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Home My WebLink AboutBuilding Permit # 8/24/2016 OORTy BUILDING PERMIT TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION 1 Date Receivei�— Ac 10, Permit No#• .{ 1 I.� Date Issued: ° I 1PORT 11tiT Applicant must complete all items on this pagz LOCATION _ PROPERTY OWNERr } Print 100 Year Structure yes no fr MAP�s PARCEL:`�_ZONING DISTRICT: Historic District yes no I Machine Shop Village yes no I TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential D New Building One family Addition k o Two or more family Industrial o Alteration i No.of units: =Commercial -i Repair;replacement D Assessory Bldg ❑ Others: Demolition 0 Other INS � DESCRIPTION OF 1NORK TO BE PERFOl2ItIED I W- 4 Identification-Please Type or Print Clearly OWNER. Name. t :t: ;s Phone 0 4 4 Address ` t # 1 } ` Contractor Name: ` Phone; Email: I Address: 1 €:i ` �i0' ' 3 I Supervisor's Construction License: Exp. Date: Home Improvement License: Exp: Date: ARCHITECTlENGINEER Phone: Address: Reg.,No. FEE SCHEDULE:BULDING PERMIT'.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST SASEU ON$125.00 PER S.F. f Total Project Cost.$ �5 `' FEE:$ Check No.: Receipt No.:: L 1 1V{3TF}; I'ersgtls cot rackt11g evilh unregistered contractors do not have access to the guaraxt•}fund Plans Submitted❑ Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑TSwiraming Pools Well ^ Tobacco Sales ❑ Food Packagingr`Sates Private{septic tank,etc. ❑ PermaneruDumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF e U FORM PLANNING&DEVELOPMENT Reviewed On YIPS b Signature_ OMMENTS [C•.Ao r a � f CONSERVATION Reviewedon g 10 /!6 &nature l COMMENTS HEALTH Reviewed ori- Signature COMMENTS--4 N) A I --I- Zoning 2Zoning Board of Appeals:variance,Petition No: Zoning Decisiontreceipt submitted yes Planning Board Decision: Comments Conservation Decision: Commenfs Water&Sewer Connection/Signature&Date Drivevday Permit DPW Town Engineer:Signature: Located 384 Osgood Street FIRE pEPAR{TMENT,-Ternp.Dympst r on site .yes ,-no. Located at 12q Main Street - - -,. Fire Qepartment signature/date COMMENTS "° T" Town of Andover � � a. 6 o on No. 111-2-1611 h ver?Mass IL p9 µ4� R1TED PpP�1� U BOARD OF HEALTH Food/Kitchen PERMIT T ILD I�+ 1 Septic System THIS CERTIFIES THAT eal #!11. BUILDING INSPECTOR ,T�' �e ............. ...................../.w,...,....... has permission to erect........,. ...buildings on......,., d .S" t.X ....... Foundation JAG) f�rY �w Rough to be occupied as.......JAG)...,A f—gg&....9�,..re&A....... ......................... chimney provided that the person accepting this permit shall in every respect conf 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 CONS C N Rough ervice Final BUILDING ECTO GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises—Do Not Remove Final No Lathing or Dry Wall To Be Dane FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Construct 12' X 16' Deck 51 Moody St. North Andover, MA Amanda and Jess Deveny-MacNamar Deck Height 28,5" off ground/build off family room area in backyard between main house and garage * 2x1OPT Frame/Joists 16"oc with joist hangers both ends/single rim board * Weather proof membrane to sheathing/install 15.6' deck frame ledger board with 3 5/8 Ledger-Lock (DeckLock) fasteners and copper flashing * Footings located 12 ' off house at both corners of 15.6' rim board/1 footing located center of 15.6' rim board. Footings 4' below grade/12" sono tubes * 4A PT posts and anchors support frame at each footing location * Decking — 1x6 PVC (screwed)/ Rail system — PVC/PT Posts w/PVC Sleeve * Stairs — 1 set centered on 16' rim/5 ' wide/PT stringers (5) 15"oc/1x6 PVC Decking Tread/1x PVC board Rise/Stringers — 3 steps 4 rise * Below deck- Framed Lattice PVC PLOT PLAN NORTHERN ASSOCIATES, INC. 68 PARK ST. 2ND FLOOR ANDOVER, MA 01810 TEL:(978) 837-3335 FAX:(978) 837-3336 MASSACHUSETTS OWNER: JESSALYN DEVENY DEED REF'. 13261/287 LOCATION: 51 MOODY ST PLAN REF: #1373 CITY,STATE. NORTH ANDOVER, MA SCALE: 1"=30' DATE: 7/13/16 JOB #: 131.00 i I 1 I LOTS 43-45 liv PROPOSED DECK (12' X 15.5') I I ti EXIS INGf _30 f •---I'll ._34.5't-- +{I �I I I 100.00' MOODY STREET <,i°Fa°^�, 364N U SE 671 m s j i i � I II i i. r CEO low�G =f The Commonwealth ofHassachusetts Department of7ndustrialAceidents I Congress Street,Suite 100 Boston,AfA 02114-2017 s wwiumass.govldia 1Vorkers'Compensation Insurance Affidavit:Builders/Contiactors/El etyicians/Plumbers. TO BE FILED WITH TIIE PERYATTNG AUTHORITY. A licautInformation Please Print Lotibli 1V`a1I18(Business/Organizaticn/lridividual):�)QSS�-\+..�—t�3_ys..r-t�q Address: ( 04 Y P l CitylStatelZip: kjOY v 1 1'Id,'`Q 6',�M Phone Areyoa an employer?Check the apbriupdato box: Type of project(required): I.0 T am a employerwith employees(fidl and/or part-time)." 7. 0 New construction 2.0 T am a solo proprietor orpari-rer hip and have no employees wo'ncing£r me in $. Ej Remodeling any capacity[No worlcess'comp,numanee required.] 9. El/Demolition 3.dI arna homeowner doingall work myself.pe workers°oomp.joucancereguindjt 10 dBnilding addition CpPG�) 4.01amahomeovtrrerandwillbehirirrgcontractomtoconductallworkonmyproperty.Iwill Ll ensure that all contractors either have workers'compensation insurance or aro sole 11.0 Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions - S.❑Tama.general conlretoracdT have hoed th@sub-emrhactors listedon rhe a.Yached sheaf' 13.0Roofrepaii's These sub-contractors have employees and have workers'comp,imurancol 14.0Other b.0 We arff s acorporathm and is ou ss have exercised their right of'exemption per MGL c. 152,§1(4).and}}e have nnemFlayeps.[leo workers'comp.insurance requaed.] _:. - �Any applicantthat chocks liox#I most also fill out the section below,showing theirwcrkers'compensation policy information. I Homeowners who subraff{lds of/davitindlcating they are doing all workand then hire outside contractors must submit anew affdavitindicating such TCmd—tors that checkthi@ box mustatfached an additional sheet showing the name of the sub-contractors end statcwheth-1,ptat those entities have employees.Ifthr-:,ub-corilrae(or.{�ave e-nployees,theymust provide their workers'camp.policyuand, . I gin an employer that is f ovidriagWorkers'compensation insurancefor my enzployees..below is thepolicy andyab site information. Insurance Company Name: Policy#or Self-ins.Lio.#: Expiration Date; Job Site Address: City/StatelZip: Attach a copy of the worker's'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under IMOL 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 WORTS.ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of favestigatimns of f as DIA for insurance coverage verification. X do hereby car'y undo hepai andpenaltles ofpeijury that the information provided above is true and correct S' na re. Date: Phone#: Offzeial use only.Do not write in this area,to be completed by city or toum official.. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.Cityfl'own Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: oa, TOWN OF NORTH ANDOVER Of t.ao,a�ry0 OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20,Suite 2-36 North Andover,Massachusetts 01845 9SSAC u�gS Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)088-9542 HOMEOWNER LICENSE EXEMPTION Please pmt i t DATE: JOB LOCATION: 51 W-ClI St Y,eef I NI J Number Street Address Map/Lot HOMEOWNER JeSSQJ VV IW_-V kA q 7l&—q-46-_x$Ll�- Name Home hone Work Phone PRESENT MAILING ADDRESS 51 900{,,q I � A_, rawx� (kW G 1 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 he/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 re uirements and rat her'she will comply with said procedures and requirements. HOMEOWNERS SIGNA — APPROVAL OF BUILDING OFFICIAL - - Revised 102005 , Forth Homeowners Exemption BOARD OF APPEALS 688-9531 CONSERVATION 688-95301 HEALTH 688-9540 PLANNING 688-9535