HomeMy WebLinkAboutBuilding Permit # 9/16/2016 tAORTH
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TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATr
Permit NO: A612 Date Received 1(0 OZ 1,
0 Arco IPO
Date Issued: 6)/Le CH
.............
IMPORTANT: Applicant must conn pfete all items on this page
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PROPERTYOVVNER,'
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IAP NO ARC I. ZONING,DISTRICTs onll'sfii 't ' yes �
Mq hih h6'' Village/,'
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
I New Building 'J One family
1,i Addition I'] Two or more family Industrial
Commercial
mercial
F-1 Alteration No. of units:
I I Repair, replacement I Assessory Bldg
X Others: S'bor-�xel -
I I Demolition I Other
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Identification Please Type or Print Clearly)
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OWNER: Name: Y
Phone. 71'
Address:
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4TRACTOR
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'Y
Address
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uperv�iso'r's,,C6ri' frUdti66'Li
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Horrie' JmDrovement Li en ew
7
ARCH ITECT/ENGINEER Phone: 1 2
Address: Reg. No.
FEE SCHEDULE:SULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED O/V$125.00 PER S.F.
Total Project Cost: $ FEE: $
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Check No.: 4(7�, Receipt No.: 3&0(o
N or I'E: Persons contracting with unregistered contractors do not have access to the guarantyfiind
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Signature ofAge'wowne" r Signature iontr6ctor
_A2
T&CIRT�
Towe. of a ,F 6 ndover
No.
o LIME h ver, Mass,
coc"Ic Izw1cK
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�,� °RATED
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BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT 1... .f�.S.f�I.:�. .E,+l�..........W.U.0. .............. BUILDING INSPECTOR
has permission to erect.......................... buildings on .........� F�r'5. .,St.T..., X
Foundation
! .+ i - !c Rough
.
to be occupied as ................. .... ........ aT�R li.�iy .......................................................................
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
,q Final
PERMIT EXPIRES I 6 MONTHS ELECTRICAL INSPECTOR
LESS CONSTRUCTION STARTS Rough
L,...... .._....... .
... ............... Service
Final
_ BUILDING INSPECTOR
GAS_ INSPECTOR
OCLuEancv.Permit Required to Occupy Buildin Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Ory Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer �f Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well Ff Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc, 9 Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED. DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMENTS
CONSERVATION" ❑ ❑
1
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Con nection/s icjnature& Date Driveway Permit
Located at 384 Osgood Street
FtRI= DEPARTMENT Temp Dempster on sit yes no
.Located.at 124 Maim Street � p
Fire Departm�ntsNgn�turef��te y .� e
/ /' -
GOMiVENTS
X I /
a.. .." .; .,.... is.,. ,.. . .
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asr►� TOWN OF NORTH ANDOVER
OFFICE OF
' a
BUILDING DEPARTMENT
ro ,� 1600 Osgood Street Building 20, Suite 2-36
North Andover,Massachusetts 01845
�SSriCH�S�'�
Gerald A. Brown Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
Please print
DATE: AV/,
JOB LOCATION: Iq�_s ro r e"I 6
Number Street Address Map/Lot
HOMEOWNER � �, -0�(�p r Oe 14 734-71_5- 30
Name Home Phone Work Phone
PRESENT MAILING ADDRESS 40 o f c dem'✓e
cKfe)"j. MA-
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 req 'r ments and that he/she will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Revised 10.2005
Form Homeowners Exemption
BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
The Commonwealth of Massachusetts
Department of ZndustrialAccidents
I Congress Street,Suite,100
Boston,MA 02114-2017
�•` wwmmass.gov/dia
Workers' Compensation insurance Affidavit:Builders/Contractor•s/Elech'icians/Pintnbers.
7'O BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legib
Name (Business/Organization/Individual): Y (S e- r e j(c-
Addess: � � �s � Ivorh. rL bV .�~
City/State/Zip: Phone#:-754–77:5–3 L{91--
Are
tAre you an employer?Cheat the appropriate box: Type of project(required):
10 1 am a employer with employees(full and/or part-time).* 7. ❑New construction
2,❑I am a sola proprietor or partnership and have no employees working for me in 8. ❑Remodeling
any capacity.[No workers'comp.insurance required.]
9, r-1 Demolition
3.E�1 am a homeowner doing all work myself[No workers'comp,insurance required.]t
10 0 Building addition
4. 1 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
5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs
Those sub-contractors have employees and have workers'camp.insurance.t
14.WfOtherSiL�
6.E]We are a corporation and its officers have exercised their right of axempt'son par MGL c.
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#I must also fill out tho section below showing their workers'compensation policy information.
t homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a now affidavit indicating Stich.
tContractors 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-contractors have employees,they must provide their workers'comp.policy number.
I alts an employer that is providing worlrers'compensation btsurance for/try employees Below is the policy mrd job site
information. VIA
Insurance Company Name:
Policy#or Self-ins.Lie.#: Expiration Date:
Job Site Address: CitylStatc/Zip:
Attach a copy of the workers' compensation policy declaration page(shoving the policy number and expiration date).
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 in the form of a STOP WORK ORDER and a fine of up to$250,40 a
day against the violator.A copy o this statement may be forwarded to the Office of Investigations of the DIA for-insurance
coverage verification,
d0 hereby certify under the perif�lS nl a alties of perjury f&at the Ir�faj'rtiatiola provirlperl aGave i/s true and correct.
Si nature: Date'
Phone# 7 Z
Official use only. Do riot iprite in this area,to be completed by city or'town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector
G.Other
Contact Person: Phone#:
Satellite view Google maps view
Source:North Andover GIS
http://www.northandoverma.gov/Pages/NAndoverMA DPW/engineering/gis 018-0004 ..
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Proposed
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10'x12' shed site 116 ft
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99 ft
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Cutting List
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DESCRIPTION QTY./SIZE MATERIAL DESCRIPTION QTY./SIZE MATERIAL
Foundation/Floor Frieze,front ripped 1 @ 12' 1 x 6 cedar
Drainage material 1.25 cu.yd. Compactible gravel Wall corner trim 4 @14' 1 x 4(odor
Skids 7 @ 8 4 x 4 pressure treated Roofing
Rim joists 2 @ 12' 2 x 4 pressure treated Sheathing 4 sheets @ 4 x 8' %2' exterior grade °a
plywood roof sheathing
Floor sheathing 3 sheets @ 4 x 8' 3/a"exterior ---- - ------ .. __ N
grade plywood Drip edge 50 linear ft. Metal drip edge
Wall Framing 1 S#building paper 1 roll
Bottom plate,front&rear 2 @ 12' 2 x 4 Shingles 1'/3 squares Asphalt shingles
Bottom plate,sides 2 @ 8' 2 x 4 Door40.
Top plates,front&rear 2 @ 12 2 x 4 Door stop 3 @ 8' 1 x 2 cedar y
Top plates,sides 2 @ 8' 2 x 4 Door trim&casing 10 @ 8' 1 x 4 ceder r
i Studs,wall(cut in 10 @ 12' 2 x 4 Fasteners &Hardware
two pieces)
`- 16d galvanized 1 Ib.
Studs,front 10 @ 7 2 x 4 common nails
;l
Studs,gable 2 @ 12 2 x 4 16d tooted common nails 4 lbs. F,
Door header 1 @ 14' 2 x 6 8d coated plywood mails 3 lbs.
Roof Framing 8d galvanized 5 lbs. r
siding nails r
Rafters 7 @ 10' 2 x 4
1'/4"galvanized roofing nails 3 lbs.
Ark
Ridge board 1 012, 2 x 6 - — — �
8d galvanized 2 lbs,
s
a Rafter tie 1@ 12' 2 x 4 casing nails r
Exterior FinishesHinges 6 6"TstrapJ.
s
Siding 11 sheets @ 4 x 8' '/a"plywood siding 3d galvanized door nails 1 Ib.
a Faye fascia 2 @ 14' 1 x 6 cedar Exterior caulk l tube
>, f
Gable fascia 2 @ 10' 1 x 4 cedar Glue 1 tube [Xieftr wood glue
--— — ------ —�. ---- f
Faye soffit 2 @ 12' 1 x 4 cedar Roofvent 1
3
Frieze,rear 1 @ 12` 1 x 4 cedar
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Rafter fie Shingles
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well studs
2 x 4 front
wall studsr M
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Floor sheathing x �'
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4 x 4 skids $,horn plate
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2 x 6 ridgeboard 2 x 6 ridgeboard
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2 x 4 ties 2 x 4 ties
24" 12" b' 12" 22'/< 22Y4" 24" 24" 24" 24" 24"
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' Tap plate
q" 2q" Y4 2q 223/ fascia Built-up door header
24` 2
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frieze
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Door stop
I Wall studs
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11' 1035"
Door trim
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Shed Projects 113
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Rake Detail Door Detail
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Rake boards\
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Roof sheolhing
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Y plywoo771d
Siding
ly
1 x 4 door trim
y
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Gable studs(at is Iwo pieced
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Corner Detail
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Cosner trim Siding 6 y3
Wall studs
Blarkiag Door Jamb Detail
gr,,`
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Top,bottom plates
Top,bottom plates
Door casing Wall stud
Shap hinge
a fork stud
Door stop a
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Door War
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Plywood Ag
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114 TI IL CON-111LC E C:UIDE'CO Si lEl)S A