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Home My WebLink AboutBuilding Permit # 7/5/2016 BUILDING PERMIT 0ORT;q 4, TOWN OF NORTH ANDOVER #0 APPLICATION FOR PLAN EXAMINATION Permit No#:A- Date Received 1.2 c" Date Issued: ri IMORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER T xi Print100 Year Structure yes fZONING DIS MAP PARCEL: TRICT Historic District yes J Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential F1 New Building 0 One family 0 Addition U Two or more family 11 Industrial Ei Alteration No. of units: 0 Commercial Ll Repair, replacement 11 Assessory Bldg El Others: N,Demolition El Other Septic E]Well oFloodplain F-] Wetlands, El Watbrs hed,District, Cl Water/Semler DESCRIPTION OF WORK TO BE PERFORMED: Ide ase Tvve or Print Clear y ),,,ntfficat�ii Pie I OWNER: Nam A Phone: e: Address: Contractor Name. Phone: Q Email: Address: Ji'-y-A-k Supervisor's Construction License: ( 5 0)JcLik' Exp. Date: 6�v Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDINGPERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregister d ontr actors (Io not have access to the guaranty as id \ 4 Sion ent/ONA/ne[ 7DC%A. I I 4, i-(, Signa e QfAg W — gnature-of-Gontfactor I�V Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Flans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swn. mg Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Durapster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - N FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS t CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS rclzG Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Wates' & Sewer Connection/Signature & Date Driveway Permit ][DPW Town]Engineer: Signature: Locate 84 Osgood Street FIRE DEPARITMENT - Temp Dumpster on site yes no Located at'124 Main Street Fire epartment signature/date ,��,®.e� y Aa/-,7 L' COMMENTS ttORTH Tow' n of ndover 0 "" 0% L : h ver, Mass, COCHICMFWICK Q°RArE® PP�,��(� S � BOARD OF HEALTH PERmMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT ... .. ............. BUILDING INSPECTOR . . . . .. . . . .. .. . tv Foundation has permission to erect .......................... buildings on .... :.:.. . ... .... ....... .. ............. Rough to be occupied as . .. .. ..... . . .. .. . ...... .. ... .. . . ............... Chimney provided that the person accepting this permit shall in every respect confor 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 PERMITELECTRICAL INSPECTOR UNLESS CONSTR N ST ' i Rough rvice d 9 .... .. .... ....... Final BUILDING INSPECT (� GAS INSPECTOR Occupancy Permit Required t® Oceupy Building Rough Display in a Conspicuous Place on the Premises — ® Not Remove Final No Lathing all To Be one FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. Town of North Andover t%0 RTH ,('I ED Building Department 1600 Osgood Street Bldg 20, Suite 2035 0 North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 LAK DEMOLITION OF BUILDING AFFIDAVIT 0 14 coc"Ic"118 ICK 04ATE 0 '? ZS CHUS DATE OWNER'S NAME &ADDRESS 6. 01 LOCATION OF PROPERTY TO DEMOLISH 2-30D I—)JAQ 'I D'( 004( 0 K(A &ki' DESCRIPTION .. ( h V1 CONTRACTOR'S NAME &ADDRESS 1,06CVs _1VAc_ t A DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS -WATER: 41 .. SEWER: TREE WARDEN 11-e rno V'Q /,/,7- V TOWN ENGINEER 4� "4RNATION — DEPT. OF CONS HEALTH D TSEPTIC WELL HISTORIC COMMISSION PLANNING GAS ELECTRIC TELEPHONE TAXES POLICE ...... FIRE Y EXTERMINATOR AAA."cll,, DUMPSTER– O4;OFF STREET-) DIG SAFE NUMBER,10.1 L2,13 d-14 S BLDG. INSPECTOR Building Demolition Affidavit 4 Locgft S"'Aces TARGET. 617 Water street www-011targetservices.00111 Gardiner,bUine 04345 U e tility Services tel 800-398-0620 fax 20-588-3302, e-nia& 5meniug@ontargets8rvices.com Date/Time ,6110/2016 12-38-05 PM EARTH WORKS P 0 BOX 665 NANDOVER MA 01846 Tel.:(978)-265-7320 ext. This message is being sent in response to your request for underground cable location.The following represents a list of responses for the indicated member.These reponses only pertain to the specific mernber. Ticket# 20162314296 Place '. NORTH ANDOVER, MASSACHUSETTS Address TURNPIKE ST/SHARPENERS POND RD I- COMCASTCABLE-GREATERBOSTON-NORTH Ticket Screened on 06!10!2016 This ticket is clear of conflict and has been screened by On Target Utility Services If there are questions regarding this transmission or if you at-rive at the site and have a question about the markings, please call 1-800-598-0628, during normal business hours, Monday- Friday 6/29/2016 kayla@earthworksma.com-Yahoo Mail Ck All - Search p.fennle Kayla Z Compose <* 4 ® Archive F3 Move ® Delete Spam d a^^ More v X Inbox " 2302 Turnpike Street arraaoe Drafts Janice Williams<jnmillinery@gmail.com> Jun 23 at 12:23 PM Sent To 4raylKkrrnx¢>MutlFW�rKzrVwrrr'�a,u':carmr Archive CC Kathy."azyrsl?a Spain Trash According our research the house was not on the 1840 map or the Forbes map. We researched the barn, too, which was on the Forbes Map, owned by Jane Wysocki and built in 1956. These structures do not require that Smart Views the Historical Commission sign off on its demolition. Important Jan Williams Unread Starred People Sent from my iPhone Social Shopping Travel Finance > Folders > Recent [;+] Max M<a cin flickr https://us-mg6.mail.yahoo.com/neoAaunch#mail 1/1 7/5/200 Rodent Inspection Results'Danny Gill Rodent Inspection Results P[eVe, Kenneth Sat 7/2/ V1675SNM |nhox nzearthwodo30O@msn.com /earthwmdm30O0Vmsn.com`; Rodent Activity Inspection Report Date Perk)rnned: 78/16 Property Address: 2302_Turn ke5tNorflhAnd�uverlkAA,_V1845 Contractor: Earth Works Rodent Droppings: None Rodent Burrows: None RodentScnatzhing/[hewing: None Atthis time, the fore mentioned property shows no sign Of Current rodent activity in the two free standing structures or tile area surrounding the structures. Ken Preve Terminix Commercial Inspector Cell 603-540-3111 Email kpreve@terminixzom NOTICE: The information contained in this e-mail is considered ServiceMaster intellectual property and is Subject to confidentiality agreements in place between ServiceMaster and its business partners. If you have received this ernail in error, please reply to the sender, and delete this message, copies, and attachments. For more information, please visit Thank you. xKp ://oWook]ivo.u"m/owa/?vmwmnuo=nmumonmagvk"m&Iten|o=xQmxxm/wvxmamGZmx6UK)o/eMCO2NmvhuxwmUwMbOWm/' 1/1 riational grid 40 Sylvan Rd Waltham MA 02451 June 17, 2016 Danny Gill 2302 Turnpike St N Andover, MA RE: Service Removal for Building Demolition. This letter is to confirm that,per your request; National Grid has removed the electrical service and meters from 2302 Turnpike St, N Andover, MA. If you have any questions or need further assistance, please feel free to contact me at (508) 357-4520. Sincerely, Ole L- Order Processing Rep Customer Order Fulfillment nafiordgrid 4o Sylvan Road Walffiain, TMA 02451 Office (508) 357-4520 Eiiiall'l',ii-a.Morris@tiafiotiaigi-id.coiii 10 a o June 28,2016 To: Danny Gill, Re: 2302 Turnpike St.North Andover,MA This letter is to notify you that after our investigating our records it has been determined that there is no gas service to 2302 Turnpike St.North Andover,MA. National Grid's gas main ends at the intersection of Turnpike St. and Shatpners Pond Rd. Furthermore we have no records of a service at this address in our system. If you have any questions please feel free to contact me at 781-794-3532 Sincerely, Chris O'Donnell. Sr. Gas Sales Support Representative National Grid 40 Sylvan Rd Waltham, Ma 02451 781-794-3532 The Commonwealth ofMassaehusetts g .Department gfIndustrial Accidents H N `s w tl X Congress Street,Suite 100 Boston,MA 02114-2017 ` www-mass.gov/dza Workers'Compensation Insurance Affidavit:Builders/Cont£actor s/ElgctFiczans/k'lumb er s. TO BE FJ LF,)►WITII TIM PEPM[TTING AUTHORITY. Applicant Information Please Print Leglbly NaMe (Business/Organization/Edividual):_ ( y✓A-6 0)yy S t ryc., . Address HA City/state/Zii): t'>Y yk .•.ky(---k ... Mone# I . 1. ::�� Are you an employer?Check&o appropriate box: Type of project re uired 1.r9-I"'am a employer with .,, employees(full and/or part-time).` 7• E]New construction z Q I am a sole proprietor or partnership and have no employees working for me in $, ❑Remodeling any capacity.[No workers'comp,insurance required.] , � Demolition 3.r]I am a homeowner doing all work myself[No workers'comp,insurance required.]t 9. 10 []:wilding addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑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-contmetors listed on the affached sheet. ❑ 1, �. Roof repairs These sub-contractors have employees and have we comp.insurance.t ❑ p 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have nQ employees.[No workers'comp.insurance required.] r;. .Any applicant that checks box#1 must also fill out the section below showing theirworkers'compensation policy information. i Homeowners who stbuiit anis affidavit indicating they are doing all work and then hire outside contractors riiust submit a new affidavit indicating such. tContracfors 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-coritraciors n6ve'employee's* tV iey must provide their workers'comp.policy number•.... X ai,h art eraaployer'tliat ispiovzdiiag ivorJiers'compensation insurancefor my employees.'Pelow is thepolicy anil job site information. 7 / Insurance Company Name: Y .. 1 V%'�C (� k,,A C" "l W l �" 7"A�'`��`' a 1 t Policy#or Self-ins,Lic.#: ��rf Expiration Dater �,.. Job Site Address. r .j ur)- t lr"f1 r".7�, .•fw. `;��'LL City/State/Zip: Attach a copy of the workers'c6mpepr atron policy declaration page(showing the policy number and expiration elate). Failure to secure coverage as required under MGL e. 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 info form of a STOP W ORIS ORDER.and a fine ofup to$250.00 a day against the violator.A.copy of ibis statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X da lien^eby certif ?z t7ae pains andpealttes ofper;jury Haat the infor inalion prouideal above is true and correct Signature: d11Date: Phone#: elF. 1 (n ' _. 3 C ^� Official rise only. Do not write in this area,to be completed by city or town offzeial. City or Town: Permit/License# Issuing Authority(circle one): 1.Boar.of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone##: 7/5/2016 i mage1.J PG i r. M"° irrm sac h t mi,et i tW trt tt RegvAa t tY S at,d t AAm rd, Licensi � CS-022848 �e,',,,,�r MICHAEL S NICOLOSI 85 INDIAN HAMPSTEAD NH 03826 �.. �G// �r�/�i//,.� �1��./iii.` �l ✓�� I l/ �g �I �;., 'I H :AI '�b+ � �. //�/ ,�i i/% � ,,,/� /. �, ...,,mil/,-,:... i iii, „/„ ✓i i c„ �.//i� i,- �..., / / /., / /i/ / ilii ✓ ,. ..,,,,i,i r; https:HmaiI.google.com/_/scs/mail-static%/s/k=gmaiI.main.en.e_gzX2cokd8.Ohn=m_i,t/am=nliGPBDD 7_3BulZRQFb6SoV57w3fLSk_YoGH_-9M-Eit8vG_2f... 1/1