HomeMy WebLinkAboutBuilding Permit #Exception - 56 SURREY DRIVE 5/1/2018 (3) BUILDING-PERMIT of tiORTy�
•� sj6 sir• ..:+,,•t6 � �
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
��SSACHUS����
• Date Issued: •
IMPORTANT:Applicant must complete all items on this page
- �3'3•;F^R,:'r'-J���=%rTr.�i.-_-.3f]" .+._S•n,„� °::F�• .�:-:.+�•�n'ti:lh= = - ;t;:rrri ._'- _ "=m>'+-?s...,s _
�r wF.... -�]1... il'.' S !'V:*.I:=f`.� .1+' 4R .:T.''�y4J, ^:�:]':-aj- _-
r,.l 1 �. -,rtf - - - r :y �.•: - ..-ti2.,,,,."- '..:w.'y^. c:,._'�'",%as^:...:..,.a):
-• ��I� ai,-, • �i5r'x.�� - -h _ T_ -= =5 .r�'-:•_:^:c��
;Y.s• ..�t.=-^.r:,.�tl,� a'ar.$._].,,. zh::' �•F-Js_ '_-r-"`"`_ -psi`,:_.�._.,.•:I tz;�., n!•;`
< •.,,eJ�i.'. •�.-,- rirs _ `_ - .,x?• ::A.. u• .el` tfSv�-�`_:;a< <L'1iir'_ - S.T._.F..da(:..,:-
-�: `�a;s }"..Cn.- TMJ=`' _x'1,a. � .'S.-'�✓-'�s..._. Y'i�C .M1':.i - CY:;`. ;_L�:u .s__=-•i,-�•� _ - L4yr�•_v�•_•_^tL,.-ZK.rywa:�Y?.; ..'.1I.'-.�•,..�p-,!sa
r°L..?,�t;,,:, w _ -r"v :ti... ,_+<r,._ti,Y•�.��::.3,. __ tri',.`-�`.-t-.', r� =:.h _ -v l.. >.,tf�.. u�:..--<kwrti.
�^-•-,� - !'e s=;a yr .7.^_'i. -} 5 ~,rf"-s�••°..� � ��i?�"I-�..9:R�' a::u.-t ^_.y � �'r-f-s
T... `rr'� '� .-a a-' ,_. , _ cr-Y--a,.? - 5?;,-,�.c �.- '�zr,X• : _.5.;,,4,F r _ _ .,'r•.-�a
��_'+' S� .,&h; 'l=.'..':c;."�.�..-:. _ -.:.':._ _ � ..xe_�• �•1;,='�.4=.>�- .�r- t.^'.z�s�_„r.-.: �� _ Se=:-I = •''�, ez2�
_�_�w,,�._-.r � .-^ .spy..,: .��.� ..sr_- _ __ __....� � ����'�,''•'4•.,'.S�Y
t +i:'•''��`^ _. _.}.. - _°_�_..; d_ -•"t �� Yy:''�-_ !� ��'il3�i•^r1�%'v.•- - ty:l:u•.3:'
'..�','-�.�, ".^lam_ - +�-..t_'+.....•,.. u.xsnr. ---<,,;.'^-�.;��,b.. .5 .. _ _ _ _�hv�-,.^•_x7...�•j�
.n s�.�+-.. rs n.:' _.-_i'.�:�r. - ..,q d-9JF� -+..,..�f:.•' -yqt=:v:�.: �rr'_•:o w:..r _ - - _ __..v..n� .h..
=4X- ib,��• --�` 'f., ati� '+F'��r,. r.•,� }•..:�.•...rtip _ .,.�:?;�„7.::.�'s.--��r:``tt%�=',�3'� ._"'^••:�:��.,->.��_�:s;.?d�>s`�'f�.,_:r;^::r,.,s-_ -I.„t%s "-i'J• ,,: .1iy.-_ �.. •C.+.P.J.-:�-r" _ uc.l Vis. Vis'.,
•'�%.�'�€-v'•,<'•.�.��i•y=�" a?.� _:'�..�,..,-. ;��� T1 �]�,�.:�=x ,�' ,ter'-_ '°",y_ ,r-•' n.. dE,'nJ
Y %T:e?.(_:a_��,S:'�:.. �L, .=Tlz.'..r`• *��;P. f'_.;;_a .1" _ ...�'t' c _';y. 1 .-.]_.`I_:i�-,,-��.w:i��:�_;.#,"::,,c
r�]t„ r: rt 'Fa'r��yJ- _ .,.•;,..:, _ r•�Fsso� '`vp..� .a-, i'-] r„z� fR;
'...i.J� 9�a AYJf 1 ;+''.• :i/U"1=]-` s7 �f�l'.• - - ,1," •'r '1•• ..1: L �'�}'•i
?'Iy� _ vn.L '•..0% !•." x'25..-. ^F�f I� =1 i �r..r,Y nor ,.s
�n«.,•1.r�.'• _ ��,GC^_•,��'•�-r,£, "'f)::-ter'-:41('M1� �c:JrFrd ti,''.-- - �-.,,np•�fr. �.�5?Il :tom'. - 235F✓"yb:: �t:lF�{f lU!!a�: Hr'iSM1.s:c..ry _��'L,`-Y-'rv'39%•F.4':MS�s
TM :.. .i ,�,3- '� g -,.u'�4J•+ �Ex',9.f +'Wry 4.'•sJr �'.:. J r.�1m;Y'rcu•••=-...�'."^"tu_ riw yx. .g•
IN
- - `y' S�,�a7-,i._�`3t,•+rr q y��'�'�� �•.�r,. Pmnf:._.�t17.=;`_r. _r'�.'- _ "- a .�"_.., '-- •r��„ - �i''-'=•':h�'t1�"u`�,u.:�
�� ,.. �„"]� f.,T sr�er'�i-,a.�'�ua 9,.;�.:.�r�.••,�. �. /� ���y6' '�4_rL �-•- /,y�� r r' yk..�-�„•-
.�;•; :��� ^R�{. _ li:..>:.X .� f�4' IES)U•rt�rY-�:r.�S'll`YiC�'FT�._ �1��, �� �__�+'4��. •��' r1 -W-
�". :P °4f'. ee..{��� �rr• M _ _ �:-,�^.�•"E.r� l�l. F ,•.::i?F.,. m.•• J�,�� •uar-.<
'.` - '!Al°"'I 'J,f lL' k°' •JA::Jil •:1'l '• i I r-:4.", _., 7"ec'S=S-..'
"�t�rte".,.,«_=-.-raE.�••- ��.Pir.t�,,..�a'c-�'%a.,.�;.,F-�:.r4y�._amrv,'+FJ'�.c,']�^za-sl',�.�.�^-SJF7ak�t�:'•a"'^"r]c.:r:'.a--3e.�irF�W1.03S•:(} _.r,=.���pm._ �, {.f�,:a:,�J�S•s:'.'-tx'dC:�L�r+'•?'"t.om,.,°•_'�u,C:.�x��,�t���'�_rN.7-'1•rzs�_fl
Y.
G�=�•F;.
-'�. �JtYJ821�si3'��°ai��` ':e��•�•�
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
';-'"�>t'y��=' -- �ti R•tis;Y , L�..;F'�� 4��ri�sti-w �'-� ._".�"..�- .�4�- =�w,��- -1 y-'v..'-x>[� _
.� +I� ai �Y• &, r . -w v Fu.<.. §:� a-.Tr 7pmr_._ 'u. pyJ-:"':....•._.1.,-,,.
- _ - I _•r-r. �.r`.,.L^�s_`'° ;R.r-__',.:.�.,.' � .� a a -•a'' '--�.a^ i r ..:fin}`''.- x.. �.,y... {�„u• R.
��'�" sDJsp .� iT11j '� S � 1B �:_�txt5
c�l�lJeTYle�e '' rtti � I eee ,ac�7lr Svc kik 7, pFac-]` r hff
� # -] user11E- H?.1
�'. .« c - :.: . .p.ski. -._4s�4 :, s._ :7�,.-�.r'.i'= .; 3:•cr.%FkT�a':�;_ •::.r'.aii', 3 ,r;,_•wi .n.' 5!T." �u?'Jr'i„7 _ _,j_:•?tL`+t��.v,�. d .I
..1
DESCRIPTION OF WORK TO BE PEFORMED.
dentification Plea T e y►r Print Clearly)
OWNER: Name: 1-1 Phon
Address:
{•'•- T e -_;'.-'
•i7iy'�. �n,�p°� ]'.1-s��,+ ..- C'a �e' s• - -�cr:•c+,]n. ?Y�•..s~..-i,.,"A
iP .c-�"is•'-r-:rc.c" ..�.fec"x`r"'E.�ui'.7'"`.�{v:T^a"_`'�a.5n=h. s°1. �tai r Nr_ -:'4n7.e,r-,:->Cf':f ;: '1-r"--•'y�I'sf-s-� =�'Lt Li+�
,•r £� ` r:'_r .:i Y�..F.-'z�^' :r.,. ''',r�'.� ::•,. 3y t�=
i+..�5_. Ste'•'.� �r'r"'4�x.Yvf•�aiL.:�y:-s'Rum y-��..�Ja `�� eF^ 7h�a.�S•�'t.�n �,i,.11'e1-,T9i'„7=F;, 1 X-'��� L�i•� �'+
_ �n «�� �a-f�i+'�r`�`��ate-;=�x'�-t��`, �.�-7"�-�"r��''ss�, �.�-'a_T� �'P`'��'r r�_„' ��y�, r�(i 3G�� �•w-�•i�'�sz
' -�t�"" _ tr- , 8°a-ten�;sc`:��� 3"��'r;"r--`V„•dt �r,Ft-,rte'^. �` �-] t �.'���_. "� Yui l^L 4*-fie, �,,:��i
�' •,'si 5=-"u...; '"
1-ma �S+ `,may- ••r- -5!"_MANN
"�"'••ca: ._ a;8
-,: ry,r"i-' i �E � �. ,� ,+x::.•'�' _?� r' .rtiy�,r vrl,, �T•y�•'�"=1._-�'. , .:`...' 'M' tiFa �T J^-'.'1;'•:_•,
73• r _. rp>•<*:'45z�• 3. ,# '�i �i��"mi'� �'�• �'d•i'.,
",'r J r .."r.'cw�y��,.•^T3,,�-R ,� ,SN 7=.�fc��i', erg` �y�'*r•Fs'�'�'2J ,,,.� 3
� Yn.141Y•,�F-'^:�iA': 3M,. l'lig' iv'.��•c"'r,.2_a�."..�.. _ 1Pn •'T.
r�.np. xsv,' _ _ - _ - �'�'k:�• �' '^�..•��. _�-��"�`�`MS!L•::i't1�:�Bf .,.c�.F„tA'r,-'i'�y �';:'
..4. _ ' ..].,1�`a�`', a .`,.:. __ .42�2z•'.f,•-. J 11._..x„ °t ' Z_ �tiWcCr^.'.,, ^�:?.'r' ir '�,^->._r`-_r`•r�,.r:H.`k.,,,,, .,_._,'., r- C
-•�� nrs�,-e ��'•i fr C� �•' 1^ �' �.}eE�-d'. +E'F�s.k;'�, -;,-,`• Wi�a
„- -'ter ,�,,a .�, I '�r7�u,.aS�y'�, -yr'F,•'�"�jd,
^�-r .first :E •S?r h+� T�-.t'�y��,+r�"a, �'�nra�•r�",. �-��..��r� �_•'ba•'r.���','��5�-'� �i'�,c'ffYYl��!r}. ,�i-`.it7.."`!°'!s�- •"��''g1 q r•`^�.;';'�'�'-'� '�`~�F•�'�'
't rr, '1`°I 1'.' R' .1:�ur.Y, eti�, "�•,t: �n ip'oi4�';.�M 'y,; rt t} 'c...s' � 1•:r�r-:.€FJd^••r rte,.
�.�j •�'� y��'p+� �}'��7 t a 4, I ,'4.�1-Y.. �2,-� Wfi-e�i7�h� �6 p�. 'a.r ..5}L 1���'.�r '•��h�'� �
�':!11�L.9S�al� s7�,?��:�'?E";]x�•qrl!e�as��-�.'1- rd.�.i•-6C'�c-xr,:w^.:tb �`f�3•��'Gr9�N4�,y��y�'-ss^.^L•�-�.h��rlilTW,�'„5.��,4N:G�vFF',ri�..�.�.cy � '
_.''f�•,�-'.:�n, rra;y*�. .yi - •, _.3iY>„_ � E7`; y �f tr•� _ v,- -•�„3•;:z+...du;ir-T,_<-
mal
_ .ir7 ,=r.-?'3s •-Fw:1` •'.�¢'"'5�,`�ix."`_'"'S., '8- `,6 "• .
_.rd'.-•,••,.,3;Yrc3"1�,_W�n C.-.. 1�..+]e.<._» sv.-va:-� s-r-'x.: ",Y.° tea`-,•,w_ ['c- PY..r- E3+�c. -.-u ;3 �s�'i-° s4
•'r�"fs r'] n..=';+,,..,Y••`J.'.?-",+'c ui_.}.+.,'s;?-.- :N"z:•;.�J'+" ',a...l_.+;rd l'h`rE..-�fs, P.f7- ''G% S�r: •Y'.ris�'''-'Sf-`�%z<Y`tt. ' r'-t,-s,_:-_E 7'-- ?%r� =
Iii" - ..> c'Yap:'+••u"'" r^ v'3'•F'�°•'E`'=11'�-tom T�.n;+F.-#_ ,� �''.r -„�]-:�`��y-,.a- .,/�,'"ya`.Ze1'•..,�= '=er7! +' .._ .r"r�' •�-y-�.tt-' =` Y� { 1. .{y"•ti 2,:. + .�4,,
•���[ y� ¢ Ty3T�+ �. rs.;Z��,.s�.,. ��. -3_ ,t'' .r' �: ..� m�,�;y+ 'i y$?,�.•'. � -,yk g
�5 Il��Iti/.GAli;.7�.4.r"''i£.Ci.,.. , � 7 'Y•'7r•Y''. l +'I i�c�- v ,..•41 1. T.'h .a' 3-x• y_i ` .
J .-,e t:f. -%.LJ"�Y} _..,._1::....l:�f.lt..n{,.�1:.:.�_.,..�.-y�S.,•_rA'���-.i:TTT�..�i_�L',.°-JILJ! �,G�aw' ���-fu"' f7s.J32:^�Y.i- � d,p•�-:9�E.
�f.>.. acssr•3:Y» �.• _.._.-,'mai-.:`..Y..."iii---aaa...-.�-.t..i'].' .ryU:•i.
' �,u^-r.=•.:.�:-r_1:.+ue ..irS'lnatY,^,.°L»5h=.:u.::H1'�. ,.'�.,xlW«.... _ _ .:t.
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE;BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No..-
NOTE:
o.:NOTE: Persons contracting with unregistered contractors s do not have access to the guarantyfund
Ell l;O.W.17er':.._ - 'r"_ ';s .Nre
a t k .fir'•-..�r rc..:
--- - - - r-
i
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 i
Private(septic tank,etc. Permanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - lJ FORM
DATE REJECTED DATE APPROVED'
i
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on Sigriature
CO— I S
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
'Conservation Decision: Comments
Water & Sewer Connection/Signature$Date Driveway Permit
DPW Town Engineer: Signatiire:
Located
384 Os
%:-":"'•c"r�•'.e..-s4.s-:r.i,:',c;..'rsz=-.:-• ;r:_r....—.:•%.•_..,4;z1,a°?:;:r.-.•.Fv:5.."...+r.�.a...U_.�::..i n•;.r,n--!:_:sr'r`�u:.'=s'_u-_.•r-r::�_.a.-e."'_is;l:,-
Street
od
c� iaa.... ;n..]� ic .::.• �a.''.:t;.;.tJl:: -'d�-_fl.:`=tir:<im'i.et:=�o
�Ai�
i�u-e � 3ii7 �-•� -,_
7,:.:•
.:I,-: �. ��•�+.-. __ _,rte re�`r -,.r.>:,-. — - —- _ _ _ _ _ .d.v
Ra4wh'']r.• - -
-
-:...lam
.�,1�:��;a7�[ �;>r fir.� _ x<t ..._.:�,_:-...;;..;:,��c _•.�..=- -- - _
-`...�..f.- ._,.._ ....a�. .__..:__ ..;._.._� ..__.•=:.. .. ._._.. -- - '+fes=r-�:r=x.��• �:J:....-^. '�•iP.� ='.r-;�i-J"-.•-rF-�s�:_=y,C'r:?+.•:'r;'
-
tir
art. ��a•- "
vc�,., is i•::
1�-
_
^�m
1:YilJN1' a _ _
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use)
i
El Notified for pickup - Date
i
Doc.Buiiding Permit Revised 2010
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
permits require sign off from Fire Department prior to issuance of Bldg Permit
NOTE: All dumpster p q g P .
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)
❑ Ivi
"ass 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
❑ k re: Lli ied 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:Building Permit Revised 2008
Abutter to AbutterBuildin
( ) 9 Dept.P• ( ) Conservation ( ) Zoning ( )
REQUIREMENT: MGL 40A,Section 11 states in part"Parties in Interest as used in this chapter shall mean the petitioner,
abutters,owners of land directly oppositeon any public or private way,and abutters to abutters within
three hundred(300)feet of the property line of the petitioner as they appear on the most recent applicable
tax list,not withstanding that the land of any such owner is located in another city or town,the planning
board of the city or town,and the planning board of every abutting city or town.'
Subiect Property:
MAP PARCEL Name Address
74 40 Francis Kenneally 56 Surrey drive North Andover,MA 01845
Abutters Properties
Mao Parcel Name Address
74 4 Patrick Duffy 59 Surrey Drive North Andover,MA 01845
74 8 Yuri Smychkovich 133 Chadwick Street North Andover,MA 01845
74 9 Gertude Rafuse 145 Chadwick Street North Andover,MA 01845
74 10 Mary Foley 153 Chadwick Street North Andover,MA 01845
74 14 Gloria Brady 119 Chadwick Street North Andover,MA 01845
74 26 Bartholome Galvin 25 Surrey Drive North Andover,MA 01845
74 27 Stephen Walken 43 Surrey Drive North Andover,MA 01845
74 28 David Smolag 67 Surrey Drive North Andover,MA 01845
74 29 Gregg Gilligan 75 Surrey Drive North Andover,MA 01845
74 30 Armando Vera 83 Surrey Drive North Andover,MA 01845
74 32 Delroy Smith 79 Marian Drive North Andover,MA 01845
74 33-0090 Krisren Dion 90 Surrey Drive North Andover,MA 01845
74 33-0092 Shawn Rychicik 92 Surrey Drive North Andover,MA 01845
74 34 Cynthia Robinson 68 Surrey Drive North Andover,MA 01845
74 35 Hagen Lwowski 134 Chadwick Street North Andover,MA 01845
74 36 Sadie Walsh 63 Sutton Place North Andover,MA 01845
74 37-0001 Brian Montmarquet 124 Chadwick Street North Andover,MA 01845
74 37-0002 Jean Clarkin 122 Chadwick Street North Andover,MA 01845
74 38-0001 Wayne Richards 114 Chadwick Street North Andover,MA 01845
74 38-0002 Sheila DiBlasi 116 Chadwick Street North Andover,MA 01845
74 39 Joseph Finn 48 Surrey Drive North Andover,MA 01845
74 43 Town of North Andover 120 Main Street North Andover,MA 01845
74 44 Shaban Magdy 32 Surrey Drive North Andover,MA 01845
74 45 John Stanin 24 Surrey Drive North Andover,MA 01845
74 46 Robert Quinn 19 Surrey Drive North Andover,MA 01845
74 47 John Lampron 35 Surrey Drive North Andover,MA 01845
74 48 George Festa 51 Surrey Drive North Andover,MA 01845
74 49 Theresa To 150 Chadwick Street North Andover,MA 01845
74 50-OOOO.A Christopher Parker 89 Surrey Drive North Andover,MA 01845
74 50-OOOO.B Janet Puglisi 91 Surrey Drive North Andover,MA 01845
74 54 Knights of Columbus 505 Sutton Street North Andover,MA 01845
This certifies that the names appearing on the Date ,oiaizo,o
pp 9 Page , of ,
records of the Assessors Office as of
Certified by: Date