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TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
A Art. Building/Frame Permit Fee $
AcmUS
Foundation Permit Fee
Pd J,1 < s- 77,
,f r @ther Permit Fee
Building Inspector
ZBA '157
Date
TOWN OF NORTH ANDOVER
RECEIPT
This ceftifies that ..A�br.MP7 ..... ....... LAO
has paid
..........................
for .. Vo r o. ti. �. e ..... olf ......... 1.3 ..... d
Receivedby ... .................................................
DepaIrtment....... �-b.A .................................................................
WHITE: Applicant CANARY: Department PINK: Treasurer
M
Town of North Andover t4o R ThL,
Office of the Zonin Board of Appeals
ThIsis to certify that twenty (20) days 9 io
havi�e'lapsecl from date of decision, filed Comm -unity Development and Services Division
witho4 t filing of . ppeal, 27 Charles Street
Date Vam&A 1.2, aa23
Joyce A. Bradshaw North Andover, Massachusetts 01845 ACHL15f,
Town Clerk D. Robert Nicetta Telephone (978) 688-954*1
Building Commissioner Fax (978) 688-'9542
Any appeal shall be filed Notice of Decision
within (20) days after the Year 2003
date of filing of this notice
in thp� nffiri-. nf fhe'l'nwn Clerk- PrODertV at: 93 Putnam Road
NAME: Marilyn A- Stella, c/o, Michael T. Stella, Sr.,
P.C., P.O. Box 1528,. Lawrence, MA -01 842
HEARING(S): 9/9 & 10/14/2003
_)iRD_RESS-. 93 Putnam Road
PETITION: 2003-029.
North Andover, MA. 0 1845
TYPING DATE: 10-15-03
The North Andover Board of Appeals held a public bearing at its regular meeting on Tuesday, October 14,
2003 at 7:30 PM in the North Andover Middle School Auditorium, 495 Main Street, upon the application
of Marilyn A. Stella, c/o Michael T. Stella, Sr., P.C., P.O. Box 1528, Lawrence, MA 01842, fkprewses
at 93 Putnam Road, North Andover, MA requesting a dimensional Variance from Section 7,,�iagra
f 741 r
7.1.2 of the Zoning By-law for relief of width of lot between side setbacks in order to allow i 6r . e c A4tion
of a second lot from an existing parcel. The said premise affected is property with frontage 64 e
side of Putnam Road within the R-4 zoning district. Legal notices were published in the EaWpUribunje on
August 25.& September 1, 2003.
Ile following members were present: William J. Sullivan, Walter F. Soule, Ellen P. McInt]Wpci�-osepkD.
LaGrasse, and Joe Edward Smith.
Upon a motion by Walter F. Soule and 2 d by Joseph D. LaGrasse, the Board voted to GRAN-Fthe PI)
dimensional Variance from Section 7, Pa ragraph 7.1.2 of the Zoning By-law for relief of width of lot
between side setbacks of 21.02' in order to allow a driveway to a proposed 28'x6O'. single-family
residence, to be built on Lot 2 per Board of Appeals Plan in North Andover, Massachusetts asprepared for
Mary A. Stella Realty Trust 1, Janet Kliska, trustee, c/o Stella Law Offices, 160 Common St., Lawrence,
MA 01840, dated June 27, 2003 by Joseph A. Esposito, Professional Land Surveyor, #18923, Pembr9ob
Land Survey Co., P.O. Box 205, Salem, New Hampshire, 03079; on the following conditions: c3r-
1. The "laig-est beech in North Andover?'wrill remain and will be protected during construeg9n.
2. The proposed new structure shall be a one -family dwelling, only. C -D
3. The existing shed shall be removed and /or relocated. C-:)
4. The new lot's driveway shall exit and enter from Putnam Road. C3-
5. The North Andover Fire bepartment shall be consulted on the driveway design,
Voting in favor: William J. Sullivan, Walter F., Soule, Ellen P. McIntyre, Joseph D. LaGrasse, and Joe
Edward Smith.
The Board finds that the applicant has satisfied the provisions of Section 10, Paragraph 10.4 of theZ-Qning
Bylaw and that the granting of this variance will not adversely affect. the neighborhood.or derogateF�pm the
intent and purpose of the Zoning Bylaw.
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Page I of 2 :17
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Town C1 k
Board of Appeals 978-688-9541 Building978-688-9545 Con�ervation979-688-9530 Health 978-688-9540 Planning 978-688-9535
Town of North Andover
Office of the Zoning Board of Appeals
0
Community Development and Services Division
27 Charles Street
North Andover, Massachusetts 01845
CHUS
D. Robert Nicetta Telephone (978) 688-9541
Building Commissioner Fax (978) 688-9542
Furtber'more, if the rights authorized by the Variance are not exercised within on'e (1) year of the date of the
grant, it shall lapse, and may be re-established only after notice, and a 'new hearing. Furthermore, if a
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
Decision 2003-029
MM45AP32
Page 2 of 2
Town of North Andover
Board of Appeals,
���J S Ilivan, Chairman
William J. S Ilivan, Chairman
Board of Appeals 979-688-95.41 Building 979-688-9545 Consmation 978-689-9530 Health 978-6'RR-9540 Plan�;— 07P-499 ci�-i,;
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.
Notice of Decision
Year 2003
Property at: 93 Putnam Road
Telephone (978) 688-9541
Fax (978) 688-9542
NAME: Marilyn AL Stella, c/o Michael T. Stella, Sr.,
P.C., P.O. Box 1528, Lawrence, MA 01842
HEARING(S): 9/9 & 10/14/2003
ADDRESS: 93 Putnam Road
PETITION: 2003-029
North Andover, MA 01845
TYPING DATE: 10- 15-03
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, October 14,
2003 at 7:30 PM in the North Andover Middle School Auditorium, 495 Main Street, upon the application
of Marilyn A. Stella, c/o Michael T. Stella, Sr., P.C., P.O. Box 1528, Lawrence, MA 01842, for premises
at 93 Putnam Road, North Andover, MA requesting a dimensional Variance from Section 7, Paragraph
7.1.2 of the Zoning By-law for relief of width of lot between side setbacks in order to allow for the creation
of a second lot from an existing parcel. The said premise affected is property with frontage on the West
side of Putnam Road within the R-4 zoning district. Legal notices were published in the Eagle Tribune on
August 25.& September 1, 2003.
The following members were present: William J. Sullivan, Walter F. Soule, Ellen P. McIntyre, Joseph D.
LaGrasse, and Joe Edward Smith.
Upon a motion by Walter F. Soule and 2 d by Joseph D. LaGrasse, the Board voted to GRANT the
dimensional Variance from Section 7, Paragraph 7.1.2 of the Zoning By-law for relief of width of lot
between side setbacks of 21.02' in order to allow a driveway to a proposed 28'x6O' single-family
residence, to be built on Lot 2 per Board of Appeals Plan in North Andover, Massachusetts as prepared for
Mary A. Stella Realty Trust 1, Janet Kliska, trustee, c/o Stella Law Offices, 160 Common St., Lawrence,
MA 0 1840, dated June 27, 2003 by Joseph A. Esposito, Professional Land Surveyor, # 18923, Pembroke
Land Survey Co., P.O. Box 205, Salem, New Hampshire, 03079; on the following conditions:
1. The "lar -gest beech in North Andover" will remain and will be protected during construction.
2. The proposed new structure shall be a one -family dwelling, only.
3. The existing shed shall be removed and /or relocated.
4. The new lot's driveway shall exit and enter from Putnam Road.
5. The North Andover Fire Department shall be consulted on the driveway design.
Voting in favor: William J. Sullivan, Walter F. Soule, Ellen P. McIntyre, Joseph D. LaGrasse, and Joe
Edward Smith.
The Board finds that the applicant has satisfied the provisions of Section 10, Paragraph 10.4 of theZpning
Bylaw and that the granting of this variance will not adversely affect the neighborhood or derogate��m the:
intent and purpose of the Zoning Bylaw.
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Board of Appeals 978-688-9541 Building 978-688-9545 Conkrvation978-688-9530 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
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, if a
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.
Decision 2003-029
MM45AP32
Page 2 of 2
Town of North Andover
Board of Appeals,
William J. SAllivan. Chairman
Board of Appeals 978-688-95.41 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535
Town of North Andover
"66
c t- B R 10ff� of the Zoning Board of Appeals
ERI
I#j##�Oty Development and Services Division
27 Charles Street
Z�fl th"Q!G 2 0 P 3' 1161h Andover, Massachusetts 01845
D. Robert Nicetta Telephone (978) 688-9541
Building Commissioner Fax (978) 688-9542
Legal Notice
North Andover, Board of Appeals
Notice is hereby given that the Board of Appeals will hold a public hearing at the North
Andover Middle School, 495 Main Street, North Andover, MA on Tuesday the 9th of
September, 2003 at 7:30 PM to all parties interested in the appeal of Marilyn A. Stella,
c/o, Michael T. Stella, Sr., P.C., P.O. Box 1528, Lawrence, MA 0 1842, for premises at 93
Putnam Road, Nbrth Andover, MA requesting a dimensional Variance from Section 7,
Paragraph 7.1.2 of the Zoning By-law for relief of width of lot between side setbacks mi
order to allow for the creation of a second lot from an existing parcel.
The said premise affected is property with frontage on the West side of Putnam Road
within the -R-4 zoning district.
Plans are available for review at the office of the Building Department 27 Charles Street,
North Andover, MA, Monday through Thursday from the hours of 9:00 AM to 2:00 PM.
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Legalnotice 2003-029
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Board of Appeals 978-688-9 . 541 Building 978-688-9545 Conservation978-688-9530 Health 978-688-9540 Planning 978-688-9535
MEMORANDUM
Date: July 9, 2003
To: All our Neighbors/Fri ends &Abutters
Putnam Road, Greene Street, Douglas Road & Mifflin Drive
From: The Family of Mary A. Stella and
The Mary A. Stella Realty Trust I
Re: Property — Putnam/Douglas Road, North Andover, MA 01845
We want all of you to know what plans we are proposing for our property, so that you all have
time to give us your comments, if you so desire.
The Trust owns 3 parcels of property between Putnam Road and Douglas Road.
The attempt to have 2 additional homes on the 2 empty lots did not seem feasible, because it
would look crowded.
Therefore, we have attempted to divide the property into 2 total lots, with one empty lot, and the
existing home at 103 Putnam Road.
The Engineers designed plan (A), which depicts a house on Douglas Road, a 13,000 square foot
parcel, (12,500 square feet is the minimal requirement).
The Director of Engineering of the Town, responded to the plan of June 12, 2003. (See enclosed
letter).
At a subsequent meeting with the Director of Engineering and the Highway Department, they
both stated they would recommend to the Planning Board that Douglas Road should be extended
to Greene Street, together with the sewer line. (See item 7), in the Julie 12, 2003 letter,
enclosed).
We do not know how the abutters on Douglas Road would feel about having the road go to
Greene Street, or how much money the abutters would contribute, to have the road extended.
Therefore, our Engineers came up with Plan (B), which would leave Douglas Road as it is, but
the lot would front Putnam Road, with a drive -way to the house, as depicted, from Putnam Road.
With Plan (B), Douglas Road would stay as it currently looks. This plan greatly enlarges the
lot, and only needs a small variance for the width requirement of 80 feet, at the middle of the
driveway, where the width is 59 feet.
All other zoning requirements are met, with respect to lot size, 20,827 square feet, and frontage,
side and rear.
We must file with the Planning Board for a Subdivision on Plan (A).
We must file with the Zoning Board for the small variance on Plan (B).
The Engineers are filing Plan (B) with Zoning, at this time.
0
We welcome your comments on both Plans.
Please call me at my office (978)683-2132 or fax your comments to (978)683-5396.
Thank you for your considerations.
Very truly yours,
K(pr� - A
YE"
OCT 1 4 2003
BOARD OF APPEALS
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SEP -10-2003 !Z:ZTPM FROM -MICHAEL T. STELLA SR,P.0
T-669- P.001/001 F-484
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Town of North Andover *OR
Office of the Zoning Board of Appeals
Community Development and Services Division
27 Churies Street
North Andover, Massachusetts 01845
D. Robert Nicerm .
Bodding Commissioner
TO. T ---Am of
Zoning Board of Appeals
27 Charles Street
North Andover MA 01945
-04cws
Te—l-PI-10--le (0,78) 6GS-9,5-
Fax (979) 688-9!
Date —7 aw—?
VI
Please be advise' -that 1 have agreed to w
a - Aive the tirne cormaints for fffi- North
Andover Zoning Board Of Appeals to make a decision regarding the granting of a
Variq=
speew Pemlit.
COMPrehCnSive Penah (408)
Find�
fDr property located at:
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STREET. A rp VK t 5C5
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TO.M.EETING DATE(S): 1 U
NAMEOFP
Signed:
Petitioner Or.�6i,:Wner's representati-4)
BOARD OF APPEALS
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WPUIVER
VA
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ki-Cullh, 713=689-9540
SEP
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0 2003
BOARD OF APPEALS
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FAX from the
NMRLS Regional Reference and Research Center
@Memorial Hall Library
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to: A.
fax number:
re: ilAacLj rpro?-AL�4-�
date: h-Lt9 m2T- a-00 -'4—
pages including this cover
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No r4t,, rtit--Do o4,r, m )4 e) 19 q'-5-
ne4- Reference Desk
Memorial Hall Library
-7 6P FS Vf C4) Elm Sq.
Andover, MA
Phone: 978-623-8401 Ext. 31or Ext. 32
Fax: 978-623-8407
Email; rdesk@mhl.org
P H 3-- '!�- c7D3- oa�
0� PePEALS
July 15, 2003
Fabio & Teera Spino
23 Mifflin Drive
North Andover, MA
Law Offices
Michael T. Stella, SR., P.C.
C/o George A. Stella, Attorney
P.O. Box 1528
Jackson at Common
Lawrence, MA 0 1842
RE: Memorandum of July 9, 2003
Dear Attorney Stella,
I am writing to recap of our conversation of July 14, 2003 regarding the two (2) proposed
plans from The Family of Mary A. Stella and The Mary A. Stella Realty Trust I as it
relates to the property owned abutting Putnam Road and Douglas Road.
In conversations with my neighbors and reviewing the plans that were presented, Plan A
and Plan B. I strongly appose Plan A, which would require extending Douglas Road to
Green Street.
In reviewing the documents provided by The Family of Mary A. Stella and The Mary A.
Stella Realty Trust I and speaking with you, I would prefer Plan B, which would result in
a driveway to the new house off of Putnam Road. By having the driveway off Putnam
Road, the end result would be as you stated, "leaving Douglas Road as it is".
Thank you for taking the time to review the plans with me and allowing me to express
my concerns as an abutter and neighbor.
Respectfully,
Fabio Spino
rw
TOWN OF NORTH ANDOVER VARIANCE
ZONING BOARD OF APPEALS
54�g
_3
Procedure &-Requirements
For an Application for a Variance
Ten (10) copies of the following information must
be submitted thirty QJ0 days prior to the first public
hearing. Failure to submit the required information
within the time periods prescribed may result in a
dismissal by the Zoning Board of an application as
inCOMDlete.
e informat on herein is an abstract of more specific
equirements listed in ihe Zoning Board Rules and
egulations and is not meant to supersede them. Items that
are underlined will be comoleted by the Town.. I
STEP 1: ADMINISTRATOR PERMIT DENIAL:
The petitioner applies for a Building PerTnit and receives
a Permit Denial form completed by the Building
Commissioner.
STEP 2: VARIANCE APPLICATION FORM:
Petitioner completes an application form to petition the
Board of Appeals for a Variance. All information as
required in items 1 through and including 11 shall be
completed.
Step 3: PLAN PREPARATION:
Petitioner submits all of the required plan information as
cited in item 10 page 4 of this form.
STEP 4: SUBMIT APPLICATION:
Petitioner submits one (1) original of all the required
information and 10 xerox copies to the ZBA Secretary -
The original will be stamped by the Town Clerk
certifying the time and date of filing. The remaining ten
copies will remain at the office of the Zoning Board of
Appeals secretary.
STEP 5: LIST OF PARTIES IN INTEREST:
Once the petitioner submits all of the required
informationj the petitioner requests from the Assessors
Office a certified list of Parties in Interest (abutters).
IMPORTANT PHONE NUMBERS:
.4
STEP 6: SCHEDULING OF HEARING AND
PREPARATION OF LEGAL NOTICE:
The Office of the Zoning Board of Appeals schedules
the applicant for a hearing date and prepares the legal
notice for mailing to the parties in interest (abutters) ar
for publication in the newspaper. The petitioner is
notified that the legal notice has been prepared and th(
cost of the Party in Interest fee.
STEP 7: DELIVERY OF LEGAL NOTICE TO
NEWSPAPER/PARTY IN INTEREST FEE:
The petitioner picks up the legal notice from the Office
of the Zoning Board of Appeals and delivers the legal
notice to the local newspaper for publication.
STEP 8: PUBLIC HEARING BEFORE THE ZONING
BOARD OF APPEALS:
The petitioner should appear in his/her behalf, or be
represented by an agent or attorney. In the absence of
any appearance without due cause on behalf of the
petitioner, the Board shall decide on the matter by usin�
the information it has otherwise received.
STEP 9: DECISION:
After the hearing, a copy of the Board's decision will be
sent to all parties in interest. Any appeal of the Board's
decision may be made pursuant to Massachusetts
General Laws ch. 40A sec. 17, within twenty (20) days
after the decision is filed with the Town Clerk.
Step 10: RECORDING CERTIFICATE OF DECISION
PLANS.
The petitioner is responsible for recording certification of
the decision and any accompanying plans at the Essex
County North Registry of Deeds, Lawrence
Massachusetts, and shall complete the Certification of
Recording form and forward it to the Zoning Board of
Appeals and the Building Department Office.
978-688-9541 Zoning Board of Appeals Office
978-688-9501 Town Clerk's Office
— A- __C
978-688-9545 Building Department
1:7
_U
Page 2 of 4
Application for aVARIANCE
Zoning Board of Appeals
1. Petitioner: Name, address and telephone number:
Marilyn A. Stella
c/o Michael T. Stella, Sr., P.C.
P.O. Box 1528, Lawrence, MA 01842 978 683-2132
The petitioner shall be entered on the legal notice and the decision as entered above.
Owners of Land: Name, Address and Telephone number and number of
years under this ownership:
Janet Kliska, Trustee — Mary A. St611A Realty Trust 1 978 683-2132
P.O Box 1528
Mary A. Stella, Beneficiary, c/o Michael T. Stella, Sr., P.C. Lawrence, Ma. 01842
I ears Owned Land: 50 years
Location of Property:
a. Street: 93 Putnam Road Zoning District R4
b. Assessors: Map number 21 Lot Number: Lots 31 & 37 & Map 4JA - Lot 32
c. Registry of Deeds: Book Number 4420 Page Number: 526
Zoning Sections under which the petition for the Variance is made.
Zoning ByLaw Section 7, Dimensional Requirements & SS 7.1.2 lot width requires a minimum
of 80' lot width between street & front wall of the structure.
'er to the Permit DeNW and Zoning By -Law Plan Review as supplied by the Building Commissioner
Describe the Variance request
Zoning ByLaw A states minimum of 80' lot width between the street and the front wall of
the structure. The proposed lot has it's narrowest width as 58.98'.
above description sMII be used for the purpose of the legal notice and decislom A more detailed description Is required pursuant to the
ig Board Rules and Regulations as cited on page 4 of this applicafim Fallure by the applicant to clearly describe the request may result In
islon that does not,address the intent of the:applicant. The,declslon will be linatted to the request by the applicant and win not Involve
onal items not included above.
Difference from Zoning By -Law requirements: Indicate the dimensions that will not meet current
ig By -Law Requirements. (A and B are In the case of a lot split)
rea Open Space Percent Lot Frontage Parking Minimum Lot set Back
Ft. Sq. Ft. Coverage Feet Spaces Front Side A Side B Rear L -b -T W VPTtA
% 198 _Ct9..1
Page 3 of 4 Application for aVARIANCE
Zoning Board Of Appeals
6. b. Existing Lot:
Lot Area Open Space Percent Lot Frontage Parking
Sq. Ft. Sq. Ft. Coverage Feet Spaces
2.[Vit '2-
c.
Proposed Lot (S):
Lot Area
Open Space Percent Lot
Sq. Ft.
Sq. Ft. Coverage
Sq. Ft.
—
':�, 000
%
--
010,6711
4-- %
Frontage Parking
Feet Spaces
LIT 9?) '?-
�00�0 12,
d.
Required Lot: (As required by Zoning
By -Law)
Lot Area
Open Space Percent Lot Frontage
Parking
Sq. Ft.
Sq. Ft. Coverage Feet
Spaces
%
2-
7. a. Existing Buildings:
Ground Floor Number of Total
Square feet Floors Sq. feet
?-FA 3 1 ze)(3
Use of
Building*
Minimum Lot set Back
Front Side A Side B Rear
R4- 1(,.(. 76.0 17,6,2)
Minimum Lot set Back *.
Front Side A Side B Rear
t (.. � 61-'E�'
1153'� 32 " 5k,6'
Minimum Lot set Back *
Front Side A Side B Rear
-30 115 (S
Single Family Residence
Teference Uses from the Zoning By -Law. State number of units in building.
b. Proposed Buildings:
Ground Floor Number Of Total
Square feet Floors Sq. feet
T Zo � �> t — ZSI 3
Use of
Building*
Single Family Residence
t (9 P-) 33(00
'Reference Uses Imm the Zoning By -Law. State number of units In'buildIng.
8. Petitioner and Landovmer signature (s):
Every application for a Variance shall be made on this form which is the official form of the Zoning Board of Appeals. Every application shall be filed with
Town Clerks Office. it shall be the responsibility of the petitioner to furnish all supporting documentation with this application. The dated copy of this
a plicaWn received by the Town Clerk or the Zoning Board of Appeals does not absolve the applicant from this responsibility. The petitioner shall be
responsible for all expenses for filing and legal notificabon. 7—ture to comply with application requirements, as cited herein and In the Zoning Bbard Rules and
Regulations may result in a dismissal by the Zoning Board of this application as inc=.p!ete.
Simature ZA� 9ZZ2�1 0 'Xz;DeW
Petitioner Barbara A Stella, Administratrix of
Type above name (s) here___ Mari I Wn A- Stplla Mary A. Stella Beneficiary
PAGE 4 OF 4
9. WRITTEN DOCUMENTATION
Application for a variance must be supported by a legibly written or
typed memorandum setting forth in detail all facts relied upon. VVhen
requesting a variance from the requirements of MGLA ch. 40A, Sec.
10.4 of the North Andover Zoning By -Law all dimensional requirements
shall be clearly identified and factually supported and addressing
each of the following points individually is required with this
application.
A. The particular use proposed for the land or structure
B. The circumstances relating to soil conditions, shapeor
topography of such land or structures especially
affecting the property for which the variance is soucht
which do not affect generally the zoning district in
which the property is located.
C. Facts which make up the substantial hardship,
financial or otherwise, which results from literal
enforcement of the applicable zoning restrictions with
respect to the land or building for which the variance
is sought.
D. Facts relied upon to support a finding that relief sought
will be desirable and without substantial detriment to
the public good.
E. Facts relied upon to support a finding that relief sought
may be given without nullifying or substantially
derogating from the intent or purpose of the zoning
bylaw.
F. Submit RDA from Conservation Commission when
Continuous Buildable Area is applied for in ZBA
application.
10. Plan of Land
Each application to the Zoning Board of Appeals shall be
accompanied by the following described plan. Plans must
be submitted with this application to the Town Clerk's
Office and ZBA secretary at least thirty (30) days prior to
the public hearing before the Zoning Board of Appeals.
10 A. Major Projects
Major projects are those which involve one of the following
whether existing or proposed: a) five or more parking
spaces, b) three or more dwelling units, and
c) 2000 square feet or more,of building area.
Minor projects that are less than the above limits shall
require only the plan information as indicated with an
asterisks (*). In some cases further information may be
required
10 B. Plan Specifications:
a) Size of plan: Ten (10 ) copies of a plan not to exceed
11"x17", preferred scale of 1"=40'.
Plan prepared by a Registered Professional Engineer
and/or Land Surveyor, with a block for five (5) ZBA
signatures and date indicated on mylar.
VARIANCE
10 C. FEATURES TO BE INDICATED ON PLAN:
A. Site Orientation shall include:
1. North point
2. zoning district (s)
3. names of streets
4. wetlands to be shown on plan (if applicable)
5. abutters of property, within 300 foot radius
6. location of buildings on adjacent properties within
50'from applicants proposed struGture
7. deed restrictions, easements
13. Legend & Graphic Aids:
1. Proposed features in solid lines & outlined in red
2. Existing features to be removed in dashed lines
3. Graphic Scales
4. Date of Plan
5. Title of Plan
6. Names/addresses/phone numbers of the
applicant, owner of record, and designer or
surveyor.
10 D. FURTHER REQUIREMENTS: '
Major Projects shall require that in addition to the above
features, plans must show detailed utilities, soils, and
topographic information. A set of building elevation and
interior of building plans shall be required when the
application involves new construction/conversion/ and/or
a proposed change in use. Elevation plans for minor
projects including decks, sheds, & garages shall be
included with a side view depicted on the plot plan,
which includes a ground level elevation.
APPLICATION FILING FEES
A. Notification Fees: Applicant is to send by
certified -mail. all legal notices to all abutters, and
then supply proof of mailing to the ZBA secretary.
Applicant is to supply stamps (appropriate
current postage) for mailing of decisions to all
parties in interest as identified in MGLA ch. 40A,
sec. 11 as listed on the application. ZBA Secretary
will com er
pute numb. .- of stamps.
B. Applicant is to supply on e (I set of addressed
labels of abutters to ZBA Secretary who will mail
decisions to abutters and parties in interest.
C. Administrative fee of $50.00 per application.
A Variance once granted by the ZBA will lapse in
one (1) year if not exercised and a new petition must
be submitted.
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:
1(9 R-�
-3) : e 0 -t tJ A. 1,1, � IX
. -- -- I I � I I . . I
Applicant:
Request: C
Date: -0
Pleas�-b—eadvised that after review of your Appli :ation and lans that your Application is
DENIED for the following Zoning Bylaw reasons:-
Zonina R --4
—
I —
Notes
Item
Notes
A
Lot Area
F
Frontage
1
Lot area Insufficient
1
Frontage lnsuffici��
2
Lot Area Preexisting
2
Frontage Complies
3
f Lot Area Complies
Lj
3
Preexistina fro'ntage
4
Insufficient Information
4
Insufficient Information
B
Use
5
No access over Frontage
1
Allowed
-s
G
Contiguous Building Area
2
Not Allowed
1
Insufficient Area
3
Use Preexisting
2
Complies
1-1 S
4
S ecial Permit Required
3
Preexisting CBA
5
Insufficient Information
4
Insufficient Information
C
Setback
H
Building Height
I
All setbacks comply
Lj e- -S
1
Height Exceeds Maximum
2
Front Insufficient
2
Complies
3
Left Side Insufficient
3
Preexisting_ Height_
4
Right Side Insufficient
4
Insufficient Information
5
Rear Insufficient
I
Building Coverage
6
Preexisting setback(s)
I
Coverage exceeds maxi M --Um
7
Insufficient Info—rmation
2
Coverage Complies
D
- Watershed
3
Coverage Preexisting
I
Not in Watershed
51
4--
Insufficient Inform—ation
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 required
7--
re Parking Required
2
Not in district
2
1 Park,
'ing Complies
3
Insufficient Information
Insufficient Information
F
existing Parking
Remedy for the above is checked below.
Item # Special Permits Planning Board
Site Plan R lermit
Access other than Frontage Special Permit -
Frontage Exception Lot Special Permit
Common Driveway i'
Congregate Housing Special Permit
Continuing Care Retirement Special Permit
I Independent Elderlv Housing Special Permit
Large Estate Condo Special Permit
Planned Developmen District Special Permi
Planned Residential S-p—ecial Permit
R-6 Density Special Permit
L)A t4tershed Special Permit I
Item # Variance
Setback Variance
Parking Variance.
F- I Lot AM Variance W % ID
Height Variance
Variance for Sign
Special Permits Zoning Board
Seecial Permit Non -Conforming Use ZB
Earth Removal Special Permit ZBA
Special Permit Use not Listed but Similar
Special Permit for Sign
Special permit for preexisting
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.
Building Department Official Signatu '
Application Received
Application 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:
Referred To:
Fire
Police--
Planni
Other
Health
Zoning Board
"nent Tu-bricWorks
Historical Commission
Buildi � De r-tment
9. Written Documentation
A) A single family residence in a R-4 residential district, having met all the dimensional
requirements, except the Lot Width Section 7.1.2
B) The parcel in question was originally a three lot parcel, each lot having the necessary
dimensions and requirements. The personal residence at 103 Putnam Road was built on
one lot, and on a portion of the second lot, thereby proposed as Lot 1, together with the
Petitioner creating Lot 2, containing 20,827 sq. ft with the remaining land. Granting the
Variance will affect this parcel and not affect the Zoning District.
The Petitioner has been taxed as 3 separate parcels by the Town, for 50 years. The literal
enforcement of the eighty (80) feet width requirement would prevent the creation of 2
lots, and leave the single family residence at 103 Putnam Road, with a 33,827 sq. ft. lot,
in a Zoning District R4 which requires a minimum lot area of 12,500.
D) The Variance sought will allow a single family residence, on a 20,827 sq. ft. lot, in a R4
district having a minimum lot area of 12,500 sq. ft. The minimal variance of
approximately 20 ft, will allow a driveway only at the narrowest width of the lot, and will
not be detrimental to the area, or the public good.
E) The granting of a 20 ft. Variance of the 80 foot width requirement will not nullify or
derogate from the intent or purpose of the Zoning ByLaw. The purpose of the ByLaw
prevents establishing so-called "pork chop" lots.
Town of North Andover, Zonin2 Board of Appeals
Parties of Interest / Abutters Listin2
REQUIREMENT: MGL 40A, Section 11 states in part "Parties in Interest as used in this chapter
shall mean the petitioner, abutters, owners of land directly opposite on any public or private street or
way, and abutters to abutters within three hundred (300) feet of the property line of the petitioner as
they appear on the most recent applicable tax list, notwithstanding that the land of any such owner is
located in another city or town, and the planning board of every abutting city or town."
Applicant's property, list by map, parcel, name and address (please print clearly and use black ink.)
MAP PARCEL NAME
21 31 & 37 Mary A. Stella Realty Trust 11
45 A 32
ABUTTERS PROPERTIES
MAP
45A
45A
45A
45A
45A
45A
21
21
21
21
21
21
21
21
21
21
21
PARCEL
29
30
31
33
34
27
28
29
30
32
33
34
35
36
38
39
NAME
Dennis A. Moriarty
Radcliffe Fanuily Living Trust
Bernard, Jr. & Elizabeth Silva
David & Ann M. Boudreau
Robert N. & Mildred 1. Hertrich
Patn'ck S. & Carol P. VAi-itley
George & Clara Nussbaum
76 Putnam Road Realty Trust
Francis P., Jr. & Laura MacMillan
John B. & Nancy N. Bartlett
Edwin W. & Margaret M. Miller
Richard N. Lee & Valerie J. Randall
Frances R. Sergi
Salvatore J. Sergi
Kamal Realty Trust
Frederick M. & Dorothy M. Campbell
Fabio Spino & Teera Jennings
ADDRESS
160 Conu-non Street
Lawrence, MA 0 1840
ADDRESS
193 Greene St., N.A. 0 1845
90 Putnam Rd., N.A. 0 1845
106 Putnam Rd., N.A. 01845
165 Greene St., N.A. 01845
171 Greene St., N.A. 0 1845
183 Greene St., N.A. 0 1845
55 Mifflin Dr., N.A. 0 1845
76 Putnam Rd., N.A. 0 1845
84 Putnam Rd., N.A. 0 1845
92 Putnam Rd., N.A. 0 1845
85 Putnam Rd., N.A. 0 1845
75 Putnam Rd., N.A. 01845
41 Mifflin Dr., N.A. 01845
37 Mifflin Dr., N.A. 01845
151 Tremont St., Boston, MA 02201
15 Douglas Rd., N.A. 0 1845
23 Mifflin Dr., N.A. 0 1845
THIS INFORMATION WAS OBTAINED AT THE ASSESSORS OFFICE AND
CERTIFIED BY THE ASSESSORS OFFICE BY:
S -� �URE
IGNX
Certified by 03
es o h
Board of ss 7!!! Andover
C:U-and Projects R2\02-93\dwg\Abuttcrsr.doc
DATE:
PAGE I OF I
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Date ...... ........... ..............................
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that
............................................... ..........................................................
has permission for gas installation �4 U C -L V* -04 CR,
......... .......................... j .................................
in the buildings of
c)-,) P�+ -*--***-*Q' '"*"*"*'**""""""*"*""'* ..... *"*"**'**'*"******'*"**"*'**"**',
at ....................................... North Andover, Mass.
Fee....... Lic. No. ...... .....................................................................
Check # � 66) (9 GASINSPECTOR
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY I Nofth_Andover MA DATE 2/2014 PERMIT #
/ W) - . � i —�j
JOBSITE ADDRESS 93 Putnam Rd :�OWNERSNAMEJ d4b&_
GOWNER ADDRESS Same I TEq xv ... " 7]FAXI
TYPE OR OCCUPANCYTYPE COMMERCIAL[] EDUCATIONAL
PRINT
CLEARLY NEW:[j RENOVATION: REPLACEMENT: F-1
APPLIANCES -1 FLOORS- BSM
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CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
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MAKEUP AIR UNIT
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ROOF TOP UNIT
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UNVENTED ROOM HEATER
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RESIDENTIALL]
PLANS SUBMITTED: YES[j NOE]
INSURANCE COVERAGE
I have a current liabili!Y insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES [JNO E]
I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY Ej OTHER TYPE INDEMNITY E] BOND E]
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER E] AGENT El
I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in m liance with all Pertinent provision of th
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Massachusetts State Plumbing Code and Chapter 142 of the General Laws. I 0�'/ 0� I oo'v -4 -1
PLUM BER-GASFITTER NAME I Joseph Marino LICENSE# 8736 816A-ATURE
MP El MGF [:1 JP [j JGF 0 LPG] CORPORATION E]# PARTN PRSHIPEI# LLC [J#
COMPANY NAME:j_RH White Construction Co ADDRESS 141 Central St
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FAX 1508-926-4347 ]CELLI 508-832- EMAIL =JMarino@RHWhite,com
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THE EXPIRATION DATE THEREOF. NOTICE WILL BE 01�1(VERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZI!D ACPRESI�NTATrVE
- ts
coll:4297604 TP111694012 Cert:2028768o @ 1988-2010 ACORD COPPORATION. All Cigh
-CORD 25 1 (2oims) The ACORD name and 1090 2re rOgistered marks of ACORD
I
C�
C
Location
No. Date 04
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
64 Other Permit Fee $
TOTAL $ ?00��
4
Check # e*TIVI-I
182 1w 9
Building ln;�pector
aty Address:
1.2 Assessors Map and Parcel Number-
ac&—
Map4qumber
Pircel Number
1.3 Zoning Information:
1.4 Property Dimensions:
i�',4 &4
'o Z
M
Zonin use
Lot Area (sf) Frontage
(A)
1.6 BUIIDING SETBACKS (ft)
Front Yard
Side Yard
Rear Yard
!eorW I Pmide
Rrxpu�� Provi&d Required
Provi&d
d
zoo ,
15--�r 1 25-1 36"
3Z r
1.7 W ly AGL.C.40. 54) zow
1.5. Flood Zone Infimustion: M 1.2 Snaw
Oubide Mood Zow 0 1
D* -9 Syft-
On Site Disposal SyBtem
Prh%w 0
6,
SECTION 2 - PROPERTY OWNERSIRP/AUTHORIZED AGENT P,10
2.1 Owner of Record
N n t) Address for Service
26,5- 188
—�it re Telephone
21 Owner of Record:
Name Print Address for Service:
Signature - Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 L�Cnscd Construction Supervisor: Not Applicable 0
Licensed Construction Supervisor
License Number
Add a 117/7- 31er
. a12 - �- Expiration'Date
Sig ature Telephone
3.2 Registered Home Improvement Contractor Not Applicable o
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
00
M
SECTION 4 - WORKERS COMPENSATION (hjG.I� C 152 1 25T6)7�
Workers Compensation Insurance affidavit must be completed and submitted with this application. —Failu-r-e to provide this affidavit will result
in the denial of the issuance of the building permit.
qianed affidavit Affachnd Yaq n W- r-1
SECTION 5 Desc�gtlon 0 Proposed Work (check
(check
(check
avollcable I
New Construction 0
:Existing Building 0
Repair(s)
0
0
��tion 0
Accessory Bldg. 0
Demolition 0
Other 0 Specify
Brief Description of Proposed Work:
&t f
4 1
SECTION 6 - ESTV"TED CONSTRUCTION COSTS
Item Estimated cost (Dollar) to be
Completed by permit applicant
USE ONLY
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical
Estimated Total To-;�—Of
Construction
3 Plumbing
Building Permit fee (a) . —(b)
Zq 6=
4 Mechanical (HVAC)
5 Fire Protection
6 ToW (1+2+3+4+5)
SECTION 7a OWNER AITT14nV17A Tirnm -rn, imV &"^1LAM1r W�
Number
-- --- ---- I--
OWNERSAGENT OR CONTRACTOR APPLIES FOR BUI]LDING PERAUT
as Owner/Authorized Agent of subject pro
Hereb pdi�ornize tnart nn
V —
My i all a lati e to work authorized by this building permit application.
Si "ia� ot'Owner
Date
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/Agent
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS ST 2 "4 3—
SPAN
DIMENSIONS OF SELLS
DIMENSIONS OF POSTS
DIMENSIONS OF GMDERS
HEIGHT OF FOUNDATTON THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS
4
North Andover Building Department
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
in accordance with the provisfon of MGL c 40 S 54, a condition of Budding Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal tabirity as defined by WIGL
c i 1, 3 150A.
-Me dsbft w% be disposed of im.
Signature of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
I
w
697
BOARD OF % elLDId REG%tLATIONS
CM&TIMMMIS".*41asm
Nomber. CS 028M
09MM7
i m-_09mamm Tr. am 4011
_IRNmb"il d, 00
KEVIN T OBRIEN
I CHADWICK CIR.
Awamss, UN sima Adff kfiorfti
The Commonwealth of Massachusetts
Dapadmot of bOUSArW AeckLeWs
Office Of Invesdgedons
Boston, Mass. 02111
WoMers'Compensatibn ln&irance Affldavit
Name
a,,- Please PM
I
I an a hansaw1dr payam*q gg WM* mymy
(em a We "qxMW and tm-e MQM VOWTQ in my tapwtj
r" I am an employer pmwkfng workers! compensation for nTy employees working on this job.
compm one: -Melov 66.0 T4e,
AWM 112dwai'k, CIA#
a
vo �
Oom imm name,
Phone
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undeWand that a C7 01��"WneM may be fawarded to ft Offloe of InvasdgWons d the DIA for covemp verftsdon.
I do ftreby cWb~ ow
ft MCMNOW Providad abow is fte and owed.
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MeheckCompfiaace Certificate Chocked ByA)M
IMMEC
RES cJmkSoftwm Version 3.5 Release I a
Data filemm: C,\Progmm FileS\CheckRESchmkVcyk 0 HrjmArk
0TY: Andover
STATE: Masmichusem
HDD- 6322
CONSTRUCTION TYPE.- ShWe Fandly
DATE: 09/30/03
DATE OF MANS' February 30,2003
PWJBr-TfMRMATION:
Kevin Olden Y3 /oUlvam V.
UBfm Homes, Inc. k/0
Andow m& ,4,v2)ov&-x
cmeUmrm- Vwfts
MRximm VA = 50
Your Ham UA - 525
2.8% Bamm Tbm CQ& �U#.j
Gross
Glazing
Am or
affvW
cont.
or Dw
Bat!"eter
R -Value
U -Factor
UA
Ceiling 1: Fha Ceiling or Scissor Truss
2134
30.0
0.0
Wall 1: Wood ftmk 166 b.c.
75
Window 1: Wood Frame Double Pane with Low -E
2552
13.0
o.9
162
Door 1: Solid
539
0.340
183
Floor 1: All -Wood iqbtq�=.Over Unconditioned Space
39
1959
19.0
0.0
Wuo
13
Fumwe 1: Forced Hot Air, 90 AFUE
92
CONPI-LANCESTATEIKENT: The proposed building des* described hem is COMiSfttwftthe building9bA9,190"MAM,
Aff Calmdafionx submifted with dw pemut Hcgbm
w ;;;� 1% proposed kmkbg has been designed to amet the M MMC
009*0ants in RES dieckVersion 3.5 ftlease I a f# y
ff-ECx" and to com*y with the MNW&tmy reW&=m* IbUd jo
PW jq
Date
I-t�
a
111% EScheck Inspection Checklist
1995 MEC
REScheckSoflware Version 3.5 Release la
DATE: 09/30/03
Bldg.
Dept
Use
Ceilings:
1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30-0 cavity insulation
. Comments:
Above -Grade Walls:
1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation
Comments:
Windows:
1. Window I': Wood Frame:Double Pane with Low -E, U -factor 0.340
For windows without labeled U -factors, describe features:
# Panes— Frame Type_ Thermal Break? Yes No
Comments:
Doors:
1. Door 1: Solid, U -factor 0.340.
Comments:
Floors:
1. Floor 1: All -Wood Joist/Ttuss:Over Unconditioned Space, R-19.0 cavity insulation
- Comments:
Heating and Cooling Equipment:
I . Furnace 1: Forced Hot Air, 90 AFUE or higher
Make and Model Number
Air Leakage:
Joints, penetrations, and all other such openings in the building envelope am are sources of air
leakage must be scaled.
Recessed lights must be 1) Type IC ratPA or 2) installed inside an appropriate air -tight assembly
wilh a 0.5" clearance from combustible materials. If non -IC rated, the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
Required on the warm -in -winter side of all non -vented fi-amed ceilings, walls, and floors.
Materials Identifleation:
Materials and equipment must be identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
Insulation R -values, glazing U -factors, and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-6.5.
Duct Construction:
I -t,
A
All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used
for fibrous ducts. Duct tape is not permitted. ,
The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
Thermostats are required fbr each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Circulating Hot Water Systems:
Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
1-t
Heating and Cooling Piping Insulation:
HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
I
Table 1: Minimum Insulation nicknessfor Circukift Hot Water Pipes.
Fluid Temp.
Insulation Thickness in
Insulation Thickness in
Inches by Pipe
Sizes
Heated Water
Non -Circulating Runouts
Circulating Mains and Runouts
Temperature ( F)
Up to in Up to 1.25"
1.5" to 2.0"
Over 2"
170-180
0.5 1.0
1.5
2.0
140-160
0.5 0.5
1.0
1.5
100-130
0.5 0.5
0.5
1.0
Table 2: Minimum Insuladon ThIcknessfor HvAC pipeL
NOTES TO FIELD (Building Department Use Only)
Fluid Temp.
Insulation Thickness in
Inches by
Pipe Sizes
Kping System Types
Range ( F)
2" Rimouts
1 11 and Less 1.25"
to 2" 2.5" to 411
Heating Systems
Low Presstutffemperature
201-250
1.0
1.5
1.5
2.0
Low Temperatum
120-200
0.5
1.0
1.0
1.5
Steam Condensate (for feed water)
Any
1.0
1.0
1.5
2.0
Cooling Systems
Chilled Water, Refrigerant,
40-55
0.5
0.5
0.75
1.0
and Brine
Below 40
1.0
1.0
1.5
1.5
NOTES TO FIELD (Building Department Use Only)
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Date ... Iq 14 P/I �. / ..
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .......
A.1,�vm, ................
has permission to perform ...... /6.y.
wiring in the building of .... 0.. to . p A-)
1 Po JIV4
At......... ............................................................. I N95t h A�dover, Mass.
fee ..... Y�S ......... Lic. No.,, 75.
.2
. ..........
:e..l . ... ...............
V-3 ELEcrRICAL IN�Pki'OR
Check #
5 5 3 J,
THE COMMONWEUTH OF AASS4CRUSE77S Office Use only
DEPARTA11�VTOFPUBLICS4FM --7—/
'y Permit No. -.5
BOAM 0FFREPREVEW0NRWMH110NS27 CiM 120 Occupancy & Fees Checked - 75-77
"PUCATION FOR PERAlff TO PERFORM ELECMCAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACH tl ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover
The undersigned applies for a permit to perform the electrical work dekribeA below.
Location (Street & Number)
Owner or Tenant
To the Inspector of Wires:
Owner's Address
Is this permit in conjunction with a building permit: Yes [2[—No r7 (Check Appropriate Box)
Purpose of Building — ees- / el" --7 -/ " -- / Utility Authorization No.
Existing Service Amps Volts Overhead Underground No. of Meters
New Service Amps — Volts Overhead UndeFground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work 77, A
No., of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
ground
ground
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. of Gas urners
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 Municip.al r --J
Other
No. of Dryers
Heating Devices KW
Connections L --J
No. of Water Heaters KW
No; of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
2n-/
OTHER;_
i
kS4X= OC)WrV- RffnW 10 the WqMMrW Of Ma%ad]USEM Cmad I-aWS
IhaNe acurrent IJ&kJm== PbhLy=h&gC1ornp1ee 0
1walions Cowraga or&, akstmU eqwmlat YES NO
Ihawaftnilmdvalidprodofsarnelodr.Offim YES lf3uutawdrdodYESpicmmdK*tbetypeOfODWrageby
drcWffgtheVpqZ&box
INSLRANCE BOND OTHER ftmSpeffy)
L-1 EVirafim Date
WbdaoStart -/IP-e) I - EstiawdValueofflec"Woik $ 9'0 0
sigrxdunder-TePokies f - * 7 -- hiTecfionDateRqx!sW Rough Fmal
HRMNAME --� - / "J -n AIV -11 " Al"fl-l" LmwNo
Lmrm V -f" —
Zel4l
BusirmTel.Nb. 77
AMess---�2_7 C41 la /7 AkTeLNo.
OWNEIZ'SNSURANaWAIVER,IamawmediatthcLlmwdoesnc)thavethemmreoDwWori6abstffM4ualatasmqmp-dbyMmwhuscMGffiaWl-aws
andflaTysigiahmonibspmrdVpkahonw&'m�sdmwqu'ffmut
(Please check one) Owner Agent
% E3 Telephone No. ERMrr FEE
Signature of Uwner or Agenf
io
Date..
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies tha�7�; ...
...............
has nermission for gar, instalIntinn
in the buildings of ...............
at AKe ........ North Andover, Mass.
Fee.:? -4--'. Lic. .. . . ............
GA�S; � �WS,,, CT�OR
Check#
4827
1AASSACHUSEYIN
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Locations ,,-F A�
0, )4 ^&-ES
New 01-� Renovation Replal I A
L/
FOR PERM TO DO GAS FfFMG
tE71—
s Name
Date — CLZ 3 16 61
1:1 Plans Submitted 11
Permit # —
Amount $
(Print or type) Check one: Certificate Installing Company
Name N\ V\ V2- V- 5� 'r, 11 Corp.
Address Li 5 1 �A 1L\) 5 T- 13 Partner.
M A &) (-�A Elz , &) 4
Business Telephone (gn L41 - Y 4, Firm/Co
Name of Licensed Plumber or Gas Fitter Skvv\-F- A--, A 0 C-1
INSURANCE COVERAGE Check one;,,-'
I have a current liability Insurance policy or it's substantial equivalent. Yes Er NoO
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
Liability insurance policy 13 Other type of indemnity 1:3 Bond ri
Owner, s Insurince WW aiver: I m ;aware �thhat tho �licensee does not have the Insurance coverage required by Chapter 142 of the
r
Mias �e�ner�awd �thatt m-iit application waives this requirement.
Check one:
7igr)kure of Owner or (Yw- n1r's Agent Owner 13 Agent
I h6reby 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 f99this application will be in
compliance with all pertinent provisions of the Massachusots Statt Gas Code and jhapter,142 of 0§(General Laws.
Whature of Licensed Plumber Or Gas Fitter
��ber ,� L/`� 7
Gas Fitter nse Number
Master
OVED (OFFICE USE ONLY)
1ST-. FLOOR
3RD.FLOOR
FLOOR
-6-TH.
7TH.FLOOR
(Print or type) Check one: Certificate Installing Company
Name N\ V\ V2- V- 5� 'r, 11 Corp.
Address Li 5 1 �A 1L\) 5 T- 13 Partner.
M A &) (-�A Elz , &) 4
Business Telephone (gn L41 - Y 4, Firm/Co
Name of Licensed Plumber or Gas Fitter Skvv\-F- A--, A 0 C-1
INSURANCE COVERAGE Check one;,,-'
I have a current liability Insurance policy or it's substantial equivalent. Yes Er NoO
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
Liability insurance policy 13 Other type of indemnity 1:3 Bond ri
Owner, s Insurince WW aiver: I m ;aware �thhat tho �licensee does not have the Insurance coverage required by Chapter 142 of the
r
Mias �e�ner�awd �thatt m-iit application waives this requirement.
Check one:
7igr)kure of Owner or (Yw- n1r's Agent Owner 13 Agent
I h6reby 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 f99this application will be in
compliance with all pertinent provisions of the Massachusots Statt Gas Code and jhapter,142 of 0§(General Laws.
Whature of Licensed Plumber Or Gas Fitter
��ber ,� L/`� 7
Gas Fitter nse Number
Master
OVED (OFFICE USE ONLY)
tI
Date. �1-4-�. ey.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
...............
This certifies that ...
has permission to perform ......................
plumbing in the buildings of .... ..........
at ........... North Andover, Mass.
Fee�'�';I.If�e']Lic. No..'
Check # PLU NSPECTOR
6 '16 5
4
MASSACHUSETTS UNIFORM
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location "j,-� f- U -V VQ ik AA
E-�'J67 LE F &vx,,i
New IT Renovation 1:1
Owners
TION FOR PERMIT TO DO PLUMBIP
Date 36Y
t
t+ 0 M e-, Permi i4�
Amount
Plans Submitted Yes
1:1 . 0
FIXTURES
No 0
(Print or type) Check one: Certificate
Installing Company Name 'x4� r* "2 - t�N Corp.
Address Lq S- i4EvE Partner.
Business TM-pTo-ne (10 0 6-11 Y - 16/ L/ 6 Firm/Co.
Name of Licensed Plumber: r\
Insurance Coverage: Indicat insurance coverage by checking the appropriate box:
Liability insurance policy 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
Signature Owner 0 Agent F1
I 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 Issuo for this application will be in
compliance with all pertinent provisions of the Massachupetts State Plumbing C e and Chap 42 of the General Laws.
- 4 V 1�rp
y:
APPROVED (OFFICE USE ONLY
Type of Plumbing License
4 4 :_:� -) ("
1-1CM,Se INUMDeT Master Journeyman
1:1 El
Date ... 0.-� ........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
.4 Z-n'� ...............................................................
This certifies that .... / .. ............
has permission to perform .
...............................................
wiring in the building of . � ......... -.fw ........ .....................
at ... ............... .. . ........ . . Nort� Andover, Mass.
410-9.
4 Fee ............ ..... Lic. No:!��&4 ....... .............
ELECTRICAL INSPECTOR
Check # 1—,2 �'-v
545 J'
7BECOMMONWEALTHOFMASUCHUSE77S Office Use only
DFJ%R73fDT0FP01,KS4FEff Permit No. —9�E5��
BOARDOFFREPREVEM10 REGUIXTONSWCM120 Occupancy & Fees Checked
APPLICA77ON FOR PERAff TZ.PERFORM ELE=CAL WORT/
ALL WORK TO BE PERFORMED IN ACC=ONCE, I T MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 7
(PLEASE PRINT IN INK OR TYPE ALL INFO TION) D ate 112
Town of North Andover To the Inspector o(Wires:
The undersigned applies for a permit to perform the electrical zwork described belo3k-
Location (Street & Number)
Owner or Tenant
Owner's Address J,
Is this permit in conjunction with a building permit: YbSL.A No (Check Appropriate Box)
Utility Authorization
Underground No. of Meters
Underground No. of Meters
Purpose of Building lyeol-j A-4
Existing Service Amps I volts
New Service AmpS19 0 s
Number of Feedersand Ampacity 61(3
Location and Nature of Proposed Electrical Work .IV
Overhead 1:3
Overhead=3
MVJ
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
.
KVA
No. of Lighting Fixtures
j 0
Swimming Pool Above
Below
Generators
KVA
ground
1:3
2round
ri
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
No. of Ranges
No. of Air Cond. Total
a? Tons 6
No. of Disposals
No. of Heat Total 'To(al
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
1:3 Connections
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTHER-
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(Please check one) Owner Agent
Telephone No. PERMIT FEE
signature or Owner or Agent
w
Date.A/#/
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ........ . ...........
tlz I
has permission to perform Y ..�' ...... ...........
j .............
wiringint e uildin
at . ..... ....... . .. ................................... . North Andover, Mass.
4Y li.61 ;'/' / 7/
............... ....... ........ ..
-LEC-M-ICZI;��E
Check #
Sb49
Ell;
Irm Lulmyluiv VVrd1Ujn Ur I L3
DEPARINWOMBUMMY
BOAM OFF= PREVEYTMREGUIAH101MYa 121M I Permit No.
S �0'
PEff, RM L
Occupancy & Fees Checked
APPUCA71ONFORPERATTO ELECMCAL WORK
';MECTR�
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSAC S ELECTRICAL CODE, 527 cmR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dal
Town of North Andover 7 TO the Jms�ctor 4 Wires:
The undersigned applies for a permit to perform the
Location (Street & Number)
owner or Tenant
Owner's Address I 'X t
is this permit in conjunctipp with a
Purpose of Building )F ) A/1 /I VrIlly
Existing Service AmpsM6 g3Vh voits,
New Sery Amps....�.Volts
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical
below
Yesf!3–No (Check Appropriate Box)
Utility Authorization No.
Overhead M Underground tEE3—No. of Meters
Overhead[= Underground [M No. of Meters
A/ V -1L-7 c� 00,4 /1��
No. of lighting Outlets
No. of Hot Tubs
No. of Transformers
TOW
KVA
No. of lighting Fixtures
Swimming Pool Above
[:]
Below
Generators
KVA
ground
ground
No. of Receptacle Outlets
/Q
No. of OU Burners
No. of Emergency lighting Battery Units
No. of Switch Outlets .
:
No. of On Burners
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. TOW
Tons
No. of Detection and
No. of Disposals
No. of Heat TOW 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
0 Connections
No. of Water Heaters KW
No. of No. of
signs
Ballads
No. Hydro Massage Tubs
No. of Motors
Total HP
MER-
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OWT,�WSMRANCEWAM3�larnmmdxtdieLio=dDesmthe Cri1S&*9WA*%Ql0ta9W0WbyMaMKh Gm2WLa%s
,�flease check one) Owner 1:3 Agent
Is signature or Owner Of Agent Telephone I No. .,,.PERMrr FEE
I JW lLV1MV1U1V"rAUJ7 Ur 1VVU"ft1LJ3VLV-5A A J
DENUNWOMUK&AMY Permit No.
WARDOFFIREPREmnavRBILAMS 121M
Occupancy & Fees Checked
APPUCA71ONFORPERMITTO ELEcnuciLWORK
LU
V J4.'
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MEASSACHU sMELwmflcHcoDE,527CmRl2:00
(PLEASE PRINT IN INK OR TYPE ALL INPORMATION) DR
Town of North Andover To tthe'Ins tor 4 Wires:
lie undersigned applies for a permit to perform the
Location (Street & Number) 9,�
owner or Tenant
owner's Address
Is this permit in conjunctim with a buildin permit:
Purpose of Building
Existing Service
New _SerAce I
Number of Feeders and Ampacit�
M
Amps....�..Volts
Location and Nature of Proposed Electrical
No. of Switch
No. of Ranses
No. of Disposi
No. of Dishwo
No. of Drym
No. Of Watef I
A�,,A/ V
Pod Above
(Check Appropriate Box)
Utility Authorization No.
Underground lm-- No. of Meters
UndergiroundE3 No. of Meters
of Emergency
Total
No. of Gas Burnem
No. of Air Cond. Total FIRE ALARMS No. Of Zones
Space Am Healint
Heating Devices
No. of No. of
signe Ballads
No. of Moton Total HP
No. of Detection and
Initiating Devices
No. of Sounding Devicas
No. of Self Ckxmtainvd
Detection/SoundinS Devices
Low municipal
Connections
MOther
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checkone) Owner Agent
Man Elm Telephone No. ....PERMrr FEE
7BECOMMONWEALMOFMASS4CHUSE77S
DMR731WOMBIKSAMY
BOARD OF
APPLICAHONFOR PERMIT
ALL WORK TO BE PERFORMED IN ACCORDANCE WP
(PLEASE PRINT IN INK OR TYPE ALL INFORMATIONA
Town of North Andover I
The undersigned applies for a permit to perform the electrical
Location (Street & Number)
Owner or Tenant
� TOwner's Address
Is this permit in conjunction
Purpose of Building
Existing Service Amas Volts
New —Service Arnps.,2
Number of Feeders and Ampacity
a building permit:
Location and Nature of Proposed Electrical
REGULAMAN 527 0M 12-00
Office Use only
Permit No. zXr�
Occupancy & Fees Checked 12�
I PERFORM ELECMCAL WORK
MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
Date, �7 //,g
To the Inspector o(Wires:
*rk described beIW
1,4 m
AA(d)o
Y&MNo
17- 1:3
Overhead
Overhead
(Check Appropriate Box)
Utility Authorization MlAb-?JT
Underground ED No. of Meters
Underground E23— No. of Meters
ME
No. of Lighting Outlets
No. of Hot Tubs
No. of Transfonners Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators KVA
ground
around
ri
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
'T.-
No. of Gas Burners
of Ranges
No. of Air Cond. Total
FIRE ALARMS No. of Zones
1
-31? Tons �
'Detection and
No. of Disposals
No. of Heat Total
Pumps Tons KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Device&
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
OTHER -
YES NO
subnidedvAdpKdof=wIDftOffi= YES [2 lf)mhaedededYESPkmnk*tbrt)pc)fwvaWby
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and Mnry*mnm thispanilfffiamm waiws Us lawimna
(Please check one) Owner Agent
Telephone No. ,-,,,.PERMIT FEE �6-9-
signature of Owner or Agent
Zoning Bylaw Review Form
Town Of North Andover Building Department
27 Charles St. North Andover, MA. 01845
Phone 978488-9545 Fax 978-688-9542
street..
L> -t
Map/Lot:
--
Applicant:
_AA -r,\ -j
Request:
5 L �C" C Ie_
Date: -7-a Li -0
01 t,
ease e adviseu that aner review ot your Application and Plans that your Application is
DENIED for the following Zoning Bylaw reasons:
Zoning 7--4-
Remedy for the above is checked below
Item # I Special Permits Planning —Board
Site Plan Review Special Permit
Access other than Frontage Special Permit
Frontage Exception Lot Special Permit
Common Drivewa ecial Permit
Congregate Housing Special Permit
Continuing Care Retirement Special Permit
Independent Elderly Housing Special Permit
Large Estate Condo Special Permit
Planned Develo�ent D�istdct Special Permi
Planned ResideE�tial �Spec�ia[P-2rmit
R-6 Density Special Permit
Watershed Special Permit
Item # I Variance
Parki ig Variance
:J_ Lot AM Vari-�'-
Height Variance
ariance for ' )ign
— Special Permits Zoning Board
— Special Permit Non-Conform-ing Use ZBA
Earth Re noval ;Decia �Ye—rmitZBA
— Special Permit Use not Listed but Similar
6pecial permit for preexisting
nonconformina
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.
Building Department Official Signat, ' '
Application Received
Application Denied
Item
Notes
--
Item
Notes
A
Lot Area
F
Frontage
1
Lot area InsufficWn--t.
I
Frontage lnsuffici��
e, -S
2
Lot Area Preexisting
2
Frontage Complies
3
Lot Area Complies
3
1 Preexisting frontage
4
insufficient information
4
Insufficient Information
B
Use
5
No a—cress over Frontage
I
Allowed
G
Contiguous Building Area
2
Not Allowed
I
Insufficient Area
3
Use Preexisting
2
Complies
4
Special Permit Required
3
Preexisting CBA
5
Insufficient Information
4
Insufficient Information—
C
Setback
---
H
Building Height
I
All setbacks com�—IY
-f—
Height Exceeds Max—h—um
12
Front Insufficient
2
Complies
3
Left Side Insufficient
3
Preexisting Height
4
Right Side Insufficient
4
Insufficient Information
5
Rear Insufficient
I
Building Coverage
6
Preexisting setback(s)
I
Coverage exceedi —maAmum
7
Insufficient Information
-i—
Coverage, Complies
D
Watershed
3
Coverage Preexisting
I
Not in Watershed
4
Insufficient Information
2
In Watershed
i A�gn
3
Lot prior to 10124/94
Sign not allowed
4
Zone to be Determined
2
Sign Complies
5
Insufficient Information
-i--
Insufficient Information
E
Historic District
K
Parking
1
In District review req
I
More Parking Requi--
red
2
Not in district
—Parking Co nplies
3
insufficient Information
3
Insufficient Information
A
PO—a—sting larking
Remedy for the above is checked below
Item # I Special Permits Planning —Board
Site Plan Review Special Permit
Access other than Frontage Special Permit
Frontage Exception Lot Special Permit
Common Drivewa ecial Permit
Congregate Housing Special Permit
Continuing Care Retirement Special Permit
Independent Elderly Housing Special Permit
Large Estate Condo Special Permit
Planned Develo�ent D�istdct Special Permi
Planned ResideE�tial �Spec�ia[P-2rmit
R-6 Density Special Permit
Watershed Special Permit
Item # I Variance
Parki ig Variance
:J_ Lot AM Vari-�'-
Height Variance
ariance for ' )ign
— Special Permits Zoning Board
— Special Permit Non-Conform-ing Use ZBA
Earth Re noval ;Decia �Ye—rmitZBA
— Special Permit Use not Listed but Similar
6pecial permit for preexisting
nonconformina
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.
Building Department Official Signat, ' '
Application Received
Application 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:
Referred To:
7F i Tre
Police
Conservation
Other
Health
Zonin
q Board
Departm nt of Public
Historical Qo-mmjSSi(
Building 5-e--partment
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVAT&I OR DEMOLISH A ONE OR TWO FAMILY DWELLING
ELL,
BUILDING PEFMT NUMBER: DATE ISSUED:
SIGNATURE:
Building Commissioner/IEEeEtor of Buildings Date
SECTION I- SITE INFORMATION I
1. 1 Property Address:
3 POR,140 R0,40
1.2 Assessors Map and Parcel Number:
Z.11 A 51 j 3-7
4-5 13Z
Map Number Parcel Number
�JO)Z114 AWD0VeP,_
1.3 Zoning Information:
P,- 4- 61 Nbsu�T
Zoning District Proposed Use
1.4 Property Dimensions:
0 - 100.00'
Lot Area (sf) Frontage (fl)
1.6 WELDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Required Provided
150
-30
1.7 Water �71y M.G.L ' C.40. 54) 1.5. Flood Zone Information:
tic private 0 Zone — O.Wd. Flood Zone W"
1. 1 SeZ7 Disposal System:
Municipal On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHOR M AGENT
Historic District: Yes _No
2.1 Owner of Record
MAR
Kr 24. STELLA P_G4V-1E.j N60 CO.WION -�5TIZ-ec:r
Name (ri Address for Service
Xgnature Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: --rot
Licensed Construction Supervisor:
Address
Signature Telephone
Applicable 0
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
T
M
X
z
0
0
z
M
go
0
on
M
z
0
SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) I
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 DescriDtion of ProDosed Work (check A appUcable)
New Construction 11 1 Existing Building 0 1 Repair(s) 0 1 Alterations(s) 0 1 Addition 0
Accessory Bldg. 0 1 Demolition 0 1 Other 0 Specify
Brief Description of Proposed Work:
0i 'Q- J—AAA-�-- I S' J -�c
I qFCTION 6 - FqTTMATRD CONSTRUCTION COSTS I
Item
Estimated Cost (Dollar) to be
permit applicant
OFFICIAL USE ONLY
I . 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
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
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
Date
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
of Owner/.
Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TEVIBERS I ST 2 ND 3 RD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HE, IGHT OF FOUNDATION THICKNESS
SL7-E 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
400 Osgood Street
North Andover Ma 0 1845
(978) 688-9545 Fax (978) 688-9542
APPLICATION FOR CERTIFICA
ADDRASS ?J
LOT NUMBER
DATE REQUEST FILED
DATE READY FOR INSPECTION
t%ORTH
. .6 0
0
16-
4L
BUILDING FILE
IVISION
TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME
FRAME. A RE-INSPECTIO N FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
OFFICIAL USE ONLY
ROUTING
D.P.W. - WATER METER._,,hj&Ab DATE
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
A) MhM
SIGNATURE / DPW AUTHORIZATION
GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW
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Certificate of oc�Mancv required prior to occupying StrUCtUre.
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Location 7J PL,4-4) A M
No r7o / Date
17 3 u 3
-'I�lf ((t��-
Building Inspector
TOWN OF NORTH ANDOVER
0
Certificate of Occupancy
45
Building/Frame Permit Fee
$
CHUS
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
5,99f
Check #
17 3 u 3
-'I�lf ((t��-
Building Inspector
TON" OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT EE E, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
,�MRENOVAT
77-77�7-
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE: Aw c6l��
Building Commissioner/12��Etor of Buildings Date
SECTION I- SITE INFORMATION
1. 1 Property Address:
?3 6AIA'., Ad
1.2 Assessors Map and Parcel Number:
1440,2110� Y437
Mdp Number Parcel Number
1.3 Zoning Information:
Zoning District sed use
wive
1.4 Property Dimensions:
Lot Area (sf) Frontage (ft)
1.6 BUIELDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Required Provided
V54)
1.7 Water Supply M.G.L.C.40. 1.5. Flood Zonel-fontnation-
Public 4 private 0 Zone Outside Flood Z..
1.8 Sewerage Disposal System:
Municipal On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIPJAUTHORIZED AGENT
nitiLurlu Disirict: Yes INO
2.1 Owner of Record
Na Address for Service
Sig *re Telephone
2.2 Owner of Record:
Naute Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Licensed Construction Supervisor:
� CIVIIIle-111 C/,A-P6—k Aa 1/740
A�drs,s�
S re Telephone
Not Applicable 0
V
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable D
Cr, 6any Name
Registration Number
Address
Expiration Date
Signature Telephone
00
M
X
z
0
0
0
z
M
90
0
Mn
1P
SECTION 4 - WORKERS COMPENSATION (NLG.L C 152 § 25c(6) I
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 s4p!ion of P4o_sed Work (check A applicable==
New Construction Existing Building 0 1 Repair(s) [I Alterations(s) 0 1 Addition 0
Accessory Bldg, 0 1 Demolition 0 1 Other 0 Specify
Bfief Description of Proposed Work:
zl�
c� ']a 13 ok bta u to r- !�Lle_
t -V e_ I 11,10
I SECTION 6 - ESTIMATED CONSTRUCTInN COV%T.Q I
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OMCUL USE ONLY
I . Building
�IIP3 60o.0—
(a) Building Permit Fee
Multiplier
2 Electrical
9!/�e�46
(b) Estimated Total Cost o
Construction !11Y��
DOC)
-3 Plumbing
Av'e. VA57 0ee, 0
Building Permit fee (a) x (b)
Ll C)
-4 Mechanical (HVAC)
/3 .5!
5 Fire Protection
�_6 Total (1+2+3+4+5
A 1 -7 91 a av
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERM[IT
1, 0, e Aq
Q,A_ 11-7J as 0 er/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, e�) z�lej 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
Prin am
4"/ �K7 �e
SigLLe of Owner/Agent Date
OEM""
NO. OF STORIES 2- SIZE
_BASENIENT OR SLAB
-SIZE OF FLOOR TDMERS 2-y- 10 iST 2 ND 2! oe 16 3 RD 16
-SPAN 13"1/ It
_DRVIENSIONS OF SILLS �7
DIrvffiNSIONS OF POSTS 311x_ Lmvl(lt
_DRv1ENSlONS OF GIRDERS -Zk�&s
-HEIGHT OF FOUNDATION 8/ THICKNESS A
-SIZE OF FOOTING 20,two I X
-MATERLALOFCFHMNEY
IS BUILDING ON SOLID OR FILLED LAND SdJ
rIS BUUDING CONNECTED TO NATURAL GAS LINE VeS
FORM - —U - LOT RELEASE F XI
INSTRUCTIONS: This form is used. to verify that all -necessary approval/ pennitsfiom
Boards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requffiements.
I an a a a on a a a am a a Elm a a a 0 0 a Now 0 2 a 0 a 0 a a a a a as a a a It own a a a 0 00 -m -N a WINE as a 0 a a a a 0 a a 0 a a a a
,7,)l
APPLICANT t�m,,s ��, PHONE
A /:I/, /I /- 3
ASSESSORS MAP NUMBER LOT NUMBER
SUBDWISION
OT NUMBER
STREET PaAVA,— /(�ra STREETNUMBER
Was —a
OFFICL&L USE ONLY
Inman News smamman aft'sommus Wall anu's mass mama
REC AT'IONS OF TOWN AGENTS
DATE APPROVED
CONSERVATION2 TOR
DATE REJECTED
too e�
CON94ENTS (k0too
u
TOWN PLANNER
CONUVIENTS
DATE APPROVED
DATE REJECTED
DATE APPROVED
FOOD INSPECTOR - HEALTH - , DATE REJECTED
SEPTIC INSPECTOR - HEALTH
CONRvIENTS
PUBLIC WORKS - SEWER I WATER C)MECTIONS
DRIV17YPERMU,
FIRE
RECEIVED BY BUILDING INSPECTOR
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
/ I
ThI9:kjq.:p
hat.tweo!y r4.) oy.s.
h t LV i i 6, to - 4 f 4 e d W 6 a. - 9 1 e. d
VW6*t:flIIn,,*(,a - I
JOY" -K Oredshow
TOM-0ork
BK 8404 M .168
Town of North Andover
Office of the Zoning Board of Appeals
Community Development and Services Division
VC]harlesStreet
'North Andover, Ma%admsetts 01M c .
D. Robert Nicetta
Building Commissioner
Any apped sball be filed
within (20) days after the
date of filing of this notice
in the office of the'rown C
Psi, _P.0Box 1
91 Putnam Ron
Notice of Decision
Year 21003
TYPING
Telephone (978) 689-9541
Fax (978) 698-9542
The Nooh Andover Board of Appeals hold a public heating at its regular meeting on Tuesday, October 14,
2003 at 7:30 PM in the Nmih Andover Middle School Auditorium, 495 Mam Strcet� upon the application
i
of Marilyn A. Stella, clo Michael T. Stella, Sr., P.C., P.O. Box 1528, Lawrence, MA 01942, iW praui$m
at 93 Putnam Road� North Andover, MA requesting a dimemsional Variance from Section 7,gjmgr
7.1.2 of the ZoningBy-law for relief of width of lot between side setbacks in order to -allow giribe M
of a second lot from an existing parcel. The said premise affectet] is property with kontage 44e
side of putnam Road widin the R-4 zoning district. Ugal notice s were published in the Eaguaribunp on
August 25.& September 1, 2003.
t'\,, e following members were present: Widliarn L Sullivan, Walter F. Soule, Ellen P. MdntMEN41).
LaGmvw, and Joe Edward Smith.
Upon a motion by Walter F. Soule and 2�4 by JosWh D. laGrasse, the Board vood to GRANflhe
dimensional Variance frm Sectlon 7, Para0aph 7.1.2 of the Zoning. BY44w: forxelief of width of lot
between side setbacks of 21.02' jo order to allow a drivewty to a p..W-WiSO' sifig"mily
as pre
residence, to be built on Lot 2 per�Board of Appeals Plan in North. Andover., Massachusetts pared for
Mary A. Stella RmIty Trust 1, Janet Kligm trqqee, rJo Stella La* Offim, 160 Comtoon St., Lawrence,
MA 0 I_WO, dated June 27,2003 by JosVh A- Esposito. Professimal Land Survqypr� #18923, PembiMe
d, urv- Umpshire, 030";.bn'the:WoWm9 conditions:
'jb:"-'lar'- beech in North Andovtr- wfll remain pod will be -protect bd during construcGOL
C P 0. Box 205, Salem, NeW I
gest
0�u 'Me proposed new structure shaff be- a ono-famil� dwelling, only. C=)
Iho existing shed shall be romovedand/or relocated..'
The new lot's driveway shall exi.t and enter from Putnam Road.
The North Andover Fire Department shall be consulted on the:drivew4y design,—
Voting in favor: Widliam J. Sullivan, Walter F. Soule, Ellen P. McIntyre, Joseph D. LaOrasse, and Joe.
Edward SnAth.
The Roexd finds that theapplicant has satisfied the provisions of Section 10, Patagrap� 10.4 of the7wning
Bylaw aAd tW the grarAing.of this vadance will no.t adversely affect the neighb-orhood.or dcrogate�bDrn *9
intent and purpose of the Zoning Bylaw.
C -D
ATTERT:
.ATrue GDPY
l3age I -of 2
Town C -141k
Boardol'AppeaIG978-689-9541 Hvilding978-688-9543 Conserwitiio.-078-688-9530 Heahh978-08-9.540 Planning978�688-9535
BK 8434 Pra 169
Town. of North Andover
Office of the Zoning Board of Appeals. -X
Community Develo ment and Services Division
V
27 Charles Street
North Andover, Massadjusetts 01W
D. Robert Nicetta
Building Commissioner
Telephouc ("&) 688-9541
� Fax (978) 688-9542
Furthehnore, if the rights auffiorized by the Vfirimce are not exercisedwithin ate of
me (I) year ofthed the
grant it shall 14p,%'and-m4ybe:To;eswblishedonly-afttrnob�ce, and.it-newhearing Furffiem-,Wejfa
Specid-Pertnit granted- under &e prpvisions contained hereksball:be d'emed to . have Jwsed aftr a two (2)
year period from the date on m&ich the 4ecial-Permit-VOS SM Al
. .. . . w unless, sub.stanO usaorrpon�ction
has commenced, it shall hips* andmigy bcrc-estalffiashod Odlyaifter notke, and'a n"'ew hearing.
Dmision 2003-029
h"5AP32
Page 2 of2
Town of North Andover
Board ofAppeals,
W -119M J. S7 Chairman
Board of Av ea!s 978-688-9541 Buildii)g 978-088-954 5 Conservatiol,
. P 979-089-9536 '4t'-aJfh97R-6,R9-',54() PlarnisigWS-H8-95,li
. 4ko % .4
410 ft 4ar at
,tilt,
LEGEND
mswfol
EMSTING SEWER
UMTNID SEWIM 10AWROU
w EXISTING WATER UNE
EX)STING UTILITY POLE
IPRWQSM CMIGURS
*-*-PROPOSED SEWER SERVICE
PROPOSM WATtR %was -
EDGE OF MTLANDS
-------- ERMDN MW7ROL UK
S.F. BASEMEWT FLOOR
I.T. 'TOP OF MMATM
zb��
ejwl%_, zv��Jft
44,tqap* *.* I
*40.2*
P��
DANIEL
KOPtAVOS
cw
No. 377s2
SM PTLAN (W LAM
NORTH ANDOVM MASSACHUSEM
93 PUTATAMROAD
Pnw*MFM
MRMN HOMES, EKC..
ONCY
-
"PIA
A VM MAW
sEwltsm"# LDT*
DAM amm
97 Aft*JlMd-Pa3M4M
M By. J7
ift man=, -NY mv-00
JOB NO-' 4OW
:7 - A jn&o-ona rLnai *=I*A $SDAeJOV TOTURn dan:pn bn A2 idw
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Received by Town Clerk:
R E CIE -Z IV' r -
N 01V 2 6 2 W *3,
FORM esgTu
APPLICAXION FOR ENL)ORSEMENT OF MAN
MUM, 1) NOT TO REQUIRE APPROVAL
To the Plarming Board of the 'yovAj of North And(wer:
IR 0
,:. K 84-74 PG 170
November 25, 2003
The undersigned wishes to record tile accompanying plan and requosts a deterativati(m by said Board that
approval by it Wider and Subdivision Control Law is not required. The undersilpied believes that such
approval is riot required for the followbig reasons:
In
I - The division of land shown on tile accompanying plan is not a subdivisioll because every lot shown
thereon has tile Atnotuit of frontage required by the, North A dover Zoning By Law and is on a public
vray, namely, _jILtnam Road.
A
R-4 Zoning pistric�
being land bounded i��fllows:. — Zonin&joaK!j arfence g L.apted for wil.dth ol-
liq creation of
2�d lot with both lots coinplying to
RUIUL Upritg e,,qnj-ja-c
2. The division of land shown on tile accompanying plan is not a subdivision fi)r tile following reaso s
_SLiiB#LaI three lots - cbanped Lo 2 lots, with fronLage and acreagello:n
PMb—1 i c.. Y:4y
pL
ng._�oard
---..,-_g-,ante.d a wid-th varience.
3. I-Ot frontag; and acreage of each lot depicted (m accompanying plan. Lot 1, 117.981
I -3,_QLOO
LI 90'- i ron t
§L7___�_q
4. Description of proposal Creating 2 lots, with existing
__�ouse at 103
�!IwL.��t at 93 Putnam Road.
S. Title reference North Essex Deed, Book 4420
326
.9
;
Applicants' Signature-
M�]
(print name)
Applicant's Address:
IALRITAY—LtLe,et
HQrIh-And-QM-eK,,.MA 01845
Tel. No. __t 7jj)_fia3,::_2j 32
OwneCs signature and address if not the
applicant:
M
C-7
CY,
co
(M -
CM
/I
............
BK 8434 PG 171
Notice to APPLICAMUTOWN CLERK of action of Planning Board on accompanying plan:
I. The North Andover Planning Board has dctermined that said plan dms not require approval under . the
Subdivision Control Law, and the'.ippropriate endorsement has been made upon the same.
2. The North Andover PLMning, Board has determined that said plan shows a subdivision , as defined by
G.L. c. 4 1, s. 8 1 -1. and mu.%j t-Ijerofore Im re�mjbinitfed to ff for approval under the Subdivision Control
Law.
(X/
`4 PG 172
BK SC
Growth Managemexit ByLaw Developmeiit Schedule
Toum of North A Mover Planning Board
TIlis boan represents the schedule for allowing the following lots to be considervx! as cligible for building
permits under the Town of North Andover Management by-law Section F0 of the Zolling by-law. Pursant
to 8.7 this Development Schedule must be filed in the RegL.say of Deeds and -be referenced -or. the deed of
each of the lots below and be filed with the Plaitning Board prior to the issuance of any building permit or
permit for construction.
Name and Address of App!icanl k� Lots:
. ..... — -------- ..Name of 1,Levelop9wnt:
a�d Parcel of Origbial:
nate of Aviffication f6rhows)- —Division:
- 11-- ' , -,.- ' -
overed b' this Schedule — --------
_y 4 - - ----------
The Planning Board by their signature below, or a signature of a duly-.1utholized representatWe, do hereby
esublish for the above named development the following Developluent Schedule for the purpose of Section
8-7 of the Growth mmiagement By -Law. The applicant, their assignees, successors and or subsequent
Property own m- shall conform to the following schedule that limits the eligibility of the following lots for
building permits. This form must be filed in the Registry of Deeds by the property owner or representalive
and be referenced on each deed for each of the following lots. Su6h deed reference for the deed of cacti lot
SIWI at minimum reference the book and page in whichlbis Developmetit Schedule is filed and contain the
lan , ge; "T'his lot is subject to a Development Schedule pursuant to the Town of North Andover Zoning
, gua
By4,aw all owners, representatives, and future purchasers should avail themselves of said restriction by
reviewing the approved Development Schedule as filed in Book insert hem and Page Ln§=_49
,% 17he fact
that a lot is eligible for a building permit is subject to the limitation of the number of building permits per
year pursvmt to section 8.7.2d of the Zoning By -Law."
'Me Plainfing Board hereby schedule the lot(s) for the above developmem as follows:
��blr J__ 'T�' d -M'---" bfin �mUse�'
Elib 'kle
D _ P -4-C
Notes
... . .........
... . ............... .
- -- - -----------
Signatureof Planning Board member or Authorized Representative
Signature of Property Owner or Authorized Representative Date
BOARD OF BUILDI V17GRR �GULATIONS
-tAVISOR
License: CONSTRUCTION SVf:
N mber: CS 028379
u
Birthdate: .09/23/1957
Ex pires:-Oq/23/2005 Tr. no: 4931
Restrictbd: 00
KEVIN T OBRIEN
1 CHADWICK CIR
ANDOVER, MA 01810 Administrator
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
Name Please Print
Name: 6Uit,0rAP-(eN 0'691ew xmc-,� -bic,
Location:
ci!y no - H"dj (/V // "(A � U (6 '/-S Phone # 71J-Zb-')-
F-1 I am a homeown6r performing all work myself.
F-1 I am a sole proprietor and have no one working in any capacity
1KI am an employer providing workers' compensation for my employees working on this job.
Company name: &3etgW Akx�e-5 Tipe,
Address CWwi2e 61ROf
Ci!y: &/a � L
9116 Phone*: '779- 26-i-196�
Insurance Co. A�Z5Policv # r WC&z�-�5- 17eO /Z IV -3 oe -1
Company name: i
Address
City: Phone #:
Insurance Co. Policv #
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 -weil-as-civil..penaltiesin -the form -cfa.-ST.OP -W-ORK.ORDER..an.d.,a.fine.of..(.$1.0.0..O.0)-a -day against -me. I
understand that a cogy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
/ do hereby
Signature.
Print
ins of paijury that the information provided above is true and c t�l
p orrec
Dat
Official use only do not write in this area to be completed by city or town official'
#
City or Town Permit/Licensing
Building Dept
E]Check if immediate response is required r-1 Licensing Board
E] Selectman's Office
Contact person: Phone #.- [] Health Department
7 Other
PemikNumber
UScheckConk-prance Cerjifleate Checked Byffiate
1"S MEC
RBdmkSOftwm Version 3.5 Release la
Data filerane: c:\program FiIe$\CheckaESdmk\KCVjmL 0 arkp V&
CITY: Andover
STATE: Massachusetts
HDD: 6322
CONSTRUCTION TYPE: Single Family
DAT E: 09/30/03
DATE OF PLANS: Febm" 30,2003
PRGJWrfNFURRAT1ON:
Kevin O%rien �3
VBfim "ORMS, Inc.
Andover ma. He "4,v -bo
COWUANCE- PwAm
Maximm VA
YOM HOW UA - 525
19% Bdim Than CO& (Uk)
Gross
Glazing
Amor
amty
CbUt
or Door
E"_±_m_Of R-Vahm
R-yahle
U -Factor
UA
Ceiling 1: Fla Cefl* or Sc- Truss
ISS"
2134
30.0
0.0
Wan 1: WOW Fnwr, 161. O.C.
75
Window 1: Wood Frame:Double Pane with Low -F,
2552
13.0
0.0
Door 1: SoIW
539
0.340
183
Floor 1: All -Wood JOE%*Tms:Over Umm"doned Spwe
39
1959
19.0
0.0
C4344
13
Fmace 1: Forced Hot Air, 90 AFUE
92
CONPLIANCE STATEMENT: The proposed buikift design descrilied hme is cmLsftt with the buikfi% pk", upwaawAm,
and 01ba calcWafiom submiftd with the pma application
ne
'd; Vie pwosed buildipg has beam designed to mod the 1 "5 MEC
fewiamnts in RES chwAVasion 3.5 Relem I a ffon I-ECdw
f'%__ � 4 and to com* with the mand&tOly reW&,�� J, k
ft REScheckfiLspection.
Date
Z�/
'RiEdScheck Inspection Checklist
1995 MEC -
REScheckSoftware Version 3.5 Release la
DATE: 09/30/03
Bldg.
Dept.
Use
Ceilings:
1. Ceiling 1: Flat Ceiling or Scissor Tmss, R-30.0 cavity insulation
Comments:
Above -Grade Walls:
L. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation
Comments:
Windows:
1. Window 1: Wood Frame:Double Pan6 with Low -E, U -factor 0.340
For windows without labeled U -factors, describe features:
A Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
1. Door 1: Solid, U -factor 0.340.
Comments:
Floors:
1. Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation
Comments:
Heating and Cooling Equipment:
I . Furnace 1: Forced Hot Air, 90 AFUE or higher
Make and Model Number
Air Leakage:
Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air -tight assembly
with a 0.5" clearance from combustible materials. If non -IC rated, the fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
Required on the warm -in -winter side of all non -vented fi-dmed ceilings, walls, and floors.
Materials Identification:
Materials and equipment must be identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
Insulation R -values, glazing U -factors, and heating equipment efficiency must be clearly marked on
the building plans or specifications.
Duct Insulation:
Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-6.5.
Duct Construction:
All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used
for fibrous ducts. Duct tape is not permitted.
The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Circulating Hot Water Systems:
Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable, sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the
levels in Table 2.
Table2: MinintumNsUladon ThicknessforHMPIpeL
Fluid Temp.
Insulation Thickness in Inches by
Pipe Sizes
Tab& 1: Minlinum Insulation Thicknessfor Circulating Hot Water P4m
Range ( F)
2" Runouts
Insulation T'hickness in
Inches by Pipe
Sizes
Heated Water
Non -Circulating Runouts
Circulating Mains and Runouts
Temperature ( F)
up to v Up to 1.25"
1.5" to 2.0"
Over 2"
.170-180
0.5 1.0
1.5
2.0
140-160
0.5 0.5'
1.0
1.5
100-130
0.5 0.5
0.5
1.0
Table2: MinintumNsUladon ThicknessforHMPIpeL
NOTES TO FIELD (Building Department Use Only)
Fluid Temp.
Insulation Thickness in Inches by
Pipe Sizes
Piping System T ypes
Range ( F)
2" Runouts
V and Less
1.25"
to 211 2.5" to 411
Heating Systems
Low Pressure/Temperature
201-250
1.0
1.5
1.5
2.0
Low Temperature
120-200
0.5
1.0
1.0
1.5
Steam Condensate (for feed water)
Any
1.0
1.0
1.5
2.0
Cooling Systems
Chilled Water, Refrigerant,
40-55
0.5
0.5
0.75
1.0
and Brine
Below 40
1.0
1.0
1.5
1.5
NOTES TO FIELD (Building Department Use Only)
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 IVIGL
c 11, S 150 A.
The debris will be disposed of in:
e5 Md 61-16etc4 A4, 17Y-6 67-3363 Al, A
(Vuf4e (Lo cility)
c
;/i7;ature of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
Irl, 171'
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