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Miscellaneous - 369 WAVERLY ROAD 4/30/2018 (2)
Date. C?' ....... 9, 1 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ..................... This certifies that 113. XY. f- - has permission for gas installation in the buildings of .... /o . .................. at N .......... I North Andover, Mass. Fee.5-0 .... Lic. No.. ... ..... 9, ...... GASINSPECTOR Check# lo4 3; MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Pn t or Type) ��-) , Mass. Date &Z��001 Permit # Building Location 361 WAVC P -I-V/ RD Owner's Name A l i H L4 f. 8r (xI rJA ALLE IJOf-IH AOODV6k Type of Occupancy 1ZCSlOCpi-ilhL- 2. FAMI�r New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET �] Corporation 1862 LAWRENCE, MA 01841-231Z ❑ Partnership Business Telephone_ 0171B-687-1105 exr *30/ ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery �- INSURANCE COVERAGE: I have a current liability insoura❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If you have checked res, please indicate the type coverage by checking the appropriate box. A liability insurance policy X Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent hereby certify that all of the details and information I have submitted (or entered) inabo 9 -application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issu I r this application will breln,eompliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. T e of license: Title Plumber Signature of Licensed Plumber or Gas Gasfitter Master License Number 374"5 City/Town Journeyman APPROVED OFFICE USE ONLY) ♦ � Y ♦ it Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET �] Corporation 1862 LAWRENCE, MA 01841-231Z ❑ Partnership Business Telephone_ 0171B-687-1105 exr *30/ ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery �- INSURANCE COVERAGE: I have a current liability insoura❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If you have checked res, please indicate the type coverage by checking the appropriate box. A liability insurance policy X Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent hereby certify that all of the details and information I have submitted (or entered) inabo 9 -application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issu I r this application will breln,eompliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. T e of license: Title Plumber Signature of Licensed Plumber or Gas Gasfitter Master License Number 374"5 City/Town Journeyman APPROVED OFFICE USE ONLY) z O F -- U w a N z N N w 2 0 O CL z O_ a F- U Z w a H z r J Q W z I N J t7 z O 0 :....W N 0 � r W ~ U � U. a LL. 0 z a a Ir 0 0 U. U. 3 z c 0 J r w a C3 U CL CL a w w U. z O_ F- U w a z J Q z LL z 0 moluo LL N a n a O CC w m 2 M J IL Location No. Date TOWN OF NORTH ANDOVER .7 - Certificate of Occupancy $ Building/Frame Permit F wu ee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Che'%k # IM -3.- a 181--88 Building Inspector ` TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP_a EtnVAT�& OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: 00 SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: `S Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ��61,, C 1 l j\ JCL 1 Zoninj District Proposed use Lot Area Frontage ft 1.6 BUILDING SETBACKS (ft) 9 0 ©y gpc> - /d / z o Front Yard Side Yard Rear Yard Required Provide Rapired Provided Re red Provided 1.7 Water S ly M.G.L.C.40. 34) 1.3. Flood Zone Information: Zone Outside Flood Zone 1.8 Sewerage Disposal System: Municipal On Site Disposal, System ❑ Public Private ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT ' �'%i ;c pis tract: Yes �,�� '✓, 2.1 Owner of Record INC ' _ 3i � Q� e� tis. _ tM6, CwMS e (Prin Address for Service Signature Telephone 2.2 Owner of Record: Sr (--' Cs� i1c� Crfi c� 0= I ST ams �r , Name nt Address for Service: Si Telephone S CTION 3 - CONSTRUCTION SERVICES 3.1 Lensed Construction Supervisor: Not Applicable ❑ - K n r R CS 02 Licensed Construction Supervisor: L.- CD License Number D V 01 ZJZ7 C)L-k 177 C) 6ddress t% f0 ��jc '3� � Expiration D e Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number tia Address Expiration Date Signature Telephone 00 M ic z O 1 W r 0 z M 90 0 r rn r _r z 0 SECTION 4 - WORKERS COMPENSATION (14LG.L. C 152 § 2506) 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 buildin permit. Signed affidavit Attached Yes ..... No ....... ❑ SECTION 5 Description of Pro osed Work check all applicable) New Construction ❑ Existing Building 0 Repair(s) 0 Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: I X r\A 8-1 t -t '5'� t" o �c5 �J ao.,n kr') r cortf c 61 v e�6lav, SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY, ' 1. Building A t (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (s) X (b) y� 4 Mechanical(HVAC)�� 5 Fire Piotection 6 Tofal 1+2�3+4+5 ^ • p Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERSAfAGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ---,as Owner/Authorized Agent of subject property Hereby o ' t � vgn to act on Myin �niatter�st�'authorized by this building permit application. Si a of'Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION h 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 Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS IST r 2 3 FD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS X HEIGHT OF FOUNDATION _ ! THICKNESS SIZE OF FOOTING c y ", X � MATERIAL OF CHRvINEY 1S BUILDING ON SOLID OR FILLED LAND s ,, IS BUILDING CONNECTED TO NATURAL GAS LINE 1 3- s FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANT Ar 1 /1 U( 1 � 0 PHON 7F% 3 3 2 LOCATION: Assessor's Map Number CO 11 PARCEL 065 SUBDIVISION LOT (3) STREET__2( ;� U R/'� v Z(J �_ �✓ �^ /t/Eq ST. NUMBER OFFICIAL USE ONL CO OF TOUJSi AGENTS: NSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED ter' TOWN PLANNER DATE APPROVED DATE REJECTED, COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 Jm 0 AORTh TOWN OF NORTH ANDOVER Of�,�•O `a 1N OFFICE OF A BUILDING DEPARTMENT i 400 Osgood Street North Andover Massachusetts 01845 SSACHus�� D. Robert Nicetta, Telephone (978) 688-95454 Building Commissioner Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: a JI I/O JOB LOCATION: 3(fly V�L�Du 1 J� , n�, q 1? 11 Number Street Address Map/Lot HOMEOWNER Name PRESENT MAILING ADDRESS home rnone City Town State ork Phone Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances with the State Building Code and other Applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/shquqderstands the Town of North Andover Building Department minimum inspection procedures and requirem s that he/ shh y wit) said procedures and requirements. HOMEOWNERS SIGNA APPROVAL OF BUILDING OFFICIAL BOARD OF APPFA S 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 The Commonwealth of Massachusetts Department of Industrial Accidents Oifke of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Atrydavit Name Please Print 30 c - l. Q� y P rZ I am a homeowner performing all work myself. I am a sole pfoprietor and have no one working in any capacity 0 I am an employer providing workers' compensation for my employees working on this job. .•tel •�=. L '.11:= y. Facture to some coverage as required under Section 25A or MOL 152 can lead to the knposklon of aknlnal penaplaa d,a Ane up to $1,70D andloroneyears' ASTOP VVDWORMRAW.a.fkrd.g1GD.D41-MAWMaNindMIL I understand that a copy d'% to t may be forwrd ORloe�oqPlnvestigaWns of the DIA for coverage radon. I do hereby os ay idror Bre Ml!gland Wmlflbs or�ury fhef *1noirnstip provided above is tale and ca e ' Signature! C —ZZZ,/d Print name Phone�P6 3��)-2 OfflcW use only do not write In this area to be completed by city or town dfider City or Town P i ❑Check y Immediate response fe required 13 Building Dept p Licensing Board p Selectman's Ofi9ce Confect person: Phone o Health Department Other North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: 7 AQ (Location of F ' ' ) Signature of Permit Applicant 3 i� ®5 - Date NOTE: Demolition permitf a of the Building North Andover must be obtained for this project through the Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta Building Commissioner Any appeal shall be filed within (20) days after the date of filing of this notice in the office of the Town Clerk Telephone (978) 688-9541 Fax(978)688-9542 This is to certify that twenty (20) days have elapsed from date of decision, filet_ without filing of an appeal. Notice of Decision Date eEj�y iaa�S' Year 2004 JoYce A. Bradshaw - Town Clerk — _F Pronertv at: 369 Wavprlpv Rand NAME: Arthur & Gina Allen HEARING(S): August 10 & Octobe)F12, 2004 ADDRESS: 369 Waverley Road PETITION: 2004-022 North Andover, MA 01845 TYPING DATE: October 15, 2004 ` The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120R Main Street, North Andover, MA on Tuesday, October 12, 2004 at 7:30 PM upon the application of Arthur & Gina Allen, 369 Waverley Road, North Andover, requesting a dimensional Variance from Section 7, Paragraph 7.3, and Table 2 for relief of a front setback from the proposed family room/kitchen and deck addition; and a Special Permit from Section 9, Paragraph 9.2 in order to extend a pre-existing, non -conforming structure on a non -conforming lot. The said premise affected is property with frontage on the West side of Waverley Road within the R-4 zoning district. The legal notice was published in the Eagle Tribune on July 26 & August 2, 2004. The following members were present: Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, III. The following non-voting members were present: John M. Pallone, Thomas D. Ippolito, Richard M. Vaillancourt, and David R_ Webster. Upon a motion by Joseph D. LaGrasse and 2`d by Richard J. Byers the Board voted to GRANT a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 for relief of 14.7' from a front setback from Greene Street in order to construct the proposed family room/kitchen and deck addition; and upon a motion by Joseph D. LaGrasse and 2nd by Richard J. Byers the Board voted to GRANT a Special Permit from Section 9, Paragraph 9.2 in order to allow a pre-existing building to be extended by a family- room/ldtchen and deck on a pre-existing, non -conforming lot per Plan of Land in North Andover, prepared for owners Arthur & Gina Allen, 369 Waverly Road, North Andover, MA 01845 Date: July 10, 2004, Revised: Sept.23, 2004 by Dante E. Bartolomeo, Henry R. Himber, 219 Salem Street, Andover, MA 0 18 10, and Proposed Additions & Renovations, Allen Residence, 369 Waverly, North Andover, MA, [sheets] 1-7, Rev. 7-04, Rev. 9-04. Voting in favor: Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, III. The Board finds that the shape of this applicant's parcel has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw in that the granting of this Variance will not adversely affect the neighborhood per abutter's letters, or derogate from the intent and purpose of the Zoning Bylaw. Also, the Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.2 of the Zoning Bylaw and that such change, extension or alteration, the 480 sq. ft. addition, shall not be substantially more detrimental than the existing structure to the neighborhood. Pagel of 2 ATTEST: A True Copy Town Clerk Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Town of North Andover f 1401f7M Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 ='qCMus� D. Robert Nicetta Telephone (978) 688-9541 Building Commissioner Fax (978) 688-9542 c= Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, ifs Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced, it shall lapse and may be re-established only after notice, and a new hearing. UJ Town of North Andover Board of Appeals, Ellen P. McIntyre#Chair Decision 2004-022. M11P55. Page 2 of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Essex North County Regi5try of Deeds 381 Common Street Lawrence, Massachusetts 011140 O2/O1/05 ALLEN SMC, # 60) Rec: Type PLAN 5O.00 DOC. 3418 C. P. 20.0O R. D. D. 0 61 Rec: �e NOTC 5O.O �O DOC. 3419 C. P. 2O.00 Total 15O.00 # 62 Payment Check 150. 010 THANK YOU! Thomas J. Burke Register of Deeds z O 0 o ER � { •'�` S� um xx WLL Z . O.L �F 0 aqN. a = N W LL x L) W U LLJ 1 � O z qj Eaj O = i O 4� c CL N m e e CU ca in o > _ 3 3 NQ _ `l �, o m u tn2 u aj uM � o a� _ = :3 E� m °� c i o C Q! 2 O C 10 �.. aJ N a a) CL O O O Z O ) u L —> C l �- m 4 41 Hpa � LU z a x o AS: C y f�'Sob W C $ M :a� ��►Eav 1 m 4 4' E5 v � o d. ; O a CLS � WO Nft wo 0x`m3 z r �gg - mc �O - 3 Cc it •CS Cu Hpa � LU z p 0 z O U 9 W 0 L CD CL 0 CO) ® c I H CD �E g CD 0 CD CD L ® CL co 0 ccC CL 03 co C-7 CO) m C C CL cm a AS: C y f�'Sob W C $ M :a� ��►Eav 1 m 4 4' E5 o d. ; O m c ,(Lsi CLS � WO Nft E 0x`m3 r - mc �O - 3 Cc it •CS Cu �mm cm =tea *o aC= 0. m CD CC319 C36 m CC*; m =3: 3 CM C oO- CIO a�W= = H O a om CO vi •-5 a vi = d.=.. O F=- t $ m p 0 z O U 9 W 0 L CD CL 0 CO) ® c I H CD �E g CD 0 CD CD L ® CL co 0 ccC CL 03 co C-7 CO) m C C CL cm TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING r BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Conlmissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: .Q Map Number Parcel Number t 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Prosed. Use Lot Area (sf) Fronta e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone lnfonnation: 1.8 Sewerage Disposal System: On Site Disposal System ❑ Public Private ❑ Zone Outside Flood Zone ❑ Municipal lie SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record �t A..1 do Name (Print) Address for Service : J Signature Telephone 2.2 O�� of Record: Name Print > Address for Service: .i 6A 33 22 Signature Telephone----' SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed ConsA.��truction SuperMDr:'n Not Applicable ❑ .n �_ 1 -7 ' `I Licensed Construction Supervisor. Number 31ALicense Ad d 1. 7E \� f Expiration Date Si a Telephone O 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone pni IS SECTION 4 - WORKERS COMPENSATION (MG.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 ....... No ....... 0 SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory.Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: I SECTTON 6 - FSTTMATF.TI C0NSTRTTCTT0N rnc%TC I Item 1. Buildings Estimated Cost (Dollar) to be Completed by permit applicant O `fQFFiCBAi,1SE (a) Building Permit Fee Multi Tier Y s�, OiY.UP �. 2 Electrical N-5 (b) Estimated Total Cost of Construction 3 Plumbing 3 ', Building Permit fee (a) X (b) 4 Mechanical HVAC J 5 Fire Protection D J 6 Total 1+2+3+4+5 ZS DO— I Check Number JEI,"llU,N -/a UWINEK AU 1riUKlGAllU.N lU TSE UUMYLElEV WkM N OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Hereby o. My b alf, in to work as Owner/Authorized Agent of subject property to act on permit application. ff Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I 1, 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 Signature of Owner/Anent Date FORM U - LOT RELEASE FORM ? INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT XI)r) vim' f-31 V1 �1 PHONE 97e G goo -3 3 7 LOCATION: Assessor's Map Number PARCEL 001--)2 SUBDI3biVISIOiiN'' ''�� LOT (S) STREET 1/�(�1/kf ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS ATION ADMINISTRATQ DATE APPROVED /� DATE REJECTED COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm O H a P4 D E E D John' M. Moro, of Methuen, Essex County, Massachusetts, Patrick. F. Moro, of Loxahatchee, Florida,, and Lucy Moro, of North Andover, Essex .County, Massachusetts, for consideration paid, and in full consideration of one Hundred Fifty - One Thousand and 00/100 ($151,000.00) Dollars, grants to Arthur A. Allen and Gina DeCola Allen, husband and :wife:, of 369 Waverly Vis, North Andover,: Essex. County, Massachusetts, with QUITCLAIM COVENANTS, The land in North Andover, together with the buildings thereon, and being shown as Lot 218 and a portion of Lot 217 on a "Subdivision Plan, North Andover, Massachusetts" as prepared for Lucy Moro by D. J. McCracken, Surveyor, dated June 20, 1959 and recorded in the Essex North District Registry of -Deeds Plan No. 3925. Said Lot is more particularly bounded and .described as follows: Beginning at a steel pin in the westerly line of Waverly Road as shown on said plan; thence running westerly, eighty-eight and 2/10 (88.2) feet to a steel pinin the northerly line of Lot No. two hundred seventeen (217) as shown on said plan; thence turning and running southwesterly sixty-five and 5/10 (65.50) feet to a stake in the northerly line of Greene Street; thence turning and running in an easterly direction along the northerly line of said Greene Street in two courses, respectively, forty-four and 52/100 (44.52) feet and seventy-nine and 98/100 (79.98) feet to the westerly line of Waverly Road; thence turning and running northerly along the westerly line of Waverly Road ninety nine (99) feet more or less to the point of beginning. Together with the right to use the stone stairway in common with the owner of the adjoining land to the north. This conveyance is further subject to any` covenants, conditions, restrictions and encumbrances as they might appear of record. Being the premises conveyed to John M. Moro and Patrick F. Moro by -deed of Lucy Moro dated November 16, 1978, and recorded at said Registry, Book 1357, Page 369, wherein the said Lucy Moro reserved to herself a life estate in the premises which she hereby relinquishes. WITNESS our hands and-sea'ls thi's 30th day of April,, 1990. M. Moro Patrick F. Moro Lucy Moro, her mark COMMONWEALTH OF MASSACHUSETTS ESSEX, ss. Apri13 6, 1990 Then personally appeared the above named John M. Moro and Lucy Moro and acknowledged the foregoing instruments by them to be their free act and deed, before me, -Notary Public My Csion Expires: Z_/ f to STATE OF FLORIDA 1- "M cccv�ss. kk April)'' , 1990 Then WITNESS our hands and-sea'ls thi's 30th day of April,, 1990. M. Moro Patrick F. Moro Lucy Moro, her mark COMMONWEALTH OF MASSACHUSETTS ESSEX, ss. Apri13 6, 1990 Then personally appeared the above named John M. Moro and Lucy Moro and acknowledged the foregoing instruments by them to be their free act and deed, before me, -Notary Public My Csion Expires: Z_/ f to STATE OF FLORIDA 1- "M cccv�ss. April)'' , 1990 Then personally appeared the above named Patrick F. Moro and ack- nowledged the foregoing instruments by him to be his -ot-.11--e C' trid deed, before-, me, C- K Not' My Commission Expf&e;-, 2. ed May 3,1990 at 3:9PM #9308 MY North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be ,y disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: ko V"- Tr�, SLL� 9 �- (,�A (Locatl of F UdtC NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector g. ... ( The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers` Compensation ,Insurance Affidavit EDI am a sole proprietor and have no one working in any capacity . ty F I am an employer providing workers' compensation for my employees working on thin. job. Comnanv name: Address Address: . Famueto Sm" coverage as MjW1ea WxW secacm Zanor MA— —' W cartreea lmne xygm m OrCI rr�nal:.pena ne andlor ayewe bop imie.pXoa1ies�o2helams�t� understand that a copy of this s�ta6enmat maybe forwarded to the Ofrioe-of bnesligaftm ct the 6 A.toc , / db i�by c+ar'tdy'wiater Hie Qabrs anal penalties of perjray Hret the"b�rrr�`� ticr�w�o►�'dled above Lt trr� and c+orrec� rU Print Official use only do not write in this ams W be completed by city or town cfftiar ci y.9t Town .2;7 I I. MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # P MAScheck Software Version 2.01 I I t 1 Checked by/Date I I I CITY: Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 3-21-2004 COMPLIANCE: PASSES Required UA = 250 Your Home = 195 Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 396 30.0 0.0 14 WALLS: Wood Frame, 16" O.C. 1088 13.0 0.0 90 GLAZING: Windows or Doors 15 0.350 5 DOORS 36 0.350 13 FLOORS: Over Unconditioned Space 396 19.0 0.0 19 SLAB FLOORS: Unheated, 48.0" insul. 80 10.0 55 HVAC EQUIPMENT: Furnace, 85.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of -the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the desigij load as specified in Sections gn1310 and r � r, `'v O � Builder/Designer ner � Date /T�/� / ��_- ����_ _ � �_-__' -_ __ '____-� . -- J --- --'----'' ---' | ( _- - , "�~ ~~�. ! \ i \ � � \ . . . ____� � � ---1 ___' . ----_--� 6335 4oRT" - 16 r /- --2 -/- 4146 Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that .............................................................................................. "K. has permission to perform . r:�1�4-' ..................... wiring in the building of ................................................................................... at ................. ........ ; ............ . North Andover, Mass. ---A Fee ......... Lic. NoC�../.?.7? ......... ..... ..... ELEcrR icAL INsp icro Check # 19, 2— ,4 0 `201 Commonwealth of Massachusetts Official tIse Only n'' = Permit No. ( 3 3C Department of Fire Services d" Occupancy and Fee Checked 1 Q . BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9105] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance x�ith the Massachusetts Electrical Code (\,IEC). 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL IN'FORXIATION) Date: / 2 L —(96 City or Town of• IV, ajjj0 VP g_ To the hi,yeelor ol'Wires: By this application the undersigned gives notice of his or her inten do^to perform the electrical work described below. Location (Street & Number) _3(,j i 1/110. Ve r I `/ is cY r Owner or Tenant A di, & CX. f ( e�n Telephone No. Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps /2012 YO Volts New Service 2,04 Amps /020 / 2 -YO Volts Yes � No ❑ (Check Appropriate Box) Utilit Authorization No. 5-3 f :3 S 17/ Overhead Undgrd ❑ No. of Meters Z Overhead Undgrd ❑ No. of Meters 2. Number of Feeders and Ampacity Y/ Location and Nature of Proposed Electrical Work: ;>,UerA / GdWi dh �t ry, 4f e_ C%zag%i ('On jetion nFthe following, table nwv be wuived by the Inspector of !fires. , roach addr!lonat (fetal! I/ ltesirea, or as required ov IRP InJpu( for ty rr IcS. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: I'd, — Z-0 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no per►nit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under the pa as mirl enalties of perjury, that the iuf minittion on this application is true and complete. FIRM NAME: r e i (__-1 LIC. NO.:Z, 997 Licensee: �/1c� Signature LIC. NO.:Z � t (ffapplicable, enter "evenipt" in the license n 1111b 11, lin 1.)Bus. Tel. No. —1,114 Address: %(� �� iJ�s ✓" al D��� MW Dl gY5� Alt. Tel. No.: *Security System Contractor License required for this work, if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee sloes not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. - — No. of Total No. of Recessed Luminaires 2 No. of Ceil.-Susp. (Paddle) Fans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires /tj Above In- Swimming Pool rnd. ❑ rnd. ❑ mergcy Lighting o. o en Battery Units No. of Receptacle Outlets3 No. of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches No. of Gas Burners Initiating Devices No. of Ranges j No. of Air Cond. Tonsl No. of Alerting Devices Heat Pump Ngmber Tons KW No. of Self -Contained No. of Waste Dis osers p Totals: Detect ion/Alertin Devices No. of Dishwashers Space/Area Heating KW Local ❑ MunicipalConnectionF1 Other Dryers No. of Dr y Heating Appliances Kit Security Systems:* No. of Devices or Equivalent No. of WaterKW No. of No. of Data Wiring: Heaters Signs Ballasts No, of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: , roach addr!lonat (fetal! I/ ltesirea, or as required ov IRP InJpu( for ty rr IcS. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: I'd, — Z-0 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no per►nit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under the pa as mirl enalties of perjury, that the iuf minittion on this application is true and complete. FIRM NAME: r e i (__-1 LIC. NO.:Z, 997 Licensee: �/1c� Signature LIC. NO.:Z � t (ffapplicable, enter "evenipt" in the license n 1111b 11, lin 1.)Bus. Tel. No. —1,114 Address: %(� �� iJ�s ✓" al D��� MW Dl gY5� Alt. Tel. No.: *Security System Contractor License required for this work, if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee sloes not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. Date. L ----TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING .............. This certifies that .... has permission to perform .... I . .............. piumbing in the bufldings of . . .................... at ... 3 e? .( . ........ .. North Andover, Mass. Fee. .... Lic. No.. .91.5 ....... ........ Lu WING INSPEJOR Check # 6605 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Location Owners Name /`✓9� Permit # aY Amount .C-7 0-0 Type of Occupancy New Er ----Renovation Replacement 1:1 Plans Submitted Yes No FI KTURES (Print or type) f \ r Check one: Certificate Installing Name V � jjj--- E3rp. Address 13 Partner. usiness Telephone 4-,5 5;-- 4�6 g —!r- yejQ i—m-Co. Name of Licensed Plumber: 5A/%% If Insurance Coverage: Indicate the type. of insurance coverage by checking the appropriate box: Liability insurance policy IJ Other type of indemnity El 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 Signature /Ow r 1:1 Agent 11 I hereby certify that all of the details and informationVnaellatSons mitted /(oin above application a true and accurate to the best of my knowledge and that all plumbing work anperfde Permi ss for is a •plication will be in compliance with all pertinent provisions of the Massate Pluand C r 14 f General Laws. By: ign o Licensed Fill,Der Type of Plumbing Lic Title City/Town IACenT Master El Journeyman ❑ APPROVED (OFFICE USE ONLY 1-3 ) -- Date ... 7/�� )/� ......... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that..-P,^�� �.j .................. has permission for gas ' installation ..... in the buildings of at ... ?4 North Andover, Mass, )75 Fee. ... Lic. No.. .� ..... .. ...... ........... GAS INSP�C� �WR Check# 5235 MASSACHUSErIS UNIFORM APPUCATON FOR PERNIlT TO DO GASG (Type or print) Date %� 3 v NORTH ANDOVER, MASSACHUSETTS Building Locations Owner's Name New Renovation ❑ Replacement ❑ Permit It Amount $ Yc � — Plans Submitted ❑ (Print or type) Check one: Certificate Installing Company Name e Corp. Address ❑ Partner. Business Telephone irm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes [2 No❑ If you have checked Vis, please indicate the type coverage by checking the appropriate box. 13Liability insurance policy EF -----Other type of indemnity ❑ Bond Owner's Insurance Waiver: I. am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 hereby certify that all of the details and informarssachu�O ave submit d (or entered) in above applicatio true and accurate to the best of my knowledge and that all plumbing workstallations erformed Wier Permit Issued f t 'application will be in compliance with ail pertinent provisions of the M Sta Gas Cod Chapter�2 of a eneral Laws. By: Title City/Town IAPPROVED (OFFICE USE ONLY) 1----Sigffatuce of Lice sed Plumber Or s Fitter ®—Plumber 2,9 Vel - Gas Fitter tcense NLfrnber Master ❑ Journeyman IST. FLOOR 4TH. FLOOR (Print or type) Check one: Certificate Installing Company Name e Corp. Address ❑ Partner. Business Telephone irm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes [2 No❑ If you have checked Vis, please indicate the type coverage by checking the appropriate box. 13Liability insurance policy EF -----Other type of indemnity ❑ Bond Owner's Insurance Waiver: I. am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 hereby certify that all of the details and informarssachu�O ave submit d (or entered) in above applicatio true and accurate to the best of my knowledge and that all plumbing workstallations erformed Wier Permit Issued f t 'application will be in compliance with ail pertinent provisions of the M Sta Gas Cod Chapter�2 of a eneral Laws. By: Title City/Town IAPPROVED (OFFICE USE ONLY) 1----Sigffatuce of Lice sed Plumber Or s Fitter ®—Plumber 2,9 Vel - Gas Fitter tcense NLfrnber Master ❑ Journeyman Date: May 2, 2005 CERTIFIED PLOT PLAN Of Property Located At 369 Waverly Road, North Andover, MA 01845 . Prepared For Arthur and Gina. Allen H&B Survey Service 219 Salem Street Andover, MA 01810 9784758232 .1 ille,�Av Scale 1"=201 G I hereby certify that the structures and foundations shown on this plan are located as shown and along with the Zoning Board of Appeals Variance and Special Permit decision of October 12, 2004 conforms with The Zoning By -Laws of the 'Town of North Andover. F,� Ref: N. E.R.D. — Deed Bodk 3104 Page 1 lan #3925 4 MORTk �A. Q neo O �S4CHU � Zoning Bylaw Review Form Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street:.. _ . [_ q_ W _AU -e rL mdPILvi: Q_ ' Applicant:A l I-�N Request: 51,D, &I _; a. �IcP,�t©n� Date: 4 3 Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning ;2 A Item Notes . Lot Area Item Notes F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting e S 2 Frontage Complies d e s 3 Lot Area Complies, 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required -1 S 3 Preexisting CBA 5 Insufficient InformationS 4 Insufficient Information C Setback H Building Height 1 All setbacks comply i Height Exceeds Maximum 2 Front Insufficient des ou 2 Complies 3 Left Side Insufficient 3 Preexisting Height e 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient Building Coverage 6 Preexisting setback(s)Lie- S 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting Ll 1 Not in Watershed$LiS e- S 4 Insufficient Information 2 In Watershed J Sign 3 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 re uired q 1 A More Parking Required 2 Not indistrict `(eS 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parking Remedy for the above is checked below. Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit Setback Variance Access other than Fronta e Special Permit Parking Variance. Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special PermitHei ht Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Inde endent Elderly Housing Sed it Permit Large Estate Condo Special Permit Special Permit Non -Conforming Use ZBA Planned Development District Special -Perm' Earth Removal Special Permit ZBA Planned Residential Special PermitS Special Permit Use not Listed but Similar R-6 Density Special Permit ecial Permit for 5i^n Special permit for preexisting Watershed Special Permit nonconforming The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new permit application form and begin the permitting process. B- ding Department Official Signat:.ure Application Received Application Denied Plan Review Narrative The following narrative is provided to further exnla;n +ho rnne--- i -r MMKH A 1 9 -1 - Referred __ �1 _ Referred To: Fire Police Conservation Planning Other ealth Zoning Board Department of Public Works Historical Commission Buildina Denartman+ Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles street North Andover, Massachusetts 01845 D. Robert Nicetta Building Commissioner Any appeal shall be filed within (20) days after the date of filing of this notice in the office of the Town Clerk. Arthur & Gina Allen ADDRESS: Telephone (978) 688-9541 Fax (978) 688-9542 North Andover, MA 01845 TYPING DATE: October 15, 2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120R Main Street, North Andover, MA on Tuesday, October 12, 2004 at 7:30 PM upon the application of Arthur & Gina Allen, 369 Waverley Road, North Andover, requesting a dimensional Variance from Section 7, Paragraph 7.3, and Table 2 for relief of a front setback from the proposed family room/kitchen and deck addition; and a Special Permit from Section 9, Paragraph 92 in order to extend a pre-existing, non -conforming structure on a non -conforming lot. The said premise affected is property with frontage on the West side of Waverley Road within the R-4 zoning district. The legal notice was published in the Eagle Tribune on July 26 & August 2, 2004. The following members were present: Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, III. The following non-voting members were present: John M. Pallone, Thomas D. Ippolito, Richard M Vaillancourt, and David R Webster. Upon a motion by Joseph D. LaGrasse and 2°d by Richard J. Byers the Board voted to GRANT a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 for relief of 14.7' from a front setback from Greene Street in order to construct the proposed family room/kitchen and deck addition; and upon a motion by Joseph D. LaGrasse and 2°d by Richard J. Byers the Board voted to GRANT a Special Permit from Section 9, Paragraph 9.2 in order to allow a pre-existing building to be extended by a family- roomAatchen and deck on a pre-existing, non -conforming lot per Plan of Land in North Andover, prepared for owners Arthur & Gina Allen, 369 Waverly Road, North Andover, MA 01845 Date: July 10, 2004, Revised: Sept.23, 2004 by Dante E. Bartolomeo, Henry R. Himber, 219 Salem Street, Andover, MA 01810, and Proposed Additions & Renovations, Allen Residence, 369 Waverly, North Andover, MA, [sheets] 1-7, Rev. 7-04, Rev. 9-04. Voting in favor: Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Mans, M. The Board finds that the shape of this applicant's parcel has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw in that the granting of this Variance will not adversely affect the neighborhood per abutter's letters, or derogate from the intent and purpose of the Zoning Bylaw. Also, the Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.2 of the Zoning Bylaw and that such change, extension or alteration, the 480 sq. ft. addition, shall not be substantially more detrimental than the existing structure to the neighborhood. Pagel of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 ti a. - -. � Notice of Decision C= Year 2004 rty at: 369 Waverle Road HEARING(S): August 10 & Octobe 12, - `L -- 2004 -.. PETITION: 2004-022 North Andover, MA 01845 TYPING DATE: October 15, 2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120R Main Street, North Andover, MA on Tuesday, October 12, 2004 at 7:30 PM upon the application of Arthur & Gina Allen, 369 Waverley Road, North Andover, requesting a dimensional Variance from Section 7, Paragraph 7.3, and Table 2 for relief of a front setback from the proposed family room/kitchen and deck addition; and a Special Permit from Section 9, Paragraph 92 in order to extend a pre-existing, non -conforming structure on a non -conforming lot. The said premise affected is property with frontage on the West side of Waverley Road within the R-4 zoning district. The legal notice was published in the Eagle Tribune on July 26 & August 2, 2004. The following members were present: Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Manzi, III. The following non-voting members were present: John M. Pallone, Thomas D. Ippolito, Richard M Vaillancourt, and David R Webster. Upon a motion by Joseph D. LaGrasse and 2°d by Richard J. Byers the Board voted to GRANT a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 for relief of 14.7' from a front setback from Greene Street in order to construct the proposed family room/kitchen and deck addition; and upon a motion by Joseph D. LaGrasse and 2°d by Richard J. Byers the Board voted to GRANT a Special Permit from Section 9, Paragraph 9.2 in order to allow a pre-existing building to be extended by a family- roomAatchen and deck on a pre-existing, non -conforming lot per Plan of Land in North Andover, prepared for owners Arthur & Gina Allen, 369 Waverly Road, North Andover, MA 01845 Date: July 10, 2004, Revised: Sept.23, 2004 by Dante E. Bartolomeo, Henry R. Himber, 219 Salem Street, Andover, MA 01810, and Proposed Additions & Renovations, Allen Residence, 369 Waverly, North Andover, MA, [sheets] 1-7, Rev. 7-04, Rev. 9-04. Voting in favor: Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, and Albert P. Mans, M. The Board finds that the shape of this applicant's parcel has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw in that the granting of this Variance will not adversely affect the neighborhood per abutter's letters, or derogate from the intent and purpose of the Zoning Bylaw. Also, the Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.2 of the Zoning Bylaw and that such change, extension or alteration, the 480 sq. ft. addition, shall not be substantially more detrimental than the existing structure to the neighborhood. Pagel of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta Building Commissioner Telephone (978) 688-9541 Fax(978)688-9542 a -c u o ;: --+ < Fedhermore, if the rights authorized by the Variance are not exercised within one (1) year of the dateg the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, iia Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a twi�(2) o n +7 year period from the date on which the Special Permit was granted unless substantial use or constructiolf x z = has commenced, it shall lapse and may be re-established only after notice, and a new hearing. w Town of North Andover w Board of Appeals, /I go. -�, E en P. McIntyre, Chair Decision 2004-022. M11P55. Page 2 of 2 Board of Appeals 978-688-9541 Building 978.688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 M Location No. 1 Date -�;4z - 0 0 40Rrfl TOWN OF NORTH ANDOVER .0 Certificate of Occupancy $ CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Y--, Check# 13 Building Inspector � -1, OZP z O r� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �; �> .�,��.'���''.^s ,> R�6 BUILDING PERMIT NUMBER: �, ,_ _. .,.✓ -., � .,. x`��� 611 f7 DATE ISSUED: SIGNATURE: Building Commissioner for of Buildin Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: err os�. Map Number Parcel Number 1.3 Zoning Information: Zoning District ProposedUse 1.4 Property Dimensions: 99 Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Rgwred Provide RreProvide Re Provided 1.7 Water Supply M.G.L.C.40. 54) Public ❑ Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal Tji On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service Signature Telephone _ 64 2.2 O of Record: Name Print C 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 ❑ Company Name Registration Number Address Expiration Date Signature Telephone � -1, OZP z O r� 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 .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: �PPIWuA SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit a licant bFFICIAL USE ONLY mz 1. Building n 1,2 00 n (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 '2-W . Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,7 -_ -=� V as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I,�-� ,� jC� ��� 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 Ar'1% vV Prin �1%,CTS S046e of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2 ND 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 FORINT - 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. �.r.rr.rrrrr.■n%■r.rr.r..Nunn rrrrrsrrrrr.rrrrrrrr.rr.rrrrrrr.rrrrr. r. r..rr..r■ APPLICANT _hYFf6,r Alkn PHONE g)g- j,,% a? 2 ASSESSORS MAP NUMBER 409TNUMBER (DCS 2 - SUBDIVISION LOT NUMBER z 1'? STREET �1VkTy &Ib\ � STREET NUMBER 3"07 .........................................-................................ . OFFICIAL USE ONLY .w G ................................................ an on a a ... as o o■ ...... . RECOMMENDATIONS OF TOWN AGENTS o7/)-tn . n`. a ... a .. o ■ ■ ....................... a . r ■ .............................. . DATEAPPROVED cb,f4SERVATION ADMINISTRATOR 1 11_ DATE REJECTED C O Iv C c) L) DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED CON04ENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMyfENTS RECEIVED BY BUILDING INSPECTOR DA ....,;: . J F �Y Q x 407-/� This plan was not prepared from an instrument surve:,,pffsets and distances shown should not be used to establish property lines. w X14; This plan i$ intended for mortcgago.purposcs only, 1 certify that the structure L -a Shown on this Plan --WAS— in conformance with the zoning setbacks in effect at the time of construction. I certify that the parcel shown is -UfT_ Located within a flood hazard area, as depicted ori FEMA Flood Insurance Rate Maps for - c4���Y�Fc sir` fit, •,� ° iq,1, w'�ta '( ; i AAEX . r, 'fit. LAND MORTGAGE LOAN 1NSPEC.Tf0N•'t— LOCATION: SCALE: :: "--.30' DATE: REGIS7TRY:.vo. �. TITLE REFERENCE. --'s PLAN REFERENCE:-a<.q.� CO2EY O E � D NAHUE. INC:' � En�ineera & Surveyor■ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations , Boston, Mass. 02119 Workers' Compensation Insurance Affidavit `► Aker � City k) , H'11 \ � � - -- r A. - Phone q X — (6 R(o - 33 `?'7 (l,tj am a homeowner performing all work myself. It 01 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 Policv # 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 andlor one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of)hig—sfatement may be forwarded to�the Office of Investigations of the DIA for coverage verification. I do herby certify un er the pa's and penalties o edury hat t i fSrrriation provided above is Yue and correct Signature Date6,1 '7 Print name i'" �� ��i� tl Phone #!q,7?�r % Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone #. ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION C/) M DO Cf) 0 m D C � — m 10 0 CD S C'! Z to CD O CL � O d _• CO) v CD CD o CL CT "CCD CCD O CCD w w CD av y •o co CD C y 0o c m 2 d 0 m cl .� y mc�acc, m p to o ..« c 70 Zg m N = .0—i C •T1 N H O : ? 0m > >CDo- tF@ `. % W CS d � N a,..rrAL. VJ m � m H +� n� a m ' c C. a H m �O C CO) N N D Alp t <c O O M n O C 0,�r coo :its zC,o HCD C/j m C/ CO) AINW4CDA �CD.: CM C' a b: c o C, . 3 - � n z w w w v �• rt 4 q pip Ct1 ((rQ � l^- p_ o 'ti L.v 1 Q d y 0 YEW ENGLAND CLAIMS SERVICE INC. ReplyTo ❑ Reply To ❑ P.O. BOX 345 100 CONIFER HILL DRIVE, SUITE 308 Reply To ❑ MANSFIELD, MA 02048 I'.O. BOX 578 TEL. (508) 337-8058 DANVERS, MA 01923 SHREWSBURY, MA 01545 FAX (508),339-5835 TEL. (978) 777-9900 TEL. (508) 842-3995 FAX (978) 774-9296 FAX (508) 842-7510 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws Ch. 139 Sec. 3D MAR - 4 2003 TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen o? -7 -- addresses RE: INSURED _inn- }w` VA - PROPERTY - PROPERTY ADDRESS i Vv POLICY NO.: 0$ S 9-7-7 6 9 - LOSS OF: -11 ZU 19________---_ FILE OR CLAIM NO.: --'13— o S -- 3 L6 3 S Claim has been made involving loss, damage or destruction of the above -captioned property which may either exceed $1,000.00 or cause Mass. Gen.Laws Chapter 143 Section 6 to be applicable. If any notice under Mass. Gen. Laws Chapter 139 Section 3D is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. V._ Z)�Tu5 1 TITLE On this date, I caused copies of this notice to be sent to the persons namd above at the addresses indicated above by first class mail. / _ 7 -�W„✓h/ 7i/ /3/03 NATURE AND DATE cc: Fire Dept.