�ww L" ® V• O O 'a 2 OMa O y_ = :5 cap V1 5 0 M z o =r y O cn a+ ZD - h o o CL m °N CcpM - 2 v as y v D co N Q r« W �=r =r CD COD CD CD to CD °°N�• i®� C O a _ ;I L rt� C °=r =r rip, < 0o N 0 CL U) CD� � = rt as <m C �- Q Im CD co �N r�2. y rt n ° O rt O C o g CD lD .qw CD CD U) o2h D� cp -a CL as o Ln (n WT A T N A T ]J T n ;u T N T 3 1 r 7 O � � O � O 3 S O O m O O m 3 N � d < v D) 3 �C - M S 3 Q n z < w '^ o rD p n m V, =3 m C 3' W n C m D A z N O O O m m O z2 0 0 0 0 • U 1 J 0 1 s A/S 2 c Town of North Andover ZONING BOARD OF APPEALS Albert 1'. Manzi 111, Esq. Chairman Ellen 11. McIntyre, I ice-Chedrman D. Paul Koch jr. F:sq. Clerk Douglas Ludgin ;\flan Cuscia Associate Members Deney ,NIorganthal Nathan Weinreich Alexandria A. Jacobs Ilsq. Any appeal shall be filed within (20) days after the date of filing of this notice in the office of the Town Clerk, per Mass. Gen. L. ch. 40A, § 17 NAME: Keith & Amy Harley HEARING(S): September 13, 2016 PORT j fO �F' r i 7 j: fT wff ClErk^'time Stamp v esti° d °� 2016 SEP 27 PH N: 4S This is to e"y that trend have elapsed from date of dedsior! .= . . without filing of an p Date20 %w e'/ /1 i1v Notice of Decision JOYO@ A. @radshai�! Year 2016 "'Own Clerk Property at: 360 Winter Street (Map 104.A, Parcel 0012) North Andover, MA 01845 NAME: Keith & Amy Harley HEARING(S): September 13, 2016 ADDRESS: 360 Winter Street, North Andover, Ma. 01845 PETITION: 2016-011 Special Permit — Construct a Family Suite The North Andover Board of Appeals held a public hearing at The School Administration Building, at 566 Main Street, North Andover, MA on Tuesday, September 13, 2016 at 7:30 PM on the application of Keith & Amy Harley for property located at 360 Winter Street (Map 104.A, Parcel 0012) North Andover, MA 01845. A Special Permit for the R-1 Zoning District is needed. The Petitioner is requesting a Special Permit to construct a Family Suite from 4.121 & 4.121.17 of the Zoning Bylaws in the R-1 Zoning District. Legal notices were sent to all the certified abutters provided by the Town of North Andover, Assessors Office, and were published in the Eagle -Tribune, a newspaper of general circulation in the Town of North Andover, August 30, 2016, and September 06, 2016. The following regular voting members were present: Albert P. Manzi III, Ellen P. McIntyre, Doug Ludgin and D.Paul Koch. The following Associate members present: Alexandria Jacobs. D.Paul Koch made a motion to GRANT the Special Permit from 4.121 & 4.12.17 of the Zoning Bylaw to allow for a Family Suite in the R-1 Zoning District at 360 Winter Street (Map 104.A, Parcel 0012) North Andover, MA 01845. Ellen McIntyre second the motion to Grant the Special Permit. All those in favor to Grant the Special Permit: Albert P. Manzi III, Ellen P. McIntyre, D.Paul Koch, Doug Ludgin and. Alexandria Jacobs. Vote 5-0 The Board finds that this use, as developed by the building and site plans, will not adversely affect the neighborhood. There will be no nuisance or serious hazard to vehicles or pedestrians since there are provisions for the required off-street parking. Adequate and appropriate facilities are provided to the existing residential dwelling and will be provided for the proper operation of a -Family Suite. The Board finds that the Family Suite will not be substantially more detrimental than the existing single family dwelling to the neighborhood and that this use, to allow a Family Suite to the single family dwelling, is in harmony with the general purpose and intent of this Bylaw. ATT E S'k: A True Copy (' 9 '� W4 ��. G�:. �aGFd''er°.ed Town Clerlh. Page 1 of 2 Site: 360 Winter Street (Map 104.A, Parcel 0012) North Andover, MA 01845 The Petitioner is requesting a Special Permit to construct a Family Suite from 4.121 & 4.121.17 of the Zoning Bylaws in the R-1 Zoning District. Special Permit: Section 4.121 & 4.121.17 of the Zoning Bylaw in order to grant a Family Suite in the R-1 Zoning District. Plans(s) and titles 1) "Plot of the Land" containing one (1) sheet. Prepared by Sullivan Engineering Group, Dated June 16, 2016, 66 P.O. Box 2004, Woburn, MA. 01888 2) Proposed Modifications The Harley Residence, containing nine sheets; Floor Plan, Front Elevation, Left Elevation, Rear Elevation, First Floor Plan, Second Floor Plan, Front Elevation, End Elevations, Rear Elevation, Dated 05/25/2016 & 06/05/1984 Voting in favor of the Albert P. Manzi III, Ellen P. McIntyre, D.Paul Koch, Doug Ludgin and Special Permit: Alexandria Jacobs Voting in the Negative: n/a The Board finds that the applicant has satisfied the provisions of Section 4.121 & 4.121.17 of the Zoning Bylaw in order to allow for a Single Family Suite located at 360 Winter Street (Map 104.A, Parcel 00 12) North Andover, MA 01845 in the R-1 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 2 years of the date of the grant, it shall lapse, and may be re- established only after notice, and a new hearing. ertP. Manzi IIIJEsq., Chairman lien P. McIntyre, Vice- Chairman D.Paul Koch Douglas Ludgin Alexandria Jacobs, Esq. Decision 2016-011 Page 2 of 2 Town of North Andover ZONING BOARD OF APPEALS Albert P. Manzi III, Esq. Chairman Ellen P. McIntyre, Vice -Chairman Doug Ludgin D. Paul Koch Jr., Esq. Allan Cuscia Date: September 28, 2016 Dear: Keith & Amy Harley Associate Members Deney Morganthal Nathan Weinreich Alexandria Jacobs, Esq. Zoning Enforcement Officer Donald Belanger As you know, the Zoning Board of Appeals granted your application for a Special Permit — Family Suite for the premises at: 360 Winter Street, North Andover, MA. 01845 Your 20 -day appeal period will have passed at midnight on the following date: October 17, 20161 allowing you to begin the following three steps starting on: October 18, 2016. 1. Once the appeal period has passed, please pick up your Town Clerk -certified copy of the Zoning Board of Appeals Decision, and your ZBA Board signed Mylar (if a Mylar was required) from the Town Clerk's Office located at 120 Main Street, North Andover, MA. 01845 (978.688.9501) 2. Please bring the Town Clerk -certified copy of the Decision & the signed Mylar to the Essex North Registry of Deeds, 354 Merrimack Street, Suite 304 (use Entrance C) Lawrence, MA. 01843 (978.683.2745), as the decision and the Mylar must be filed at the Registry of Deeds as soon as possible. 3. Once this is completed, please bring to The Building Department: a) A Copy of the Town Clerk & Registry stamped Decision b) A paper copy made from the ZBA Board -signed and Registered Mylar c) A completed Building Permit application along with two (2) sets of Building Plans (that have been approved by the ZBA noting any/all revisions) in order to obtain a Building Permit upon review. Failure to file the decision and the Mylar with the Registry of Deeds will result in your inability to exercise your Variance and/or Special Permit and/or Finding due to your inability to obtain a building permit from the Building Department. "Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, they shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced, they shall lapse and may be re-established only after a new hearing." If you have any questions, please feel free to call (978.688.9541) or fax (978-688.9542). 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9541 Fax 978.688.9542 Web www.townofnorthandover.com R E—C,& XP T Printed: November 30, 2016 0 9:04:1 Essex North Registry M. Paul Iannuccillo Register Trans#: 23754 Oper:LRRECKM AMY HARLEY Book: PL Page: 17536 Ctl#: 15 Rec:11-30-2016 5 9:01:42a DOC DESCRIPTION TRANS AMT PLAN Surcharge CPA $20.00 20.00 5.00 TECH FEE 5.00 Plan recording 50.00 Total fees: 75.00 Book: 14895 Page: 227 Inst#: 31792 Ctl#: 16 Rec:11-30-2016 5 9:01:42a NAND 360 WINTER ST DOC DESCRIPTION TRANS AMT ----------- --------- 1 NORTH ANDOVER ZONING DECISION Surcharge CPA $20.00 20.00 50.00 recording fee 50.00 5.00 TECH FEE 5.00 Total fees: 75.00 *** Total charges: 150.00 CHECK PM 157 150.00 Albert P. Manzi 1I1, Esq. Chairman Ellen P. McIntyre, bice -Chairman D. Paul Koch) r. Esq. Clerk Douglas Ludgin Allan Cuscia .Associate Ikiembers Deney Morganthal Nathan Weinreich tllexandria A. Jacobs Esq. Town of North Andover ZONING BOARD OF APPEALS fl vE1:V pOotp TOV.�`�.f Lf?tt€ivh;CIR).'imeStamp _p .4 _ l.1 I I t_ Any appeal shall be filed within (20) days after the date of filing of this notice in the office of the Town Clerk, per Mass. Gen. L. ch. 40A, § 17 2016 SEP 2 7 PY► 4: 4 5 ,I NoR i H A.X00V;:i; Notice of Decision Year 2016 Property at: 360 Winter Street (Map 104.A, Parcel 0012) North Andover, MA 01845 NAME: Keith & Amy Harley HEARING(S): September 13, 2016 ADDRESS: 360 Winter Street, North Andover, Ma. 01845 PETITION: 2016-011 Special Permit — Construct a Family Suite The North Andover Board of Appeals held a public hearing at The School Administration Building, at 566 Main Street, North Andover, MA on Tuesday, September 13, 2016 at 7:30 PM on the application of Keith & Amy Harley for property located at 360 Winter Street (Map 104.A, Parcel 0012) North Andover, MA 01845. A Special Permit for the R-1 Zoning District is needed. The Petitioner is requesting a Special Permit to construct a Family Suite from 4.121 & 4.121.17 of the Zoning Bylaws in the R-1 Zoning District. Legal notices were sent to all the certified abutters provided by the Town of North Andover, Assessors Office, and were published in the Eagle -Tribune, a newspaper of general circulation in the Town of North Andover, August 30, 2016, and September 06, 2016. The following regular voting members were present: Albert P. Manzi III, Ellen P. McIntyre, Doug Ludgin and D.Paul Koch. The following Associate members present: Alexandria Jacobs. D.Paul Koch made a motion to GRANT the Special Permit from 4.121 & 4.12.17 of the Zoning Bylaw to allow for a Family Suite in the R-1 Zoning District at 360 Winter Street (Map 104.A, Parcel 0012) North Andover, MA 01845. Ellen McIntyre second the motion to Grant the Special Permit. All those in favor to Grant the Special Permit: Albert P. Manzi III, Ellen P. McIntyre, D.Paul Koch, Doug Ludgin and. Alexandria Jacobs. Vote 5-0 The Board finds that this use, as developed by the building and site plans, will not adversely affect the neighborhood. There will be no nuisance or serious hazard to vehicles or pedestrians since there are provisions for the required off-street parking. Adequate and appropriate facilities are provided to the existing residential dwelling and will be provided for the proper operation of a -Family Suite. The Board finds that the Family Suite will not be substantially more detrimental than the existing single family dwelling to the neighborhood and that this use, to allow a Family Suite to the single family dwelling, is in harmony with the general purpose and intent of this Bylaw. Pagel of 2 t�r Site: 360 Winter Street (Map 104.A, Parcel 0012) North Andover, MA 01845 The Petitioner is requesting a Special Permit to construct a Family Suite from 4.121 & 4.121.17 of the Zoning Bylaws in the R-1 Zoning District. Special Permit: Section 4.121 & 4.121.17 of the Zoning Bylaw in order to grant a Family Suite in the R-1 Zoning District. Plans(s) and titles 1) "Plot of the Land" containing one (1) sheet. Prepared by Sullivan Engineering Group, Dated June 16, 2016, 66 P.O. Box 2004, Woburn, MA. 01888 2) Proposed Modifications The Harley Residence, containing nine sheets; Floor Plan, Front Elevation, Left Elevation, Rear Elevation, First Floor Plan, Second Floor Plan, Front Elevation, End Elevations, Rear Elevation, Dated 05/25/2016 & 06/05/1984 Voting in favor of the Albert P. Manzi III, Ellen P. McIntyre, D.Paul Koch, Doug Ludgin and Special Permit: Alexandria Jacobs Voting in the Negative: n/a The Board finds that the applicant has satisfied the provisions of Section 4.121 & 4.121.17 of the Zoning Bylaw in order to allow for a Single Family Suite located at 360 Winter Street (Map 104.A, Parcel 0012) North Andover, MA 01845 in the R-1 Zoning District. Notes: 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 2 years of the date of the grant, it shall lapse, and may be re- established only after notice, and a new hearing. ert P. Manzi III/Esq., Chairman lien P. McIntyre, Vice- Chairman D.Paul Koch Douglas Ludgin Alexandria Jacobs, Esq. Decision 2016-011 Page 2 of 2 a —:s —` rs_ MASSACHUSETTS STATE EXCISE TA 2 1' 5372 :y=�'ts•x.����itil L:Iris` �7plj;)�lri�}I"f Massachusetts Quitclaim Deed Short Form (Individual) We, Daniel G. Thomas and Susan L. Thomas, of North Andover, Essex County, Massachusetts, being married, for consideration paid, and in full consideration of Five Hundred Twenty -Five Thousand ($ 525,000.00 } Dollars, grant to Keith M. Harley -and Airy E. Harley, husband and wife, of 360 Winter 00 Street, North Andover, Massachusetts, as tenants by the entirety, with quitclaim covenants, the land in North Andover, Essex County, Massachusetts, situated on the Easterly Side of Winter Street and the southerly side of Dale Street, and o being shown as Lot A on a plan of land entitled "Plan of land located in North Andover, C: Ma, prepared for Harold Clayton, dated October 31, 1980, Frank C. Gelinas & rAssociates, Engineers & Architects", recorded with Essex North District Registry of tf o Deeds as Plan ##9052, as bounded and described as follows: Z Westerly by Winter Street, by several courses, as shown on said plan 337.25 feet +? more or less; Northerly by Dale Street (prior to relocation) by two courses, as shown on said plan 206.28 feet; Easterly by land now or formerly of Lewis, by several courses as shown on said plan. 324.10 feet, more or less; and 0 Southerly by land Lot B, as shown on said plan by two courses 204.63 feet more or less. DContaining according to said plan 60,475 square feet, subject to exclusion below. 0 EXCEPTING AND EXCLUDING . from this conveyance, and from the premises described above, the following described portion of said premises which was taken by Essex County Commissioners for relocation- of Dale Street by instrument dated June 6, 1957, recorded with Essex North District Registry of Deeds, Book 855, Page 333: Northerly by Dale.Street (prior to relocation) as shown on said plan, by two courses 206.28 feet; Easterly by land now or formerly of Lewis (prior to relocation of Dale Street) 52 feet more or less; Bk 14555 Pg21 #5372 Southerly by Lot A, as shown on said plan, after relocation of Dale Street, 212.6 feet, more or less; Westerly by Winter Street, as shown on said plan, 18 feet, more or less. Property Address; Lot A, 360 Winter Streetg North Andover, Mass 01845 For Grantors' title, see deed from Vernon, M. Hawkins to Grantors dated June 10, 1983 and recorded in said Registry Book 1683 at Page 2. Witness our hands and seals on this day of March, 201.6. C Th n Q ) Daniel G. Tho6fas Susan L. Thomas COMMONWEALTH OF MASSACHUSETTS Essex, ss. On this 39I day of March, 2016, before me, the undersigned notary public, personally appeared Daniel G. Thomas., who is [ ] personally known to me or [ A proved to me through satisfactory evidence of identification, which was aftSS&hYV& driver's license or to be the person(s) whose name(s) is/are si ed on t -IM mwwa& ched document, and acknowledged the foregoing i tnft*RIId fl , AUGM . ct and deed. No Public 1 rdM4NWHltTH OF MASSACHUSETTS p My Commission Expires December S, 2019 _ Notary Public COMMONWEALTH OF MASSACHUSETTS Essex, ss. On this �� day of March, 2016, befo me, the undersigned notary public, personally appeared Susan L. Thomas., who is [personally known to me or [ ] proved to me through satisfactory evidence of identification, which was driver's license or to be the person(s) whose name(s) is/are signed on the preceding or attached document, and acknowledged the foregoing instrument to be his/her/their free act and deed. R08ERT P. FORD Notary PUbIiC—' coMA�n� # �� Notary Public My COM 49slon &Of*$ rente,ar 17, 2021 Thms&NAnd.P&S.Deed dann norris batting • architect planning, design, architecture one sandown road chester, new hampshire 03036 603 • 887.0086 May 25, 2016 To whom it may concern; The plans prepared by my office for the proposed conversion of a portion of the first floor of the Harley residence located at 360 Winter Street, North Andover, MA, into an in-law apartment will provide approximately 784 square feet of gross living area for that purpose. This area represents approximately 24 % of the approximate gross living area of 3,230 SF contained in the first and second floor of the existing home. Lcerely r: - DA N aq� Dann N. Batting, Architect No 6027 Mass. Reg. No. 6027 MALDEN MASS. Donald Belanger Inspector of Buildings Please print DATE: .4S lc)� JOB LOCATION TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 120 Main Street North Andover, Massachusetts 01845 Telephone (978) 688-9545 Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION Building Permit Application HOMEOWNER i -km, LA&, q7W Number Street Address i�Fme I Home Phone PRESENT MAILING ADDRESS _�tC16 nr Map/Lot Work Phone 0 City Town State Zip Code The current exemption for "homeowners" was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license,rop vided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one -or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. (780 CMR Section I IO R5.1.2) The undersigned "homeowner" assumes responsibility for compliance with State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. \ � HOMEOWNERS SIGNATURE APPROVAL OF BUILDING Ol Revised 9/16 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 The Commonwealth of Massachusetts .Department oflndustrial_A.ccidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Compensation Insurance Affidavit' Buil.dens/Contractors/Electricians/pinmbers. TO BE FILED WI U TBE PF'M TTMG AU'THORi1'Y_ v, ro Prin$ Name (Business/Oigaiiization/Tndiivvidlual): M G Address: c7C City/State/Zip:_ Are you an employer? �oC o�Q�1'1 c)17(6Phone#: ( 1� the appropriate box: 1. ❑ I am a employer with employees (full and/or part-time).' 2. ❑ I am a sole proprietor or partnership and have no employees Working forme in any capacity. [No workers' comp. insurance required.] 3.E] I am a homeowner doing all work myself [No workers' comp. insurance required.] t 4.W I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensurethat all contractors either have workers' compensation insurance or are sole proprietors with n0 employees. 5.Q I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. iu=ance.t 6. ❑ We are a corporation and its, officers have exercised their right of Xemption per MGL c. 1 4) and'we have no empldyees. [No workers' comp. insurance required.] �� Type of project (required): 7. ElNeVd6nstruciion K �] Remodeling 9, Demolition 10 [] Building addition 11.❑Electrical repairs or additions 12. Q -Plumbing repairs or additions 0 13.Ro6f repairs 14.] Other 152, § ( ._ *Any applicant that check§ box #1 must also fill out the section below showing their workers' compensation poficy information i Homeowners who submit t OX attached an additional hew aff indicating they -0 eeett showing the ng all work andname of then hire e sub contractors and state wide contractors must heth r or not fhoseentities have tContractors that checkthis Box employees. Ifthe sub contractors have employees, they must provide Their workers' comp. policy number. X am an employer iliat is providing -workers, compensation insurance for my emplayees..13elow is the policy aradjo�i site information. Insurance Company Policy # or Self -ins. Lie. #; Expiration Date:. City/State/Zip: fob Site Address: ompe7asation policy declaration page (showing the policy number and expirai�ion date)- Attach a copy of the workers' c a criminal violation punishby a firi e up to Failure to secure coverage as required under MGL c.152, §25A is able o $25 0.00 a fine of up t 0.00 a o $25 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and day against the violator. A copy of this statement may be forwarded to the Office of ]nvestigations of the DIA for insurance coverage verification. X do I,ereliy certify under the andpenalties ofperjury that the information provided move is true and correct Date: Signature: in this area, to he completed hY city or town official Official use only. Do notwjzte City or Town: Permit/License Issuing A.uthoyity (circle one): I 1. Board of Health .2.)Building 5 uilding Department 3. CitylTowa Clerk 4. Electrical Inspector . Plumbing Inspector 6. Other Phone Contact Person• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their ghployses. 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 ofthe' 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 b6 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 x'equiired." 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 certificates) 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 live. 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 Min the permitAicense 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 stamp ed or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on fide 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 requited to complete this affidavit. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax # 61.7-•727-7749 Revised 02-23-15 www.mass.gov/dia Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost $ 153000.00 m $ - $ 180.00 Plumbing Fee $ 22.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 22.50 Total fees collected $ 325.00 360 Winter Street Family Suite 702-2017 on 1/10/2017 PLAN PURPOSE: THE APPLICANT IS SEEKING TO CONSTRUCT AN IN-LAW APARTMENT WITH NO FOOTPRINT CHANGES TO THE STRUCTURE. TAX MAP 104A LOT 11 #951 DALE STREET N/F NORTH ANDOVER BOXFORD REALTY TRUST S10'44'29"E _ _ Sl 0'27'49"E 8.66' S08'03'56"E S08'52'37"E - 92.17' S07'35'17"E 36.73'— 85.73'Ex. 48.81' j Shed Shed W78 ek 68•�11 Fk Deok Sl 7 �n hes rJ Iy 2 o N foa J IN 360 cf`re J O 172.93' WIN TER "I HEREBY CERTIFY THAT THE PROPERTY LINES SHOWN ON THIS PLAN ARE THE LINES DIVIDING EXISTING OWNERSHIPS, AND THE LINES OF THE STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED, AND THAT NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR FOR NEW WAYS ARE SHOWN AND THIS PLAN CONFORMS TO THE RULES AND REGULATIONS OF THE REGISTRY OF DEEDS." I DECLARE, TO THE BEST OF MY PROFESSIONAL KNOWLEDGE, INFORMATION, AND BELIEF, THAT THIS PLAN WAS PREPARED IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS PAUL J. RNOCCHIO, PLS DATE RESERVED FOR REGISTRY USE ONLY LOT AREA 60,471 S.F.t o• 108' 30 / c / N09'39'28"W 41.54' 43.98'" N15'50'10 W STREET PLAN REFERENCE: PLAN #: 9052 DEED REFERENCE: BOOK: 1683 PAGE: 2 ASSESSOR INFORMATION: MAP 104A PARCEL 12 OWNER INFORMATION: DANIEL & SUSAN THOMAS 360 WINTER STREET NORTH ANDOVER, MA ZONING TABLE, 3 � +o ui z ^ M W m F W W o�Z Vw ��wwo Z ag I Q o:2 3 � 1M � 60.80' NO3'37'46"W GRAPHIC SCALE SCALE: l--40' 40 0 20 40 ZONING DISTRICT: R1 REQUIRED PROVIDED MAX. HEIGHT 35 FEET < 35 FT MIN. FRONT SETBACK 30 FT 41 FT MIN. SIDE SETBACK 20 FT 108 FT MIN. REAR SETBACK 30 FT 78 FT MIN. LOT FRONTAGE 175 FT 319.25 FT MIN. LOT AREA 87,120 S.F. 60,471 S.F. PLOT PLAN OF LAND #360 WINTER STREET NO. ANDOVER, MA 01845 PREPARED BY.• SULLIVAN ENGINEERING GROUP, LLC P.O. BOX 2004 WOBURN, MA 01888 (781) 854-8644 DATE. 6/14/16 SCALE. 1"=40' NORT/ Zoning Bylaw Review Form Town of North Andover Building Department 1600 Osgood St. Bldg 20 Suite 2-36 y"Ss•1CHUSt44y North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street: 360 Winter Street Ma /Lot: Map 104.A / Lot 0012 R-1 Applicant: Amy Harley Request: Family Suite Date: 08/11/2016 Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning Remedy for the above is checked below. Item # Special Permits Planning Board Item Notes Setback Variance Item Notes A Lot Area Common Driveway Special Permit F Frontage Variance for Sign 1 Lot area Insufficient Independent Elderly Housing Special Permit 1 Frontage Insufficient Earth Removal Special Permit ZBA 2 Lot Area Preexisting X 2 Frontage Complies X 3 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies X 4 Special Permit Required X 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply X 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies X 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setbacks 1 Covera a exceeds maximum 7 Insufficient Information 2 Coverage Complies X D Watershed 3 Coverage Preexisting 1 Not in Watershed X 4 Insufficient Information 2 In Watershed j Sign N/A 3 Lot prior to 10/24/94 1 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Required 2 Not in district X 2 -Parking Parking Complies X 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parkin Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit X Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non -Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit X Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit Special permit for preexisting nonconforming Watershed Special Permit The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new permit application form and begin the permitting process. CW ©g 6 l� ii ZIT 6 *Bildiig4' partment Official gnatu Application Received Application Denied Denial Seel. O S If Faxed Phone Number/Date: Plan Review arrative The following narrative is provided to further explain the reasons for DENIAL for the. APPLICATION for the property indicated on the reverse side: Item. Reference,: Reasons for I,, B-4 A SPECIAL PERMIT FROM 4.121.17 OF THE ZONING BYLAW (FAMILY SUITE IN THE R-1 ZONING DISTRICT) IS REQUIRED FROM THE ZONING BOARD OF APPEALS X Conservation Department of Public Works X Planning Historical Commission Other X Building Department Referred To: Fire X Health Police X Zoning Board X Conservation Department of Public Works X Planning Historical Commission Other X Building Department 4 NOFTX 4 •�5. X16 TOWN OF NORTH, 5 S4CX115 ZONING :,.-D OF APPEALS tif E,MV' l ADDRESS Procedure & Requirements for an Application for a Special Permit Twelve (12) copies of the following information must be submitted thirty U days prior to the first public hearing. Failure to submit the required information within the time periods prescribed may result in a dismissal by the Zoning Board of an application as incomplete. The information herein is an abstract of more specific requirements listed in the Zoning Board Rules and Regulations and is not meant to supersede them. The petitioner will complete items that are underlined. STEP 1: ADMINISTRATOR PERMIT DENIAL: The petitioner applies for a Building Permit and receivers a Zoning Bylaw Denial form completed by the Building Commissioner. STEP 2: SPECIAL PERMIT APPLICATION FORM Petitioner completes an application form to petition the Board of Appeals for a Special Permit. All information as required in items 1 through and including 11 shall be completed. STEP 3: PLAN PREPARATION: Petitioner submits all of the required plan information as cited in Section 10 page 4 of this form. STEP 4: LIST OF PARTIES IN INTEREST: The petitioner requests the Assessors Office to compile a certified list of Parties in Interest (abutters). STEP 5: SUBMIT APPLICATION: SPECIAL PERMIT STEP 6: SCHEDULING OF HEARING AND PREPARATION OF LEGAL NOTICE: The Office of the Zoning Board of Appeals schedules the applicant for a hearing date and prepares the legal notice for mailing to the parties in interest (abutters) and for publication in the newspaper. The petitioner is notified that the legal notice has been prepared and the cost of the Party in Interest fee.. STEP 7: DELIVERY OF LEGAL NOTICE TO NEWSPAPER The petitioner picks up the legal notice from the Office of the Zoning Board of Appeals and delivers the legal notice to the local newspaper for publication. STEP 8: PUBLIC HEARING BEFORE THE ZONING BOARD OF APPEALS: The petitioner should appear in his/her behalf, or be represented by an agent or attorney. In the absence of any appearance without due cause on behalf of the petition, the Board shall decide on the matter by using the information it has received to date. STEP 9: DECISION: After the hearing, a copy of the Board's decision will be sent to all parties in interest. Any appeal of the Board's decision may be made pursuant to Massachusetts General Law ch. 40A sec. 17, within twenty (20) days after the decision is filed with the Town Clerk. Petitioner submits one (1) original and 11 Xerox copies STEP 10: RECORDING THE DECISION AND PLANS. of all the required information to the Town Clerk's Office The petitioner is responsible for recording certification of to be certified by the Town Clerk with the time and date the decision, Mylar, and any accompanying plans at the of filing. The original will be left at the Town Clerk's Essex County North Registry of Deeds, 354 Merrimack Office, and the 11 Xerox copies will be left with the St., Lawrence MA 01843, and shall complete the Zoning Board of Appeals secretary. Certification of Recording farm and forward it to the Zoning Board of Appeals and the Building Department. IMPORTANT PHONE NUMBERS: 978-688-9533 Office of Community Dev. & Services Town Hall 1600 Osgood Street 120 Main Street Building 20, Suite 2035 North Andover, Massachusetts 01845 978-688-9542 fax for Community Development offices 978-688-9501 Town Clerk's Office 978-688-9545 Building Department 978-688-9566 Assessor's Office 978-688-9541 Zoning Board of Appeals Office PAGE I of 4 PAGE 2 OF 4 Date & Time Stamp Application for a SPECIAL PERMIT ..---- North ANDOVER ZONING BOARD OF APPEALS rrm = - KNOWN A. Petitioner: Name, address and telephone number: *The petitioner shall be entered on the legal notice and the decision as entered above. 2. Owners of Land: Name, Address and Telephone number and number of years under this ownership: 7 y/ S,� Years Uwned Land: 3. Location of Property: S&O`�� / a. Street: Gf/i,I 16- e ��-ee f Zoning District % b. Assessors: Map numberDi 4'.. 4 Lot Number: UG i c. Registry of Deeds: Book Number -- Page Number:_ 4. By -Law Sections under which the petition for the Special Permit is made. 1%e�' S 64,I --)p/- ( [z -;4/-'f-t1 X11 V, 1;21.17 Zex,�n q 2 46, Z _5-T'Yf c -f `) J `Refer to the Permit Denial and Zoning By -Law Plan Review as supplied by the Building Commissioner. 5. Describe the Special Permit request: *The above description shall be used for the purpose of the legal notice and decision. A more detailed description is required pursuant to the Zoning Board Rules and Regulations as cited on page 4 of this application. Page 3 of 4 NORTH ANDOVER ZONING BOARD OF APPEALS application for a SPECIAL PERMIT 6A. Existing Lot(s): Lot Area Open Space Percent Lot Sq. Ft. Sq. Ft. Coverage 6B. Proposed Lot(s): Frontage Parking Minimum Lot Setback Feet — Spaces Front Side A Side Rear 543"D3 �0 kA � i01" 1S Lot Area Open Space Percent Lot Frontage Parking Minimum Lot Setback Sq. Ft. Sq. Ft. , Cov ag Feet Spaces Front Side A Side B Rear .'6y % S4 3 S tom, 53 OT _� 6 6C. Required Lot: (As required by Zoning Bylaws & Table 2)) Lot Area Open Space Percent Lot Frontage Parking Minimum Lot Setback Sq. ;a� Coverage Feet � Spaces Front Side A Side B Rear 7A. Existing Building(s): Ground Floor Number of Total Sau/1are f. -et Floors Sq. feet 7B. Proposed Building(s): Use of Number Building*. r of Units*" 4 *Reference Uses from the Zoning Bylaws & Table 1. "*State number of units in building. Ground Floor Number of Total Use of Number Square feet Floors Sq. feet Building* of Units*" '1 L. " r *Reference Uses from the Zonin Bylaws & Table 1. "State number of units in building. 6. Petitioner and Landowner signature(s): Every application for a Special Permit shall be made on this form, which is the official form of the Zoning Board of Appeals. Every application shall be filled with the Town Clerk's Office. It shall be the responsibility of the petitioner to furnish all supporting documentation with this application. The dated copy of this application received by the Town Clerk or the Zoning Board of Appeals does not absolve the applicant from this responsibility. The petitioner shall be responsible for all expenses for filing and legal notification. Failure to comply with application requirements, as cited herein and in the Zoning Board Rules and Regulations may result in a dismisal by the ZoningBoard of this application as incomplete. Signature ���oa I>,— above namw here �Jmc/ P41 r1le Y , arzgr -� �" z { �f�, x�,� .€"t �- � ��c�;,, ��,, �`w`s„�'�� � •mss - •x - �3 9. WRITTEN DOCUMENTATION Application for a Special Permit must be supported by a legibly written or typed memorandum setting forth in detail all facts relied upon. When requesting a Special Permit from the requirements of MGLA ch. 40A, and the North Andover Zoning By-laws, all dimensional requirements shall be clearly identified and factually supported. All points, 1-6, are required to be addressed with this application. 1. The particular use proposed for the land or structure. 2. The specific site is an appropriate location for such use, structure or condition. 3. There will be no nuisance or serious hazard to vehicles or pedestrians. 4. Adequate and appropriate facilities will be provided for the proper operation of the proposed use. S. The use is in harmony with the purpose and intent of t Zoning Bylaw. 6. Specific reference and response to the criteria required by the particular Special Permit for which this application is made (i.e. the Earth Removal Special Permit has unique criteria and submittal requirements.). 10. PLAN OF LAND Each application to the Zoning Board of Appeals shall be accompanied by the following described plan. Plans must be submitted with this application to the Town Clerk's Office and ZBA secretary at least thirty (30) days prior to the public hearing before the Zoning Board of appeals. A set of building elevation plans by a Registered Architect may be required when the application involves new construction/a conversion/ and/or a proposed change in use. 10 A. Major Projects Major projects are those, which involve one of the following whether existing or proposed: 1) five or more parking spaces, H) three (3) or more dwelling units, "2000 square feet of building area. Major Projects shall require that in addition to the above features, plans must show detailed utilities, soils, and topographic information. *10. B. *Plan Specifications: I) Size of plan: Ten (10) paper copies of a plan not to exceed 11"x17', preferred scale of 1"=40' 1) One (1) Mylar, with one block for Registry Use Only, and one block for five (5) ZBA signatures and date. M Plan shall be prepared, stamped and certified by a Registered Professional Land Surveyor. Please note that plans by a Registered Professional Engineer, Registered Architect, and/or a Registered Landscape Architect may be required for Major Projects. *10 C. *Required Features On Plan: 1) Site Orientation shall include: 1. north point 2. zoning district(s) 3. names of streets 4. wetlands (if applicable) 5. abutters of property, within 300' radius 6. locations of buildings on adjacent properties within 50' from applicants proposed structure 7. deed restrictions, easements. Ili) Legend & Graphic Aids shall include: 1. Proposed features in solid lines & outlined in red 2. Existing features to be removed in dashed lines 3. Graphic Scales 4. Date of Plan 5. .Title of Plan 6. Names addresses and phone numbers of the applicant, owner of record, and land surveyor. 7. Locus. 10 D. Minor Projects Minor projects, such as decks, sheds, and garages, shall require only the plan information as indicated with an. asterisks C). In some cases further information may be required 11. APPLICATION FILING FEES A. Notification fees: Applicant shall provide a check or money order to: "Town of North Andover" for the cost of first class, certified, return receipt x # of all parties in interest identified in MGLA ch. 40A §11 on the abutter's list for the legal notice check. Also, the applicant shall supply first class postage stamps for each address listed on the abutter's list, plus an additional 2 for the decision mailing. B. Mailing labels: Applicant shall provide four (4) sets of mailing labels no larger than 1"x2-5/8" (3 copies for the Legal mailing and one copy for the Decision mailing). C. See 2005 Revised Fee Schedule. [9>[D A Special Permit once granted by the ZBA will lapse in 2 (two) years if not exercised and a new petition must be submitted. as 14ORTH Zoning Bylaw Review Form Town of North Andover Building Department 1600 Osgood St. Bldg 20 Suite 2-36 ,,° ,... � 9 g 1SSACHtIStt North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street: 360 Winter Street Ma /Lot: Map 104.A / Lot 0012 R-1 Applicant: Amy Harley Request: Family Suite Date: 08/11/2016 Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning Remedy for the above is checked below. Item # Special Permits Planning Board Item Notes Setback Variance Item Notes A Lot Area Common Driveway Special Permit F Frontage Variance for Sign 1 Lot area Insufficient Independent Elderly Housing Special Permit 1 Frontage Insufficient Earth Removal Special Permit ZBA 2 Lot Area Preexisting X 2 Frontage Complies X 3 1 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies X 4 1 Special Permit Required X 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply X 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies X 3 1 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setbacks 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies X D I Watershed 3 Coverage Preexisting 1 Not in Watershed X 4 Insufficient Information 2 In Watershed j Sign N/A 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Com lies 5 1 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district X 2 Parking Complies X 3 Insufficient Information 3 1 Insufficient Information 4 1 Pre-existing Parkin Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit X Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non -Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit X Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit Special permit for preexisting nonconforming Watershed Special Permit The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new permit application form and begin the permitting process. Building Department Official4gignature 48 09 z'016 48 // 201,6 Application Received Application Denied Denial Sent: 6ki ka h d If Faxed Phone Number/Date: Plan Review arrative' The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: r u S Item Reasons for Reference B-4 A SPECIAL PERMIT FROM 4.121.17 OF THE ZONING BYLAW Referred To: (FAMILY SUITE IN THE R-1 ZONING DISTRICT) IS REQUIRED FROM THE ZONING BOARD OF APPEALS r�� Fire X I Health Police477o-;:i—ng Board X Conservation Department of Public Works X Planning Historical Commission Other X Building Department eyHo"I AN"�u ow 0 u -vl 7,noH 968V*Vzc ssuw lueplew JOUBISect U11188 -N uuea E r =1 ly MM it I N- L I d -zwwl — W; R A-4 r* 4- �141 . . . . . . . . . . . 4r -Q.L L TTF� -M7 ct ri -s ai� JE QL 77— x VI W W u >0 4 ID uj 3-7T fi) Ll x jj %. z —Yz > .0 ul Z LE :6 boy ....Eltlf l _.. ''ILI. uepletui BU:9. 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