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HomeMy WebLinkAboutMiscellaneous - 0 May Street (2)N I k VVI A- ---t CCD v 0�. 23� ol i Town of North Andover Building Department 27 CHARLES ST 978-688-9545 Project: �C;+ q q 0A A I S t ko + S+ j Du P1 APPLICANT: �y r a vvt y �t5 �cKus RE: l�.i. filelc Its a, � C::��,`!`M�uc *ja Com) DATE: l -;k, % I 1 /OZ) Title of Plans and Documents: Please be advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following reasons: Plan Review The plans and documentation submitted have the following inadequacies: 1. Information Is not provided, 2. Requires additional information, 3. Information requires more clarification 4 Information is incorrect 5 All of the above. I � I Foundation Plan Subsurface inve! construction Plans Mechanical Plans and or details Electrical Plans and or details Fire Sprinkler and Alarm Plan Footinq Plan Waste Disposal ADA and or ABPA re uirements �1 ACh c, -V— ,v e i- y C,,,r p tjj v Nr�r�t: Plumbing Plans Certified Plot Plan with Proposed structure 116 Affidavit Plans Stam ed DV Proper discipline Framin Plan Roofing Plan Plans to scale Site Plan Sewage Disposal Driveway EntrY App. DPW Administration The documentation submitted has the following inadequacies: 1. Information is not provided. 2. Requires additional information. 3. Information remise mnro 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 DENIAL. 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 building permit appfjcation fo and�in the per process. Building Department Official Signature Application Received % _ -6�; Application Denied /-2 If faxed: # Date Sent Referral recommended: Fire Police Plann cc: William Scott Revised 9197 jm Health Zonin, Board Department of Public Works Historical Commission Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: r` e oZ C �� ` Di , I`O ",� � (� i U� T � % d e r !�L L 8A Q- COVII li air r� vr't iut U% t l l Le d � C v XA V A C� r' 6 C u r;� ► '`(=�� �. `,Ake o qL cmc. w? klk � s h� i� � 1 c X11 See %L - . CO CJ DQ J �iiA - 4t.4 ,cJi,' C e� •C C v r.� S. `F V\ t� e S < <r -� 1�J f C1' P M �� l S L+) i b` t' l L G T �l m 4—� Town of North Andover Building Department 27 CHARLES ST 978-688-9545 Project: �-5QS-b-cD J'A-y�j- y,9Ss�CliUg��,tg APPLICANT- F'' ,,//,,�� ���r MI D1 lni a_I�y RE - DATE: Title of Plans and Documents: Please be advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following reasons: Plan Review The plans and documentation submitted have the following inadequacies: 1. Information Is not provided, 2. Requires additional information, 3. Information reouires mnre.;�.za Foundation Plan Construction Plans Mechanical Plans and or deta Electrical Pfans and or details Fire Sprinkler and Alarm Plan Footin Plan Utilities Water Supply Waste Disposal ADA and or ABRa Plumbing Plans Certified Plot Plan with proposed structure 116 Affidavit Plans Stamped by proper discipline Framing Plan Plans to scale Site P---- +eway tntry ADD. DPW ASch�CV EA)) f,,Gy 77 Administration The documentation submitted has the following inadequacies: 1. Information is not provided. 2. Requires additional information. 3. Information requires more clarification. 4. Information ;. ;.,....— ... _ .. Sewer Fee I State Builders Building Permit Fee ` O kman s Ci Permit Application ^Omeowners Im rovement Re u ;,oMe°wners txem tion Form 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 DENIAL. Any inaccuracies, misleading information or other subsequent changes to the information submitted by the applicant shall be Building Department. The attached document titled "Plan. grounds for this review to be voided at the discretion of the Review Narrative" shall be attached hereto and incorporated herein :permby reference. The building department will retain all plans and documentation for the above file. You must file a new building it application • nn and i � /beg'n the permitting process. 7. °� JBuilding Departure t Official Signature Application Received If faxed: # Referral recommended: Fire Police Conservation cc: William Scott Revised 9197 jm Application Denied Date Sent Board Public Works Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: R� .I. ..4.., n Y.. % . ..� �/� .4?.�y� �r 1 t1..�y � � 31+� 4• "S 1 k3. s4r°"L;%�' �S `bY, '. i"�*tS'i 1:a� v #>� "x'�t+ f -.%kY4 '•Jr3}'t . '.,fit IIi t'ClA`i'7k t�✓ t ': .'. a� �m `� '1M1>�E?&L�`.'lt � t av i ''�' f � >�•r�J eFt.Jia tlA �lw -0 3� ^Y t+,f1 .� Y'F �.7..y4"f`W 9 �`�r tP 3 �.",�: .a..7 { .N...�i .. K +��Mu �� '" �•.. �?f;.cS � * ��; 3^F' � k �C✓ Jev"i •� .nw) � S' fd Kp �+�}�.l �P 5%�r.��i��. . ,.. . e�: i; f i .. .p ..,. '' .:Y. aiu.... w.. "jx.Lt.. .. hb-:��Y'�9 .�.5 N .Yf`... •;f^%?i.4 '�}/aj a.J«,., `"�L�KP`.0 a.�J OJ�'i slf J�''s f�"%,So �J?x. Ile. D �S N �l N �C7 nJ j iv c BO J.14 C' 74 U CO -14,0 40- 4r,D Com' n,) t ST�rIY I �_ (Q� 5' e(� ('c" .,z1 COOL w btil iivi tii� rw� 15 VCO l' Cate, PC� J�I• PJAAOS C/4v`1 bu lfA-1 s��- er` C��u tl�vc ✓\N 0�� �S Yv�c SS 1 na , �TLO Ge S >' l.0 !� V— S c LIU e Y -1 - -1-ONti ON A.) TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .. ,. s n v Ir�W�'ppy,o{y � { y;yj�p a�F{ V �Y BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/InEeEtor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: av 51, Lot 024 1.2 Assessors Map and Parcel Number: Map Nu Parcel Number HE 1. l0, 939 10/751 90 LA Area (so Frontage ft May Y, L,,,,1 rl,5 �( 1.3 Zoning Information: Zoning District Proposed Use 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re fired Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 19 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of 1 % s f r TtALTX 6S v Si-, m o184S Name ( rint) Address for Service: Signator Tel p ne 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: % Licensed Construction Supervisor: �� / 7dre�s v �j a 7's- 7K 26 Y? nature Telephone Not Applicable ❑ License Number �VO -3 Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone MU M X Z O ;, SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ......X No ....... ❑ SECTION 5 Description of Proposed Work check all a ncable New Construction )A, Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ 1 Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: J M TROP05" 7o C©VSTRUCT OPE %1,,.0-7A7 hJLY 2wauN6 ov E'Aca Loi AS 3ff-R -Tar AnAcpug, ?Ligo5 I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed leted by permit applicant . , . ,. `OFFICIA VSE ONLY;- NLY;-Com 1. Building (a) Building Permit Fee Multi Tier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X bbl 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number aEL 11U1N is UW1NJKK AU 1HUK1GA11UN M HE C:UMYLETED 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 Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Name Owner Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T MBERS 1 ST 2 ND3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE DURABLE POWER OF ATTORNEY WARNING TO PERSON EXECUTING THIS DOCUMENT This is an important legal document. It creates a durable power of attorney. Before executing this document, you should know these important facts: 1. This document may provide the person you designate as your attorney in fact with broad powers to manage, dispose, sell and convey your real property. 2. These powers will exist for an indefinite period of time unless you limit their duration in this document. These powers will continue to exist notwithstanding your subsequent disability or incapacity. 3. You have the right to revoke or terminate this durable power of attorney. If there is anything about this form that you do not understand, you should ask a lawyer to explain it to you. DURABLE POWER OF ATTORNEY 1. CREATION OF DURABLE POWER OF ATTORNEY By signing this document, I, Lisa Bahrawy, intend to create a durable power of attorney. This durable power of attorney shall not be affected by my subsequent disability or incapacity, and shall remain effective until May 31, 2001, or revoked by me in writing. EFFECTIVE DATE This durable power of attorney shall become effective as of the date of my signing it. 2. DESIGNATION OF ATTORNEY IN FACT I, Lisa Bahrawy, hereby appoint Ramsey A. Bahrawy of No. Andover, MA as my attorney in fact, to act fo,r,me and in my name and for my use and benefit. 3. AUTHORITY OF ATTORNEY IN FACT I grant my attorney in fact power and authority over real estate located at May Street, Lots 24, 25, North Andover, MA and authorize him to do the following: 1. review sign realtor listing sheets; 2. review sign and acceptances of offers; 3. review and sign purchase and sale agreements; 4. review and sign and any other documents necessary to effectuate a sale of said property. In addition I grant. my attorney in fact power and authority to execute closing documents relative to premises located at May Street, Lots 24, 25, North Andover, MA. More specifically I additionally authorize my attorney in fact to do the following 1. To receive, execute and deliver RESPA Closing Statement in connection with the sale of said property. 2. To deliver an executed Quitclaim Deed; 3. To receive Form 1099S; 4. To receive, execute and deliver UFFI Certificate. 5. To cause to be executed and deliver a Certification of Buyer, Seller and Broker. 6. To execute Seller's Affidavit; 7. To receive certified closing proceeds as per HUD RESPA Closing Settlement Statement; I hereby ratify all that my attorney in fact shall do or cause to be done under this durable power of attorney. 4. RELIANCE BY THIRD PARTIES The powers conferred on my attorney In fact by this durable power or attorney may be exercised by my attorney in fact alone, and my attorney in fact's signature or act under the authority granted in this durable power of attorney may be accepted by any third person or organization as fully authorized by me and with the same force and effect as if I were personally present, competent and acting on my own behalf. No person or organization who relies on this durable power of attorney or any representation my attorney in fact makes regarding his/her authority, including, but not limited to: (i) the fact that this durable power of attorney has not been revoked; (ii) that I, Lisa Bahrawy, am competent to execute this power of attorney; (iii) the authority of my attorney in fact under this durable power of attorney; shall incur any liability to me, my estate, heirs, successors or assigns because of such reliance on this durable power of attorney or any such representation by my attorney in fact. / � 2 ::::� LISA BAHRAWY Commonwealth of Massachusetts Essex, ss. May 20, 2000 On this 20th day of May 2000, before me a Notary Public for the Commonwealth of Massachusetts, duly commissioned and sworn, personally appeared Lisa Bahrawy, oved to me on the basis of satisfactory evidence to be the rs whose name subscribed to in the within instrument, and know edged to th she executed the same as her free act and /deed. / v V ry PublicV Commission Expires: I /IC l�V/llll/VIlVVGd/l!I VI IV/AJJdI./IUJCIIJ Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Pdnt Name: Location: city Phone am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: ����� l� S� �✓%7 Phone*: / Insurance Co. 0 Policy.# Ycl EL 7 Company name- Address City: Phone #: Insurance Co Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 andlor one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herby certify unde" pains and penalties o�rlp that the infannation provided above is true and correct Si Print namPhone # -V— FSS/',?oY� Official use only do not write in this area to be completed by city or town official' E Building Dept ❑Check if immediate response is required Building Dept p Licensing Board p Selectman's Office Contact person:_ Phone #: F-1 Health Department 0 Other FORM WORKMAN'S COMPENSATION ME jil ................ 0 . . .......... % ar c. .......... . 0 "7 9 ant. . .... ... ... i 192; dry Tom xrwro Lik a r- . tAa+a��r,r � � .� �wwm�+d Y 'I l � � j �� � � � -- � r i � a I d �� t �� � i �-=�_ � l � � �� 4 .�' .. ...�......�►..... �.� i�'I.�.�. d4IR2,j 'Amrw CVv*M ;AO i 4! R PAN r IL IA ,L -L. PAN r IL TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/1for of Buildings Date SECTION 1 -SITE INFORMATION 1.1 Property Address: 8AY 1.2 Assessors Map and Parcel Number: zz- Map Number Parcel Number Lcr 1.3 Zoning Information: TI4/161-V ai F)- J!G Zoning District Proposed Use 1.4 Property Dimensions: /0,-7�51 q Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWrcd Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal )K On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record L 1.54 bq 99/4W V l RU S rl'Y AI iZ ��4��y i$W 57- —z;S iA/ ST. , �U,AV7)owRo f'lAT'0/;945 Name (Print) Address for Service: 6"', - /. Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Ko -w r k. A)�Eekv Licensed Construction Supervisor: w, uR 4 O/ `7,4�;, U47/ Address 7 Signa re Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone 00 M Z O M O z M 90 O mn r M r r Z 0 SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ...... No ....... ❑ SECTION 5 Description of Proposed Work (check au applicable= New Construction ❑ 1 Existing Building ❑ 1 Repair(s) ❑ 1 Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: L 74H �'ROPc�sIN� C©Ns�UCT" ONS /Z1C�- ��41?1L� 2WELYLVA16 c�1y LCT As PFo�% Nt Nch D Ptd ; U. I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant , . ; :, ; ; `" OFFICIAL' TSE O1+ L Y'..' 1. Building (a) Building Permit Fee Multi Tier 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 NEUI1UN 7a OWINER AU 1HOKILATION 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 r , I, _ I'S 0.. Q h r d WV 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 5q 3c? hro Print Name of Owner/ '-�-lLi-01 Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND 3 SPAN DIMENSIONS OF SILLS DMIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Department of Industrial Hccldents Office of Investigations Boston, Mass. 02191 Workers' Compensation Insurance Affidavit Please Print Name: Location: Cifir - _Phone am a homeowner performing all work myself. aI am a sole proprietor and have no one working in any capacity ® I am an employer providing workers' compensation for my employees working on this job. c � 57 Y -7 /C9 GJ J <� Phi Pal Company name: Address City' Phone #: C - 7C', �� 6 Insurance Co Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of^ du that the infonnation provided above is true and correct Signature V 9! / Date c>L/ / Print name AA e,,-`' Phone # ash /-31, y� Official use only do not write in this area to be completed by city or town official' 11 Building Dept []Check if immediate response is required Building Dept C] Licensing Board Q Selectman's Office Contact person:_ Phone A Health Department Other FORM WORKMAN'S COMPENSATION 1d30 Nava FEB 1 5 201 2 In n 0 ✓iie •�orninw�nu�.alt/L o�'�i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR i Number: CS 075590 s: Birthdate: 09/08/1949 Expires: 09/08/2003 Tr. no: 75590 Restricted To: 1G ROBERT K AHERN 1501 MAIN ST UNIT #49 TEWKSBURY, MA 01876 Administrator GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBULDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. Permit Applicant 7%Z4A� td G 7 Property address -Map / Parcel Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providingthis form does not absolve me or any party to this permit from the requirements of obtaining other p W nits required prior to the issuance of the building permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as of the effective date ofthis bylaw, provided that no additional residential unit is created. // "Ilhe lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40 %permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will assure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit ( all other permits from all other boards and mmrssions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. AP LI—�CAN"TS SIG ATURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION D E E TFEB BUILDING DEPT. FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval/ permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ............................................................ ................ APPLICANT PHONE 4 Y 5 - ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET STREET NUMBER OFFICIAL USE ONLY ........................................................................... RECON v1ENDATIONS OF TOWN AGENTS CONSERVATION ADMINISTRATOR CONOAE NTS TOWN PLANNER CONM ENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED FOOD INSPECTOR -HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED CONQvIENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DATE REJECTED COMMENTS , RECEIVED BY BUILDING INSPECTOR L OU �� ll II If -77 ---T ul I Im it fl �� .1 --. .1- . - - - . '�an L.,)NIOlInO 3;zY� fopi .4f ;;; , 4�.n yl -- ---- --- --- ld30 Miming I [ooz 9 931 A U30 JNidling rR� I I .• 'r i j�i� IJP}:, : �' I•; --..__— I I � lia �• �s--------.__� � _� '..-L;ra,.�..,.t;; ..i.,.��;�^`".',,�c,. -- 1..,�_E_�..4... _� � u. I jYl E:I ' ��-w 1 I Booz L3 3 - � I i r I t I i i j I I I i I I 1 rR� I I .• 'r i j�i� IJP}:, : �' I•; --..__— I I � lia �• �s--------.__� � _� '..-L;ra,.�..,.t;; ..i.,.��;�^`".',,�c,. -- 1..,�_E_�..4... _� � u. I jYl E:I ' ��-w 1 I IdN �DMGIICIG TFFA". -.157 -) I �__- __ _ _-______ -'_______�_______________ � ' | | /�r'���^�~~ �w4_� � /��� ---- ' / �\ o> � / , � � ~' � � �___________~�__| _�� ��^ � i . / � � i � � 1 | ~ '� ' � � �� | �p | / �_-''_- __- ------------____> � � � _-_'_-_--__ �_-_____'-_--______ / � | ' -� � �____~_`_-� ��� �--_ . / . | . | � ! ! -| / ' i ! / . ' ����� « � / | | -^-�----� __� � � � ���� /�� /'" | ��'�------'----- - � ---r- 'Id3a Nlu­iine nn!_ 51 �ll Q BZN Nlinr',,,It.� - — -------- I IL I.- z J,7"_ I ll6- 4- KA r. (f - 76(1-52, E�- r r Town of North Andover Building Department 27 CHARLES ST 978-688-9545 P ,LO 0(7.0 00��-0000.0 oje ko+ --q � ')A A � S t kv -).s M/A y S+ APP LICANT:f-P�� ` Rlv�ai1s,I w�E: f Nuj`�2 DATE: I 1 } Title of Plans and Documents: Please be advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following reasons: Plan Review The plans and documentation submitted have the following inadequacies: 1. Information Is not provided, 2. Requires additional information, 3. Information requires more clarification 4 Information is incorrect. 5. All of the above. u Foundation Plan -u surface investigation Construction Plans Mechanical Plans and or details Electrical Plans and or details Fire Sprinkler and Alarm Plan Footing Plan Waste Disposal ADA and or ABBA requirements Plumbing Plans Certified Plot Plan with 116 Affidavit disci Framing Plan Roofing — Plans t le Site Plan structure RAS�:v• 1 wit t - Administration The documentation submitted has the following inadequacies: 1. Information is not provided. 2. Requires additional information. 3. Information rennirpQ Mn. M—Mi C. - A 11 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 DENIAL. Any inaccuracies, misleading information or other subsequent Building Department. The attached document titled "Plan Review Narrative" shall be attachanges to the information submitted by the applicant shall be grounds for this review to ched hereto and incorporated herein be voided at the discretion of the by reference. The building department will retain all plans and documentation for the above rile. You must rile a new building permit appJjcation fo ,and in the permitting. process. `Building Department Official Signature Application Received 42_G -c Application Denied '0 If faxed: # Date Sent Referral recommended: Fire Health Police Zonin Board Conservation Planning bliDepartment of Puc Works _ cc: William Scott Revised 9197 jm Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: �� k �ie���rr�s fir L?enrai �j c�2 s,q s (mss I.e V.A-ed .2- A C Al JL-) IkV((-' v i (n T 14 Gk' f NA 1,f 1, UIr0es�c a e I.li L t N"e e OC kQ C J AA PA JO U N C `-C W1 [" V s ►1 `C r L i c wJ11 See- °f ure U1 a 6 t A, A 1� Copq i4i,A4 4t*04 .e Sc na>�v r� mec?N-er ,�v CJri -Z C C0 `I N u e d •J iJ'C '•F0Mi ` l -Y Il I -A C Town of North Andover Building Department 27 CHARLES ST 978-688-9545 Project: p -rSSA � {. r APPLICANT: ��r a Yti� i -J '�'- ��y t,t 5 DATE: I f I1 /OZ) Title of Plans and Documents: Please be advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following reasons: Plan Review The plans and documentation submitted have the following inadequacies: 1. Information Is not provided, 2. Requires additional information, 3. Information requires more clarification 4 Information is incorrect u . 5. All of the above. - Foundation Plan Subsurface investi ation Construction Plans Mechanical Plans and or details Electrical Plans and or details Fire Sprinkler and Alarm Plan Footing Plan Waste Qisposal ADA and or ABBA requirements /0 * Pc"r Certified Plot Plan with proposed structure 116 Affidavit Plans Stamped by proper discipline Framing Plan Roofing Plan Plans to scale Site Plan DPW X I c� S�-ts �{ iA S, -i Iz"t� Administration The documentation submitted has the following inadequacies: 1. Information is not provided. 2. Requires additional information. 3. Informatinn ranniroc 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 DENIAL. 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 building permit app)'cation fo yand in the pe , ittin - 9 Process. r ! t Building Department Official Signature Application Received 1�2 _ Application Denied If faxed: # Date Sent Referral recommended: Police Conser✓@tion nt of Public Works Commission cc: William Scott Revised 9197 jm 1. Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: Li V AGQ oZ � C b ✓C, (`per L) Ucjf r r,, I� C I -X t./ C: V l W Y I-eC4 V 1 t e S �. M 4 S C['l '0 C- �� P tJ e c cd VII nl t a Cw- e P.n r't `1 Wt LV ill nJ„e T C J AA P A C�' r C t� hid 1 ✓v C) `�-(n �. �% M tC'C i�1Ji 1 I1lS ►1`G 1� L, C �J115�2 of W�� UJa �L 11t 01� Cv J } 1hY 4t m ,(” J Si n1' >�- c� •�^� � � m u.�,u-e r �� art z i�,e� � v ,ziU'� cap Co k-� V\U e �((f a�� �M�� i'_S C�06101.,PL lv r1°ifTF{ Zoning Bylaw Denial Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 9bAFiao rvF� .(�1 Phone 978-688-9545 Fax 978-688-9542 Street: Lots 24 & 25 May St Map/Lot: 17 / 24 & 25 Applicant: P ramid Realty Trust, Lisa Bahrawy Trustee Request: 2 duplex dwellings/ 1 on lot 24 & 1 on lot 25 Date: I It _o Please oe advised that after review of your Building Permit Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning Remedy for the above is checked belnw Item # Special Permits Planning Board Item Notes Setback Variance Item Notes A Lot Area A / 1 Lot Area and Fronta a Variance Height Variance F Frontage 1 Lot area Insufficient yes 1 Frontage Insufficient yes 2 Lot Area Preexisting 2 Frontage Complies 3 Lot Area Complies 3 — Preexisting frontage 4 Insufficient Information 4 Insufficient Information B use 5 No access over Frontage 1 Allowed yes G Contiguous Building Area 2 Not Allowed 1 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 1 All setbacks comply yes 1 Height Exceeds Maximum 2 3 Front Insufficient Left Side Insufficient 2 3 Complies yes — Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient l Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 D Insufficient Information Watershed 2 3 Coverage Complies yes Coverage Preexisting 1 Not in Watershed yes 4 Insufficient Information 2 In Watershed Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined2 Sign Complies 5 Insufficient Information 3 Insufficient Information tion Historic District K Parking 1 2 In District review required Not in district yes 1 2 1 More Parking Required Parking Complies 3 Insufficient Information Remedy for the above is checked belnw Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Common Driveway Special Permit A / 1 Lot Area and Fronta a Variance Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Independent Elderly Housing Special Permit Large Estate Condo Special Permit Planned Development District Special Permit Planned Residential Special Permit R-6 Density Special Permit Special Permits Zoning Board Special Permit Non -Conforming Use ZBA Earth Removal Special Permit ZBA Special Permit Use not Listed but Similar Special Permit for Si gn Watershed Special Permit The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. 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 building permit application form and begin the permitting process. wilding Department Official Signature —O0 pplication Received Application Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: �r C� C A �E5��1�r►c Section 7 and Table 2 - {uv1Cr 4Rr F ti .s r�S ', y'htit �p atiN- a �>ro� .,f 4 Y a s ✓t 4 'l �iyu �tL q. k .• � .14.; R — 4 Districts require 12,500 square feet of lot area, 100 feet of frontage and 30 foot front and rear setbacks and 15 foot side setback Police The proposal has undersized lot area and undersized frontage on both lots. Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT Referred To: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT TOWN OF NORTH ANDOVER, BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Comnlissioner/IEEeector of Buildings Date SECTION 1- SITE INFORMATION 1.p Property Address: hAV 1.2 Assessors Map and Parcel Number: Map Number l Parcel Number Laro?, f I j' 1.3 Zoning Information:`- - 4 my 3wellip)q Zonin Distrid Proposed Use 1.4 Property Dimensions: co, a3q q0 Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) I.S. Flood Zone Information: Public Private 0 Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record LISA ZA14AA1A)Y, CRUS ?YRAHM IL-7 -amu s-- AW <-�7: , rV AAWWE"R, HA 0/846- Name (Print) Address for Service Si n ture Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Rn gER-1 k . IIAILJE-R�✓ Licensed Construction Supervisor: 1,';0/ 146w l 4?- .1 'Kls R ,An O 01p� Address ?� rt1'1 -s J� � Sign ure Telephone Not Applicable ❑ 0 5 3 �1 � License Number q-8- 03 Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone • Z M 90 0 mn ic r M ��a�qq r r z G) SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction )& Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ I Demolition ❑ I Other ❑ Specify Brief Description of Proposed Work: - 14H PR0P0,51k16 -TD (o(137R4<T Q(/5- ?L�,O- FlAtII Ly ` )L LL1v6 a/ Lar- �% SLS PEP� E7 147-IACHr-2) RAPS. 'AAD/ 7-0,qM U, i SECTION 6 - F.STTMATFn CONSTRUCTMN V0r%TR I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, L 15 Q .(� rQ in/�/ 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 L ism ah1-0 Print ame Sidnakure of Owner &d Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRVMERS 1ST2 ND 3 RD SPAN DIMENSIONS OF SILLS DRv1ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE uepar�'ment of mdustnal Hccldents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: Location: Cifit Phone am a homeowner performing all work myself. aI am a sole proprietor and have no one working in any capacity (� I am an employer providing workers' compensation for my employees working on this job. —Co=mpany name C -- Address City:�.u.l v Phone*: Company name: Address Com• Phone # (:�, _-,:7v Insurance Co Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations cf the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above`is bue and correct - Print name h x'vG K Phone # '? Z4- P]S�/ 2Crlv� Official use only do not write in this area to be completed by city or town official' []Check if immediate response is required Building Dept Contact person:_ Phone FORM WORKMAN'S COMPENSATION D Building Dept p Licensing Board Q Selectman's Office E] Health Department El Other qP L FEB BUILDINr` ;:-Pr 3 T1. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS 075590 Birthdate: 09/08/1 949 Expires: 09/08/2003 Tr. no: 75590 if! ROBERT K AHERN 1501 MAIN ST UNIT #49 TEWKSBURY, MA 01876 Administrator _55 2001 1--1971JILDING DEPT GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUELDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. (--?-Ali .� 77---?- A47 5 / ( � Permit Applicant Fy 1 4AAID�q -L:—t-( Property address Map / Parcel _�- Applicant's Phone Number Single Family Two I the undersigned applicant for the above property attest that the attached building permit for which athis lform is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not absolve ur or any Darty to this permit from the req ui permit. Further of obtaining othcr p�:r ;s re -,wired prior to the issuance of the building her I understand that my interpretation ofthe exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as of the effective date ofthis bylaw, provided that no additional residential unit is created. � -ihe lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40 %permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or familand. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent Parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit ( all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. APPLICANTS SIGN DATE.�_ THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION DEE�c FEB 1 5 2001 BULD'I'G DEPT. FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval/ permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT%s l Tt> �J PHONE `% ASSESSORS MAP NUMBER l 'I. LOT NUMBER SUBDIVISION LOT NUMBER D6( STREET NJ 5-r STREET NUMBER OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS COMMENTS RECEIVED BY BUILDING INSPECTOR DATE DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED CONDAR TS DATE APPROVED TOWN PLANNER DATE REJECTED CONMIENTS DATE APPROVED FOOD INSPECTOR -HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED CON94ENTS PUBLIC WORKS - SEWER 1 WATER CONNECTIONS D AY PERMIT �0 DATE APPROVED ftE DEPAR DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE U007 C / Q�� p^m - --- r ye�,l av w� i G:.S✓._ �9. 1 4. 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