Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 1112 TURNPIKE STREET 4/30/2018
_I THE COMMONT {? EALTH OF MASSACHUSE7T S DEPARTAMW OFPUNIICSAFEIY BOAROOFFIREPREVEMONREGUL4770NSS27(W ]2:AO APPLICA71ONFOR PERMIT TO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE? (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Town of North Andover The undersigned applies for a permit to perform the elec rical work d Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with buildin permit Yes Purpose of Building Q "Y Existing Service JAmps °Q Volts Amps / Volts seders and Ampacity Nature of Proposed Electrical Work Outlets No. of Hot I ting Fixtures eptacle Outlets itch Outlets anges f� Disposals Dishwashers f Dryers of Water Heaters __ KW Hydro Massage Tubs ER t Swimming Pool Above ground No. of Oil Burners No. of Gas Burners Office Use only %[� Permit No. , / Occupancy & Fees Checked v v I �RMELECIRICA.L WO. ELECTRICAL CODE, 527 CMR 12:00 V Underground No. of iienerators No. of Misters No. of Meters of Emergency Lighting Battery No. of Air Cond. Total FIRE ALARMS Tons No. of Detection and No. o eat Total Pum s on KW Initiating Devices No. of Sounding Devices Space Ar ng KW _....__........ _......,..._........__ No. of Self Contained Detection/Sounding Devices Local Municipal Heating Devices O W Connections No. of. No. of Signs Bailasis No. of Motors Total HP 0 WE G Total KVA KVA No. of Zones M Other aamaltlialaloyh>aaanoeFblicyinchdmgComple� Co�aa@eorilsrialegtrivatrt . YES NO subumledvalidpmofofsanlelodleOffen YES F)mhaNedrdedYESPkmmdcaethePAxofwverageby dwld gd>e box INSURANCE BOND ® OTHER a (PleaseSpeci!'y)' BtaraodVahleofE1"icai Wc& $$ ®C9 C. (%o WaictoS4R hrspac mD*Requesled Ratgh Fel su,edurdxTrPdmkscfpaqw FMMNAN E ISN LiMme Signahae Lit seNo . Bt>SrttessTelNa o"— yt'SINSURANCEWAAER;IamawatedxtiheLio wdoesnotharetheit>auanoeco AltTelNo. � orits subAarlfial etltriv�alalt as relltmed by Massactxrsells Galad Laws mdfi'Plea trrrysi ;heck one) aQpli otrwar ,ec�ranalt ;Please heck one) Ow Agent � IM � Telephone No. PERMIT FEE $ ; S igna re ner or Agent C) C / In Date... ............................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...:J i ' :. ................ ........................ ......................... has permission to perform .......--............................................... wiring in the building of ...... ;�........ :7��1 y V at ..................... . North Andover, Mass. .:.. ..... ................................ f �J -ELECTRICAL INSPECTOR Check /• • 771ECOAMONWF,AL7HOFAL4SS4CHUSETTS / Oce Use only DEPARTA1EW0FPUBLi'CSAFE7Y jt%� Permit No. 7' dcq BOARDOFFNEPREVEMONREGUL HONS527CMR12.00 -ar Occupancy & Fees Checked APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wire: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. _ Existing Service Amps / Volts Overhead Underground E No. of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal _ Othe No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP •OTHER• Instu-anceCovaage. Rzm ttollrm tme nffzofMassada>9dtsGala-alLaws Ibaveaamutlmblb'tyhmmxPblkyir bdngCDn4)iee Covaageorilswb ardialecguvalat YES NO • r in:• .iii • to • . i • n 1 if a- '.► � i •1 • :.r:• • nc i uw.,; i • • •• • M PON M • Im' '.rc r.•i Wo�icIDS(att rignedunderS '"NAME kEpecfionDaIeRaVestedRough 1 VahueofF ilWotk $ )WNER'SINSURANCEWAIVER Iamawareffildr-IicrosedoesnothavetheinstnartceoovaageoritssulswtialerntivalontastagmedbyMassarfi>settsGenedLaws and thatmysignahueon thispenrtitapplication waives thistalttiterrtent Please check one) Owner O Agent Telephone No. Signature ot Uwner or Agent PERMIT FEE $ i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: City: Phone # Insurance. Co. Policv # Company name: Address City: Phone # Insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to $1,500.x00 and/or one years' imprisonment_as_weft_as_civ4l.Renaftiesin.1heinrm-ofa_STOP WORK.ORDFR and.a.fine_of_($]DDM.)-ai lay.against.me, t understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. / do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name Pbone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing El Building Dept ❑Check d immediate response is required Ej z Licensing, Boar& n Selectman's Q ce Contact person. Phone #: Health Department Ei Other ' Location 7'/� Al Krz No Date : NOR TOWN'OF NORTH ANDOVEFe.. �g ,. L p Certificate of Occupancy $ -� - '" ,• : Building/Frame Permit Fee $ E�� s�cMus Foundation Permit Fee w, a Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ e TOTAL $ 4- is Building Inspector Div. Public Works Location No, Olt Date NORTOWN OF NORTH ANDOVER Certificate of Occupancy $ �o Building/Frame Permit Fee $ sips',^°''stn Foundation Permit Fee $ CHU ' o Other Permit Fee $ -= -Sewer Connection Fee $ .Water Connection Fee $ - TOTAL $ E. Yak Ai - ,�� fd Cf "`�Ruilding Inspector �A 1 1 Div: _Public Works. Location No. Date NCRTh -TOWN OF NORTH -ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ S+gMUSe Foundation. Permit Fee $ Other Permit Fee $ f " Sewer Connection Fee $ Water Connection Fee $ 1677, TOTAL $ j�ilding Ins cto , 04/24/ 1. ;i7. RAID �� tg Div. ut c,Works Z LL I Z O U a I N I J a W a a i < I LL 0 I p rc 0 m I 8 me in a� W �� a V ILIILU a a M J V LU H W Z F J H z z V O V U 2 0 0 SU � I dry OL a WNNI Z 3 w X I z tr 1 aw \ Z m J F N O I _ j Z Q L O W a m F a rc U' -\ (7 i x _ Q 0 N W ,<j N w 0 LL 0 _ ] 0 Z_ F U LL Z O I F' O V Z LL I Z O U a I N I J a W a a i < I LL 0 I p rc 0 m I 8 me in a� W �� a V ILIILU J J V LU H W Z F J H z z V O V U 2 SU m I dry OL WNNI Z 3 w X o tr 1 aw Z m J F N O f Z j Z Q L O p J m F J N LL I rc U' a Z (7 i o N . _ Q > m N W ,<j N w 0 LL 0 _ ] 0 Z_ F U LL Z O I F' O V LL 0 K O p O _LL N o LL O 0 0 LL 0 J 0 1 z Z W N N LL W LL N F LL < p 1 I O 0. K 0 1 NW 0 Z Z W f x l7 0 w m W m Q N G Z m N N < N p W x N N a f N I m H (� W 11 W a W Z z I © O � I Z li ZSZ J 0 I i dIJ l �i N Q Z m i3 JJ i J 111 N �, •A' e ? 0 N W ¢ w O Z O f F I W I W N f W Z y < Z N f J f 3 Z p a< F 1 Z < O N z O w 4 ~,, O O l7 I O Z < N j.. N J Z_ p Z_ p _z p r W a !� W m ~ W U z U < U < LL o J J J j 0 Q Z W Z W V J N U N Z N I w m m m N O O O t m p O O < N N N EZ+ w a Z LL I Z O U a I N I J a W a a i < I LL 0 I p rc 0 m I 8 me in a� o� C7 �. V ILIILU J J V LU H W Z F J H z z V O V U 2 Z o� r 0 < J U., L O N W Z O !r N Z W 17 Z p N z 0 LL p O z Z ". 7 p tl m 0 p FO p \y W 1_ Z w N pO In o LL a z p u j N N W p Z Z m F z ` o O O W W E N j Z N N N LL 3 p w O O w C m LL = J J f O N p O < J_ _J H LL LL U w I J 0 N F U N LL F F �, m W W < W m t7 O w i W C N a �a W Y a p N 4. d • DD W Om DN DD :EO OZ D C.nn Dy ; pZ0OO )w0DpDyZZ°m?�w 0 n77M A mA A r 000 TNS O n =� m ZOZAZZOOO_O� x C A Q-1� C A~m T zDm t Z N y m< Z x r T 3 n A Z Z Z N O Z O NO 3 N ti C N D r^ OZ A JO ZDDT�OD O O fJ N N n 7Ts in 47 O D o; N JO D Z E m Z x Z r. o 3 w O n D �?; x O m p m O D N � N D v T. Z A m A m Q N N < CD { F V z 0 4a. L I I _ m 3 a m D D > O a D p 3 T„ m c o v x v ll N c �• �j tit zp�OG�CA N v DZD mOv r p r OD O l0 QmZ Z Z A D i .� ° r N O A O D -� T ~ m 3 A A Z O { N A Z O D F_• D a m m o o y x O A n ? s_ v D M z DJO mz0 ON ZNC �u jO y "-aO ` ZL-� 3 D yll D-+Z-+ = nAT ti A A r- ZO m S O A p <<• �^ N 7C n -! -� O N~ O A D Z m ti m O r N x C E Q' T n N m p' A Z A y 2 W O O2 D An ~ m T �_ A T O Z D D I I I 7O Z m Z �^ X Z Z 61 O "m Z _ OZ 10 X111-N �I IIIJ�, m A �LI I_I L v >00= N P Nim cA U► Z ' 'COC mm Mx� t4aR y0 m X .� -1 Z D y00 �z my3 'Dom V1 :NCZ • v y c - m Z O r. 'U U) 0. Pl > m Z—Z xn I mm to m n 00 i 4 I f,,, M FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) iJ 11, Street St. ,Number ************************Official Use Only************;****** **** v1-7 COMME ATI S F AG S:' ® ► Date Approved Conservation Administrator Date Rejected Comments 31 If s d 17vv Date Approved Town Planner Date Rejected Comments Food Inspector -Health seffpic f5hp`ector-Health Comments Date Approved Date Rejected Date Approved U g�L Date Rejected ,i�. Public Works - sewer/water connections - driveway permit F ' e Department�lli r� i � �C+ ���< at &,,-z c iiZ� (?^ ( e;I / Received by Building Inspector Date S . .ri 0 V � ' O .0 63 V _ O N i7 C � I VJ `^J V- 0 z } .ri 0 CO C ' O .0 63 O L O N i7 C cc O :C",Cj QW-QC �p cv m C t// O . CD �. . 0 r7 s CD ^' co CO C Qi � C O CD o CD uCD O W CD Q O C3 m L cm w a ca V2 C) 'M1 •� FL.r7. cc v v •r Fri CO2 C3 _ wWW z 0 Q CIO`° O C.3 COD C cc o a C U w � W > m w m o Cc C2 CO w rA in cn ca .ri 0 CO C ' O .0 63 O L O N i7 C cc O :C",Cj QW-QC �p cv m C CF j Ir -4, co CD ca. oz - o C3 H 03 m m d CL L O NH ' 3 :c N �_ 01CD 9 \: = m ca 'O C42 ccCA C 0 E w m m C3 CLC.3 L m rm C CD O L.. m V -C, Z O O CM C3 C C O C Q m : m C •O x m :m:CL oH= 'ra MD ca uN COO Cc CD :5 Lij ml I. -CA O.= -.S C Z � .E c�3��y o C.3 m p — C y = W.— O = colM C3. C* G s 0 L- :E J O t// O . CD �. . 0 r7 s CD ^' co CO C Qi � C O CD o CD uCD O W CD Q O C3 m L cm w a ca V2 C) r�r cc v •r Fri CO2 C3 _ _Z 0 Q �) O C.3 COD C cc C Cc y lz 0 3 , CL 00 ` a— S- / --- _ — LLI CA . }. � `vim � _- 98 • � � �, / N �, � 5 ` CtA ILA 3 co e 3 :: , gA ,, 4: Restricted To: 00 E ' OEP1111(11 Of PUOIIC Unit 44 CONSIRICTION SUPERVISOR LICENSE O1e0er: Expires: Oirtkdats 1A - usury oily CS 011221 10/43/1110 10/OA111A9 16 - 1 12 Faeilr Vous tes4rlcted to: 04 ISAAC AARRACNE ,A cr�Ksteti. UA 01101 iE _ r- ----- �C�R � ¢�N o � r� lz, �-t2c'� Wt �U- �vw a LL NZ J J i a 10: W < z 0 z LL 0 J LL 0 W K t x I W Z f O Y Z U LL 0 0 LL < LL 0 W W < a i I 3 W z a z O J m a a W O O u LL 0 a F X41 F W lL m 0 F F C 0 LL z O U 13 _z O J m J J r z a LL z O_ F U a N J W LL LL a LL O O K O m N z 0 H U F- U) N z m W 0 W F { 0 m L W { N { K O J J LU LU a F H J LU 3'. o 0 O v u = J < O D Z I O W � O uWi 6 D a IL O O W W p N Id Z m a LL NZ J J i a 10: W < z 0 z LL 0 J LL 0 W K t x I W Z f O Y Z U LL 0 0 LL < LL 0 W W < a i I 3 W z a z O J m a a W O O u LL 0 a F X41 F W lL m 0 F F C 0 LL z O U 13 _z O J m J J r z a LL z O_ F U a N J W LL LL a LL O O K O m N z 0 H U F- U) N z m W 0 W F { 0 m L W { N { K r J J LU LU z F H J LU 3'. o F o O v u = r z W � I < O W IN � -m OOl On>o -, 0G� ; M OOZ�pccnme00DA nmmNN<Da¢o� mz rl0 -D 'm° W vmnn Anz�N D;N jclz 0 AP>^'pD mm mmn7cicnn~tmii yOv� v, D N�cnn y_G1 A;QJ T!^3 O 00 Oy N-+ xN 00000 ZZA ZZZO NS 0 03u O C A -i mm T ZDD _ -y �^ y m Zx ;f1Ai ZNpZz0 D 1m C a N n T O r N m= O 3 � m m o D N O N D ; Z 7C S < j x s 0II O 3 Dv Z 2m0 �n y 0 N N z p j x { < " Z 0 0 _ N 0 0 _ _111111 U) I�1T IIIIIIIIIIIIII 11 C D zD D _IIIIIIIIII m Dm DA Drf1 x D Cm1 m T CO` vZOG z0 v Dx<G C.� OnN,0 NN_ T ;Mm +O- myDx 0 0 mm O ( ; z p T<A _p Z Nm m m O O DO?CZO DZ 1 Z0 AT Z y Dnm O _ Z NOT y x OA0 O�ZNc <�-3i m nT 0 G% A ti~ 0 ~ A S A X C_ G Z Z O_ x r T N D D 7o Z N O �< A D Z AD., s A p O 7C y N T C ;1 ` A T r S A A D 0 IIII�� W Z> OA Tm i Z vmi x Z Zm Zo O A z „ m I _H i ISI I1 11 1 1 11 V III" IIII!I I IIIIIIW IIII DOI C) NrN Zm D0 NZz C �x.4 D n 0�0 m p3m mx -1 z D I N_ f1 u►Oo �Z_ MOM TOM -qN M 0 Wsz to OZr O -+vr lain r -� a ? z =v v 0� nz x0 mm N -n � m 00 3 4711 J J LU LU V � H J W 3 •o o 0 V Z O fA Z ' O K f 0 < u zi � Z 6 W � a g m p w Z } Z W () G F d d � Z W d' F 0 UUfI IK m O U0 < W CI Q m F W Ol G W N OO _N el O IL d I p O< j W W W l+l j �} fll 4711 C, J J LU LU V � H J W 3 •o o O U V Z C, fA Z ' O K f 0 < u � 6 W � p w Z Z W () p � Z m f j Z < W CI Q m F W Ol G W N OO _N el O IL d I p O< j U N fll W < m N Z C O O P -.t O H f N i O w w W W f N J_ Z W O O W m Z ] n JJ W i < O y CJ 0 < C LL 4 u Wl J j Q N L I.- ~ n W W w O Z W K u t7 O k �i O W 0 d d m < L o oe IL d - -a =o.�ya V•t TTA 3Nn NrD��1= fO n^+mmNNmD GDIN*vn Z CD 3 An N°y NDyy <;pAmvOOmO-0Cy;'I<N0TZ OOf DOvUOOn�DmOO P^�77ANDO� oD lprm r)r) O ZZm ~pA OD D NA 0 D D N ZZNOZC 0 0 T ya CAn 2 DDOmZO mDC)0NOp O = 0 m y 0 N N C v { < { N y Z n IIIIIIIIII IiIIIiIIIIIIII _ALL_ Im-iI N I 0 zm00cADx0c yy3�zA �ym D�^ D DnS n 3 TT'^ COm2v .il pN O r D Z D A 0 0 -' - O D p- D D O y O C yi N O D D O !0 p A Z Z Z A D P1 N y a y D A m ,r m n< y m m v 3 A A Z m T< D A Z C T O D xA �zO�;o'' OTp--ISy'm;mix 0 O_A n xsoxn Am?m z `�Om n m Z D m y N D Z N C Mr.Z O N D O y ~ p� Z y 3 D A G �_ N N A y n > x O A 0 p O T O m N m n; _T y A N r Z 0 7c m n O O J n Ay:; yA 2 AXf ZZ 0_X m c Po T N D D 7s Z N 0 A D Z m y A O x y N C I t. '• n m m p Z D A' � ~ m T m A T I a 0 Z D D I I� a A 0 C m Z X Im v Z O N A Z N 1 HIdi DOI o yrN Zm r�mn m� n 0 y>Z v°? �ffl X-Nj D f1 0�0 wD:E mim mX I N f1 aoo ;az- mN3 '0 M DAN_ C m°°0 NCN p r rgoo Z rNo D*y to Z iZ A . xo 0 N 7O , p mD n 2n mm m 00 3 o Z. l Town Of North Andover Building Department 508-686-9545 e *i Plan Review 146 Main St. Town Hall Annex APPLICANT:4em, M19 DATE: Febnk y 10, 1997 Zoning District : Use Code: Title of Plans and Documents: Buildim Permit Amlication & sketch received 2/06-97 Request : BUI DM PKZff Please be advised that after review of your building permit and or zoning review has been DENIED for the following reasons: Zoning Use not allowed in District Not in conformance with Phased Development Violation of Height Limitations Sign exceeds requirements Violation of Setback Front Side Rear Insufficient Lot Area Insufficient Parking Violation Contiguous Building Area Insufficient Open Space Insufficient Lot Frontage Sign requires permits prior to Building Permit Form U not complete by other departments Not in conformance with Growth By -Law Use requires permits prior to BuildingPermit Other Other Remedy for the above is checked below. Dimensional Sign Variance S ecial Permit for Watershed Review Special Permit for Site Plan Review Special Permit for sign Complete Form U sign -offs Copy of Recorded Variance Information indicating Non -conforming status Copy of Recorded Special Permit Variance for Sin Other Plan RevieW The plans and documentation submitted have the following inadequacies: 1. Information Is not provided, 2. Requires additional information, 3. Information requires more clarification, 4. Information is incorrect. 5. All of the above. Administration The documentation submitted has the following inadequacies 1. Information Is not provided, 2. Requires additional information, 3. Information requires more clarification, 4 Information is incorrect- 5. All of the above. # # Foundation Plan Plumbing Plans Subsurface investigation Certified Plot Plan with proposed structure X 1 Construction Plans 127 Affidavit Mechanical Plans and or details I Plans Stamped by proper discipline X 1 Electrical Plans and or details Framing Plan Fire Sprinkler and Alarm Plan Roofing Footinq Plan Plans to scale Utilities Site Plan Water Supply Sewage Disposal Waste Disposal Other ADA and or AAB requirements Other Administration The documentation submitted has the following inadequacies 1. Information Is not provided, 2. Requires additional information, 3. Information requires more clarification, 4 Information is incorrect- 5. All of the above. # # Water Fee. X 1 State Builders License Sewer Fee Workman's Compensation X 1 Buildinq Permit Fee Homeowners Improvement Registration X 1 Building Permit Application Homeowners Exemption Form Other Other The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice, by the Building Department, shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new building permit application form and or request for plan review to receive approval. Building Department Official Signature Denial Sent RPI -1711 > �,Lh, 1997 F SO., 197 Information Received Denied If Faxed : If you require assistance please call the above number and we will be able to guide toward meeting the necessary requirements. Please understand that many of the reason for denial are related to the code requirements that must be met to ensure public safety. Requirements for detailed plans are necessary to ensure that there is enough information through plans and specifications to show that code requirements will be met. Plan Review Narrative The following narrative is provided to further explain the reasons for denial for.lthe building permit and or request for plan review for the property indicated on the reverse side: +y �' 4 f} d6`i`@����� '+` c, .vyi. 1Y i�1 i j}tx e.. W}w „�' yn{r 19x.1 R �'I �ff } ; ;'. 1 P P� t yii� 3 i !CIS,f��"� �C7� r ' r� � �' ,id �'���ht'�A` i § b l' 1- p IASM11 1. BUI DW PEM APPLI=CN IS NSF MME '� ,a .,r,�la'0' � � tt �fir'i: ,�J6 frT��Aa Conservation Department of Public Works Historic Commission Planning Other Other 2. SUM IS NDF TO SCALE AND RBQ= aXMCA 1` OF WX WDRK IS TO B ME CN PREF. Referral recommended Fire Health Police Zoninq Board Conservation Department of Public Works Historic Commission Planning Other Other Town of North Andover Building Department 508-688-9545 K Review 146 Main 5t. Town Hall Annex APPLICANT: 9'Sq,�I,�. DATE: Zoning District : Use Code: Title of Plans and Documents: G(JiLD/2 -Z�(('/r�- Request : N" tL(sta Pc -A, Z - Please be advised that after review of your building permit and or zoning review has been DENIED for the following reasons: Zoning Use not allowed in District Not in conformance with Phased Development Violation of Height Limitations Sign exceeds requirements Violation of Setback Front Side Rear Insufficient Lot Area Insufficient Parking Violation Contiguous Building Area Insufficient Open Space Insufficient Lot Frontage Sign requires permits prior to Building Permit Form U not complete by other departments Not in conformance with Growth By -Law I I Use requires permits prior to Building Permit Other I I Other Remedy for the above is checked below. Dimensional Sign Variance Special Permit for Watershed Review Special Permit for Site Plan Review Special Permit for sign Complete Form U sign -offs Copy of Recorded Variance Information indicating Non -conforming status Copy of Recorded Special Permit Variance for Sin Other Plan RevleW The plans and documentation submitted have the following inadequacies 1. Information Is not provided, 2. Requires additional infornation, 3. Information requires more clarification, 4. Information is incorrect. 5. All of the above. Administration The documentation submitted has the following inadequacies: 1. Information Isnot provided, 2. Requires additional information, 3. Information requires more clarification, 4. Information is incorrect. 5. All of the above. Foundation Plan Plumbing Plans Subsurface investigation Certified Plot Plan with proposed structure 1 Construction Plans 127 Affidavit Mechanical Plans and or details Plans Stamped by proper discipline t I Electrical Plans and or details Framing Plan Fire Sprinkler and Alarm Plan Roofing Footing Plan 1 Plans to scale Utilities Site Plan Water Supply Sewage Disposal Waste Disposal Other ADA and or AAB requirements Other Administration The documentation submitted has the following inadequacies: 1. Information Isnot provided, 2. Requires additional information, 3. Information requires more clarification, 4. Information is incorrect. 5. All of the above. The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice, by the Building Department, shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file..You must file a new building permit application form and or request for plan review to receive approval. Building Department Official Signature Denial Sent E-6 7 Information'Received If Faxed : rc_� l 5 5-7 Denied If you require assistance please call the above number and we will be able to guide toward meeting the necessary requirements. Please understand that many of the reason for denial are related to the code requirements that must be met to ensure public safety. Requirements for detailed plans are necessary to ensure that there is enough information through plans and specifications to show that code requirements will be met. Water Fee I State Builders License Sewer Fee Workman's Compensation Building Permit Fee Homeowners Improvement Registration ( Building Permit Application Homeowners Exemption Form Other Other The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice, by the Building Department, shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file..You must file a new building permit application form and or request for plan review to receive approval. Building Department Official Signature Denial Sent E-6 7 Information'Received If Faxed : rc_� l 5 5-7 Denied If you require assistance please call the above number and we will be able to guide toward meeting the necessary requirements. Please understand that many of the reason for denial are related to the code requirements that must be met to ensure public safety. Requirements for detailed plans are necessary to ensure that there is enough information through plans and specifications to show that code requirements will be met. 4. Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit and or request for plan review for the property indicated on the reverse side: Referral recommended : - ----- - --- --------------- Fire ,}fin. s lN�,�sw i}�' n ",nFfl a I 4f" i17f 4I1 z. a� u " - t � � :� <ni.�9YP:•,?�Kii3, ��cfl�' ego ti ouv Police Zoning Board Conservation Department of Public Works Historic Commission Planning �T Other w L O02 '" .SS's i'a tee —dA Referral recommended : - ----- - --- --------------- Fire Health Police Zoning Board Conservation Department of Public Works Historic Commission Planning Other Other v a c� i N m p� W W Z 3 c 0 Z LL 0 x It 8 0 W Z W I p N to O H 1- X d: W d s Z 0 0 Z Q F 0 d I . d � > Z O 0 N ^r m° W IL HI- uo 8 J m m 0 a W W z 8 It a V J J It I LL W U m LL f O I f J w J 2 < O L O W ztk ztb *ft J J V H � J O V U = W F f y� A 1No D Tp y Hin yN.1 <D D O� m Z D vane • D �N_ V 8m3 0 01 �n>0_�yX11 OOZn-cc ;m oOpD A DIOL m W ar)z z DCZ .. rm 0 ram0 mZn�c nfn1'lzOvv Oa D �n2Kno m OON� OG)N0000 O �fnD O C m Op_ZZmZZ000 SmO mwZyZ T N Cn T DZ n Z Z Z N Z Z- a 1 a 0 N; 3 O A4^¢ T Zm mZ oo DDZD;p3G�O�OO T Or c a y00NNmD1 0 mZ pTZ;uDi SOH O r T O N N p y < < T< N -4 _ p ' Z A FIS_ I I I I I I I LLL I _ �JLI�_ 11111 I Z O G% C JO D x N, v 1 ti; N Z 7C y a D N D D n x n "' T c% O v x v ii O N - D Z D O m O v ;- , O ti D> O D a c -� to O D D O tG O n Z Z T. p D i 01 C -0t 2JO-ti;pm mm0� n<ti ti O m _� v; ppZ pm _ <> TO D D n ; T T p .� p r 9 m -Di A -T-I x OC p n = S O S m p v y a Z m p m m Z tiZ'! ptn DOZ=CZpnpw �p �0o ZYp� -� NN mx0m 00TOaN< ;�+ N mZ xnn� p OO < p 0 p Z p X i Z Z NO ' x v m a T w ^ D D p Z N O p D Z T ~ p y C T 2 p m W O O Z D A l n v m A I� I� I �la+ 0 Z D D •. �I • I� I� p po Z m N x p Z 8 0 i1 mp Li�l_IL � IIIIIiII 111111, �� I ___ HIM II IIII IIIII >O11 N m m yrN Zm MU) - a0 yZZ SCC fnXN Di 0�0 Nva mim PMX -I Z D IN_n N0� ;aZ_ mN3 vOm mw0 Wsz moo °Zr vm0 -� Z�z =v 0> �z in mm mm 00m 0 3 w c r v z m O v ""Town Of North Andover Building DepartmeIn i ftR ti.#" � - - 508-688.-9546 , 146 Mam St Town Halt An_ne,c E� a,,�G"ra_ld !�. � Ferragno r.�y Plan ,1112,�Tut"rtp�ke St. , 4 -, Rented for the above Is "checked below'{ = { Dimensional Sigh Variance ' Special Permit for Watershed Review Special Permit for Site Plan: Revlevr' " S ecial Permit for sin Complete Form U sign -offs Co of Recorded Variance Information indicating Non-conformCopy of Recorded Special, Permif.' ._ Variance for Sign— 0: `' n. Other' ; Plan' R@Y1�1AI The plans and documentation submitted have the following Inadequacies 1 Information .Is not provided 2 -Requires adod}onal information 3 Information requires more PIP! f. `4 Iniomiation is incorrect.' '5: All of the above _ A"" Foundation Plan _ {, r Plumbin Plans Subsurface investigation. I Certified Plot Plan with proposed structure rk }=Coitstructiori'Plans+ r, �; 127 Affdawt Mechanical Plans. and or details `. Plans Stamped b proper discipline E' Electrical Plans and or details '`� Framin Plan - Fire Sprinkler and Alarm Plan " Roofing ?F Footin 'Plan _ ,w Y{ .' Plans to scale _ Utilities'' 77 Site Plan > Water Su I Sewa a Disposal Waste Disposal �; ; ...: ' Other ADA and or AAB re. uiremertts .._ Other T r . , Y Admintatirti®n y.. The documentation sufjm►tted hass the following inadequacies y , 4•- r 1 Ihforrr►atioh Is not provided," 2 Requires additional information, 3. Information requires more Ganfication 4: Information is-,ifi ect & All of the above Water Fee �, State Builders License , 4, Sewer Fee `.' .:F #' x '1 Workman's Com ensation `: Permit-Fee- Building Homeowners Improvement Registration: Building Permit Fee~ Buildin Permit Application rG' Homeowners Exemption Form h" Other .,_.... ...- .. Other a Y v '-'. e 777 The above review and attached explanationof such is based on the plans and information submitted._ No definitive review and -5 or, advice,. by the Building Department, shall be based on verbal explanations by the applicant nor shall such verbal ;-,explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this re>riew lobe voided, at the discretion of the Eluilding Department. The document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation,for the above; file. You must fle a new building ,permit application form and or request for plan review to receive approval i .. .� •;x{,11 # %L 1 9 i p� _deb 3, 1997 FPb 4, 1997 Building Department Official Signature } _ .information Received Denied : If Faxed Denial Sent yrQ /9 ,� 4 If you require assistance please call the above number and we will be able to guide toward meeting.the necessary requirements .Blease understand that man` `of the reason'for. denial are related .to.the,code requirements that must be met to Y... :ensure public safety Requirernents for-detailed'plans are necessaryto ensure that there is enough information through;plans apd specifications to;shaw,that corle:requirements will be met r ` '>"' °"'! F'9' t �} ,„,ter,.+. k -.c,,. w,.,y,,, Kr+•— _ t -r 1F # ` r [-. .. - . _ m� +r'%s '� �- s .t• y1 -. Vit` . review has been , kith Phased Development Id A �ments Building Area " :a e a by other de artments :� prior to BuildingPermit -, Rented for the above Is "checked below'{ = { Dimensional Sigh Variance ' Special Permit for Watershed Review Special Permit for Site Plan: Revlevr' " S ecial Permit for sin Complete Form U sign -offs Co of Recorded Variance Information indicating Non-conformCopy of Recorded Special, Permif.' ._ Variance for Sign— 0: `' n. Other' ; Plan' R@Y1�1AI The plans and documentation submitted have the following Inadequacies 1 Information .Is not provided 2 -Requires adod}onal information 3 Information requires more PIP! f. `4 Iniomiation is incorrect.' '5: All of the above _ A"" Foundation Plan _ {, r Plumbin Plans Subsurface investigation. I Certified Plot Plan with proposed structure rk }=Coitstructiori'Plans+ r, �; 127 Affdawt Mechanical Plans. and or details `. Plans Stamped b proper discipline E' Electrical Plans and or details '`� Framin Plan - Fire Sprinkler and Alarm Plan " Roofing ?F Footin 'Plan _ ,w Y{ .' Plans to scale _ Utilities'' 77 Site Plan > Water Su I Sewa a Disposal Waste Disposal �; ; ...: ' Other ADA and or AAB re. uiremertts .._ Other T r . , Y Admintatirti®n y.. The documentation sufjm►tted hass the following inadequacies y , 4•- r 1 Ihforrr►atioh Is not provided," 2 Requires additional information, 3. Information requires more Ganfication 4: Information is-,ifi ect & All of the above Water Fee �, State Builders License , 4, Sewer Fee `.' .:F #' x '1 Workman's Com ensation `: Permit-Fee- Building Homeowners Improvement Registration: Building Permit Fee~ Buildin Permit Application rG' Homeowners Exemption Form h" Other .,_.... ...- .. Other a Y v '-'. e 777 The above review and attached explanationof such is based on the plans and information submitted._ No definitive review and -5 or, advice,. by the Building Department, shall be based on verbal explanations by the applicant nor shall such verbal ;-,explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this re>riew lobe voided, at the discretion of the Eluilding Department. The document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation,for the above; file. You must fle a new building ,permit application form and or request for plan review to receive approval i .. .� •;x{,11 # %L 1 9 i p� _deb 3, 1997 FPb 4, 1997 Building Department Official Signature } _ .information Received Denied : If Faxed Denial Sent yrQ /9 ,� 4 If you require assistance please call the above number and we will be able to guide toward meeting.the necessary requirements .Blease understand that man` `of the reason'for. denial are related .to.the,code requirements that must be met to Y... :ensure public safety Requirernents for-detailed'plans are necessaryto ensure that there is enough information through;plans apd specifications to;shaw,that corle:requirements will be met r ` '>"' °"'! F'9' t �} ,„,ter,.+. k -.c,,. w,.,y,,, Kr+•— _ t -r 1F # ` r [-. .. - . _ m� +r'%s '� �- s .t• y1 -. Vit` . E14 )jjtj,,)n of Crifflir,21 !,50 un te-id m the im F jitire to 3cc Urf" cGvem.ge as.rcqu G U ()V. Ny"QkK C)RDER and T" fine of 5100'&o t dAY 2�2intt nm I undtrswil 02.t 2 T ont years' i rn prison M.011 AT will 23.civ� I erase it) tb.e fortn cit I S I - ( oil' the DIA for CO'ectl4c copy ot this stuternert may be forwarded to the 0MIce 0 versed above' is tyucqnd correcL ry thvj�the a hereb ce- ifv.sj�vr the PaIrLs aind arvsad�n pry A IL _P ho n C Print name wW.. use only do not wntc in this arca to- be—complicted by dry or WW* 0111" 0 Pam ng Department i Board viry or town :— OfTicc, c t�ircd [PReaRb Depar*Mcric hetk irlmmedi[Ate response is rcq pbooe contact person; r z -7r FU vos £• it 0 pit P�l�ll� �; Yq¢ e lima ffi'^ "l��F; - '� l j� � • �* ... '. ltle l"%J L# N"AB .. . yltpf ow w. WOW Sa Y7 / i q u - U. f . ri a q 9�,' s 1 11?'f I FEB 7 1997 Low I x 3 V 1 cz 71 O i/ E ca L CIO 0 y C 0 Qf m m O tm C C N CD O Z 0 0 1' C O E coL O V�� Z CD O CO) 0 � CD r. CO2 a M O .O �E m m //�D O CD iii CD O i O NJ c�a o M N :t a =Q N co 'C vCo J -p "FL cm CD O d V N s C CL �o c ci :oma y2 t d' C A O �•yo: CL COO O m M C V) L O w cc i sco co m L �k C.7 -- m V y E CO • � � l � O .� � `� � T O uzC–cao- �r, V Ci v w cn ce 0 w t U w' y c �cY oC u; ii �3 m m cn E ca L CIO 0 y C 0 Qf m m O tm C C N CD O Z 0 0 1' C O E coL O V�� Z CD O CO) 0 � CD r. CO2 a M O .O �E m m //�D O CD iii CD O i O NJ c�a o M N :t a =Q N co 'C vCo J -p "FL cm CD O d V N s C CL �o c ci :oma y2 t d' C A O �•yo: CL .. ~ O m M C v i L O w cc i sco co m L �k C.7 -- m V y E E o m 'C's 0 `i U m C CL= y l0 CD m ce C- y y Qf �3 m C C 1 L :L C y CO y E m CD CD G (-) i y m > :rL+w 'fl CSo V y O CJ '� Z • O O C CL CD O : y C mCD O CD LU ca =CD m G y C +' cc cc . cr- LLJ ECD y+ C -4-0o' m om C co C m= o:0 ca 1p L O y O =CD a CO E ca L CIO 0 y C 0 Qf m m O tm C C N CD O Z 0 0 1' C O E coL O V�� Z CD O CO) 0 � CD r. CO2 a M O .O �E m m //�D O CD iii CD O i O NJ c�a o M N :t a =Q N co 'C vCo J -p "FL cm CD O d V N s C CL H w A � x bco O w E cu v cn p U z z A a o O U. O >' v C U C w O z CG 4 O w G w o ,z u c� U a m O t4 v C w x w d O O iL z w x w A w • • w v w d z cn J (� cn n'� L o R QCLO L N c _C.2 SL0 a y E0 CO _ (� C 0Q \C cm m c ac y R m cd L co us C m J ycc R fl = ^iC c y R 0 f►\ �O i y 1••�� LL - CD R = L p CM y W" : IS, - y O L cc Z O OL cm O c Ha Q i y m C O �•,. OO. O �• m N C A = ... O = LL p 2:5 = U- 'y 67 R RO F— y o. t c Z E =, m ca � m c m c V! CL mO5 Cyp 0"y •O F- c 0 o..=.. m I y y .CD a C O CD c9 Ie�iu y O O cv .Q CIO C O m .0 _m CL N �Aw Town Of IVorfh A Building.,Depadn 508-68&95453.. , •St rald A aFer ra �O # Rlan {�;,Review + r t: tyr � Re.i r= � 1112 �Tlirnp��Ce S t �.r `"xs j9 S; F r Use not allowed in Distract w ` F' '.Not in conformance with Phased Develo Pm Violation of Height Limitations i `;.: Com tete Form U sign -offs Sign exceeds re uirements = 'Violation of Setback Front = Sidle °,; _ Rear '' ` Tot -Are _- lnsufficienta F .. _Insufficient Parkin i s alNaste':'.Disposal F �s ` Violation Contiguous BuildingArea Insufficient0 enS ace r Othert - ' C Insufficient Lot Frontage :Si n re uires..' ermits prior to Buil!Jin Permit Form U not complete by other de artmet Not in conformancewith Growth By -Law J Use requires p2rmits prior to Bulldin Permit , The documentation submitted Vhas 'the following inadequacies 'e. Ar it Reined fog the above os'checked below Dimensional Sign Variance 'Special Permit for Watershed Review Special Permit for Site Plan Review : ' . special Permit'for: si n Com tete Form U sign -offs Co of Recorded Variance Information indicating Non-conformin status.: Copy of Recorded Special Permit .:Variance for Sin is ;'" . .. Other- Fire S rinkler and Alarm t'lart rcovun ^�Foobn Plans -to scale, .Plan_ Utilltres + ' g iw Site Plan t� Water Sue* I ' Sewa a Disposal s alNaste':'.Disposal F �s ` Other : .9n.< r - :' ADA.and'orAAB requi. { Othert - ' 4 M '.. +.....wo-� w n.i^..x �'��_:� sk 'R.�; 2- i (^^rY .1. � ' ,t µ(F- � 151."; i ^h'yM!" ^w'4 �3"4u Se'}a5t•�^s- i` ;b.wY� � 4 dmf �y Y f p SYS �i t .r 1 ��� . ,A1dministratiq ,� The documentation submitted Vhas 'the following inadequacies 5 1 Information Is not provided, 2. Requires additional information 3; Information regulres more GanficaUon, a Information'; m • . q: information is incorrect 5All of the above g Water Fee State Builders License' j y Y Sewer Fee x. 1 Workman's Com en. cation <° " - Buildm :°P&mit. Fee, x Homeowners improvement Registration §` Bulldin P.ertntA lcationr•= Homeowners Exemption Form Other'; -Other "The above review and attached explanation ,of such is based on the plans and information submitted. No definitive review and ` or. advice, by the.Building Department, shall be based on verbal eplanations by the applicant nor shall such verbal "z ` lanations by the applicant ,serve to.prov@je definitive answers lot' e above reasons f° DENIAL.Any inaccuracies, .,misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this .' ten._ review to-bexvoided- at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein byareference: The building department will retain all. plans and documentation.for the above file. You must file a neer building�permit application form and or request for pian review to receive approval '1997, Feb 4, Building Department Official Signature information Received Darned i �'' Faxed D",y ..,.. ..::�ir•:s,.-.. et ..a,..� -. «... _ .. ,. w,.r,a..'< ':: •, •., �..-.a w_ A._.. at i. c ..� ,�." . 3'".., y � Darnel R If :you rE requiter ' } ensure ;and spi number and we will be able to guide toward meeting the necessary € x of the reason for denial are related tg the codej�equirements that must be met to w,"1 ad plans .are necessaryto ensure that there is enough informatiomthrough plans rents will be met , - - ,..�„ .w,rr.. r7Y!...• . »+.,«vin .. . ., .. c -o -i -s � �,• '. �._ �� / . Date ..... 7/ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................. F'.......(Aa Pat has permission to perform ....... wiring in the building of ........ .................................. . ........ 144A A 57.:... North Andover,,Mafls. F ee ..... .... . ... Lic. No. ................ Check # 00171 >- ELECTRICAL PE R 5374 THECOMMONWEALTHOFMASS4CHUSE77S Office Usss1 y DEPAR7Afi IOFPUXJ'CSAFEIY Permit No. V 1741 BOARD OFFMEPREVENHONRFGUTA770NS527CMR 12W Occupancy & Fees Checked APPUCATTONFOR PERMIT TO PERFORMELECT cu WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUS9TS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 7/ 7Ji��2- Town of North Andover To the Spector of Wires: The undersigned applies for a permit to perform the elec Tical work described below Location (Street & Number) 1 rC Owner or Tenant Owner's Address 4fl� -, Is this permit in conjunction with buildin permit: - Yes ffo No Purpose of Building ®0 Existing Service Amps 2�Volts New Service Amps 7 Volts Number of Feeders and Ampacity (Check Appropriate Box) Overhead M Underground Overhead M Underground _ Utility A&1orizati6n4-4o. LE No. of Meters No. of Meters Location and Nature of Proposed Electrical Work Lv No. of Lighting Outlets _ No. of Hot Tubs �_ No. of Transformers Total `-1 No. of Irigh4ing Fixtures Swimming Pool Above ID Below Generators KVA KVA round jzround No. of Y Cleptacle Outlets /) No. of Oil Burners J'.'. No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No.o eat Total Pum s on KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Ar mg KW No. of Self Contained Detection/Sounding Devices Local Municipal Connections Other Nj. of Dryers Heating Devices j,.� W r(z�' No. of Water Heaters KW No. ofNo. of Signs Bailasis NdT. Hydro Massage Tubs No. of Motors Total HP IbaNewbmiwdvandptoofofsmrtothe0ffim YES r dladdngthe box 1� INSURANCE'BOND GIH M WodctoS4tt ligectionDateRequesmd signedunctrTrPdmkesofpeqw EIRMNAME 4131, YES ED If you hate dled®d YES, plme indicate the E;�D* Estim&dvakrofDearica1Wbik$ Final IicffwNo. Lxetme Siga m LioawNo BasinmTel.No. A�rlrFcc Alt Tel. No. OWNER'SNSURANCE WAIVER; Iamawate dlattheLxerwdoesmthavedr mawmoec,ntaageorits atsulu eWmlattasmg medbyMassadmCUs C,lawLam andthatmysgnEdmon applicaatiortwa* ithislegm, a matt. (Please heck one) Ow r Agent „) Telephone No. PERMIT FEE LTKi S� U , lgna ure mer or gen Q 2— C/ j Office use Only r The Commonwealth of Massachusetts Permit No. Department of Public Safety Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3(90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DATE CO �„ City or Town of N. To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) U R M oil Kiz- s T ' 0%84S Owner or Tenant E R R u R k f, ARay o Owner's Address SL4v�nr-- P No. of Lighting Fixtures Swimming Pool Is this permit in conjunction with a building permit: Generators KVA ❑ Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. 6 Existing Service Amps Volts Overhead ❑ Undgrd ❑ No. of Meters New Service 200 Amps 1 14 Id 5/0 Volts Overhead [a Undgrd ❑ No. of Meters Number of Feeders and Ampacity FIRE ALARMS No. of Zones Location and Nature of Proposed Electrical Work Y UJi fte N e W 1JPJ5E C`0ynp )e•Pe % Tffmy SEeVIC'e .- Tons r No. of Disposals No. of Heat Total Total No. of Lighting Outlets �' No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Irn gmd. ❑gmd. El Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Ranges •S No. of Air Cond. Total Tons No. of Sounding Devices No. of Disposals No. of Heat Total Total Pumps Tons KW No. of Self Contained Detection/Sounding Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Devices Kyr No. of Water Heaters KW No. of Signs No. of Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws, I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ 1 have submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE Z BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work $ (Expiration Date) Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury FIRM NAME JO �F �( C_ l Fc4-eic rL Cr,, _4A LIC. NO. Licensee lc -ME -4E il'Fd Signature LIC.NO. 3S$�7E Address VS A L V\ J I ST l.. V N rJ Bus. Tel. No. 5 92 -109 k Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement.. Owner Agent (Please c one) �/l Telephone No. PERMIT FEE U V" (Signature of Owner or Agent) ,;...y...,-�,.;.. ��ai�+P>-.,�.z... :.,sem,'.,,,,.. .. ._ _ .y ;r;,�}ygyp.•3r�3c"'�++."hiil+rriy`:r^.3`rc'-""..�.. s-vki.:�, .- .,�w.,,,-..-.Wy.�y3.•}•5 2667 667 Date:v SORTH TOWN OF. NORTH ANDOVER PERMIT FOR INSTALLATION CHUS This certifies that . �^ r �l! .. �=' tv c4k (ccL has permission forgn installation.T'-*_! in the buildings of ... =.... y?4 t at 5t'. ........ rth An -Mass. Lic. No.. Fee. ... �33 ........ OR , 1C�. WHITE: Applicant eMoBuilding Dept., PINK: Treasurer GOLD: File •+ -�'-•� Office Use On The Commonwealth of Massachusetts permit %0. Department of Public Safety Occupancy i he Oveeked BOARD OF nRE PREVENTION REGULA71ONS.S27 CMR 1200 3/90 ((caw stank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK NI vork /o be performed In accordance with the Massachusetts Electrical Code. S27,CMR 12:00 (PLEASE PRINT IN INK OR TYPE fX INFORHATION) Date T City or Town of To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street 6r Number) ///dam ��/� ,^,, _ 1JLfa—�•�Olf�/1 Owner or Tenant(1r Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No ❑ (C;eck Appropriate Box) Purpose of Building Utility Authorization NO. \ Existing Service Amps / Volts Overhead ❑ Und'd ❑ No. of Meters Nev Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. o£ Lighting Outlets 8 8 No. of Hot Tubs Total No. of Transformers KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ grnd. grnd. Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS ` No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local ❑ Municipal ❑ Other Connection No. of Ranges No. of Air Cond. Total . tons No. of Disposals Heat Total Total No. of Pumps s KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices - KW --` No. of Water Heaters KW No, ns Ballasts No. of W w VoltageSigr No. Hydro Massage Tubs No. of Motors Total HP SFR INSURANCE COVERAGEt Pursuant to the requirements of Massachusetts General Laws I have a current Li}�bility Insurance Policy including Completed operations Coverage—i-ts substantial equivalent. YES ® NO ❑ I have submitted valid proof of same to this office: ;-W, NO If you have checked YES, please indicate the type of coverage by checking the'App'roptiate box.. INSURANCE BOND ❑ OTHER ❑ (Please Specify) '7 197 Z�xpiration ate Estimated Value of Electrical Work S ". Work to Start Inspection Date Requested: Rough Final Signed underthe penaltif rjury: FIRhI NAME j9619 ew Leaal-)aJ; ,_ LIC.. NO: �� v . . L.... _ //J.- /! ^ n/ i 7— — — - _. I'.0 _ . 0, 1 ffLair - - - �, 1 /1!1 Address OWNER'S INSURANCE WAIVER: I am aware thae the Licensee does not have the insurance coverage or its sub stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) ';.• : � 1,00111 FEE —0— 1 .%..t .w nc #w. Signature of Owner or Agent 1 : N" 456 Date.... . ..� �NORT11 TOWN OF NORTH ANDOVER PERMIT FOR WIRING \7Sn+n o• �Et� M This certifies that ...... ✓7... «��t.l J . ....... U.t. i•. ...Scc.l...................... has permission to perform ..... �4J 4t.. �f {.... �./. ....................... c+i wiring in the building of .... C�1. v ................... 1 .ii a at....1 ................ .t2..vA ............ .................... .. ,North .... ............. .:Ars, ... ...7 Fee..,Lic. No.u.EE-%�A'&PECTOR CFS �5 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Office Use Only r u z Lfommonmralth of (ISP Permit No. Bepm-t ttPnt of Vtblir —Aafetu Occupancy & Fee Checked 3M Occupancy blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12: (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date ld (%)Q or Town of NORTH ANDOVFR To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) r) Owner or Tenant ���iZIZla�t/ItYtQ Owner's Address F f� Is this permit in conjunction with a building permit: Yes No C (Check Appropriate Box) Purpose of Building �� ��thc _Utility Authorization No. Existing Service V Amos —� Volts Overhead Undgrnd r No. of Meters New Service '200 Ampsr=r 2V4 Voits Overhead;' Uncgrna No. of Meters Number of Feeders and Ampacity Location and Nature of Prcoosed Elec–xat Werk NE -W ✓Y1 K W fR e Totai No. of L:gnting Outlets i No. of Hot ribs I No. of Transformers KVA I, No. of LightingFixtures Swimming Pcoi f- KVA Accver- In - Generators qmo. — crnc. _ No. of Receetacie Cutters I No. of Cit Burners No. of Switch Outlets I No. of Gas Burners No. of Ranges Totai No. of Air Corc. tens Heat Total Totat No. of Disposals No.of I Pur-;cs Tons KW No. of Dishwashers ! ScaceiArea Heatina KW No. of Dryers Hearing Cev:ces KW No. at No. of No. of Water Heaters KW I Sicns Ballasts No. Hydro Massage Tubs i No. of Motors Tctai HP OTHER: No. of emergency Lty--,j Battery Units FIRE ALARMS No. of Zones No. of Cetection and Initiauna Devices No. of Sounding Devices No. of Seif Contained Detec::oniSouneing Devices Locai _ Muntcmai Other Connect:on Low Vcttage Wiring INSURANCE COVERAGE: Pursuant to the requirements of Massacr-use= general Laws — I have a current Liaotiity Insurance Policy inciucing Ccmo:etee Ccerauons Coverage or its suostanual eouivaient. YES — NO — — have suomirteo vaiid proof of same to the Office. YES — NO — If you nave checked YES. please inaicate the type of coverage cy checking the approoriate cox. INSURANCE X BOND = OTHER = (Please Scec.! I (Exotration Datei Estimated Value at E!ectrtcal Work 5GV Work :o Start insoection Date Recuesrec: Rough W�/� ���""_F,nal Signed under the Penaities of perjury: LIC. NO. FIRM NAME � ��t G � ' Si azure LIC. NO. Licensee gr. SQZ /098' ��! lam" per _ Sus. Tei. Na. Address l0 '(T7� Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee aces not have the insurance coverage a its suost. Ow equtvaient se' (( quirea by Massacnusetts Generai Laws, and tnat my signature on :nis permit aopticatton waives this reautrement. Owner Agent �I_^- pt _�P!ease cnecx one( PERMIT FE= S �/� 117 4`^dt;�LtiU( Teteonone No. i5gnarure of •caner or A�entl x�o°O Y�1f..J»:A';•�iYvrL'q'k-M.4`.�,w .}+w - .. ,.--�-•-'�•.Y •i. ii13��'�yF.-.. ri4�.Li: 3:.ltSc.4 Date .2668 $ W - „aR,., TOW01 .14,N OF NOATH ANDOVER �, PERMIT FOR 6h STALLATION x s. use CU This certifies that JD has .permission fM msfallation in the buildings of ..... Gt ►�! C? . at .:. .... Q .. .... rth Andover M Q y Fe.:PLic. Y� ; SPECTOR WHITE: Applicant CANARY: Building Dept., PINK: Treasurer GOLD: File �t A!tl —7-- Location &Z-2, No. Date/z ' l �oRT„ TOWN OF NORTH ANDOVER �L 9 Certificate of Occupancy $ s'^cNusE`� Building/Frame Permit Fee $ = n `-v Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # / �7,q g 16895 6 `- -Building Ins pe toff TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �;�$IS;SeCii�.�bi' i)�i£i8lEu§C'QHI BUILDING PERNfIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/Inspector of Buildings Date Front Yard Side Yard Rear Yard Required Provide Reqwred Provided Required Provided 1.7 WaterS fy M.G.L.C.40. 54) 1.5. Flood Zone Information: Zone Outside Flood Zone 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System Public Private 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service Signa 7 Telephone 2.2 Owner of Record: 1411— e, - Name Print Name Address for Service: Si nature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone 3.2 Registered Home Improvement Contractor �ompanv Name kddress lignature Telephone Not Applicable V' License Number Expiration Date Not Applicable Registration Number Expiration Date u e B rT1 t—rTnm e _ wA1DwV.R4Z rnXiMPMRATTON !M -G -T.. C 152 S 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Descri tion of Proposed Work check all applicable New Construction Existing Building ❑ Repair(s) ❑ A]terations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: C I'C'`1/II % ®c SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Com leted b rmit applicant OGir;L.,S�' Y �'(x;= $3._s�finl. 1. Building . �rJ �. (a) Building Permit Fee (a) Multiplier 2 Electrical ® • 00 G pp (b) Estimated Total Cost of Construction 3 -"anft*PZ2b_ __ _ Building Permit fee (a) X (b) 3C) C) 4 Mechanical HVA - - -- 5 Fire Protection 6 Total (1+2+3+4+5) Number SECTION 7a OWNER AUTHOR TION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT _I�as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/_AUTHORIZED AGENT DECLARATION 1 ce V Z'1. T-e'l as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print iYarne 1016 Sip -nature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB`s^ SIZE OF FLOOR THvMERS 1 2 3 3 SPAN f DD ENSIONS OF SILLS a DIMENSIONS OF POSTS --- 1)9v4ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE —"` " FORM - U - LOT RELEASE FORM INSTRUCTIONS:. This form is used to verify that all -necessary approval/ permi om Boards and Departments having jurisdiction have been obtained. This does not rel. , e the 3 ) 7 applicant and or landowner from compliance with any applicable requirements. WPLICANT Cd �r- va PHONE ✓ C7, ASSESSORS MAP NUMBER LOTNUMBER''� SUBDIVISION LOT NUMBER STREET U STREET NUMBERv sommonMUMMER NEW M OFFICIAL USE ONLY RE C 1GI1V1ENDATIONS OF TOWN AGENTS DATE APPROVED //7/Y /on M 0 M M M 0 0 CO SERVATION ADM NIS TOR DATE REJECTED comm FN'TS E K(e �2` A 114 io u a t f v r V Y - con -TV, ut C ti -,, TOWN PLANNER COADAENTS FOO gNSPECTO - TH (� " S SEPTIC INSPECTOR - HEALTH COMMAr-0-ENTS a 1 �E �k, PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTEDt 03 - q(& DATE APPROVED -2 -( DATE REJECTED DATE APPROVED DATE REJECTED RECEIVED BY BUILDING INSPECTOR DATE North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is.that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: IT (Location of Facility) NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector t �N V Ck, 4 5 h 4 O 0 a a+ G Le) — -O .� N N .� _Jy J O 4-J CJ .. "� . -:Ln J V N ) J i -' "' 0 y V r J r O y •• -, J - J r U r - 1 J a _ O bLD cn „�� ti �--' :v i 1 .. =•+ Cil •� `✓ r~ CZ C) r14 bio_ fV V) J = J J CZr CJ Lo V V ti ^ J .�N-� --� '' ^ O O J O J J J bn _� ✓ `a!J O ^ O O J r v>C-zCZ _O J En ^� J .O '� J CJ ✓ �. cin ^J ^ 4-1 Cy afj Lr)" Y' �- 3tj 'J E O Lr •- n J : ) 71 J �lJ J O Ln cy CJ O :n Lf)bFj H •� J O J ' n r �- cn C Y C CD Coi '• e z♦ 0 N ••r . rt . L•� T �ti • c`/�1 r t `C21: 4 •�a 1 .B ! L • 6 � •O ;9l R C 0 U G C C _o _ u Jr z 0 — N m O v I V � � O N I Q O U IN � I M 1 .B ! L • 6 � •O ;9l R C 0 U G C C _ ` Jr z h I — N m O v I V Ij- N I Q O U 7- 3 M � C C D w - 'aR V Z LLI 0 Jujt� Ca C Q A Z at_ Z O• Q W X p Q W ca r U � c pc0 < ^ N >N c Cr •v. G O ^_ ei aw<z N < <'Co Fj Z-� v - c ` cn Q Z m c o c = c p — c c c vO -_ _ O v m LU < h.' r Z c c= = t' e 3 b G 2 °c c E co __>co eco V — cv r r �•i �: •- c W L N 1 .B ! L • 6 � •O ;9l R C 0 J � Z Q J G CNOcn in W Z a W U CQ+U W J~ W Q m30< UCca ZZ JW aNO2 aWr.0. J0>> L) Ir C F- W cn J 0 pJ 5O2 u -M -C U G C C _ ` Jr z h I — N m O v I V Ij- N I Q O U 7- 3 M � C C D w - 'aR V Z LLI 0 Ca C Q A Z O• Q W X p Q W ca r U � >N c 0 J � Z Q J G CNOcn in W Z a W U CQ+U W J~ W Q m30< UCca ZZ JW aNO2 aWr.0. J0>> L) Ir C F- W cn J 0 pJ 5O2 u -M -C U G C C _ ` Jr z h I — N m O v I V Ij- N I Q O U 7- 3 M � C C D 0 J � Z Q J G CNOcn in W Z a W U CQ+U W J~ W Q m30< UCca ZZ JW aNO2 aWr.0. J0>> L) Ir C F- W cn J 0 pJ 5O2 u -M -C LLJ J z H W f� ?L U G Z cn ` Jr z () — N m O = S Ij- N < o Q O U 7- 3 M � C C D w - 'aR V Z LLI 0 Ca C Q A Z O• Q W X p Q W ca r U � LLJ J z H W f� ?L EMERGENCY AMENDMENT TO 5ECTION421.10.1 (9.1) 5WIMMING POOL ALARM5 At its June 9, 1998 meeting, the I313R5 voted to amend the above Section of the building code by emergency action to clarify the permi55ible audible alarm activation period. Delete the wording "The alarm Shall sound continuously for a minimum of 30 seconds immediately after the door i5 opened" and replace with; "The audible warning 5ha11 commence not more than 7 Seconds after the door and door screen, if present, are opened and Shall Sound continuously fora minimum of 30 Seconds" 780 CMR: STATE.BOARD OF BUILDRgQ REGULATIONS AND STANDARD THE MASSACHUSETTS STATE BUILDING CODE 54 inches (1 372 mm) *om..the:bO.ttOmQf,4he gate: (a) the release mechanism,shall.be 19C po -o at .. rithe pool side of the gate at least.three inch.es..(7.6 mrn) below the top of the gate;1and,(b)1the gate,--A#arrier shall not have an: opening greater than Y2. inch (13 mm.) within 18 inches (457 mm) .of the ;release mechanism. 9. Where awall ofadwelling servesaspartof the barrier, one of the following.,shall apply: 9.1. All. doors with direct access tothe pool through that. wall shall be equipped with an alarm which produces an audible...warning when the door and its screen, .if present, are opened. The audible ,warning shall commence not more than seven, seconds afterthe door and screendo, r,.ii.present, are , continuously for a opened andshall sound -*contifiu6usly. minimum of 30 seconds. The ala m' shad have amirdrrium soundpressurerating of 85. dBA at ten feet (3048 rpm) and the sound of the alarm shall be distinctive 'fromother household sounds . such: as...sri,ioke alarms, telephones and door bells. "The alarm shall automatically reset un.wder all, conditions. The alarm shall be equipped. ith. manual means, such as, touchpads or' s'witch switches, to deactivate temporarily the alarm . fora'single opening from either' . direction. , Such deactivation shall last for not more than 15 seconds. The deactivation touc*ds or switches shall be located. at least 54 inches (1372 mm) above the threshold of the door. 9.2. The pool shall be equipped, with an approved power safety cover. 10. Where an above aground pool structure is used as a barrier or wh-cr&..the barrier is mounted on top of the pool structure; and the means of access is a fixed or removable ladder or steps, the ladder or steps shall be surrounded. by a barrier which meets the requirements of 780 CMR 421.10.1 items I througl, 9. A re- movable ladder shall not constitute an accept- able alternative to enclosure requirements. 421.10.2 Indoor private swimming pool: All walls surrounding an indoor private swimming pool shall comply with 780 CMR 421.10.1, item 9. 421.10-3,ProhibiteiA locations: Barriers shall be located so as to prohibit permanent,structures, equipment or similar objects ftom being used to climb the barriers. 421.10.4 Exemptions: The- following shall be exempt from the movisions of 780 CMR 421.0. private pools. The; maximum slope pem-ii.ttedbetween point I and .the transiEion.;OoinE.sh.all.:not .exceed '.. one ui vertical to three units #rizon'64 V3Yin private ai p lic pools.. D, is the point directly ub "ufider'ih6'ez of I the diving boards. . ' 6, is the point ,at whi . ch d floor begins to slope upwards to"the transition'poir See Figure 421.11. A, Figure 421.11 AfINJINWIM WATER DEPTHS AND. DISTANCES BASED ON BOARID.HEIGHT FOR ALL PUBLIC, SEMI PUBLIC AND PRIVATE POOLS - TYPICAL POSITION OFJIP;. F OF. BOARD_ RELATIVE TO PT A WATER UNE PT. B PT. A y PT. c PT. b IS 1Z` �;E ;TRANSITION POIN Board hei( ght a Minimum depth. at ;DI directly under end of board ... l Distancea between D and D,7 Minimum depth a at D, 27" (2/3 meter) 7-10- 8'0" 8'6" 6" (3/4 meter) TV` 9'0" 910" meter 8'6"' 190" 1010, Lme ter Ii "0" 10-0" 12'0" Note a. I foot =-304.9'rfini: 2'6" (3/4 meter) 75" Table 421.11(2) 8'0" MINIMUM WATER DEPTHS AND DISTANCE$ BASEDON BOARD HEIGHT FOR PRIVATE POOLS' Minimum a Distance deptha at D MinimumBoard height directly under between DI a depth at D, and D2 end of board (`/i meter) .6'0" 710" 7*6" 272" (2/3 meter) 610" 76" 81011 2'6" (3/4 meter) 75" 810" 8'0" 34". (1 meter)" 8'6".97 9101, Note a. I foot = 304.8 mm. Tel: 978-688-9545 O c t Town of North Andover Building Department ° wrc° •P 4 27 Charles Street �SSAC��S�t North Andover MA 01845 HOMEOWNER LICENSE EXEMPTION Please print. DATE 10 / I a / 0 JOB LOCATIO ___ i /I 1 _�?— foy P,'I �' "HOMEOWNER Number Str'get Address' , 31V Qf Tc ,n 3 o 0.149 � Number Home Phone PRESENT MAILING ADDRESS C2i J4 -t f City Town State Work Phoil Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of 1 or 2 units and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section (108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which of two there is, or is intended to be, a one family dwelling, attached or detached structures accessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 108.3.5.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner" certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedurgs and requirgments and that he/she will comply with said procedures and requyements. I �� HOMEOWNER'S SIGNATUR APPROVAL OF BUILDING O Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control. Revised 4.30.03 Home owner Exemptions Form Town of North Andover Building Department The following is a list of the required forms to be filled out for the appropriate to be obtained. FOR ROOFING, SIDING, INTERIOR REHABILITATION PERMITS 1) BUILDINGPERMIT APPLICATION 2) DEBRI REMOVAL FORM 3) WORKERS COMP AFFIDAVIT 4) PHOTO COPY OF H.I.C. AND/OR C.S.L. LICENSES 5) COPY OF CONTRACT 6) FLOOR PLAN OF PROPOSED INTERIOR WORK FOR ADDITIONS / DECKS 1) BUILDING PERMIT APPLICATION 2) FORM U 3) MORTGAGE PLOT PLAN 4) DEBRI REMOVAL FORM 5) WORKERS COMP AFFIDAVIT 6) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 7) COPY OF CONTRACT 8) FLOOR/CROSSSECTION/ELEVATION PLAN OF PROPOSED WORK WITH SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 9) MASCHECK ENERGY. COMPLIANCE REPORT (if applicable) FOR NEW CONSTRUCTION (SINGLE AND TWO FAMILY) 1) BUILDING PERMIT APPLICATION 2) FORM U 3) GROWTH MANAGEMENT BYLAW 4) CERTIFIED PROPOSED PLOT PLAN 5) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 6) WORKERS COMP AFFIDAVIT 7) TWO SETS OF BUILDING PLANS (one to be returned) TO INCLUDE SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 8) COPY OF CONTRACT (if applicable) 9) MASCHECK 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 application. O 1 ri rA Gj x O O cx� a.+ waAi T cn U a c.7 as G c O w a O x T U C w O H U W O a p oG G. x O W U a�j� W p x y cn C w Q E� � z U O x C w" W a w w CQ z i cn E cn E CD O CD Z O CO) co .E i co C O V _m CO) O .2 a y C O m C y ��w _o U) U) irw W crw U) cH� �O cn � a cn 0 c c 0 CIOa m c i.+ V V a= ev o m = c M Co. IL•m c Q C, W*— d'Ec o O= E m m� CL H cn m H C x: _ .p O •l0 O C O C, tel: m` o • CLL)6:m a y®4! cc •:�� o CD x _ ca [p 4k �; O cvvw! e��� c � Q i d V: h C m OC H CD O II� G. m LUZ OL -LD CS oc 40 �E 06= 4 C C�LLJ h CM Z o0 Q C4 Z O' A m� O� ` y= O = J.- CL � E CD O CD Z O CO) co .E i co C O V _m CO) O .2 a y C O m C y ��w _o U) U) irw W crw U) cH� �O cn � a cn 0 w 0 CIOa E CD O CD Z O CO) co .E i co C O V _m CO) O .2 a y C O m C y ��w _o U) U) irw W crw U) Massachusetts Department of Environmental Protection DEP File Numl Bureau of Resource Protection - Wetlands ' 'WPA Form 5 - Order of Conditions 242-1219 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by Df A. General Information Important: When filling From: out forms on North Andover the computer, Conservation Commission use only the tab key to . This issuance if for (check one): move your cursor - do Z Order of Conditions not use the return key. ❑ Amended Order of Conditions To: Applicant: Property Owner (if different from applicant): Gerald Ferragamo Same Name Name rerun 1112 Turnpike Street Mailing Address Mailing Address North Andover MA. 01845 City/Town State Zip Code City/Town State Zip Cc 1. Project Location: _ 1112 Turnpike Street North Andover Street Address City/Town Map 107C Parcel 108 Assessors Map/Plat Number Parcel/Lot Number 2. Property recorded at the Registry of Deeds for: Essex North 4289 .28 County Book Page Certificate (if registered land) 3. Dates: i 9/26/03 I0h9t 1o'3 %!1 C7 Lo Date Notice of Intent Filed Date P blic l4earing Closed Date of Issu nce 4. Final Approved Plans and Other Documents (attach additional plan references as needed): NOI 9/26/03 Title Date Site Plan 9/25/03 revis. Title 10/3/03 Title Date 5. Final Plans and Documents Signed and Stamped by: Richard C. Tangard P. E. Name 6. Total Fee: $55.00 (from Appendix B: Wetland Fee Transmittal Form) Wpaform5.doc • rev. 12/15/00 Page 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Numi WPA Form 5 - Order of Conditions 242-1219 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DE B. Findings 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 proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: ® Public Water Supply ® Private Water Supply ® Groundwater Supply ❑ Land Containing Shellfish ❑ Fisheries ® Storm Damage Prevention ® Prevention of Pollution ® Protection of Wildlife Habil ® Flood Control Furthermore, 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 for in the wetlands regulations, to protect those interests checked above. This Commission orders that 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 witt 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 wetlar regulations to protect those interests checked above. 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. ❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effec of the work on the interests identified in the Wetlands Protection Act. Therefore, work on this projec may not go. forward unless and until a revised Notice of Intent is submitted which provides sufficieni 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). General Conditions (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 not grant 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 any other person of the necessity of complying with all other applicable federal, state, or local statutes ordinances, bylaws, or regulations. Wpaform5.doc • rev. 12115/00 Page 2 Massachusetts Department of Environmental Protection DEP File Numbe Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions 242-1219 Provided by DEF Massachusetts Wetlands Protection Act M.G.L. c. 131; §40 B. Findings (cont.) 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. 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 titif 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 tc 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 242-1219 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 the plans and special conditions referenced in this order. 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 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 hour: 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. Wpaform5.doc • rev. 12/15/00 Page 3 of L1Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands 1 WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings (cont.) DEP File Number: 242-1219 Provided by DEP 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. Findings as to municipal bylaw or ordinance Furthermore, the North Andover Conservation Commission hereby finds (check one that applies): ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: Municipal Ordinance or Bylaw 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. ® that the following additional conditions are necessary to comply with a municipal ordinance or bylaw, specifically: North Andover Wetland Protection Bylaw Chapter 178 Municipal Ordinance or Bylaw Citation. The Commission orders that all work shall be performed in accordance with the said additional 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. Wpaform5.doc • rev. 12/15/00 Page 4 of 7 DEP FILE # 242 - 1219 Therefore, the North Andover Conservation Commission (hereafter the "NACC") 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). C;\Word\0001 I UTumpike.doc 1 I I NACC 10/24/2003 DEP FILE # 242 - 1219 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. 24. Where the Department of Environmental Protection (DEP) 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 DEP File No. 242-1219. 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: the installation of an inground pool, pool deck, cabana, and a screened in room in the buffer zone to a bordering vegetated wetland. 29. The work shall conform to the following: Notice of Intent filed by: Gerald Ferragamo 1112 Turnpike Street North Andover, MA 01845 Site Plans prepared by: New England Engineering Services, Inc. 60 Beechwood Drive North Andover, MA 01845 Dated September 25, 2003, Last Rev. 10/8/03 30. The following wetland resource areas are affected by the proposed work: Bordering Vegetated Wetland (BVW). 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. C:\Word\OOC\1112Tumpike.doc 2 NACC 10/24/2003 DEP FILE # 242 - 1219 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. 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 (251 No -Disturbance Zone and a fifty foot (501 No -Construction Zone shall be established from the edge of the adjacent wetland resource area. 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. 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. 34. The owners of the project and their successors in title, in the event they proceed to alter areas subject to the Commission's 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. Maintenance of the drainage system, if accepted by the Town as part of a public way, becomes the responsibility of the Town. 35. 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 C:\Word\OOC\1112Iurnpike.doc 3 NACC 10/24/2003 DEP FILE # 242 -1219 36. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if such an appeal had been filed, until all proceedings before the Department or Court have been completed. 37. 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 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 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. 38. 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 242-1219." 39. 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 the plans or information submitted by the applicant shall be considered as changes. The proposed project may still 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. 40. 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. C:\Word\OOC\1112Tumpike.doc 4 1 NACC 10/24/2003 DEP FILE # 242 - 1219 41. 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. 42. 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 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. 43. 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 Commission's request. 44. The applicant shall have on hand at the start of any soil disturbance, removal or stockpiling, a minimum of 15 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. 45. A check payable to the Town of North Andover shall be provided in the amount of $1,500 which'shall be in all respects satisfactory to Town Counsel, C:\Word\OOC\1112Turnpike.doc 5 NACC 10/24/2003 DEP FILE # 242 -1219 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. 46. The applicant shall designate a Wetland Scientist as an "Erosion Control Monitor" to oversee any emergency placement of controls and regular inspection or replacement of sedimentation control devices. The name and phone number of the erosion control monitor must be provided to the NACC in writing by the hired professional in the event that this person has to be contacted, due to an emergency at the site, during any 24-hour period, including weekends. This person shall be given the authority to stop construction for erosion control purposes. The erosion control monitor 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. At least once during each week in which construction activities occurs on-site and for as long thereafter as ground remains unstabilized, the applicant shall submit a written report from the "Erosion Control Monitor" to the NACC certifying 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 erosion control monitor 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. 47. Prior to construction, the applicant shall permanently mark the edge of the "25' No -Disturbance Zone" with signs or markers spaced evenly every 25 feet incorporating the following text: "Protected Wetland Resource Area" (available at the Conservation Office for $2 each). This will designate their sensitivity and assure no further inadvertent encroachment into the wetland. 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. C:\Word\OOC\11 Mumpike.doc 6 NACC 10/24/2003 DEP FILE # 242 - 1219 48. 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" 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. 49. 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, 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 beheld 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 50. Upon beginning work, the applicant shall submit written progress reports every week 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. 51. Any fill used in connection with this project shall be clean fill, containing 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 on any of the foregoing. 52. No exposed area shall remain unfinished for more than thirty (30) days, unless approved by the NACC. C:\Word\OOC\1112Tumpike.doc 7 NACC 10/24/2003 DEP FILE # 242 - 1219 53. 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 to provide permanent stabilization. 54. There shall be no stockpiling of soil or other materials within twenty-five (25.) feet of any resource area. 55. Washings from concrete trucks, or surplus concrete, shall not be directed to, any drainage system, or wetland resource area. 56. 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. 57. Accepted engineering and construction standards and procedures shall be followed in the completion of the project. 58. 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 59. 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. 60. Fertilizers utilized for landscaping and lawn care shall be slow release, low - nitrogen types (< 5%), and shall not be used within 25 feet of a resource area. Pesticides and herbicides shall not be used within 100 feet of a wetland C:\Word\OOC\1112Tumpike.doc NACC 10/24/2003 DEP FILE # 242 - 1219 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 and shall remain in perpetuity. 61. 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. 62. 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. 63. 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 and grades the buffer zone which is regulated as a resource area under the local Wetland Protection Bylaw. C:\Word\OOC\1112Tumpike.doc 9 1 NACC 10/24/2003 DEP FILE .# 242 -1219 ➢ A line showing the limit of work and the extent of existing erosion control devices. "Work' includes a___y disturbance of soils or vegetation. 64. The following special conditions shall survive the issuance of a Certificate of Compliance (COC) for this project ➢ 25' No -Disturbance Zone and 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. 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; ➢ Discharge or spillage of pollutants (Condition # 58); ➢ Prohibition of underground fuels (Condition # 59); ➢ Limitations on the use of fertilizers, herbicides and pesticides (Conditions # 60). C:\Word\OOC\1112Turnp*e.doc 10 NACC 10/30/2003 DEP FILE # 242 -1219 APPENDIX A - AFFIDAVIT 1 on oath do hereby depose and state: (authorized agent applicant and/or current owner) (PLEASE CHECK AT LEAST ONE BLOCK) 1. I am the of ( position with applicant) (applicant name or company name) the applicant upon whom Order of Conditions have been placed upon by (DEP or NACC number) the North Andover Conservation Commission. &/or 2. I am the of (position with owner) (owner name) the owner upon whose land Order of Conditions have been placed up by (DEP or NACC number) the North Andover Conservation Commission. 3. I hereby affirm and acknowledge that I have received said Order of Conditions and have read the same and understand each (DEP File #) and every condition which has been set forth in said Order of Conditions. IM 4. I hereby affirm and acknowledge that on this day of 19_ 1 inspected 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 Order of Conditions are presently in compliance. (DEP File #) 5. I hereby affirm and acknowledge that this document will be relied upon by the North Andover Conservation Commission as well as any potential buyers of said property which is subject to said Order of Conditions (DEP File #) Signed under the pains and penalties of perjury this day of 19 (Signature - authorized agent of applicant or owner) C:\Word\OOC\1112Turnpike.doc 11 NACC 10/24/2003 Jr Massachusetts Department of Environmental Protection DEP File Number Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions 242-1219 Massachusetts Wetlands Protection Act M.G.L: c. 131, §40 Provided by DEP B. Findings (cont.) Additional conditions relating to municipal ordinance or bylaw: See attached This Order is valid for three years, unless otherwise specified as a special condition pursuant to General Conditions #4, from the date of issuance. Date This Order must be signed by a majority of the Conservation Commission. 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 delivered at the same time to the appropriate Department of Environm a Protection Regional Office (see Appendix A) and the property owner (if different from applica . —1 -Ir Sigr On 0 02 �d Of D(-'-obar ®f�� Day Month and Year before me personally appeared to me known to be the person described in and who executed the foregoing instrument and acknow dged that he/she executed the same as his/her free act and deed. /Z /',go ") N tary Public My Comniissio Expires This Order is issued to the applicant as follows: 2'by hand delivery on ❑ by certified mail, return receipt requested, on /a 13 6 0 Date —T Date Wpaform5.doc • rev. 12/15/00 Page 5 of , A: Massachusetts Department of Environmental Protection DEP File Number: I Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions 242-1219 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP C. Appeals The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate 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 Appendix E: 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 the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act, (M.G.L. c. 131, § 40) and is inconsistent with the wetlands regulations (310 CMR 10.00). 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. D. Recording Information This Order of Conditions must be 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 subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information on Paged 7 of Form 5 shall*be submitted to the Conservation Commission listed below. Wpaform5.doc • rev. 12/15/00 North Andover Conservation Commission Page 6 of 7 A • Massachusetts Department of Environmental Protection DEP File Number Bureau of Resource Protection - Wetlands L11 WPA Form 5 - Order of Conditions 242-1219 Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Recording Information (cont.) Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission. ------------------------------------------------------------------------------------------------------------------------ To: North Andover Conservation Commission Please be advised that the Order of Conditions for the Project at: 242-1219 Project Location DEP File Number Has been recorded at the Registry of Deeds of: County Book Page for: Property Owner and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date If recorded.land, the instrument number identifying this transaction is: Instrument Number If registered land, the document number identifying this transaction is: Document Number Signature of Applicant Wpaform5.doc • rev. 12/15/00 Page 7 of LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Appendix E— Request for Departmental Action Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Request Information Important: 1. Person or party making request (if appropriate, name the citizen group's representative): When filling out forms on the computer, Name. use only the tab key to Mailing Address move your cursor - do Cityrrown State Zip Code not use the return key. Phone Number Fax Number (if applicable) ran Project Location Mailing Address rertan Cityrrown State Zip Code 2. Applicant (as shown on Notice of Intent (Form 3), Abbreviated Notice of Resource Area Delineation (Form 4A); or Request for Determination of Applicability (Form 1)): Name Mailing Address City/Town State Zip Code Phone Number 3. DEP File Number: B. Instructions Fax Number (if applicable) 1. When the Departmental action request is for (check one): ❑ Superseding Order of Conditions ❑ Superseding Determination .ofApplicability ❑ Superseding. Order of Resource Area Delineation Send this form and check or money order for $50.00, payable to the Commonwealth of Massachusetts to: Department of Environmental Protection Box 4062 Boston, MA 02211 wpaform5.doc • Appendix E • rev. 10/7/03 Page 1 of: 1 "a t' Massachusetts Department of Environmental Protection L "' I Bureau of Resource Protection - Wetlands WPA Appendix E— Request for Departmental Action Fee Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Instructions (cont.) 2. On a separate sheet attached to this form, state clearly and concisely the objections to the Determination or Order which is being.appealed. To the extent that the Determination or Order is based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. 3. Send a copy of this form and a copy of the check or money order with the Request for a Supersedinc Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office (see Appendix A). 4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. wpaform5.doc • Appendix E • rev. 10/7/03 Page 2 of 2