HomeMy WebLinkAboutMiscellaneous - 170 ANDOVER BY-PASS 4/30/2018 O
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Location 0 Q AAJdo U--er' PSS
No. 6`a 1 Date ),aU
�ORTh TOWN OF NORTH ANDOVER
0� •. • 0 4
9
Certificate of Occupancy $
CMUS Building/Frame Permit Fee $
�A
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
L Check # 318 '13 y
Building Inspector
1 i
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TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT MEN&RENOVATF, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: f DATE ISSUED:
/ � I
SIGNATURE:
Building Commissionerflaawor of Buildings Date
SECTION 1-SITE INFORMATION
1.1 Property Address: n 1.2 Assessors Map and Parcel Number: O
Map Number Parcel Number
1.3 Zoning luformation: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area Fronts R
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Regaired Provide Required Provided RaItfired Provided
v
1.7 Water Supply M.G.L.C.40.1 54) 1.5. Flood Zone Information: 1.E Sewerage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT �i; : ;i c; i^tract; �!?; �,I;❑ rn
2.1 Owner of Record
b e,A Dom' ff-� _ t ltQ BQ > s S
Name(Print) Address for Service
Signature Telephone q
a2.2 Owner of Record:
r
Name Print Address for Service: Z
M
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor: ds S 0
License Number
IM
C"� - �b� S 16� �l�Qy►�.r.0 1��4 618►d
�ddre s d z I 04 1 2t64
Z r 4 77 G Expiration C
Signature Telephone r
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3.2 Registered Home Improvement Contractor Not Applicable ❑
Company Name
-?► Registration Number
�zc )1 1"
r;
Address 2 n0b z
/
s f Expirati Date /1
Signature Telephone V i
r
z
SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the builghg permit.
Signed affidavit Attached Yes....... No.......❑
SECTION 5 Description of Proposed Workcheekafl a cable
New Construction ❑ Existing Building 0 Repair(s) Alterations(s) ❑ Addition 0
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
&L a T Pxetli POST,
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OMCIAL USE ONLY
Completed by permit applicant
1. Building (a) Building Permit Fee
Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(+)x (b) -,
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5 1 b ' CSb Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
I, I,I , D. as Owner/Authorized Agent of subject r
property
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
Print Name 1A '*9AV-.Q
2 L .2m, 206 S
Signature o Owner/A ent 0 Date
NO. OF STORIES SIZE
BASEIVIENT OR SLAB
SIZE OF FLOOR TIIbIBERS 1' 2 3
SPAN
DIN ENSIONS OF SILLS
DIN ENSIONS OF POSTS
DIIviENSIONS OF GIItDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X t
MATERIAL OF CHIIVINEY
1S BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
The Commonwealth of Massachusetts
Department of Industrial Accidents
OMC[] of Invoodgadons
Boston, Mass. 02111
workers'Corrlperfsatton►nsuremce AtRd"
Name Pleats Print
Name:
Locati9n:
City Phone a
0 I am a haneawner pedonrning au work myself.
I am a sole proprietor and have no one working in any cape*
I am an employer providing workers'compensation for my employees working on this job.
CoMMW Haute: 1-1 1-,- R (ill ST1WZ1 G1,-A '
Address -I
Cft Phone
Lt42fl45�G $
Commw name:
Address
cu Phone a:
Irtsurartoe Co. PO&W a
Fs&m to secure coverape n required w dsr Section 25A a MOL 152 can iced to dm irRmIlon of abide pmaitlss d.s fine up to$1,5W.W
"or ane yeas'Impriomned_s wd.as chaps dUnJolwhm di STOP VAOMDRDER aod.e.fln d.(31m a>t> AAW apelod.ma I
understand that s copy Of this sWWnWk may be forwarded to the Of m of Invedgetlas►of fist DIA fa covereps vsrNka&m.
1 do hereby cW* ahs dpe►Jury UW the brtbrm dm pvAkd abaw a but end caned
7w
rY67
Signature Dabs_ / ' i L &Os
Print name Poon a l
OfAcm use only do not wrfts In this ares to be completed by city or tarn dfRdar
City or Town Parmlta fno
Suikft Dept
[]Check If immedlets response la rsquked [] LaCwmkV Board
[] Selectman's Ofllce
Contect person: Phone t [] Health Depettmed
[] Other
i
I
North Andover Building Department
Tel: 978-688-9545
I
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11, S150A.
The debris will be di s osed of in:
L21 7l6z_� 1.4
(Location of Facility)
Signature of rmit Applicant
kg4 4- 26k 2C65
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
i
This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142AI but does not include standard
language to protect homeownersSeek legal advice if necessary. Any Pusan phimtiag home improvements should first obtain a copy of"A
Consumer Guide to the Home Improvement Contractor Law"before agreeing to a6 work on your residence.You may obtain a free copy by
calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-727-7786.
Homeowner Information Contractor Information
Name Company Name
14
Street Address(do not use it Post Off cc Boz address) Contractor/Salespersont Owner Name
I #6r-l2S 2YAM6
City/rawn State I Zip Code Business Address
Irl• bee DOv "A 012 1+5 & C a161��,u I
DaymePhone Evening Phone City/rown
State Zip Code
ri-is 09 ! 9a. Pc.Y 01"84S
Mailing Address(It different from above) I Federal Employer ID_or S.S.Number
taw ttegoires Wtntaeth"ae w�- Fi- - cksnraara"a, �a.t.
eettam.em�slne.
N Q °^ 10 1 �f-3a .12-93J294
(Describe in detail the wart:to completed,specifying the type,brand,and deaf mmaiafs to be tried,ase additional sheets if neeessarv.]
2SPLA-ti& 3 401W hems l caleebe AWS C111TM nl&4-1 CC-WOSI TYS _
Tb 4 kr, j.0 AS ►S - Tft GCoA6 ux)ji cc PS G-t to t T44
�ft� Pty �uc.�rc�r,Ea.0 c�xl�j - No o� t,�,cu is [Atct_a.TiJ+Cs� —
Required Permits-The following building permits are requited Proposed Start and Completion Schedule-The following schedule will
and will be secured by the contractor as the homeowner`s agent, be adhered to unless circumstances beyond the conaames control arise
(Owners who secure their own permits will be �' e .
�
excluded from the Guaranty Fund provisions of * Date when contnuxor will begin contracted work
MGL chapter 142A.) 2AX S
Date when contracted work will be substantially completed.
Total Contract Price and Payment Schedule IS
The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: R I SOL M
Payments will be made according to the following schedule:
SS upon signing contract(not to exceed I/3 of the total contract price or the cost of special order items,whichever is greater)
$ MIA b ]' A_ or upon completion of �A,(
S /l by X /&_or upon completion of /V /A
upon completion of the contract (Law forbids demanding full payment until contract is completed to.both party's satisfaction)
The following material/equipment must be special Sto be paid for
ordered before the contracted work begins in order SAll &
to be paid for _
to meet the complotionschedule.(ss)
NOTES:(0)Including all finance Charges Law requires that any deposh or down-payment required by the contractor before work begins may
not exceed the greater of(a)one-third of the total cotct price or(b)the actual cost of any special equipment at custom made materiel
which must be special ordered in advance to meet the completion schedule.
Express warranty-is an exnress warranty being provided by the contractor? No. Yes tall terms of the warranty must be attached to the contract]
Subcontractors-The contractor agrees to be solely responsible.fvr completion of the work described regardless of the actions of any third
party/subcontractor utilized by the contiactor. Ifie contractor fitrttier agrt:cs•tb lie sol'el'y responsi5lb for all•psyments to aWsudconiracrors Or
materials and labor under this agreement
Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the
contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices
carefully before signing this contract
• Don't be.ptessured into signing the contract Take time to read and fully understand it Ade questions if something is unclear.
• Make sore the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and
subcontractors to be registered with the.Director of Home Improvement Contractor Registration. You may inquire about contractor
registration by writing to the Director at One Ashburton Placa,Room 1301,Boston,MA 02108 or by calling 617-727-3200,ext 25205.
Does the contractor have insurance? Check tosee that your contractor is properly insured.
• Know your tights and tesponsibi ides. Read tae Important Information on the reverse side of this form and get a copy of tate Consumer
Guide to the Home Improvement Contractor Law.
You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the
contractor in writing at his/her main office or branch office by ordinary mail posted;by telegram sent or by delivery,not later than midnight of die
third business day following the sighing of this.agreement See the attached notice of cancellation form for an explanation of this right.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESt tr
awo�ua� �wp,ww u�" cru' wux uc wtuy.aa.aw y,w....w.w,.�.........."...--..•••••..-.•....... .-- _-..T_�-._......_..__.
Hmmrnwnrr'e Ritmamrr. Cantraaoes SI re
QtZ t� lo-4 2-WS
Contractor Arbitration
as an
The Home Improvement Contractor Law provides homeowners with the right to initsame right iate action
o a
alternative to court action)if they have a dispute with a contractor. teehelshe has with a homeowner in court unless
contractor,however. The contractor would have o resolve any lie would give the sp
both parties agree to the optional
homeowner provided r the Home Improvement Contractor w contractor the same right to
arbitration as is afforded to the
The contractor and the homeowner hereby mutually agree
in advance that in the event the contractor has a dispute
concerning this contract,the contractor may submit the dispute to a private arbitration firm which has been approved
by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be
re uired to submit to h arbitration p provided In Massachusetts General Laws,chs
COn s Si
Hom wner's Signature applys above
NOTICE:The signatnres of anti The homeowner lm y initiate alternative dispute resolution the Rareement of the parties to even wve here this
resolution initiated by the con
section is not separately signed by the parties.
Homeowner's Rights ovement Coatradtor Law(MGL chapter 142A)and other consumer
A homeowner's rights underthe Home Imp even b agreement However,homeowners
protection laws(i.e.MGLicliapte 93A)may not be waived in any way, Y gym. pre=
-bed b law.
may be'excluded from certain rights if the contractor they choose is not properly registered as Fund Y visions of
Homeowners who secure their own building permits are automatically excluded from all Guaranty PiO
the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a
be entified to other specific legal rights if the contractor
timely and workmanlike manner. Homeowners may
or warranties
for workmanship or matei'iais• �addition to guarantees and fitness
guarantees or provides an express warranty an implied warranty of merchantability
ree
provided by the contractor,all goods sold in Massachusetts Carry. If you have
for a particular purpose. An enumeration of other matters on wh her homeowner basic consumer rights.ly Y u may
P as they do not restrict a
be added to the terms of the contract as long ��contact the Consumer Information Hotline(listed below).
questions about your consumer/homeowner rights,
Execution of Contract ed until a copy,of all exhibits and referenced
e contract must be executed in du—>''jcate and should not be sign
documents have t be arc"ed• Parties a'--°too adv- PA not to siert the document until all blank sections have been
filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to
be given to the owner and the other kept by the contractor. Any
modification to the original contract must be in writing
and agreed to by both parties
Contracted work may not begin until both parties have received a fully executed COPY°
d has expired.
the contract,and the three day recission perio
Accelerated Payments in advance of the dates specified on the payment schedule in cases where the
s himilierself
.A contractor may not demand payments a contractor where
homeowner deems himlherself to be financially insecure-
However,in the balance of funds s Yet due be placed in ajoint escrow
to be financially insecure,the contractor may require
thataccount as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require e
signatures of both parties.
Additional Information
about the Home Contractor
If You have general questions or need additional infooa A Consumer Guide o the Home Improvement ntctor Law or i
consumer rights,or if you wish to obtain a fres copy
Law,"contact':
Consumer Information Hotline
Executive Office of Consumer Affairs and Business Regula02108'tion
One Ashburton
place 727-77801411, oston,MA
17)
questions or need additions!information specifically
If you want to verify the registration of a contractor or if you have q
comporient of the Home Im pro Contractor Law,contact:
about the contractor registrationP
P
Director of Home Improvement Contractor Registration
Bureau of Building RblP latiOns and Standards
One Ashburton Place,Room 1301,Boston,MA 02108
(617)727-3200,ext.26205
ster formal complaints against n business,Call:
For
assistance with informal mediation of disputes or to regi
Consumer Complaint Section
Office of the Attorney General
(617)727-8400
I
BOARD OF BUILDING REGULATIONS t
I License: CONSTRUCTION SUPERVISOR
Number. CS 057754
Birthdate. 03/04/1965
Expires:03/04/2006 11.11o. 17474
} I
Restricted: 00
WILLIAM D HOPE
PO BOX 5164
ANDOVER, MA 01810
y Acting C mis one,
�\ Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
11e91strsti6n: 101730
Expiration: 6/29/2006
Type: individual
WILLIAM DAVY HOPE
William Hope
80 Campbell Rd � ,�
N.Andover,MA 01845 Administrator
I
i
NORTIy `
0 0 jr� 4 over
No. A)E i over, Mass.,
COCMICMEWICK V
A0 ATED
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.......�1.,�.,a................�,�Q,/1� �
.... ..................................................................... . ...... Foundation
has permission to e�set.. ....... buildings on ......1..90...Ao.V...clawr..., .... .. Al
Rough
to be occupied as76 chimney
...... 1�!!r✓f.... ....... .. .................................................... ............
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-laws relating to t e Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMEXPIRES IN 6 MONTHS Final
IT
UNLESS CONSTRU Rough
O SART ELECTRICAL INSPECTOR �
5
An
... .. .. ... !.. ` Service
...... . ... .. ...... ... .. ....
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
PER311T NO APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
—� MAP +40. LOT NO. `rte 2 RECORD OF OWNERSHIP 'DATE BOOK 'PAGE —
ZONE SUB DIV. LOT NO. / I
LOCATION 1-70 A
0— PURPOSE OF BUILDING A Qna -5j �y
OWNER'S NAME r`�— NO. OF STORIES SIZE
OWNER'S ADDRESS S,orr�� BASEMENT OR SLAB
ARCHITECT'S NAME a SIZE OF FLOOR TIMBERS ISS �~T 7X I✓{, ) 2ND �< )ip 3R�DJ `%Q'S^�
BUILDER'S NAME' ` SPANICS /(.L �'f� ( (/I`rJ
f DISTANCE TO NEAREST BUILDING DIMENSIONS�LOF�SILLS /
DISTANCE FROM STREET CPO �.�' '� POSTS // 1),J
DISTANCE FROM LOT LINES—SIDES }' 'y.�REAR ��'l GIRDERS 11Y
ICOfU V _
AREA OF LOT FRONTAGE (�1 HEIGHT OF FOUNDATION / THICKNESS
IS BUILDING NEW SIZE SIZE OF FOOTING X
IS BUILDING ADDITION A ^ MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY 0(_,43 IS BUILDING CONNECTED TO TOWN SEWER
�1.�J IS BUILDING CONNECTED TO NATURAL GAS L NE fl�
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES
EST. BLDG. COST
PAGE / FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER 8Q. FT
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED Q
BUILDING INSPECTOR
81GNATURE OF OWNER ORA RIZED AGEsr
FEE
OWNER TEL.#��� �^ G
PERMIT GRANTED o, �" � ^ / CONTR.TEL.# � � `-
1� LESS YM
v—
mm
Q CONTR.LIC.#
DUE FRAME PEW�3
H.I.C.# ���� 1
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY I SiOR1ES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. "
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE d t 2 f 3
CONCRETE BL'K. --II PINE
BRICK OR STONE P
PIERS PLASTER
DRY WAIL
_ _
UNFIN.
3 BASEMENT 11
AREA FULL FIN. B'M'TAREA _
'/. 1/2 '/. FIN. ATTIC AREA _
N_O B M'T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS 9 FLOORS
"'rrAr5e*R,DS B t 2 3
DROP SIDING CONCRETE
WOOD SHINGLES EARTH
ASPHALT SIDING HARDYd'D _
ASBESTOS SIDING COMMON
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME Nq
BRICK ON MASONRY ATTIC STIRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR
ADEQUATE I NONE
5 ROOF 10 PLUMBING
GABLE HIP BATH 13 FIX.)
GAMBREL MANSARD TOILET RM. (2 FIX.)
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING I 1 HEATING
WOOD JOIST PIPELESS FURNACE _
FORCED HOT AIR FURN.
TIMBER BMS. b COLS. STEAM — � �+ �y
STEEL BMS. 3 COLS. NOT W'T'R OR VAPOR F- fs
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T 2nd AJP'_ ELECTRIC
1st _j 13rd I NO HEATING
I I
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FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: _tePhon �6`4-
i
LOCATION: Assessor' s Map Number Parcel
I
Subdivision Lot(s)
Street \/ - ?IJSt. Number 00
I
************************ fficial Use Only************************
RECO DATION OF AGENTS:
I `
Date Approved A/ Y 10
Conservation Admini trator Date Rejected
Comments
Date Approved l�
! . 4 Town Planner Date Rejected
Comments
I
I
Date Approved
Food Inspector-Health Date Rejected
Date Approved
Septic Inspector-Health Date Rejected
Comments
I I
II
-4'Public Works - sewer/water connections
- driveway permit
Fire Department �
Received by Building Inspector Date 1
I
Growth Management Bylaw Exemption Statement "
Town of North Andover Building Department
This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the +
Town of North Andover Growth Management Bylaw. The building necess
ng applicant shall provide all of the ary information
as requested below.
Name of Applicant own Building Permit(below) Address of Property for Permit(below)
Map and Parcel : Purpose of Application (check below)
Phone Number of Applicant: &,,8fngle Family _Two Family
I the undersigned applicant for the above property attest that the attached building permit for which this
form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth
Management Bylaw. I also understand providing this form does not absolve me or an
to this
from the requirements of obtaining other permits required prior to the issuance of the Building Permiitpermit
Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building
Department and is only officially accepted when the Building Permit is issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the
above lot, in the building permit application and associated attachments, complies with one or more of the
following sections as indicated by a check mark.
This is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in
existence as of the effective date of this by-law,provided that no additional residential unit is created.
The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
Bylaw.
This application is for dwelling units for low and/or moderate income families or individuals,where all of the
conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is
restricted to senior persons through a properly executed and recorded deed restriction running with the land. For
purposes of this Section"senior"shall mean persons over the age of 55.
This application is a part of a development project which voluntarily agreed to a minimum 40%permanent
reduction in density, (buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the
environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently
designated as open space and/or farmland.The land to be preserved shall be protected from development by an
Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism
approved by the Planning Board that will ensure its protection.
adjThis application represents a tract of land existing and not held by a Developer in common ownership with an
acent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth
Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the
parcel.
This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and
commissions have been received and the project is in compliance with those permits),and the Development Schedule
does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per
Development until such time as the Development Schedule accommodates issuing building permits. Applicant must
supply approved form U with this EXEMPTION.
Please provide any and all information that would assist the Building Department in making a determination
that your application is allowed one or more of the above EXEMPTIONS.
By signing below I attest to the accuracy of the information provided and that the attached building permit is
allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or
inaccurate information, or the checking off of an above item which does not comply,whether done to my
knowledge or not, is gr unds for refusal by the Building Department to issue a Building Permit.
kel � ol�t
Signa re of Owner or Auth i gent who signed a Attached Building Permit ` e
This form must be attached o e Building Perm upon application for such permit.
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T0VM of 4 over
No. 5 Hy
�,o = LA E dover,- Mass., 19
COCHICME WICK ��
CO
{ S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT
.................................... ............. ..... ................................
� ��_ i n .� A �+'Si�o �, 1] �, 0} n Foundation
has permission to erect.......................................: huiidings on .......I................... ...........��............}!..... .... Rough
to be occupied as ' .t1, .,C.� Chimney
..............................,Y.............................
provided that the person accepting this.permit shall in every respect conform to the ter rrrs of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION S Rough
................................... Service
.... . . ... ...... .... . ....................................
B ING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No.
Smoke Det.
rQv1.
Town of North A d. .. .::..:::...:::;;::.:::.::;::;.;:.::::;:.:;........:.
Andover Planning Board ::.........................:....................:......:.:. ,.::::.;.::.:;:;;:»:
This form represents the schedule for allowing the following lots to be considered as eligible for
building permits under the Town of North Andover Growth Management by-law Section 8.7 of
the Zoning by-law. Pursuant to 8.7 .5 this Development Schedule must be filed in the Registry of
Deeds and be referenced on the deed of each of the lots below and be filed with the Planning
Board prior to the issuance of any builcling permit or permit for construction.
Name andAddressof Applicant of Development:
QMa and Parcel of Ori final LDateof A lication for LotsLots Covered by this SchedY
The Planning Board by their signature below, or a signature of a duly authorized representative,
do hereby establish for the above named developm..e
hedule for
the purpose of Section 8.7 of the Growth management By-Law. The applicant,their assignees,
successors and or subsequent property owners shall conform to the following schedule that limits
the eligibility of the following lots for building permits. This form must be filed in the Registry of
Deeds by the property owner or representative and be referenced on each deed for each of the
following lots. Such deed reference for the deed of each lot shall at a minimum reference the
book and page in which this Development Schedule is filed and contain the language : " This lot
is subject to a Development Schedule pursuant to the Town of North Andover Zoning By-Law all
owners, representatives, and future purchasers should avail themselves of said restriction by
reviewing the approved Development Schedule as fled in Book insert here and Page inserthere.
The fact that a lot is eligible for a building permit is subject to the limitation of the number of
building permits per year pursuant to section 8.7.2.d of the Zoning By-Law."
The Planning Board hereby schedule the lots)for the above development as follows:
Year Eligible Number of Building Office Use Building Office Use
Lots Eligible Date Lot Eligibility, Notes
Completely Utilized
Signature of Planning Board member or Authorized Representative
Q
Date
Signature of Property Owner r uthorized Representative
Y Da e.
Gi
l�T0*1,;,r���
i
1 WN OF NORTH AN D07ERIMTN',Al = �
-,�nyappeal shall beflleTcP XAssACHUsETTS
.icy
within (20) days after the
Jate of filing of this Notice "°R'"
°t ...e
in the Office of the Town
• +•�.'•,,,,.•�'��'• J. QAC'
'SAG'US
E� - Q
t D C,
NOTICE OF DECISION '
Date , August 26:1996
Date of Hearing Aug 6.Aug 20. 1996
J,
Hillside Realty Corp.
Petitionof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Premises affected Land & buildings numbered,��� ,Andover Hy.-bass. . . • . . . v . .
Referring to the above petition for a special permit from the requirements
North Andover Zoning Bylaw Section 4.125 for a modification to the special
of the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . eXinir. issued.for.bleadoweed• 11I 8/24/95
allow the creation of three additional lots fronting on Route 125
so as to )pke mk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AndoverBy-pass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h
'"A fter -a -public"her- ng ven on the above date, the Planning Boal
CONDITIONALLY
-.zo .SPECIAL PERMIT MODIFICATION.'. • . . . . . . . . . . . . . . ...-_--.
based upon the following conditions :
CC: Director of Public Works
Building Inspector r
Natural Resource/Land Use Planner
Health Sanitarian Signed
Assessors
Police Chief JosephV. Mahoney. Chairman. • . . .
Fire Chief
Richard Rowen: Vice Chairman
Applicant . . . . . . . . . . . . . . . . . .
Engineer
File Alison Lescarbeau: Clerk. . . . . . . .
Interested Parties Richard Nar.della
. . . . . . . . . . . . . . . .
• John Simons
- - - - -- _ Planninz. . Board
P y
August 26, 1996
Ms . Joyce Bradshaw
Town Clerk
120 Main Street
No. Andover, MA 01845
Re: Modification to Special Permit - Meadowood III
Dear Ms . Bradshaw,
The North Andover Planning Board held a public hearing on Tuesday
evening, August 6, 1996 at 7 : 30 p.m. in the Senior Center behind
the Town Building, on the application of James Demetri, 733
Turnpike Street, Suite 311, No . Andover, MA 01845 for a special
permit under Section 4 . 125 of the North Andover Zoning Bylaw.
The legal notice was properly advertised in the North Andover
Citizen on July 17 and July 24, 1996 and all parties of interest
were duly notified. The following members were present : Joseph
V. Mahoney, Chairman, Richard Rowen, Vice Chairman, Alberto
Angles, Associate Member, Alison Lescarbeau and Richard Nardella.
The petitioner was requesting a special permit to allow the
creation of three additional lots fronting on Route 125 (Andover
By-pass) . .-
Ms . Lescarbeau read .the legal notice to open the public hearing.
Jim Demetri was present and stated that the application is for
three lots all fronting on Rt . 125 with one common drive
servicing two homes . The Gallant home will remain and two new
homes will be built that will use the common drive . Ms . Colwell
stated that there were no comments from Town staff, and the
common drive alleviates the need for another curb cut .
The applicant has applied for a common drive and access permits
and will be on the August 20th agenda for these items . Due to
this, the Meadowood III - Subdivision/R-6 modification is
continued until that meeting. ,
The North Andover Planning Board held a regular meeting on August
20, 1996. The following members were present : Joseph V. Mahoney,
1
r �
Meadowood III- Modification
Special Permit R-6 Zoning District
I
The Planning Board herein approves this modification to the Special Permit issued on August 24,
1994 which allowed the construction of 27 single family homes on 5,000 square foot lots in the R-
6 Zone. This modification allows the creation of an additional 3 lots (1M, 2M, and 3M) with
frontage on the Andover By-pass (Rt. 125). No new roads will be constructed. This modification
was requested by Hillside Realty Corp., 733 Turnpike Street, Suite 311, North Andover, MA
01845, dated July 10, 1996 in the R-6 Zone.
This modification does not supersede but is in addition to the Special Permit issued for
Meadowood III on August 24, 1995.
FINDINGS OF FACT:
The Planning Board makes the following findings as required by Section 10.31 of the Zoning
Bylaw:
1. The specific site is an appropriate location for 5,000 square foot lots as it is zoned R-6 and is
adjacent to a subdivision with similar lot sizes. The creation of these lots is part of the overall
master plan for the R-6 Zone.
I
2. The use as developed will not adversely affect the neighborhood as the site is adjacent to
similarly sized lots.
3. There will be no nuisance or serious hazard to vehicles or pedestrians as there will be only two
curb cuts onto the Andover By-pass. In addition to this special permit, a common driveway
permit will be issued.
4. Adequate and appropriate facilities will be provided for the proper operation of the proposed
use.
The Planning Board also makes the specific finding that this use is in harmony with the general
purpose and intent if the Zoning Bylaw. The development is sufficiently advantageous to the
Town and promotes the public welfare, safety, and general welfare of the citizens of the Town of
North Andover. In particular the Planning Board finds that this project will:
1. Permit greater flexibility and more diverse efficient, and economical design of residential
developments;
2. Facilitate economical and efficient provision of utilities;
3. Meet the Town's housing needs by promoting different types of housing which is a benefit to
the residents of North Andover;
1
� w
4. Conform to the overall intent of the R-6 Zoning District concerning the lot design, road layout
i
and other site features.
Finally the Board finds that this site complies with the Zoning Bylaw requirements so long as the
following additional conditions are complied with. Therefore, in order to fully comply with the
approval necessary to construct the project as specified in the Special permit application, the
Planning Board herein grants this approval provided the following conditions are met:
I. Prior to any work on site, the applicant must inform the Town Planner prior to any tree
clearing. Any tree clearing shall be kept to a minimum throughout the project to minimize
erosion and preserve the natural feature of the site.
2. Prior to FORM U verification for an individual lot,
a) Lots 1M, and 2M require a special permit form the Planning Board for access
other than over the legal frontage and access via common driveway. A special
permit must be obtained, recorded with the Registry of Deeds, and a certified copy
of the recorded decision received by the Planning Office prior to issuance of a
building permit for these lots.
3. Prior to Certificate of Occupancy being issued for an individual lot:
a) Roof drains and leach pits must be constructed as shown on the plan and reviewed
by the Town Planner and the Division of Public Works.
b) The site shall be continuously reviewed by the Planning Board and Staff. Any
additional screening as may be required by the Planning Board shall be added at
the applicant's expense.
c) All disturbed areas on the lot in question must be stabilized.
d) All site amenities associated with the lot in question shall be installed. (i.e. fences,
landscaping, walkways and driveways)
e) The lot must be raked, loamed and seeded, sodded, or mulched if weather
conditions do not permit seeding or sodding.
4. Prior to the final release of security, all conditions of this decision and the subdivision
decision must be complete.
5. A complete set of signed plans, a copy of the Planning Board decision and a copy of the
Conservation Commission Order of Conditions must be on file at the Division of Public
Works prior to the issuance of permits for connection to utilities.
6. The applicant shall adhere to the following requirements of the Fire Department:
2
a) All proposed structures are to contain residential fire sprinkler systems in
conformance with the North Andover Fire Department.
7. Any action by a Town Board or Commission or Department which requires changes in the
roadway alignment drainage facilities, grading or no-cut lines may subject this decision to
a modification by the Planning Board.
8. 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.
9. All construction shall commence within two (2)years from the date of this approval,
dua. .:ig:zPa _and shall be completed within five (5) years from the date of this
approval aa�Lr moo � If construction has not commenced or been completed
in this time frame, this decision will be automatically rescinded.
10. This Special permit approval is based upon a Definitive Subdivision Conditional Approval
Modification. The Special Permit and Definitive Subdivision approvals are both based
upon the following information.:
Plans: Modification to the Special permit and Definitive Plan
Meadowood III
North Andover, Mass
Owner& Developer: Need to change from Quest to Hillside Realty Trust
Scale: 1' = 40'
Date: June 10, 1996
Prepared by: Merrimack engineering Services, Inc.
66 Park Street
Andover, Massachusetts 01810
Sheets.-_1 through 4
cc. Applicant
Assessor
Building Inspector
Conservation Administrator
Director of Public Works
Engineer
File
Fire Chief
Health Administrator
Police Chief
I
3
� I
i'
and
Meadowood III - Subdivision/R-6 modification
Mr. Mahoney yes
Mr. Angles yes
Mr. Nardella yes
Ms . Lescarbeau yes
Mr. Simons abstained
Attached are the conditions .
Sincerely,
;I ,---�
oseph V. Mahoney, Chairman
North Andover Planning Board
3
h
Chairman, Alison Lescarbeau, Clerk, Alberto Angles, Associate {
Member, Richard Nardella and John Simons .
191 Andover By-pass (Meadowood III) Common Drive and Access
and
Meadowood III - Subdivision/R-6 Modification
Ms . Lescarbeau read the legal notices to open the 'public hearings
on the common drive and access . The subdivision/R-6 Modification
public hearing was opened at the August 6, 1996 meeting. Because
the property is all in the same location, it makes sense to speak
of this all together.
Steve Stapinski was present and stated the proposed plan is for a
common drive for lot 2M and access over lot 2M to lot 1M. Mr.
Nardella asked if this was wetland and Mr. Stapinski replied in
the affirmative . Mr. Simons questioned how this could be a
modification when it was never in the original subdivision. Ms .
Colwell stated that she understands Mr. Simons concerns, but Town
Counsel stated that a land can be added to an existing
subdivision either by modifying the original or by filing a new
plan. In this case, because there is a 3 acre minimum in the R-6
zone and this property does not contain 3 acres it must be
considered as a modification.
Mr. Angles and Ms . Lescarbeau both stated that this plan is a
vast improvement over the plan submitted a few months ago . Ms .
Colwell stated that the Board did, in fact, review a plan for 4
lots and at that time directed the applicant to return with a 3
lot plan.
The Board set the site opening bond for the Common Drive at
$5, 000 .
The Board set the site opening bond for Access at $5, 000 .
On a motion by Ms . Lescarbeau, seconded by Mr. Angles, the Board
voted unanimously to close the public hearings on:
191 Andover By-pass (Meadowood III) Common Drive
and
191 Andover By-pass (Meadowood III) Access
and
Meadowood III - Subdivision/R-6 modification
On a motion by Mr. Nardella, seconded by Mr. Angles, the Board
voted as follows to approve the draft decisions for:
191 Andover By-pass (Meadowood III) Common Drive
and ••,
191 Andover By-pass (Meadowood III) Access
2
^�v
Town of North Andover Planning Board
This form represents the schedule for allowing the following lots to be considered as eligible for
building permits under the Town of North Andover Growth Management by-law Section 8.7 of
the Zoning by-law. Pursuant to 8.7 .5 this Development Schedule must be filed in the Registry of
Deeds and be referenced on the deed of each of the lots below and be filed with the Planning
Board prior to the issuance of any building permit or permit for construction.
Name and Address of Applicant for Lots: Name of Development: N
r•
\ 0
Map and Parcel of Original Lot: rr1 719
Date of Application for Lots Division: 46
Lots Covered by this Schedule: t
The Planning Board by their signature below, or a signature of a duly authorized representative,
do hereby establish for the above named development the following Development Schedule for
the purpose of Section 8.7 of the Growth management By-Law. The applicant, their assignees,
successors and or subsequent property owners shall conform to the following schedule that limits
the eligibility of the following lots for building permits. This form must be filed in the Registry of
Deeds/by the property owner or representative and be referenced on each deed for each of the
following lots. Such deed reference for the deed of each lot shall at a minimum reference the
book and page in which this Development Schedule is filed and contain the language : "This lot
is subject to a Development Schedule pursuant to the Town of North Andover Zoning By-Law all
owners, representatives, and future purchasers should avail themselves of said restriction by
reviewing the approved Development Schedule as filed in Book insert here and Page insert here.
The fact that a lot is eligible for a building permit is subject to the limitation of the number of
building permits per year pursuant to section 8.7.2.d of the Zoning By-Law."
The Planning Board hereby schedule the lot(s) for the above development as follows:
Year Eligible Number of Building Office Use Building Office Use
Lots Eligible Date Lot Eligibility Notes
Completely Utilized
94,
Signature of Planning Board member or Authorized Representative
LAU
Date
Signature of Pro erty Owner or A uthorized Representative i
�� Date
r
o
y �
I
I
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
_
�t
Building Permit Number T nate_ C `�
THIS CERTIFIES THAT
THE BUILV#NG LOCATED ON / ?o D V 7,C- SS
MAY BE OCCUPIED AS 491.4 JAC N ACCORDANCE I'
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE B LDING CODE AND
SUCH OTHER REGULATIONS, AS MAY APPLY.
pORtlr i
�', •• "�o CERTIFICATE ISSUED To
' ADDRESS
CH
uil ' g Inspector
1
O't„ORTH
Town of 4Andover
0
Z- � E Cover, Mass., 19
COC MICMEwICK
ADRATED PPa\ ��
S BOARD OF HEALTH
PERMIT T. D Food/Kitchen
Septic System
BUILDING INSPECTOR
R
THIS CERTIFIES
Foundation
ation
�p
has permission ?o erect..................I- ................ buildings on .......1. .4........ .QOU .4.4...... Y.''4...!¢. .5 Ro
to be occupied as..................................................... /.. .a..46..........F4409.1 !.....,�.'................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of j
Buildings In the Town of North Andover. PLUMBING 114SPE41TOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. ug 1��9' `"'P
f_
PERMIT EXPIRES IN 6 MONTHS in
� T
UNLESS CONSTRUCTION S ELE I _T
....................................... . .......... ...... .... .......................................
B L ING INSPECTOR
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Dis la in a Conspicuous Place on the Premises — Do Not Remove A11/V/
P Y P 60 ,� ,
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No. o k.
Smoke De