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HomeMy WebLinkAboutBuilding Permit # 8/4/2016 ,xORTH BUILDING PERMIT qh TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION 7 PermitNo#: Date Received C7 C14U,5 Date Issued, 0 LVIPORThT 1pplieant must complete all items an s page_ LOCATION Print PROPERTY OWNER Print 100 Year Structure yes MAP PARCEL: V;e, ZONINGDISTRICT: A-'-f Hist.ri.District yes <]153 Machine Shop Village yes dM> �T:YPEOF IMPROVEMENT PROPOSED USE Residential Non-Residential New Building 0 One family �1 Addition E..Two or more family Industrial Alteration No.of units: Repair,replacement - 01 Assessory Bldg 0 Others: 0 Demolition Ei Other XNWatershed0 District- I DESCRIPT[ON OF WORK TO BE D:. ......... Identification-Xlease Type or Print Clearly OWNER: Name: Phone:.6f,-,'46J f�, Address: Contractor Name: Phone: Email: Address: C- 1_4" Supervisor's construction License: Exp. Date:— LJJ.m.Improvement License: Exp Date. ARCH ITECT/ENG IN EER Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED QN$125.00 PER S.F. C -r I Total Project Cost:$ ;Z 00 FEE:$— Check No.:— Receipt No.: NOTE: Persons contracting with unregArtqFed contractors do not have access to the guaranty fund C� Plans Submitted❑ Flans Waived❑ Certified Plot Flan ❑ Stamped Plans ❑ TYPE OF.SEWERAGE DISPOSAL = Public Sewer ❑ Tanning/Massage/BodyArt ❑ SwmmiugPools Well ❑ Tobacco Sales 1'1 Food Packaging/Sales ❑ Private(septic tank;etc. permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM PLANNING DEVELOPMENT Reviewed On( KWI)� Signature b 1 _ 7COMMENTS i /t CONSERVATION Reviewed on Signature COMMENTS a� i hIEAL,I'I-1 Reviewed on 56 �-t Si nature COMMENTS to n, Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sower ConnectionlSignafiwe$Dafe DrivewraY Permifi DPW Town Engineer:Signature: Located 384 Osgood Street FlREDEPARTMENT TeriipQumpsteronsi#e. yes_;-:, no Located at:124 MaIn.8 met Fire Qepartrpent signature/date COMMENTS Town of "®RT" yr 0 �� '�t M No. I �� t K y ° h ver, Mass,_ OR 04 46 �9 °a4reo U BOARD OF HEALTH Food/Kitchen PERMIT I L Septic System THIS CERTIFIES THAT......... *V'M'�P, 't,. ..................................... BUILDING INSPECTOR has permission to erecct�..........................buildings �on....:!T..19....W�f 4-,p..K.*o_C��L/,�r Foundation ugh to be occupied as...Il e...44 .' .var./�....� .................................................. 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough �I Final PERMIT EXPIRES 16 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TIO T Rough Service ... .... .. .. ........... ...... Final BUILDI NSPEC OR _ GAS INSPECTOR Occupancy Permit Required to Occupy PuRough 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 Approved by the Building Inspector. Burner Street No. Smoke Det. o tee® o TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT m - 1600 Osgood Street,Building 20,Suite 2035 sem: North Andover,Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION SUIDING PERMIT APPLICATION Please print DATE: q—CCI JOB LOCATION: © W��bitoD Gt2�Lc Number Sheet Address Map/Lot HOMEOWNER '111vr J0.,Q .rrt€� fir r7 3 �el9� Name Home)?hod Work Phone PRESENT MAILING ADDRESS d A'lkl— 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 HOMFOWNER 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 CMR Section I IO.R5.1.2) The undersigned"homeowner"assumes responsibility for compliancewith State Building Code and other applicable codes,by-Iaws,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 rNui ements. HOMEOWNERS SIGNATURE Y APPROVAL OF BUILDING OFFICIAL Revised 8.2015 Form Homeowners Exemptioa BOARD OF APPEALS 688-9541 CONSERVATION 658-9530 HEALTH 688-9540 PLANNING 688-9535 The Commonwealth ofmassachusetts Department oflndustrialAceidenfs -- - 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.massgovldia Workers'Compensation Insurance Affidavit:Builders/ContractorslEIgctricians/Plambers. TO BE FILED WTTI[TAE PRPTruTTJxGAiTTAOBITY. AuplicautXnformation Please Print Leg bly Name(Brvsiness/organizationandividaal): Address: VC> G1,iae_ CitylState/Zip: 0 DIJ�S Phone#: b Areyau an empleyerT Checkttie apRropriate Box: 'Type of project(Tg4tdred): I.Q Z am a omployervid$ employees(full aad/arpa-t time)` 7.. Now construction 2.�Zamasole pragiefororpar2uorship andhave no employees Working forme ht S. DRemodeling any capacity.[No workers'comp.insv7 -required.] Demolition 3. Zam a homeoituardoing ail workmpdZ[Vo wor'sers'eamp..ivsamoo rsgnhod]t 10[]Building addition d.❑Z that�wrerandwill hehiriug contractorsW eonduef all wodc onmy property.Swill onsise that all R^nhaetoa3 o;iherhavx V.'arkers'aompensation;nsmanac oraze snle 11.[]Electrical iepaiTS OTadditiOnS proprietors withno employees. l2:Cf Plumbigg repairs or additions 5.�[Zamagen,toontactor and Zhave himdthr sub-conlractorslisted onthe attached sheet 1j.FJ Those sub-conhactorsli employeesandhaveworkers'mmp.insivance 1 ovG 14l.ZOthar Pv0 t 6.QR'e are acoxpomtion and itsp�gershave esercisedilxairright o£'exemption perMCiL a, �(Z::•v�rJ IL 152,§I(4),and wehave no.*gplciyees.[Naworkers'ca-np.insurance ragased,] *'Any gplicantthat cheeksbox'i musE also"fill autthe see€ionbe2owshowingthairworkers'compensationpolicy iufomratioa t ZI'omecwners drho s8fimifkt s suidavitindicatingthey azo doing all workandthmhirc outside contractors mustaii nitanew affidavit indicating such tConaactors,tbat checkffihboxmust-attacAod an additional sheet showingtbe nano ofthe sub-contractors ondstate whether ornotthwe entities have .. employees.Lthe sub-cenlrac£ors have employees,}hey must prwidefheir wodcars'comppoticynumber.' i am an employer that isprovidingworkeis'compensation insurance far my employees.'B8huV is thee'a y andJob site infarmatbm. Insurance Company Name: Policy#or Self-ins.Lie.4, ExpirationDate: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(show-Lug the policy number and espiratiou date). Failure to secure coverage as required under1/101,c.152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as ObAl penalties in the form of a STOP WORK ORDER and aline of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of luvestigations of the DIA.for insurance coverage verification. Ida hereby certify underthepains penaltiesofperjarythatthein,/ormadonprovidedabo-vei..strueamicorrect Siei afore r>t Date: P Phone Official use only. Do not write in this arery to be completed by city or town official City or Town: Permit/License Issuing Authority(circle one): e 1.Board ofHealth 2.Building Department 3.City/Town Clerk 4.Electrieal Xnspector 5.Plumbing luspector 6.Other Contact Person: Phone#: North Andover MIMAP March 4,2016 SOS. -OOfi4 85. aafi5 a NRL WO D -1 ss Ho P �• at NORfM 9 1 x i va. Hma t� h sa __ �. � ,Y.- ?THE TC'.'.Nac•F no d". . '4 ssEoop�envt,Eo cERnY as } ECUft G GLu 3CIziEG N•THT�HEu5E OA 5.sU'SEO J F.�ayaa au Ypc`fiF TnIS FO.@.+AT�oN ts$AtNU`+E< 1—55ft • 7/10/2016 3:04 PM . UD ualiy Ships within 7-tfa bnsm—(lays —+ r upnn'FA"FWL Applied:5384.X 4.X Perkan A-ilebifity:in St-* I emdor t�day,to y—d—by,,My 9'..5 rerrn a.. n:zy �u «,.".Prn,_ A. __r4 15.n.„u.. d.r IHP Po,,e,rtu La: Avai;ab,kty:9.Swok I O,deitaday.toy—d—by July 13 reme�de A.va ab,Irty.rn Stock 1 0rdes tWday.tvn y.ur du.r by.,fupy,t9 Finail Cart +�--, Save Cart Subt tai; Handing Fee: .,'jp. -L_pp.ial Sales Tax; s 17_93 ,�'p.�a .i.d.'.w 00uuL'-97zr. Cl cv'i r, �..:rr.o+e r y :u._"a 5liTpping Zip Godes: m-n ri r[I Shipping: Fra§girt FREE Order Total: $2,664.B4 w 21 W2171 J,.,f J'o[;/t"fl Store2l Print Screen IEETLNG NOTICE-TOWN OF NORTH ANDOVER Board/Committee Name: Conservation Commission Date: June 22,2016 Time of Meeting: 7:00 PM Location: 566 Main Street(School Administration Building) AGENDA 1. Call to Order:7:00 PM 2. Pledge of Allegiance 3. Approval of Minutes-5125(16 4. Public Hearings:7:03PM Conservation Restriction . Review of Leonhard Conservation Restriction Small Project . NACC 9175,108 Campion Road(Montopoli) Request for Determination of Applicability • 120 Campion Road(Sigman)(Sullivan Engineering Group,LLC) . 58 Glenwood Street(Sinaei) • 30 Gray Street(Barclay) . 40 Wildwood Circle(Thompson) Notice of Intent(NOI) . 242-1681,384 Osgood Street(DPW)(Linden Engineering Partners,LLC)(cont.from 618/16) • 242-1682,56 Candlestick Road(Martin)(Sullivan Engineering Group,LLC) Abbreviated Notice of Resource Area Delineation 242- ,0 Osgood Street(Edgewood Retirement Community Company,Inc.)(MHF Design Consultants,Inc.)(cont.from 618(16) General Business 242-1603,COG Request,315 South Bradford Street(Smolak Farms LLC/H.Michael Smolak, Jr.)(ESS Engineering&Surveying Services)(cont.from 618116) . 242-236,PCOC Request,325 Appleton St(Timothy P.Houten,Esq.) . Enforcement Order-146!148 Main Street(Smith/Sutton Pond Condominium Trust)(cont.from 6/8116) Decisions . 242-1680,1-3 17 Massachusetts Avenue . 242-1679,1920 Great Pond Road(North Pump Station) Adjourmnent NOTIFICATION TO ABUTTERS Under the Massachusetts Wetlands Protection Act The Forth Andover Wetlands Protection Bylaw In accordance with the Massachusetts General Laws,Chapter 131,Section 40,as amended,and the North Andover Wetlands Protection Bylaw,(Chapter 178),you are hereby notified of the following: The name of the applicant is ( _%� o�cfs5�`� The applicant has filed -,A with the North Andover f� (application) opicAi + VY(+SDA) Conservation Commission(NACC)for the put-poses of i dJ5 Tit r—i (project description) A-'t ..ve torr- Lv'b pool at aty cA;U-j—c. J C'-4--t-t (site address) The North Andover Conservation Commission will hold a public hearing on r P WEDNESDAY,eJ ' � at 7:00 P.M.at the Town Hall,120 Main (delta) Street,2"d Floor Meeting Room,North Andover,MA 01845. Copies of the R�)P may be examined or obtained for a fee from: (application) (check all boxes that apply): ❑ Applicant at ❑ Representative at D.--Conservation Department,1600OsgoodStrect,North Andover,MA 01845 Monday through Thursdays 8:00 a.in.to 4:30 p.in.Tuesday 8:00 a,m.to 6:00 p.m. Friday,8:00 a.m.tol2:00 p.in.Please call the Conservation Department at 978.688.9530 beforehand to verify arrangements.Copies may be available for a fee. Further information regarding the hearing,or the Wetlands Protection Act,may be obtained from the Conservation Department at 978.688.9530. NOTE: Notice of the public hearing,including its date,time,and place will be published in the Lawrence Eagle-Tribune at least five(5)business days in prior to the public hearing date. NOTE: Notice of the public hearing,including its date,time,and place will be posted in Town Hall,120 Main Street,North Andover,MA 01845 at least 48 hours prior to the public hearing date. NOTE: You may also contact the Conservation Department or the Northeast Regional Department of Environmental Protection Office for more information about this application or the MA Wetlands Protection Act.To contact the Northeast Regional Department of Environmental Protection Office,call 978.6943200. CONSERVATION COMMISSION PUBLIC HEARING Pursuant to the authority of the Wetlands Protection Act,Massachusetts General Laws Chapter 131.Section 40, as amended,and the North Andover Wetlands Protection Bylaw,the North Andover Conservation Commission will hold a public hearing on: WEDNESDAY.June 22,2016 at 7:00 PM in the School Administrative Building located at 566 Main Street, North Andover,MA For the filing of a Re-quest for Determination of Applicability by(applicant)Raymond Thompson To alter land at:40 Wildwood Circle(Map 105D,Parcel 66)North Andover,MA For the purpose of:install above ground pool with waiver request within the Buffer Zone to Bordering Velzetated Wetland and a Potential Vernal Pool. Plans are available at the Conservation Office,1600 Osgood Street.Suite 2035 By: Louis Napoli;Chairman N.A.C.C. APPLICANT INFORMATION: Run once in the Lawrence Eagle Tribune on Tuesday,June 14, 2016 DELIVER OR FAX THIS LEGAL NOTICE TO THE LAWRENCE EAGLE TRIBUNE BY: Friday,June 10,2016 by noon Applicant(s)must brim,proofofpublication ofthis Legal Ad to the nreefiaa Tribune Fax#978-685-1588 Legal Ad Billing Info: Ravmond Thompson 40 Wildwood Circle North Andover,MA 01845 Tel#617.803.9192 BOARD Cal AI PEALS 6,88 9i31 BL IWING,)98 9-45 CONS!RVA IION 688-9i-,0 111::9t m 688-Ea 4n F LA\NING<Sh A', n E _ PLAN OF" LA�/O `��9-}- �� 2-.SE�ri✓c'�c�w��1✓aan gasr `q.� q�� '//Nc-�j �r�+ (( tj %•tP �Giu<o OXA k T ELAf SG!/A,QE B(/fG0�,PEALry 7 tr G 2F� gp '`""• ser/� i 4�Y{2�(,� ��-�Vjjf�{j'j'(q�I.KERRIMAf.E'E CINEER/NG SE I�iGES � le'-04`1`0 e� .. � ai�GnYE,•i/A�N Eters a 6/O - �H%o atr�S ro�.PUGES a 1'vf l/ b ?PiS K+N R�swK�r.e-t2:.Eip��m,�p�s. � \ -4C� /.F 4NA.tom€ G••th� M2d�P#� �� ..ayv�rE Fc .vi BGw,pp �e N/ f/92� 1o/.b ACF qq�� '"'as•--qlg p1p5 S ,a h CCT,t6 PI` a�9SF eve•ec4isr wig p2 9a 71 hlw e cV 4. `7-:.- es4a• �- zzz>y �sw7-=�=f/-ry = J sx�ae�u� 563=3/Se' t �HC,sn S.4 si>C/BYES �t����,••,•�• \ `r S•�1 s .gyp T•. .. .. k T x si 1 I „ Phi-7I i J ILA I 'f I PXV I K! 1) f";D< I f-11-1.0 i r 1 I �9 L F-IEP, Hk7 SIE r h i t w ',hl`at ;E'i"S _I ISE CONJSTRl)CTlcl _.., A 440d.3k/m k,,, 5 S+ EW-1E i 1� r ACL " Fill"110, I'll RFACE DISPOSAL SYSTEM sussu `A� Cf�+ VERs ,MASS, e 1 5 0A,TE,:.,NQVEMBER, 1983 r d zk r SC.�Al..E. 111¢4{)1 J�9 � b f�IZ3 °V MERRIMACK ENGINEERING SERVICES, INC: Wi" a PROFESSIONAL ENGINEERS A LAND SURVEYORS MPLANNERS 66 PARR STREET 0 ANDOVER.MASSACHUSETTS 01810 ® TEL 16171 4753555.373�5n'T..