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Home My WebLink AboutBuilding Permit # 4/25/2016 e��ars� � ..w...� BUILDING PERMIT TOWN OF NORTH ANDOVER U APPLICATION FOR PLAN EXAMINATION .. C Permit NO: � \ o .a„ " Date Received Date Issued: t acwu5��y IM ORTr '4T: Applicant must complete all items on this page__ 3 HIM //�,, ' //i ' Print,;, WNER r � , Printr MAP I�Oh,° PARCEL ZONINGDISTRICT: - ' Historic District ye's% no Machine Shop Village' 'yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑ Addition ❑ Two or more family ❑ Industrial ❑Alteration No, of units: ❑ Commercial Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑Well ;< ❑ Floodplain , 0 Wetlands ❑,Watershed District,' �rWater/Saver, Identification Please Type or Print Clearly) OWNER: Name: ;,' ...� Phone: °. . ) ' Address: °CONTRAi:TOR Name Phone: Address;/"„ 7 7, ,�J, Supervisor s Construction License Exp Date H�fine��rnprove�nent License ;' ;Exp Date / c, ARCHITECT/ENGINEER Phone: Address: Reg, No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925,00 PER S.F. Total Cheek No.: 91 C $ (r (.,�. C0 -Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund fir•/ �A Signature of Agent/Owner 1 ..; µ Signature of contractor t%ORT`i Town of ndover 0 2 h ver, Mass, Aw_ 4pp— Men CoCKICK@WICK � U BOARD OF HEALTH Food/Kitchen P E IT T D Septic System �k le THIS CERTIFIES THAT ............... ........AIIII................ ............ .......... .... ..... . .. . ........................... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ..A...... . .. ..... ... :.. .. ..... . o .. ) Rough to be occupied as . .. .... .. .. ... .. ... ... ... . . Chimney provided that the person accepting this rmit shall in very respec conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final EXPIRESPERMIT T ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO RTS Rough Service ............... ...... ... . .... ............... ............ Final BUILDING INSPECTOR GAS INSPECTOR cc acv Permit Required t® Occupy Building Rough Display in aonsicuous Place on the Premises — Do Not Remove Final Lathing at in or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. ORT11 TOWN OF NORTH ANDOVER OFFICE OF 0 0 I. , 0'A BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 ,,SA US Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE:— JOB LOCATION: J 'S Number Street Address Map/Lot HOMEOWNER Name Horne Phone Work Phone PRESENT MAILING ADDRESS_ rp City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which lie/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that lie/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 The Commonwealth of Massachusetts Department oflndustrialAccidents 1 Congress Street, Suite 100 .Boston,MA 02114-2017 wwlv.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/ElE lectricians/Plumbers. TO BE TILED WITH THE PERMITTING AUTHOIUTY. Applicant Information Please Print LegibI Name(Business/Organization/Individual): Address: City/State/Zip. /F.�4- "'(I;A: Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employerwith employees(full and/or part-time).* 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'camp.insurance required.] 3. I am a homeowner doing all work myself,[No workers'comp.insurance required.]t 9. ❑Demolition 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10E]Building addition ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5,❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13,❑Roof repairs Those sub-contractors have employees and have workers'camp.insurance.: 6.F_1 We are a corporation and its officers have exercised their right of'exemption per MGL c, 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. l I I am an employer that is providing ivorlrer-s'coniperisation insurance for nniy employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie,#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WOIlI4 ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. I do hereby cel:Gif ander the pains an nalties of perjury that the information provided above is true and correct, Signature* m' a I Date: Phone M Official use only. Do riot write/it this area,to be completed by city or town:official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: North Andover MIMAP April 25, 2016 I r ; ff� r a I i I I k 21n y l } �a h i I ❑MVPC Bo Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, " I Meters Data Sources;The data for this map was produced by Merrimack --SR MORTbf Valley Planning Commission(MVPC)using data provided by the Town of Roads O� 4�u , 'q� North Andover.Additional data provided by the Executive Office of CP Easements } yt�Y a yb QO Environmental Affairs/MassGIS.The Information depicted on this map Is yl. ( for planning purposes only.It may not be adequate for legal boundary Parcels Q , A definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING {( y THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT �► °a M ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION �SSAc NU'S��Ay 1"=55ft "�" North Andover MIMAP f April 25, 2016 'N\085.0-4445 r/ 0 CAMDEN 085.0-0S�bC9�h� �/085.0-cobs / 085.0-00241N, � �r '*, 485.4-444 � ""^� ;�5 N�1C�EN 085.4-440 485.0-4428 1 CAMDEN Sl �I 2 PLEASANT ST 48 .0-4017 / ,, 15 CAMDEN ST �� 085.0-0414 ' 2 28 PLEASANT S� INPRINCETON ST 085.0-0022 085°0-4021ell 37 485.0-0030` C185.0-CD D 106, \,' 242 PLEASANT ST 085.0-0046 r s � 485.4- r %,< �L6 PLEASANT S-T / �� KO 085.4-0032 9 PRINCETON ST 235 PLEASANT ST 50r�� 085,4-4443241, PLEASANTST N, 085.0-0031 085.0-0038 085.0-4446 \, PLEASANT ST 326 OSCaC�L:D S7 85.0-444+� ;•.✓� � � � 485.4-44501 485,4-4441L\ 085.4-(DCD44 N\ z \ C MVPC Bo Zoning Overlay Zoning Municipal Boundary rj Adult Entertainment Dishic Busine s 1 District ( Machine Shop Village Ove :'' Busine s 2 Dstrict Horizontal Datmn:MA SYateplane Coordinate System,Datum NAD03, —t Rail Line Watershed Protection Dist V Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates Y Historic Mill Area M Busine s 4 District rr%ORTH Valley Planning Commission(MVPC)using data provided by the Town of M Medical Marijuana R Genera Business District �'� *�`p '�1. North Andover.Additional data provided by the Executive Office of SR L°:�Dawnlovm Overlay Disldel FZ Planne Commercial Dev „ , °°'r r°+d � Environmental AffalrslMassGIS.The Information depicted on this map is Q Historic District Conido Development Dist ,. t for planning purposes only.It may not be adequate for legal boundary Roads Osgood Smart Growth(40 Conido Development.Dist O ..—. "` - 1° definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER h}Easements - Hydrographic Features B1,, Comdo Development Dili 0 ., 'XI MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ❑Parcels Induslrial 1 District * - A THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY Streams Indusld 2D y q, +k OF THESE DATA,THE TOWN OF NORTH ANDOVER DOES NOT Wetlands Industn 13 District y.o - ,*O ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF 0 Industn I S Distdct *a`°""""" THIS INFORMATION Exempt Lands Reside ,1 District �p°Via �4 Reside as 2 District p ^''ACHU'�'�� Reside ce 3 District de ce 4 District 1"=55 ft A} de oe 5 District ° Y Ede ce fi District „°ge esidental DWrict North Andover MIMAP April 25, 2016 p ,i5085.0—Y / wh , 085.0-0024 gy5uq"W04 � 0008 0g85.0-0094 >' 08r4" 085.13-0005 25 CAMDEN ST 085.0-0007 085.0-0023 14 CAMDEN ST 085.0-001 15 CAMDEN ST 085.0-0014 228 PLIE-ASANT's,r r' „a22 PRINCETON ST w 11 CAMDEN S7 085.0-0022 085.0-0021 vygyq 0-0037 qryryy 085.0-0030 «,s '\N 242 PLEASANT ST/ 085.0-0029 Z 0ry� � 246 PLEASANT 5T o �j� ✓� 085.0-00329 PRINCETON ST e 085.0-0043 ° Q rr 085.0-0e034 '`w r''� 085,0-04038 085.0-0006 0 MVPC Be C3 Municipal Boundary Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Rail Line Meters Data Sources:The data for[his map was produced by Merrimack gIgRS�T}q Valley Planning Commission(MVPC)using data provided by the Tovm of Interslates �If "ED o�+1��, North Andover.Additional data provided by[he Executive Office of I I ,�, 6* �p�+Ky Environmental Affairs/MassGIS.The information depicted on this map is '^' L for planning purposes only.It may not be adequate for legal boundary Roads 0 definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER Easements 11" MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ❑ 4 I - nk THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY Parcels y y ; OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT — Trails ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Hydrographic Features � zrga yvsj THIS INFORMATION Streams �" AC141D' Wetlands Exempt Lands V=46 ft ` Residential Property Record Card Parcel ID: 2101085.0-0021-0000.0 MAP: 085.0 BLOCK: 0021 LOT: 0000.0 Parcel Address: 11 CAMDEN STREET FY; 2016 PARCEL INFORMATION Use-Code: 101 Sale Price: 1 Book: 13571 Road Type: T Inspect Date: 05/16/2011 Owner: Tax Class: T Sale Date: 0712612013 Page: 0345 Rd Condition: p Meas Date: 05/16/2011 WILDES,REBECCA,ANN Tot Fin Area: 1477 Sale Type: B CerUDoc: Traffic: M Entrance: X Address: Tot Land Area: 0.180 Sale Valid: A Water: Collect Id: RRC 11 CAMDEN STREET Sewer: Grantor: ZARZOUR 1 WILDES Sewer: Inspect Reas: M NORTH ANDOVER MA 01845 Exempt-B/L% 0/0 Resid-B/L% 100/100 Comm-B/L% 010 Indust-B/L% 010 Open Sp-B/L% 010 RESIDENCE INFORMATION LAND INFORMATION Style: CO Tot Rooms: 5 Main Fn Area: 827 Attic: N NBHD CODE: 5 NBHD CLASS: 5 ZONE: R4 Story Height: 1.75 Bedrooms: 2 Up Fn Area: 650 Bsmt Area: 702 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: G Full Baths: 1 Add Fn Area: Fn Bsmt Area: 1 P 101 S 8000 0.180 N 163,994 Ext Wail: AB Half Baths: 1 Unfin Area: Bsmt Grade: VALUATION INFORMATION Masonry Trim: Ext Bath Fix: Tot Fin Area: 1477 Foundation: CN Current Total: 306,300 Bldg: 142,300 Land: 164,000 MktLnd: 164,000 Bath Qual: T RCNLD: 142336 Kitch Quai: T Eff Yr Built: 1970 Prior Total: 278,900 Bldg: 120,500 Land: 158,400 MktLnd: 158,400 Mkt Adj: Heat Type: HW Ext Kitch: Year Built: 1940 Sound Value: Fuel Type: 0 Grade: A Cost Bldg: 142,300 Fireplace: Bsmt Gar Cap: Condition: A Att Str Vail: Central AC: N Bsmt Gar SF: Pct Complete: Att Str Va12: Att Gar SF: %Good P/F/E/R: 1100/100173 Porch Type Porch Area Porch Grade Factor W 192 Sketch Photo 18 i 192 Sct F1 Mch PC o - 12 RJFMr?B 650 Stt R o \ 26 26 t' M> 12 55 F 11 CAMDEN STREET