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HomeMy WebLinkAboutBuilding Permit # 8/31/2016 KORTpi BUILDING PERMIT 3 OL TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION F i i Permit N4: '`� �`` i Date Received M_ „ Date Issued: t'-- yS3^1CHUS&44� L�YIP�?RTA14T�A lieant must com fete all items an this a e LO ATIONc � r- �3 Ptrsc � PROPERTY O r�ERt� � t�'4 JC L,'.�,-r Print SAP NO: PARCEL; ONING DISTRICT; Historic District yes no' Machine Shop Village yes n i TYPE OF EII�PROVEMENT ' PROPOSED USE Residential Non-Residential j r New Building One family Addition I -Two or more family Industrial Alteration No.of units n Commercial We Repair;replacement ' D Assessory Bldg L Others: Demolition fl Other 3 n Septic o well 0 Floodplain ':_Wetlands E] Watershed District u Water/Sewer F�cce s 7,[A`f t)cck �t¢t1 r1J?L? � Dov �<r vC n 7 i /S't � teE F"r t tit �Le Identification Please Type or Print Clearly-) OWNER: Name J�. Y s e Phone ;—: Address: ` I r CONTRACTOR Name �� Phone: —7 =E Address. 00 Supervisor's Construction Licensee Exp, Date: 7 Home Improvement License: R Exp. Date: =F 9 :-.t ARCH ITECTIENGINEER Phone: Address: Reg.No. FEE SCHEDULE:BULD1NCi PERMIT-$FEIN?PEEjR,$1060.00 OF THE TOTAL ESTIMATED COST BASED ON$£25.60 PER S.F. Total Project Cost: % FEE: _ Check No.: I 2Receipt No.: ' N-f� MOTE: Personas contracting with unregistered contractors do not have access tg the guarana?fund Signature of AgentlOwner Signature of eontracto - H Town ofO"TTAn dover No. 0 —h ver, Mass, U " " BOARD OF HEALTH Food/Kitchen PER IT T ILD Septic System THIS CERTIFIES THAT.......— 4. . .. . !................ BUILDING INSPECTOR �Mil ........*......* Foundation has permission to erect..........................buildings on A;k ..... -IfnA4 .. ................ to be occupied as je. 2z)(1%, CA Rough ........*................. ....... Chimney P ' provided that the person accepting this per 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 —11 Construction of Buildings in the Town of North Andover. 144 XIII se"qj r66.4 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. deck Rough Final MO PERMIT EXPIRES IN 6 NTHS ELECTRICAL INSPECTOR- UNLESS CONSTOTZION Rough Service Final .. ..... DIN-0177t 0 I' -1W60!I4G I� W BUILDING ECT R 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 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 ❑ Tanning/Massage /Sody Art ❑ Swimming Pools G Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private{septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVE PLANNING&DEVELOPMENT ❑ ❑ ? L�6� �COMENTS F CONSERVATION El (\ COMMENTS 'J� "\ i DATE REJECTED DAT APPROVED HEALTH } X COMMENTS_AI dy"}k � ' t�c Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments {(� Conservation Decision: Comments t Water&Sewer Connection/Sianature&Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signatureldate COMMENTS Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq.ft.: ELECTRICAL:Movement of Meter location,mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G mim$;10041000 fine NOTES and DATA—(For department use) l IL I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Bu ldinb Pennit ReAsed 2014 0 1 a tt � q) , t l ! J w i r 1 14, t � Ir J 3 VAjr s' 6o yes 1 y- h�i 7JJ Gr : P J s � ( i f II s x _ � ` i x Custom esi n Carpentry 176 Fordway Ext. Derry, NH. 03038 Derek and Melissa Slayton 811812016 23 Gilman Lane N.Andover, Ma.01854 D---k and Sceen room Proiect Demo: Remove old deck from rear of house and dispose of. -nun di ; Install eight 10"Sona Tubes,four feet below grade. of triple 2x10 pt.with 6x6 pt.post.Deck framing to be constructed with 2x8 pt. 16 oc,and blocked where needed for screen room post.The deck is to be covered with Azek Vintage Collection dark Hickory with hidden fasteners,and only screwed on outside edges. Handrails will be Azek Trademark in white.Azek trim board will be used to enclose the underneath of the deck in a vertical pattern.The screen room will have 5x5 wood post wrapped with vinyl sleeves to hold roof framing from rear wail of house,wrapping around existing chimney. Roof framing will of 2x8 kd.The in the screen room will be%"drywall.Screen will be fixed to vinyl post with a track system.There will be two screen doors one will be swing and the other will slide open.We will also change the single patio door on rear of house with a double swing door with a three point locking system.We will also install one section of hand rail to cover second patio door that will no longer have access leading to the ground.All Cedar siding that has been disturbed,will be replaced with new. Total Cost$38,789.00 Plus Permit Fees t Raymond Lirette Custom Design Carpentry i�erek and elissa Slayton Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 172177 Type: DBA Expiration: 5131/2018 Tr# 419291 RAY LIRETTE CUSTOM DESIGN CARPENT RAYMOND LIRETTE 176 FORDWAY EXT. DERRY,NH 03038 Update Address and return card.Mark reason for change. Address I�]Renewal ❑Employment E]Lost Card SGA 1 .i 20M-05/11 Office of cmrsum Affairs&Business Regulation License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date.If found return to: li Registration: 172177 TYPa Office of Consumer Affairs and Business Regulation _ Expiration:-5/31/2018 DBA lO Park Plana-Suite 5170 _ Boston,14L10211b RAY LIRETTE CUSTOM DESIGN'CARPENTRY l RAYMOND LIRETTE 176 FORDWAY EXT. —_ � U' {-c•G �� 4 DERRY,NH 03036 Undersecretary Not valid without signature Massachusetts Department of Public Safety "Board of Building Regulations and Standards License:CS-092527 GOfIstrUctlon Supervisor RAYMOND C LIRET4- " 176 FORDW AY EXT DERRY NH 03036 t _ Expiration: M 0812012017 Commissioner The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 y Boston,ALL 02114-2017 wwiumoss.govtdia 'kers'Compensation Insurance Affidavit:Builders/Contractors/ElectricianslPimnbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information I I Please Print Le ibl Name(BusinesstOrganizationlindividual): L'S dsv9 e5/ { Address: City/State/Zip:�)(fr is 0-5'd39 Phone#: 4"e3 .Are you an employer?Check the appropriate has: Type of project(required): I.Q I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.[Z1 am a sole proprietor or partnership and have no employees working for me in $, ❑Remodeling any capacity.INo workers'comp.insurance required.] 9. F1 Demolition 3.©I am a homeowner doing all work myself.INo workers'comp-insurance required.]t : 10 Q Building addition 4.E]I am a homeowner and will be hiring contractors to conduct all work on my property.I will ensure that all contractors either have worker'compensation insurance or are sole I I.❑Electrical repairs or additions proprietor with no employees. 12.❑Plumbing repairs of additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet ]3.❑Roof re arts These sub-contractors have employees and have workers'comp.insurance.' 14.©OtherCPnlgc2 6.❑We area corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employces.[No workers'comp.insurance required] *Any applicant that checks box d l must also fill out the section below showing their workers'compensation policy information. }Homeowners who submit this affidavit indicating they are doing all work and then hire outside commeton most submit anew affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-commetors and state whether or not those entities have employees.If the sub-contractor have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for trey employees. Below is the policy and job site information. Insurance Company Name: — Policy If or Self-ins.Lie.#: 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 under MGL 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 WORK 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 Investigations of the DIA for insurance coverage verification. I do herebycertrf`ruder the alms bn $malt' pp�geCjury that the information provided ab is to and correct. Si nature: Phony#: 7� Ofjlchd use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector b.Other Contact Person: Phone#: FILE NO,_1._8417.1_.. N/F STIGEIN d'00 - wo rn LOT 25—A 44,931± S.F. GOT 26-A N/F DESUN CORP. 60,80' SO/DH GILMAN LANE 111.32' \A OF JOHN S. LAURETANILQT 24-A # 34311 Ofi-SSIX 1q IQ- SUR14 MORTGAGE LENDER USE ONLY plotplans.com Rubin,Weisman,Colasanti, Kajko&Stein,LLP LDESLOWRIERS &-ASS0 1AI I s jive- i II 101 CONSTITMON BLVD,SUITE D FBANIMN,aA O2Oa` One Elm Square,Suite 2F Tel:(978)475-1919 - - - (800)287-8800 PAX.:(508)528-4011 Andover,MAO 1810 www-massfirm.eom MORTGAGE INSPECTION PLAN 'MERE ARE NO DEEDED EASEMENTS IN .- THE ABOVE REFERENCED DEED OR ADDRESS:23 GILMAN LANE. NORTH ANDOVER,_MA ENCROACHMENTS`NTH RESPECT TO rT EXCEPT AS STATED ON THE DEED OF ENDER:MORTGAGE TINANCIAI- RECORD SHOWN. ATTORNEY:RURIN. WEISMAN, COLASANTI_KANO &STEIN. LLP A310 L� OWNERRICHARD$ UNDY MCMAHON THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER WAS IN APPLICANT:DEREK MELISSA SLAYTON _ COMPLIANCE WITH THE LOCAL ZONING DATE:6 7 _010_SCALE:1'=8O'__COUNTYUM M NORTH BY-LAWS IN EFFECT WHEN CONSTRUCTED(WITH RESPECT TO UNREGISTERED LAND STRUCTURAL SETBACK REQUIREMENTS ONLY),OR IS EXEMPT FROM VIOLATION FLOOD HAZARD INFO. DEED BOOK:1712 PAGE:`232 __ - ENFORCEMENT ACTION UNDER MASS.G.L. ZONE: XDATED:X11993_ PLAN BOK: _ PAGE: LOT(S):2_.5/1_ COMMUNITY PANEL:250098 00080 PLAN NUMBER:8899 OF THE LOCATION OF THE DWELLING SHOWN REGISTERED LAND CERTIFICATE OF TITLE: DOES NOT FALL'WITHIN A SPECIAL ---.--.---__.__.__...._...._......_.. FLOOD HAZARD ZONE,EXCEPT AS MAY REGISTRATION BOOK:.............._..................._.._._.____. PAGE:...._...._............................_..�.__ ASSESSORS MAP:................. ._...._. BE INDICATED. PLAN NUMBER:_ ____LOT(S):_ ............._._..__ SLOCK:--" LOT GENERAL NOTES:(1)THE DECLARATIONS MADE ABOVE ARE ON THE BASIS OF MY KNOWLEDGE,INFORMATION,AND BELIEF AS THE RESULT OF A MORTGAGE INSPECTION TAPE SURVEY,NOT THE RESULT OF AN INSTRUMENT SURVEY MADE TO THE NORMAL STANDARD OF CARE OF REGISTERED LAND SURVEYORS PRACTICING IN MASSACHUSETTS.(2) DECLARATIONS ARE MADE TO THE ABOVE NAMED CLIENT ONLY AS OF THIS DATE.(3)THIS PLAN WAS NOT MADE FOR RECORDING PURPOSES,FOR USE IN PREPARING DEED DESCRIPTIONS OR FOR CONSTRUCTION.(4)VERIFICATIONS OF PROPERTY LINE DIMENSIONS,BUILDING OFFSETS,FENCES,OR LOT CONFIGURATION MAY BE ACCOMPLISHED BY AN ACCURATE INSTRUMENT SURVEY.(5)NO RESPONSIBILITY IS ASSUMED HEREIN TO THE LAND OWNER OR OCCUPANT. CWN'9nt(C)2008,Des L-1-&Assoc.,Inc