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Miscellaneous - 249 Marbleridge
H Location <:9 No. Date %' /�-'S.• `r �ORTN TOWN OF NORTH ANDOVER �o ,,�•C F 9 + Certificate Occupancy $ of Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ .TOTAL $ /ztd Check # P 18681 Building inspector`' 1.1 Property Address: 141 m .rbler;JQe. ko,.d 1.2 Assessors Map and Parcel 370 Map Number Number: 16 Parcel Number W i 11►aw. 134krfeM Horn e S 1049 Turrip* ke S+. A)6 A n ci&.�e.- 1.3 Zoning Information: Zoning District Proposed Use g - 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft 2.2 Owner of Record: Front Yard Side Yard Rear Yard Reqttired Provide Required Provided Re red Provided _W(X e^ �Ch. rrefit' Licensed Construction Supervisor: 1.7 Water Supply M.G.L.C.40. 54) Public ❑ Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHMAUTHORIZED AGENT Historic District: Yes NO 2.1 Owner of Record W i 11►aw. 134krfeM Horn e S 1049 Turrip* ke S+. A)6 A n ci&.�e.- Name (Print) Address for Service g - - Signature Telephone 2.2 Owner of Record: Name Pnnt Address for Service: Signature. Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ _W(X e^ �Ch. rrefit' Licensed Construction Supervisor: ^ `L S 10 4 9 " C� V f rjD 1 k G S+. _ License Number Address G$ aL — a3Oa% 1011010.5 Expiration Date Signa � Telephone 3.2 Registered mprovement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone C7 0k, 0 M r z G) SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 6 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 buildi permit. Signed affidavit Attached Yes ....... No ....... ❑ .SECTIONS Descri tion of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ f )❑ Accessory Bldg. ❑ Demolition Other 0 Specify Brief Description of Proposed Work: , 1 eM 7.e S f fGk ON i\ V Q cAj G SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar) to be ( )�s OM USE ONLY Completed Com leted b ermit a licant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbin Building Permit fee (a) X (b) 4 Mechanical (HVAC)_�--- 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT A./Y\ 8 0. r r G as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, (�1_t I i 0, n 1,, I(0 A r' e ' As Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief ' LILAw. /bc�r'rett' Pr' e Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Town of Forth Andover Building Department 27 -Larges Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 Buildnz Demolition Affidavit DATE Cl 14 tkORTH O O = L �.o �JA4TEp NPa�y-01 OWNERS NAME & ADDRESS (.J � I I i m rn a,rr4A— _1014 cl T"u r", 7k e. 6717, A,�® An Ao ee- n i AY6. PROPERTY LOCATION i2 LJq Y -A o ar- lJ l e r% A j P Q eA ed CONTRACTORS NAME & ADDRESS U-) 4 It in,M ire VA ®0, 18 4 0( ` Ty �r ru A i Lc e.. S h (20. A n d o ueen 4 t ? I4 DUNiPSTER- ON/ OFF STREET J©f r er, ►n d ® -�' S # ,�` e -t- DIG SAFE NUMBER 1 -79 BLDG. rNSPECTOR DATE RECD Town' of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 DEBRIS DISPOSAL FORM NORTF O tato � 'qq. 1 6yA Q O L A-1OLw.M-R• 7.9 0, .1, #I,PP,y.(5 SSACHUSt In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit .# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: J'�O rre r\ Tlryo t0i 5Ao 5 Z nr Facility location 17 Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: Location: City Phone am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity [3?*I*am an employer providing workers' compensation for my employees working on this job. Company name: W 1 i t i a. nn II3 A, r r &+t- N 0J% e.S Address I Oyu -T'vr % lo;.k e. S t* City N D Vah n d o u t r Phone #: 517X- &RA- a :32 o Insurance Co T & v e I cry ': rA ci c inn r : 4-v Ce of CassPolicy # LK U12 7 33 D 14 g L 05 Company name: Address City Phone # Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify and t e/sins and penalties of perjury that the information provided above is true and correct Signature Date —9-h 4 1 wr Print name W IUaren t&6rretc- Phone # 422,-2320 Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check d immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person. Phone A ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION The Commonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal P. O. Box 1025 State Road, Stow, MA 01775 PERMIT North Andover Permit No ( City of Town) ( If Applicable ) In accordance with the provisions of M.G.L.14 8 Chapter_1Q as provided in section—UJ—CMR 34 This Permit is granted to: Date: Dig Safe Number Start Date Full name of person, Firm or Corporation Peitnissionto locate dumpster for construction/renovation/demolition of building. Continents: dumpster must be 25' from structure if unable to place with required Restrictions: clearance dupmpster�must,/be covered with plywood or tarp end of work day at � � /� / %�s� /t)�E Gni' /� G C /y c ( Give location by street and no., or describe in such manner as to pro ted adequate identification of location ) FeePaids 50.00 �,�,E,�. Fire Chief This Permit will expire fi—f -O S' ( Signature of offical granting permit) Offical granting permit Title) =WN40" TWIC PERMIT M1 ICT RP rnNCP1r1 Inn I -q1 V P()CT;=n I IPr)M TNG PPFMICFC 4� 09/14/2005 14:08 FAX 7812462938 TARPEY INSURANCE GROUP [1001 ACORD CERTIFICATE. OF LIABILITY INSURAN CIE 09�i X220 'R°DucEr+ (781) 246-2677 FAX (781)224-•0973 THS CERTI CATS 151 "SUED AS A MATTER F INFORMA ION ONLY AND CONFERS 110 FIGHTS UPON THE CERTIFICATE Tarpey, Insurance Group Xnc HOLDER, THIS CEiRTIF C;IL* rE DOES NOT AMEND, EXTEND OR ALTER THE COVERAG fid -"FORDED BY THE POLICIES BELOW. 442 Water St PO BOX S67 INSURERS AFFORDING I;OVERAGE NAIC # Wakefield, MA 011180-4667 AUTO ONLY - EA ACCIDENT $ INSURED Colonial Village Development, Inc. INsuRERA: National Fire & Marine Ins. Co DBA: William Barrett Homes INSURERS; Safety Inde mr I ty 33618 wsURl_RC: Travelers Indamnity Co of Conn 25682 1049 Turnpike Street �- North Andover, MA 01845 INSURER O; INSURER E: _ COVERAGES �E BEEN ISSUED TO THE INSURED NAMED ABOVE F•5R TH = PC LICY PERIOD INDICATED. NOTWITHSTANDIN THE POLICIES OF INSURANCE LISTED BELOVI HAV OTHER DOCUMENT WITH RESPECT TO %P HIGH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION O- ANY CONTRACT MAY PERTAIN, THE INSURANCE AFFORDED E.Y THI: POLICIES OR DESCRIBED HEREIN IS SUBJI_CT TO ALL THE -EF tIS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY -IAVE BEEN REDUCED BY PAID CLAIMS. —25MITIM LIMrTS On TYPE Of INSURANCE POLICY NUMBER DATE MMIDDM! .DATE: MM1D01 rn._ LTw !T R NS GENERALLIABIu1Y 72LPE693330 10/01/2004 10/01/2(11)S EACH OCCURRENCE $ 1,000,0 X COMMERCIAL GENERAL LIABILITY PREMISE aocairenc $ 50 , 0 —17 CLAIMS MADE a OCCUR MED EXP (Aone person) S 0 rty PERSONAL & AOV INJURY S 1 000 0 A GEN -L AGGREGAT': LIMIT APPLIES PER: X POLICY ECT LOC AUTOMOBILE LIARILITY rANY AUTO ALL OWNED AUTOS X SCHEDULED 4UTOS B X HIRED AUTON X NON -OWNED AUTOS GA•1RAGE LIABILITY GA I ANY AUTO EXCESSIUMBRIEL-A LIA9IUTY OCCUR CLAIMS MADE DEOUCTIBLE RETENTION S WORKERS COMPENSAl10N AND EMPLOYERS LIABILITY -. I. . C . ANY PROPRIETOR/PAR•'NERIEXECUTIVE I OFFICER/MEMBER EXCI-UDED? If vas, describe under SPECIAL PROVISIONS below of Insurance :FRTIFICATE HOLDER Town of North Andover Building Dept j Town Hall North Andover, MA I ACORD 25 (2001108) FAX: (978)68::-23-77 6KUB7 19002261 03/2 + +- GENERAL AGGREGATE S 210001, , 000 , 000 PRODUCTS • COMP/OP AGG $ 2 , QQQ, 00 (2005 03/Z,3/2(Oe- COMBINED SINGLE LIMIT $ (Ea accident) 1,000 , BODILY INJURY 3 (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Peraccidenl) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S AUTO ONLY: AGG $ �- FACH OCCURRENCE S AGGREGATE $ 6 S. $ /2005 03/Z4/21I01:6 X TORY LIMITS I I ER EL, EACH ACCIDENT $ 100 - _.. _ E.L. DISEASE -(;,4 EMPLO S _ 100 E.L, DISEASE -POLICY LIMIT is 500 SHOULD ANY OF THE ABOV 's cII:Ef;CRIBED POLJCIFS BE CANCELLED MPUKM r n= EXPIRATION DATE TIiERE01', TEIEI ISSUING INSURER WILL ENDEAVOR TO MAIL __ID— DAYS wAir EN NO ICE: –0 THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCI I NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TME IN: UR.Eift, ITS AGENTS OR REPRESENTATIVES. tuoR¢eo REPRFSPJITA nVI l ®ACORD CORPORATION 1988 CO) m m m Y/ m F, y d � d 'v O CD C�• Z CO) CD �. � O CO) CD CD o p CDCL O Q d CD CD o CCD y. g� co CD I C C 0 _ O -.y0Q w r EL O o .� H m �di02 � m CO2 O H m ,.,► C S yCL CL 0 T m .0 d y CD ...� O m y p N Rm : S CD O �0 O Oy CD W •R r P,_ MCC rr ^) >• - C/) V^'m CL CD 'b C O m O p� N try' O H d p=t cn a co r. o H C/)H Coj M H e••P J o ftw � C CA .� 0 Z d�3C. ;7 - - ---- z �y W o myre� �� CL o=rte �• a'� �� 0 CO O �•CD o •' T �p r 7' n 0 ,11 EL W n z 0 G z, Im v ✓iie t�ommoouuealli a� i�/%zoaaclu�aell6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ! Number: CS 052241 Birthdate: 10/10/1952 Expires: 10/10/2005 Tr. no: 6241 Restricted: 00 ,F. WILLIAM K BARRETT 1049 TURNPIKE ST G. _ N ANDOVER, MA 01845_ Administrator - i t>: �t JZ 117.. s q ` � I t � , t>: 6070 _ Date. ..... ... ... ...... TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies thaty .............,................. ................ has permission to perform ,{ ............... .......................... ................... wiring in the building of ... . ................................................... at . �. e .....""' - ........�. * ............ . North Andover, Mass. TFee ..................... Lic. No.............. .................. ... ,..., .......... ELECTRICAL INSPICTOR�" Check # �0 l:r:. I ,' lily l I J:�MI A111AU111 01C j a lV: Permit No. O 6%CJ Otxepaory 3 Fees Checked�� APPUCA71ONFOR PERMIT'TO PERFORM FT WO All, woRK To BE PERFORMED 1N ACCORDANCE WrrH THE MASSACHUSSTS ELECTRICAL co a, 527 cINB 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION 6 Town of North AndoverTo the Inspector of Wires: The undersiped applies for a permit to perform the electrical work described below. Location (Street A Owner or Tenant Owner's Address is this permit in conjunction with a building permit: Yea M No 0 (Check Appropriate Bos) 326— Purpose of Building lV G i 5_ FAA4 �`1 Utility Authorization No. Existing Service Amp�V olts Overhead Undergroi nd No. of Meters New S t UJ Amp f yC'Volta Overhead UrEdergrOtutd No. of Melees I� Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work z,tA r -A-1, . r4-z,//a Na of Luft outMs Na of Hot Tabs Na OtTrwbnnam Tont KVA Na of Ugbdq Rum Swhmah g Pad Above Bebw Oeoersters KVA Na of Receptack Outten Na of on Bmmn Na Of EmarpM LigWng BoWy Unin Na of Switcb Oadew No. a(Ga Heiser FMB ALARMS No. Of zoeea Na of Ranges Na of Air cord. TOW TOW Na OfDereetim and Na. of Dispoada Na of Had Told Taal Tori KW laidadug Devices Na of Sounding Devices No. of Dishwahen Space Ams Heatbg KW Na Of self c6 0hod t Othw Na of Dryers Hating Devica KW 0 No. of Waren Haarom KW Na of Na of siffin Bsilsi Na Hydro MmW Tuba Na of Motor TOW HP 4 Ya.a =CbVWV AlNWID1e10FOUMcfMINK ilsl OMINlLING lhate8'harmtli yiossraeibB.YirddrBt�m-1 orb2*dWWgiAjW ya1:3 mne lhsubtrftdvdld strrtelofleOft YM Iyouhnededoed7ll�,piersi�doaleftetyped 1NK ANCE BM OUER C1 �1daeSpedly) BgislfooDl� E�hirabdValEeofl�cldcslWodt s WcdcbSent itipd7fonl]r;Rec}s9ed Rohl -I • /b/IR IJAFjA1 ';�sP-X1 ff1 ZA LmicNa AILIdNa own, 'SMRtAN EWANPRIsfnamhettzLimBe biamme=a*orilEsuhrardrlea arddwffaaWmWcn rpem�rppicimwgitsfire¢inert bYMrsrsdi>9dlstier>a�ILarw (Please check one) Owner Agent Telephone No. PELWr Fly ! nl AXEWW0FPEW cSUr v `7v BQARDQRF'BPI�V�VIIgINR�[11A1110�1163�7(1r�tlt� P°nde No. � �.r.a7 a tea et;ecbd APPUCATTONFOR PERWTO PERFORMEI.FCTRICAI, WO ALL woad To BE PERFORMED IN ACCORDANCE Wit THE MASSACHUSSTS ei.eCrREAL coca 527 cmR 12:00 (PLEASE PR INT IN INK OR TYPE ALL 0IFORMA110Ih D a Town of Nath Andover To the hupector of Wires: The undersigned applies for a permit to perform the electrical wort described below. Location (Street & Number) lM 64_%IQ _� /i l7 ' `"')V-- . Owner or Tenant t ,U t C I &4 ,1M A-0 iL irr- l� s I _ L Owners Addm a 1,6Z49 -WVAIr41J,11c . Is this permit in conjunction with a building petty YesI No M (aca A peoprim 13oz) Purpose of Building ' (-Y Utility Authorization No. Existing Service Amps./Volts Ovahed E3 Underground M No. of Metas New Serviszf Amp I yWolta overread Underground No. of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Wort _ ,tt r?I'U ► _M /�iiD/�,�'� ('z„G✓/C o= FM Aurrw ?k of De%Wm gad Wdaai Dsoi= NO. of Scmdhig Dnlaea Na of SWCoaongi DWIk= Comecdom No. of Zo [oa�re[pmr�or�ctaiascia[e■tisr♦ 13 NOlce�9'�� n;* aabetlilerfiValmt y� 's�nefalsst7don Y� Irruhnedn�dyBqmPlerrairJ[�rlebetypedco�esrpbp mw)1:3 an= 0 r—S* �R PZ* arr WTURL o v ALUM odwr mdd*nrrs�mWcntl[lepmnt i�ipp � --—:---...—•��..oaera�oyly�lS�C$lliiLerr� (Please check oma) Owner Agent31palure or Owner or Xgew -- Telephone No. FERhr k� f FEE s s-t�A o Eo 0 ,l 00 Tot M � 9 dsuKue� Zoning Bylaw Denial Town Of North Andover Building Department 400 Osgood St. North Andover, MA. 01845 Phone 878488-8545 Fax 878488-6542 Street: 021 MAP -b10- t ctj e- e0A Ma Lot: D (o • plica t: e 1 r` CSN a w>J A.)c R nest: Raze- SL. t U 14r-- i R'e CO'D s r O C a wn S Date: I I 1 1 Please be advised that after review of your Appucauon and runs vma ywue rrr■umm%o•• •o DENIED for the following Zoning Bylaw reasons: Item Notes Site Plan Review Special Permit Item Notes A Lot Area Lot Area Variance F Frontage CongrVate Housing Special Permit 1 Lot area Insufficient Special Permits Zoning Board 1 Frontage Insufficient Large Estate Condo Special Permit 2 Lot Area Preexisting Special Permit Use not Listed but Similar 2 Frontage Complies R-6 Density Special Permit 3 Lot Area Complies S 3 1 Preexisting frontage 4 Insufficient Inforrnation 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 1 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies C S 4 Special Permit Required e— 5 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Inforrnation C Setback H Building Height 1 All setbacks comply zolucIV C 1 Height Exceeds Maximum Insufficient Front Insucient e S *W5 2 Complies e 3 Left Side Insufficient 3 PreexistingHeight 4 r52 Right Side Insufficient 4 Insufficient Information Rear Insufficient I Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies f D Watershed 3 Coverage Preexisting 1 Not in Watershed 4 Insufficient Information 2 In Watershed Li e_ S d Sign TTA 3 1 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district ,e S 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parkin Remedy for the above is checked below. Item # Special Permits Planning Board Item 0 Variance Site Plan Review Special Permit Sdku t Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance CongrVate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non -Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permit Special Permit preexisting nonconforming Watershed Special Permit WAtet` s - UArcaAlc The above review and attached explanation of such is based on the playa; and information submiCad. No definitive review and or advice shall be based on verbal wiplaivilione by the applicant nor strep such verbal eapiaiiabons by the applicant serve to provide definitive annrwers to the above reasons for DENIAL. Any inaccuracies, misleeding it fom ation, or other subsequert charges to the intormalton submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Dep uftnent. The attached d=wwt tilled'Plsn Review Nanative' shall be attached hereto and incorporated herein by reference. The balding dspeftw t will retain ad plens and docume tion br the above file. You must file a new building permit application form and begin the pamftV process. wilding Department Official Signature Denial Sent: Al -11-L9,6 Application Received fq OS Appli n enied If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the application/ permit for the property indicated on the reverse side: 1Mrm � I�i+r�lr�� u l Police 1%A /D` ( f0 C- vn c..�.t/ —k, Conservation aa Planning �ar �O 1p V e4r ti o A N w Other S 7� rv�u r� D, 4m (Cf S,; 13 13 G Referred To: Fire Health Police X, Zoning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT 0 —W 1.1 Property Address: 1.2 Assessors Map and Parcel Map Number Number: Parcel Number 2.2 Owner of Record: Name Print Address for Service: 1.3 Zoning Information: Zoning District Proposed Use Signature Telephone 1.4 Property Dimensions: Lot Area Fronts 8 1.6 BURRING SETBACKS M 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ Front Yard Side Yard Rear Yard Rapired Provide R red Provided ReqWred Provided 1 Expiration Date Signature Telephone 1.7 Water Supply M.G.L.C.40. 54) tic ❑ Prhwc ❑ 1.5. Flood Zone Information: 1.8 Zone Outside Flood Zone ❑ Municipal Sewer ge Disposal System: ❑ on Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service �v d i2�� �i�/� C%✓ �c 78— 6 96-176 W-griatide Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Telephone ou rn X 3 z O O z M 90 O a. r v rn r _r z G) SECTION 4 - WORKERS COMPENSATION (XG.L C 152 f 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......0 No ....... ❑ SECTION S Description of Proposed Workcheck a9 a bie New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: C �-b o r 2. ,ecs - ca � SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed b 't applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 'Oe"- ..-, r 0'-, 0�� �} 2 C(�r�- as {honer/ orized Agent of subject prope Hereby authorize to act on My be f, ni all matters relative to work authorized by this building permit application. Si iatur of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject 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 Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TII MFRS 1hr2' 3RD SPAN DM ENSIONS OF SELLS DIlvIENSIONS OF POSTS DIMENSIONS OF GMDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUU DING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NEW ENGLAND ENGINEERING SERVICES INC April 11, 2005 Mike McGuire North Andover Building Inspector 27 Charles Street North Andover, MA 01845 Re: 249 Marble Ridge Road, North Andover Dear Mike: 5 Enclosed is a Building permit application for the above referenced property. The application is being submitted in order to receive a denial so that a Board of Appeals application can be filed this week. The proposed structure on Lot 2 is located 106 feet from the edge of a wetland in the watershed protection district. The required wetland setback is 150 feet. According to the watershed protection bylaw the Planning Board may allow the construction only after a variance has been granted by the Board of Appeals. Other permits still not obtained include the Form A approval, an application for which will be submitted tomorrow, as well as special permits which must be granted by the planning Board include the following: • 4.136(3)(c)(ii)(1) increase in surface water discharge • 4.136(3)(c)(ii)(1) changes in topography or grade • 4.136(3)(c)(ii)(5) increase in surface and subsurface discharge • 4.136(3)(c)(ii)(3) construction of a dwelling located in the non discharge buffer zone. If you have any questions please do not hesitate to contact this office. Sincerely, Benjamin C. Osgoo , Jr., P.E. President 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 '249 Marbleridgt Road F Special Per•mit.. Watembed Protection Mstrict The, Planning Board nnak.es the following findings regarding the application of Reed C;undiff, 249 Marbleridge Road, forth Andover, MA 01845, submitted on July 13, 2000, requesting a Special Permit under SectiOn 4.136 of the Zoning Bir -Law to allow sT.Trface and sub -surface discharge of storm water.within the ?i on -Disturbance Tone of the Watershed Protection District in conjunction with the cor)struction of a :238 sgtrare foot thrive season porch. FCN'I)YN ,5 OF FA(,"F: In accordance with 4.133 the. Plaiming Board makes the tinditig that the. intent ofthe Bylaw, as well as its specific criteria, are inet. Specifically the ]Tanning Boaxd finds: That as a result of the projx) ed construction in. conjunction with other uses nearby.. Cheri; will not be any significant degradation of the duality or quantity of water in r}r entering Lake Cochichewick:. The Planning Board bases its findings on the iollowmg facts: The proposed structure: is attached to a home which is connected to the Town sewer =}'�;tel':'r; Ci) A deed restriction 'will be placed limiting the types of fertilizers that can be used on the site. c) [he topography of the site will not be altered substantially. d) Tile limit of clearing is restricted to the minimum nex;essary to constn:,ct the structure and appurtenances; There is no reasonable. alternative location outside the Mon-Dislarbance Buffer Lorne for any dis,:har•gc, structure or activity, associated with the proposed project as almost the entire lot is located within the Non-D.islurbm.lc:. Tone and the Non -Discharge Toni;. In accordance with. Section 10.31 of the Borth Andover 'Luning .Bylaw, the Pianning Board makes Lhe IL)llowin- findings: 11 -1 i. _ i ll1, e) The Planning Board also makes a specific finding that the use is in harmony with the .general purpose and intent of the North Andover Zoning Bylaw. Upon reaching the above findings, the Planning; Board approves thus Special .permit based upon the following Conditions.. SPECI NIL C:OND:1'lEIONS: 1<) This decision most be filed with the North Essex Registry of Deeds. The folJowing information is included as part of thl's deci.sicn ai Plan title=d: Watershed Special Permit Plarr '149 Marblerldge: Road North Andover, MA 01845 .Prepared by: :lames A. O'Day, P.E, 599 C;arial Street P.avfrence, MA 01840 �icale: 1" =_ 20' Daie: July 7, 2000 Sheet : 1 of i b) The Town .}Tanner shall approve any changes made to these plans. Any changes deemed substantial b.v the Town Planner would require a public hearing and modification by the I'J.artning Bow -d. 2) Prior to any work on site: a) A perl'or mance ,�.rarantee of two thousand ($2,0W) dollars in 'the Ibrrn of a check made out to the Town of North Andover must be posted to insure that construction will take place in accordance with the plans and the conditions of this decision and to erasure that the as - built plans lvd.l be submitted. b) Devised plans depicting items listed in the Town Planner's rnern.orandurn dated 8/3/00 must be provided and approved by the Town Planner-. c) The limit of work as shown on the plan by the erosion control line must be marked in the field and must be reviewed and approved by the `fown Planner. d) All erosion control measures as shown on the plan must be in place and reviewed by the ,.ro:vn PlarInr r. e) -rhe site shall have received all necessary permits and approvals from the North Andover Conser,,,ation Commission, Board of Health, and the Depa-tment of Public Works and be in coanpliance a ith the above p(.Tmits and. approvals. 2 018/07/00 z) Prior to verification of a Certificate oWeellpan y; ;3} bio p:�sticides, l:artiliters or chemicals shall be used in lawn. care or rt�aintenwice. The applicant shall incorporate this condition as a deed restriction, a copy o1 the deed shall be submitted to the Lown Planner and included in the file. 4) Prior to re leza.se of the Performance Bond: a} The applicant shall submit in as -built plain =tamped by a Registered Professional Engineer in Massachusetts that shows all construction, including storm water mitigation trenches and rather pertinent site features. This as -built plan shall be submitted to .the Town Planner for approval. The applicant must submit a certification from the design engineer that the site was constructed as shown on the approved plarn. b) The Planning Board niust by a majority vote make a finding that the site is in conformance with the approvcd plasi. 5) In no instwice ,hall the applicant's proposed construction be allowed to further itrrpac y. the site than as proposed ot, the plan. referenced in Condition # 1. 6) No open burning shall_ be done except as is perp -fitted durir:g burning season under the Fire Department regulations. 7) The Contractor shall contact Uig Safe at least T? hours prior to commencing excavation. 8) The provisions of this conditional approval shall apply to and be binding upon the applicant, it's employees and all successors and assigns vt interest of control. 9) This permit shall be deemed to have lapsed Lifter a two- (2) year period horn the date _ on which the: ;special Permit was granted ,.unless substantial use or construction .has omric;nc:ed. 1001 19 A'!r+rValE irloi I:na9 — P "ll, hv..i .Sur cinl Pei it CC. Applica-rit Eng'Lncer File 149 KII.-,rhleridoe 1<nsd - Wntor,Jied tinevi,,d Pt�,rmk N2 2678. Date. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... ........ .................................. has permission to perform ...... ............................................. wiring in the building of ...... CUVIAL-.. ............... ................................. N, at ........... ....... i4orth Andover:, ass. E cTRI� .. VLECT Fee.X d ..... Lic. No/%6P.q .......... ... .. .. ....... PICA INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THEOOWONWEALTHOFMASSACHUSE77S' ogee use DEPARTARMOFPUBLICSAFM Permit No. BOARD OFFIREPREYEIMONMGUTATIOA:S527CMR 1200 9JAPPUCATION Occupancy&Fees CheckedFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date AD Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street Owner or Tenant Owner's Address To the Inspector of Wires: Is this permit in conjunction with a building permit: Yes ® No (Check Appropriate Box) Purpose of Building w l m6t. tom- �A��7� Utility Authorization No. Existing Service �0ti Amps )2d.2yQVolts Overhead 0 Underground No. of Meters New Service Amps�Volts Overhead M Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ?02C-14 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting FixturesSwimming Pool Above Below Generators KVA and ound No. of Receptacle Outlets ! -t No. of oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets Li No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP ' r OTHER hua=Caraage Ptnsuarrtbthetegt�anatsotiviassad GafaalLaws Iha%eaamotLiabkh umcePblicyirlixiff>gCa CoxadWcrits leq ivala# YES NO a IhawahneedvalidpoofofsametutheO im YES U NO M If}cuhawdwdWYES, pleaseQdic*theNxofoaaaWbydud <gthe box wsuRANCE BOND OTIII a (Please**) EViration D& Esti Tk*d Valuecffletttiral Wait $ WakIDStatt 110 " Sa - 00 hWeclionD,*RoWested Rough Final FIRM NAME LimmNo. I tll 1.;� 5-1 t— L;oa Dii,,A-` 0o4 Sigrlatine Bt sirm Tel. Na �7,Sr- •�3`/ - G'% i Addrai,fC� /Y/,'D Z/f2-7 S %2i%.'r�;S1 5/ %%ice Ga/9i3 AIL Td r_ 'lb --70 OWNER'S INSURANCEWAIV R,lamawarethattheL=lsedoes�$feittstaa�oeoa�eor9ssl ardalec�rivalartasraquuadbyMassa�seltsGalealLaws anddAmysigr t cnihspwniappficEbmvmi%cstistegtwanat (Please check one) Owner Agent 1:3`l Telephone No. PERMIT FEE 1 ` v Location No. Date Nom,. TOWN OF NORTH ANDOVER 9 + so+ Certificate of Occupancy $ • °� ...:1... .. + � cam' Building/Frame Permit Fee $ s�cNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # -3-� t 4'169 _ Building Insp�or t TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ; choa:for i"I atUse''0 BUILDING PERMIT NUMBER: , / DATE ISSUED: q _)c _b C� SIGNATURE: //nc&tt� Building Commissioner/I for of Buildings Date �. It M M z O ?LJ Co AP SEC, I ION !-SITE INFORMATION , 1.1 Property Address: 1.2 Assessors Map and Parcel Number: / (M—.p Number Parcel Number N 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Re red Provided 1.7 Water Supply M.G.LC.40. 54) 1.5. Flood Zone Information: Public 0 Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal X On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record P00 K C UM010-- Name (Print) Address for Service Signature . Telephone 2.2 Owner of Record: 9 Name Print Address for Service: 70 Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor:Not p .7 •Z y7_, '�/C- t /2-702-t Licensed Construction Supervisor: 3 kmeys zf Pewhw N� Address ggQ L�� Lacl (p a3 �7,00Q vV Signature Telephone Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name JW&WS 4V Tat,l�r�„ 1 ��/�!�a(� P� lv Y 1`dur� Registration Number +�KJ Address Lp � If ?19 C'M' Expiration Date Signature Telephone �. It M M z O ?LJ Co AP 4 -4, L 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 building permit. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ 1 Other ❑ Specify _ Brief Description of Proposed Work: LN�V�/I�ll(f S� / J/l' J f c�. �� �/1 / /Ao'S'/-4L SI-/Q/At- GZd-S-I)Ve I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Buildin n 5-70 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) r (b) 4 Mechanical HVAC) 5 Fire Protection 6 Total 1+2+3+4+5 Check Number ISECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT _-,I I, :57FY U W. Q-*smu - I as Owner/Authorized Agent of subject property Hereby authorize to act on My behal 'n all t�,l rs relative to work authorized by this building pen -nit application � /` 7211 � Signature of Owt r Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property i 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 . Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T VIBERS I 2 No 3 PD SPAN DUVIENSIONS OF SILLS DIMENSIONS OF POSTS DM ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHR NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. WOONNOWNU on NONE" 0 APPLICANT /,/,e (1.) amu( A/ PHONE ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET b LCP; Z°- IISW STREET NUMBER 62 i.......■ .............................................0.................. OFFICIAL USE ONLY ............................................................................. RECOMMENDATIONS OF TOWN AGENTS �.0........... ..r` DATE APPROVED )C CONSERVATION ADMDUSTRATOR DATE REJECTED DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED CON 4ENTS PUBLIC WORKS - SEWER 1 WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CONIMENTS RECEIVED BY BUILDING INSPECTOR J I Town of North Andover NORTH 0 <yLD q�r p O Building Department o 27 Charles Street North Andover, Massachusetts 01845 e (978) 688-9545 Fax (978) 688-9542 4 co - 0, � �9SSAtNUs���y DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: Km Facility location 00 "<�W Signature of A plicant /V 77A) Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: P. <Z*Ci W -IU Location: 3O /CC Fe -9-S 4 City Pe-LQ4 /)44 - Phone U l o am a homeowner performing all work myself. �*am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers' compensation for my employees working on this job. Company name: Address City Phone #: Insurance Co Policy # Company name: Address City Phone #: Insurance Co Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. /do herby certify un�thesand penalties of perjury that the information provided above is true and correct. Signature' Date lvT�r Print name �L% P %' Phone # /a� F%® C)Pi Official use only do not write in this area to be completed by city or town official' ❑ Building Dept F1 Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone #: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION y HOME HOME IMPROVEMENT CONTRACTOR Registration 127029 a Type - DBA Expiration 08/24/00 JACKSON BUILDING.& REMODELING STEVEN P. JACKSON G� o 7�' 46�Td4ARRW00D DR .. ADMINISTRATOR BRADFORD MA 01835 �. DEPAR,MENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE I y a „, Number; ' -ra Expires: Birthdate: CS 072425 1@/I3%2801 Restricted To: 10 STEVEN P JACKSON °Y, gt)tt4; FARRWOOO OR BRADFORD -' --.- _ NA 81835 � b5!11/2000 04:29 FAX 4 05/10/2000 15:99 9798700080 JACKSUNELD JACK SONBUIL 1►ING & REMODELING Contract / Proposal MA. Lic. # 072425 MA. REG. H.I.0 # 127029 30 Kopers lane Pelham, NH 01876 603-870-0088 603-870-0080 fax Propmal Submitted to: Reed & Kelly Cundiff, 249 Marbleridge Road N. Andover, MA Home # 978-686-7897 Work # 781--376-2811 May 10, 2004 We hereby submit specifications and estimates for: Construction of multi-level decks and screened in porch. [� 01 PAGE 02 y IV�� • Specifications: • Includes all building permits. • Includes all clean up and debris removal_ • A11 Excavation and backfill bring to a rough grade. • All concrete to be 3000 psi / 3/4 stone • 12" diameter concrete tubes for all piers All other construction as per plans except the following, 4x6 cedar post are now doug fir • Sub railings are now fir with fir 2x2 ballasters with cut pyramid tops top cap rail mahogany 2x4. • Rail post's 40 doug fir wraped in # 2 3/4" pine fitted with post cap. • Ceiling to now be pine touge and groove. • Tncludes Electrical Allowance of $ 1,000.00 • Includes a Plumbing allowance of S 800.00 • This contract does not include the following. Painting or staining 4 4 - 4�ltl , / Sly A 05/11/2000 04:29 FAX 05110/2000 15:00 9788700060 JACKSONBLD PAGE 01 We propose hereby to furnish material and labor -complete in accordance with above specifications, for the sum of: S 46.970.00 FORTY SIX THOUSAND, NIENE HUNDRED, SEVENTV.%o TERMS: First payment due upon signing of contract far the amount of $5.200.00. Second payment of 51.5,740.00 due when excavation has been started. Third payment of S 20,000.00 due when rough frame is complete for deckL% and porch. Final payment of S 6,070.00 when all work i9 complete. All material is guaranteed to be as specified. /ill work to be completed in a substantial workmanlike manner according to specificatious submitted per standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written order9, and will become an extra charge over and above the estimate. All agreernem8 contingent upon strikes, accidents, or delays beyond our Control. Owner to carry fire, tornado and other rear -wary insurance. Authorized Note : This proposal may be wlitbdrawn0by us if not accepted within M days. Acceptance of Propo50L - The above price,, spteifications and conditions are satisfactory and are hereby accepted.. You are authorized to do the work as specified. Payment will be made as outlined above. Date of accepts Signature Signature 10- 202 G ` awn of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SOMME/ACE DSI AW 27 Charles Street TOWN CLERK North Andover, Massachusetts 01845 NORTH ANDOVER WILLIAM J. SCOTT Director (978)688-9531 Any appeal shall be filled within (20) days after the date of filling this Notice in the Office of the Town Clerk. Petition of. Reed Cundiff kii. ; p �TE°'a•'� NOTICE OF DECISIOT4000 AUG 31 P 1: 24 Fax (978) 688-9542 Date: August 31, 2000 Date of Bearing: August 15, 2000 Premises affected: 249 Marbleridge Road Referring to the above petition for a special permit from the requirements of the: North Andover Zoning Bylaw Section 4.136 so as to allow: to construct a 238 sq. ft. addition to an existing dwelling located within the Non - Discharge Zone of the Lake Cochichewick Watershed Protection District. After a public hearing given on the above date, the Planning Board voted To: APPROVE the: Watershed Special Permit CC: Director of Public Works Building Inspector Conservation Department Health Department Assessors Police Chief Fire Chief Applicant Engineer Towns Outside Consultant File Interested Parties based upon the following conditions (attached): Signed Alison M. Lescarbeau, Chairman John Simons, Vice Chairman Alberto Angles, Clerk Richard S. Rowen Richard Nardella William Cunningham 249 Marhlerirlve Road — Water-hed f neeial Permit BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 249 Marb}eridge Road Special Permit - Watershed Protection District The Planning Board makes the following findings regarding the application of Reed Cundiff, 249 Marbleridge Road, North Andover, MA 01845, submitted on July 13, 2000, requesting a Special Permit under Section 4.136 of the Zoning By -Law to allow surface and sub -surface discharge of storm water within the Non -Discharge Zone of the Watershed Protection District in conjunction with the construction of a 238 square foot three season porch. FINDINGS OF FACT: In accordance with 4.133 the Planning Board makes the finding that the intent of the Bylaw, as well as its specific criteria, are met. Specifically the Planning Board finds: 1. That as a result of the proposed construction in conjunction with other uses nearby, there will not be any significant degradation of the quality or quantity of water in or entering Lake Cochichewick. The Planning Board bases its findings on the following facts: a) The prpposed structure is attached to a home which is connected to the Town sewer system; b) A deed restriction will be placed limiting the types of fertilizers that can be used on the site. c) -The topography of the site will not be altered substantially. d) The limit of clearing is restricted to the minimum necessary to construct the structure and appurtenances; 2. There -is- no reasonable alternative location outside the Non -Discharge Buffer Zone for any discharge, structure or activity, associated with the proposed project as almost the entire lot is located within the Non -Disturbance Zone and the Non -Discharge Zone. In accordapce with Section 10.31 of the North Andover Zoning Bylaw, the Planning Board makes the following findings: a) The speck site is an appropriate location for the proposed use as all feasible storm water and erosion controls have been placed on the site; b) The use will not adversely affect the neighborhood as the lot is located in a residential zone; c) There will be no nuisance or serious hazard to vehicles or pedestrians; d) Adequate and appropriate facilities are provided for the proper operation of the proposed use; 249 Marhleridae Rnad — Watershed Snecial Permit e) The Planning Board also makes a specific finding that the use is in harmony with the general purpose and intent of the North Andover Zoning Bylaw. Upon reaching the above findings, the Planning Board approves this Special Permit based upon the following conditions: SPECIAL CONDITIONS: 1) This decision must be filed with the North Essex Registry of Deeds. The following information is included as part of this decision: a) Plan titled: Watershed Special Permit Plan 249 Marbleridge Road North Andover, MA 01845 Prepared by: James A. O'Day, P.E. 599 Canal Street Lawrence, MA 01840 Scale: 1" = 20' Date: July 7, 2000 Sheet : 1 of 1 b) The Town Planner shall approve any changes made to these plans. Any changes deemed substantial by the Town Planner would require a public hearing and modification by the Planning Board. 2) Prior to any work on site: a) A performance guarantee of two thousand ($2,000) dollars in the form of a check made out to the Town of North Andover must be posted to insure that construction will take place in accordance with the plans and the conditions of this decision and to ensure that the as - built plans will be submitted. b) Revised plans depicting items listed in the Town Planner's memorandum dated 8/3/00 must be provided and approved by the Town Planner. c) The limit of work as shown on the plan by the erosion control line must be marked in the field and must be reviewed and approved by the Town Planner. d) All erosion control measures as shown on the plan must be in place and reviewed by the Town Planner. e) The site shall have received all necessary permits and approvals from the North Andover Conservation Commission, Board of Health, and the Department of Public Works and be in compliance with the above permits and approvals. 249 Marhleridue Rnad — Watershed Rnecial Permit 3) Prior to verification of a Certificate of Occupancy: a) No pesticides, fertilizers or chemicals shall be used in lawn care or maintenance. The applicant shall incorporate this condition as a deed restriction, a copy of the deed shall be submitted to the Town Planner and included in the file. 4) Prior to release of the Performance Bond: a) The applicant shall submit an as -built plan stamped by a Registered Professional Engineer in Massachusetts that shows all construction, including storm water mitigation trenches and other pertinent site features. This as -built plan shall be submitted to the Town Planner for approval. The applicant must submit a certification from the design engineer that the site was copstructed as shown on the approved plan. b) The Planning Board must by a majority vote make a finding that the site is in conformance with the approved plan. 5) In no instance shall the applicant's proposed construction be allowed to further impact the site than a� proposed on the plan referenced in Condition # 1. 6) No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 7) The Cqntractor shall contact Dig Safe at least 72 hours prior to commencing excavation. 8) The provisions of this conditional approval shall apply to and be binding upon the applicant, it's employees and all successors and assigns in interest or control.. 9) This permit shall be deemed to have lapsed after a two- (2) year period from the date is oat on which the Special Permit was granted unless substantial use or construction has commenced. 4 249 Marhler-idue Rnad — Watershed Snecial Permit CC. Applicant Engineer File 249 Marh1e.6dve Rand — Watershed Snecial Permit w S al PROFESSIONAL n P.O. BOX 958 E. HAMPSTEAD, NH 03826 (603) 329-5540 FAX (603) 329-6406 RESIDENTIAL • COM TITLE Li�—\Swtl.D�UtJDI STRUCTURAL ENGiNEERiNG DESIGN SERVICES r ON EST 1 NO. C —W JOB J SUBJECT UE.S\(_ny. LykLLy— SHEET NO. DESIGNED BY DATE ft'L�'�'l CHECEED BY DATE Al Lo d\C4- V�-A-T _?rr(H t1=-�17- eL -t7 F f 61rtQq liD S 1-14 ba F -w -r Tzhi ,? %-T c 1 = -L r if rm_v vt s0 SYN D ru r-' S +Ara L'T 'P; - -,Vd a 12'thL_ . { 1 z_ 4 M ovx v >, � ruLt, 1_o�c�► a�. P.O. BOX 958 E. HAMPSTEAD, NH 03826 (603) 329.5540 FAX (603) 329-6406 TITLE `y SUBJECT C -A RESIDENTIAL • COMMERCI& orl-im-4 I 1 0 � bD PROFESSIONAL ETH OF ST RUCTURAL ENGINEERING �"'i`�.(n_ DESIGN SERVICES J. X287 [ J Z °ISTMN) �% EST ? �� JN0 OB SHEET N0. DESIGNED BY DATE CHECIED BY Kc - het •ZZ Y. \-Z' C's S�R� �2C�'` "''� Z� bac-rL�t�►�.�. �: �..��.��+ ����-� I I r,4r=nk PuF DATE SD P L7 4 1-7+ T 2' t "S \ r pf sp1 a -A Pt. tIV, _ , ra`"— Of L-. P.O. BOX 958 'V E. HAMPSTEAD, NH 03826 LE J o� (603) 3295540 MO IA FAX (603) 329-6406UGTURAL RESIDENTIAL • COMMERC • 1 Dl.Q6�g� / IST TITLE �, G2lSWOLa ,,t���"F Qc� + SUBJECT PROFESSIONAL STRUCTURAL ENGINEERING DESIGN SERVICES EST j N0.•�s�� SHEET N0. DESIGNED BY DATE U-222 CHECKED BY DATE r�'Q- 7 Z tots no- ,I\ Y-%� me �� \,C� act$ : �lG—LS I i� C w._ a � ►'i -Df Ce- -� �r.VaLc Sipa A P.O. BOX 958 E. HAMPSTEAD, NH 03826 (603) 329-5540 FAX (603) 3246406 TITLE J, RESIDENTIAL • COMMERCIAL zAA NL-%-.) SUBJECT DESIGNED BY DATE -l�dU'J CHECEED BY DATE " VAA a RA( f y 1O PROFESSIONAL STRUCTURAL ENGINEERING DESIGN SERVICES EST) JOB J N0 SHEET NO. 5 33 ct QSS c1 l'\>✓ T� V�O"t '-'amok TJ�s�t— Nl t P.O. BOX 958 E. HAMPSTEAD, NH 03826 (603) 329-5540 FAX (6W) 329-6408 RESIDENTIAL • TITLE 1-1.j %-r SUBJECT— DESIGNED BYgZ� DATE � f -?40 v CHECIED BY lob PROFESSIONAL STRUCTURAL ENGINEERING DESIGN SERVICES H 1�>.( EST ? NO . JOB SHEET NO. DATE 761 �1 �, �. � l �: � • �.. �,"�' , "��.� 'tau. -K .� � i � � � �c't:� �r� Al ti R --r 4 tiJ o �. vv CN • J ��, � �. , � �.��� �� Utz. ��. Cl) m C m Cl) 0 m CO) CDyy C coCLm a� o p CL cr CD o cc CD y "o CD O CO) d d O CA c 0 c CA CD 0 �M CD a y. CD CO) 0 CCD CD0 O SCJ' I% n O cn 0 cn cn d C y p d ca EL o :5 m CL p m m n 'a Ciao m Z y' =.o CO) --q O� ,�► .�-► m HT ? CL CL o Er O m y O y O ? m m > > C n fC O oZ y n W O D . C S H d n p =: �m cm - to ..�,: CD �my��;� CL N N QJG d C _y m .► m N ? NCA � o m m Cc ooh Com ,:0,: v, -coo � 0 = _ a� / �y � m o � � m o� nom•'^ n� S.: 46— C O O OTJ MITIz w w �� p7i 0 Z � O y G 0 � z r � U CA O CL 7� b o y J y 0 0 c Date,/ ;! ......... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �;� ,, This certifies that .. Q. .�._ �:�r..... .... .................... has permission for gd�lfh&allation ! .......................... in the buildings of ............. ... ........................ . at .. :1. ` .l :j j., .--� . . . . . . . . . . . . . North Andover, Mass. Fee.Lic. No.:::.!..... .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Ddpt. PINK: Treasurer GOLD: File 'MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) t NORTH ANDOVER Mass. Date 9,3 s �uilding Location 119 y y of zaleimie , oho Permit # j- 0 Owners Name ,6evcc • New '-1 Renovation 15� Replacement Plans Submitted 0 FIXT P,,=S (Print or Type) o Check one: Certificate Installing Company Name-, le,'0` 71fwlp /,y &ell4ycloqL Q Corp. Address 9 51bi�/� - - /,E"�N7 Partner. /0 w ee'l /`t /9 Firm/Co. Business Telephone: S"O 7 Name of Licensed Plumber or Gas Fitter Insurance Coverage. Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity F__j Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner J Agent M I hereby certify that all of the devils and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that al! plumbing work and hnsallations performed under Permit iuced fo: this application will-bc in compliance with all pertinent provisions of the Massachusetts Slate Cas Code and chapter 142 of the General Laws. By Title City/Town: APPROVED (OFFICE USE ONLY) TYPE LICENSE: Plumber Gasfitter ignatu e of Licensed Master Plumber or Gasfitter Journeyman "TZ�/? License Number • Date..................... t7 e NpRTM TOWN OF NORTH ANDOVER ar �� PERMIT FOR GAS }INSTALLATION FO P • i i A 1 SA US This certifies that ................... Y ............ ...... has permission for gas installation ....... , . in the buildings of.......................................... at .................................... North Andover, Mass. Fee Lic No ......... . ........... .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTING � (Print or Type) NORTH ANDOVER Mass. Date 14uilding Location py/(f,el ge c�0/io Permit # 3 C7 - Owners Owners Name fli/ce • New Renovation Replacement p Plans Submitted FIXTUP=c (Print or Type) Check one: Certificate Installing Company Name �Pw�/�//`� �ic�C/fi9�'/�i9,C Q Corp. Address 9 Partner. Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0 Other type of indemnity 0 Bond Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. ignature of owner/agent of property Owner 17 Agent M 1 hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under Permit issued to: this application will -be in compliance with am pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the General Laws. By TYPE LICENSE: Plumber Title Gasfitter ignature Licensed City/Town: Master Plumber or Gasfitter Journeyman APPROVED (OFFICE use ONLY) License Number ME EMEMEMMUMMMURIENEEMEMEM now (Print or Type) Check one: Certificate Installing Company Name �Pw�/�//`� �ic�C/fi9�'/�i9,C Q Corp. Address 9 Partner. Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0 Other type of indemnity 0 Bond Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. ignature of owner/agent of property Owner 17 Agent M 1 hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under Permit issued to: this application will -be in compliance with am pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the General Laws. By TYPE LICENSE: Plumber Title Gasfitter ignature Licensed City/Town: Master Plumber or Gasfitter Journeyman APPROVED (OFFICE use ONLY) License Number �6 iQV Say State Gas Company IPS GAS INSTALLATION AUTHORIZATION 1 _ Date ��" Issued to Address " 0 - -� For Installation of: e -•V-s G� _ BTU Input g2/�,� Restrictions BSG Representative PERMIT ISSUED INSPECTOR This Portion of Authorization To Be Returned to BSG. Inspection Has Been Made of the Following Gas Equipment: ❑ Heating System (BTU Input ❑ Range ❑ Water Heater ❑ Clothes Dryer ❑ Room Heater Location All Work Has Been Done In Accordance With The Massachusetts State Gas Code And Is Ready For Use. IN NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES BUSINESS REPLY CARD FIRST CLASS PERMIT NO. 721 LAWRENCE, MA POSTAGE WILL BE PAID BY ADDRESSEE BAY STATE GAS COMPANY "°;-tr' ATTN: SALES DEPT. ` 55 Marston Street Lawrence, MA 01840 N" 3931 Dater/� f ✓S . a TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING CHUS all It Ch C, 7 d This certifies that . uti-:. ............. � has permission to perform ... - / " Q CU plumbing in the buildings of .. r�,� �..���.�..7 ...............� North Andover, Mass-. Fee. Lic. No.. kk.5 .... ..�.......... . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer or Print Type),n� / J' l-{ Check one: Certificate Corp. NORTH ANDOVER ,Mass.�- Plumbing �• . Oate " a 3— Building Location e%f A,¢-hC -/cicc A?l/ Permit Firm/Co. _ Owners Name Aoce i �itr� ti'! New Renovation ❑ Replacement ❑ Plans Sybmitted ❑ �� Insurance civ-rrincc urance coverage by checking the (Print or Type),n� / J' l-{ Check one: Certificate Corp. Installing Company Name A Ill /'f (� Plumbing Address- Z Partner. Firm/Co. Business Telephone 61�—rho 7-/7/7 Name of Licensed Plumber: Insurance Coverage: Indicate the type of urance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity 0 Bond ❑ Insurance Waiver: I, the undersigned, have been made aware -that the licensee of i this application does not have any one of the above three insurance CQVerage5. Signature of owneriagent of property Owner Agent\� ❑ I I( bacbr cattifr Wal all of Urc dctails and in(ormalion 1 Ira.c submiI Icd lot cnlcrcd) in aho.c applicalioa we lent aad9asaale to tin batt d of kwowkdge tad that all plumbing work and installations licrfnrnrcd undo Nrmit hwcd foe this application will be iw gwp{(awp wWl W ratiow" PWy I aliWwa of the Maatadluscut Statc rlumbiai Codc and Cluptct 142 of Uw Ccnu a s. A By i Title. i City/Town: oDQnvr7 1 7aFFlcs USE oNLYI Signature of Licensed Plumber Tv e of Plumbing License License Number Master ❑ Journeyman M