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Home My WebLink AboutMiscellaneous - 395 MASSACHUSETTS AVENUE 4/30/2018i" Amss qu-c— L0caLIon No. 5� 6 Date ev 2 �,-Grff I I TOWN OF NORTH ANDOVER 97 .02 w,welp Certificate of Occupancy $ IMUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ 40 TOTAL $ Check # 1 85ij7 Building Inspector / r � TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT M!�M& RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING i� BUILDING PERMIT NUMBER: 76e DATE ISSUED: SIGNATURE: /W(6tA/-- Building Commissioner or of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Numbs Map Number Parcel Number p'd� h AA /jam A n Ctl /,s G� 7 1.3 Zoning Information: qbe c K Zoning Diatrid Proposeduse 1.4 Property Dimensions: S . f- Z�57 ri Lot Ar F 8 1.6 BUILDING SETBACKS(ft) Front Yard N14- Side Yard A) 1,4 Rear Yard ed Provide Required Provided Required Provided 3 1.5. blood ZoInfomntioa: 1.8 Sewomp Disposal System: 1.7 Wats SupplC.41 54) Zone ne Oubide blood Zane Maaicipal 0 On Site Dispwd System 0 vate 0 Pobtie 0,pPrirm" SECTION 2 - PROPERTY OWNERSI3IP/AUTHORIZED AGENT 2.1 Owner of Record Name nt) �� Address for Service: , - : (?70wjL&,5-F6 vl �� Si re Telephone 2.2 Owner bf Record: Name Print Address for Service: e Sistnature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address r 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 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 , .J—. ' I f th ' f in the ea o e rssuance o the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work(check ae noWcable New Constrtktion 0 Existing Building ❑ . Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: '4' .1 e Ai d C ki -, RRrTInN 6 _ RRTTMATR.n rnNCTDTTrTTnN r'ncgrc Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USX ONLY 1. Building y �' 06 �f (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 QVC' nN 7. nWN 0 AT1 rUf1kDT•f A'rT^W qr� Check Number OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERK ,, , 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 AGRNT nRrr ADATTnnr 1, /—h � � r=�U� )(C� ,as Owner/Aum f 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 T. Sianature of L/7er�,Aacnv=_ NO. OF STORIES BASEMENT OR SLAB SIZE OF FLOOR TIMBERS SPAN DIMENSIONS OF SELLS DINIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION SIZE OF FOOTING MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FILLET IS BUILDING CONNECTED TO NA' LINE SIZE THICKNESS X Q y W ui om w vi o w w w U w a o ` a w a C co) VC •dam CL G c3 cn ui om gi R" O 0 v O Of CA O 0 � h O O 'E m m 0 CD a ~� �3 O O cc o a Ca c ev C Z tsO CL cc C c CLCOD LLI U) 19 W W 19 W U) o ci o ` C co) VC •dam CL G m c h L Ea o o a N EE m c CO I E y'tv:4. hm _ �m .014 y G IA =0 h m �C CLI" cmm z c oa xY or m �►w �z C = m(�`mc m :m=3 c S :n o .� m 0 0. CD to W GO r.. t .�. c +� `O c H UJm nz v-0 v Z CMO 0!1 h a o� ma�m� gi R" O 0 v O Of CA O 0 � h O O 'E m m 0 CD a ~� �3 O O cc o a Ca c ev C Z tsO CL cc C c CLCOD LLI U) 19 W W 19 W U) I t r 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_ % h 9M,9 -5 - LOCATION: Assessor's Map Number �A SUBDIVISION A A+ STREET_ / I i SSS C h 0,5�eh S OFFICIAL USE ONL NTS: PHONE 2 �S-��P�%�Str PARCEL LOT (S) ST. NUMBER 39S ITRATOR DATE APPROVED . DATE REJECTED �- 111K TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE RwleW W Jm 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: (Location of Facility) Signature of Permit Applicant 0 % 47/�S( Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector AelOe � l � h� 11J J NORTN TOWN OF NORTH ANDOVER e •0 1 OFFICE OF p BUILDING DEPARTMENT > • + 400 Osgood Street North Andover, Massachusetts 01845 D. Robert Nicetta, Building Commissioner HOMEOWNER LICENSE EXEMPTION Please vrint i DATE:7 O' S JOB LOCATION: 3 � ,<— / Nf S%i7C/?C%S Number Street Address HOMEOWNER l h a v1f}- 5 Name PRESENT MAILING ADDRESS FIA`XGA) Home Phone Telephone (978) 688-95454 Fax (978)688-9542 Y,5_* Map/Lot (97f 6�F7- (I-s�4�h;6- �Yj7d,. Nark A�� City Town Work Phone 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 minimum inspection procedures and rec requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL understands the Town of North Andover Building Department nd that he/she will comply with said procedures and BOARD OF APPEALS 698-9541 CONSFRVATION 6R80530 I1YA1, 11 68R-9540 PLANN1\G 088-9535 ih MORTGAGE ,INSPECTION PLAN • NORTHERN ASSOCIATES, INC. 40'1 SOUTH BROADWAY, LAWRENCE MA.01843-3522 TEL:(978) 837-3335 FAX:(978) 837-3336 MORTGAGOR: PATRICIA A EVERIAN * THOMAS f MIXON LOCATION: 395 MA55 AVENUE CITY,5TATE: N. ANDOVER, MA DATE: 1 1/9/03 I 1 5SEWER EASEMENT DEED REF: .I 20G/69 PLAN REF: 2953 SCALE: 1 "=20' JOB #: 203.1 3836 nn MA55ACNU5ETT5 AVENUE CERTIFIED TO: . MORTGAGEEIT, INC Flood hazard zone has been determined by scale and is n.ot necessarily accurate.Until definitive plans aretissued by h'UD and/or a vertical control survey is performed, precise elevations cannot be determined. NOTE. This mortgage Inspection was prepared specifically/ for mortgage purpose only and is not to be relied upon as a land or property line survey, used for recording, preparing deed Cyt 4�tq descriptions, or construction. No corners were �1 set. Building location and offsets are 133, approximately located on ground and 44 CARMEN are shown specifically jbr zoning determination cal A. only and are not to be used to establish property S� !tinTTA es. The matters shown hereon are based on o No. 1 TA client—furnished information and missy be subject 846 to further out—sales, takings, easements and rights 90, 1 t of way, and other matters of record and preserptive Fj oISTEP or other rights. Northern Associates, Inc. assumes no PO* Ai LOU responsibility herein to land owner or occupant, accepts no responsibility for damages resulting from said reliance by anyone other than the said mortgagee and its assigns in connection with its proposed mortgage financing to said mortgagor. This mortgage inspection was prepared in accordance with the Technical Standards for Uortgage Loan Inspections as adopted by Lite Massachusetts Board of Registration of Professional Engineers and Land Surveyors 250 CMR 605. I further state that in my professional opinion that the structures shown confirm with the local zoning horizontal dimensional setback requirentents at lite time of constructionor are exempt under previsions of Y.C.L. CH. 40—A Sec. 7. = t. Property/lfouse is not in Flood Hazard. ED 2. Property/Ifouse is in a Flood Hazard Area C= 3. Information is insufficent to determine Flood flazarxl. Flood Hazard determined from latw Fa do I Flood Insumnee ate ap Panel fQ e 3 Date ` Zone Location No. 1 1-4 Date TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ CH Other Permit Fee $ PA�U BYSeWe. - W!'" ik , , tion Fee $ Water Connection Fee $ f $ No. Andicife., Cofia�,VY Building Inspector Div. Public Works i APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 .AP K -4O. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE SUB DIV. LOT NO. LOCATION, 2 915- PURPOSE OF BUILDING vzl E4v �� ,� OWNER'S NAME A:q:.a'd✓r SI ° NO. OF STORIESCW OWNER'S DDRESS "-q l_J �•T��' VG�_� BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDIN DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES — SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS tAUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WIL(&,, BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FLED DY/9 APP tOVVED BY BUILDING INSPECTOR DATE FILED "/ID l / „ SIGNATURE OF OWNER/OR AUTHORIZED KGENT OWNER TEL. A F E E 0-0 CONTR. TEL. A CONTR. LIC. # PERMIT A T 2 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST �U ° EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN 1 OCCUPANCY SINGLE FAMILY I S.-ORIES I_ GABLE GAMBREL MULTI. FAMILY OFFICES BATH (3 FIX.) APARTMENTS 1MANSARD _ CONSTRUCTION 2 FOUNDATION —{ 8 INTERIOR FINISH CONCRETE PINE 3 1 2 �'— CONCRETE BL K. BRICK OR STONE WOOD SHINGE HARDW D — _ — PIERS PLASTER TAR & GRAVEL STALL SHOWER UNFIN. 3 BASEMENT AREA FULL MODERN FIXTURES FIN, B TAREA 14 1/e % TILE FLOOR FIN. ATTIC AREA, _ NO BMT TILE DADO FIRE PLACES HEAD ROOM MODERN KITCHEN _ 6 FRAMING I 11 HEATING WOOD JOIST 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 _ 22 _ f 3 I_ _ _ DROP SIDING CONCRETE WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING HOT W'T'R OR VAPOR -EARTH EA HARDW D COMMON MPH. TILE VERT. SIDING _ STUCCO ON MASONRY STUCCO ON FRAME RADIANT H'T'G UNIT HEATERS BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME GAS CONC. OR CINDER BLK. WIRING STONE ON MASONRY BUILDING RECORD 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. FA 5 ROOF II 10 PLUMBING I - GABLE GAMBREL IIP BATH (3 FIX.) 1MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET — ASPHALT SHIN LES LAVATORY _ WOOD SHINGE KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR _ TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st --Td- 'NO' HEATING t 1 CL 0 3 0 FM4 • 2 c V U s ZD z _0 F■ Q 0 Z 0 U V) W J A�A G6 t.fJ z S � u z o 0 W 0 co z cr O C.) c V U s ZD z _0 F■ Q 0 Z 0 U V) W J A�A G6 z u z o 0 y H 0 co a O v Cie t CQ H W W ^�^ W d d � f„ a. N Z W W W Z W cg �. H C \ JJ O to ti 0 C Q 06 c W QO W m W = �A . t w u y •— C • — o CIO Q m L C J L t �Oj L tj O=1 E C d : C W �,� C 7 C 11J W Y 0 Q U ii m ii m m u. m U. mm N to c V U s ZD z _0 F■ Q 0 Z 0 U V) W J A�A G6 z u z o y H co a CQ ^�^ v � a. C. H W cg �. H C \ JJ O to ti = V C W v �A . t w y •— C • — Q O z FORM U -LOT RELEASE FORM Id I% �G 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 11(',) 45 1 - /t�I-I�C�A PHONE00 W%S�E(0 LOCATION: Assessor's Map Number 15/4 PARCEL. SUBDIVISION� LOT (S) STREET 9SS�G{t JS�S /-tZlt Ab- SLPP�11� � ST. NUMBER�� ***********�*******"*** OFFICIAL USE ONLY** ********** RECOMMENDATIONS OF TOWN AGENTS: ITII-P. 111r;311 . 11 Ir=Il I /- A) P- /'' P'o til �_/ CO ATION COMMENTS DATE APPROVED DATE REJECTED TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT, RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm MORTGAGE INSPECTION PLAN NORTHERN ASSOCIATES, INC. 401 SOUTH BROADWAY, LAWRENCE MA.01843-3522 TEL:(978) 837-3335 FAX:(978) 837-3336 MORTGAGOR: PATRICIA A EVERIAN 4- THOMAS F MIXON DEED REF: .I 20G/89 LOCATION: 395 MASS AVENUE PLAN REF: 2983 CITY,5TATE: N. ANDOVER, MA SCALE: 1 "=20' DATE: 1 1/9/03 JOB #: 203.1 3836 1 5' SEWER EASEMENT LOT 7 5UN ROOM LOT G 8,500 S.F. `' �. POOL LOT 5 12 STORY o WOOD � #395 8 5' MA55ACHU5ETT5 AVENUE CERTIFIED TO: . MORTGAGEEIT, INC Flood hazard zone has been determined by scale and is not necessarily accurate.Until definitive plans i� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT AUAIR, RENOVATF, OR DEMOLISH A ONE OR TWO FAMILY DWELLING AW� BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/1for of Buildings Date SECTION I- SITR INFORMATTnN 1.1 Property Address: �l _9ss�d sP s Aso 1.2 Assessors Map and Parcel Map Number Number: Parcel Number PoA CY QJ(4 �/ 1.3 Zoning Information: 1.4 Property Dimensions: Zonin Distrid Proposed Use Lot s 1.6 BUILDING SETBACKS ft Fronts ft Front Yard Side Yard Required Provide 'red I Provided Required Rear Yard Provided Company Name 1.7 Water Supply M.G.L.C.40. 34) 1.3• Flood Zone Information: Public Private 0 Zone Outside Flood Zone 1.8 Municipal Sewerage Disposal System. ; On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT _r FA, Name Wint) '14 2.2 Owner of Record: =Name Print Signature :C SECTION 3 - CONSTRUCTION SER 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Address for ServiceWq bb,j 2_._.. lei? c(5 Ale. �►. ��, d o�✓��r Address for Service: le hone rn 00 Not Applicable ❑ License Number O Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company Name rn Registration Number r Address _r Q Signature Telephone Expiration Date 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 ❑ 1 Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ I Demolition ❑ I Other Specify Brief Description of Proposed Work: I SECTION 6 - ESTIMATED CONSTRUCTION COSTS . I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building Moo (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, 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, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are tnte and accurate, to the best of my knowledge and belief Print Name of Owner/. Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 ND 3 RD 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 North Andover Building Department 27 Charles Street North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax Please print. JOB LOCATI "HOMEOWNER �s Number Name PRESENT MAILING City Town HOMEOWNER LICENSE EXEMPTION �Street Address Home Phone OW, State Y1+ Map / lot Work Phone s The current exemption for "homedwners" was extended to include owner -occupied dwellings of 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 HOMEWOWNER: 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 dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than onehome in a two-year period shall not be considered a homeowner. The undersigned "homeowner' assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner" certifies that he/she understands the Town of No. Andover Building Department minimum inspection p zd es and requirements and that he/she will comply with said procedures and requireyients. // / HOMEOWNER'S SIGNATUR APPROVAL OF BUILDING OFFIC Zip Code I&ORT1l Zoning Bylaw Review Form Town Of North Andover Building Department �' 40an° •"t5 27 Charles St. North Andover, MA. 01845 SSS"`"°SES Phone 978-688-9545 Fax 978-688-9542 Street: 39S Mo 5 S U z Ma /Lot: 5 O Applicant: -7-A o kn a s 1791 Xo N Request: 16 K/& 2'e"4 2 v v E N C- c A:�:. Date: Lot area Insufficient `Y-45 -0 LL Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning ' R - Remedy for the above is checked below Item #T Special Permits Planning Board Item Notes C- Setback Variance Item Notes A Lot Area Common Driveway Special Permit F Frontage Variance for Sign 1 Lot area Insufficient Independent Elderly Housing Special Permit 1 Frontage Insufficient Earth Removal Special Permit ZBA S ecial Permit Use not Listed but Similar Special Permit for Sign 2 Lot Area Preexisting e S 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage Ll -e 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 S 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height Lt 5 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient & S C DecK) 1 Building Coverage 6 Preexisting setback(s) K e s 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting -t 1 Not in Watershed 4 Insufficient Information 2 In Watershed j Sign ,4 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 1 Insufficient Information E 1 Historic District In District review required K 1 Parking More Parking Required 2 Not in district K -5 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existin Parkin Remedy for the above is checked below Item #T Special Permits Planning Board Item # Variance Site Plan Review Special Permit C- Setback Variance Access other than Frontage -Special Permit Parkinq Variance Frontage Exception Lot S ecial Permit Lot Area Variance Common Driveway Special Permit Hei ht Variance Congregate 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 Planned Development District Special Permit Planned Residential Special Permit Earth Removal Special Permit ZBA S ecial Permit Use not Listed but Similar Special Permit for Sign R-6 Density Special Permit`cJ Special permit for preexisting / nonconforming Watershed Special Permit 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. 6ABwilding Department Official SignafyroAppli ion eceived Applioatio Denied Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: ...�I�pII�Yst 1.a �1...��M'i.�. 'A x6 i. ,� i 4'3' 4r y!"4 'Z.1 t rF' "y� �E ��.T 1 YL �• _ Police Zoning Board e old Department of Public Works Planning Historical Commission Other Building Department jr 5 •e 14.4 ck v � j^o P 0 S w A/ Pc l� 1 5 vrv�c� `qtr "C 60.)/FW ,Q /�PI'SalS �.�C-�� Referred To: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission Other Building Department