Town of Burlington Planning Board 25 Center Street, Burlington MA Phone: APPLICATION FOR APPROVAL OF A SPECIAL PERMIT

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Town of Burlington Planning Board 25 Center Street, Burlington MA 01803 Phone: 781-270-1645 http://www.burlington.org/communitv dcvclopmcnt/ plan~tin,~.j~~. U!, : -. ~- _. MA To: APPLICATION FOR APPROVAL OF A SPECIAL PERMIT Town Clerk Town of Burlington, Massachusetts Date: O=ct'""'o-"'-be""r-'7'-L.::2'-"'0-'-15:: _ The undersigned hereby requests a public hearing on this Special Permit Application under the requirements of Article IX, Section 9.2.0 of the Zoning Bylaw (Please Print) 1. Applicant EMAIL john_marshall@data-con.com Name: John Marshall Tel: 781-273-5800 x247 Company: JAM Holdings, Inc. Mailing Address: 60 Blanchard Road Burlington Signature: ~~ ~d Mark T. Vaugan)Sqtiire on behalf of the Applicant 2. Property Owner (if same as applicant, write "same") EMAIL john_marshall@data-con.com Name: John Marshall Tel: 781-273-5800 x247 Company:_~J=am~H~o~l~d~in~g~s,~l~n~c ~-----------------------~--- Mailing Address: 60 Blanchard Road, Burlington. MA 01803 Signature: M--J ~ Mark T. Vaughan, Esq~ehalf of the Property Owner 3. Attorney or Legal Representative EMAIL m_v_a_u_g_h_an_@_n_ e_m_e_r_ia_w_._co_m Name: Mark T. Vaughan. Esquire Tel: 617-880-3457 Company: Riemer & Braunstein, LLP Mailing Address: 7 New England Executive Park, 11th Floor, Burlington, MA 01803 4. Engineer, Designer or Architect EMAIL t_di~p_ie_tr_o_:@:._b_s-'cg~r_o_u~p_.c_om..:. Name: Frank DiPietro Tel: 617-896-4471 Company: BSC Grou Mailing Address: 15 Elkins Street, Boston. MA 02127 Special Permit Page I of3

5. Project Location Address: 60 Blanchard Road Map/Parcel No. 53/4-0 Zoning District (s): General Industrial (!G) and Aquifer District 6. Special Permit Sought (From Use Designation Table, Section 4.2.0, 4.3.0, 4.4.0) Section 4.4.1.11 "Discharge from manmade structures into the wetlands" and Section 7.2.6 Use# Description: "Special Permit for increasing the maximum parking space requirements for specific non-residential and non-educational uses" Brief Description of Proposed Use: Demolition of existing commercial building and construction of 84,500 +1- s.f. office building with associated site improvements 7. Site Plan (Check One) 0 An approved Site Plan is on file with the Planning Board A Site Plan has been submitted for approval with this Special Permit 0 I request that the Planning Board consider the attached plot plan sufficient in place of a Site Plan. (Single family residential properties only) 6. Signatures Applicant /://0 /_~ 7 Pcopert Ownec FILING INSTRUCTIONS ;l:?/' A--2 ~ Both signa ures MUST be J>resent to submit this application. Mark _. Vaughan, Esquire on behalf of the Applicant and the Property Owner It is recommended that you call 781-270-1645 prior to filing an application to arrange a submission appointment with the Senior Planner Upon completion of the application, file the following with the Planning Department: Completed original application (ALL PAGES). Twelve folded paper copies of the current approved plan clearly marked with the proposed changes and twelve copies of any other supporting documentation being submitted. One set of submittal material and plans must also be in electronic pdf format A certified abutters (within 300') list obtained from the Town Assessor' s Office. Two complete sets of mailing labels for the abutters shown on the list. Application Fee (Check or Money Order made payable to The Town of Burlington). The Planning Department will stamp the application "fee received", issue a receipt for the fee and retain the abutter's list, four copies of the plan and other supporting documentation. The original application and eight copies of the plan and other documentation will be returned to you for filing with the Town Clerk. This application is considered received on the date stamped by the Town Clerk. Special Permit Page 2 of3

The Town Clerk wi ll stamp the application "received" and make 9 copies and return the original to the Planning Department. One copy will be retained for their records, the balance to be transmitted with the plans and documentation packages to the departments specified in the "Request for Recommendation on Special Permit" (pg. 3) Planning Department: Fee Received (Stamp/Initial): Fee: -~000 RECEIVED Receipt# _'J_Y) --'---..:::~ld,_c~\, ~-- OCT 0 I 2015 PLANNING DEPARTMENT Town Clerk: (Stamp/Initial/Date) Date Received: l o\ 'J }~or5 Date Trans.mitted to Planning Board: I0\0/~ i6();ru; \1 c ~- ( -- - - ::=:.... >,..., :2._.., ~ C ') --l i --.J = ~? w...c, -:'J ;.. ) 1 - ---m 0 RE UEST FOR RECOMMENDATION ON A SPECIAL PERMIT To: Board of Selectmen Boar of Health Conservation Commission Town Engineer~' Inspector of Buildings Depa~nt of Public Works Fire Department Police - epartment According to the Special Permit Rules ~R:egulations in the Burli gt-o Zoning Bylaw, your Board has the option to examine and to make recommendations on this p a before -------------------------=----- FOR RECOMMENDATION ON A SPECIAL PERMIT to submit your report to the Planning Department on or transmittal by the Town Clerk).REQUEST To: Board of Selectmen Board of Health Conservation Commission Town Engineer Inspector of Bui ldings Department of Public Works Fire Department Police Department According to the Special Permit Rules & Regulations in the Burlington Zoning Bylaw, your Board has the option to examine and to make recommendations on this plan and to submit your report to the Planning Department on or before A.)()\ 1em brr \ \DJd 0 15' (35 days from date oftransmittal by the Town Clerk) Special Permit Page 3 of3

Town of Burlington Planning Board 2f1'5 r-- : -7 F;1 3: 31 25 Center Street, Burlington MA 01803 Phone: 781-270-1645 ~--.. t http:/h nvw.burlington.org/community dcvclopmcnt/pf.anniug.php vi' ' " APPLICATION FOR SITE PLAN APPROVAL t. To: Town Clerk Town of Burlington, Massachusetts October 7, 2015 Date: The undersigned hereby submits the accompanying Site Plan of property in Burlington, MA for Approval under the requirements of Article IX, Section 9.3.0 of the Zoning Bylaw and the Regulation adopted thereunder. (Please Print) 1. Applicant EMAIL john_marshall@data-con.com Name:...::.J""'oh:.:.:n..:..!..:.M.!.:;a:.:..;rs::.:.h!.:::a"-'11 Tel : :.7..:::8c.:.1_,-2:..: 7..:::.3, -5::..:8::..::0:.:::0_,_x~2:..:4..:... 7 Compan y:_~j~a~m~h~o~l~di=n~gs= ~I=nc~ ------------------------- 2. EMAIL john_marshall@data-con.com Name:_--=.J..::.o.:.::hn:.:..:..;.M.:.:a==-r=sh=a=ll'--------------- Tel : :.7...:::8c.:..1_,-2:..:7..:::.3--=-5"-'8'-"0:.:::0,_x~2,_,_4..:...7 Company:,J~A~M~H~o~l=di= ndg~s,~i~nc= ------------------------- Mailing Address: 60 Blanchard Road, Burlington, MA 01803 Signature: ~ ~ Mark''T aug an(sqlfuon behalf of the Property Owner 3. Attorney or Legal Representative EMAIL mvaughan@riemerlaw.com Name: Mark T. Vaughan. Esquire Tel: 617-880-3457 Company: Ri emer & Braunstein LLP Mailing Address: 7 New England Executive Park, 11th Floor, Burlington, MA 01803 4. Engineer, Designer or Architect EMAIL fdipietro@bscgroup.com Name :_----"'-F-'-ra=n.:.O-k'-'D:O...:.:.iP-'-ie=t"-'ro=--- Tel : 617-896-4471 Company:,B~S~C~G~r~ou~--------------------------- Mailing Address: 15 Evans Street Boston, MA 02127 Site Plan Page I of3

5. Project Location & Description Address: 60 Blanchard Road Map/Parcel No. -----'5::.:3::..:../_,_4,-0'---- -----Zoning District (s): General Industrial (!G) and partially in the Aquifer and Water Resource Overlay Districts Lot Area: 7.774 +/-acres Existing GF A: 50.300 +!- s.f. GFA of Project: 84.500 +/- s.f. Final Site GF A: 84.500 +/- s.f. Brief Description ofproject(attach addt'l pages ifneeded): Demolition of existing commercial building and construction of an 84,500 +1- s.f. office building with associated surface parking and site improvements 6. Deed of Property Recorded in M_id_d_I_e_se_x_S_o_u_t_h Registry. 12 Book 6 _ 6, Page --=1:...:8-=.S Date Acquired: 4 _1_ 16 _1_ 2 _ 00 _ 3 7. Cost Construction Cost: $_1_6,_4_7_7,_5_0_0_+_/_- Type: :X New!~ Reconstruction FILING INSTRUCTIONS ~' Alteration It is recommended that you call 781-270-1645 prior to filing an application to arrange a submission appointment with the Senior Planner Upon completion of the application, file the following with the Planning Department: Completed original application (ALL PAGES) Twelve folded paper copies of the plan and any other documentation being submitted. One set of submittal material and plans must also be in electronic pdf format A certified abutters (within 300') list obtained from the Town Assessor's Office Application Fee (Check or Money Order made payable to The Town of Burlington) The Planning Department will stamp the application "fee received", issue a receipt for the fee and retain the abutter's list, four copies of the plan and other documentation submitted along with the electronic copy. The original application and eight copies of the plan and other documentation will be returned to you for filing with the Town Clerk. This application is considered received on the date stamped by the Town Clerk. Site Plan Page 2 of3

The Town Clerk will stamp the application "received" and make 9 copies and return the original to the Planning Department. One copy will be retained for their records, the balance to be transmitted with the plans and documentation packages to the departments specified in the " Request for Recommendation on Site Plan" (pg. 3). Planning Department: Fee Received By (Stamp/I nitial): Fee: ri~ce~ve D -- OCT 0 r 201~ ~()u,od Receipt# : (/IJ~ ~) PLAN NING DEPARTM ENT Town Clerk: (Stamp/Initial/Date) Date Received: } () \ r; ).~ 0 J ':J Date Transmitted to Planning Board: td J1 )9bl5 Q;1 REQUEST FOR RECOMMENDATION ON SITE PLAN - -- '.,._... - - (I,- ' - --..,..;..._~ -... ~-~ ~,_,, ; f..--: --I I -.J ~ '-!-! l...oj --a ' \ '... - TI 0 To: Board of Selectmen - Board of Health- Conservation Commission - Town Engineer Department of Public Works- Fire Department- Police Department Inspector of Buildings (Please consider Street Numbers and Names, among others, in your review of this plan) According to the Site Plan Regulations in the Burlington Zoning Bylaw, your Board has the option to examine and to make recommendations on this plan and to submit your report to the Planning Department on or before A./ (,AJc?illber I h d 01 \ (35 days from date oftransmittal by the Town Clerk). I Site Plan Page 3 of3