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HomeMy WebLinkAboutBuilding Permit # 8/12/2016 �xORTII BUILDING PERMIT TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Date Received Permit No#: c"us Date Issued: � L'0�'QRT_<�N"i':Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Kes1-4_c Print 100 Year Structure yes no T5 EL: MAP - PARCEL PARC ZONING DISTRICT; R7_ Historic District yes! no Machine Shop Village yes,i no PE OF IMPROVEMENT 1 PROPOSED USE Residential Non-Residential Building Ej One family Addition Two or more family Industrial Commercial u Alteration No.of units: io Repair,replacement N-kssessory Bldg 5 k Others: I o Demolition El Other 01 Wetlands",, �,,Waterse,'Dist -it FT-SeptW,q4lqy� P]66dplain,'�, Nkl& 00 f vvater/Sewer DESCRIPTION OF WORK TO BE P FORMED: Identification- Please Tve or Print Clearly I P r OWNER: Name:—?O t: ku Phone: ? Address: 417- L>14 w L Contractor Name: Phone: Email: j -4- Address: Supervisors Construction License: Exp. Date: Home Improvement License: Exo, Date: ARCHITECT/ENGINEER Phone: Address: Reg,No. FEESCHEDULE,BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125,00 PER S.F. Total Project Cost:$ 5_/CC_C� FEE:$ *116 Check No.: !I'i 1)Receipt No.: NOTE: Persons Contracting with unregistered contractors do not have access to the guaranty fund ——--------- Plans Submitted❑ Plans Waived❑ Certified Plot Plan Stamped Plans ❑ TYPE OF SEWFPA DISPQSAL PulSewer ❑ TanningiMassage/BodyArt• ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food PackaginglSales 11 Private(septic tank etc. Perm.entD unpster on Site Ej THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM PLANNING&DEVELOPMENT Reviewed On � Signature_ �$1G OMMENTS j CONSERVATION Reviewed on ��'� �n Signature� COMMENTS- �5 � 3 M��- �EALTH Reviewed on (rI Si natur COMMENT �d ua} Cf 3� Se �<c +—iv, plZl4iut('tr� �L..e� Zoning Board o;Appeals:Variance,Petition No: Zoning Decisiontreceipt submitted yes_ Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer Connection/Signature&Date Qrivewav Permit DPW Town Engineer:Signature: Located 384 Osgood Street Ili DEPARTMENT Tetpp Dumpsfier on rise yes no Located at 124 Main Street _' Fire Department signature/date Town of "°�r" 6 Andover Q to No. NO-20 *� C' 0 h ver, Mass,A d c�a 0q<o r,<.w,. *",vEa s u BOARD OF HEALTH Food/Kitchen I� J ILD Septic System THIS CERTIFIES THAT P-ERMIT +`!-_II fj N ev! ,, „ BUILDING INSPECTOR .............. . ......... .. .. has permission to erect.... buildings on. ..�.� ,,, ,,,,,,,,,,, Foundation . Rough to be occupied as.. .r!.t .... ��G..,.1rt++`.�h!.. .t ,... Q ........................... 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST TIO Rough Service Final B-611-DING�SPE OR GAS INSPECTOR Occupancy P'errnit Required to 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 Approved by the Building Inspector. Burner Street No. Smoke Det. Clubh—jShetl front Profile '.. 34'4'Ft Y9'F Stale 0 12X12 Shed with 4X12 Deck Window Pyremid Foofwith-'—p.W'Aylefeatore Deck Raof Foaling Clubhouse/Shed Layout I 1 I I 1 I j I 1 I 8 1 Ft _,___._._._.J._._._._._._.___.___-- ------ _ 14Ft j I I 15Ft I 1 SFt I I soFt 14Ft AFt 12Ft Scale F-771 4❑" 12X32 Shed with 4X12 Deck Door Window Pyramid roof with"coupolaW'style Deck Roof aviloo3 aznl AaINs„aio+)nay yzvn 3oai P!wc�M moptilM O Maw ZSXtr 4Um Pa95 ZSXZt LLILI U�tr t w ' a,sc as,z all)oW api5 Pa451azzw49�D Deck Load Calculator tuY House ir . ...4............................... B 1......._ ............ .......IB 132 B3 � .. .. ........................................................ C 3 C4 Al-Area:2'8"x TO",Load:611 PSF Type of deck:Freestanding Deck A2-Area:5'4"x 3'0",Load:1222PSF Soil Bearing Capacity:2500psf A3-Area:5'4"x 3'0",Load:1222PSF Number of Supporting Beams:3Number of Support Posts per Beam:4 A4-Area:2'8"x 3'0",Load:611 PSF Design Load:60lbs/sqft BI-Area:2'8"x 60",Load:1222PSF Footing Type.round 12" B2-Area:5'4"x 6'0",Load:2445PSF Footing Diameter:Distance Between each Support Post(center to center):64" B3-Area:5'4"x 6'0",Load:2445PSF Distance Between other Beams(center to center):72" B4-Area:2'8"x 60",Load:1222PSF Overhang From First and Last Support Post to Side of Deck:0" C1-Area:2'8"x 3'0",Load:611 PSF Overhang From Last Beam to Edge of Deck:0" C2-Area:64"x TO",Load:1222PSF C3-Area:64"x 3'0",Load:1222PSF C4-Area:2'8"x 3'0",Load:611 PSF *PSF:per square foot Sq.Ft Cost/SgFt Total Cost Shed footprint 144 $ 90 $ 12,960 Deck footprint 48 $ 50 $ 2,400 Total 192 $ 80 $ 15,360 Total Cost rounded up to near$1k $ 16,000 #of$k $ 16 Cost l$1k $ 12.00 Fee $ 192.00 Town of North Andover,MA August 5,2016 —77= 59 MAP FOR REFERENCE ONLY NOT A LEGAL DOCUMENT Town of North an Anov der,MA make---aims d rranties,expressed or implied,conceming the validity ora,.—y of the GIS data presented an this map. The Commonwealth ofH,,usachusetts (� Department oflxdlistrialAccidents _ 1 Congress street,suite 100 Boston,IVA 02114-2017 www.mass.govldia Workers,Compensation Insurance Affidavit:B.Rders/ContractorslEleefricians/Plumbers. TO BE FILED WITH TIS RERMITWO ATJTROWTX. A hcant7uformation y t Please Print Leeibly Name(BusinesslOzgeniaati.-Tudividual)- /rf�hA• e t^c� Address: Z U E City/State%Zip: `t r tbhone#: 8 Areyou an employer?Checktlxe appioprxate box: Type of project(required: l.Q Z am a empSayerwith employees(flu and/or part time),$ 7, �mv construction Z.�Z am a sale progietoror partnership andhave na employees workt. forme in 8. Remodoag ^^^^^eay capacity.[ilio wcrk er camp.insurance required.] g. ❑Demolition l amahomeownerdoing aLwrkmysel£[_\Towarkee comp..iusurance requiredlI Id❑BuLdiiig addition '.. 4.❑Famahameow�or and will behiring contractors fo conduct all work on my property.Iwill ll. Electrical repairs oradditions ensure that all cont-etcm either he-Ve wrorkars'compensation insurance ar are sole .0 p prdprietorsvathnaeinolq}ye . - 6;bPlumbingrepairsoradd itions - 5, lamagoavvlcont etorandI have hired the sub-contractors listed onthe ariached sheet. I3:QRo6frepaus These sub- ab cters°nace•employees andhavav^vrk—'comp.insurance.! IG..❑Other 6.0 We are acorpontian and its o£ngersh ve exereisediheirright e£exomption perPnGL c. 152,§1(4),and we have m_emplopees.lNoworI oce comp,insurancerequired"] ^Any pplicantthatehecksbdx#l must also fill outthe seetionbeIowshowingtheirwarkers'compensationpolicy infomratiaa i Homeowners!^ho shj aifi Adavit indiea'fing.`hey ora doing all workand then hire outsidecontractorsmustspbmitanewaafidavit indicating sneh tConhactors that checkihis ba�must attached m additional sheet showing the name ofthe sub"contraetors and sate whether ciao!those entities hava employees. fthpr,"c n ktbiiian{crs Save empIoyees,}liey mast pros'deth k vmrk-s'comp.policy number. d b site lain an employer tlz at is providing workers'compensation insurance for my employees.'Below is thepolley anjo information. Insurance Company Name: Policy#or Self-ins.Lia#. 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 imderlvlGL o.152,§25A is a criminal violation punishable by a She up to$1500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a She 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. X do hereby certify under the pains and penalties ofperjury that the inforrxation provided above istrueand correct. Suture Date: Phone#- Z- 9 — Official use only. Do notivrite in this area,to be completed by city or town official. City or Town: Perraimicense# Iss uing Autho rity(circle one): I.Board of ReaIth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: TOWN OF NORTH ANDOVER g `ffi.ate OFFICE OF BUILDING DEPARTMENT =m 1600 Osgood Street,Building 20,Suite 2035 North Andover,Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BIJIDING PERMIT APPLICATION Please print DATE: 5 I , JOB LOCATION: l—z e ` 10 7.,e Number Street Address Map/Lot HOMEOWNER 4f11- l>/,/ t'z, -it 1 Nate Home Phone Work Phone PRESENT MAIL EG ADDRESS "/ z a!-( tt)at¢4 4'57f."-- "44-- 0f9'5_ City Town State Zip Cade 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 visor. 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 homeorvner.(780 CMR Section IIO.R5.L2) The undersigned"homemvilar"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 APPROVAL OF BUILDING OFFICIAL Revised 8.2015 Farm Homeawn—Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANTING 688-9535 North Andover MIMAP August 5,2016 ' 255 Oi,D CART'A �c � 107.6-0355 T. - 10]26-0030 ' 107.6-0113 .3 i4'BOSTON T - �107.8-0085 42 OLO�GART WAY 10.7 6-OOB6�� �- 300LQtCAR�WAY �� \�� 10.7.6-008• - 54 OLD.C-AFiT WAY��`ti tEs Ho!¢ontzl DaL.m:IdASlatvpla:�e Cm-sCinate 5}stsm,Oalum NAD03. IN O+NOrtTk 9* 1 �9 _�Fzee ss aS F e_ F d f.- c+e9 Rory'. Ia9e INE O-O ORTH A OOYER MAKS ATI E M1111.,—EHNING f' t A.,CUORACY.C4h1PLETENESS.RELTBiLtTY,GR SUtTA9iL1TY iNESE DATA TRE TOWN OF NORTH ANOOYER DOES NOT K ��YASSN-ANYtIABIL!tt ASSOv'IAT£D WITH THE USE CR MISUSE CF e ..� HtswFO RMATION �,SSRtHLL§ES 1"=68 ft '° North Andover MIMAP August 5,2016 lo7.B-o1i1 296 BOSTON ST 245 OLD CART WAY 107.D=Q005 \ 207.6-0255 307.6-0112 \� 11jjj OS BOSTON S7 \ 307.6-0030 107.6-0117 \ 307.5-0113 240 OLD CART WAY 107.D-0136 \` \}255 OLD CART WAY 107.D-0024 \\1 314 BOSTON ST ( yf /322 BOSTON ST 107.6-0114 267 OLD CART WAY 336 BOSTON ST 'L ! \\ 107.D-0025 \\ j/ 42 OLD CART WAY \i ! �k2 107.E-0085100 OLD CART WAY) 1o7.D-01 ) \\\ 10 OLD CA �{ 107.B-0115 !� t 30 OLD CART WAY 107.B-0086 t - .54 OLD CART WAY T tj cartway - /107.B-0087 r ` 307.D-0116 OID�GART WAY 64 OLD CART WAY I -' 107 B 0027 35 OLD CART WAY t� 107.8-0088 i -� 107.D-0115 i€ . 53 OLD CART WAY .SIA, 107.D-0004 394 BOSTON ST JjJ --'h % ff t\ / \ 107.6-0029 {F 107.D-0027/ 108.0-0044 #r_' \\\ 65 OLD CART WAY f � l 107.6-002 990.¢sav ❑M¢ncipan0a.maary �q 5�gYta9e O,� :..8 - G t:oazantai Ga urepNne CoaaMate Syst¢m Datum NgGA3, w iDe=. - s:Tha Batefcr th:s map xas:ed:xetl cy Meerimack Yes � O NORTM Y em9 (MVf j 9 - y eTwvn c' Re3as ws en. o e oaTr+`�aovsN ms Hr«x Faatm c�a He a, o aa:a a s m: a. o ,( �'( • IIIAI E ss K e qs r.rvG E9ei4sn0i t i 9`e`.LL.Y` «'i SSI.A E Ati BIL kS50CiATEO WtiH THE U EOR 4 DISE 50 q ` THIS ClFGRMAPONttt S empt enas �,`TSgCNU54t� .. «ode�SDainH t`=7358 S�I,t�IS,I= o A.H. 20- �S-BvIz-rff =VA iO�t ,. 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