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HomeMy WebLinkAboutMiscellaneous - 1679 OSGOOD STREET 4/30/2018 (2) 1679 OSGOOD STREET 210/061.0-0016-0000.0 �_y�Y�,.+ ... .. ,-. .. �._.�-.......gr�ii-•3*--4@�„A'.�'�{T•��i"�1<' �.Y'�if�tNA�"-S.i'�`r _ Date 3...� .1.1.}x....... 11694 TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING s CHUS� � t J This certifies that........ P. ... .. .................................... has permission to perform..............� . plumbing in the buildings of.......� -.. ..................................................... at............ ..tP °)...........: .. .. s ... .�...................., North Andover, Mass. Fee... ..Lic. No. . � . ................................................................................. --tPLUMBING INSPECTOR Check# t -7C) j M f r ' MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY ®�� N�O.siP+L MA. DATE 3 I Y -I O PERMIT# JOBSITE ADDRESS ( 6 7 O S 6 g OWNER'S NAME C ld14)0 POWNER ADDRESS TEL FAX CTYPE OR OCCUPANCY TYPE: COMMERCIAL'J9 EDUCATIONAL ❑ RESIDENTIAL❑ PRINT � I CLEARLY NEW: RENOVATION:F1 REPLACEMENT.-ElPLANS SUBMITTED: YES❑ NO ❑ FIXTURES Z FLOOR- BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE J DEDICATED SPECIAL WASTE SY DEDICATED GAS/OIUSAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER, INSURANCE COVERAGE: I have a current liabilitV insurance policy or its substantial equivalent which,meets the requirements of MGL Ch. 142. Yes Y No❑ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [ OTHER TYPE OF INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE BOX ONLY: OWNER ❑ AGENT ❑ Si nature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted(or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of tht General Laws. PLUMBER NAME STEWCO C_ &ALIPSKY SIGNATURE LIC# 103111 MP 0' JP❑ CORPORATION X# ig b PARTNERSHIP ❑# LLC ❑# COMPANYNAME &AWi35KY PLVM0ii.Db *- RVATl1,l.la ADDRESS: P.D. GGX 1701 CITY NAV6jZ0jL,L STATE M..A- ZIP 01B31 EMAIL www• m lvrAber �. co TEL Cil -3�'�- 17+{3 CELL .50%` 'Seel-,Tg0z( FAX g'7$-5,2i-w13' I ) �I r ROUGH PLUMBING INSPECTION NOTES THIS PAGE FOR INSPECTOR USRCONLY FINAL! SPECTION NOTES +. Yes No S J THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES Date............ �` !':..... ... :..... .................... OF r►ORT►j,h o? °p TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ss�CHuse This certifies that ..::.. ................................... .............................. ...................... .... has permission for gas installation .:: ...... .......................................................... in the buildings of... at........ ................. North Andover, Mass. Fee......... ............. Lic. No. ....::.��..:.. ..... GASINSPECTOR Check# -I MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY: I CU).1� �-1�c�w� MA. DATE: - y' PERMIT# . JOBSITE ADDRESS:L 7 1 6s 6o a4 !�;d- OWNER'S NAME:,(—' & 0 OWNER ADDRESS: TEL FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL EDUCATIONAL ❑ RESIDENTIAL❑ PRINT CLEARLY NEW:ET RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ APPLIANCES? FLOOR, Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER / BOOSTER CONVERSION BURNER COOKSTOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCK MAKEUP AIR UNIT OVEN POOL HEATER `ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER INSURANCE COVERAGE I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES 9 NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY [ OTHER TYPE INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will e i ce nce with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUM BER/GASFITTERNAME STEPHEN C. CALINSKY LICENSE# 103q6 V SIGNATURE COMPANY NAME: GAi.W3KY PLIiMAWu -- -t ADDRESS: P.0- Wx 1701 CITY: 4AVEA.HIL L, STATE: ftl•A- ZIP: OIS31 FAX: q79- 521-4131 TEL: 97ss-3714- 17143 CELL: 5,cq- 6bq- 5gt3q EMAIL: W'VV /. ml^ Icy'-nbe MASTER[z JOURNEYMAN❑ LP INSTALLER❑ CORPORATION[JJ# 31 Sit- PARTNERSHIP❑# LLC❑Ahl. Fi ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES r, Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE; $ PERMIT# PLAN REVIEW NOTES J V l `� az 3 -f 3/31/2016 IM G_0396.j pg JF AT 4 t. 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OF NOR7ly or; oo� TOWN OF NORTH ANDOVER PERMIT FOR WIRING SS�CMJ56 This certifies that ...... /� ! ,,,,..`'.... rr�� .................................................................. has permission to perform .......... /i. ...1/...../� .�!j....1 �4 4t...t�.....9'' wiring in the buildin of..... .L- at ...............7 -5 ¢D.............-5. N rtKAIldover,Mass. Fee ..Z.5.. ..........Lic. No. . ELECTRICAL INSPECTOR Check# 3� Commonwealth of Massachusetts official use only Department of Fire Services Permit No. Occupancy and Fee Checked a BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINTW)NK OR TYPEALL INFORMATION) Date: 171 Ar-C / d-0/4 City or Towns of: NORTH ANDOVER To the Inspector of lyes: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 7k 7 9 a j 156,yo 6 S .-e-G Owner or Tenant �' 2 I— C 1141 �f' Telephone No. Owner's Address _ Sb4Wt Is this permit in conjunc ion with a building permit? Yes JA No ❑ (Check Appropriate Box) Purpose of Building r 4y Utility Authorization No. - Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity // Location and Nature of Proposed Electrical Work: y /- ,rte 5 p � e tf 7 Completion of the following table may be waived by the Inspector of Wires. �( No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ N o.of Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons TotNo.of Alerting Devices No.of Waste Disposers Heat PumpP"­­­­­­ Number Tons KW No.of Self-Contained P Totals: �" � '� �................................ Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other P g Connection No.of Dryers Heating Appliances KW SecN t o.of Systems:* s or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Te1No.of Devices or E uivecommunications alent OTHER: Attach additional detail if desired,or as required by the Inspector of Wtres. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,tinder thepains andpenalties o perjury,that the information on th' application is true and complete. FIRM NAME: . r jS �s't.`5 l w c 101 LIC.NO.: 4 19 -r4 Licensee: t;a f1v Signature LIC.NO.: (If applicable,ent `exe pt'in the license nz er line) n Bus.Tel.No.: Address: c+446 Ale• Alt.Tel.No.:Al— ti�-7 9 *Per M.G.L c. 147,s.57-6r,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE:$ l Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c. 143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, §32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall.be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass M Failed 0 Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass IN Failed Re-Inspection Required($.) ❑ Inspectors Comments: . Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass M Failed Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH INSPECTION: Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signal re: Date: FINAL INSP TION: Pass V Failed 0 Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts Department of IndustrialAceidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia yV'y� Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. A licant Information J , Please Print Le 'bl Name(Business/Organization/Individual): a'lwl✓• Address: City/State/Zip: No - 4-r,40 op'tPVW Phone#: 7ki Are you an employer?Check the appropriate box: Type of project(required): 1.�aemployer with . : employees(fulland/or part-time).* 7. ❑New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.Q I am a homeowner doing all work myself.[No workers'compAnsurance required.]t 10 Building addition 4.F1I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions proprietors with no employees. 12.F1 Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.Q we are a corporation and its,officers have exercised their right of'exemption per MGL c. 14.0 Other 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box mustattached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-c6fi6ciors have employees,'they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site A / Address: l4 7 GS f9 oa 4 City/State/Zip: VU Attach a copy of the workers'compensation policy declaration page(showing thepolicy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DTA for insurance coverage verification. 7doereby under t Zane�n?111's of perjury that the information provided above is true and correct. tur 01 Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: oil Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall. enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-iinsurdd companies should'enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town):,A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia 0074Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING S3ACHUS This certifies that ........................................................... .................. ........... has permission to perform . ............ wiring in the building of................. .........at ........ .).............................. �7n .�..... :� .......:��...... . orth over,Mass. Fee..3d ................ Lic.No.............. ...................:.... ..................... ...... E TRICAL INSP LEC!�2 ECTOR Check # 114_77 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143 l 3L,the • permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an,lnspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time ofongoing construction activity,and may be_deemed.bythe.Inspector-of_Wires abandoned_and.invalid-if he`_. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. . /3 The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 d extending through August 15,2012. rer'm Permit/Date Closed: * Dote:Reapply for new permixtension Act—Permit/Date Closed: Common health of massachusett¢s Official use only 4 _ Department of Fi,re Services 1FI a 7/ Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked_ �e q ® [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORD All work to be performed in accordance with the Massachusetts Electrical Code(&MC),527 CMR 12.00 (PLEASE PRINTMINK OR YTPE ALL INFO -7yoA9 Date: t P City or Town of.- By fBy this application the undersi ed gives nothe J e of his or her'intention n perf) e p tcto work er of fres: Location(Street c&Nu her) 6G bed below. Owner or Tenant ` r 111 a Telephone No. 7 Owner's Address Is this permit in conjunction W)ft a building permit? y es El Purpose of BuildingPI j No BLDG PERMIT# til* Undgrd❑ No.of eters Authorization No. Existing Service Amps 3J 9olts Overhead M New---Sert'ie Amps / _Yolts Overhead El Number of Feeders and Ampacity Undgrd ❑ No.of Meters Location and ptyre of Pr osed Electrical W / I Completion of the following table may be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of CeiI:Sus No.of p.(Paddle)Fans Transformers Total. No.of Luminaire Outlets No.of Hot Tubs KVA Generators KVA No.of Luminaires Swimming Pool Above ❑ rn_ o.o mergency ig ting g.Ln d. 1711d. El Batte its No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No. of Switches No.of Gas Burners No.of Detection and No. of RangesInitiatin Devices No.of Air Cond. Total Tons No.of Alerting Devices No. of Waste Disposers Heat Pump Number on KW No.ofSelf-Contained Totals: No. of Dishwashers Detection/Alertin Devices Space/Area Heating KW Local❑ Municipal No. of Dryers Heating Appliances KW Security Systems: No. of Water No.of No.of Devices or E uivalent Heaters KW Signs No.of Data Wiring: Ballasts No.of Devices or E uivalent No.hydromassage Bathtubs No.of Motors Telecommunications Wirin : Total HP � g OTHER: No.of Devices or E uivalent Estimated Value of ElectricalWork: Attach additional detail if desired, or as required by the Inspector of Wires Work to Start: C- (When required by municipal policy.) J ' Inspections to be requested in accordance with AMC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by theowner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation" undersigned certifies that such c erage is in force, coverage or its'substantial equivalent. The CHECK ONE: INSURANCEand has exhibited proof of same to the permit issuing office. BOND ❑ OTHER d cert, under the pains artd penalties of erjury,that the information on this appl' ation is true and completes FIRM NAME: dC�1 / Licensee: /j�/� L117 yy���jrl� LIC.NO.: hre/� Signature LIC No - (If applicable, enter exempt"an the license number line.) Address: Bus.Tel.No. - 6 � *Per M.G.L. c.147,s.57-61,security work requires Department of public Safe "S"Licen Alt'Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. $y my signature below,I hereby waive this requirement. I a Owner/Agent m the(check one Elowner ❑owner's agent. Signature Telephone No. [PERMT ELECTRICAL PERMIT NO. INSPECTION REPORT: v ELECTRICAL INSPECTOR--DOUG SMALL 1.ROUGH INSPECTION: Passed—[ ] Failed—[ ] Re-inspection requirecl($50.00)-[ ] Inspectors' comments: (Inspectors'Signature-no initials) Date 2.FINAL INSPECTION: Passed—[ ] Failed`—[ ] Re-inspection required($50.00)-[ ] .Inspectors'comments: (Inspectors'Signature-no initials) Date 3.UNDER GROUND INSPECTION: Passed—[ ] Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: s (Inspectors'Signature-no initials) Date 4.INSPECTION—SERVICE: DATE CALLED NATIONAL GRID: NAME: ,: Passed—[ ] Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: (Inspectors'Signature-no initials) Date 52SPE[CTION-OTHER: Pd— ] Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors' comments: (Inspectors'Signature-no initials) Date DOOR TAGS.ARE TO BE FILLED OUT AND LEFT ON SITE IF TBE AREA TO BE INSPECTED IS NOT ACCESSIBLE AND A RE-INSPECTION OF$50.00 IS TO BE CHARGED. The Commonwealth ofMassachusetts Department of lndustrial'.Accirients Office of-Investigations 600 Washington Street Boston,MA 02-1111�,h s"'9 u ivww.rnass.gov/clia Workers' Compensation MasuxanteAffidavit: Builders/Contractors)Electriciang)plumbers Applicant Information Please Print Ledbly Name(Businessiorganization/ludividual): IVA 64 Wecrielc Address: 62 s' City/State/Zip: //, 4i9,). &E a 0//O /J 1 hone#: 2 2(� 1/Z2 A rean employer?Check the appropriate box: Type ofproject(required): a employer witht- 4. [] I am a general contractor and I 6. 0 New construction loyees(full and/or part time).* have hired the sub-contractors a sole proprietor orpartner- listed on•the,attacbed'sh6at.z 7. ❑Remodelingand have no employees These sub-cd 'aio %have 8. []Demolition ing fox me in.any capacity. workers'comp.insurance. , 9. 0.' g addition workers'comp.insurance 5. L]'`. - eareacorporatiomandifs 10 ecirical re airs ox additions red.] �bficers have exercised their pa homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions lf.[No workers'comp. c.152,§1(4),and we have no 12.❑Roofrepairs ance required.]T employees.[No workers' 13.El Other comp,insurance required.] !Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 7 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new-affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. lam an employer•that isproviding workers'compensation insurance for nzy employees Below is thepolicy andjob site information. Insurance Company Name: �- Policy#or Self-ins.Lic.#: �l� SCJ{: tS _ Expiration Date: Sob Site Address: �� City/State/Zip: �/-� Attach a copy of the workers'compe anon policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,.as well as civil penalties in the form of a STOP WORK ORDER and a fine ' ofup to$250.00 a day against the violator. Be advised that a copy ofthis statement maybe forwarded to the Office of Investigations of the DIA for' suranc over e verification. I do hereby ti n t pat s nd ena ies ofperjury that the information provided above is true and corn ect. Si ature: Date: z Phone#: p Z S Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermitUcense# Issuing Authority(circle one): I.Board o.f$ealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.I'lumbinglnspector 6.Other C ontactrerson• hone#.— {' + � "-9� I .� �� t / • �� � �� !'' � �� 'i .'I Y. �, ��' I THENORFOLK DEDHAMGROUP® October 30, 2013 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B Building Commissioner, or Inspector of Buildings c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Board of Health or Board of Selectmen c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 Fire Department or Arson Squad c/o City or Town Hall 1600 Osgood Street North Andover, MA 01845 RE: Our File No.: P1365678 Insured: RUSSELL MOSCHETTO IN TRUST FOR NELLIE SARACUSA & SAMUEL M Address: 1679 OSGOOD ST, NORTH ANDOVER, MA Policy No.: F0443153 Loss Date: 10/28/2013 Loss Type: Building or Other Structure Damage A claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to my attention and include a reference to the captioned insured, location, policy number, loss date and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property, and the claim will be paid in our customary manner. Sincerely, Marie J. Landers Property Claim Examiner 1-800-688-1825 x1136 NORFOLK&DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street,P.O.Box 9109,Dedham,MA 02027-9109 DORCHESTER MUTUAL INSURANCE CO. Telephone:(800)688-1825 FITCHBURG MUTUAL INSURANCE CO. Fax:(781)329-1818 76! OSyaa��T, �r- r� LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-999 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. Project Information Important: When filling out 1. This Certificate of Compliance is issued to: forms on the Richard J. Kelly computer, use Name only the tab key to move 55 Cambridge Street your cursor- Mailing Address do not use the Burlington MA. 01803 return key. Cityrrown State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Richard J. Kelly Name Jul 5 2003 July 242-999 Dated DEP File Number 3. The project site is located at: 1679 Osgood Street North Andover Street Address Cityrrown Map 61 Parcel 66 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for: Richard J. Kelly Property Owner(if different) Essex North instrument#20706 County Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 11/14/06 Date B. Certification Check all that apply: ® Complete Certification: It is hereby certified that the work regulated by the above-referenced Order of Conditions has been satisfactorily completed. ❑ Partial Certification: It is hereby certified that only the following portions of work regulated by the above-referenced Order of Conditions have been satisfactorily completed.The project areas or work subject to this partial certification that have been completed and are released from this Order are: wpaform 8b.doc-rev.7/13/04 Page 1 of 4 ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-999 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP B. Certification (cont.) ❑ Invalid Order of Conditions: It is hereby certified that the work regulated by the above-referenced Order of Conditions never commenced. The Order of Conditions has lapsed and is therefore no longer valid. No future work subject to regulation under the Wetlands Protection Act may commence without filing a new Notice of Intent and receiving a new Order of Conditions. ® Ongoing Conditions: The following conditions of the Order shall continue: (Include any conditions contained in the Final Order, such as maintenance or monitoring, that should continue for a longer period). Condition Numbers: 71 C. Authorization Issued by: North Andover f G OCO Conservation Commission DatLI of Is ante This Certificate must be signed by a majority of the Conservation Commission and a copy sent to the applicant and appropriate DEP Regional Office(See Attachment). Signatures: wpaform 8b.doc•rev.7/13/04 Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-999 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP C. Authorization (cont.) Notary Acknowledgement Commonwealth of Massachusetts County of Essex North On this /`S Of 00tle✓!1l�;P /2 �6O Day Month Year before me, the undersigned Notary Public, personally appeared '5Co- + ' J! SSC Name of Document Signer proved to me through satisfactory evidence of identification, which was/were Massachusetts License Description of evidence of identification to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As member of North Andover Conservation Commission City/Town DONNA M.WEDGE Signature of Notary Public woTAttrFveuc �0/7/�'# / COIAAIONWEALTHOFMASSACHOSETTS Printed Name of Nota Public OF My Comm.Expires Aug.7,2009E. Notary '7 �oa� M C7=4�r' /onyE fres(Date) Place notary seal and/or any stamp above ?X- Signature of Notary Public wpaform 8b.doc•rev.7/13/04 Page 3 of 4 _ y Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number. WPA Form 8B — Certificate of Compliance 2-999 Massachusetts Wetlands Protection Act M.G.L. c. 131, 40 24 Provided by DEP D. Recording Confirmation The applicant is responsible for ensuring that this Certificate of Compliance is recorded in the Registry of Deeds or the Land Court for the district in which the land is located. Detach on dotted line and submit to the Conservation Commission. To: North Andover Conservation Commission Please be advised that the Certificate of Compliance for the project at: 242-999 Project Location DEP File Number Has been recorded at the Registry of Deeds of: County for: Property Owner and has been noted in the chain of title of the affected property on: Date Book Page If recorded land, the instrument number which identifies this transaction is: If registered land, the document number which identifies this transaction is: Document Number Signature of Applicant wpaform 8b.doc•rev.7/13/04 Page 4 of 4 ILI, Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP Regional Addresses Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Mail transmittal forms and DEP payments,payable to: commonwealth of Massachusetts Department of Environmental Protection Box 4062 Boston, MA 02211 DEP Western Region Adams Colrain Hampden Pittsfield Agawam Monroe 436 Dwight Street Alford Conway Hancock Montague Plainfield Wales Suite 402 Cummington Hatfield Monterey Richmond Amherst Dalton Hawley Montgomery Rowe ware Springfield,MA 01103 Ashfield Deerfield Heath Warwick Becket Eastham t Monson Russell Washington Phone:413-784-1100 Belchertown Pon Hinsdale Mount Washington Sandisfield Wendell Fax:413-784-1149 East Longmeadow Holland New Ashford Savo Bemardston Egremont Holyoke New Marlborough Sheffield Westfield Blandford Erving Huntington Westhampton Brimfield Floridaanesborough North Adams Shelburne West Springfield rida Buckland Gill Lee Shutesbury West Stockbridge Charlemont Goshen Lenox 'Northampton Southampton Whately CheshireGranby Levereri Northfield South Hadley Wilbraham Chester Granville y 15"ge Southwick Williamsburg ChestchesterfieldLe den Springfield Williamstown Great Barrington Longmeadow Palmer Chicopee Greenfield Ludlow Stockbridge Windsor Pelham Sunderland Worthington Y Middlefield Peru Tolland gton Clarksburg Hadley DEP Central Region Acton Charlton Hopkinton Millbury 627 Main Street Ashburnham Clinton Hubbardston Rutland Uxbridge Millville Ashby Douglas Hudson Shirley Warren Worcester,MA 01608 Athol DudleyNew Braintree Shrewsbury Webster Phone:508-792-7650 Auburn Holliston Northborough Southborough Dunstable Lancaster Northbridge g Westborough Fax:508-792-7621 Ayer East Brookfield Leicester g Southbridge West Boylston Bane Fitchburg North Brookfield Spencer West Brookfield TDD:508-767-2788 Bellingham Gardner9 Leominster Oakham Sterling Westford Littleton Oxford Berlin Grafton Lunenbur Stow 9 Westminster Blackstone Groton Paxton Sturbridge Winchendon MarlboroPepperell Bolton Harvard Maynard Marlborough Petersham Sutton Worcester Boxborough Hardwick Medway Philli ston Templeton Boylston Holden Mendon Princeton Tyngs Townsend Upton Brookfield Hopedale Milford RoY Upton alston borough DEP Southeast Region Abington Dartmouth Freetown Matta oisett 20 Riverside Drive Acushnet Dennis Ga Head P Provincetown Tisbury Attleboro y Middleborough Ra nham Lakeville, MA 02347 Dighton Gosnold Nantucket Rehoboth Truro Avon Duxbu New Bedford Wareham Phone:508-946-2700 Barnstable Eastham Hanover Rochester Wellfleet Berkley North Attleborough Rockland West Bridgewater Fax:508-947-6557 Bourne East Bridgewater Hanson Norton Sandwich Westport TDD:508-946-2795 Easton Harwich Norwell Brewster Edgartown Kingston Oak Bluffs Scituate West Tisbury Bridgewater Fairhaven LakevilleSeekonk Whitman Brockton Fall River Orleans Sharon Mansfield Pembroke Wrentham Carver Falmouth Marion Somerset Yarmouth Chatham Foxborough Marshfield Plainville Stoughton Chilmark Franklin Plymouth Swansea Mashpee Plympton Taunton DEP Northeast Region Amesbury Chelmsford Hingham Merrimac 1 Winter Street Andover Chelsea Holbrook Methuen Quincy Wakefield Arlington Cohasset Hull Randolph Walpole Boston,MA 02108 Middleton ReadingP Ashland Concord Ipswich Millis Waltham Phone:617-654-6500 Bedford Danvers Lawrence Revere Watertown Fax: 617-556-1049 Belmont Dedham Milton Rockport Wayland Beverly Dover Lexington Nahant Rowley Wellesley DD:617-574-6868 Billerica Dracut Lowell Salem West am Ne Boston Essex Needham Salisbury West Newbury Lynn Newbury �' Boxford Everett Lynnfield NewbuSaugus Weston Braintree Framingham Malden rypOrt Sherbom Westwood Brookline Georgetown Manchester-By-The-Sea Norfolk on Somerville Weymouth Burlington Gloucester Marblehead Stoneham Wilmington Cambridge Groveland North Andover Sudbury Winchester Canton Medfield North Reading Swam scotl Hamilton Medford Norwood P Winthrop Carlisle Haverhill Melrose PeabodyTewksbury Woburn Topsfield wpaform8b.doc•DEP Addresses-rev.11/14/06 Page 1 of 1 `� O Q c� 1 I i � y • S�T'ILED 16g6 • 'P CONSERVATION DEPARTMENT Community Development Division MODIFICATION TO ORDER OF CONDITIONS 1679 Osgood Street, North Andover At the November 6,2013 public hearing the North Andover Conservation Commission (NACC)voted to issue a minor modification to DEP File#242-1492. The modification permits the construction of two single family homes, driveways, on-site sewage disposal systems, roof infiltrators and associated landscaping and grading on Lots 16-4 and 16-5 of the original approved plans. All work must conform to the plans and documents referenced herein. Any additions or changes to the herein referenced plan (including but not limited to deck stairs, bulkheads, concrete pads poured for generators/air conditioning units, walkways, and/or patios) must be approved by the NACC. Applicant: Green& Co. Real Estate tate c/o Michael Green 11 Lafayette Road(Route 1) P.O. Box 1297 North Hampton,NH 03862 Record Plans: Site Plan of Land for Lot 4 Stanton Way Prepared by: Christiansen& Sergi, Inc. 160 Summer Street Haverhill, MA 01830 Date: October 24, 2013 Stamped by: Philip G. Christiansen, P.E. &Michael J. Sergi, PLS Site Plan of Land for Lot 5 Stanton Way Prepared by Christiansen& Sergi, Inc. Date: October 25, 2013 Revised: 11/7/2013 Other Record Documents: Letter from Philip G. Christiansen Dated: October 29, 2013 . Conditions: New no-cut buffer, as highlighted on record plan, will be shown on the as-built plan prepared for the property prior to issuance of Certificate of Compliance. 1600 Osgood Street,Suite 2035,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web:http://www.townofnorthandover.com/Pages/NAndoverMA—Conservation/index r i S�TTLED646_` • • �,Qp ,wnax,,cc `^• RATED NV CONSERVATION DEPARTMENT Community Development Division Modification to Order of Conditions The NORTH ANDOVER CONSERVATION COMMISSION agreed to accept Applicant: 6neea-,�,� Reig 0z z 2 2-LI as a Modification to the Order of Conditions issued in File 242-j'q j_A dated & ► / and recorded in Book a,5 ,j and page dao Issued by the NORTH ANDOVER CONSERVATION COMMISSION: On this 4 /? of fiibefore me personally appeared Louis Napoli to me day month/yr known to be the person described in and who executed the forgoing instrument and acknowledged that he/she executed the same as his/her free act and deed. Notary Public _41F/ 771 1600 Osgood Street Suite 2035,North Andover,Massachusetts 01845 Phone 918.688.9530 Fax 918.688.9542 Web www.townofnorthandover.com Massachusetts Department of Environmental Protection Provided by MassDEP: - Bureau of Resource Protection-Wetlands MassDEP File#:242-1492 WPA Form 5 -Order of Conditions eDEP Transaction#:419705 r� Ci /Town:NORTH ANDOVER ty y� Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 A. General Information 1. Conservation Commission NORTH ANDOVER 2.Issuance a. F OOC b.r Amended OOC 3.Applicant Details a.First Name b.Last Name c.Organization GMZ REALTY TRUST d.Mailing Address 1679 OSGOOD STREET e.City/Town NORTH ANDOVER f.State MA g.Zip Code 01845 4. Property Owner a.First Name b.Last Name c.Organization d.Mailing Address e.City/Town f.State g.Zip Code 5.Project Location a.Street Address 1679 OSGOOD STREET b.City/Town NORTH ANDOVER c.Zip Code 01845 d.Assessors Map/Plat#61 e.Parcel/Lot# 16&34 f.Latitude 42.73339N g.Longitude 71.10918W 6.Property recorded at the Registry of Deed for: a.County b.Certificate c.Book d.Page NORTHERN ESSEX 1720 193 NORTHERN ESSEX 01940 0024 7.Dates a.Date NOI Filed: 8/6/2010 b.Date Public Hearing Closed: 9/14/2011 c.Date Of Issuance: 9/29/2011 8.Final Approved Plans and Other Documents a.Plan Title: b.Plan Prepared by: c.Plan Signed/Stamped by: d.Revised Final Date: e.Scale: I Page 1 of 10*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:242-1492 WPA Form 5 -Order of Conditions eDEP Transaction#:419705 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:NORTH ANDOVER DEFINITIVE SUBDIVISION PLAN 1679 JONES&BEACH MICHAEL J.KERIVAN,P.E. 07/21/2011 1"=40' OSGOOD STREET&ENGINEERS,INC. BRADFORD STREET B. Findings 1.Findings pursuant to the Massachusetts Wetlands Protection Act Following the review of the the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. r Public Water Supply b. f Land Containing Shellfish c.r Prevention of Pollution d. r Private Water Supply e. r Fisheries f. r Protection of Wildlife Habitat g. r Ground Water Supply h. r Storm Damage Prevention i. r Flood Control 2.Commission hereby finds the project,as proposed,is: Approved subject to: a.F The following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above,the following General Conditions,and any other special conditions attached to this Order.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,these conditions shall control. Denied because: b.r The proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations.Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect interests of the Act,and a final Order of Conditions is issued.A description of the performance standards which the proposed work cannot meet is attached to this Order. c.r The information submitted by the applicant is not sufficient to describe the site,the work or the effect of the work on the interests identified in the Wetlands Protection Act.Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the interests of the Act,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). 3.F., Buffer Zone Impacts:Shortest distance between limit of project disturbance and the wetland resource 0 area specified in 310CMR10.02(1)(a). a.linear feet Inland Resource Area Impacts:(For Approvals Only): Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 4. 1`71 Bank Page 2 of 10*ELECTRONIC COPY ' c Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:242-1492 MTA Form 5-Order of Conditions eDEP Transaction#:419705 City/Town-.NORTH ANDOVER Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 a linear feet b.linear feet c.linear feet d.linear feet 5.r Bordering Vegetated Wetland a square feet b.square feet c.square feet d.square feet 6. r Land under Waterbodies and Waterways a.square feet b.square feet c.square feet d.square feet e.c/y dredged f.c/y dredged 7.r Bordering Land Subject to Flooding a.square feet b.square feet c.square feet d.square feet Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet h.cubic feet 8.r Isolated Land Subject to Flooding a.square feet b.square feet Cubic Feet Flood Storage c.cubic feet d.cubic feet e.cubic feet f.cubic feet 9.r Riverfront Area a.total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq ft between 100-200 ft g.square feet h.square feet i.square feet j.square feet Coastal Resource Area Impacts: Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 10.r Designated Port Areas Indicate size under Land Under the Ocean,below 11.r Land Under the Ocean a.square feet b.square feet c.c/y dredged d.c/y dredged 12.r Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13.r Coastal Beaches a.square feet b.square feet c.c/y nourishment d.c/y nourishment 14.r Coastal Dunes a.square feet b.square feet c.c/y nourishment d.c/y nourishment 15.r Coastal Banks a.linear feet b.linear feet 16.r Rocky Intertidal Shores a.square feet b.square feet Page 3 of 10*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: . — Bureau of Resource Protection-Wetlands MassDEP File#:242-1492 }� WPA Form 5 - Order of Conditions eDEP Transaction#:419705 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town-NORTH ANDOVER 17.r Salt Marshes a.square feet b.square feet c.square feet d.square feet 18.r Land Under Salt Ponds a.square feet b.square feet c.c/y dredged d.c/y dredged 19.f Land Containing Shellfish a.square feet b.square feet c.square feet d.square feet Indicate size under Coastal Banks,inland Bank,Land Under the 20.r Fish Runs Ocean,and/or inland Land Under Waterbodies and Waterways, above c.c/y dredged d.c/y dredged 21.r Land Subject to Coastal Storm Flowage a.square feet b.square feet 22. F- Restoration/Enhancement(For Approvals Only) If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section B.5.c&d or B.17.c&d above,please entered the additional amount here. a.square feet of BV W b.square feet of Salt Marsh 23. r Streams Crossing(s) If the project involves Stream Crossings,please enter the number of new stream crossings/number of replacement stream crossings. a.number of new stream crossings b.number of replacement stream crossings C. General Conditions Under Massachusetts Wetlands Protection Act The following conditions are 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. 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. Page 4 of 10*ELECTRONIC COPY i • L Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:242-1492 )NTA Form 5-Order of Conditions eDEP Transaction#:419705 Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 City/Town-NORTH ANDOVER 6. If this Order constitutes an Amended Order of Conditions,this Amended Order of Conditions does not exceed the issuance date of the original Final Order of Conditions. 7. 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. 8. 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. 9. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done.In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done.The recording information shall be submitted to the 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.. 10. 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'MassDEP"] File Number:"242-1492" 11. 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 Mass DEP. 12. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA Form 8A)to the Conservation Commission. 13. The work shall conform to the plans and special conditions referenced in this order. 14. Any change to the plans identified in Condition#13 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 15. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order,and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. 16. 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. 17. 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. 18. 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. NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with this Order(the"Project")is(1) E is not(2)f subject to the Massachusetts Stormwater Standards. If the work is subject to Stormwater Standards,then the project is subject to the following conditions; a) All work,including site preparation,land disturbance,construction and redevelopment,shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan and,if applicable,the Stonnwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Construction General Page 5 of 10*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:242-1492 WPA Form 5-Order of Conditions eDEP Transaction#:419705 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town-NORTH ANDOVER Lll � Permit as required by Stormwater Standard 8.Construction period erosion,sedimentation and pollution control measures and best management practices(BMPs)shall remain in place until the site is fully stabilized. b) No stormwater runoff may be discharged to the post-construction stormwater BMPs unless and until a Registered Professional Engineer provides a Certification that:i.all construction period BMPs have been removed or will be removed by a date certain specified in the Certification.For any construction period BMPs intended to be converted to post construction operation for stormwater attenuation,recharge,and/or treatment,the conversion is allowed by the MassDEP Stormwater Handbook BMP specifications and that the BMP has been properly cleaned or prepared for post construction operation, including removal of all construction period sediment trapped in inlet and outlet control structures;ii..as-built final construction BMP plans are included,signed and stamped by a Registered Professional Engineer,certifying the site is fully stabilized;iii. any illicit discharges to the stormwater management system have been removed,as per the requirements of Stormwater Standard 10;iv.all post-construction stormwater BMPs are installed in accordance with the plans(including all planting plans)approved by the issuing authority,and have been inspected to ensure that they are not damaged and that they are in proper working condition;v.any vegetation associated with post-construction BMPs is suitably established to withstand erosion. c) The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance.Prior to requesting a Certificate of Compliance,or Partial Certificate of Compliance,the responsible party(defined in General Condition 19(e))shall execute and submit to the issuing authority an Operation and Maintenance Compliance Statement("O&M Statement")for the Stormwater BMPs identifying the party responsible for implementing the stormwater BMP Operation and Maintenance Plan("O&M Plan")and certifying the following:i.)the O&M Plan is complete and will be implemented upon receipt of the Certificate of Compliance,and ii.)the future responsible parties shall be notified in writing of their ongoing legal responsibility to operate and maintain the stormwater management BMPs and implement the Stormwater Pollution Prevention Plan. d) Post-construction pollution prevention and source control shall be implemented in accordance with the long-term pollution prevention plan section of the approved Stormwater Report and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Multi-Sector General Permit. e) Unless and until another party accepts responsibility,the landowner,or owner of any drainage easement,assumes responsibility for maintaining each BMP.To overcome this presumption,the landowner of the property must submit to the issuing authority a legally binding agreement of record,acceptable to the issuing authority,evidencing that another entity has accepted responsibility for maintaining the BMP,and that the proposed responsible party shall be treated as a permittee for purposes of implementing the requirements of Conditions 19(f)through 19(k)with respect to that BMP.Any failure of the proposed responsible party to implement the requirements of Conditions 19(f)through 19(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance.In the case of stormwater BMPs that are serving more than one lot,the legally binding agreement shall also identify the lots that will be serviced by the stormwater BMPs.A plan and easement deed that grants the responsible party access to perform the required operation and maintenance must be submitted along with the legally binding agreement. fl The responsible party shall operate and maintain all stormwater BMPs in accordance with the design plans,the O&M Plan, and the requirements of the Massachusetts Stormwater Handbook. g) The responsible parry shall: 1.Maintain an operation and maintenance log for the last three(3)consecutive calendar years of inspections,repairs, maintenance and/or replacement of the stormwater management system or any part thereof,and disposal(for disposal the log shall indicate the type of material and the disposal location); 2.Make the maintenance log available to MassDEP and the Conservation Commission("Commission")upon request;and 3.Allow members and agents of the MassDEP and the Commission to enter and inspect the site to evaluate and ensure that the responsible party is in compliance with the requirements for each BMP established in the O&M Plan approved by the issuing authority. h) All sediment or other contaminants removed from stormwater BMPs shall be disposed of in accordance with all applicable federal,state,and local laws and regulations. �) Illicit discharges to the stormwater management system as defined in 310 CMR 10.04 are prohibited. Page 6 of 10*ELECTRONIC COPY y Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:242-1492 WPA Form 5-Order of Conditions eDEP Transaction#:419705 s Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:NORTH ANDOVER j) The stormwater management system approved in the Order of Conditions shall not be changed without the prior written approval of the issuing authority. k) Areas designated as qualifying pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the MassDEP Stormwater Handbook,Volume 3,Chapter 1,Low Impact Development Site Design Credits)shall not be altered without the prior written approval of the issuing authority. )J Access for maintenance,repair,and/or replacement of BMPs shall not be withheld.Any fencing constructed around stormwater BMPs shall include access gates and shall be at least six inches above grade to allow for wildlife passage. Special Conditions: SEE ATTACHED. Page 7 of 10*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:242-1492 WPA Form 5-Order of Conditions eDEP Transaction#:419705 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:NORTH ANDOVER A Findings Under Municipal Wetlands Bylaw or Ordinance I• Is a municipal wetlands bylaw or ordinance applicable?r Yes 1- No 2. The Conservation Commission hereby(check one that applies a. C DENIES the proposed work which cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: 1.Municipal Ordinance or Bylaw 2.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 or Conditions is issued.Which are necessary to comply with a municipal ordinance or bylaw: b. F APPROVES the proposed work,subject to the following additional conditions. NORTH ANDOVER 1.Municipal Ordinance or Bylaw WETLANDS p y PROTECTION 2.Citation CHAPTER 178 BYLAW 3. The Commission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,the conditions shall control. The special conditions relating to municipal ordinance or bylaw are as follows: SEE ATTACHED. Page 8 of 10*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File 4:242-1492 WPA Form 5-Order of Conditions eDEP Transaction#:419705 iA Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/'Town:NORTH ANDOVER 't E. Signatures Q This Order is valid for three years from the date of issuance,unless otherwise specified 71(9-� / / pursuant to General Condition#4.If this is an Amended Order of Conditions,the Amended 1.DW of Original Order Order expires on the same date as the original Order of Conditions. Please indicate the number of members who will sign this form.This Order must be signed by 2 Number of Signers 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 Environmental Protection Regional Office,if not filing electronically,and the property owner,if different from applicant. Signature ry,,.h and delivery on y certified mail,return receipt requested,on q I ) I Date Date F. 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 MassDEP Regional Office to issue a Superseding Order of Conditions.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request for 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. Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project.Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing,requesting a Superseding Order,or providing written information to the Department prior to issuance of a Superseding Order. 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(3 10 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. Page 9 of 10*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:242-1492 WPA Form 5 -Order of Conditions eDEP Transaction#:419705 l Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 City/Town:NORTHANDOVER G. 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 this page shall be submitted to the Conservation Commission listed below. NORTH ANDOVER Conservation Commission 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: 1679 OSGOOD STREET 242-1492 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: i 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 Rev.4/1/2010 Page 10 of 10*ELECTRONIC COPY DEP FILE#242 - 1492 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 20. The proposed work includes: construction of a nine-lot subdivision,including a roadway with a cul-de-sac, common drive with resource area crossing, the installation of stormwater management infrastructure,underground utilities, individual septic systems and water supplies, and associated clearing, grading and landscaping portions of which are within Isolated Vegetated Wetland (IVW) and the Buffer Zone to IVW and Bordering Vegetated Wetland (BVW). 21. The work shall conform to the following (except as noted in the remainder of this document where revisions may required): Y be re q ) Notice of Intent filed by: Jones & Beach Engineers, Inc. 85 Portsmouth Ave. PO Box 219 Stratham, NH 03885 Date filed:July 30, 2010 Site Plans prepared by: Jones & Beach Engineers, Inc. Title: Definitive Subdivision Plan Tax Map 61 Lots 16, 34,31 &4 1679 Osgood Street& Bradford Street Sheets: 1-22 Last Revised: 7/21/11 Stamped by: Michael J. Kerivan, P.E. Stormwater Report prepared by: Michael J. Kerivan Date: 7/29/10 Stormwater Review: Lisa Eggleston Eggleston Environmental 32 Old Framingham Road, Unit#29 Sudbury, MA 01776 Review letters dated: August 16, 2010; December 6,2010; January 27, 2011; & August 2,2011 CAWinword\00C\boi1er1.doc 1 NACC 9/29/2011 DEP FILE#242 - 1492 Operation &Maintenance Plan prepared by: Jones &Beach Engineers, Inc. Title: Stormwater Management Operation and Maintenance Manual 22. 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. 23. 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. 24. 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. 25. 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. 26. 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. 27. The work authorized hereunder shall be completed within three years from the date of this order. 28. This Order may be extended by the issuing authority for one but not more than two 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). CAWinword\00C\boi1er1.doc 2 NACC 9/29/2011 DEP FILE#242 - 1492 29. 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. 30. 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. 31. Any future project which proposes a wetland crossing in order to access certain portions of the property will not be qualified as a limited project roadway under 310 CMR 10.53(e). 32. The following wetland resource areas are affected by the proposed work: Isolated Vegetated Wetland and Buffer Zone to Isolated and Bordering Vegetated Wetland (IVW/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 thep p significance tion of si ificance of these resource areas to the identified interests. 33. The NACC agrees with the applicant's delineation of the wetland resource areas on the site as shown on the plans dated referenced herein. 34. The NACC finds that the intensive use of the upland areas and buffer zone proposed on this site will cause further alteration of the wetland resource areas. In order to prevent any alteration of wetland resource areas a twenty five foot (25') No- Disturbance Zone and a fifty foot 50) No-Construction Zone shall be established from the edge of the adjacent wetland resource area except as follows: waiver of 25-foot No- Disturb Zone and 50-foot No-Build Zone for one common driveway crossing (at Lots 16-5, 16-6 and Lot 31) and construction of a second common driveway in the 50-foot No-Build Zone (at lots 16-7 and 16-8) as allowed by section 3.2 of the Wetland Protection Regulations. 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 3.2 &Appendix F of the local Regulations). 35. 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. 36. The owners of the project and their successors in title 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. CAWinword\00C\boi1er1.doc 3 NACC 9/29/2011 DEP FILE#242 - 1492 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. 37. The NACC finds the applicant's proposal for a deed restriction of wooded no cut areas depicted on sheets A4 and A5 (Sheets 8 &9) of the herein referenced plans as adequate mitigation for impacts to Isolated Vegetated Wetland (180 s.f. for driveway crossing) and the associated 25 and 50-foot buffer zones. Language for the proposed deed restriction must be presented to the NACC for approval prior to the issuance of a Certificate of Compliance. The Planning Board Decision- Definitive Subdivision Plan also contains the following language: The wooded areas indicated on sheet A4 and A5 (designated on the plan as"Deed Restricted Wooded No Cut Buffer") are to remain and will be maintained in perpetuity.This condition shall be documented in a covenant,with reference to the covenant in the respective deeds for each lot. 38. 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 39. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if such an appeal has been filed, until all proceedings before the Department or Court have been completed. 40. 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. 41. 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 242-1492." CAWinword\00C\boi1er1.doc 4 NACC 9/29/2011 DEP FILE#242 - 1492 42. 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. No work shall begin on a project until written approval has been granted by the NACC. 43. 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. 44. Prior to any work commencing on-site, the applicant shall submit to the NACC for approval, a detailed sequence of construction, including the installation of all sedimentation/erosion control measures before other work begins on-site. 45. 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 erosion controls or temporary fencing and shall be confirmed by the NACC. Such barriers 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. 46. Prior to the installation of erosion controls, the applicant shall survey and stake the location of the Deed Restricted No Cut Buffer. Once staked the applicant shall contact the Conservation Department to walk the staked line and to identify mature trees to be saved along this boundary. The Deed Restricted areas shall be wrapped in orange construction fencing or otherwise identified for preservation. The intent is to prevent inadvertent incursion into this area. 47. Erosion control measures as detailed in the Soil Erosion and Sedimentation Control Plan (Drawing No. C5 and C6) shall be placed between all construction areas and wetlands. The erosion control barriers and erosion control measures will be properly installed and placed as shown on the plans approved and referenced herein and shall be inspected and approved by the NACC or its agent 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 or CAWinword\OOC\boilerl.doc 5 NACC 9/29/2011 DEP FILE#242 - 1492 its agent. 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. 48. The applicant shall have on hand at the start of any soil disturbance, removal or stockpiling, a minimum of 30 hay bales and sufficient stakes for staking these bales. Said bales shall be used only for the control of emergency erosion problems and shall not be used for the normal control of erosion. 49. A check payable to the Town of North Andover shall be provided in the amount of $35,000 which shall be in all respects satisfactory to Town Counsel, Town Treasurer, and the NACC, and shall be posted with the North Andover Town Treasurer through the NACC before commencement of work. Said deposit of money shall be conditioned on the completion of all conditions hereof, shall be signed by a party or parties satisfactory to the NACC, and Town Counsel, and shall be released after completion of the project, provided that provisions, satisfactory to the NACC, have been made for performance of any conditions which are of continuing nature. The applicant may propose a monetary release schedule keyed to completion of specific portions of the project for the NACC's review and approval. This condition is issued under the authority of the local ByLaw. 50. The applicant shall be responsible for placing signs on each parcel,where there is more than one (1) lot, designating the applicable lot number as depicted on the plans approved and referenced herein. 51. The applicant shall designate a Wetland Scientist(or other environmental professional as approved by the NACC or its agent) 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 the event that this person has to be contacted, due to an emergency at the site, during any 24-hour period, including weekends. Proof of the retained monitor must be submitted to the Conservation Department on letterhead by the retained consulting firm. This person shall be given the authority to stop construction for erosion control purposes. The Environmental Professional will immediately notify the Conservation agent of any matter that requires attention by the Commission or the agent. 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. 52. 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 CAWinword\00C\boi1er1.doc 6 NACC 9/29/2011 DEP FILE #242 - 1492 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. The Erosion Control Monitor shall be on site during and/or following a major storm event of 1/2" inch of rain or greater (24 hour event) to ensure that soils remain stable, and erosion controls are adequate and secure 53. Prior to construction, the applicant shall permanently mark the edge of the "25' No- Disturbance Zone" with signs or markers spaced evenly every 30 feet incorporating the following text: "Protected Wetland Resource Area" and the associated rules (1 square for every 3 round). This will designate the resource area 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. These markers shall remain posted and be replaced as necessary in perpetuity. Markers are available from the Conservation Department ($2 round/$3 square). 54. 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. 55. 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 be held jointly liable for any violation of this Order of Conditions resulting from failure to comply with its conditions. The applicant or contractor shall notify the NACC in writing of the identity of the on-site construction supervisor hired to coordinate construction and to ensure compliance with this Order. A reasonable CAWinword\00C\boi1er1.doc 7 NACC 9/29/2011 DEP FILE #242 - 1492 period of time shall be provided as notice of the pre-construction meeting (e.g. 72 hours). JISTORMWATER MANAGEMENT CONDITIONS 56. All construction and post-construction stormwater management shall be conducted in accordance with supporting documents submitted with the Notice of Intent, the Department of Environmental Protection Stormwater Management Standards, and as approved by the NACC in this Order of Conditions. 57. All stormwater best management practices shall be maintained as specified in the Stormwater Management Operation and Maintenance Manual submitted with the Notice of Intent and incorporated in the Order of Conditions. Evidence of water management ement s stem shall be provided to the NACC storm maintenance of the g Y nana annual basis b a Registered Professional Civil Engineer. The first report shall o g Y be submitted to the NACC one year after thefirst stormwater structuregoes on- line and annual reports must continue to be submitted in perpetuity. Maintenance bills submitted by cleaning contractors (catch basins, stormcepters, etc.) shall be submitted with annual engineering reports. 58. There shall be no increase in the post development discharges from the storm drainage system or any other changes in post development conditions that alter the post development watershed boundaries as currently depicted in the Notice of Intent and approved by this Order of Conditions,unless specifically approved in writing by the Commission. 59. Water quality in down gradient BVW's shall not differ significantly following completion of the project from the pre-development conditions. There shall be no sedimentation into wetlands or water bodies from discharge pipes or,surface runoff leaving the site. 60. The applicants, owners, and their successors and assignees, shall maintain all culverts, collections basins,traps, outlet structures, subsurface storage areas, and other elements of the drainage system,unless put into an easement to the Town of North Andover, in order to avoid blockages and siltation which might cause failure of the system and/or detrimental impacts to on-site or off-site resource areas, and shall maintain the integrity of vegetative cover on the site. SUBDIVISION LOT DEVELOPMENT 61. Information was presented on the location of individual houses,however, changes in final footprint locations or any other changes or additions to the house plans within jurisdiction of the NACC must be presented as modifications/amendments. Therefore C:\Winword\00C\boi1er1.doc 8 NACC 9/29/2011 DEP FILE #242 - 1492 additional submittals may be required for any alteration of land within the buffer zone. 62. The NACC shall be notified in writing of any lot line or number changes with a copy of a plan showing these changes prior to any work on these lots. DURING CONSTRUCTION ' 63. IMPORTANT: Immediately upon completion of dwelling foundations located in the 100-foot buffer zone, and prior to further construction activities associated with the site/lot, the applicant shall complete a plan prepared by a Registered Professional Land Surveyor of the Commonwealth(R.P.L.S.) which accurately depicts the foundation location and it's proximity to wetland resource areas as approved under this Order of Conditions. Said plan shall be submitted to the Conservation Administrator for approval. 64. Upon beginning work, the applicant shall submit written monthly progress reports 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. 65. All catch basins shall contain oil/gasoline traps, and it shall be a continuing condition of this order, even after a Certificate of Compliance is issued, that the oil/gasoline traps in the catch basins be maintained. All catch basins shall be free of all accumulated silt and debris before a Compliance is issued and the owner or his/her agent shall so specify in the request for Compliance. 66. Approved de-watering activities anticipated shall be supervised and witnessed by the designated erosion control monitor. This designee must be on-site while work specific to dewatering is occurring and until this work is complete. De-watering activities shall be conducted as shown on the approved plans and shall be monitored daily by the erosion control monitor to ensure that sediment laden water is appropriately settled prior to discharge toward the wetland resource areas. No discharge of water is allowed directly into an area subject to jurisdiction of the Wetlands Protection Act and/or the North Andover Wetland Bylaw. If emergency de-watering requirements arise, the applicant shall submit a contingency plan to the Commission for approval, which provides for the pumped water to be contained in a settling basin, to reduce turbidity prior to discharge into a resource area. 67. 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. CAWinword\OOC\boilerl.doc 9 NACC 9/29/2011 DEP FILE#242 - 1492 68. No exposed area shall remain unfinished for more than thirty (30) days, unless approved by the NACC. 69. 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. 70. There shall be no stockpiling of soil or other materials within fifty (50)feet of any resource area. 71. All disturbed areas located within wetland resource areas which are to be only temporarily disturbed during construction, shall be restored to their original grade, soil profile and vegetative cover. Soil used for this purpose will either be wetlands topsoil or a minimum of 4" of quality loam with a minimum of 20% organic material (soils to be amended with clean leaf compost if needed). This shall all be done in accordance with DEP Massachusetts Inland Wetland Replication Guidelines. 72. Washings from concrete trucks, or surplus concrete, shall not be directed to, any drainage system, or wetland resource area. Truck washing shall not occur within jurisdictional areas unless the designated area and a plan for containment of sediment are approved by the Conservation Department in advance. 73. All waste generated by, or associated with, the construction activity shall be contained within the limit of work, 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. 74. Accepted engineering and construction standards and procedures shall be followed in the completion of the project. 75. 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 76. 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 CAWinword\OOC\boiler1.doe 10 NACC 9/29/2011 DEP FILE #242 - 1492 Conditions and shall run with the title of the property. This condition is issued under the authority of the Towri s Wetland protection ByLaw. 77. 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 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. 78. No road salt, sodium chloride, or other de-icing chemicals shall be used on paved surfaces within 50-feet of the wetland resource area crossing, and any arrangement for snow removal shall so stipulate due to the importance of the site and wetlands. 79. The Deed Restricted Wooded No-Cut Area shall be marked with Conservation Area Markers spaced every 50-feet around the restricted area depicted on the herein referenced plans. 80. Upon completion of construction and grading, all disturbed areas located outside resource areas shall be stabilized permanently against erosion. This shall be done by loaming and seeding according to NRCS standards. Stabilization will be considered complete once full vegetative cover has been achieved. 81. Upon approved site stabilization by Conservation staff, the erosion controls shall be removed and properly disposed of and all exposed un-vegetated areas shall be seeded. 82. 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. CAWinword\00C\boi1er1.doc 11 NACC 9/29/2011 DEP FILE#242 - 1492 i. An"As-Built" plan prepared and signed and stamped by a Registered Professional Civil Engineer (and/or Registered Professional Land Surveyor) of the Commonwealth, for the public record. This plan will include: ➢ "As-Built" post-development elevations of all drainage &stormwater management structures constructed within 100 feet of any wetland resource area. NOTE: If portions of the stormwater systems exist partially within the Buffer Zone than the entire structure must be depicted to accurately verify compliance. ➢ "As-Built" post-development elevations and grades of all filled or altered wetland resource areas including the encompassing buffer zone which is regulated as a resource area under the local Wetland Protection Bylaw. ➢ Distances from structures to wetland resource areas. Structures include (but are not limited to) septic systems, additions, fences, sheds, stone walls, pools,retaining walls, subsurface utilities and decks. ➢ A line showing the limit of work and the extent of existing erosion control devices. "Work" includes as disturbance of soils or vegetation. ➢ Location of all subsurface utilities entering the property. 82. 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 except in those locations approved under DEP#242-1492. 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; ➢ Resource Area Markers (Condition#53); ➢ Maintenance of catch basins (Condition#65); ➢ Discharge or spillage of pollutants (Condition#75); ➢ Prohibition of underground fuels (Condition#76); ➢ Limitations on the use of fertilizers,herbicides, road salts, de-icing compounds and pesticides (Conditions #77 & 78). CAWinword\00C\boi1er1.doc 12 NACC 9/29/2011 DEP FILE#242 - 1492 ➢ Conservation Markers for Deed Restricted No-Cut Area (#79) ➢ The attached"Stormwater Operations and Management Plan",including Best Management Practices. No additional filings will be required to conduct maintenance of the above referenced system and plan. C:\Winword\00C\boi1er1.doc 13 NACC 9/29/2011 DEP FILE#242 - 1492 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. 1 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. 1 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. & 4. I hereby affirm and acknowledge that on this day of 19 I 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:\Winword\00C\boi1er1.doc 14 NACC 9/29/2011 arot��s a �S P 4 b 1, 8/17/2017 Community Software Consortium Ot &ORT::H North Andover Board of Assessors r ,SS^CNuSEt Back to Results I Search for Parcels Search for Sales View/Print Record Card Parcel ID: 210/061.0-0016-0000.0 FY: 2017 Community: North Andover Phot (Click on Photo to Enlarge) View Summn,Location: 1679 OSGOOD STREET Property Owner Name: LAWLOR,CHAD,R. Card I Resider1C,Owner Name2: Map Owner Address: 1679 OSGOOD STREET View Land City: NORTH ANDOVER State: MA Zip: 01845 View SegmentS SegmentNeighborhood: 5 Land Area: 2.83 acres Abutters Use Code: 109-MULTIPLE-RES Total Finished Area: 5243 sgft Properties Detached Tax Class: T Pct-Exempt-Land: 0 Structure Pct-Exempt-Bldg: 0 -- -- - 1678 OSGOOD STREET '? - Sewer. Road Type: T Sales Sketc�t(Click on Sketch to Enlarge) History Water. Road Condition: P Value . Assessments Current Year Previous Year History Total Value: 667,200 555,900 Building Value: 446,400 342,200 Land Value: 220,800 213,700 Market Land Value: 220,800 Chapter Land Value: Latest Sale Sale Price: 530,000 Sale Date: 09/22/2015 Arms Length Sale Code: Grantor. MOSCHETTO Can Doc: Book: 14385 Page: 0029 Copyright©2015 Community Software Consortium.All Rights Reserved http://epas.csc-ma.us/PublicAccess/Pages/ParcelSummary.aspx?MenulD=3&LinklD=193399&Commcode=210 1/1 Residential Property Record Card Parcel ID: 210/061.0-0016-0000.0 MAP: 061.0 BLOCK: 0016 LOT: 0000.0 Parcel Address: 1679 OSGOOD STREET FY; 2017 PARCEL INFORMATION Use-Code: 109 Sale Price: 530,000 Book: 14385 Road Type: T Inspect Date: 04/11/2016 Owner: Tax Class: T Sale Date: 09/22/2015 Page: 0029 Rd Condition: P Meas Date: 04116/2016 LAWLOR,CHAD,R. Tot Fin Area: 5243 Sale Type: P Cert/Doc: Traffic: M Entrance: C Address: Tot Land Area: 2.833 Sale Valid: U Water: Collect Id: SGC 1679 OSGOOD STREET Sewer: Grantor: MOSCHETTO Sewer: Inspect Reas: M NORTH ANDOVER MA 01845 Exempt-B/L% 0/0 Resid-B/L% 100/100 Comm-B/L% 0/0 Indust-B/L% 010 Open Sp-B/L%u 0/0 RESIDENCE INFORMATION LAND INFORMATION Style: RN Tot Rooms: 5 Main Fn Area: 928 Attic: Y NBHD CODE: 5 NBHD CLASS: 5 ZONE: R2 Story Height: 1.00 Bedrooms: 2 Up Fn Area: Bsmt Area: 928 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: G Full Baths: 1 Add Fn Area: Fn Bsmt Area: 1 P 109 S 43560 1.000 N 206,910 Ext Wall: WS Half Baths: Unfin Area: Bsmt Grade: F 2 R 109 A 79845 1.833 N 13,930 Masonry Trim: Ext Bath Fix: Tot Fin Area: 928 Foundation: CN DETACHED STRUCTURE INFORMATION Bath Qual: T RCNLD: 95967 Kitch Qual: T Eff Yr Built: 1960 Str Unit Msr-1 Msr-2 E-YR-Bit Grade Cond %Good P/F/E/R Cost Class Mkt Adj: Heat Type: FA Ext Kitch: Year Built: 1940 G1 S 40 50.00 2016 G G ///100 78,500 1 Sound Value: Fuel Type: O Grade: A Cost Bldg: 96,000 VALUATION INFORMATION Fireplace: Bsmt Gar Cap: Condition: F Att Str Vail: Current Total: 667,200 Bldg: 446,400 Land: 220,800 MktLnd: 220,800 Central AC: N Bsmt Gar SF: Pct Complete: All Str Val2: Prior Total: 555,900 Bldg: 342,200 Land: 213,700 MktLnd: 213,700 Alt Gar SF: %Good P/F/E/R: 11001/67 Porch Type Porch Area Porch Grade Factor E 35 E 523 Sketch Photo 4 4 d-'f 21 I RW B 20 400 94 R 20 so � R 20 15 3S 5 1679 OSGOOD STREET •' North Andover MIMAP August 17, 2017 0 .. R..._ .i f Haverhill h•4t4 * . �+ ► dog /125!" 7 � �� ..� ,yam•,� R '►�,. �j`� . . `Stan :Wail C� � �c •e�?.1 ( �" f' � .fir tiff V ; 1 � 4�� 4 S � I ? l �• Vr e ,l 4- y v �.r s t• �" ✓ - `AL1�' � 6�� � � .., .. ❑MVPC Bo Site Address Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Interstates Meters Data Sources:The data for this map Mas produced by Menimack m Interstate ORT Valle Plannin Comm!ssion MVPC using data provided—Major Road t N R q Y 9 ( ) 9 P by the Tovm of O ��•o �. North Andover.Additional data provided by the Executive Office of Roads j. •��•00 Environmental Affaim/MassGIS.The information depicted on this map is i r Easements 3' L for planning purposes only.it may not be adequate for legal boundary —• �• p definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER Parcels MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ti ♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY n ^Y OF THESE DATA THE TOWN OF NORTH ANDOVER DOES NOT • o ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF �b�•��o'�"� THIS INFORMATION ,SSACMuse•� 1"=316ft -� North Andover MIMAP August 17, 2017 IA \ Haverhill o a� 125 Boxfor Stanton Wad CD~D3 � 12, _ �\ Lar e " � CDYD3 13 MVPC Bo Zoning Overlay Zoning 0 Municipal Boundary ©Adult Eritenalnmenl Dlstric Busln s 1 Diaida ❑Machine Shap Village Ove C Buslne s 2 Distdct Horizontal Datum:MA Statepkne Coordinate System,Datum NAD83, Rall Line 0 Watershed Protection Dist 13 Buslne s 3 District Meters Date Sources:The data for this map was produced by Merrimack Interstates El Historic Mill Area ■ Busine s 4 District N01tT1� Valley Planning Commission(MVPC)using data provided by the Town of Interstate 0 Medical Marijuana 0Genen Business District Ot a o � North Andover.Additional data provided by the Executive Office of Major Road ©Dovmtown Overlay District . Plann Commercial Do v r .��« '�Te 00 Environmental Affaim/MassGIS.The Information depicted on this map is Q Historic DistrictComd Development Dist ,j� L for planning purposes only.It may not be adequate for legal boundary Roads Osgood Smart Grovdh(40 ❑Confd Development Dist O M definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER 47.Easements13 Conidc Development Dist MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Hydrographic Features Industri I 1 District ❑Parcels Streams Intlustri 12 DISMa ♦ y THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY [7 Industd 13 District * t w • OF THESE DATA THE TOWN OF NORTH ANDOVER DOES NOT Wetlands 4 0��.\\\\ �� ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF O Industri I S District • ' THIS INFORMATION Exempt Lanes Reside ce 1 Distrix '�s7 b'eT4o"�t�J Reside ce 2 District ITSACHt75t R-lde ce 3 District it ce 4 District 1"=316 ft de ce 6 District rde ce 6 District o esidential District i Town ®f North Andover OtNORTH E OFFICE OF & A . D b qti 0 9 COMMUNITY DEVELOPMENT AND SERVICES .. . . p 27 Charles Street 1 North Andover,Massachusetts 01845 WILLIAM I SCOTT cHUS'-� Director (978)688-9531 NOTICE OF DECISION Fax(978)1688-9542 Any appeal shall be filled V/ This is to certify that twenty M days Within (20)days after the have elapsed from date of dedslon,filed date of filling this Notice without filingDa n p �� Go in the Office of the Town Joyce A.Bradahaus Clerk. Town Clwk Date: September 8, 2000 Date of Hearing: August 1,20fln Petition of: R.J. Kelly Company, 55 Cambridge Street Burlington, MA 01803 Premises affected: 1679 Osgood Street N Referring to the above petition for a special permit from the requirements of tbv: C:' -� - CD North Andover Zoning Bylaw Section 8.3 and 10.3 0 �o" 'T y rn r+� = D C;O �— so as to allow: the construction of a 49,050 square foot mini-storage warehouse buildirl-no m located in the I-S Zoning District, with the installation of a granite rip rap in an exisag _ Swale within the R-2 Zone. 0 After a public hearing given on the above date,the Planning Board voted To: APPROVE the: Site Plan Special Permit based upon the following conditions(attached): Signed CC: Director of Public Works Alison M.Lescarbeau.Chairman Building Inspector Conservation Department John Simons Vice Chairman Health Department Assessors Alberto Angles, Clerk Police Chief Fire Chief Richard S.Rowen Applicant _ Engineer /�;; "t!' Richard Nardella File l :�, � 4 y7 r William Cunningham l _ BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 i Site Plan Review - Special Permit 1679 Osgood Street The Planning Board herein approves the Special Permit/Site Plan Review for the construction of a 49,050 square foot mini-storage warehouse building located in the.I-S Zoning_District, with the installation of a granite rip rap in an existing Swale within the R- 2 Zone. This Special Permit was requested by R.J. Kelly Company, 55 Cambridge Street, Burlington, NIA 01803. This application was filed with the Planning Board on June 30, 2000. The Planning Board makes the following findings as required by the North Andover Zoning Bylaws Section 8.3 and 10.3: . FINDINGS OF FACT: 1. The specific site is an appropriate location for the project as it is located in the Industrial-S Zone and involves the construction of a mini-storage warehouse building. 2. The use as developed will not adversely affect the neighborhood as a sufficient buffer has been provided. Extensive landscaping has been provided around the frontage of Osgood Street. Landscaping is also proposed along the sides of the lot abutting residential property. 3. There will be no nuisance or serious hazard to vehicles or pedestrians. The applicant has demonstrated that the curb radii for the entrance/egress driveway is adequate. 4. The landscaping approved as a part of this plan meets the requirements of Section 8.4 as amended by the Planning Board, of the North Andover Zoning Bylaw; 5. The site drainage system is designed in accordance with the Town Bylaw requirements and has been reviewed and approved by the Outside Consulting Engineer,Vanasse,Hangen Brustlin, Inc; 6. The applicant has met the requirements of the Town for Site Plan Review as stated in Section 8.3 of the Zoning Bylaw except for any waivers granted in Condition 18; 7. Adequate and appropriate facilities will be provided for the proper operation of the proposed use. Finally the Planning Board finds that this project generally complies with the Town of North Andover Zoning Bylaw requirements as listed in Section 8.35 but requires conditions in order to be fully in compliance. -The Planning Board hereby grants an approval to the applicant provided the following conditions are met: SPECIAL CONDITIONS: 2' 1. Prior to the endorsement of the plans by the Planning Board,-the applicant must comply with the following conditions: a) The final plan must be reviewed and approved by the DPW and the Town Planner and subsequently endorsed by the Planning Board. The final plans must be submitted for review within ninety days of filing the decision with the Town Clerk. b) A performance guarantee in the amount of five thousand ($5,000) dollars must be posted for the purpose of insuring that a final as-built plan showing the location of all on-site utilities, structures, curb cuts, parking spaces, topography, and drainage facilities is submitted. The performance guarantee .is also in .place to insure that the site is cpnstructed in accordance with the approved plan. The form of security must be acceptable to the Planning Board. C) The applicant must supply a copy of the approved Massachusetts Highway Department permits necessary for construction of the site to the Planning Department. 2. Prior to the start of construction: a) A construction schedule shall be submitted to the Planning Staff for the purpose of tracking the construction and ilnforming the public of anticipated activities on the site. b) During construction, the site must be kept clean and swept regularly. 3. Prior to FORM U verification (Building Permit Issuance): a) The Planning Board must endorse the final site plan mylars and three (3) copies of the signed plans must be delivered to the Planning Department. b) One certified copy of the recorded decision must be submitted to the Planning Department. 3 4. Prior to verification of the Certificate of Occupancy: a) The applicant must submit a letter from the architect and engineer of the project stating that the building, signs, landscaping, lighting and site layout substantially comply with the plans referenced at the end of this decision as endorsed by the Planning Board. b) The Planning Staff shall approve all artificial lighting used to illuminate the site. All lighting shall have underground wiring and shall be so arranged that all direct rays from such lighting falls entirely within the site and shall be shielded or recessed so as not to shine upon abutting properties. or streets:. The. Planning Staff shall review..the site. Any changes to the approved lighting plan as may be reasonably required by the Planning Staff shall be made at the owner's expense. All site lighting shall provide security for the site and structures however it must not create any glare or project any light onto.adjacent residential properties. C) The building must have commercial fire sprinklers installed in accordance with the North Andover Fire Department. 5. Prior to the final release of security: a) The Planning Staff shall review the site. ' Any screening as may be reasonably required by the Planning Staff will be added at the applicant's expense. Specifically after the detention pond is completed, the Town .Planner will review the site and any screening as may be reasonably required by the Town Planner will be added at the applicant's expense b) A final as-built plan showing final topography, the location of all on- site utilities, structures, curb cuts, parking spaces and drainage facilities must be submitted to and reviewed by the Planning Staff and the Division of Public Works. 6. Any stockpiling of materials (dirt, wood, construction material, etc.) must be shown on a plan and reviewed and approved by the Planning Staff. Any approved piles must remain covered at all times to minimize any dust problems that may occur with adjacent properties. Any stock piles to remain for longer than one week must be fenced.off and covered. 7. In an effort to reduce noise levels, the applicant shall keep in optimum working order, through regular maintenance, any and all equipment that shall emanate sounds from the structures or site: 4 8. The hours for construction shall be limited to between 7:00 a.m. and 7:00 p.m. Monday through Friday and between 8:00 a.m. and 5:00 p.m. on Saturday. 9. Any plants, trees or shrubs that have been incorporated into the Landscape Plan approved in this decision that die within one year from the date of planting shall be replaced by the owner. 10. The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation. 11. Gas, Telephone, Cable and Electric utilities shall be installed underground as specified by the respective utility companies. 12. No open burning shall be done except as is permitted during binning season under the Fire Department regulations. I 13. No underground fuel storage shall be installed except as may be allowed by Town Regulations. 14. The provisions of this conditional approval shall apply to and be binding upon the applicant, its employees and all successors and assigns in interest or control. 15. Any action by a Town Board, Commission, or Department, which requires changes in the plan or design of the building, as presented to the Planning Board, may be subject to modification by the Planning Board. 16. Any revisions shall be submitted to the Town Planner for review. If these revisions are deemed substantial, the applicant must submit revised plans to the Planning Board for approval. 17. This Special Permit approval shall be deemed to have lapsed after_September 8, 2002 (two years from the date permit granted) -unless substantial use or construction has commenced. Substantial use or construction will be determined by a majority vote of the Planning Board. 18. A waiver to Section 8.3.5.e.xix has been granted so as to allow the applicant not to provide a traffic study. 19. No. temporary or permanent storage of vehicles, trailers, boats, or any other transportation or construction equipment shall be allowed on the site after construction of said premises. - 5 V . 20. The following information shall be deemed part of the decision: Plan Titled: Proposed Stor-S-Self, Self Storage Osgood Street (Route 125) Prepared for: R.J. Kelly Company, 55 Cambridge Street,Burlington, MA 01803 Prepared By: Richard F. Kaminski &Associates, Inc. 360 Merrimack Street Lawrence, MA 01843 Scale: '/4"=1'0"1"=30' Date: 5/3/00,revised 6/2/00, 6/28/00, 8/28/00 Plan Titled: Rendering and Sign Detail Prepared for: R.J. Kelly Company, Proposed Self Storage, Osgood Street, North Andover,MA Prepared By: , GSD Associates, 148 Main Street, Bldg A, North Andover, MA 01845 Scale: 1/2"=1'0" Date: 6/29/00,revised 8/21/00 i Plan Titled: Landscape Plan Prepared for: Stor-U Self Storage,North Andover, MA Prepared By: Native Landscapes, 205A Street, Boston, MA 02210 Scale: 1"=30' Date: 6/26/00,revised 8/4/00 Report Titled: Drainage Report Dated: 12/28/99,revised 5/5/00 Prepared By: Richard Kaminski, 360 Merrimack St.,Lawrence, MA 01843 cc: Applicant Engineer File 6 M Re- jistry. of Deeds Northern District of Essex Count Lawrence, MA 01840 y 10/12/00 KAMINSKI .IC # 42 Rec: Type NOTC 12.00 Inst -"--,448 Total 12.00 # 43 Payment Cash 12.00 THANK YOU! Thomas �7 star ke ReYi.,.ter of Deeds e Bldg. ZBA Con/Com Health Fire Chief Police Chief • Town of North Andover Town Clerk DPW/Engineers Office of the Planning Department Community Development and Services Division Osgood Landing 1600 Osgood Street TO THE LAWRENCE EAGLE TRIBUNE LEGAL NOTICE FOR PUBLICATION TUESDAY APRIL 29, & MAY 6, 2008 CLIPPINGS TO BE MAILED TO THE PLANNING DEPARMENT AS ADDRESED ABOVE. TOWN OF NORTH ANDOVER PLANNING BOARD NOTICE OF PUBLIC HEARING,TUESDAY, MAY 20,2008. In accordance with the provisions of Chapter 41, Section 81-S and 81-L, M.G.L., & PRD Section 8.5 of the North Andover Bylaw, the Planning Board will hold a Public Hearing as follows: Purpose of Public Hearing: Applicant proposes a Preliminary Subdivision &PRD to include 7 single-family lots. Existing units on Osgood St.would be removed prior to the 7th building permit being issued;front parcel would then be conforming to current regulations within R-2 zoning district. Petition Number .002-2008 Applicant/Petitioner. G.M.Z. Realty Trust, c/o Nellie Saracusa 1679 Osgood Street, North Andover, MA 01845 Owner Same as above. Address of Premises Affected: Frontage on Rte 125 Osgood Street&frontage on Bradford Street, North Andover, MA 01845 Assessor Map and Lot: Map 61, Lots 16 &34. Public Hearing Date and Time: Tuesday, May 20,2008 @ 7PM Location of Public Hearing: Town Hall, 120 Main Street, 2nd floor conference.reorn.— Information Available: A copy of the plan and applicatl' Department office and may be.SAL`NOTICE LEGAL NOTICE LEGAL-NOTICE 8:30-4:30 p.m. TOWN OF NORTH ANDOVER.t.- PLANNING BOARD NOTICE OF-PUBLIC HEARING, , TUESDAY,MAY.20 2008. All interested persons may appear and be heard. in accordanoe with<tr,e provisions,of-Chapt4r.4i, Section 81-,S anda3l-1, M:G L,&_PRD Section:8 5 of the North Andover$ylaw,the Planning Board will hold a Public:Heanng.as follows "Purpose ofPublic°Heanng Aophcard proposes a PreliminarySubdivision& Richard Na PRD to include 7 singlefamily.lots Existing units on Osgood,St.'�vould be removed.priorto the.7th building.permitbeing:issued;front parcel would'.-then be conforming to:current:,regulations within 1`1=2 zoning district.:. Petition Number, 002:2008 Applicant/Petitioner: G.M.Z'RealtyTrust,c/o Natalie'Saracusa', 1679 Osgood..Street, North Andover;MA'01845 Owner Same as above. :Address of Premises Affected:Frontage on Rte 125 Osgood Street& Irontage on Bradford!Street,: North Andover,MA 01845 ; Assessor Map and Lot:. "Map 61 Lots 16&34. Public Hearing Date and Timei Tuesday.May 20,2008 @ 7PM Loc,ation of.Public Hearing: Town Hall,'120 MainStreet,2nd floor coriference room M Information Available: ,. A copy of the:plara and application.is on"file.I.he IIQY �— LUu� Planning Department office and may:beinspect- ed Mondaythrow•h Friday8:30,- BOARD 0r- i Nr i_r��� AlUnterested persons may appear and e heard..[_ _ 4.30 p.m. Richard.Nardella, R'�,, Chairman