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Home My WebLink AboutBuilding Permit #401 - 445 BOSTON STREET 8/2/2000 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT5 OR DEMOLISH A ONE OR TWO FAMILY DWELLING .M :. N-, BUILDING PERMIT NUMBER. DATE ISSUED: m ic SIGNATURE: Building Commissioner/I for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 61oo k Parcel Number o 1.3 Zoning Information: 1.4 Property Dimensions: I TD Zoning District Proposed Us6 Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Reql1ired Provided 1.7 Wat Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal 11On Site Disposal System SECTMN 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record ame(P Address for Service Signature Telephone 2.2 Owner of Record: O Name Print Address for Service: M Signature Telephone go SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: L2� 2j `L1 l O License Number 1 ,� �- \��, �,1ress"/, v -2--1. cx > - ?J Expiration ate S gn ure V Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ .�yJ0 � U l �n Com anName m Registration Number r Address V ( 0 %r Z Expiration Date ^ Signature Telephone G) Location No. l ��_ Dated MORT1y TOWN OF NORTH ANDOVER Certificate of Occupancy $ • . .• , - <d cMusBuilding /Frame/Frame Permit Fee $ s� t Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # t� ' `" ' /f Building Inso or FORM - U LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT (fct2,,gLPHONE S ASSESSORS MAP NUMBER Q D LOT NUMBER 0 U Y SUBDIVISION LOT NUMBER STREET STREET NUMBER OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS mono own �4\ v- 5 DATE APPROVED Z� �C NSERVATION ADMINISTRATOR DATE.REJECTED CONIlyIENTS 5s kc- xv� C4 DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEAL DATE REJECTED DATE APPROVED C SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTNIENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE mi .....-I"r - s 415 fi " I1 f11 - I �yf � T � � 17 rr �rTr +r MORTGAGE INSPECTION BAY STATE SURVEYING SERVICE INC. 234`CA�B11 OT ST., BEVERLY, MA. LOCATION • .N".o�'_rj`t_AI�-!;20VEF.,.-/Y-7 A.z:s!.._ NOTES : SCALE : I" = 5Q FT. DATE : I Za S�� a This is a Mortgage inspection survey and not """��"' "' ��j'-�"""""' an instrument survey,thereforethis plot plan is for REFERENCE _ .� _ _:J13� r__ ---- mortgage inspection purposes only. ../.�1O_�_�L % : p • This survey is based on survey marks of others. To _�.��._____ ___ e Bushes,shrubs, fences and tree lines do I hereby certify that I have examined the premises and that the not necessarily indicate property lines. building(s) shown on this plan are located on the ground as shown and that they conformed/to the zoning setbacks of the ® The building(s) are not located in the special when constructed: flood hazard zone, as defined by H.U.D. � N 8 � E Z-07- F-1 3o's��b��k L INE S # 5 5 — R: e 54.Gb Bos7-0� �- Massachusetts Departmnt of Environmental Protection 445 Boston Street Bureau of Resource Protection- Wetlands y ; WPA Form 2 - Determination ®f Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 ' Generallnformation From: 3. Title and Final Revision Date of Plans and Other Documents: North Andover "Plan of Land" dated 4/21/00 Caravan Cammwon 1. Applicant Maureen Connelly NamecipLy nMatdngRequeV 445 Boston Street MailingAd&w North Andover Gry/i_ MA 01845 Stare Zip Cade Z Property Owner: Same as above Name of ftpgry Uvnr(r/duftm Imm applioM) Mailing Address Ciry/ToMn Stdre Zip Cade Determination Pursuant to the authority of M.G.L.c.131,§40,the North Andover CaasewxnCarmm== has considered your Request for a Determination of Applicability,with its supporting documentation,and has made the following Determination regarding: 445 Boston Street SDWAddress North Andover 01845 CrylTonn Zip Cade 107D 108 Lot B Asses=MaplPtarf Par?!/l.at n , -1;A Massachusetts Department of Environnrentai Protection 445 Boston Street Bureau of Resource Protection- Wetlands NAPA Form 2 - Determination_ of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, X40 Determination (cont.) The following Determination(s) is/are applicable to the ❑ 5.The area and/or work described on plan(s)and proposed site and/or project relative to the Wetlands document(s)referenced above,which includes all or part of Protection Act and Regulations: the work described in the Request, is subject to review and approval by Positive Determination North Andover Note: No work within the jurisdiction of the Wetlands Name ofMun 9j(y Protection Act may proceed until a final Order of Conditions (issued following submittal of a Notice of Intent or pursuant to the following wetlands law,bylaw,or ordinance Abbreviated Notice of Intent)has been received from the (name and citation of law). issuing authority(i.e.,conservation commission or the Chp. 178 of the Code of Department of Environmental Protection). North Andover ❑ 1.The area described on the plan(s)referenced above, which includes all or part of the area described in the Request, is an area subject to protection under the Act. Therefore,any removing,filling,dredging,or altering of that area requires the filing of a Notice of Intent. ❑ 6.The following area and/or work, if arty, is subject to ❑ 2 The delineations of the boundaries of the resource municipal bylaw but not subject to the Massachusetts areas listed directly below,described on the plan(s) Wetlands Protection Act: referenced above,which includes all or part of the area described in the Request.are confirmed as accurate: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on plans and documents referenced above. Therefore,the resource area boundaries confirmed in this which includes all or part of the work described in the Request the applicant must consider the following Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations alternatives0.58( (Refer[o the Wetlands Regulations at regarding such boundaries for as long as this Determina- 1O.58ative for more information about the scope of tion is valid.However,the boundaries of resource areas not alternative requirements) listed directly above are not confirmed by this Determina- ❑ Alternatives limited to the lot on which the project is tion,regardless of whether such boundaries are contained located. on the plans attached to this Determination or to the Request for Determination. ❑ Aftematives limited to the lot on which the project is ❑ 3.The work described on plan(s)and document(s) located,the subdivided lots,and any adjacent lots formerly referenced above,which includes all or part of the work or presently owned by the same owner. described in the Request,is within an area subject to ❑ Alternatives limited to the original parcel on which the protection under the Act and will remove,fill,dredge,or project is located the subdivided parcels,any adjacent after that area.Therefore,said work requires the filing of a parcels,and any other land which can reasonably be Notice of Intent. obtained within the municipality. ❑ 4.The work described on plan(s)and document(s) ❑ Alternatives extend to any sites which can reasonably referenced above,which includes all or part of the work be obtained within the appropriate region of the state. described in the Request. is within the Buffer Zone and will alter an Area subject to protection under the AcL Therefore, said work requires the filing of a Notice of Intent n 1,.i A ��. ♦n/M Massachusetts Department of Enviroanx-ntal Protection 445 Boston Street Bureau of Resource Protection- Wetlands MA Form 2 of Applicability PPlica flit Massachusetts Wetlands Protection Act M.G.L. c. 131, §40. Determination (cont.) Negative Determination ❑ 5.The area described in the Request is subject to protection Note: No further action under the Wetlands Protection Act under the Act.Since the work described therein meets the is required by the applicant. However, if the Department of requirements for the following exemption,as specified in Environmental Protection is requested to issue a Supersed- the Act and regulations, no Notice of Intent is required: ing Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post- fxem�rAarviry marked for certified mail or hand delivered to the Depart- menL Work may then proceed at the owner's risk only upon notice to the Department and to the conservation ❑ 6.The area and/or work described in the Request is not commission.Requirements for requests for Superseding subject to review and approval by Determinations are listed at the end of this document. � North Andover ❑ 1.The area described in the Request is not an area subject Nafmot,uwucrOAY to protection under the Act or the Buffer Zone. pursuant to a municipal wetlands law,ordinance,or bylaw, ❑ 2 The work described in the Request is within an area (name and citation of bylaw). subject to protection under the Act.but will not remove,fill, Chp. 178 of the Code of dredge,or after that area.Therefore, said work does not require the filing of a Notice of Intent North Andover plicant to 3.The work described in the Request is within the Buffer edule pre— Zone,as defined in the regulations,but will not after an struction Area subject to protection under the Act.Therefore, said pection with work does not require the filing of a Notice of Intent. servation mission prio]p 4.The work described in the Request is not within an Area construction. subject to protection under the Act(including the Buffer Zone).Therefore,said work does not require the filing of a Notice of Intent,unless and until said work alters an Area subject to protection under the Act. �l i?ltflOrlZatlOn This Determination must be signed by a majority of the conservadon commission.A copy must be sent to the This Determination is issued to the applicant and delivered appropriate Department of Environmental Protection as follows: regional office(see appendix A)and the property owner(if different from the applicant). ❑ by hand delivery on Signatures: Dare LKbye mail, on C' May 18, 2000 Date This Determination is valid for three years from the date of issuance(except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). v This Determination does not relieve the applicant from complying with all other applicable federal,state,or local statutes,ordinances,bylaws,or regulations. a000 Dare n . ,„c I 445 Boston Street Massachusetts Departmat of Envirommnfai Protection Bureau of Resource Protection- Wetlands SPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, X40 U Appeals The applicant,owner,any person aggrieved by this Determina- issuance of this Determination.A copy of the request shall at tion,any owner of land abutting the land upon which the the same time be sent by certified mail or hand delivery to the proposed work is to be done,or any ten residents of the city or conservation commission and to the applicant if he/she is not town in which such land is located,are hereby notified of their the appellant-The request shall state clearly and concisely the right to request the appropriate Department of Environmental objections to the Determination which is being appealed.To the Protection Regional Office to issue a Superseding Determina- extent that the Determination is based on a municipal bylaw, tion of Applicability.The request must be made by certified and not on the Massachusetts Wetlands Protection Act or mail or hand delivery to the Department,with the appropriate regulations,the Department of Environmental Protection has no riling fee and Fee Transmittal Form (see Appendix E: Request appellate jurisdiction. for Departmental Action Fee Transmittal Form)as provided in 310 CMR 10.03(7)within ten business days from the date of Massachusetts Departawnt of Environiwntal Protection 445 Boston Street Bureau of Resource Protection- Wetlands ` WPAAppendix E - Request for Departmental Action Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, X40 Please typeor print clearly all Request Information information requested on this form. 1. Person or party making request(if appropriate, name the 2. Applicant(as shown on Notice of Intent,Abbreviated Notice citizen group's representative): of Resource Area Delineation,or Request for Determination of Applicability): Name Name Mailing Address Mailing Address Ciry/T_ City/T— 1 Slate Zip Code Stare Zip Cade Phone Number Phone Number Fax Number(if applirable) Fax Number(if applicable) Project Location: DEP File Number: StreerAddrms CiVT— Instructions 1. When the departmental action request is for(check one): 2. On a separate sheet attached to this form,state clearly and concisely the objections to the Determination or Order ❑ Superseding Order of Conditions which is being appealed.To the extent that the Determina- ❑ Superseding Determination of Applicability tion or Order is based on a municipal bylaw,and not on the ❑ Superseding Order of Resource Area Delineation Massachusetts Wetlands Protection Act or regulations,the Department of Environmental Protection has no appellate Send this form and a check or money order for$50.00, jurisdiction. payable to the Commonwealth of Massachusetts,to 3. Send a copy of this farm and a copy of the check or money Dept.of Environmental Protection order with the Request for a Superseding Determination or Box 4062 Order by certified mail or hand delivery to the appropriate Boston,MA 02211 DEP regional office as listed in Appendix A. 4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the conservation commis- sion and to the applicant, if he/she is not the appellant. NpRTFI F Town of ► ^ , Andover R. 401 0 _ lit LA E o y �` dover, Mass.,--- RA-r E D ass.,RATED P'Pa�,�S S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....../...QA....*.:./�l.A.�^��.�.... r.v�:4..� ... ................................ Foundation has permission to erect.......Y.S.......... . buildings on......�^I,,C.....J8.o�o...N.......16t...... Rough • k r Chimney to be occupied as.... l'!d N T.... AJ........�.......I......�..y! .1 ............................................................................... y provided that the person accepting this permit sfiall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. in PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR Rough .........��••m........................................... ............................. Service BUILDING INSPECTOR Final ' Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE