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HomeMy WebLinkAboutBuilding Permit #279 - 81 PEACH TREE LANE 10/17/2007 BUILDING PERMIT "°oT + 16 0 .TOWN OF NORTH ANDOVER c y APPLICATION FOR PLAN EXAMINATION Permit NO: Date.Received04 - � .",Armo I•Pa .(5 gSSACHU`��C Date Issued: IMPORTANT: Applicant must-eoinplete all items on this page 7-77 W a LC3CATIRIIk L y _ L a a PROPERTY OWNER i tom~ U rint1 # � Pnn# WA MAP NO PARCEL ZONING�OISTRICT, His#oric:District � _ MchinShop Vilaex eyes p'-.n o TYPEF O IMPROVEMENT PROPOSED O OSED USE Resi Non- Residential 'y New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other ; SepticVVell Iloodplain =Wetlands UVatrsh :dstrict Water/Sewer s DESCRIPTION OF WORK TO BE PREFORMED: Identificatio Please T e or Print Clearly) OWNER: Name:;11AA � Le i &1,1 A y�,n Nes Phone:(o q-33�1� Address: (01 � e CONTRACTOR Name. Ft/1 tau t �..�-`Phone: `. Address. I El r W Supervisoi's,Constructio.n-!License. Ex D e.:a _ _ - Home Improvernent.aLicense. Exp 4 Datea: z ARCHITECT/ENGINEER Phone: Address: eg. No. FEE SCHED . ULDING PERMIT.$12.00 PER$1000.00 6F—THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. d Total Project Cost: $ (000 " FEE: $ �Zl Check No.: rD �S� Receipt No.: G NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund C . ignature.,offAAgent/Owrner` Signatur-e of_contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Swimming PoolsTanning/MassageBody Art ` W ellt" f--� •rt";�, 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 &'> C]� COMMENTS F CONSERVATION Reviewed on Si nature a r0V144 COMMENTS HEALTH Reviewed on Signature COMMENTS t L 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 TowirEngirreeCl� Jg-natyre: ` r . Located 384 Osgood Street 1=1Ftf DEPART 11ENT ;:Temp Durnpster on site yes uocated tat 124 Main�t►'e�et Fare 6�Dirtment.-signaturei.date. �-C®MMENTS.m 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 it II i l �I ❑ Notified foricku - Date P P Doc.Building Permit Revised 2008 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 U. Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ 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 Permit New Construction (Single and Two Family) I ❑ .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 i Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location No. / Date TOWN OF NORTH ANDOVER oma,,..• .•�"o • Certificate of Occupancy $ ��s'•^•;<� Building/Frame Permit Fee $ Atwus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check 2 � 6'i2 Building Inspector , I , Ail z lot 1z'.A , , : , I , I I , , I i i , I : .. I : : 1 I �y ^ I I Pr r Ini All L: I t � � s I I , a' I '7. I I : I ; I r , I � i � V �I p �r I I I , I I _ , ey x 71 F-1 , I I I y ,,: : ✓ I � �1.� ..,J I l I i " I I Jr I I i ', � •�`'r, ! ;,J ' I I �t�� �",� �`� � i .:...«,�" �,�, , Y, "✓w>t.� I wtap I� I �+y S 4 i , T�6'."Y _.g.�! I 1 i I I I I s r� I v I i I : �a- I I � I i 'VJim _ __ _At pTY I R. r 6I 1 S10 ff" HIM t a : Y , d C I I Y A 1 I i > : , , I f I f E 1 , _ , i � I A I : I I I I : I I /p , , I I I I ! I 'q I ' _ I 'I I i ' ia $ a i , � I I .. pi. 't '!�'- f, :. i R ,j\b I +21 : j V . I I ' I I I I I I I I I I � I - I ; 'i I I , tAORTH TO" of dover , No. 0 o.. dover, Mass.,0 LA /b-/ •d I� COCHICHEWICKAj %S RATED BOARD OF HEALTH PERMIT T D - Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....D,.//(../li�^�.......... vh es .......................................................................................................... Foundation has permission to erect........................................ buildings on .....U../..... r.4..T..7micr-,.C�........................... Rough to be occupied as........ 44... � � �!�— ..../... ..� ..... ..................... .............. .............:7...... .,�G,�.�...../.......��5.. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file m 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final L PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N 1'. S Rough ................................................................................ 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.. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts i ! Department of Industrial Accidents ^ ; Office Investigations � o 600 Washington Street Boston, MA 02111 iw www-mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers APPficant Information Please Print Lefribl t � Name (Business/Organization/individual): Address: City/State/Zip• D Phone#: Are you an employer?Check the appropriate box: Type of project(required): l.❑ I an a employer with 4. ❑ I am a general contractor and I ployees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2 1 am a sole proprietor or partner- listed on the attached sheet. $ 7.,®'emodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers'comp. insurance 5. ❑ We area corporation and its required.] officers have exercised.their 10:❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4), and we have no 12.❑ Roof repairs I'I insurance required.] t employees. [No workers' I comp. insurance required.] 13•0 Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this afiidacit indicating they.arc duilig ail work and then hire outside contractors must submit a new affidavit indicating such. iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: 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 of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert' nder the pains pena es of peri the information provided hove ' true and correct Siartature: IVI Date: Phone#: 970- 1 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. PlumbEInspecto]r 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers ' p q 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 anotherwho employs persons-to do.maintenance;construction or repair work on such dwelling house or on the grounds or'building appurtenant thereto shall riot 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 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 cavy 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: r t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax 4 617-727-7749 www.mass.gov/dia I Lic. # CS 064384 PROPOSAL - CONTRACT SATISFIED Hic. # 137695 CUSTOMERS Reliable K.M. BROUILLARD. are Our best Service FINISH CARPENTRY & REMODELING ADS Kitchens • Decks • Additions & More SHEET NQ COMPLETE DRYWALL SERVICE DATE: ±1 978-794-0247 Proposal Submitted To Work To Be Performed At Name '- � ' Street Street _ City State City Aeb - AZA, - Date of PI res State I n1l Architect Telephone Number .. We hereby propose to furnish all the materials and perform all the labor necessary for the completion of: o ` . Y i-e , 7 Vi i i i All material is guaranteed to be as specified, and the above work is to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial rkmanlike manner for the sum sof , e ) =c ; Dollars with payments to be made as follows: s�` � Parties agree that any change order/amendments to this agreement made at the request of the Customer/Homeowner, shall be made in writing, sent by certified mail to Contractor's address: 101 Everett Street, Lawrence, MA 01843. Parties.agree that Contractor shall charge/bill Customer $ /hr. to.incorporate said changes. Thereafter, all changes/amendments shall be incorporated into this agreement and shall be treated as part of the original agreement, dating back to its original signing. Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, anA will become an extra charge over and above estimate. Owner to cq ry fire, tornado and other iecess. ry insurance upon a ov ork. Respectfully submitted by 71 Note-This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Accepted Y . C Date ( ( Signature $': , �l tstiachu�ctt� De�t,►rtmcnt of P Board ublic Safety of Building. _- - Rc;;ulationS and Standards Construction Supervisor License License: CS 64384 Restricted to; 00 KEVIN M BROUILLARD SR 101 EVE REIT ST -i'mk" r; r r LAWRENCE, MA 01843 („nm�isiuner Expiration: 4/24/2010 Tr#: 25226 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration:,_137695 Expiratiorr 12/19/2008 Tr# 124418 Type: Individual KEVIN M BROUILLARD KEVIN BROUILLARD SR 101 EVERETT ST LAWRENCE, MA 01843 Administrator NOTIFICATION TO ABUTTERS Under the Massachusetts Wetlands Protection Act The North Andover Wetlands Protection Bylaw In accordance with the Massachusetts General Laws, Chapter 131, Section 40, as amended, and the North Andover Wetlands Protection Bylaw, (Chapter 178),you are hereby notified of the following: gl�PA-&-ew rIN6 i!9 �Ksdtr�1A+1� The name of the applicant is AW4*1 ,7-90S h pPMLPOAAWrlr The applicant has filed a�Q L� with the North Andover (application) Conservation Commission ACC for the purposes of 0V t$ (NACC) S �L' P P Tf` (project description) at ��C • (site address) The North Andover Conservation Commission will hold a public hearing on WEDNESDAY, a at 8:00 P.M. at the Town Hall, 120 Main (date) Street,2"d Floor Meeting Room,North Andover,MA 01845. Copies of the .0 r% may be examined or obtained for a fee from: (application) (check all boxes that apply): ❑ Applicant at Ej�'�Representative at 04� ; ©Conservation Department, 1600 Osgood Street,North Andover,MA 01845 Monday through Friday, 8:30 a.m. to 4:30 p.m. Please call the Conservation Department at 978.688.9530 beforehand to verify arrangements. Copies may be available for a fee. Further information regarding the hearing, or the Wetlands Protection Act, may be obtained from the Conservation Department at 978.688.9530. NOTE: Notice of the public hearing, including its date,time, and place will be published in the Lawrence Eagle-Tribune at least five(5)business days in prior to the public hearing date. NOTE: Notice of the public hearing, including its date,time, and place will be posted in Town Hall, 120 Main Street,North Andover, MA 01845 at least 48 hours prior to the public hearing date. NOTE: You may also contact the Conservation Department or the Northeast Regional Department of Environmental Protection Office for more information about this application or the MA Wetlands Protection Act. To contact the Northeast Regional Department of Environmental Protection Office, call 978.694.3200. Town of North Andover No oTh ,MOL Office of the Conservation Department Community Development and Services Division Y 1.600 Osgood Street North Andover,Massachusetts 01845 "SsACHusE�`y Telephone(978) 688-9530 Fax(978)688-9542 CONSERVATION COMMISSION PUBLIC HEARING Pursuant to the authority of the Wetlands Protection Act, Massachusetts General Laws Chapter 131, Section 40, as amended, and the North Andover Wetland Protection Bylaw,the North Andover Conservation Commission will hold a public hearing on: WEDNESDAY, September 24,2008 at 8:00 P.M. in the Town Hall Meeting Room 2nd Floor located at 120 Main Street,North Andover,MA 01845. For the filing of a Request for Determination of Applicability by(applicant)K. M.Brouillard Remodeling To alter land at: 81 Peachtree Lane (Tax Map 98A,Parcel 121)North Andover,-MA. For the purpose of: construction of stairs to an existing deck,patio and fence within the Buffer Zone to a Bordering Vegetated Wetland. Plans are available at the Conservation Office, 1600 Osgood Street,Building 20, Suite 2-36. By: John Mabon, Chairman N.A.C.C. APPLICANT INFORMATION: Run once in the Lawrence Eagle Tribune on Tuesday, September 16, 2008. DELIVER OR FAX THIS LEGAL NOTICE TO THE LAWRENCE EAGLE TRIBUNE BY: Friday, September 12,2008,by noon Applicant(s) must brim proof of Publication of this Legal Ad to the meeting Tribune Fax#877-927-9400 Legal Ad Billing Info: K.M.Brouillard Remodeling 101 Everett Street Lawrence,MA 01843 Tel#978.794.0247 BOARD OF APPEALS 688-9541 BUILDING 688`9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 LOT 17 EXIST. FDN- GAP 'AS! Zao Z TF=277.15 �'AS _ SQP _ • - PFF 4pSMH 8 0 CB 21 D DMH 18 CB 20 9 GRA �,� N• o MAIL 41. (T / tiff ae• Q. LAM POST G� (Ty,. F 22' f u9 Ilk a 26• � Gp, _ ?8' .� .a �O N P L.A N VIEW opEACH NOTES: gral F-' 1» _ 40' 10/178/08 SPED 16:35 FAX Q002/007 16S* 16 F 14 .,.o S*emu CONSERVATION DEPARTMENT l � .S. Comtmuniry Development Dicn. on NEGATIVE DETERMINATION OF APPLICABILITY SPECIAL CONDITIONS 81 Peachtree Lane,Nom Andover At the September 24,2008 public hearing the North Andover Conservation Commission(NACC) voted to issue a Negative Determination of Applicab>liq fora previously consvucted concrete patio, new set of stairs to access an existing deck,and fence installation within the Buffer Zone to a Bordering Vegetated.Weiland(BVW). Applicant. Kevin M.Brouillard,Sr 101 Everett Street Lawrence,MA 01843 Property owners: Dirlan&Juliann]ones 81 Peachnree Lane North Andover,MA 01845 Record Documents: Request for Detemainat ion of Applicability,prepared by Kevin M. Bouillard,dated Sept mnber 11,2008 Sketch Plans of deck stairs,patio,fence and existing site conditions labeled,Figures 1 -4, prepared by Kevin M.Brouillard,received 9/2/08,9/4/08,9/12/08 and 9/24/08 The property previously received a PCOC on December 14,2006 from DEP File 4242-1186 The work authorized hereunder shall be completed within three pears from the date of this order. $ Excess material and construction debris shall be properly disposed of off site and all stockpile areas shall be located more than 50-feet from the edge of wetland resource areas. 1600 Osgvad Street,Building 20,Suite 2-36,Nor&ndrn-cr,]NUssachusem 018.15 Phone 978.688.9530 Fit 978.688.9542 Web:hrtp://www.townofnorthaudover_coni/Pages/N-�ndover\L�k_COMtervation/index f 10/08/08 WED 16:34 FAX 0001/007 Cement castings previously deposited in the northeast coiner of the lot shall be removed and properly disposed of. LhWW,QMsMaQjqn + The proposed fence shall be located upslope of the existing stone retaining wall. PostS`onsauctitm Immediately follovAng completion of the work,any disturbed areas skull be permanently stabilized against erosion.Once the site is adequately stabn7ired,the Conservation Department shall be contacted to conduct a final site inspection. 1600 Osgood Stmt,B„l�20,Suite 2.36,North--',ttdornr,'iassacbu.scttS 01845 Phone 978.688.9530 Fax 978.688.954 Web:llffp://www.towaofilorthand(ner.com/PWs/N-Ando,.,eri\Lk Conserntion/indm r 10/06/08 WED 16:35 FAX II003/007 LIMassachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals The applicant, owner, any person aggrieved by this Determination,any owner of land abutting the land upon which the proposed work is to be done,or any ten residents of the city or town in which such land is located,are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office(see http://www.mass.g v/deD/about/region.findyour.htm)to issue a Superseding Determination of Applicability.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and Fee Transmittal Form(see Request for Departmental Action Fee Transmittal Form)as provided in 310 CMR 10.03(7)within ten business days Fmrn+hn AAM A##hin 1 MV%reA"%rt#nn A —r-yr of*kO roq','Oa&rkril M441k- ---*+initis k.s aar.l LJ certified mail or hand delivery to the Conservafion Commission and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the objections to the Determination which is being appeama. i o the extent mat the uetgrminauon is oaseo on a municipal oroinance or byiaw ano not on the (Massachusetts Wetlands Protection Act or regulations,the Department of Environmental Protection has no appellate jurisdiction. i wpnfamadoa•Determination or ApphcablTilr.my,1OMW - Page 6 or 5 d 10/68/08 WED 16:36 FAX 1@004/007 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form Z — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) ❑ 5.The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations,no Notice of Intent is required: Exempt Activity(site applicable sit'—atoryhegulatory provisions) 6.The area and/or work described in the Request is not subject to review and approval by: Name of Municipality — Pursuant to a municipal wetlands ordinance or bylaw. North Andover Wetland Protection Bylaw _ Chapter 178 Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: fl by hand delivery on [if by certified mail, return receipt requested on Date DaTT 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). This Determination does not 9 g i applicant r relieve the app Ca t from complying with all other applicable federal, state, or local statutes,ordinances, bylaws,or regulations. This Determination must be signed by a majority of the Conservation Commission.A copy must be sent to the appropriate DEP Regional Office(see p:i .ma s. ov/de /abouhealon.findyour.htm)and the property owner(if different from the applicant). Sig3nurkes C.f Daae wpsrowaftc•Determination of AppGeabilily•rev.Ion" Pope a or 5 J 10/08/08 WED 16:37. FAX 005/007 -LI) Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) fl 6.The following area and/or work, if any,is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s),which includes all or part of the work described in the Request, the applicant must consider the following alternatives.(Refer to the wetland regulations at 10.58(4)0. for more information about the scope of altematives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Altematives limited to the lot on which the project is located,the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Altematives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding 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-marked for certified mail or hand delivered to the Department.Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1.The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2.The work described in the Request is within an area subject to protection under the Act. but will not remove,fill,dredge,or atter that area.Therefore, said work does not require the filing of a Notice of Intent 3.The work described In the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act.Therefore,said work does not require the filing of a Notice of Intent,subject to the following conditions(if any). See attached conditions �] 4.The work described in the Request is not within an Area 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. w"farm2 d oo•DateMuna6an of Appr mhlly•rev.IOBMA Piga 9 of 5 10/08/08 WED 16:37 FAX 1@006/007 Massachusetts Department of Environmental Protection Bureau of Resource Protection-Wetlands WPA Form 2 W Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) The following Determinations)is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or order of Resource Area Delineation(issued following submittal of Simpfrf ed Review ANRAD)has been reesived from the issuing authority(i.e.,Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)Is an area subject to protection under the Act Removing,filling,dredging,or altering of the area requires the filing of a Notice of Intent. ❑ 2a.The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate.Therefore,the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b.The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3. The work described on referenced plan(s)and document(s)is within an area subject to protection under the Act and will remove,fill, dredge, or alter that area.Therefore, said work requires the filing of a Notice of Intent. ❑ 4.The work described on referenced plan(s)and document(s)is within the Buffer Zone and will alter an Area subject to protection under the Act.Therefore, said work requires the filing of a Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone). ❑ S. The.area and/or work described on referenced plan(s)and documents)is subject to review and approval by: Narne of Munkolity Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw citation wpaform2 doo-Dotom+hudion or AppiicQUIRY•nrv.I DAM Paee a of 5 .. ........ _....__._. ._ ............. 1'0/108/08 WED 16:38 FAX 007/007 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L_ c. 131, §40 A. General Information Important: When filling out From: forms on the North Andover _ computer,use Conservation Commission T only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Dillan Jones return key. Name Name 81 Peachtree Lane(Lot 10) eo Mailing Address Mailing Address North Andover MA 01845 Cityrrown state Zip Code Cltyfrown State ZIP Code 1. Title and Date(or Revised Date if applicable)of Finef Plans and Other Documents: RDA _ 9/12/08 Title aat2 As-Built Plan& Profile 8/21/08 Idle •. - • - •_ •-- Oate Titre Date 2. Date Request Filed: 9/12108 R. Determination Pursuant to the authority of M.G.L. c. 131,§40,the Conservation Commission considered your Request for Determination of Applicability,with its supporting documentation, and made the following Determination. Project Description(if applicable): Construction of stairs to an existing deck, patio,fence within the Buffer Zone to a Bordering Vegetated Wetland. Project Location: 81 Peachtee Lane(Lot 10) North Andover Street Address city1rown 98A _ Parcel 121 Assessors Map/Plat Number Parcel/Lot Number wperorm2.doc•veierminauon orApp®cebluly-rev 1ORM Page i of 6