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Miscellaneous - 11 APPLETON STREET 4/30/2018 (3)
11APPLETON STREET 210/037.B-0048-0000.0 Date Pq' .......)......... t NORTp + TOWN OF NORTH ANDOVER O p PERMIT FOR WIRING SSACMUS� ..-�G This certifies that ...C...�........ ..�1.. ��.-.............. .. . ............. has permission to perform ... -�t1!.'' ..... h �'fi ..Y.:'" - wiring in the building of... ?1d.`..... .<jMZr. .........................1,................ < at /. .yy.. .. ?YL..:.../...../.�....................... .... .North Andover,Mass. Fee.G�P ... Lic.No.1l40 . �.......... .. ........ . . . .. . .......... ELECTRICAL INSPE R Check N 9261 Official Use Only Commonwealth of Massachusetts ' Department of Fire Services Pemiit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT W INK OR TYPE ALL INFORW T10A9 Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives no ' e of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant A r?D tj /V��h Z�' Telephone No. Owner's Address j,/f 4 Is this permit in conjun 'on with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building ff ZJ�vt!iJ n Utffluthorization No. Existing Service Amps / Volts OverheadUndgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and.Ampacity Location and Nature of Proposed Electrical Work: d ej d U Completion o the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs jan enerators KVA No.of Luminaires Swimming Pool Above ❑ In o.o Emergency g d. d. e Units Receptacle Outlets No.of Oil Burners ALARMS INo.of Zones No.of Switches No.of Gas Burners No.-of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers eat Pump Number Tons KW No.of Self-Contained Totals: I Detection/Alergw Devices No.of DishwashersSpace/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* - No.of Devices or E uivalent No.of Water No.of No.of Heaters KW Signs Ballasts . Da NWiring: of evices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E Wvalent OTHER: Attach additional detail if desired, or as required by the Ins# ,tor of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) . I certify, under the pains and penalties of perjury, that the information on this application is true and complete- FIRM NAME: 627 J j LIC.NO.: 6969 W Licensee: 5,4 Ayj T Signature LIC.NO.:/7���.-�� (If applicable, enter"exempt"in the license nu4er line.) Address: 420 d C L —i c /ti"[ , A(J P ry qu Bus.Tel.No.: S4P-eVa 1-4970 *Per M.G.L'c. 147,s.57-61,security work requires Department of Public Safety"S"License: AIL L lc.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑owner ❑owners agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ e,l .�.�� j T s y The Commonwealth of Massachusetts l Department of Industrial Accidents' z' - ! Office of Investigations 600 Nfashington Street J.b 5 ' Boston, MA 02111 c :f www nwss.gov/dia . Workers' Compensation Insurance Affidavit Bailders/Contractors/Eiectricians/Piambers Applicant Information Please Print Lembiy Name (Business/owizationlindividual): Address: 1Cd �� �, City/State-/Zip: l�� Phone#: . j Are you an employer?Cbeck.the appropriate box: I.❑ I am a employer with 4. Type of prep(required): ❑ I am a general contractor end I e loyees 0411 and/or part-time).* have bred the sub-contractors 6• ❑New construction 2.t�'1 am a. sole proprietor.or PSP er- listed o t 7. P� n the attached sheet ❑Remodeling ship and have no employees These su&wntractors have 8. ❑Demolition working for me in any capacity, workers' comp.insurance. [No workers'comp.insurance 5. ❑ We are a corporation and its 9. Building addition 3.❑ �t�d-] officers haveexercised their 10.❑Electrical repairs or additions 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions rraysclf. [No workers'comp, c. 152, §1(4),and we have no insurance 12. Roof �N�d•]t .employees. [No workers' repairs. comp. insurance.required..] 110 Other Any applicant that cheeks bot: must also frill out the section below showin their workers co t Homeowners who submit this affidavit indicating they art doing all work and then hie oura'ce"Pen stars Pat ley information. ;Contractors that check this box must mg must submit a new affidavit indicating such. Attacched an additional sheet show' the namefe � thsub.com cn„s _ 0 "dHrr a . • �...crp.♦tutu'imm�aation. t ant an employer that ispr?"ng workerscompensation insurance for tny:employees: Below is thepolicy and job site information. Insurance Company Name: Policy 4 or Self-ins. Lie.#: Expiration Date: Job Site Address: C' /Statta ip:Attach a copy of the workers' compensation policy des$rateo b (showutg 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 ve iffication. I do hereby c under the pains and penalties•Gf perjury that the information provided above is true and corma siPrtatttre: �` Date:��26_.�� Phone#: v�`�y EaMmealth only. Do not write in this area,to he completed by city or fawn n I aL n; Permit/License# hority(circle one): Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector son: Phone#: . . �,- r No. U G Date r MOR,h TOWN OF NORTH ANDOVER 3?O�,t`•O ,`,�O O � A 9 Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ �SSACMust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ - Check # 22205 /� Building Inspecto NOON +e CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 718 Date: August 33, 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 11 Aoleton Street MAY BE OCCUPIED AS FamilySuite IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to Andrew Heinze 11 Appleton St North Andover MA 01845 l^1 Building Inspector N®RTy Tomm Of 4 over No. z= dower, Mass., S • •O COCHIC HE WICK ADRATED S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System ,1pUI. DING INSP C'T R_ THIS CERTIFIES THAT P.!�44(w. ...�........t..�.. . '� /� ............................... ............................................ d5� p .. .r1.... . =- has permission to erect........................................ buildings on ......�.�..........A.�� ..........................� ou to be occupied as J?.!ft-*.C.7. .V .-....2.t.. .c�... ..... ��t ►. .MGMh..._.. W....l�.....X$i'n Chimney � provided that the person accepting this 05rmit shall in every respect fonform to the terms of the application on F nal 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. i . �: "' PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rte► loop PERMIT EXPIRES IN 6 MONTHS ~ELECTRICAL INSPECTOR UNLESS CONSTRUCR ART Dui, '' ' S ......... ... .... ... ..... Service , BUILDIN ECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner ire` street No. � �,28A 2,00rwOO-7 � ,L � SEE REVERSE SIDE Smoke Det. I i `� 10RTN I 0,��"' ' 1�p 10-� 40 % ssACilUs t� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Buildina Permit# �Zxp/o 6 ADDRESS/LOCATION OF PROPERTY : ' Map Parcel Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE(51 DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Permit Issued to: A h cLr,-w n4e t N p- Address ' A-#kZct-L aT. SIGNED RO TING �W CONSERVATION PLANNING 0 DPW-WATER METER SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUP CY/INSP CT N REQUEST DPW 7- 23-091 na ure File: Application for OC form revised Jan 2007 Date.... ?....... ... NOR7M °ft '90 '•�"° TOWN OF NORTH ANDOVER ° PERMIT FOR WIRING �sS�cMusE� This certifies that .......... ? ..� r .c.,....:... ! .................... has permission to .......... wiring in the building of..........A... . ��1��.�.��+............................. . ,North Andover,Mass. e c l� • Fee..,�...,��....'��Lic.No. . . . .... /.�..............BICT ERICALINSPECTOR Check # � � � 6 ' 4 6 IJ Official Use Only Commonwealth of Massachusetts +� Department of Fire Services Permit No. o ~r Occupancy and Fee Checked r` BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) ` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: -) City or Town of: 00 , To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant AJ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes Rr No ❑ (Check Appropriate Box) Purpose of Buildings c�>;�� —�— Utility Authorization No. Existing Service w 0 Amps 110 11q,0 Volts Overhead [g"—Undgrd❑ No.of Meters New Service PQ Amps ('w /'1-`IUVolts Overhead ©Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed ElectWr c�l���Vopk: (_k)t At >�cJ <�L3 i C45- Completion .ECompletion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 2� No.of Ceil.-Susp.(Paddle)Fans TransTotal Trsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency ig mg t� rnd. rnd. Battery Units No.of Receptacle Outlets 6n No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges t No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers 1 Heat Pump Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices D No.of Dishwashers t Space/Area Heating KW Local❑ Muni.c'pal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* _ No.of Devices or Equivalent No.of Water KW No.of No.o Data Wiring: Heaters Signs Ballasts No.of Devices or E uivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value f El trical Work: Z, ,,wpr (When required by municipal policy.) Work to Start: o Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coveragefs in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under the pains andpenalties ofperjury,that the information on this application is true and complete. FIRM NAME: (n c A"✓ At- K. (.�rj LIC.NO.:---------------- Licensee: nLUA kr�bp,L ignature IC. NO.: -Z-TrJ) (If applicable, en exempt"in the licens.a number line.) Bus.Tel.No.: W3 6YL-IW7 Address: k-#JAlt.Tel.No.: j7irb2 *Security System Contractor Licer6e required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ V ��- c �f✓!� I l fes. /NORTH �. ...... . . NORTH pf ,.ao ,c,4'O �? TOWNDOVER it p a • . PERMIT FOR GAS INSTALLATION �9SSACMUSEt This certifies that . . . . . '". . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . .P x m,.k-.— ? /.. . . . . . . . in the buildings of . . P(/,".2-1-:. . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . ./. . .,t+ .� . -:: . . . . . . . . . .. North Andover, Mass. Fee. .t/E. Lic. No.. GAS INSPECTOR Check# j 5678 Date. . �. . . . Q "pR7M TOWN OF NORTH AND ER -•p0 A PERMIT FOFt P BING ;,SSACMUS� This certifies that . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . R..o n I {` plumbing in the buildings of . . 77. e'er?. .z . . . . . . . . . . . . . . . . . . . at . .P. /��.�:.�"-- . . . . . . . . . . . . .. North Andover, Mass. � `f r Fee. . (r IUMB-I-N-G . . INSPECThR Check !1 a r 7058 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS BuildingLocation J t� �� DateLO / /'t.] liI �j� ntvners iVame Permit 1# Type of Occupancy ' Amount New Renovation Replacement Plans Submitted Yes No FIXTURES 2 H > i > w r � a O Z I U � � r � � 3 z A O r a &141VIIVT M.HDOR M FLOOR r -441 FI" 4M M" SIH MIR 6'M FLOOR i 7M H OCR 81H FL" ## i (Print or type) Check one: Installing Company Name C7 Q� Certificate l Address o Corp. Partner. ntisi;iess'ieiepnone �j ® Firm/Co. Name of Licensed Plumber: insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that:.ill cf the details and information 1 have submitted(or entered) in above a lication:ire tai . .� trueand accurate�trcuratc to the best of my knowledge and that all plumbing work and installations performed under Permit Issued 1Or this application will he in compliance with all pertinent provisions of the Massachu,'�Stjjte inan hapter 1.17_of the General Laws. r By: ,. igna u- iceus um cr 'I' of Plumbing License Title /-!;-- 7 City Town 43 I'icense i urn or Master jOUrncyman AP.PROV ED..OFFICE USE ONLY I'IASSAOWSErIN UNIFORIZ APPUCATON FOR PERNIlT TO DO GAS FTrnNG (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations _/! J7/ /'e/ �G� 5r,- Permit# yl=�Owner's Name iP Z Amount$ New❑ Renovation Replacement ❑ Plans Submitted ❑ U w H a a U x F ° ° o z F x ° �, z F o x W4 w Z ¢ x a W w F a F x t7 F z F z F �� W c7 O > w Q a' >+ y cq z O z O v� / SUB -BASEM ENT a > B A S E M ENT ST. FLOOR ND . FLOOR +' RD . FLOOR 4T1--I . FLOOR r' 5TH . FLOOR `1 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or type) Check one: Certificate Installing Company Name /3!2 ,'e Corp. Addre s 6� U�- Partner. o� Ed Business e ep on 0 � Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ®—" No 13 If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity 13 Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application aree true and accurate to the best of my knowledge and that all plumbing work and instc ions performed under Permit Issued for this application will be in compliance with all pertinent provisions of the iMassachl..ett State Gas Code anter I ')of the General Laws. d7 BY: as ignature o Licensed Plumber Or Fitter Title umber 6Z 7 d-1 City/Town ❑ Gas Fitter License Num5er 11 Master APPROVED(OFFICE USE ONLY) 0 Journeyman TOWN OF NORTH ANDOVER p PERMIT FOR WIRING \. ,SSACMUS� This certifies that .a,f .. . 4���� -�? .......9z . 4 has permission to perform -r4 yre;;•�..r..... .- .. -�+� wiring in the building of.... . . ............................................... at.... ................ .North Andover,Mass. Fee..................... Lic.NA,%:t .. .......... �.r......:<. f. `Eta RICAL INSPECTOR Check # 5117 '\ (.anenronwaaQjt o/ /fladearjuadl For Office Use Only (Rev. m rmit Nu Peber. J�I� Occupancy&Fee �7 BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERM140 PERFORM ELECTRICAL WORK (ALL WORK To BE PERFORMED WRH niMASSACHUMM MXCrMCAL CODE 527 CMR 12:00)) / PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: / & P y City or Town of:�/1� iy vi R_ To the Inspector of Wires: By this application the undersigned gives notice of his or#lergntention to perform the electrical work described below. s Location: (Street&Number) Owner or Tenant: Owner's Address: tf/ S. '�� ��- - �i-0, G Is this permit in conjunction with a Building Permit? Yes o No-,4a, (Check Appropriate Box) Purpose of Building: Cry - Utility Authorization Existing Service: Amps / Volts Overhead M Underground.❑. #of Meters New Servicer GU Amps 2v -0 Volts Overhead Underground.0 #of Meters:_ Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Werk: e, No.of Recessed Fixtures No.of Cell.-Susp.(Paddle)Fans No. of Transformers Total KVA No.Of Lighting Outlets No. of Hot Tubs Generators KVA No. of lighting Fixtures Swimming Pool: Above ground o In Ground in #of Emergency Lighting Battery Units j No.of Receptacle Outlets No. of 01:Burners Fire Alarms #Rot Zones � #cf Detection&Initiating Devices No,of Switches No.of Cas Burners #of Sounding Devices: #of Self Contained Detection/Sounding Devices No.of Ranges No. of Air Conditioners TOTAL TONS: Local o Municioal Connection o Other ❑ No. of Waste Disposals Heat Pump Totair: Security Systems: f Number. T ONE: KW: No.of Devices or Equivalent No.of Dishwashers Space/Area Heating: KW Data Wiring,No..of Devices or Equivalent s No.of Dryer; _ Heating Appliances KW Telecommunications Wiring:No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: #of Ballasts: OTHER; #of Hydro Massage Tubs No. of Motors Total HP INSURANCE COVERAGE:Unless waived by the owner,no pemnft for the performance of electrical work may issue unless the licensee provides proof of liability insurance including`completed operation'coverage or Its substantial equ�ivaie The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 4;! BOND ❑ OTHER ❑ Please specify: Estimated Value of Electrical Work S (When required by municipal policy) Work to Start: (O G Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. Firm Name: C ;', �+ LIC.#X9933 Licensee::el X Signatu LIC. (If applicable,ant r"ax pt"in the license PgRfber liline) Address:, o f r S I/ - ti s.Tel. - D AIL Tel.# OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) Owner o OR Agent❑ Signature of Owner/Agent: Telephone# I PERMIT FEE:S_�p% Location No. ./fid" (/ Date �ORTh TOWN OF NORTH ANDOVER 3 O F R A Certificate of Occupancy $ SS °'�c�' Building/Frame Permit Fee $ �CHU Foundation Permit Fee $ 1G' Other Permit Fee $ TOTAL $ �d Check # 411 -:80ding 19178 Infpector NORTH p TOWN OF NORTH ANDOVER APPLICA ' ON FOR1 PLAN EXAMINATION Date Received: 6 Permit NO: Date Issued: '0 / l[/ IMPORTANT: Applicant must complete all items on this page LOCATION ,> /7�D% ` i v��- AalAe, —4,74 Print PROPERTY OWNER / �+`'i i/ 9 MAP NO.: PARCEL: rJ Print ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑ Onp family familyy�""�' 11 Industrial ition wo or more S diteration No. of units: [I Repair,replacement ❑Assessory Bldg [I Commercial ❑Demolition ❑Moving(relocation) ❑Other 11 Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED a4en4 ez In r ,o-k:z IdI* cation Please Type or Print Clearly) OWNER: Na r Phone �. Signature Address:���.� CONTRACTOR Name: 64 %4 7�J � A Phone Address: Supervisor's Construction License: Z� 3 Exp. Date: 4 Home Improvement License: Exp. Date: .Zi�/r ems, 3�,/,� Name: Phone: � � 315 Z 31 ARCHITEC ENGINEER / Address: �S F �I 1 S Reg.No. Z-�-7 n� FEE SCHEDULE:BULDING PERMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 4 .y7S „w x10.00=FEE:$ Total Project Cost :$ Q Check No.: 0 1k Receipt No.: Page Iof4 TYPE OF SEWARGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools El�. Tobacco Sales ❑ Well ❑ Food Packaging/Ses El Permanent Dumpster on Site ❑ Private(septic tank, etc. NOTE: Persons con tr ctin ith an re contractors do not have access to the/tamped nd Signature of Agent/O Signature of Contracto Plans Submitted Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ lans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit Other COMMENTS`W SM ad 1 / ,-� _✓ � / v-A' ., 4-1'sp, - DATE REJECTED DATE APPROVED JCONSERVATIO ; ❑ ou COMMENTS , ron . (tel l 24 r' DATE REJECTED DATE PP VED HEALTH ❑ �/ �� COMMENT � --t Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer connection signature&date Temp Dumpster on site es no ire Department signature/date �Z� Building Permit Approved and Issued by: Page 2 of 4 TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools 0 Public Sewer Tobacco Sales Well ❑ ❑ Food Packaging/Sa4 ', ❑ Permanent Dumpster on Site ❑ 3 Private(septic tank,etc. ❑ � ;� T-. NOTE: Persons contr chn A unr re contractors do not have access to the guaranty f nd Signature of Agent/O Signature of Contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan 41 tamped Plans El THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM r DATE REJECTED DATE APPROVED J PLANNING & DEVELOPMENT ❑ �.� d6 []Water Shed Special Permit ❑ Site Plan Special Permit Other C,�OMMENTS� Y" ` :1a_ � . Ck tet DATE REJECTED DATE APPROVED JCONSERVATIO ❑ �� ❑ COMMENTSLOAqWhOn @U10,W&, 24Z DATE REJECTED DATE PP VED - HEALTH ❑ d, U-1) � COMMENT i- h24Aq�r // Zoning Board of Appeals: Variance,Petition. No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection signature&date / Temp Dumpster on site es no > ire Department signature/date Building Permit Approved and Issued by: Page 2 of 4 a 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 Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application' ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit Cv_x_ c i Awj--w C�z-,:,X� ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract (,Lez cc4�. ) o Mass check Energy Compliance Report 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:INSPECTIONAL SERVICES DEPARTMENT:111'FORM05 f Page 4 of 4 Page 2 of N° FD 4376 Date �NOR7/y o? ��°p TOWN OF NORTH ANDOVER RECEIPT 9SS"�CHUS�� This certifies that .&�- �<d4c.... e. ........................ has paid......` ._. U. ........ ...................................................................... for...........U�`'S �z�....... .r�.........1Y..`..................... Received by �?yz-��� /_ .......... Department ...... ........................................................ ......... WHITE: Applicant CANARY:Department PINK:Treasurer The Commonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal P.0.Box 1025 State Road,Stow,MA 01775 PERMIT Date: North Andover Permit NO Dig Safe Number (City of Town) (If Applicable) In accordance with the provisions of�M.G.L.14 8 Chapters G_as provided in section 5 2 7 CMR 34 Start Date This Permit is granted to: G!'/d//�G✓ Full name of person,Firm or Corporation Permissionto locate dumpster for construction/renovation/demolition of building Comments: dumpster must be 25 ' from structure if unable to place with required Restrictions:clearance dumpster must be covered with plywood or tarp end of work day at (Give location by street and no.,or describe in such manner as to provied adequate identification of location) Fee Paid$ 50.00 �� Fire Chief This Permit will expire/6o-t/—a (Signature of offical granting permit) Offtcal granting pennit (Title) Town of North Andover Town Clerk Time Stamp Community Development and Services Division Office of the Zoning Board of Appeals S L C L 400 Osgood Street 7 i! t' North Andover, Massachusetts 01845 ; .1, "R D. Robert Nicetta Telephone (978)688-9541 1605 At 2? A 10- 3 9 Building Commissioner Far (978)688-9542 Any appeal shall be filed within Notice of Decision (20)days after the date of filing Year 2005 of this notice in the office of the Town Clerk,per Mass.Gen.L.ch. 40A,§17. Property at: 11 Appleton Street NAME: Andrew&Maureen Heinze HEARING(S): March 8&April 12,2005 ADDRESS: 11 Appleton Street PETITION: 2005-005 North Andover,MA 01845 TYPING DATE: April 15,2005 The North Andover Board of Appeals held a public hearing at its regular meeting W the Town Hall top floor meeting room, 120 Main Street,North Andover,MA on Tuesday,April 12,2005 at 7:30 PM upon the application of Andrew&Maureen Heinze,11 Appleton Street,North Andover requesting a Special Permit from Section 4 and Paragraph 4.121.17 of the Zoning Bylaw for a Family Suite. Said premises affected is Property with frontage on the South side of Appleton Street within the R-3 zoning district.The legal notices were published in the Eagle Tribune on February 21&28,2005,and all abutters were notified. The legal notice was read at the March 8,2005,and the hearing was continued to April 12,2005. The following members were present: Ellen P.McIntyre,Richard J.Byers,Albert P.Manzi,Hl,and Thomas D. Ippolito. Upon a motion by Albert P.Manzi,1H and 2nd by Thomas D.Ippolito,the Board voted to GRANT a Special Permit from Section 4,Paragraph 4.121.17 of the Zoning Bylaw in order to allow a Family Suite to be constructed at 11 Appleton Street,per Plan of Land in No.Andover,MA.,owned by Andrew and Maureen Heinze,Date: 1/20/2004, 1/23/2004,2/16/2005[by]Frank S.Giles,K P.L.S.#41713,Frank S. Giles Surveying 50 Deermeadow Road,No. Andover,MA 01845,and Plans for Heinze Residence,Appleton Street, North Andover,MA,Date: 5/2/04,2 sheets,First Floor Plan(Proposed)Second Floor Plan(Proposed),Front Elevation,Left Elevation,Rear Elevation,and Rigbt Elevation. With the following conditions: 1. The Family Suite shag not be occupied by anyone except Martha Heinze,a parent of the residing owners of the dwelling unit; 2. The Special Permit shall expire at the time that Martha Heinze cum to occupy the family suite; 3. The Special Permit shall expire at the time the premises are conveyed to any person, partnership,trust,corporation or other entity; 4. The applicant by acceptance of the Certificate of Occupancy issued pursuant to the Special Permit,grants the Building Inspector,or his lawful designee,the right to inspect the premises annually. Voting in favor: Ellen P.,�LIclntyre,Richard J.Byers,Albert P.Manzi,IR and Thomas D. Ippolito. Page I of 2- Board of.Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 979-688-9535 BOARD -F-BUILDING REGULATIONS -=Licer+se: CONSTRUCTION SUPERVISOR Murntw.-CS 029376 Sifttick e.42118/1953 0g{gg08_ Tr.no: 17954 Exlnres €P E FOSTER iB .LN P1i�9F � Commissioner 00-35,000 of enclosedspace WI-0.112 S.60Lj 1A-Masonryonly 1G-t&2t=amily bones Failure to possess a-current edition of the _ Massachusetts State 8ui&tiifg-code i is cause for revocation of this license; ; l . �i DJG SAFE GALL CENTER: (888j 344-7233 ,f - I BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number .CS, 041071 Birthdate:.10/16/1921 Expires 1.011610207 Tr.no: 4971.0 ` Restricted:-00 '1 ' CHARLES H FOSTER 16A MARGATE RD N ANDOVER, MA 01845,)- , Commissioner f ' _.. -_ S__.. �,p.- ✓lW V/04YNJt.07211IeQGLiL O�✓�dCLCiLUbP�.6.. Board of Building Regulations and Standards HOM E IMPROVEMENT CONTRACTOR Registrations. 103237 Expi ration;'117/2006 ..Type:_,Jndividual CHARLES H.FOSTERx-,, Charles Foster 16A Margate.Rd.- N. d.N.Andover,MA 01645 Administrator ` Massachusetts Department of Environmental Protection i Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 5 - Order of Conditions 242-1324 Massachusetts.Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important: North Andover When filling From: 1.Conservation Commission out forms on the computer, 2. This issuance is for(check one): ® Order of Conditions ❑ Amended Order of Conditions use only the tab key to 3. To: Applicant: move your cursor-do not Andrew ' Heinze use the return a. First Name b. Last Name c.Company key. 11 Appleton Street d.Mailing Address teb North Andover MA. 01845 r, A 10 e.City/Town f. State g.Zip Code= -� B 4. Property Owner(if different from applicant): M a. First Name b. Last Name c.Company r r 7 d. Mailing Address e. City/Town f.State g.Zip Code 5. Project Location: LAJ 11 Appleton Street North Andover 1`0 a.Street Address b.City/Town I Map 37B Parcel 38 cry . c.Assessors Map/Plat Number d.Parcel/Lot Number N Latitude and Longitude, if known (note: 42-40'-36.14' N 71-05'-52.18'W electronic filers will click for GIS locator): e. Latitude f. Longitude s. Property recorded at the Registry of Deeds for(attach additional information if more than one parcel): Essex North a.County b.Certificate(if registered land) 6172 336 c. Book' d.Page 7/1/05 7 1QL-7�l�9 7. Dates: a.Date Notice of Intent Filed b.Date Plublic earing Closed c.Date ofissuarke 8. Final Approved Plans and Other Documents (attach additional plan or document references as needed): Plan of Land a. Plan Title Giles Surveying Scott L. Giles P. L. S. b. Prepared By c.Signed and Stamped by 7/5/05 1" = 20' d.Final Revision Date e.Scale f.Additional Plan or Document Title g.Date s. Total WPA Fee Paid: � � � a.Total Fee Paid b.State Fee Paid c. City/Town Fee Paid wpaform5.doc• rev.3/1/05 Page 1 of 9 ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 242-1324 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings t. Findings pursuant to the Massachusetts Wetlands Protection Act: Following the review of the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing, this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. ® Public Water Supply b. ❑ Land Containing Shellfish c. ® Prevention of Pollution d. ® Private Water Supply e. ❑ Fisheries f ® Protection of Wildlife Habitat g. ® Groundwater Supply h. ® Storm Damage Prevention i. ® Flood Control 2. This Commission hereby finds the project, as proposed, is: (check one of the following boxes) Approved subject to: ® the following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall control. Denied because: ❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations. Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides.measures which are adequate to protect these interests, and a final Order of Conditions is issued. A description of the performance standards which the proposed work cannot meet is attached to this Order. ❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effect of the work on the interests identified in the Wetlands Protection Act. Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). Inland Resource Area Impacts: Check all that apply below. (For Approvals Only) ❑ Buffer Zone Impacts: Shortest distance between limit of project disturbance and wetland boundary (if available) linear feet Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement I ❑ Bank 4. a. linear feet b.linear feet c.linear feet d. linear feet ❑ Bordering Vegetated Wetland a.square feet b.square feet c.square feet d.square feet 5. ❑ Land Under a.square feet b.square feet c.square feet d.square feet Waterbodies and Waterways e.cu.yd dredged f.cu.yd dredged wpaform5.doc• rev.3/1/05 Page 2 of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 242-1324 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings cont. 9 (cont.) Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 6. ❑ Bordering Land Subject to Flooding a.square feet b.square feet c.square feet d.square feet .Cubic Feet Flood Storage e.cubic feet f.cubic feet g. cubic feet h.cubic feet 7. ❑ Isolated Land Subject to Flooding a.square feet b.square feet Cubic Feet Flood Storage c.cubic feet d.cubic feet e.cubic feet f. cubic feet 8. ❑ Riverfront area a.total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq ft between 100-200 ft e.square feet f.square feet e.square feet f.square feet Coastal Resource Area Impacts: Check all that apply below. (For Approvals Only) 9. ❑ Designated Port Indicate size under Land Under the Ocean, below Areas 1o. ❑ Land Under the Ocean a.square feet b.-square feet c.cu.yd dredged d.cu.yd dredged 11. ❑ Barrier Beaches Indicate size under Coastal Beaches and/or'Coastal Dunes below 12. ❑ Coastal Beaches a.square feet b.square feet c.cty nourishmt. d.c/y nourishmt. 13. ❑ Coastal Dunes a. square feet b.square feet c. c/y nourishmt. d.Gy nourishmt 14. ❑ Coastal Banks a. linear feet b. linear feet 15. ❑ Rocky Intertidal Shores a.square feet b.square feet 16. ❑ Salt Marshes a.square feet b.square feet c.square feet d.square feet 17. ❑ Land Under Salt Ponds a.square feet b.square feet c.cu.yd dredged d.cu.yd dredged 18. ❑ Land Containing Shellfish a.square feet b.square feet c.square feet d.square feet 19. ❑ Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodies and Waterways, above a.cu.yd dredged b.cu.yd dredged 20. ❑ Land Subject to Coastal Storm Flowage a.square feet b.square feet wpaform5.doc• rev.311/05 Page 3 of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 242-1324 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. General Conditions Under Massachusetts Wetlands Protection Act (only applicable to approved projects) 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. The Order does notr g ant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or an other Y person on of thenecessi tyof complying with allother applicable federal, state or local statutes, ordinances,inances, bylaws, or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a. the work is a maintenance dredging project as provided for in the Act; or b. the time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance. If this Order is intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse, rubbish, or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing. 7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such an appeal has been taken, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of'the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. The recording information shall be submitted to this Conservation Commission on the form at the end of this Order, which form must be stamped by the Registry of Deeds, prior to the commencement of work. 9. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" [or, "MA DEP"] "File Number 242-1324 " wpaform5.doc• rev.3/1105 Page 4 of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: WPA Form 5 - Order of Conditions 242-1324 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. General Conditions Under Massachusetts Wetlands Protection Act 10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before DEP. 11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of Compliance (WPA Form 8A) to the Conservation Commission. 12. The work shall conform .to theP lans and special conditions referenced in this order. P 13. Any change to the plans identified in Condition#12 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 14. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in.this Order, and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. 15. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or water body. During construction, the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission, which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. 18. All work associated with this Order is required to comply with the Massachusetts Stormwater Policy Standards. .I Special Conditions: j If you need more See attached space for additional conditions, select box to attach a text i document I I I wpaform5.doc• rev.3/1/05 Page 5 of 9 i Massachusetts Department nt of Environmental Protection on Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 242-1324 Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Findings Under Municipal Wetlands Bylaw or Ordinance 1. Is a municipal wetlands bylaw or ordinance applicable? ® Yes ❑ No 2. The North Andover hereby finds (check one that applies): Conservation Commission 3. ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: a.Municipal Ordinance or Bylaw b.Citation Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards, and a final Order of Conditions is issued. 4. ® that the following additional conditions are necessary to comply with a municipal ordinance or . bylaw: North Andover Wetland Protection Bylaw Chapter 178 a.Municipal Ordinance or Bylaw b.Citation The Commission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the conditions shall control. If you need more c. The S g p y space for special conditions relating to munici al.ordinance or law are as follows: additional See attached conditions, select box to attach a text document wpafor7n5.doc• rev.3/1/05 Page 6 of 9 DEP FILE #242 -1324 Therefore, the North Andover Conservation Commission(hereafter the "NACU) hereby finds that the following conditions are necessary, in accordance with the Performance Standards set forth in the State Regulations, the local Bylaw and Regulations, to protect those interests noted above. The NACC orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced below. To the extent that the following conditions modify or differ from the plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall control. GENERAL CONDITIONS 18. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order: 19. This Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of property rights. However, the NACC, agent of the NACC or the Department of Environmental Protection (DEP) reserves the right to enter and inspect the property at all reasonable times until a Certificate of Compliance is issued, to evaluate compliance with this Order of Conditions, the Act (310 CMR 10.00), the North Andover Wetland Bylaw and Regulations, and may require any information, measurements, photographs, observations, and/or materials, or may require the submittal of any data or information deemed necessary by the NACC for that evaluation. Further, work shall be halted on the site if the NACC, agent or DEP determines that any of the work is not in compliance with this Order of Conditions. Work shall not resume until the NACC is satisfied that the work will comply and has so notified the applicant in writing. 20. This.Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state or local statutes, ordinances, by-laws or regulations. 21. The work authorized hereunder shall be completed within three years from the date of this order. 22. This Order may be extended by the issuing authority for one or more periods of up to one year each upon application to the issuing authority at least thirty days (30) prior to the expiration date of the Order (Refer to Section 8.3 (p.37) of the North Andover Wetland Regulations). 23. The NACC reserves the right to amend this Order of Conditions after a legally advertised public hearing if plans or circumstances are changed or if new conditions or information so warrant. C:\Winword\OOC\l lAppletonStreet.doc 1 NACC 7/29/2005 DEP FILE #242 -1324 24 Where the Department of Environmental ironmental ProtectionDEP ( ) is requested to make a determination and to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before the Department. 25. This Order of Conditions is issued under File No. 242-1324. 26. The conditions of this decision shall apply to, and be binding upon, the applicant, owner, its employees and all successors and assigns in interest or control. These obligations shall be expressed in covenants in all deeds to succeeding owners of portions of the property. 27. The term "Applicant" as used in this Order of Conditions shall refer to the owner, any successor in interest or successor in control of the property referenced in the Notice of Intent, supporting documents and this Order of Conditions. The NACC shall be notified in writing within 30 days of all transfers of title of any portion of property that takes place prior to the issuance of a Certificate of Compliance. 28. The proposed work includes: Construction of an additionp in place ace of an existing garage which will be razed), a porch, expansion of a driveway, and sewer line to an existing.a single-family dwelling within the buffer zone to a Bordering Vegetated Wetland (BVW) associated with a pond,which was determined to be Isolated Land Subject to Flooding(ILSF). The applicant has been granted a waiver for temporary impacts to the 25'No Disturbance Zone for the purposes of installing the sewer line. 29. The work shall conform to the following (except as noted in the remainder of this document where revisions may be required): Notice of Intent filed by: Andrew Heinze 11 Appleton Street North Andover, MA 01845 Site Plans and NOI prepared by: Frank S. Giles Surveying, entitled, "Plan of Land", dated May 13,2005 with final revisions made on July 5,2005. Stamped & signed by Scott L. Giles, P.E. Other Record Documents: Letter from West Environmental Inc., dated July 11,2005,requesting a waiver from the 25' No Disturbance Zone. 30. The following wetland resource areas are affected by the proposed work: Buffer Zone to Bordering Vegetated Wetlands (BVW) and Isolated Land Subject to Flooding (ILSF). These resource areas are significant to the interests of the Act and Town Bylaw as noted above and therein. The applicant has not attempted to overcome the presumption of significance of these resource areas to the identified interests. 31. The NACC agrees with the applicant's delineation of the wetland resource areas on the site as shown on the plans dated referenced herein. C AWinword\OOC\11 AppletonStreet.doc 2 NACC 7/29/2005 DEP FILE # 242 -1324 32. The NACC finds that the intensive use of the upland areas and buffer zone proposed on this site will cause further alteration of the wetland resource areas. In order to prevent any alteration of wetland resource areas a twenty-five foot (25') No-Disturbance Zone and a fifty-foot (50') No-Construction Zone shall be established from the edge of the adjacent wetland resource area (BV4) except as shown on the record plan referenced herein. The Conservation Administrator and/or other agents of the NACC do not have the authority to waive these setbacks as established under the local bylaw. No disturbance of existing grade, soils or vegetation is permitted in the No-Disturbance zone. (See Section 3.4 &Appendix F of the local Regulations). 33. There shall be no increase in theost development discharges from the storm drainage P P g g system-or any other changes in post development conditions that alter the post development watershed boundaries as currently depicted in the Notice of Intent and approved by this Order of Conditions, unless specifically approved in writing by the Commission. 34. This document shall be included in all construction contracts, subcontracts, and specifications dealing with the work proposed and shall supersede any conflicting contract requirements. The applicant shall assure that all contractors, subcontractors, and other personnel performing the permitting work are fully aware of the permits terms and conditions. Thereafter, the contractor will be held jointly liable for any violation of this Order resulting from failure to comply with its conditions. 35. The owners of'the project and their successors in title, in the event they proceed to alter areas subject to the Commissions jurisdiction under the order, agree that the Order does not in itself impose upon the Town any responsibility to maintain the proposed drainage system and that said Town shall not be liable for any damage in the event of failure. By acceptance of this Order, the owners agree to indemnify and hold harmless to the Town and'its residents for any damage attributable to alterations undertaken on this property pursuant to the Order. Issuance of these Conditions does not in any way imply or certify that the site or downstream areas will not be subject to flooding, storm damage or any other form of water damage. 36. Issuance of these Conditions does not in any way imply or certify that the site or downstream areas will not be subject to flooding, storm damage or any other form of water damage. PRIOR TO CONSTRUCTION 37. No work shall be undertaken until all. administrative appeal periods from this Order have Alapsed-a, 4 s+teh ae the-De .r leftt. or Court have been completed. C:\Winword\OOC\11AppletonStreet.doc 3 NACC 7/29/2005 DEP FILE#242 -1324 .38. This Order shall be recorded by the applicant at the Registry of Deeds immediately after the expiration of all appeal periods. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located within thin the chain rs of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is to be done. The recording information shall be submitted to the North Andover Conservation Commission on the form at the end of this Order prior to commencement of the work. Any Order not recorded by the applicant before work commences may be recorded by the NACC at the applicant's expense. 39. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words "Massachusetts DEP,File Number 242-1324." 40. Any changes in the submitted plans caused by the applicant, another Board's decision or resulting from this Order of Conditions must be submitted to the NACC for approval prior to implementation. If the NACC finds said changes to be significant, the NACC will call for another public hearing (at the expense of the applicant). Within 21 days of the close of said public hearing the NACC will issue an amended or new Order of Conditions. Any errors found in thelans or information submitted rrutted b the applicant shall be considered as changes. The Y PP g proposed project may be still P P P ] y under review by other local or state boards or agencies. This may result in changes to the project plans or wetland impacts. If any such changes.occur a revised plan and an explanation of the revisions shall be submitted to the NACC for review and approval prior to the start of construction. No work shall begin on a project until written approval has been granted by the NACC. 41. It is the responsibility of the applicant, owner, and/or successor(s) to ensure that all conditions of this Order of Conditions are complied with. The project engineer and contractors are to be provided with a copy of this Order of Conditions and referenced documents before commencement of construction. 42. Prior to any work commencing on-site, the applicant shall submit to the NACC for approval, a detailed sequence of construction, including the construction of compensation and retention areas, installation of sedimentation/erosion control devices and re-vegetation to be completed before other work begins on-site. 43. Prior to the commencement of any work on site, a Registered Land Surveyor (R.L.S.) shall stake the corners of the proposed porch and associated stairs in addition to the proposed garage/addition. These measurements will be verified during the pre- construction meeting. 44.Wetland flagging shall be checked prior to start of construction and shall be re- established where missing. All wetland flagging shall remain visible and enumerated per the approved plan(s) throughout the life of the project and until a Certificate of C:\Winword\OOC\11AppletonStreet.doc 4 NACC 7/29/2005 DEP FILE #242 -1324 Compliance is issued so that erosion control measures can be properly placed and wetland impacts can be monitored. The proposed limit of work shall be shall be clearly marked with stakes or flags and shall be confirmed by the NACC. Such markers shall be checked and replaced as necessary and shall be maintained until all construction is complete. Workers should be informed that no use of machinery, storage of machinery or materials, stockpiling of soil, or construction activity is to occur beyond this line at any time. All flags used for the above purposes shall be of a color different from other flagging used on the site. 45. A row of staked hay bales backed by trenched siltation fence shall be placed between all construction areas and wetlands. The erosion control barrier will be properly installed and placed as shown on the plans approved and referenced herein and shall be inspected and approved by the NACC prior to the start of construction and shall remain intact until all disturbed areas have been permanently stabilized to prevent erosion. All erosion prevention and sedimentation protection measures found necessary during construction shall be implemented at the direction of the NACC. The NACC reserves the right to impose additional conditions on portions of this project to mitigate any impacts which could result from site erosion, or any noticeable degradation of surface water quality. discharging from the site. For example, installation of erosion control measures may be required in areas not shown on the plan(s) referenced in this Order of Conditions. Should such installation be required by the NACC, they shall be installed within 48 hours of the Commissions request. 46. The applicant shall have on hand at the start of any soil disturbance, removal or stockpiling, a minimum of 10 hay bales and sufficient stakes for staking these bales (or an equivalent amount of silt fence). Said bales shall be used only for the control of emergency erosion problems and shall not be used for the normal control of erosion. 47. A check payable to the Town of North Andover shall be provided in the amount of $2,000,which shall be in all respects satisfactory to Town Counsel,Town Treasurer, and the NACC, and shall be posted with the North Andover Town Treasurer through the NACC before commencement of work. Said deposit of money shall be conditioned on the completion of all conditions hereof, shall be signed by a party or parties satisfactory to the NACC, and Town Counsel, and shall be released after completion of the project, provided that provisions, satisfactory to the NACC, have been made for performance of any conditions which are of continuing nature. The applicant may propose a monetary release schedule keyed to completion of specific portions of the project for the NACC's review and approval. This condition is issued under the authority of the local Bylaw. 48. The applicant shall designate a Professional Wetland Scientist as the project's "Environmental Monitor" (EM) to oversee any emergency placement of controls and regular inspection or replacement of sedimentation control devices. The name and phone . the event that this person has to be contacted, due to an emergency at the site, during any 24-hour period, including weekends. This professional must submit a letter on company C:\Winword\OOC\11 AppletonStreet.doc 5 NACC 7/29/2005 DEP FILE #242 -1324 letterhead stating they have been retained as the project's Environmental Monitor. The designated Environmental Monitor is subject to approval by the NACC. This person shall also be given the authority to stop construction for erosion control purposes. The ECM will be required to inspect all such devices and oversee cleaning and the proper disposal of waste products. Cleaning shall include removal of any entrapped silt. 49. ON EVERY MONDAY of each week, or otherwise arranged by the NACC, in which construction activities associated with the installation of the sewer line occurs on-site and for as long thereafter as ground remains unstable, it is the applicant's responsibility that the Environmental Monitor,monitor the site and submit written reports to the NACC. The EM shall certify that,to the best of his/her knowledge and belief based on a careful site inspection, all work is being performed in compliance with this Order of Conditions and that approved setbacks are being adhered to. The EM must visually inspect all sedimentation / erosion control measures and assume responsibility for their maintenance on a weekly basis and that they are functioning as intended. In addition, all wetland resource areas must be visually inspected for siltation, turbidity, and/or other water quality impacts. The reports shall also include current condition of erosion and sedimentation controls; describe any erosion or sedimentation repair and / or replacement, and describe any erosion or sedimentation problems and mitigation measures implemented. Such reports P p shall continue until the applicant requests a less frequent reporting schedule or an end to reports. This request must be submitted in writing and is subject to approval by the Conservation Administrator. 50. Prior to construction, the applicant shall permanently mark the edge of the wetland resource area with five (5) markers evenly spaced every 50-feet incorporating the following text: "Protected Wetland Resource Area". This will designate their sensitivity and assure no further inadvertent encroachment into the wetland. These markers can be, purchased at the Conservation Department for $2.00 per marker. These permanent markers are subject to review and approval by the NACC. The applicant shall instruct all agents to explain these markers to buyers/lessees/landscapers and all persons taking over the property from the applicant. 51. The applicant and/or the legal owner of that portion of land upon which these Orders of Conditions have been placed shall provide to the NACC prior to transferring, or assigning any portion of said land to another party, subject to said Orders of Conditions,the "Compliance Certification Form Affidavit" attached via "Appendix A endix " signed under the pains and penalties of perjury, stating that said applicant and/or owner has read these Orders of Conditions and is in compliance with each and every condition. This document shall apply to each of the conditions referenced herein and shall be provided to the Conservation Department at least five (5) business days prior to the closing of said land transaction. 52. Once these above mentioned pre-construction requirements are complete, the applicant shall contact the Conservation_ Office prior to site preparation or construction and shall arrange an on-site conference with an NACC representative,the contractor,the engineer,wetland scientist and the applicant to ensure that all of the Conditions of this Order are understood. This Order shall be included in all construction contracts, CAWinword\00C\1IAppletonStreet.doc 6 NACC 7/29/2005 DEP FILE # 242 -1324 subcontracts, and specifications dealing with the work proposed and shall supersede any conflicting contract requirements. The applicant shall assure that all contractors, subcontractors and other personnel performing the permitted work are fully aware of the permit's terms and conditions. Thereafter, the contractor will be held jointly liable for any violation of this Order of Conditions resulting from failure to comply with its conditions. The applicant or contractor shall notify the NACC in writing of the identity of the on-site construction supervisor hired to coordinate construction and to ensure compliance with this Order. A reasonable period of time shall be provided as notice of the pre- construction meeting (e.g. 72 hours). DURING CONSTRUCTION 53. Accepted engineering and construction standards and procedures shall be followed in the completion of the project. 54. Upon beginning work, the applicant shall submit written progress reports every month detailing what work has been done in or near resource areas, and what work is anticipated to be done over the next period. This will update the construction sequence. 55. The sewer lines on the site shall be tested for water tightness in accordance with North Andover DPW standards. 56. The applicant shall ensure that the contractor does not encroach into the 50'No-Build n of the ro Zone for any portio posed work.p 57. The Environmental Monitor shall be on site during and/or following a major storm event of 1 inch of rain or greater to ensure that soils remain stable, erosion controls are adequate and secure, and that all BMP's are adequately functioning. 58. De-watering activities anticipated shall be supervised and witnessed by the designated Environmental Monitor.This designee must be on-site while work specific to de-watering activities are occurring and until complete. Activities shall be monitored daily by the Environmental Monitor to ensure that sediment laden water is appropriately settled prior to discharge toward the wetland resource areas. No discharge of water is allowed directly into an area subject to jurisdiction under the MA Wetlands Protection Act and / or the North Andover Wetlands Bylaw. If emergency de-watering requirements arise, the applicant,shall submit a contingency plan to the Commission for approval,which provides for the pumped water to be contained in a settling tank or basin, to reduce turbidity prior to discharge into a resource area. • 59. Any fill used in connection with this projectfill.shall be clean containing no trash, refuse, pape laster, wire lath, , but nom+1,,,,,tPci tQ lumber,bricks, p p P cardboard, pipe, tires, ashes,refrigerators, motor vehicles or parts on any of the foregoing. C:\Winword\OOC\11AppletonStreet.doc 7 NACC 7/29/2005 DEP FILE #242 -1324 60. No exposed area shall remain unfinished for more than thirty (30) days, unless approved by the NACC. If soils are left to idle greater than thirty days,all areas shall be seeded with rye seed to provide immediate stabilization. 61. The contractor will take all steps necessary to control dust onsite so that adverse effects on adjacent resource areas and / or habitat do not occur. 62. No re-grading in the buffer zone shall have a slope steeper than 2:1 (horizontal: vertical). Slopes of steeper grade shall be rip-rapped or biodegradable erosion controls to provide permanent stabilization. 63. There shall be no stockpiling of soil or other materials within fifty (50) feet of any resource area. 64. Washings from concrete trucks, or surplus concrete, shall not be directed to, any drainage system, or wetland resource area. 65. All waste generated by, or associated with, the construction activity shall be contained within the construction area, and away from any wetland resource area. There shall be no burying of spent construction materials or disposal of waste on the site by any other means. The applicant shall maintain dumpsters (or other suitable means) at the site for the storage and removal of such spent construction materials off-site. However, no trash dumpsters will be allowed within 50' of areas subject to protection under the Act or local Bylaw. 66. During and after work on this project, there shall be no discharge or spillage of fuel, or other pollutants into any wetland resource area. If there is a spill or discharge of any pollutant during any phase of construction the NACC shall be notified by the applicant within one (1) business day. No construction vehicles are to be stored within 100 feet of wetland resource areas, and no vehicle refueling, equipment lubrication , or maintenance is to be done within 100 feet of a resource area. AFTER CONSTRUCTION 67. No underground storage of fuel oils shall be allowed on any lot within one hundred (100) feet of any wetland resource area. This condition shall survive this Order of Conditions and shall run with the title of the property. This condition is issued under the authority of the Town's Wetland protection Bylaw. 68. Fertilizers utilized for landscaping and lawn care shall be slow release low-nitrogen (< 5%), and shall not be used within 25 feet of a resource area. Pesticides and herbiides hall not be used within 100 feet of.a wetland resource area. This condition shall survive this Order of Conditions and shall run with the title of the property. This condition is issued under the �----authority-of the-Town's-Wetland-Protectiorr-Bylaw--and shall remain in perpetuity. CAWinword\ooC\1 lAppletonStreet.doc 8 NACC 7/29/2005 DEP FILE#242 -1324 69. Upon completion of construction and grading, all disturbed areas located outside resource areas shall be stabilized permanently against erosion. This shall be done either by loaming and seeding according to SCS standards. If the latter course is chosen, stabilization will be considered complete once vegetative cover has been achieved. 70. Upon approved site stabilization by Conservation staff,the erosion controls shall be removed and properly disposed of and all exposed unvegetated areas shall be seeded. 71. Upon completion of the project the applicant shall submit the following to the Conservation Commission as part of a request for a Certificate of Compliance: a. WPA Form 8A - "Request for a Certificate of Compliance." b. A letter from the applicant requesting a Certificate of Compliance. c. The name and address of the current landowner. d. Signed statements from the individual property owners shall be submitted with the request for a Certificate of Compliance indicating that they read and understood the recorded Order of Conditions prior to purchasing their property. e. The name and address of the individual/trust or corporation to whom the compliance is to be granted. f. The street address and assessor's map/parcel number for the project. g. The DEP file number. h. A written statement from a Registered Professional Civil Engineer (and/or Registered Professional Land Surveyor) of the Commonwealth certifying that the work has been conducted as shown on the plan(s) and documents referenced above, and as conditioned by the Commission. i. An"As-Built" plan prepared and signed and stamped by a Registered Professional Civil Engineer (and/or Registered Professional Land Surveyor) of the Commonwealth, for the public record. This plan will include: ➢ "As-Built" post-development elevations of all drainage & stormwater management structures constructed within 100 feet of any wetland resource area. NOTE: If portions of the stormwater systems exist partially within the Buffer Zone than the entire structure must be depicted to accurately verify compliance. ➢ "As-Built" post-development elevations and grades of all filled or altered wetland resource areas including the encompassing buffer zone,which is regulated as a resource area under the local Wetland Protection Bylaw. ➢ Distances from structures to wetland resource areas. Structures include (but are not limited to) septic systems, additions, fences, sheds, stonewalls, pools, re ar ung w s, su sur ace Mites es an ec . C:\Winword\00C\1 lAppletonStreet.doc 9 NACC 7/29/2005 DEP FILE#242 -1324 ➢ A line showing the limit of work and the extent of existing erosion control devices. "Work" includes Any disturbance of soils or vegetation. ➢ Location of all subsurface utilities entering the property. 72. The following special conditions shall survive the issuance of a Certificate of Compliance (COC) for this project: ➢ 25' No-Disturbance Zone, a 50' No-Construction Zone shall be established from the edge of adjacent wetland resource areas. Future work within 100' of existing wetland resource areas will require a separate filing with the NACC (refer to Section XI (page 18) of the Regulations for performance standards within these zones) The Conservation Administrator and/or other agents of the NACC do not have the authority to waive these setbacks cks as established under the local Bylaw (Condition# 32); ➢ Discharge or spillage.of pollutants (Condition#66); ➢ Prohibition of underground fuels (Condition#67); ➢ Limitations on the use of fertilizers, herbicides, and pesticides (Condition #68). CAWinword\OOC\11AppletonStreet.doc 10 NACC 7/29/2005 Massachusetts Department of Environmental Protection i Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 242-1324 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 E. Issuance This Order is valid for three years, unless otherwise specified as a special condition pursuant to General Conditions#4, from the date of issuance,. 1. Date of lIssuarice Please indicate the number of members who will sign this form: 6 This Order must be signed by a majority of the Conservation Commission. 2.Number of signers The Order must be mailed by certified mail (return receipt requested) or hand delivered to the applicant. A copy also must be mailed or hand delive d at the same time to the appropriate Department of Environmental Protection Region Ice, if not filing electronically, and the property owner, if different from applicant. Signatures: / d L 6 Notary Acknowledgement Commonwealth of Massachusetts County of Essex North 7 On thlSDay of Month Year Before me, the undersigned Notary Public, 5cc4± personally appeared Name of Document Signer proved to me through satisfactory evidence of identification, which was/were Massachusetts License Description of evidence of identification to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As member of North Andover Conservation Commission City/Town � :O:NNA .WEDGE �j VI., PUBUC Signature of Notary Public WMCKMEMAug.T,soon Dom #, t)?, CPCJ�1�CC Printed Name of Notary Public /,a"- Place notary seal and/or any stamp above My commi o xpires(Date) This Order is issued to the applicant as follows: Q by hand delivery on by certified mail, return receipt requested,on 7b Date Date wpaform5.doc• rev.3/1/05 Page 7 of 9 , DEP FILE#242 -1324 APPENDIX A-AFFIDAVIT I, on oath do hereby depose and state: (authorized agent of applicant and/ or owner) (PLEASE CHECK AT LEAST ONE BLOCK) . 1) I am the of (position with applicant) (applicant's name) the applicant upon whom the Order of Conditions have been (DEP or NACC File#) placed upon by the North Andover Conservation Commission(NACC). and / or 2) I am the of (position with owner) (owner) the owner upon whose land Order of Conditions have been (DEP or NACC File#) placed upon by the NACC. ♦ I hereby affirm and acknowledge that I have received said Order of Conditions and have read the same and understand each and every condition,which has been set forth in said Order of Conditions. ♦ I hereby affirm and acknowledge that on this day of 20___, Iinspected said property together with any and all improvements, which have been made to the same and hereby certify that each and every condition set forth in the Order of Conditions are presently in compliance. ♦ I hereby affirm and acknowledge that this document will be relied upon by the NACC, as well as any potential buyers of said property,which is subject to the Order of Conditions. Signed under the pain and penalties of perjury this day of ,20 (Authorized agent of applicant or owner) CAWinword\00C\11 AppletonStreet.doc 11 NACC 7/29/2005 ILI, Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 — Order of Condition DEP File Number. 242-1324 Massachusetts Wetlands Protection Act M.G.L. c- 131, §40 F• Appeals The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the la to this Order, or any ten residents of the city or town in which such land is located, are hereby notified subject fied of their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order. A copy of the request shall at applicant, if he/she is not the appellant. Any appellants seeking to the same time be sent by certified mail or hand delivery to the Conservation Commission and to the appeal Order associated with this appeal will be required to demonstrate prior pSuperseding articipation in the review the Department's Supea this project.n of written information to the Previous participation in the permit proceeding means the submissio Conservation Commission prior to the close of the public hearing requesting a Superseding Order or Determination, or providing written information to the Department prior to issuance of a Superseding Order or Determination. The request shall state clearly and concisely the objections to the Order which is being appealed and the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands w Protection Act, (M.G.L. c. 131, §40) and is inconsistent with the wetlands regulations (310 CMR 10. To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. Section G, Recording Information is available on the following page. wpaform5.doc• rev.3/1/05 Page 8 of 9 Town of North Andover Office of the Zoning Board of AppealsAiMift Community Development and Services Division 400 Osgood Street :North Andover,;Massachusetts 01845 D. Robert Nicetta Building Commissioner Telephone (978)688-9511 Fac (978)688-95.12 The Board finds that the applicant has satisfied the provisions of Section 9,Paragraph 9.2 of the zoning bylaw and that such change,extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the grant,it 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,it shall lapse and may be re-established only after notice,and a new hearing. Town of North Andover Board of Appeals, P'm v len P.McIntyre,Chair Decision 2005-005. M37BP48. Page 2 of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-31-2006 DATE OF PLANS : 3/06 TITLE: PROJECT INFORMATION: FAMILY SUITE ADDITON 11 APPLETON ST NORTH ANDOVER, MA COMPLIANCE: PASSES Required UA = 485 Your Home = 439 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1237 38 .0 0 .0 37 CEILINGS 1214 30 .0 0 .0 43 WALLS : Wood Frame, 16" O.C. 2415 15 .0 3 . 0 161 GLAZING: Windows or Doors 341 0 .350 119 FLOORS : Over Unconditioned Space 1373 19 .0 65 FLOORS : Over Outside Air 637 47 .0 14 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 DATE: 3-31-2006 Bldg. Dept . Use CEILINGS : [ ] 1 . R-38 Comments/Location [ ] 2 . R-30 Comments/Location WALLS : [ ] 1 . Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS : [ ] 1 . U-value: 0 .35 For windows without labeled U-values, .describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS : [ ] 1. Over Unconditioned Space, R-19 Comments/Location [ ] 2 . Over Outside Air, R-47 Comments/Location AIR LEAKAGE: [ l Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 .5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 .0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS : [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only) -------------------------