HomeMy WebLinkAboutBuilding Permit #168 - 96 MARBLERIDGE ROAD 8/31/2007 BUILDING PERMIT pL RT1i
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TOWN OF NORTH ANDOVER •�
APPLICATION FOR PLAN EXAMINATION * ,�
e b0 Date Received` d �4"
Permit N0: oR�*Eo �y
AC US
Date Issued: g S/ A 7
IMPORTANT Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
KNew Building ❑ One family
❑ Addition ❑ Two or more family ❑ Industrial
❑ Alteration No. of units: [],Commercial
❑ Repair, replacement Y Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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_ DESCRIPTION OF WORK TO BE PREFORMED:
�II
Identification Please Type or Print Clearly)
OWNER: Name: 5'fe�� e� Phone:
I Address '75 771
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ARCHITECT/ENGINEER �/f/ /��' /Gy� Phone: 7
Address: c�lolt"O"a Reg. No. 3eY5_Z
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ y y ow FEE: $ zl y
Check No.: Receipt No.: 0
NOTE: Persons contracting with unregistered contractors do not have access to th guaranty fund
S'ignature,af 4gent/�wtaer, . � � �� � � � S`agnature of contractor.
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
o Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
o 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
o Certified Surveyed Plot Plan
o Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses c�
o Copy Of Contract /-/
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan Andes
Hydraulic Calculations (If Applicable)
Compliance Report If Applicable)
Mass check Ener p
0 9Y Comp
o
Engineering Affidavits for Engineered products d/
Fire Department prior to issuance of Bldg Permit
NOTE: All dumpster permits require sign off from p
(Single and Two Family
New Construction g )
o Building Permit Application
o Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Li Copy of Contract
o Mass check Energy Compliance Report
o 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
copy and Proof of recording
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One
must be submitted with the building application
Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
Plans Submitted V Plans Waived ❑ Certified Plot Plan ElStamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank,etc. ❑ permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING &-DEVELOPMENT ❑ [ �f 3�1�
COMMENTS_
DAT !JECTED DATE APPROVED
CONSERVATION _ f �
COMMENTS # r GV�e" 1` I a, '-
( DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
f
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
Located at 384 Osgood Street
FIRE DEPART�VIENT Y Ternp Dumpster on site
'Y' 5 no
Loca#ed at� 4 Niain Streeta ;
Fireeparfirnent sfgnaturetdate �f
�� aar
CO'MNT
_ 7 777
7,77T 77a'
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions. /J 7�7
Total land area, sq.
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.s1oo-s10o0 fine
NOTES and DATA— (For department use)
❑ Notified for pickup - Date
................................ ......................................................................__.........................................................._........................_._..............................
Doc.Building Permit Revised 2007
Location � ����
No. Date 3 6 7
�aRTN TOWN OF NORTH ANDOVER
�? 6
F 9
Certificate of Occupancy $
bens � �
ssACMUSEt Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $ p.
TOTAL $ �ya
Check # o4
G.
205574
Building Inspector
NORTIy
Town of
Andover
o �` over, Mass., ` 7
T O -- LAKE
COCMICKEWICK
7d A0RATE0 p'P�,��S
S BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THATr yr
................................................•/...........................}...�................^..........e.......................... ................ Foundation
buil/dings on C� /C�/'�? / ./!.i .! .. ........................ Rough
has permission to erect................................. /................ ,< .
to be occupied as �d�a�` �+ .. Chimney
provided that the person accepting this permit shall in ever-respect confoto 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. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUIf
SXTS Rough
. . . Service
�BUILDllVG INSPECTOR
Final
Occupancy Permit Required to Ocaipy 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.
xuv-L0-LUu/ lut ub: L4 AM P. 001
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
TARPEY INS GROUP INC HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR
442 WATER ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BF-LOW.
WAKEFIELD MA 018804667 COMPANIES AFFORDING COVERAGE
COMPANY
T Y A THE TRAVELERS I EM
INSURED COMPANY
COLONIAL VILLAGE g
DEVELOPMENT, INC. COMPANY
P.O. BOX 278
NORTH ANDOVER MA 01846 C
COMPANY
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18 TO ,.:.........,......... ..:..........:
8 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BTHE
ELow HAVE BEEN ISSUED To INSUREDNAMEb ABOVE,FOR.THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMFfS SHOWN MAY HAVE BEEN AEOUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POUCY EFFECTIVE POLICY EXPIRATION
L POLICY NUMBER OAT!(MM14P1YY) DAT!(MM1OD1`1Y) LIMITS
6ENiRAL LIABILITY
3ENERALAGGREGATE b
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP(OP ACil3r
5
CLAIMS MAGE OCCUR. PERSONAL 1,ACU,INJURY g
OWNER'S d CONTRACTOR'S PROT. EACH OCCURRENCE q
FIRE DAMAGE(Any one fire) g
AUTOM061E LIABILITYLIABILITYMED.EXPENSE(Any one pereen) g
ANY AUTO COMBINED SINGLE q
LIMIT
ALL OWNED AUTOS BODILY INJURY
SCHEDULED ALTOS (Per Person) $
HIRED AUTOS
q
NON-OWNED AUTOS BODILY INJURY(Par Accldent)
PROPERTY DAMAGE b
GARAGE LIABILITY
AUTO ONLY-EA ACCIDENT 9
ANY AUTO
OTHER THAN AUTO ONLY ':;'•;� iy:';I; :?:
EACH ACCIDENT b
AGGREGATE g
EXCESS LIABILITY EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE 8
OTHER THAN UMBRELLA FORM
A WORKER'S COMPENSATION AND ::::••:!,,:•.
EMPLOYER'sJUABILITY (UB-7330A86-5-07) 03-24-07 03-24-08 $T TUTQRYUMIT$ =''Ilx'i
THE PRQPRIFORJ EACH ACCIDENT 6
PARTNERS/EXECUTIVE INCL DI$EA3E—POuCYuMT 9
OFFICERS ARE: X EXCL DISEASE—EACH EMPLOYEE b
OTHER
DESCRIPTION OF OPERATIONSILOCATIONENEHICLES/RESTRICTIONS/SPECIAL ITEMS
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE.
CERTI
>I
.:.......
SHOULD ANY OF THE ABOVE DEECRIarn POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THiRROF, THE ISSUING COMPANYWILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTUgCATE HOLDER NAMED TO THE
TOWN OF NORTH ANDOVER LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
1600 OSGOOD STREET LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
NORTH ANDOVER MA 01843
AUTHORIZED REPRESENTATIVE
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BQARO"OF BUILDI G REGULATIONS
License: CONSTRUCTION SUPERVISOR
Numher.'CS 052241
BAIIJUte 10/10/1952
;Ecples :10/10[2007 Tr.no: 6736 0
Restocted
WILLIAM K BARRETT
1049 TURNPIKEi'ST'
zcOmmissi
N.ANDOVER, MA 01:845' " oner
William Barrett Homes
PO Box 278
No Andover, MA 01845
(978)682-2320 (978)682-2397 fax
CONTRACTOR AGREEMENT
THIS AGREEMENT made the 14th day of August, 2007 by and
between William Barrett Homes , hereinafter called the Contractor.
1049 Turnpike Street
North Andover MA 01845
and Steve and Maureen Daly, hereinafter called the Owner.
96 Marbleridge Rd
No Andover MA 01845
Witnessed, that the Contractor and the Owner for the consideration named agree as
follows:
Article 1. Scope of the Work
The Contractor shall furnish all of the materials andp erform all of the work shown on
the Drawings and/or described in the Specifications entitled Exhibit A, as annexed
hereto as it pertains to work to be performed on property at 96 Marbleridge Rd
Article 2. Time of Completion
The work to be done under this contract shall be commenced within 2 weeks of
obtaining building permits. Time is of the essence.
Article 3. The Contract Price
The Owner shall pay the Contractor for the material and labor to be performed under
the Contract the sum of $204,150 , subject to additions and
deductions pursuant to authorized change orders.
Article 4. Progress Payments
Payments of the Contract Price shall be paid in the manner following:
lst. At Signing of Contract $50,000 2nd Foundation Complete $22,000
P Frame Complete $50,000 4th Boarded in $25,000
5d' Plaster Complete $25,000 Final Payment When Complete
The contractor may ask for partial payments that do not fall within these scheduled
PaY ments.
L
Article 5. General Provisions
1) All work shall be completed in a workmanship like manner and in compliance with
all building codes and other applicable laws.
2)To the extent required by law all work shall be performed by individuals duly
licensed and authorized by law to perform said work.
3) Contractor may at its discretion engage subcontractors to perform work hereunder,
provided Contractor shall fully pay said subcontractor and in all instances remain
responsible for the proper completion of this Contract. Sub Contractors work for
William Barrett Homes only; any extra work performed will be billed as Extra Work
Orders.
4) All Extra Work orders shall be in writing and signed both by Owner and
Contractor.
5) Contractor warrants it is adequately insured for injury to its employees and others
incurring loss or injury as a result of the acts of Contractor or its employees of
subcontractors.
6) Contractor shall at its own expense, obtain all building permits necessary for the
work described herein to be performed. The Contractor will also be responsible for
implementing on- site work required of the Order Of Conditions (OOC) issued by the
Town Conservation Commission if one has been issued. The Owner will be
responsible for implementing all administrative conditions of the OOC including but
not limited to required recordings at the Registry of Deeds, bond postings, as-built
plans or obtaining the Certificate Of Compliance. The Contractor will coordinate the
professionals and work necessary to obtain the required Watershed Special Permit
from The North Andover Planning Board. All cost associated with the professionals
and their work to be paid for by Owner.
7) Contractor agrees to remove all debris and leave premises in broom clean
condition.
8)In the event Owner shall fail to pay any periodic or installment payment due
hereunder, Contractor may cease work without breach pending payment or resolution
of any dispute.
9) Contractor shall not be liable for any delay due to circumstances beyond its control
including strikes, casualty or general unavailability of materials.
10) Contractor warrants all work for a period of 4 months following completion. See
separate warranty for detailed description of coverage and/or exceptions.
11)There is an additional charge for paint colors that exceed 2, trim is not considered
a color, $200.00 each additional color.
12)Any landscaping, driveways that we disturb during construction will be repaired
to the best of our ability within a reasonable cost. This excludes any work that is part
of the agreed contracted work and cost is included in the price.
14) If Owner chooses to have their own sub contractor perform work they will solely
be responsible to schedule work, delivery of materials and warranty the work
performed. If any damage to work that has been performed by or will affect the job
performance of William Barrett Homes, then the Owner will be billed directly for cost
of repairs.
15) In any case where unsuitable soils exist or ledge is found, an additional charge
may be billed to accommodate the additional costs.
Article 6. Other Terms: NONE
Notice:
All home improvement contractors and subcontractors engaged in home improvement
contracting, unless specifically exempt from registration by provisions of Chapter
142a of the general laws, must be registered with the Commonwealth of
Massachusetts. Inquiries about registration and status should be made to the Director,
Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston
MA 02108.
Designated Registrants Name Colonial Village Development Corgi
Registration Number 134690
Salespersons Name William Barrett
Notice:
No agreement for home improvement contracting work shall require a down payment
(advance deposit) of more than one-third of the total contract price or the total amount
of all deposits or payments which the contractor must make, in advance, to order
and/or otherwise obtain delivery of special order materials and equipment, whichever
amount is greater.
Notice:
If the homeowner obtains his own construction-relatedp ermits forthe work described
under this agreement, the homeowner is hereby advised that in the event of a dispute,
judgment and nonpayment of the contractor,the homeowner will not be entitled to
make a claim to or collect from the guaranty fund established by Chapter 142A,
M.G.L.
Exhibit A
SPECIFICATIONS
As specified in written quote. (attached)
GUARANTEE:
The contractor shall guarantee that he will make good, at his own expense, any
defects arising from poor or improper workmanship for a period of one year after
completion or provide the same guarantees from his subcontractors or from
manufacturers of materials and/or appliances installed in this home. This building
will conform to all municipal, state, and federal regulations affecting this work. See
Warranty for details and exceptions.
HOMEOWNER:
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
Signed under seal this day of August, 2007.
Signed in the presence of:
By
Contractor
By
'� Owner
Steve and Maureen Daly Addendum A
96 Marbleridge Rd
North Andover, MA 01845
RE:New 3 Car Garage
The following is a quote for the construction of a three car garage with a room above.
The quote was compiled using the plans drawn by William Balkus, Architect. Said plan is Titled
Daly Residence and is dated March 27 2007 and latest revision date of April 26 2007.
The following work is included:
1. All finishes called out in the plan are included with the exceptions listed below.
2. The upstairs room is completed with the same finishes as used in the home including
plaster wall finish, smooth ceilings, custom trim moldings and oak flooring. Flooring
allowance is$8,500.
3. The upstairs room will also have a gas fired, direct vent stove with stock mantle
surround.Allowance for this item is$2,000.
4. The exterior siding will match the home,Hardiplank cement based clapboards.
5. The roofing shingle will be architechtural style to match existing home.
6. The garage doors called out in the plan are not mahogany but red cedar.
7. The windows called out in the plans are Anderson 400 series not Wainright series.
There will be no grills in the windows.
8. Interior painting is included. Exterior is not.
9. Quote includes bringing site to finish grade and landscaping lawn areas with a
hydroseed spray mix.
10. A lighting allowance of 6 recessed lights on the second floor and 2 in the
hall/stairwell are included.All other lights are supplied by owner.
11. Plumbing fixture allowance is$1,000.
12. Driveway will be laid out as shown on plan and receive 6"gravel base,a 1 '/2"
binder course of hottop and a 1 %i"finish course.
13. Electrical service will be separate from home and will be brought to the building
through an underground conduit.
Our price to complete the above as specified is $204,150
Thank you for allowing William Barrett Homes to quote on your project. If you have any
questions please feel free to call us.
Pricing is valid for 30 days and is subject to changes and/or extra work orders. Pricing includes
building permit cost. However, should it become necessary to do additional permitting with the
Conservation Commission or the Planning Board there may be additional cost charged to the
Owner.
Sincerely, DATE: July 18,2007
William K Barrett
Owner Acceptance
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
�; it600 Washington Street
Boston MA 02111
t iw www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): al(OA/e4-& U/ is '� (DR�? val 0 - , ,Y-.
Address: PO 60XI, D17i6 /yb &40V
i P
C /State/Zi l/ Z
City/State/Zip:P /(/U � /' /� Phone#: 7�' 6�" Z 3 Zti
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with / 4. ❑ I am a general contractor and 1 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.E] I am a sole proprietor or partner-
listed on the attached sheet. F1 Remodeling
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 are a corporation and its
required.] officers have exercised their 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs
insurance required.] t employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks boz#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
1 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.#: 7 3 3 ISA if 4/v 5r— Expiration Date: /7-y/�
Job Site Address: 74* ��h1� e— � City/State/Zip: 4/0 Alh il el-
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 certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature:
Phone#: Z-3 7-0
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or.more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. #617-7274900 ext 406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 5-26-05
www.mass.govldia
NORTH
O irisp
41
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PLANNING DEPARTMENT
Community Development Division
August 27,2007
Mr.William Barrett
C/0 96 Marbleridge Road
North Andover,MA 01845
Re: Watershed Special Permit Waiver for 96 Marbleridge Road
Dear Mr.Barrett:
At the regularly scheduled Planning Board meeting on August 21,2007,the PlanningBoard voted unanimous) to
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grant a waiver from the requirements of Section 4.136 of the North Andover Zoning Bylaw for the proposed
construction of the following: a 1,372 s.f.,two-story detached garage with a 432 s.f.pavement apron connecting to
the existing driveway,two terraces located along the eastern side of the existing residential dwelling totaling
approximately 706 s.f.,the construction of a small addition to the existing residential dwelling,and construction of
the 306 s.f.porch located on the northern side of the existing house.
The impervious areas associated with a portion of the existing driveway totaling approximately 2,972 s.f.will be
removed to compensate for the new construction. The net result is a reduction in impervious area on the site of
approximately 64 square feet.
Upon a motion made by John Simons and 2nd by Alberto Angles,the Planning Board voted to approve a Waiver for
a Watershed Special Permit with the following conditions:
1) Gutters shall be installed on the proposed two-story garage to manage stormwater runoff onsite and direct the
flow and rate of surface water runoff away from Marbleridge Road.
2) The two-story garage structure will have no immediate requirement for occupancy. Future residential
occupancy within the garage structure shall comply with all the requirements of the North Andover Zoning
Bylaw.
Sincerely,
Lincoln Daley
Town Planner
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9535 Fax 978.688.9542 Web www.townofnorthandover.com