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Miscellaneous - 220 DALE STREET 4/30/2018 (2)
�ais- aao D)9-LE sc. dD�/ L3AJ9�/ � F ti Bajan Board ofAppeals `.f LEGAL NOTICE, c .TOWN OF NO"ANDOVER BOARD OF.APPEALS z NOTICE ' el Notice Is hereby given that the Board of Ap- peals will hold public hearing at the Senior` I ii . Citizen's Center located at the rear of they j! Town Building, 120 (Main Street, North An-.> - .dover on Tuesday Evening the 11 th dayreenc. of, 4' October 1994, at 7:30 o'clock, to alles Interested In the appeal of Joni Be- questing a SPECIAL PERMIT of9, Paragraph 9.2 (1) of the Zoning By Law so: as to permit the e:rtenslon and alteration of' a non-conforming stricture on the premises, j located at 218-220 Dale Street. By Order of the Board of Appeals William J. Sullivan, Chairman North Andover Citizen 9/21,28 2t I C QU I � ' � E E i k 1 cc Via+xnnnz *t" ,r ^S°T-+`?�• - . . .C1 �* ' MORTGAGE INSPECTION PLOT PLAN NORTHERN ASSOCIATES, INC 65 SALEM STREET,LAWRENCE,MA 01843 i Tel 508-975 7117 cAT7+01it4 Qts - mo GIALE 81FEET PLAN AEF.; ♦ Q141 i Imre N. AAvomm KA, ` JOA IV• OCT/!! /DO ', .rGl9 tR AV/ 41AW ltl.av r ! 976 ACfWS Y; Ma00 ,t� � •� 5 k y} ,�.� 1 FURTHER STATE THAT was ', . OPINION he principle saueurars ane accessoryautbu `- fNOe Output and Is not to be roMied OPINIOnpl.'' NoAnm Attoe4tas, Int. aecapts no c td 0/ CONFORM. N►tktttlapa tesuftnp from ufd raiarlca by 4 Mtet!!»we narq.pee.cad w attlom In ++ with as setback rmgWkements of oa local zonkq Y; Owes"ttlwgaos fi taneirtp ro said t r ord ranee:.cad thal then w no wiaoadvnwtts of mtdor a' knprovementt sid w way.trots propwy bas ezooq as Y ; �{' r i v �_ f`. ,+ shown - .-vt.`� .r ., r ALSO' - .. * . Oleo eocoroanca `Qr i 1 c��O i 1.Properly Is not n i Flood Hazard Ates mat si Flood Area. fa Ift"e Loan 4ko tvur��o � 08&nffwm k Imp"Is sinsufficient 10doWmimFlood Isazard ` Mattaetagm Attoefatlort x s Flood Hazardds*m**dkomMrstFsft Flood eere Nai - ; Insurance RAW Mao Pwtal , ��s.r / c rte.. M�... t .. � :' .. •J-.y,r THIS REVISION IS TO AMEND THE TYPED "NOTICE OF DECISION" 3�. �'. � JOO 6. ten• :?e, TOY" TIME ST AMPED 1 - -... iaas hlOR i c: �f�'••.....: OCT 18 11:26 AM 94 s to include the provisions �''•." .00T 10 of Section Tom OF NORTH ANDOVER Paragraph 10.3 of the Any y appeal shall be filed Zoning Bylaw. within (20) days after the date of filing of this Notice BOARD OF APPEALS in the Office of the Town Clerk. NOTICE OF DECISION i 10-19-94 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . 055-94 di Petition No.. . . . . . . . . . . . . . . . . . . . . . Date of Hearing. 10-11. . . Petition of JON. BAJAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected 2.1.8-220. Dale .Street. . . . . . . . . . . . . . . . . . Referring to the above petition for a SPECIAL. PERMIT under Section 9, Paragraph 9.2 (1) of. .the Zoning .Bylaw.. . . . .. . . . . . . . . . . . . . . . . . . . . so as to permit an extension to a non-conforming .s.tructure. .on .the. p.r.emises. . . . . . . located at 218-220 Dale Street. . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to GRANT. . . . . the SPECIAL PERMIT AS REQUESTED and hereby authorize the Building Inspector to issue a permit to for the construction of the above work, based upon the following conditions: The Board finds that the .applicant satisfied the provisions of Section 10 , Paragraph 10. 3 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming use to the neighborhood. c: Applicant Signed �� J�// (�01 Abutters William J. Sullivan,. Chairman. Towns Walter Soule, Vice Chairman Bldg. Dept. Rober.t .Ford. . . . . . . . . . . . . . . . . . . . . . . Health Dept. John Pallone NACC Scott. .Karpinski . . . . . . . . . . . . . Director Plnng & Comm. Develop. . . . . . Town Planner . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . Selectmen Town Manager DPW Board of Appeals Fire Police File THIS REVISION IS TO AMEND THE TYPED "NOTICE OF DECISION" TIME STAMPED f •� 1Cis, ' •� tags .�' � to OCT 18 11:26 AM 94 4criu�t'�'� to include the provisions �►•••�•••' OCT 08 of Section 10 TOWN OF NORTH ANDOVER Paragraph 10.3. of the An Zoning Bylaw. MASSACHUSETTS Y apo. sha I be filed within (20) dmys after the date of filing of this Notice BOARD OF APPEALS in the Office of the Town Clerk. NOTICE OF DECISION e s Date . . . . . . . . . 10-19-94. . . . . . . . . . Petition No.. . . 055. . . . .-94. . . . . . . . . . . . Date of Hearing. 10-11-9.4. . . . . . . . . . . . . . . . . Petition of JON. BAJAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected 218-220. Dale .Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition for a SPECIAL. PERMIT under Section 9, Paragraph 9.2 (1) of .the Zoning Bylaw.. . . . . . . . I . . . . . . . . . . . . . . t an extension to a non-conforming gtructure. .o.n .the. p.r.emises. . . . . . . so as to permi located at 218-220 Dale Street. . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . After a public hearing given on the above date, the Board of Appeals voted to GRANT. the SPECIAL PERMIT AS REQUESTED and hereby authorize the Building Inspector to issue a permit to . . . . . . for the construction of the above work, based upon the following conditions: The Board finds that the applicant satisfied the provisions of Section 10 , Paragraph 10. 3 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially 'more detrimental than the existing non-conforming use to the neighborhood. c: Applicant Signed ��%� J ��� ' IJ 01 Abutters William J. Sullivan,. .Chairman. Towns Walter Soule, Vice Chairman Bldg. Dept. Robert Ford . Health Dept.P John Pallone NACC Scot.t. .Karpinski . . . . . . . . . . . . . . . . . . . Director Plnng & Comm. Develop. Town Planner . . . . . . . . . . . . . . . . . . . . . . . . . . Selectmen Town Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15PW Board of Appeals Fire Police File i� Ile, � 6 1^' "N pfo RTF 01 25 filed `t( "ei the �9SS4 CFMUSES�y I"ot,ce jceGf L Town TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS * Jon Bajan * DECISION 220 Dale Street * Petition #055-94 North Andover, MA 01845 * ******************************* The Board of Appeals held a regular meeting on Tuesday evening October 11, 1994 upon the application of Jon Bajan requesting a Special Permit under Section 9, Paragraph 9. 2 (1) of the Zoning Bylaw so as to permit an extension to a non-conforming structure on the premises located at 218-220 Dale Street. The following members were present and voting: William J. Sullivan., Chairman; Walter Soule, Vice Chairman; Robert Ford; John Pallone and Scott Karpinski. The hearing was advertised in the North Andover Citizen on September 21 and 28, 1994 and all abutters were notified by regular mail. Upon a motion by Mr. Pallone and seconded by Mr. Karpinski, the Board voted to grant the Special Permit as requested. The Board finds that the applicant satisfied the provisions of Section 10, Paragraph 10. 3 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming use to the neighborhood. " Dated this 18th day of October, 1994 BOARD OF APPEALS William J. Sullivan d, Chairman •?• •�j�• �iJ•:- f v3.�� •e7• r 71 C, //yy • i aas • .E L�r;, ; i CH ^•' OCT 2S TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Date . . . . . . . . . . . . 10-18-94 . . . . . . . Petition No.. . . . . .055-9.4 . . . . . . . . . Date of Hearing. . .10-11-94 . . . . . . . Petition of Jon. Bal an . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . Premises affected 218-220 Dale Street Referring to the above petition for a SPECIAL .PERMIT under Section 9,. .Paragr4ph .9.2. .(1.). .of. the. Zoning, Bylaw. . . . . . . . . . . . . . . . . . . . . . . . . so as to permit an extension to a non-conforming structure on the premises. - . . , . . . , located at 218-220 Dale Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . GRANT. . . . the SPECIAL PERMIT AS REQUESTED and hereby authorize the Building Inspector to issue a permit to Jon Baj an for the construction of the above work, based upon the following conditions: f Signed, G/ William J. Sullivan, Chairman . . . . . . . . . . . . Walter Soule, Vice Chairman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Robert Ford . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JohnPallone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Scott Karpinski Board of Appeals { 7 ! o oofth No. 457 ' ;. ,.North;Andover, Mass., CQTtfl�—M I S 199f— PE. BUILD , BOARD OF HEALTH Food/Kitchen RMIT TO Septic System BUILDING INSPECTOR THIS CERTIFIES THAT?i.i 1 L.1?j Mt1caY.... i�.!�.R�. 1, .. .. �buAl .v....... ...148Ek Wr.!4'a................... Foundation has permission to e>reet.. �' ' X.-................ buildings on ..1.47?q...F .r?Off...... �. ��-- Rough 30x.25 ..� t/ �Mt opiRsslow— a c s/eG 4�.Wt . Chimney to be occupied as............................................... ... . . ......... y . . ... . . ...................................................................................... provided that the person accepting this perm 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 the Inspection, Alteration and Construction of • Buildings in the Town of North Andover. F*LL %Aape_k- rVq. T�L-x !0=&4,d*,jz&L, £7ualwe%oe PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit.. Rough 1"tE. N".1 V-1 r � 3 �� a �'"� [\"I( I.r Final 171 I )( I ( e j ) ` ' I I?.'._,j ELECTRICAL INSPECTOR Rough �!...1�s............ ...... ...' ... ..... .. �.... `........................ Service BUILDING INSPECTOR " Final GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Fnagh No Lathing or Dry "Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. SEWER WATER FINAL DRIVEWAY ENTRY PERMIT . ._....ter_. _.._,__ .__.... ,..... _.-..._ . JM ` Received by Town Clerk:. SEP 9, TOWN OF NORTH ANDOVER, MASSACHUSETTS 8 BOARD OF APPEALS APPLICATION FOR RELIEF FROM THE ZONING ORDINANCE Applicant 1 Address =7/9- -&-7' 7 9-'&-7' _ Tel. No. S - l:' Application is hereby made: a) For a variance from the requirements of Section Paragraph and Table of the Zoning Bylaws. b) For a special Permit under Section Paragraph L (t) of the Zoning Bylaws. C) As a Party Aggrieved, for review of a decision made by the Building Inspector or other authority. / 2 . a) Premises affected are land and building (s) !� numbered D A-L� Street. b) Premises affected are property with frontage on the North (South ( ) East ( ) West ( ) side of Street. Street, and known as No.' ' . 2 61 Z= 10 L� Street c) Premises affected are in Zoning District , and the premises affected have an area of 1•3 S square feet and frontage of 147.9 feet. 3 . ownership: a) Name and address of owner (if joint ownership, give all names) : ��l 7-�PR M i S /3T Date of Purchase /O^Zl- VO Previous OwnerSfCWT "V25 b) 1. If applicant is not owner, check his/her interest in the premises: Prospective Purchaser Lessee Other 2 . Letter of authorization for Variance/Special Permit required. Sec-mNb je406w •4bP17704 4 . Size ofprop�os�ed building! -33 front; feet deep; Height J —�-^1 stories; h feet. a) Approximate date of erection: 414bcdso n4QW1 VMIJ F?r��eY4t- b) Occupancy or use of each floor: /1; Z-49-j eL L!✓/Ntrun B ES/W,4,M c) Type of construction: r-4? 7 ,-,rtfi;!�.��'.t .m"'�'.oy�- ^s•�..n.,,...�*�-:,ahr-,c�ne.;`� '°'�'c'r,xgf'7"' ,:r'as"R�'�"?""ar,'a- vaTMr'aac^'�'.�,:�-m.�—:r. . .. ».. . ......,,. ., _.... .-- . . . 5 . Has there bee a ,-.previous appeal, . under zoning, on these premises?' D , If so, when? 6. Description of 'relief sought ori this petition gZ A RAA7/,04 ?EVbN m f W&C 719 //.ou3 C aLO d-x�.sr/Nlr_.1e9j: C4eF -s a-7- 7i Deed recorded in the; Regis ry of Deeds in Book 318D Page 1�3 Land' Court Certificate`No. - --Book Page The principal points upon .which I base,, my application are as follows: (must be stated in detail) L a ,l N .tlON— poemiArAr ory-advool , i b� f20�OMg. Gt1i�L GGtaY✓ F/�»l lL✓On, �M. ®N F/r167 P -0O/2 . I agree to pay the :filing fee, advertising in newspaper, and incidental expenses* Z47-Gf '� .s.... Signature of Petitioner ) Every application for action by- .the Board shall be made on a form approved by the Board. These forms=.,shall be furnished by the Clerk ' upon request. "Any communication purporting to be an application shall be treated as , mere notice of intention to seek relief until such time as it is made on the official application forma All information called for by the form shall be furnished by the applicant in the manner therein. prescribed. Every application shall be' submitted 'with a list of "Parties of Interest" which list shall include the : petitioner, abutters, owners of land directly opposite on any public or private street or way, and abutters to the abutters within three hundred feet (3001 ) of the property line of the petitioner as they appear on the most recent applicable tax list, notwithstanding that the land` of any ' such owner. is "located in ;'another city or town; the Planning Board of'the ."city , or:-,town, ='and the Planning Board of every abutting .city or town *Every application `shall*` be :submitted'lwith an application charge cost in the amount, of $25i00, Ih 'addit - the petitioner shall beresponsible ' for :'any` and,`all . costs 'involved in bringing the petition before the Board. Such - costs "'shall include mailing and publication ' but: are , not ;necessarily limited to these. Every application shall'be�submitted with a plan of land approved by the Board. No 'petition, 'will, be -; brought before the Board unless said plan has been submitted: Copies of the Board ' s requirements regarding plans `are` attached hereto or are available . from the : Board of Appeals upon request. Rev. 4/93 ji 4, - LIST OF PARTIES OFINTERESTPAO F LLO Ai SUBJECT�PROPERTY" MAP. PARCEL, NAMEADDRESS,—— r9l: p "it 11tr .......................... r tl ABUTTERS�i V NAME, ADDRESS, MAP � PARCEL`; 4 to • tl 0,0'2�z ars "A mg .tell: • t �J <'#� .. M. ,. ... a-,rS-;-+; wc•—tea ^'-- ;'T1".-+�'z . - - I. ,r -7-11,417 t E P + xs f -� a -'� ♦, ,ltk�;.. . - .:"" j '$ .,�, k ,.'„'All ���, ��� MORTGAGE INSPECTION".PLOT .PLAN ' `' ' NORTHERN ASSOCIATES;"INC. 65 SALEM STREET,LAWRENCE,MA 01843 Tel 5061-976-711` r i7 t' ry r t} I��fr .lAa`� gA.L9 N V DEFD /fir, , two 04 MM pts — RAO DALE 8MET PLAN M-i'' i•TAIL? N. AAOOM7 . NA, w i SCALA 1- 80 ` A17L ACT/ !! / p0 R 90/41AM ' !1!.017 air 1U t` . 3 rl F - 1.375 A CAFS t :rp , � N + A kvw s ry ' { 1�' NR�97TF/BIETiN AK>r r&AW L10 � Impaction utas 'prepared I FURTHER STATE THAT IN MY PROF l 41101111111119 VBPows and Is not 10 be relied t OPINION tie principle sevae,rals and accessory NmMn Associatep , Inc. accepts no, ", ,oumuildngs,", s' flM tlarrresulting from said reliance by J1�b VI CONFORM,—: naga 1t1aa r+a acid mwVapaa and Its assigns In r ++ a wlth ma setback requirements of dns local zonhp !lb f>1wow rtarltl" finondng to sold 'ti r , ordnenees,and dut then are no oncroadxnentt of rrador � Improvements 944 way across property Ems essapt as f 9 M shown. e ALSO a accedence COr i 1 tP1. 1.Property is rat ina Flood Hazard Ana 0 0 2.ProertypIs Ina flood Hazard Aro*• lar Wmage loan 4ko 3vRr�� 0&Inlomnatton ii imW6dam lo demrmfrm Flood Mazwi ~mssm"se n/usoetelbn Flood Hazard determined Mom teMat Fedwel Flood, 0,4 + Mnumme Rea man Pvwt z: ` JOYPI- V£' t Na0R T 0" Received by Town Clerk: r SEP I9 9 3 v9q TOWN OF NORTH ANDOVER, MASSACHUSETTS BOARD OF APPEALS APPLICATION FOR RELIEF FROM THE ZONING ORDINANCE Applicant \ Address Tel. No. Application is hereby made: a) For a variance from the requirements of Section Paragraph and Table of the Zoning Bylaws. b) For a special Permit under Sectionq,a Paragraph L.- of the Zoning Bylaws: C) As a Party Aggrieved, . for review of a decision made by the Building Inspector orother authority. / 2 . a) Premises affected are land and buildings) tl numbered 2/BI.-220 Z) A-LStreet. b) Premises affected are property with frontage on the North (South ( ) East ( ) West ( ) side of Z> 6" Street. Street, and known as No. Street C) Premises affected are in Zoning District fzt and the premises affected have an area of 1-32V- AIWS square feet and frontage of 147.9 feet. 3 . Ownership: a) Name and address of owner (if joint ownership, give all names) : t'ah/ CF � 43 41r/204 Date of Purchase O Previous OwnerSeWT MV25- b) 1. If applicant is not owner, check his/her interest in the premises: Prospective Purchaser Lessee 01ther 2 . Letter of authorization for Variance/Special Permit required. 5E'c.mND f'Gdo,c./fbDiTl,Or� � � feet dee 4 . Size of proposed building: 3 front; , p • Height stories; feet. �a a cis c�yrisri+�f a) Approximate date of erection: 46l41jedso nlq*l tt1101,J 09-rrnoY4L- b) Occupancy or use of each floor: /,1i ,let LI w9 f3 -f$ o,0,M5 C) Type of construction: 54 Has there , bee a,,:previous appeal, under zoning, on these }r premises? . 0 - If . so, when? . 6. Description of'.-reliefsought-'on' this petition �q /D.Q/L"4 1FV6AjTt9 //.Ouse Gzaw Ewl OD GIMP -5 a T 7 Deed recorded` in the, Registry'-of,� Deeds in Book 318b Page /2-..i Land Court:Certificate No.'R '. Book Page The principal points upon' ' which `I base.-my application are as follows, (must'be `stated , in detail) 0 Q /N 12 m0 a 4 aJD MOMIS a2i Lt. 41,io ►/ rim!`j iZOVM '7Z. eN FIrtST F Loma . I agree to pay the filing ,fee,: advertising in newspaper, and incidental expenses* Opr Signature of Petitioner r g ) Every application for action by the Board shall be made on a form approved by the Board. ". These ' forms shall be furnished by the Clerk upon trequest, : Any # communication purporting to be an application shall be treated as mere notice of intention to seek relief, until such time as it' is ' made, on the official application form. All information .called for by the form shall be furnished by the applicant in the- manner- therein prescribed. } Every application shall be submitted with a list of "Parties of Interest" which list shall' include the petitioner, abutters, owners of land directly'. opposite on any public or private street I or way, and' abutters to the abutters within three hundred feet (3001 ) of the property line.'of - the ` petitioner as they appear on the most recent applicable tax list, notwithstanding that the land of any such owner 'is located in another city or town, the Planning Board of the city . or_`,town, , and the Planning Board of every abutting city or town. . *Every application shall be submitted with an application charge cost in the amount of $25: OO: ' In addition, the petitioner shall be responsible for any and all costs involved in bringing the petition before the Board: - Such .costs shall include mailing and publication, but are not necessarily limited to these. Every application shall- be ^submitted`with a plan of land approved by the Board. No petition will ' be ; brought before the Board unless said plan has ;: been -.submitted: Copies of the Board ' s requirements regarding plans are attached hereto or are available from the Board of, Appeals .upon, request. , Rev: _4/93 I` .fr�{r,-r,:-.,..,�,,.- h,. ^'�r*„s.-.e:'.+r r�''^?ar��- ;. r, :.:'°�:'e,r`"r-z"r""'F"''""`h"9" ,e,,•,�.,,.... •er f:r LIST-OF PARTIESOF INTERESTTr PAG _' " OF 4T','.."b'"1„-"�:..£._-wl •r,. .. , SUBJECT�PROPERTY � { M1.. ..'_ �PARCEL, ,.N ��O/•"... .. NAME- � ....,�M. aE ea:rr.5,^�e.�t�f✓vr;f ;"sn'd''s`a}t'.r.'�r,F.r�.a`•'t'I�nr,er...iy,,i�.5"aia�.,.?�, A A-wD_tDkarRywa:.3+'E°.`:e 71 -OjSf{S•�'1e$pi}.:MAP ABUTTERS ADDRESS_ MAP PARCEL NAME ,'' Vjt fr & Ysr 11 . r p% M1 1' S �r I , • i I , , �r_ ,. ... .,... ..«... .,_ ...-rti,M+r.�...,.r.�-zrr c?.„.i b 7s 'A,•eot•,. v ui ,.k l+:+ 3Rv.•. .i. ... .. .. ... , *,.�y y'';r• ram+ 4'r•,r.re. if _y:s" r+a 1,,:'itx rgS .«,rw,.tw•av �,;.pv .pt t..; .,. .r .. e i lm +•f tiS F 4 '1 J : 4 5 ` Ion Board bf als !Baan Board of Appeals ' LEGALNOTICE e,t: .TOWN OF NORTH ANDOVER NORTH k BOARD OF.APPEALS LEGAL NOTICE of°t, E 6�tio 7 s� > NOTICE TOWN OF NORTH ANDOVER 3s ° o� F.Notice Is hsieby given that the Board of Ap- BOARD OF APPEALS o p�egs will hold,a public hearing at the Senior NOTICE '� Citizen s Centel located at the rear of the Notice is hereby given that the Board of Ap-, a e . Town Building, 120.Main Street,North An- peals will hold a public hearing at the Senior E..dover on Tuesday.Evening the 11th day of Citizen's Center located at the rear of the. ' <-•- ' October 1994,at 7:30 o'clock,to ail Town Building, 120 Main Street, North An- '� ° °° ty Interested in the appeal of Jon Ba n re- SS on Tuesday Evening the 11th day of 9SSgcFHusEs uesting a SPECIAL PERMIT of ec. 9, October 1994,at 7:30 o'clock, to all arties, i Paragraph 9.2(1)of the Zoning By Law so' interested in the ap eal of Jon Baan re- ` p as to permit the extension and alteration of Guesting a SPECIAL PERMIT of ec. 9,1 ;a non-conforming structure on the premises, Paragraph 9.2 (1)of the Zoning By Law so TOWN OF NORTH ANDOVER located at 218-220 Dale Street as to permit the extension and alteration of, `�� By Order of the BoardofAppeals a non-conforming structure on the premises, MASSACHUSETTS William J.Sullivan,Chairman located at 218-220 Dale Street. North Andover Citizen 921,28 2t By Order of the Board of Appeals — William J.Sullivan,Chairman North Andover Citizen 921,28 211 BOARD OF APPEALS i NOTICE Notice is hereby given that the Board of Appeals will hold a public hearing at the- Senior' Citizen' s Center located at the rear of the Town Building, 120 Main Street, North Andover on Tuesday evening the 11th day of October 19 94 , at 7:30 o'clock, to all parties interested in the appeal of Jon Bajan requesting a SPECIAL PERMIT g� Paragraph 9.2 (1) �i of Sec. g P of the Zoning By Law so as to permit the extension and alteration of pre-existing non-conforming structure. on the premises, located at 218-220 Dale Street By Order of the Board of Appeals William J. Sullivan, Chairman. September 21 and 28, 1994 Publish in the North Andover Citizen on r tJ t1 r: Received by Town Clerk: F 37 jJ14 TOWN OF NORTH ANDOVER, MASSACHUSETTS BOARD OF APPEALS APPLICATION FOR RELIEF FROM THE ZONING ORDINANCE Applicant l A Address c� R- aaO Tel. No. (QRS " yb 1:' Application is hereby made: a) For a variance from the requirements of Section Paragraph and Table of the Zoning Bylaws. b) For a special Permit under Section s Paragraph of the Zoning Bylaws. c) As a Party Aggrieved, for review of a decision made by the Building Inspector or other authority. / 2 . a) Premises affected are land and buildings) !/ numbered 71/s -22-0 D I+LL-1-7 Street. b) Premises affected are property with frontage on the North (South ( ) East ( ) West ( ) side of Pf1•L err Street. Street, and known as No. 2-/6 - (-4!fG.4�F Street. C) Premises affected are in Zoning District and the premises affected have an area of 1•3 Ssquare feet and frontage of 147- 9 feet. 3 . Ownership: a) Name and address of owner (if joint ownership, give all names) : /� ct cJ r40,P M'ft"/S Date of Purchase fb-Z9- !J Previous Owner5CWT h-405 b) 1. If applicant is not owner, check his/her interest in the premises: Prospective Purchaser Lessee Other 2 . Letter of authorization for Variance/Special Permit required. Sec-43N-b 1ee,0&w..4bJ>'710AJ 4 . Size of proposed building: �3 front; feet deep; HeightiE stories; feet. a) Approximate date of erection: vlo ►J 09'ttnOv4t- b) Occupancy or use of each floor: /57 filet- W✓/ AID B9J",oAS C) Type of construction: &040.0 A•z4lmd 5 . Has there bee4 a previous appeal, under zoning, on these premises? MO . If so, when? 6 . Description of relief sought on this petition -aA? Z) a G ?EQ bq!b t b&PC TO 6 W i ^' � f -S f�.5�27�{ �{ou3 �t S�iNlt'�pc� Of T O� CmN�42M i�. 7 . Deed recorded in the Registry of Deeds in Book 3i9b Page /�--3 Land Court Certificate No. Book Page The principal points upon which I base. my application are as follows: (must be stated in detail) speecllo- Ac- g rf rr --U&X�'7/D e- 4k4n �2G r��GJ�T/�✓� �tI`Og/— 14,ft M &a 4-42" P-00r^ , /.b;Dl 7161n+ K 80g,Z ' ;�;e--Z, 4a/O 016192 �b-� f2bOMS itTi LL /�-GLDyt/ Fi�r»i r-N lLmOr?f �'7z ®N F/rrST �'1-d®2 I agree to pay the filing fee, advertising in newspaper, and incidental expenses* Signature of Petitioner ) Every application for action by the Board shall be made on a form approved by the Board. These forms shall be furnished by the Clerk upon request. Any communication purporting to be an application shall be treated as mere notice of intention to seek relief until such time as it is made on the official application form. All information called for by the form shall be furnished by the applicant in the manner therein prescribed. Every application shall be submitted with a list of "Parties of Interest" which list shall include the petitioner, abutters, owners of land directly opposite on any public or private street or way, and abutters to the abutters within three hundred feet ( 300 ' ) of the property line of the petitioner as they appear on the most recent applicable tax list, notwithstanding that the land of any such owner is located in another city or town, the Planning Board of the city or town, and the Planning Board of every abutting city or town. *Every application shall be submitted with an application charge cost in the amount of $25 . 00 . In addition, the petitioner shall be responsible for any and all costs involved in bringing the petition before the Board. Such costs shall include mailing and publication, but are not necessarily limited to these. Every application shall be submitted with a plan of land approved by the Board. No petition will be brought before the Board unless said plan has been submitted. Copies of the Board ' s requirements regarding plans are attached hereto or are available from the Board of Appeals upon request. Rev. 4/93 I 4 y toy >e x �� r r.P '?. a +• fi, rv:: e�;, ,� _ iE",5.�r` �'s.>x !"r+� r .� s'; - SII{�� t v �� ter♦trJ .:. . ,.:.,. ; L MORTGAGE INSPECTION'PLOT PLAN i ` > u NORTHER► ASSOCIATES, INC. 65 SALEM STREET.LAWRENCE,AAA 01843 Tel508 975 7�17 y - 7�rtiiQtet Iwo/ w 124 Mt 018 — AM QALE 87FIEET r' c`M PLAN AEF � ♦ 81f1 r z, i ITATW N. AAf? MW MA WAL e�,1_ s0' A47W OCT/W 111 av� 41 s0 - z - .'r .-�t 3 • ..f y A 1 1, Sa [ 1.375 A..r7G.7 t' k _ �yt S„ q P Ri fl/r�„l� - F Y 7 M s) sY � ESQ r tz t f'a .� .(.IW AN1umfiff CO f' pp \ r f s r !s p } n. a• 1 Inspection Ma %� '• #fi I FURTHER STATE THAT IN FAY PROF t gage twrposas and 4 not brelied c � OPINION aka principle stnioturels end aoossmy ' NoA+arn Assoeletes, Me. aeoepts no �d01 ? outbugdrps,'” " CONFORM , Nr dtmagsa faptring tram said reliance b Mu M said aart"and its assipra in 'M1fr ++� 4.with a,s setback requirements of Ow local tonlnp /�Oaed"Op financing to said S r orbnanees and out two are no arwoaofrnerms of melon y } ♦ +trnpreventents of"way across property Ines exoapt as shown } s Utit ALSO aorordenoe l: BVI f i t �� +t.Property is not in a Flood Natard Area �=•r s 0 m O 2.Prop"is In a Flood Huard Area, lor MUUKIWWU/u so ="m 440 $v&'4 0&Infonnati n is Insufficient R ant I*determineood Haant a" Flood Hunln Hazard deunad kom alau Federal Rood i�SNn file L aGµ ,kInwtarxe Rat,Mao Pilnnll 101? ; r. s \ ''''�' " .`3 's ?'♦#u'fw i 'r yS�VQ7 ZS.� lw1 "" ' "Ez W>c --,r,�;�. •am...,^-.",e��•r _.:.rr»•-i•+T ". 3F.,`, C'a y F'._ '.'.r. ,psi,. •JTr.i^—^rr.: +- ,¢n'.�,? „P{r. '�--, .Q .F..r,.-.: I.. i:. .:, ,,,� .,... .. �•�. J� ;yi- .� ".� �Xr-� t f �u+i���fir:O,u� LISTOF PARTIES,OF INTERESTS .. ., -- ,. • - Y rr �r,3^'.w"�v �'. `�t�'` s+FP:�':#t�' vR yis 42 ctrruw..'" ra..r.c'�*xk+ V „. :;, ,�:,.•r ... SUBJECT PROPERTY..i~, -r- YY r..:11 ._ ....--..-. ..:..��..•� .�i�`„xf,.- .:-.�.,•�.s'.,. v.imy'�..r_i..�4...nt-`�l."',:�..i;:t..,'��'.«3,.2'�.d4r,�5•-+�";k..:H�,:�`,µ..r:aiec�„::;~v .. A_;�y,y4. Dxfn.D.o.wDX.;Yl. 4-'R.E. Sndi .� •t'�o-A'..,+^v�+®rt,,.c• .MAP ” PARCEL NAME �. ABUTTERS PARCEL NAME ADDRESS, n w�. `- S 'ra'.rn..'..y.T.n..,r:-+.i...?.1..,:•..'�V r��...h h.,.M1...'.,Y.n�r r..w�.•1 �..... . ... .. ' i� J'r :. .. .:. .,.'.-.. Y ., ;,;.• , PM R .v,4-,ae�e,t ..+-a;,vn "..-i ur'f l..a . ".r Fd- _,....:r4Yi.. v.ra r. .s� .. - i .... �+eo-?.-,;rv, ,n,:wrx :.z. wr. ..sra,'a. .nczv..;�">a`R .-•1;. A � .... ,..., :�..,'N....,,r e•.+I... .,.a.,+.zra' a.,.y-.gy.�a^y- u`:: ar,sw..;.r:« � a a �.�e;« N+n+•-i..vx r ,.,p'Y,w�-� aE 4. ,,,t..a rn.-,. -. .... ,. ,._x�:�x i...•rrt«�At a,...r.�.,w. :zn+z't'��,.•�a �. r. _ .. _, .5� � ... c,e.. - ." .. -' _ JO Yr E Received by Town Clerk: F R w t� .,TOWN,.OF NORTH ANDOVER, MASSACHUSETTS � ,Sq BOARD OF APPEALS APPLICATION..FOR'RELIEF'.FROM THE ZONING ORDINANCE Applicant Address •��F 6'rX 6-eT Tel. No. S_-_ oTl 1. Application is hereby' made• a) For a variance ' from ' the requirements of Section Paragraph and Table of the Zoning Bylaws. b) For a special Permit under Section Paragraph_ (t) of the Zoning Bylaws: C) As a Party Aggrieved, for review of a decision made by the Building ,Inspector or other authority. 2 . a) Premises affected are land and building (s) !� numbered 2./N -2?.a A-Le Street. b) Premises affected are property with frontage on the North (South ( ) East ( ) West ( ) side of Ler Street: Street, and known as No. ?n y Street. C) Premises affected are in Zoning District 02 ! and the premises affected have an area of l-.325 fiftSsquare feet and frontage of 147. 4 feet. 3 . Ownership: a) Name and address of owner (if joint ownership, give all names) : Date of Purchase V Previous OwnerSd&PT' P. L45 b) 1. If applicant is not owner, check his/her interest in the premises: Prospective Purchaser Lessee Other 2 . Letter of authorization for Variance/Special Permit required. . SQc.43N y Fcoov-- ,of oinon� 4 : Size of ro osed building: -33 front; c� f4 feet deep; Height stories; /h feet: r . a) Approximate date of. erection: 4 N4'44 yP0i 0terA61'4L- b) Occupancy or use of each floor: /.1 441eL t jV1N(r ,un ��'++Flrn c) Type of constructions yw zo.® cs '-�-s^¢zn,Srn•..=,.,a-•T,ti:�t.j�r.:_.�,,....-w-m�rf,.:,re.^t^ ;�yr�'xr�-��anrsr ;,�'?;`•!m`t?�� rsrr.?.'Kt�-x tea'-err*,""' ..^.r.-.-' _..-,-- .. -. ....._- .. be rev' ous a peal, under. zonin on these 5. Has there b a p .i pp , g, premises? 0 + Y�If``so, when? 6.; Description of relief sought on this petition X21 �i�2T/�G 3E'QbM® f b&&C 7V /VOus6 E dieg -S 7 GNN�O�h1 i 7i Deed recorded in the- Registry., of Deeds in Book 319b Page Land Court Certificate No ",. Book Page The principal points upon which ' I base my application are as followws (must .be stated in detail) $POWaLG G* N VOW— oWay Q xx W, ' MO a G D b� RbOMg (.CTi LL GI.DY✓ F/fmJ t-N l �Di'� �7Z - I agree to pay the filing` . fee, advertising in newspaper, and incidentalexpenses* -. Signature of Petitioner ) Every application for action by the Board - shall be made on a form approved by the Board. , These forms shall be furnished by the Clerk upon request. Any communication purporting to be an application shall be treated'_as 'mere` notice Of intention to seek relief until such time� as'° it is- made'-'on the official application form.. All information called '. for-'by;-,the form shall be furnished by the applicant in the manner'°therein- prescribed Every 'application shall- be submitted With ' a list of "Parties of Interest" .. which list' = shall " include ` the "petitioner, abutters, owners of land directly opposite on' any public or private street or way, and abutters to the abutters ` within three hundred feet (3001 ) of . the property line °of the petitioner as they appear on the most recent applicable tax list; . 'notwithstanding that the land of any such owner, is located in . another city or town, the Planning Board of the . city. or town, and the Planning Board of every abutting city .or: -town. *Every application shall be submitted with an application charge cost in the amount of $25 : 00: In addition, the petitioner shall be responsible for any and all costs involved in bringing the petition before the Board. Such costs shall include mailing and publication, but are not necessarily limited to these. Every application shall be submitted with a plan of land approved by the Board. No petition will be brought before the Board unless said plan has been submitted. Copies of the Board ' s requirements regarding plans are attached ' hereto or are available from the Board of, Appeals . upon .request. Rev. 4/93 '+,q .r.—;ii n"s�" y,.a-•a 7"':n �_^n..:-`rrrn+q-�a�' .:v'."r,T.F^s,'>= "h`c. n .+, ,..f _^,,.mow='_*.'ry+,.�,y""'�,;'�^'.•.x��:^rr*.... ,"'Fj+^7�� �'i.'�'+?'�'T¢'+b� ,re'a�',:' y 5 3:• y, hY .. J Y 4 LIST OF PARTIES OF•INTEREST=of; PAGE -v -- .. ...... f x ..... syr .f7`i •,.u``...s`t dt`J�'�t�S.A"Y���.�,u.r��+��� "'�+�`.�5.`a �e�vR•''��y�i•e.,s,�.�.v'k �,fie�Y. r j +..7-.�;�, e.':;l�:+k... .. ....., r.... - - ,. ,� Alw�>r.,�.'U'aa�.�'``-4.XY,.:d9'7 tK� t5+x" '"s,�*3.rt,+,�".'�i'fk .,"•...3"t'�`i#"r�.f•"°'{�'a5,�•r�sem. y, >�'°t sr'.+'}-,.�..e t,�: .... - ., .-. SUBJECT;PROPERTY MAPk. _, -..,.,......,-. .,,�.,'•'•,.". .+rr.... ". . .a,, ,,.F.:�.er�w.:a,:xx.'wr..;t;.4.*t r�.a�..k'�.'{..,•-:r +!t,B, .AewtDDRr..d.Ek'eS-,r.S'.r ., PARCEL " NAME ;14- ti ABUTTERS ADDRESS, MAP PARCELNAME 1, �•.. - i ' r _ , • . - p e , , �.' .. , :�? •y.r,v, .. .1.... aka*,rs�, �caY�.?n'r a+.. ...�<;;�.�-.. ,:. ... - [ H?^'t..,.,....-w,n „aa,>.,:�rq,hK M, "'.,,"'>>'^`..M^9,...t ".a':ri!•..rh'. ,h4i�uy is -A'.� � y..',it.;,"�, .eilJ• rmwe.. ,...F..-..4 � Ss.{-i--� r .. i . .:: . .. ,...,.., ..»,... .,., .,.,.......:. �:,�.a,:r'ct ,5,.rt,wy,,. t.y.ws r.t,+.F y.,.�.»�tw mom. �..-.� ,50-rs•�tir.+�+P•x kw+'.;�_� .. _. r_i:.,M ,:�:'M,�F sM.r raE.: .iSf. Y r� }rM1sr.d r b 7f,WFs#3. �i�x-str:kyK d "#fit�• K .i .,... .... ... .. � s � � 3 :- • �. . po b X MQ d Sty r x r • sem+4 � TOWN OF NORTH. ANDOVER MASSACHUSETTS. BOARD OF APPEALS 6c,,°Q/� Da t e: te _ Lecai notice Lcr year acplicton for t`:e follow .1c e tc t ea-t =n",on at t e Tcwn of— ,=e Buiidi:.c , LZ�l ver , Mass . 01� _ . JAN BAJAN 0596 STEFANIA BAJAN 220 DALE ST. 19� i NORTH ANDOVER, MA 01845 53-71192113 _ B PAY TO THE s! ��i, ORDER OF V�H a G i DOLLARS FIRST ESSEX SAVINGS BANK ` LAWRENCE,MASSACHUSETTS 01840 FOR - i' 3 p 3"L 7 j Board of Appeals Town Office Building North Andover, Mass. 01845 ._ P M .__ � 27 SEP 8 �{ _XXxxx xxx NORTH • OF co ,a q�O _ 9SSHCENUSEt TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE Notice is hereby given that the Board of Appeals will hold a public hearing at the Senior Citizen' s Center located at the rear of the Town Building, 120 Main Street, North Andover on Tuesday evening the 11th day of. October 19 94 , at 7:30 o' clock, to all parties interested in the appeal of Jon Baj an requesting a SPECIAL PERMIT 9, Paragraph 9.2 (1) � fAt1i of Sec. of the Zoning By Law so as to permit the extension and alteration of pre-existing non-conforming structure. on the premises, located aL 21.8-220 Dale Street By Order of the Board of Appeals William J. Sullivan, . Chairman , Publish in the North Andover Citizen on September 21 an d .28, 1994 _ I Board of Appeals ,.,., _ %-SSSc 's"�" Town Office Building Bee.-gin an A -North Andover, Mass. 01845 - ;r; �M � n C:cart Ezra P to UNDELIVERw14 17 Cnlle.ct. St freeAS UNWE TO 9iQ >. fOWAM OC1 2 5 1994 ° 80 �l�ti i l�14 t[i sf HIM 111! 1 H Ill 111 H Illi` i -- t7 -LOU _-- el l hall be filed J � 'LL P,ny apfter peals the .3: X0ai 71 o 1853 ► �� . ;. c;. `- AM10" ;P0 tice , . the Town ass•.,in fk 0-Hice ®f �getiu9;,r CE? �� �� Clerk' Oct TOWN OF NORTH ANDOVER MASSACHUSETTS J BOARD OF APPEALS NOTICE OF DECISION 10-18-94 Date . . . . . . . . . . . . . . . . . . . . . Petition No.. . . . . .055-94 Date of Hearin 10-11794 Petition of Jon B. an . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected . . . . . . . Dale t DD le. . . . StreeStreet Referring to the above petition fora SPECIAL .PERMIT under Section .9,, _Paragraph 9.2. .(.1.). .of. th.e. Zoning. Bylaw. . . . . . ... . . . . . . . . so as to permit an extension to a non-conforming structure on the is. premse. . _ . . . . . . . . . . . . . located at 218-220 Dale Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to GRANT the SPECIAL PERMIT AS REQUESTED and hereby authorize the Building Inspector to issue a permit to Jon Baj an for the construction of the above work, based upon the following conditions: Signed U' William J. Sullivan, Chairman Walter Soule, Vice Chairman Robert Ford John Pallone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Scott Karpinski Board of Appeals Board of Appeals ,Ly,-ESS"-'@ Town Office Building J� North Andover, Mass. 01845 } '�'w� """" �-�--. 0 AS jEro FOr 'r D ►s ' OCT 2 5 1994 BOARD OF APPEALS 0i864-SWI 0_ Ill r.r. '� r My i I �! I _ � .� �' .r.. c: ....... """. F ..».. } it "' II 't, .r.,, i' � i THIS REVISION IS TO AMEND ? •'�� �s' ��' :1 _ �� 3.,� ,. `G THE TYPED NOTICE OF DECISION" JO O . � - f �'' TIME STAMPED �`• A"'Kl" •0 TG f. .• taas MOR`{ OCT 18 11:26 AM 94 �t�s'•• �,�� to include the provisions ti►.:;;;.' OCT `� 08 10 of Section �9 Paragraph 110 of the TOWN OF NORTH ANDOVER Any y appeal shall be filed Zoning Bylaw. within (20) days after the date of fii.ing of t�iis Notice BOARD OF APPEALS in the Office of the Town Clerk. NOTICE OF DECISION i Date . . . . . . . . . .10-19-94. . . . . . . . . . Petition N:... . . . . . .055-94. . . . . . . . . . . . Date of Hearing. 10-11-. . Petition of JON. BAJAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected 2.1.8-220. Dale .Street . . . . Referring to the above petition for a SPECIAL. PERMIT under Section 9, Paragraph 9.2 (1) of. .the Zoning Bylaw.., , . . . . . . . . . . . . . . . . . . . . . . so as to permit an extension to a non.-conforming. s.tructure. .on .the. p.r.emises. . . . . . . located at 218-220 Dale Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to GRANT. . the SPECIAL PERMIT AS REQUESTED and hereby authorize the Building Inspector to issue a permit to for the construction of the above work, based upon the following conditions: The Board finds that the applicant satisfied the provisions of Section 10 , Paragraph 10 . 3. of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming use to the neighborhood. c: Applicant Signed d Abutters Willi.am.J. Sullivan,. C.hairman. Towns Walter Soule, Vice Chairman Bldg. Dept. Robert Ford . . . . . . . . . . . . . . . . . Health Dept. John Pallone NACC Scott. .Karpinski . . . . . . . . . . . Director Plnng & Comm. Develop. Town Planner . . . . . . . . . . . . . . . . . . . . . . . . Selectmen Town Manager 15PW Board of Appeals Fire Police File THIS REVISION IS TO AMENDFL �•'•• •�~ THE TYPED "NOTICE OF DECISION" i{C(c F� MMKTR ib 1 V TIME STAMPED : f,, taas '� NOR~ OCT 18 11:26 AM 94 ••.HU ...••'� Q to include the provisions '►...vw.. OCT of Section 10 TOWN OF NORTH ANDOVER Paragraph 10.3 of the Zoning Bylaw. MASSACHUSETTS Any appeal shall be filed within (2.0) days after the date of firing of this Notice BOARD OF APPEALS in the Office of the Town Clerk. NOTICE OF DECISION s Date . . . . . 10,-19-94. . . . . .. . . . (f Petition No.. . , 055-94 Date of Hearing. 10-11-. . Petition of JON BAJAN... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . Premises affected 2.1.8-220 Dale .Street. . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition for a `8 SPECIAL. PERMIT under Section 9, Paragraph 9.2 (1) of. .the Zoning .Bylaw.. . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit an extension to a non-conforming: .s.tructure. on .tbe. p.r.emises. . . . ... . located at 218-220 Dale Street. . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to GRANT the SPECIAL PERMIT AS REQUESTED and hereby authorize the Building Inspector to issue a permit to for the construction of the above work, based upon the following conditions: The Board finds that the applicant satisfied the provisions of Section 10 , Paragraph 10 . 3 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming use to the neighborhood. c: Applicant Signed d Abutters Will.iam.J. Sullivan,. Chairman. Towns Walter Soule, Vice Chairman Bldg. Dept. Rober.t .Ford. . . . . . . . . . . . . . Health Dept. NACC John Pallone Scot.t. .Karpinski . . . . . . . . . . . . . . . . . . . Director Plnng & Comm. Develop. Town Planner Selectmen Town Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DPW Board of Appeals Fire Police File L- jo NORTH 5 ti 3�Oatteo /a aYOLv Orli �$ �l 25 riled s`,pfl be ci-f.er l e SSA G HUS L _ c [tiotice of ice of h2 TO`��/f1 TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS ******************************* * Jon Bajan * DECISION 220 Dale Street * Petition #055-94 North Andover, MA 01845 * The Board of Appeals held a regular meeting on Tuesday evening October 11, 1994 upon the application of Jon Bajan requesting a Special Permit under Section 9, Paragraph 9 . 2 (1) of the Zoning Bylaw so as to permit an extension to a non-conforming structure on the premises located at 218-220 Dale Street. The following members were present and voting: William J. Sullivan, Chairman; Walter Soule, Vice Chairman; Robert Ford; John Pallone and Scott Karpinski. The hearing 'was advertised in the North Andover Citizen on September 21 and 28, 1994 and all abutters were notified by regular mail. Upon a motion by Mr. Pallone and seconded by Mr. Karpinski, the Board voted to grant the Special Permit as requested. The Board finds that the applicant satisfied the provisions of Section 10, Paragraph 10. 3 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming use to the neighborhood. Dated this 18th day of October, 1994 BOARD OF APPEALS William J. Sullivan d, Chairman F �►�SSgCHUgi',� r OCT 18 II Lf TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION � e s 10-18-94 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . Petition No.. . . . . .055-94 Date of Hearin g. .10-11-94 . . . . . . . . . . . ... . . . . Petition of Jon Bal an Premises affected 218-220 Dale Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition fora $f� �€ '} ie Y� � . .SPECIAL .PERMIT under Section 9,. .Paragraph_9.2. .(1.). .of. the. .Zoning. BylaW. . . . . . . . . . . . . . . . . . . . . . . . . so as to permit an extension to a non-conforming structure on the preTi.se.s. . . . . . . . . located at 218-220 Dale Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . GRANT. . . . . the SPECIAL PERMIT AS REQUESTED and hereby authorize the Building Inspector to issue a permit to Jon Bal an for the construction of the above work, based upon the following conditions: Signedc= - d William J. Sullivan, Chairman . . . . . . . . . . Walter Soule, Vice Chairman . . . . . . . . . . . . . . . . . . . . Robert Ford . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . John Pallone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Scott Karpinski . . . . . . . . . . . . . Board of Appeals ._.. ,v Y3.,:J,,,;.�"�•Nyyr;y,.n'7,,,�+ie-.r''"$�"'W:i^''..>....�ytiei-+�......r-,:—.e t` Location Nd S Date ' TOWN OF NORTH ANDOVER 14ORTN Ot O` Certificate of Occupancy $ .Building/Frame Permit Fee $ �ss.too, < Foundation Permit Fee $ >w Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ =• :TOTAL e/t 14I1Q�9 ,t 4t13.�n A€i� Building c or 7685; Div. Public Works PEWMIT NO. so�-Cc APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP +40. ? LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK iPAGE — ZON-- SUB DIV. LOT NO. 7 z ♦1> LOCATION '1 1_w= �Clsy� `�7�a� PURPOSE OF BUILDING iy ft!/CpI,✓r,C- OWNER'S NAME ..! (S` NO. OF STORIES /'? • SSIZEG7 'Ja . OWNER'S ADDRESS �V M`J ASEMENT R SLAB ARCHITECT'S NAME �-V SIZE OF FLOOR TIMBERS IST @�� 2ND 3RD BUILDER'S NAME el♦Al Al 4V416C ePC'LiD SPAN DISTANCE TO NEAREST BUILDING ` Z DIMENSIONS OF SILLS DISTANCE FROM STREET '" POSTS y DISTANCE FROM LOT LINES-SIDES w G 0 REAR GIRDERS AREA OF LOT /�e FRONTAGE HEIGHT OF FOUNDATION �. THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION 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 \r3/4C..�SIO�.O���G� IS BUILDING CONNECTED TO TOWN SEWER Al !� 7 IS BUILDING CONNECTED TO NATURAL GAS LINE 1 INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST 70� od /J� f I PAEST. BLDG. COST PER SQ. FT. GE 1 FILL OUT SECTIONS 1 - 3 . PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM e` 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 FILEDOf 9 • �� OUILDINa INSPECTOR rA SIGNATU O AUHORI D AGENT 5F E E $/ S 0 OWNER TEL.# 41'6 5f PERMIT:GRANTED CONTR.TEL.N �d�^V 7 >I o o CONTR.LIC. y3 �7S 1/. � !I H.LC.rY 1994 I 9CT 2 5 � _.� 76$s r e t."Ltxt F,t�t- at4lEttl' �° 4 I .. BUILDING RECORD 1 _OCCUPANCY _ 12 SINGLE FAMILY STORIES 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 4 J CONCRETE CONCRETE BL K. PINE — -- - BRICK OR STONE HARDW D _ PIERS PLASTER _ - DRY WALL i, y UNFIN. 3 BASEMENT I �` ' AREA FULL -`-,FIN. B M AREA _ V, 1/1 '/ FIN. ATTIC AREA _ NO B M FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS FLOORS CLAPBOARDS JB 1 DROP SIDING CONCRETE L WOOD SHINGLES EARTH ASPHALT SIDING HARD"J'D ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STGKUCCO'AN,.FRAME -', BRIO&%ASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME ' I _ - ,3 CONC. OR CINDER ELK. F STONE ON MASONRY WIRING STONE ON FRAME _ s �_SUPERIOROOR� P _ ADEQUATE NONE 5 - ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.( ,.. GAMBREL MANSARD TOILET.RM. (2 FIX.) _ FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES '` s _ TILE FLOOR •DILE DADO 6 FRAMING",,. II 11 HEATING WOOD JOIST PIPF'LESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. .STEAM STEEL BMS. & COLS - f HOT W T'R OR VAPOR 7" WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS - 7 NO. OF ROOMS GAS OIL B-M-Tr 12nd I_ ELECTRIC Ist 3rd. NO HEATING ORT Town of E � - over c � l/ No. 5, ,) mr - W `-North dover, Mass., 4666migee row_1994- Y O Al c Oc n.cAart wiLn 4;�* P A�RATED aUl BOARD OF HEALTH Food/Kitchen Septic System PERMIT TO BUILDING INSPECTOR THIS CERTIFIES THAT N 3!'!�� . ...�'�....1eR..... ..•�wa%� ,O' ZNC ........................... .... ..... .......................................................... Foundation has permission to erect w ..�°►'DP..trz;!O.. buildings on .�?...4!9'�t�... t Rough to be occupied as 5 ..... ..A� .N �''� y �.��c k,.�f 4."�f.�P.. �' ...�!�i • chimney :.. ,,. .. ... ......... �...... provided that the person accepting this permit shall in a ery 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 the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S TS Rough Z 13 to 1�C�►S c i� .................................. .�................... .. .. .......�........................... Service V)Tj'g 10/t l It)+, 1RgM=R 4C0: 11/0/9¢ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT a FORM .0 - 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: ��� f}� Phone (�J��r���� LOCATION: Assessor' s Map Number Parcel Subdivision Lot(s) Street Sed'' St. Number Z� ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected q Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date 2 51994 Proposal No.464A Curran Construction Co.; Inc. Sheet. No. 8 Stone Post Road Salem, N.H. 03079 Date (508) 686-2917 JULY 11 , 1994 (603)894-6902 Proposal Submitted To Work To Se Performed At Name STEPHANIE & JON BAJAN Street Street 220 DALE STREET City State City— NO, ANDOVER, MA; 01845 Date of Plans SAME State Architect Telephone Number 508-685-8404 We hereby propose to furnish all the materials and perform all the labor necestary for the completion of PROVIDE PARTIAL SECOND FLOOR ADDITION IN ACCORDANCE WITH CURRAN CONSTRUCTION CO. INC. PLANS AND SPECIFICATIONS DATED JULY 11 , 19747 All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and 'specifications submitted for above work and completed In a substantial workmanlike manner for the sum of Dollars ($ 57 ,000 .00 I. with payments to be made as follows: $5 , 000 UPON -ACCEPTANCE, $25 ;000 FRAME COMPLETE WITH WINDOWS , $5 ,000 SIDING �10, 000 ROUGH PLUMBING HEAT & ELECTRICAL, MjOU0 , UPON COMPLETION. Any alteration or deviation from above specificalions involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by Curran Construction Co., Inc. MASS BUILDER' S LICENSE 0 57 0 EL LICENSE 108386 Resp ec y su muted Curran C st c" n Co. Per Note—This proposal may be withdrawn by us if not accepted within �'� days ACCEPTANCE OF PROPOSAL The above prices, specificationi and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. r Accepted Signature 4 Date_ �� 1��—�� Signature ojzv-4 - THIS Ri<VISION IS TO AMEND d •° '° t; . .• �3� THE TYPED "NOTICE OF DECISION10 TIME STAMPED Am0��S4 •�> 1rCr�; OCT 18 11:26 AM 94 , ,, to include the provisions b►oAM ;®n;a of Section 10 OCT I J d Paragraph 10.3 of the TOWN CP NORTH ANDOVER Zoning Bylaw. MASSACHUSETTS Any appeal shall be filed within (20) days after the CJ date of filing of this Notice BOARD QF APPEALS in the Office of the Town Clerk. NOTICE OF DECISION A'L'd'ES1% AMrue Copy Date . . . . . . . . . .10-19-94. . . . . . . . . . Petition No.. . . 055-94. . . . . . . . . . . . 'Lown Ch r': Date of Hearing. . 10-11-94. . . . . . . . Petition of JON BA„AN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected . . 2.1.8--7220L Dale .Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition for a v1Yfh&bW0ibY 'iiMaWtttE . SPECIAL. PERMIT under Section 9, Paragraph 9.2 (1) L of the Zoning .Bylaw.. . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit an extension to a non-conforming gtructurp. .Q .the. premises. . . . . . . located at 218-220 Dale Street. After a public hearing given on the above date, the Board of Appeals voted to GRANT. . . . . the SPECIAL PERMIT AS REQUESTED and hereby authorize the Building Inspector to issue a permit to . . . . . . . . . . . . . . . . . . . for the construction of the above work, based upon the following conditions: The Board finds that the applicant satisfied the provisions of CD Section 10, Paragraph 10 . 3 of the Zoning Bylaw and that such � change, extension or alteration shall not be substantially more detrimental than the existing non-conforming use to the -= neighborhood. p�,,,, c: Applicant Signed ��=� f1 ^�� d/JQ. Abutters William.J Sullivan,. Chairman. Towns Walter Soule, Vice Chairman Bldg. Dept. Robe rt .F'ord . . . . . Health Dept. John Pallone NACC ,ESSEX NORTH REG y. .QFr . . . . . . . . . . . . . . . . . . . Director Plnng & Comm. Develop. �� �� Town Planner LAWRENCE, MASS. &44 Selectmen A TRUE COPY: ATTEST: Town Manager DPW Fire Hoard of Appeals . . . . . . . . . � I Police REGISTER OF DEEDS OF NORTH pp- V °9� r7), � s`, ''I be flied *_ 7 �p 25 G J .. °s 52C,'..,. �� 21 1:t�I file SAC US o� - e'�Ice Ci 1-ice 0f the (0`.Ufl TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS * Jon Bajan * DECISION 220 Dale Street * Petition #055-94 North Andover, MA 01845 * ******************************* The Board of Appeals held a regular meeting on Tuesday evening October 11, 1994 upon the application of Jon Bajan requesting a Special Permit under Section 9, Paragraph 9 .2 (1) of the Zoning Bylaw so as to permit an extension to a non-conforming structure on the premises located at 218-220 Dale Street. The following members were present and voting: William J. Sullivan, Chairman; Walter Soule, Vice Chairman; Robert Ford; John Pallone and Scdtt Karpinski. The hearing was advertised in the North Andover Citizen on September 21 and 28, 1994 and all abutters were notified by regular mail. Upon a motion by Mr. Pallone and seconded by Mr. Karpinski, the Board voted to grant the Special Permit as requested. The Board finds that the applicant satisfied the provisions of Section 10, Paragraph 10. 3 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming use to the neighborhood. Dated this 18th day of October, 1994 BOARD OF APPEALS l ��c Z? i . William J. Sullivan y Chairman q ♦ 0-% o " �,,.• Asnnt" YM i l.'� A►►s'aCQilS��a� OCT vVV qq+ Ul,1 U 1 TOWN OF NORTH ANDOVER MASSACHUSETTS BOAR® OF APPEAL NOTICE OF DECISION W Date . . . . . . . . . . . . 10-18-94 . . . . . . . . . . . . . . . . Petition No.. . . . . .055-94 . Date of Hearin 10-11 .94 Petition of Jon Bal an Premises affected 218-2,2.0, Dale. Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition for a $fi SPECIAL, .PERMIT under Section 9,. .Paragraph,9.2 _(.1,). .of. the- .Zoning. Bylaw. . . . . . . . . . . . . . . . . . . . . . . . . so as to permit an extension to a non-conforming structure on the premises. . . . . . . . located at 218-220 Dale Street- After a public hearing given on the above date, the Board of Appeals voted to . G,RANT. . . _ . the SPECIAL PERMIT AS REQUESTED , and hereby authorize the Building Inspector to issue a permit to Jon Bajan for the construction of the above work, based upon the following conditions: Signed d William J. Sullivan, Chairman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Walter Soule, Vice Chairman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Robert Ford . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . John Pallone . . . . . . . . . . I . . . . . . . . . . . . . . . . Scott Karpinski . . . . . . . . . . . . . . . . . Boated of Appeals VA RIA NCE PLAN OF LAND 'IN ///.50' NO. ANDOVER MA. -OW�\ JON NRAJAN SCALE* 1%40' O4TE.' 9/20/94 0 40 80 /20. , SCOTT L. G/LES, R. P.L.S. NO.ANDOVER, MA. / CERT/FY THAT / HAVE CON—FORMED WITH THE RULES AND REGULATIONS OF THE REG/STEI4 OF DEED S /N PREPARING THIS PLAN.s �� 9/20/94 /. DEED BOOK 1999, PAGE 292. 2 PLAN REF#2/4/ NORTH ANDOVER BOARD. OF APPEALS i 4 N 1. 375 ACRES DATE OF FILING.* DATE OF HEAR/NG DA TE OF APPROVA L.• /�-j/- G-;l 0 2 - 5 pN� 9 PROPOSED SECOND FLOOR CONSTRUCT/ON OVER 9120194 EX/ST/NG FOOTPRINT i45 $ � Exl RYA � a i 9 1221 E E'� ST R 'w�' -.!'t^+v-, .4•a.:-*,ro„'� „+sem wa ,4+haslV: i`;",2Yx*rN ,r^Y•Fp<:a,S. 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J " -A'F ♦''� 1 • .i• S. , S 4 +�.f9 a V , YL' _. r._.`I....tl`_....,_"xT�._..o..._,. .—„—_ ....>r� .csai..� ._ _ °.a..�- ��..—`�.a,...1._< ._� _._..."....t ---,I---— :... ' {' - .r,.,,_.'-.Z�- — _ v 1-1 a Nk _W 0 k -,4, N, (P4 Tel 14 Nil r L 17. t, '411 tA -14 Ike VN 4 17 4t t f CIA OL Z. '4C RA*Nr k6v 6 T T77 D 1�41 A4� 4.- AAWiNe Numa 57;!! 0.16;5A11XT7 11-4� *1 y $ X pr t, � Y 8`o $ o r� . . ----•- ---�,, fir,._,._.. i c } ,SG M = Si96 . a4 FTe-tz�5 16 e'l "04/Z 1 3�,oil 0 ore . . 'rz *9 . v h Opt 'OIL C r YL ffl 11 C L dam, ! fid"p/c. �d Fav j M14- yr ' - i ® APPROVED 9Y DRAWN BY / � .. SCALE: DATE:c' t�L FK N . J�y �l�/ G�t✓G �r� t N DRAWING , ,e. rz Ale NA XWML No.ISSA•11X17 t �'-4� 99 �4� �. ..'I i � � ��� Zi 2// �`� c s Nf rt its �� Received by Town ClerksSir- , a n I9 :? 'Sq TOWN OF NORTH ANDOVER; MASSACHUSETTS BOARD OF APPEALS APPLICATION FOR RELIEF FROM THE ZONING ORDINANCE Applicant � Address �LA-� sT247-&-T Tel. No. S - 1. Application is hereby made: a) For a variance from the requirements of Section Paragraph and Table of the Zoning Bylaws. b) For a special Permit under Section ParagraphZ. (t) of the Zoning Bylaws. C) As a Party Aggrieved, for review of a decision made by the Building Inspector or other authority. / 2 . a) Premises affected are land and buildings) !� numbered 2./9 -220 2) Street. b) Premises affected are property with frontage on the North (W--*'South ( ) East ( ) West ( ) side of Z�.,fe,e' Street. Street, and known as No. ;/e ' �ZC7 �•� Street. C) Premises affected are in Zoning District KV and the premises affected have an area of l•3 1; AWS square feet and frontage of 147- 9 feet. 3 . ownership: a) Name and address of owner (if joint ownership, give all names) : , �eVhl c Date of Purchase Ib�z�- �/U Previous OwnerSCmTT AAV25 b) 1. If applicant is not owner, check his/her interest in the premises: Prospective Purchaser Lessee Other 2 . Letter of authorization for Variance/Special Permit required: I 5eC.mNy 1`400w—ofb-01170r 4 . Size ofro .osed building: .33 . front; c3 f4 feet deep; Height �=— stories, feet. a) Approximate date of erections a tV144 vPO FYr rnoY4 L b) Occupancy or use of each floor: lei filet- (,/✓/NS--,J uD B 9'$ WOAS C) Type of construction: c000.0 a ne - u 5. Has there beeq a 'previous appeal, under zoning, on these premises? MO If' so, : when? 6. Description of relief sought on this petition _AZ f-"&C ro //Ous g-ALM gxlj -d;Dc% AeF -3 T D C.mN40.e M i�f. . . 7 . Deed recorded in the Regis£ry of Deeds in Book 318b Page /-?--Y Land Court Certificate,' No .Book Page The principal points upon Which ` I base. my application are as follows: (must be stated in •detail) 6PAIAM 4p0 l2 G T., ' maJD tio o G W r i tZ v . ®N rr5 I agree to pay the filing fee, advertising in newspaper, and incidental expenses* Signature of _'Petitioner ) Every application for ''action by�.the Board shall be made on a form approved by the Board, These forms shall be furnished by the Clerk upon request. Any - communication ` purporting to be an application shall be 'treated-,.as mere notice of intention to seek relief until such time';Was _Cit is, made,°>on the official application form: All information,':,called ,_for, by` the form shall be furnished by the applicant in the .manner'�therein prescribed Every application shall'Jbe` submitted with. a f list of of Interest" which list shall include "the petitioner, abutters, owners of land directly opposite on any public or private street or way, and abutters to the abutterswithin three hundred feet (300 ' ) of the property line.,of the: petitioner as they appear on the most recent applicable ." tax • list, notwithstanding that the land of any such owner is 'located "`in -another city or town, the Planning Board of the city, or.•.town, and the Planning Board of every abutting city - or town. *Every application,. shall be submitted with an application charge cost in the amount ...of $25 : 00 . In addition, the petitioner shall be responsible 'for _ any and all costs 'involved in bringing the petition before the` Board. Such costs shall include mailing and publication, but are not necessarily limited to these. Every application shall be submitted With a plan of land approved by the Board. No petition will be. brought before the Board unless said plan has been submitted. Copies of the Board ' s requirements regarding plans are attached hereto or are available from the Board.: of Appeals upon request. . Rev. 4/93 �� �t- �r-�:..-�,-�,�.-.:•.�•'-�, '-ter �--'+>*�'._ . _, n ,, . ...... .. _. .,.__. . .sr�'`','iwa t��. -,.:�-3 -i� � u.... t�.�_,,,,s_ ,-tu..n..�_. J^:r. i '.:�-. ;f,: �'s•' ..... MORTGAGE INSPECTION PLOT PLAN NORTHERN 01 ASSOCIATES, INC.c� 65 SALEM STREET,LAWRENCE,MA 843 4 Tei,508.975=71.17 7>lNi � ,1{+iJ B+i.J9 N V QEED AlUr,:.. MW/ ICA 77011! A'!/ — itAO QALE BlAfET ALAN AEF. I.01I1 . i.ITi17E N. AAOOYETi A41, MoIlLE-Ak A4 7w 0CT/11./ IV .` dq9 dt 004 I1r9N i ..s. r d 1.975 ACRES � f f 1 TORY MAQD •�.. O��E 5� - a'. !/ e. s + :/ l77F.187Eri4f Atg4AUGE CO. y t �t I FURTHER STATE THAT IN 4W PROFUIONAC SIM titpKDr tion was OPINION ha pdPa strtreLrals and accessory anwlt�apa purposes and Is not to be robed t;:, t tyaf- Associates. Inc, aoOBti n0 k-k,�. aiftfi6 i ,. ' p A)tof "o, ; CONFORM Oaa ro M►ArtreiYidnQ awn said reliance by '% b – Y• tAM M said nrertpapea and its setback re asilpm in ++ «t.with ft setback of Oro low zoning f r:kM Msioaad tnortpapa firyndnp ro said A 5 �� or6nenoes,and tlret than w ro anvwdwnan<s d rtre�or , ,e t, ` hnprovements ahher way ovals property Gres ezoapt as shown s.1Hif ALSO. a ,, aocardanoe �Or f 1 f P� ♦ s 411;Properly is not In a Flood Hazard Aron 4 .0 0 Z.Property is In a Flood Hazard Aroa. lor tti �eL 'to y"ate O&Information is lnsullid"Io dote kw Flood Hazard �ss adFlood Hazard de*m*wd hom karst Fedora!Flood h"Mnea Rale Asap Parrett a , R 'hLS00gY; 0010x:' � r (q' �:.ID f•ate' . z . .. '_"!'� u l.,N.,_. ax'rRAF�:YSz r - s LIST OF PARTIES+OFINTEREST* M P PAGEi� �` OF +::a 1 ag1' {rr^adhtr*.trt�'a"e'P7t i�€`i�"av�6*''rz.,a`+cx-n"r-s: 'Z'a�S` t�i°�. f h SUBJECTS PROPERTY ? � MAP PARCEL" NAME" .-,. �...._.... ,.« ..,,. ..fr:...;::: .....:.x.r r!,*n -•+n,�r.xrM iY" - ry•�T �+�'`aN��r;�`�' +'r�.t. G�a�+;�:t3�t�"ha"�-k.r���' ..r n;'.x,.K�: ..... ,. .. .. . - -_i - s 4 r1 7 .t k .R r• . ABUTTERS MAP PARCEL.:. NAME r -r..f.. .J..�,. A n ADDRES - .t 1 -� ar;, t v. . . . .�v:,l�a;fi a°`'' ��li¢+r 1:k,.Ki': •��7sM1`5.:.;f's�� ;�!?t.. `+s: j' i 1 Al r , , i - i - •� a - � .. .,... .� _. , ...... .... - ,,. a- E .Nti a.w-..«xrwfkW.rn n,an}:�N ..,s...1.r. A------------------ :eyq:'::. ..f-11..3,.+nR �. .�« .-„F �.;4sf•1/.r �-.f:i`� 4i MwYiwK'xr.., !<.ay��- 8 A`x„�"1L • ., - � x... .. n...,"...... .. 4,..r .,. �,.,,.-» y ..!«....�:-r w+.��l�b .,»,.�x.t t.-s,#j . _:.:s n Twx !+a �s; �.tt•:�a sus ra vt3-� ,.J i ,.,.. ..... .. I py 4 rt i r jj '. �: '� �G G/t//N(r ��c� /a/!f~I�- /�G7 'r �3 (/�'p -- • r r r r _ X 4h2G 8.0 / O f G / TG /� lv• /�/T / N f y �r r ri - �LIk rp.1 r /ST/Ns5_�'� +sem /+���O/ZZo1 ' O _-- - - - fDR BY pPROVEb AWN.ref f ' SCALE. y(rr_ t.a r1 A - ,DATE: It Li - - W-Al G dr�f,S`T12tA T7 DRAWING NUMBER � R '. - •. � • 'r �."+I' V/•. I ane �i��� .��... . r 0941100M PIRA" ANO.JOSA-SIXtT • • r o6lwr-o cad.{ 2— - T 8t) 0 obit a • `O g - ,.y SE�dN� .��af2I�ylr�4!✓ �3�D��;rzy��" -- 7� �� F ! 2 � lttL '�rr- r- SCALE: .t APPROVED BY D�iAWN BY /¢�5 DATE.. -•7 �..� DRAWING NUMBER 1f(AflOMALfIS113T Wo.f e$A.q i Xt 7 l T5 a } f. y �Tr E 2,'-1714 SCALE: �.M p • � � �. :. �� ' APPROVED BY DRAWNBY DATE: "? ._jh�i! 5(� - Gf35� y6 7 �. �✓ C N i L : TCS AJ C -7:,/,�`. d 05- �.rG r BER L� 'DRAWING NUM { NO.185A•ifX17 .. , dFsNT sa� - SCALE. �! =AL6v, _ APPROVED BY DRAWN BY /I5 Sad - 6 _ & o DATE. 7' If- `` G9 vs Al DRAWING NUMBER_ M4"ONMpowdrFAfr no.18sw-SIxti n 5 T /��11�.1ILc 7j,o/j k?Jr 9✓ IS { �� S� SCALE j rI d rr APPROVE CRAWN, C! S bA ell BER' • �" RA��U D M x p11f1gMALl MYRAfT' 'NO.IS5A41x17 s. I I i VA RIA NCE PLAN OF LAND '/N' NO. ANDOVER. MA. 'OWNED BY' JON BAJA N SCALE.' 1'-t-40' LATE.' 9/20/94 - 0 40 80 120 F SCOTT L. G/LES , R. P. L .S. NO. ANDOVER, MA. I CERT/FY THAT / HAVE CON— FORMED WITH THE RULES AND REGULATIONS OF THE REGISTER C OF DEED IN PREPARING THIS PLAN. - 9/20/94 /. DEED BOOK /999, PAGE 292. 2. PLAN REF. # 214( NORTH ANDOVER BOARD OF APPEALS ! N � I R /. 375 ACRES DATE OF FILING.* DA TE OF HEARING .' DA TE OF APPROVA L of PROPOSED SECOND 9120194 FLOOR CONSTRUCTION OVER EXISTING FOO T PRIN T �2 i 45 Ex,STYG 21 STU�Rv� � I j I 9 TRE A LoE P ,y� � wrr>w+wr�r�s�rYww® • a E I `4S � F a � -- l - j1 C Ll f : Xo rtl 3 4-x' �,1� � ���Q��� • ' _# — _ — /2�`�O tf E �'�t t:9 TIry(6•' -s'�"t �t/�'w �rL�:.s+i N�j- � . �/`r t�U t�+�-',�� APPROVED BY SCALE-.�S� . _O DRAWN BY DATE:" .5b � l DRAWING . 4 9E UM N R Rf[PIAL IIWIFAST NO.1435A-11X17 - - - y -777- O t, 7 1'44 (�DIA4 D ti © S'xe ` f ' .ASH I� ....--«..,....,;, �-•..�,m,M �«..-„�, „ „ '” � 14 SCALE: � APPROVED BY _ .r DATE: r'1 w ..."` '`� DRAWN 6Y Klt1O1fA!'PlEphy�ggt no:1eSagizl7 - - ,. - ... c ORAWI'NO`NUMBER eV Li i ' Li y — T S ,47#7 . ' �d ir,L A' 25 0 L/61?, iYrFI O I� S SCALE / 'j t f'�_Q ye - b DRdWN BYf� A PROVED BY S -dpE, FEI ni Ell DATE: K v v 770,Al . .DRAWING NUMBER 11,4 • 111�71�IIAtPRNMIRRfT NO:185A•11%17 .. - • Ae - - r ra ell A a I,&`' SCALE �� DRAWN BY /q`�S 17 APPROVED BY DATE DRAWIN'G'NUMBER' , 44ykWNE IMlI rPASI po.tesAa 6Xt7 t z > . - APPROVED BY �r SCALE � rpt �r G1 '� r, P © r DRAW14 N' 6Y V-5 � DRAWING NWMBgRi' IIWWWARL/'INIYWASr +NO.10SM1.1X17 { C ' • 1vo a t bRIO'CxP'" 41 2-9 !i -Tv 40- r - . '. Say e' __ - t ,. - -• k , :r J i f _IQ E " o'u .:. ✓ 7✓r l� =40 tIeml ✓ !+/� �'N U•�f-lLr�. �11 t� ``,.+�. APPROVED BY' pRAYi1NBY . bpi'' - 68'S - a VeY N GATE: r� ,�Lo __ �CJ'!V; y-A , DRAVii1Nf3 ,NUMBEA , MAT MWMP AfrT 13 05 10; OF No opj • � P 99 I t4i, x G 10 B -Z'-,(�`� ,- �Z r(1•ll v x z-v ae #h>o/77aA/ 33=0 ;�z�:-o" 7g 7 r 415 SCALE: 7 a-,', APPROVED BY DRAWN BY- • C� DRAWING NUMBER IYMf�QlIfAl01�111'Rt•!1" N0.185A•itXt7 i� I - - r f I .. �d Ambo✓�'-!2, �'� e���S. . 77 Ll I /� A SCALE; - f PPROVED BY DRAWN BY AbRS DATE: DRAWING NUMBER NA1MMU FIRINIMS7. N6.186A-11X17 ;'�F� ti1T -1/ Z)16 9A/ — - 8 SCALE: �Oj APPROVED BY / 'DRAWN.BYnea DRAWING NUMBER iM� � sY No:,esn-tun, a • • 1 G Y� 3 7-e-l/ 851 .7' SCALE:'/q"= /Lo' APPROVED 6Y DRAWN BY /7fJ.S LH- ]DRAWING NUMB �i ER NO.185A4rX17 - ---- I - - { .. 1 tom}: :r--�..._.�----i r_----�- - - - �...__w -�r �------ _ _ �._.Y..._...: ..�..._.��-.-�..� _ • �� Zj t ►J t p �* JA07 Al BE z�J2tJbvr.tt . P T .`" - Lj CD ' C3 05 -- J2�/U`j0.tri G'�✓J Tyr s fr. -�'. N`G'Lt/. F2�/9? /vCj-. E APPROVD B ` - -SCALE: � = © Y - DRAWN 8X DA c; DRAWING NUMBER f z _ �wnow�tMOMMM No.1esw-11x17 _ { 671 rb ��'^err , • - - Qt- lo Q� -o :off - cc iV'.?,. �LC�D/Z AEJi7rIp// 3�D.r✓ Z'+lr p•� 7g'� ! Z ' .l�¢J �r 5 ,✓ i S �o . gip. U' Ul.,?�� • ..SCALE' �. �•;! '� _ DRAWN,k3:Y , 114 = APPROVED BY , . - � DRRWING NFUMBER 111A'110MAL/'115�T NO:t85A-ttXl7 .- _ - -. - _: x - ,, _ + •. K! 0,G Of Ll ` A i a SCALE: = F,, PPROVED BY v DRAWN BY 'm s s DATE:.:: %r2 C,'770 AJ /�' • ..��i.�.,.► r, --- Y � DRAWING NUMBER . PRMr/1fAL'T NO.183A-11XI7 67 /�. 17 H7-7- SCALE ! 1j" -f� APPROVED 8Y -/ DRAWN BY, ✓�• DATE. /�r✓•.. DRAWFNG NUMBER IYAfUOIYAIPIl�I11/P1�67 0.165A-11X17 3 i E 5 TC'F'./��.tIC� � �pf✓ ��?J'�.�e�/ SCALE t/r� P O APPROVED BY DRAWN BY DATE'-.r'/ �` �7 la IS VAZ/O,qA �—lOA16 NG+i' 0--n0 AJ DRAWING NUMBER /i,. arariorrat 5, NO.-I8SA-„X17 r VA R/A NCE PLAN OF LAND 'IN' III.So' NO. ANDOVER, MA. -OWNED BY' JON BAJA N SCALE* 1'l-40' LATE.' 9/20/94 0 40 80 120 SCOTT L. GILES , R. P. L .S. NO. ANDOVER, MA. , 1 CERT/FY THAT 1 HAVE CON- FORMED WITH THE RUL ES AND REGULATIONS OF THE REGISTER OF DEED . IN PREPARING THIS PLAN. - 9120194 I. DEED BOOK /999, PAGE 292. 2. PLAN REF. # 2141 NORTH ANDOVER BOARD OF APPEALS N 0 N � 1. 375 ACRES DATE OF FILING.' DA TE OF HEARING .' DA TE OF APPROVA L .* b F PROPOSED SECOND 9 / 20/94 FLOOR CONSTRUCTION OVER EX15 TING FOO T PRIN T G2 i , 45 EXls�riG 2� i 9 TRE J -25.1p . a VA RIA NCE PLAN OF LAND 7N' 111.50' NO. ANDOVER,MA. "OWNED BY' ' JON BAJA N ,SCALE.' 11-40' LATE.' 9120194 0 40 BO 120 SCOTT L. G/LES , R. P. L .S. NO. ANDOVER, MA. 1 CERT/FY THAT / HAVE CON— FORMED WITH THE RULES AND REGULATIONS OF THE REG/STER OF DEED IN PREPARING THIS PLAN. 91201,94 J. DEED BOOK 1999, PAGE 292. 2. PLAN REF. # 21-41 NORTH ANDOVER BOARD OF APPEALS 06 I N h 1. 375 ACRES DATE OF FILING.' DA TE OF HEAR/NG . DA TE OF APPROVA L .* Of i N PROPOSED SECOND 9120194 FLOOR CONSTRUCTION OVER EXISTING FOO T PR/N T �Z. i 45 x�sTY G 21' i 9 TRE I i A i VA RIA NCE PLAN OF LAND /N 111 NO. ANDOVERMA.'O�NNED B Y' ' \ JON BAJA N .SALE.' /140' D4TE.' 9/20/94 0 40 80 /20 SCOTT L. G/LES , R. P L .S. NO. ANDOVER, MA. / CERT/FY THAT / HAVE CON— FORMED WITH THE RULES AND REGULATIONS OF THE REGISTER OF DEED IN PREPARING THIS PLAN. — 9120194 /. DEED BOOK /999, PAGE 292. 2. PLAN REF. # 2141 NORTH ANDOVER BOARD OF APPEALS N N � /. 375 ACRES DATE OF FILING.* DATE OF HEARING .' DATE OF APPROVA L .' or a 0 S L L�� PROPOSED SECOND 9120194 FLOOR CONSTRUCTION OVER EXISTING FOO T PR/N T 45 EXISTG = 2/ �u 122?9 � REE , VA RIA NCE PLAN OF LAND %N' II1.50' NO. ANDOVER,MA. 'OWNED BY' ' JON BAJA N SCALE.' 1'=--40' D4TE.' 9/20/94 i 0 40 80 120 SCOTT L. GILES , R. P L .S. NO. ANDOVER, MA. 1 CERT/FY THAT I HAVE CON- FORMED WITH THE RULES AND REGULATIONS OF THE REGISTER OF DEED S IN PREPARING THIS 9/20/94 1. DEED BOOK /999, PAGE 292. 2. PLAN REF. # 2141 NORTH ANDOVER BOARD OF APPEALS 06 h N � I N 1. 375 ACRES DATE OF FILING.' i DATE OF HEARING DA TE OF APPROVA L Of L yN O PROPOSED SECOND 9120194 FLOOR CONSTRUCTION OVER EXISTING FOO T PRIN T GZ. i G , 45 E x,SRY 2/ 0 i i 2?9 T TR O i Residential Property Record Card PARCEL ID:210/064.0-0012-0000.0 MAP:064.0 BLOCK:0012 LOT:0000.0 PARCEL ADDRESS:220 DALE STREET FY:2011 -..- _ - - - = - --- ---.�... _.... _—�_- --_--9 661 PARCEL INFORMATION Use-Code: 10_4_ Sale Price: 1177,000 Book: 03180 _ Road Type„T _ Inspect Date_ 09/11/2002 Tax Class: T Sale Date: 10/28/90 Page:—0193- Rd Condition: P Meas Date: 09/1.1/2002 Owner: _-__-_ _ �. BAJAN,JAN _Tot Fin Area 2304 Sale Type:._P _ _ Ce_rt/Doc: _ Traffic: M TEntrance:- �D Tot Land Area: 1.50 - Sale Valid: Y - Water: _ lCollect"ld: -RO_p_ STEPHANIE BAJAN T Grantor: DAVIS,SCOTT N'-_ - Sewer: w' Inspect Reas:_ M _ Address: _ ---- - 220 DALE STREET Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: DX Tot Rooms: 7 Main Fn Area: 1488 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE: R1 Y --- — - - - - i —_._- Se T e. Code Method S Ft Acres Influ-Y/N Value Class Story Height_2.00 Bedrooms: 4 Up Fn Area: 816 Bsmt Area: 1488 _g Yp q- _ __- _�_ -_ T- ---- -��' -� 1 P 104 S 43560 1.000 206,910 Roof: G Full Baths: 2T Add Fn Area: _ ___ Fn Bsmt Area __` Ext Wall:_ _WS Half Baths: _Unfin Area: Bs'mt Grade: 2 R 104 A 0 0.500 3,800 _-__..� m_.`- -_-r-_ _ _ _ _ MasonryTnm: Ext Bath Fix: 0 Tot'Fm Area: _2304 � _ ® � VALUATION INFORMATION Foundation CB Bath Q Kitch Qua T_Eff Yr Built_ 1975-Mkt Adj:RCNLD: 18_3248 Current Total: 393,900 Bldg: 183,200 Land: 210,700 MktLnd: 210,700 ah �T � ��. Prior Total: 400,900 Bldg: 190,200 Land: 210,700 MktLnd: 210,700 Heaf Type: ER -Exf Kitcti Year Built: 1964 Sound Value: -FuelType:- E � '-' Grade: _ AG _Cost Bldg:� 183,200 Fireplace f W 0� Bsmt•Gar Cap: __Condition: A Att St Val 1: Gar SF: Fad AC: N -Bsmt _ Pct Complete:+T f' Att StrVal2 0nt Att Gar SF;____ %Good'P/F/E/R _____1106/179____ Porch Type Porch Area Porch Grade Factor W 160 SKETCH PHOTO 10 W 16160 S i br FM/B FWFM/B 672 Sq.R 816 Sq.R 24 24 24 . , • 4 - - 28 714 1 • 11 220 DALE STREET Parcel ID:210/064.0-0012-0000.0 as of 5/18/11 Page 1 of 1 North Andover Board of Assessors Public Access Page 1 of 1 NORTH North Andover Board of Assessors oE4.�•o,e'�No i • • � r GNUS<� roperty Record Card Click Seal To Return Parcel ID :210/064.0-0012-0000.0 FY:2011 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels } Search for Sales ry' Summary — Residence - - Detached Structure Condo 220 DALE STREET Commercial Location: 220 DALE STREET Owner Name: STEPHANIE JAN STEPHANIE BAJAN Owner Address: 220 DALE STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:6-6 Land Area: 1.50 acres Use Code: 104-TWO-FAM-RES Total Finished Area: 2304 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 393,900 400,900 Building Value: 183,200 190,200 Land Value: 210,700 210,700 Market and Value: 210,700 Chapter Land Value: LATEST SALE Sale Price: 171,000 Sale Date: 10/28/1990 Arms Length Sale Code: Y-YES-VALID Grantor: DAVIS,SCOTT N Cert Doc: Book: 03180 Page: 0193 http://csc-ma.us/PROPAPP/display.do?linkld=1704393&town=NandoverPubAcc 5/18/2011 I� Commonwealth of Massachusetts City/Town of EC RD"] W° System Pumping Record 45 '1011 Form.4 TOWN OF NORTH ANDOVER DEP has provided this form for use by local Boards of Health. Other forms m449EALTH EPARTMENT information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left front of house, right front of house, left side of house, right side of hous ,l E r of hou ht rear of house, left side of building, right rear of building, under deck. Cityrrown State Zip Code 2. System Owner: Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2• Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4: Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes No 5. Condition gf System: 6. System Pumped By: Neil J. Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc. Company 7. Ltuof ere contents were disposed: GLowell ste ter /�� �. Siuler UDate t5form4.doc•06/03 System Pumping Record•Page 1 of 1 I R Commonwealth of Massachusetts CEIVEU Title 5 Official Inspection For Subsurface Sewage Disposal System Form -Not for Voluntary Ass ssme�l 115 11 �M 220 Dale Street TOM OF NORTH ANDOVER Property Address HEALTH DEPARTMENT Jan Bajan Owner Owner's Name information is required for North Andover MA 01845 7/27/2011 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your Neil James Bateson cursor-do not Name of Inspector use the return key. Bateson Enterprises Inc. 40-1-1 Company Name 111 Argilla Road Company Address Andover MA 01810 City town State Zip Code 9784754786 S115 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Fu,Ter Evaluation by the Local Approving Authority / d�, 7/27/2011 lnspe6torbySigfiature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 220 Dale Street Property Address Jan Bajan Owner Owner's Name information is required for North Andover MA 01845 7/27/2011 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: After permit from B.O.H., install new d-box, inspection from B.O.H., septic system now passes Title 5 Inspection. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old' or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts City/Town of 15 11-eff I—VI W° System Pumping Record UR U11 Form 4 °^M sTOWN OF NORTH ANDOVER HEALTH DEPARTMENT DEP has provided this form for use by local Boards of Health. Other forms eu t e information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. S tion: Left front of house, right front of house, left side of house, right side of hou eft rear of hous`, right rear of house, left side of building, right rear of building, under deck. Cityfrown State Zip Code 2. System Owner: Name Address(if different from location) Citylrown State r-� �`�Zip Code � � Telephone Number B. Pumping Record 1. Date of Pumping 2. Quantity Pumped:Date p Gallons 3. Type of system: ❑ Cesspool(s) D--`Septicank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes D--M If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System.Pumped By: Neil J. Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc. Company 7. Locati where contents were disposed: .L.S.D. L ell Waste W ter Signat of ler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1