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Building Permit # 6/29/2016
`a®RT11 BUILDING PERMIT ®��qtF-D 6 �a TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: � � �Z; Date Received �'�a ago PPp`y�5 /;7 � 9 ��UDate Issued: // IIVIPOI TAIi T: Applicant must complete all items on this page LOCATION t Print PROPERTY OWNER " d Y. I b ,/ Print 100 Year Structure yesno MAP ) PARCEL: '?2- ZONING DISTRICT: Historic District yes 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 ❑UUell ❑ Floodplain ❑Wetlands at he Distrrct ate"r%Sewed t ESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: L (a4 , )/-\-R a Phone: Email: _ Address: r ii;] Supervisor's Construction Lic11 Exp. Date: Home Improvement License: Exp. Date: �t ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. � Total Project Cost: $ FEE: $ .� Check No.: F I Receipt No.: NOTE: .Persons contracting with unregistered contractors do not have access to the guaranty fund Flans Submitted 11 Flans Waived ❑ Certified Plot Flan ❑ Stamped Glans ❑ TYPE OF SEWERAGE DISPOSAL Public SL ,;,r Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales 11 Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Durapster ori Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFA' m U (FORM PLANNING & DEVELOPMENT Reviewed Onl 6Q Signature_ COMMENTS CONSERVATION Reviewed on !a .N Signature e, COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & SewerConnection/Signature& Date DrivewaV Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE'DEPARTMENT TENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Departmentsignature/date COMMENTS t%O R T H Of Uve 110wil - L ® TuA E _ 11 VAI'' Mass, O LAME COC MIC Ml WIC O{ A04ATEo Pk? mm�' M_ IT T LD S U BOARD OF HEALTH P E mR40 Food/Kitchen Septic System THIS CERTIFIES THAT4 4A BUILDING INSPECTOR orFoundation has permission to erect .......................... buildings on ...... .. ...... ... ....................... .. Rough tobe occupied as ................. .... ... ......... ... . ... ................................................................. Chimney provided that the person accepting this permit shall in every respect 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final S ELECTRICAL INSPECTOR PERMIT EXPIRES IN 6 MONTH UNLESS I T Rough Service ........... ................. Final . .. ... ... . ..enILDING INSPECTOR GAS INSPECTOR ccupancy Permit Reguired t® Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPAR71MENT xV, 1600 Osgood Street,Building 20, Suite 2035 North Andover, Massachusetts 01845 Telephone(978)688-9545 Gerald A.Brown Fax (978)688-9542 Inspector of Buildings HOMEOWNER LICENSE EXEMPTION BUIDING PE JIT APPLICATION Please print DATE: Z I�� JOB LOCATION: ( 3 j 3 L Number Street Address Map/Lot HOMEOWNERJ�)) (1 C - ��"�' c�'( � �2 �--166 s Name Home Phone Work Phone cz_e Q PRESENT MAILING ADDRESS ITS 11he n ST i a i �dh1� 1/1/I 1m, City Town State Zip Code ` The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one-or two-family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.(780 ClVm Section I IO.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with 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 he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE i APPROVAL OF BUILDING OFFI Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVAT40N 688-9530 HEALTH 688-9540 PLANNWIG 688-9535 �� ® DATE(MMIDDNYYY) CPREP CERTIFICATE OF LIABILITY INSURANCE 1 4/12/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ON PRODUCER NAMEACT Natasha Rufe Foy Insurance PHONE FAX AIC No 163 Main St Ste 102 ADDRES :Natasha.Rufe@foyinsurance.com INSURERS AFFORDING COVERAGE NAIC q Salem NH 03079 INSURER A'Acadia 31325 INSUR� INSURER B: Eastern Shed Co In INSURER C: PO BOX 45 INSURER D: INSURER E: Hampstead NH 03841 INSURERF: COVERAGES CERTIFICATE NUMBERXaster 2016-17 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE I D BR POLICY NUMBER POLICY EFF MWDDY� LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TUR ENTED 300 000 PREMISES Ea occurrence $ A CLAIMS-MADE OCCUR ADV5248852 /12/2016 4/12/2017 MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PR0- LOC $ AUTOMOBILE LIABILITY Ea acccidenSINGLE t $ 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 248853 4/12/2016 4/12/2017 BODILY INJURY(Per accident) $ AUTOS AUTOS X X NON-OWNED PROPERTY $ HIRED AUTOS AUTOS Medical payments $ 10,000 X UMBRELLA LIABOCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I X I RETENTION$ 10,OOC UA5248855 4/12/2016 4/12/2017 $ A WORKERS COMPENSATION WC SI LIMITS TATUS OE R AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE I N/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? CA5248856 /12/2016 4/12/2017 E.L.DISEASE-EA EMPLOYE $ 500,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. . For Informational purposes AUTHORIZED REPRESENTATIVE Natasha Rufe/SNAT ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS02.5rgmnnFl ni Tho At, namn and Inn am rnnictnrnA m�rkc of Br`(1Rn RN SHED Building Standards and Features COI�APA� N ' 112"CDX plywood ,gx6:, hoof Trusses Asphalt 25 Year Self-Sealing Roof Shingles Raaf sheathing. 16" on Center �30 year Architectural Shingles Available) (No Particle Boordf Aluminum louvers with Screened .Aluminum Drip Ed�e 7 Y N4Wall Studs Aluminum Fully ' mors withScreen� in r 16"�nener (Standard Height_61") Vinyl Shutters Vinyl Sheds:Vinyl Clapboard Siding&C`DX Plywood Wood.Sheds:1"°x 8" Ceder or Pine 1`ongue and Groove f ' li j f F t Pressure Treated Ramps _ 2"6"Pressure Treated Floor (Seen in dditiunal d [Jt:It7n5 joists 16"On Center {8"&12"on Center Available) Solid Fiber Mass Doors 5/8"CD 4 Floor Plywood (steel Roil-up Dogs&overhead (S5/8"&.3/4!'Pressure Treated Plywood Available) Doors vaiiabie6 J[3 r+t lci hoard Fiber Glass Doors include Loci 9 Key North Andover MIMAP June 29, 2016 373 MI1-TON 5T 031.0-0023 031.0-0020 031.0-0029 031.0-0030 031.0-0022 31.0-0034 35 MILTON ST -" 031.0-.0021 33 PILGRIM 6 ti 3 031.0-0053 031.0-0031 4'l` S� 39 MILTON ST 0, 473 MILTON ST 031.0-0033 031.0-0032 ; 47 MILTON ST �. 031.0-0037 031.0-004455 PILGRIM 5'T �2 �Yt /Ll�q z 09 (S Q obi S�r� r N" 020,0-0027 031.0-0036 Cr; 50 PILGRIM ST 16 211' 031.0-0049 (, MVPC Bo Zoning Overlay Zoning �7 Municipal Boundary Adult Entertainment Distric Busine s 1 District 1 Machine Shop Village Ove ' Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Rail Line (<rl Watershed Protection Dist IN Busine s 3[)1 int Meters Data Sourcos:The data for this map was produced by Merrimack Interstates rj Historic Mill Area M Busine s 4 District Nt7R7M Valley Planning Commission(MVPC)using data provided by the Town of ,_.., r Medical Marijuana M Genera Business District ¢� +L+D r 'q.�r North Andover.Additional data provided by the Executive Office of --I rf(Downtovm Overlay District .! Planne Commercial Day ,ty bdh a+,y Oa Environmental AffairslhlassGIS.The information depicted on this map is 13 Historic District Corrido Development Dist ,�. Z. for planning purposes only.It may not be adequate for legal boundary Roads Osgood Smart Growth(40 Corrido Development Dist 6 —•- M definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER Q^y Easements Hydrographic Features i!t Corrido Development Disl F 71 MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Imftr i I 1 District * >lr THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ❑Parcels - Streams Indusiri 12 District y_ i a $ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT r:Woliands Indusiri 13 District iy, n0 Am y ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF M Indus Vi I S District THIS INFORMATION Exempt Lands Reside ce i District �1„�p4pATtD wPiw��i Reside ce 2 District Rend.co 3 Dishict de ce 4 District 1" ce 5 District .de ce 6 District a a asidenlial District North Andover MIMAP June 29, 2016 �.,%%///rte,//, r r�� p�/✓��r IIIII�" �O� rl f, : �j/� y/� ) p � �1'Ir � �i ,�, IINii I n � tKQ .t e r 111 ' Y ° II �; r i r! r ! 0 MVPC Bo Interstates Horizontal Datum:MA Slaleplane Coordinate System,Datum NAD83, I Meters Data Sources:The data for this map was produced by Merrimack --I h#bRTly q Valley Planning Commission(M PC)using data provided by the Tom of Roads North Andover.Additional data provided by the Executive Office of � b`�,�,go ewbti�b Environmental Affairs/MassGIS.The information depicted on this map is "o Easements L for planning purposes only.it may not be adequate for legal boundary Parcels b rn definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER N V MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING * * THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT t`o ya k ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION S US 1"=42ft Table 2:Summary Of Demensional Requirements Res. Res. Res. Res. Villa e:,. Res.:.., Res. Bus. Bus. Bus. : Bus. Vilin a PCD Generale --CDD -CDD --CDD Ind. Ind.. Ind. Ind. 1. ,2.,:. .3 4 Res.ol' Stun 6 '1 2 3 4 -'Camm. :,..Bus. L _,.2 _.3 ,.1-. ,. 2 3 5,. Lot Area Mm:S.F. 87,120 43,560 25,000 12,500 43,560 43,5C,0 t71 130,680 25,000 25,000 120,000 80,000 90,000 150,000 25,000 43,560 87,120 108,900 80,000 80,000 435,600 509000 Height Ma:R) 35 35 35 35 35 35 35 35 35 35 60 40*(1] 35*** 45 35 35 45 55 55 55 55 Steel Frontage- .Min(fl) 175 ISO 125 100 850:+) 150 1501�7 125 125 300 200 200 300 125 150 250 250 150 150 150 150 Front Setback Min.(R) 30 30 30 30(0) 25 30 25 30 25 100 50 50**a�nu 100 25 10 0) 10 ttt is M 50 50 100 00) 30 Side.Setback Min.(R) 30 30 20 15 15 25 15 200) ' 251") 5001 5001 25**07) 50 25 R) 15 15 20 SO01 50 t" 200110] 20C) Rear. .Setback Min(n) 30 30 30 30 3O 30 30 30 0) 30(2) 5001 50 25..(17) 50 35(2) 20 25 30 SO 5001 2001101 301c1 Floor Area Ratio Mai. N/A N/A N/A N/A N/A 0.75:1 0.25:1 C�s1 0.30:1 0.75:1 0.40:1 1.50:1 N/A 0.75:1 N/A 0.75:1 0.75:1 0.75:1 0.50:1 0.50:1 0.50:1 0.50:1 Lot Coverage -Moc N/A N/A N/A N/A N/A 20% 20% 1 30% 35% 1 30% 25% 1 25% 25% 1 35% 70% 70% 70% 1 35% 35% 1 35% 35% Dwelling Unit Density Multi- >Mm�/Acre N/A I N/A I N/A I N/A 1/acret121 Fam.027 9/acre(lz) N/A N/A N/A N/A N/A N/A N/A N/A N/A �N/A N/A N/A N/A N/A Town House Open Spice 25%**QOl 30% 30% *Two stories not to exceed 40$. **Refer to Sections 8.1(13)and 8.4(6) ***See detailed District Use Regulations Please referto footnotes for additional information ,