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HomeMy WebLinkAboutBuilding Permit # 12/12/2016 BUILDING PERMITa gt�T,:a TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION * a Permit NO: L>� ! Date Received I 1 Date Issued:_Ja IMPORTANT:Applicant must complete all items on this page !!! _ - 1,f'F' _ F! ! / J'GC .✓/ '„- (/- G v G / ✓ y ' J / TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building XOne family 11 Addition 0 Two or more family 1-1 Industrial CKAlteration No. of units: D Commercial FJ Repair, replacement F.Assessory Bldg 7 Others: El Demolition G Other 1 __._...._ previously d but demolished due to moisture issues. Work to include Basement area was reviousl finished . re-framing of non-load baring interior basement partition walls with metal studs, exterior facing walls insulation to R-15, sheet rock finish of walls and ceiling, finished trim, and painting. Install carbon monixidelsmoke detector in finished area. Verify adequate makeup air for furnace operation. Identification Please Type or Print Clearly) OWNER: Name: Matthew!Norton Phone: 978 844 0565 Address: 730 Winter Street, North Andover, MA 01845 f ARCHITECTIENGINEER NA Phone. Address: Reg. No. FEE SCHEDULE:BULDING PERMIT,$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED®PI$125.00 PER S.F. Total Project Cost: $ 5,500 FEE: $ 66.00 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Clttt`aL3r �®RTH own . of a _ LAndover ® : . .,.: t h ver, Mass, a0l___ L OCMt[Ml W'CA 41. °RATED P .s5 U BOARD OF HEALTH Food/Kitchen PERMIT L D Septic System Ift— N THIS CERTIFIES THAT ... . .. . .. ".� .. BUILDING INSPECTOR has permission to erect .......................... buildings on ......7 .0....... ............ Foundation Rough to be occupied as .....�:. .. . .. .............. .. ... .................. ....... 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 CONSTRUCT1.001A S Rough Service ....... Final . .. ... ..... .... .................... BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy .wilding 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. TOWN OF NORTH ANDOVER OFFICE OF A BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER.LICENSE EXEMPTION Please print DATE: 12-08-2016 JOB LOCATION: 730 Winter Street 1046 89 Number Street Address Map/Lot IIOMEOWNER Matthew Norton (978) 844-0565 (978) 278-3399 Name I-lome Phone Work Phone PRESENT MAILING ADDRESS 730 Winter Street North Andover MA 01845 City'rown State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less j 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 requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE __ ,tee_ . �4;� APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption BOARD OF At'1`[%F1LS 688-9541 CONSERV'A1ION ON-9530 FWAL I'll 698-9540 PLANNING 688,9535 - 31 x I "0 Aw u)fcA 730 32-X %` dfi 6 Lo (P �(d ............... ... ............. .... 730An t U.S.DEPARTMENT or HOMELAN0 SFCURITY ELEVATION CERTIFICATE rMB Na. 1660.0008 FEDERAL.FMFRGI=NCY MANAGEMENY AGENCY Nalionall�7nod Ins"o-opree Pi-ogn•aur Ilnpartant; Rel�d the instructions at1 pages 1--9• pirabon Oate:.lrlly 31,2015 SE=CTION A-PIR FRTY INFORMATION FOR INSURANCE COMPANY USF Al, Building Owner's Name AMY E,BRENNAN REVOCABLE TRUST 2010 Policy Number; A2. Building Street Address(including Apt, Unit, Suite,and/or Bldg,No.)or P.O.Route and BoxNo, Com any NAIC Number: 730 WINTER S-rREET City NORTI I ANDOVFR State MA ZIP Code 01845 4.3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,e c. LOT 1 ON PLAN NO.(588 OF 197-1 - A4, Building Use(c.g.,Residential,Non-Residential,Addition,Accessory,etc..)f� I- A5, I_atitudelLongitude: I.at,h_2°4.1'0,1;597" Long_"(1,'03'2 ,3741" Horizontal Datum: ❑ NAD 1927 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7, Building Diagram Number 7 AB. For a building with a cfawlspace or enclosure(s): 4.9. For a building with an attached garage: a) Square footage of csawlspace or enciosure(s) 0 sq ft a) Square footage of attached ga(ago 4 sq tl b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in th(;attached garage or enclnSure(S)within 1.0 foot above adjacent grade 0 within 1,Q font above adjacent grade (l c) Total net area of flood openings in AB.b l sq+n r,) 'T`otal net area of flood openings in A9.b 0 sq in rS) Engineered flood openings? ]7 Yes 0 No d) Engineered flood openings? �_� Yes No SECTION R-FLOOD INSURANCE RATIN MAP(FIRM) INFORMATION f31 NFIP Community Name&Community Number 132 County N 4me E33,State 'f FI ANDOVER 2500.913 NORl1•ERN ESSEX NORMASSACtiUSi TTS v - - - --. - f34.MaplPanel Number 85.SuNrx f3G FILM Index D:�tE; E37.4 lRM Panel B8 Flood 89 Base E=food i:.lcv7tron(s)(/one 0241 f- .4ULY 3,2012 l ffr;ctiveltievisod Date 7ona(s} AO,use base flood depth) .JULY 3,2812 A NONIW 1310. Indicate the source of the Base Flood E:iovation(1319 )data or base flood depth entered in Item 139. I'IS Profile (X[ MRM LI Community Determined ❑ Otheri5ource:. 8 1.111, Indicate elevation datum usod for E3f=f in Item 139: ] ] NGVD 192.9 Vl NAVI) 1988 IJ Oth¢:rl5ource:-_,—_ 1312, is the building located in a Coastal Barrier Resources System(CBRS)area or Othrxwise F3rotected Area(OPA)? [] Yes ] I No rt Designation Date!__ [_] Ct3R5 [.._] OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. t3uilding elevations are based on; I -) Construction Drawings` I I Building Under Construction" Finished Construction A new I levaiion Certificate will be required when construction of the b0iding is complett:. C2, Llevations--lodes Al.-A30,AF,A11,A(with W-1-:1 VTC,Vi--V30,V(with 13FE),Alt,AMA,ARIAI_,AR/Al-A30,ARIAtd,AR1AC,Complete Items C2;a 11 below according to the building diagram specified in Item AT In puerto Rico only,enter meters. I; t.onchmark Utilized:GI'S Vertical I)atum: NAVI)..1.988 Indicate elevation datum used for the elevations in items a)through h)below, 0 NGVD 1929 til NAVD 1988 fol OtheflSourc0: Datum used for building elevations must be the same as that used for the BFC:, Check the measurement used, i a) f np of bottom floor(including basrrment,crawispaco,or enclosure floor) 137.46 feet []meters i' b}Top of the next higher floor 144.44 L'�feet C�I meters c) f3oitom of the lowest horizontal structural member(V Zones only) NA. -, F1 feel I. meters d)Attached garage(top of slab) 143,87 feet C_I meters foot meters e) l Qwest elevation of machinery or equipment sE;rvicin I the building 13'7,81 [] (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 141.03 N feel ]_.]meters g) Highest adjacent(finished)grade next to building(FIAG} 1h3.83 �feel [,� meters h) Lowest adjacent grade at lowest olovation of deck or stairs,including structural support 1__h?,91_ feet IA meters SECTION D--SURVEYOR, ENGINE=E=R, OR ARCHITECT CERTIFICATION "f his certification is to be s'rgnod and sealed by a land surveyor,engineer,or architect authorized by law to certify eievation information.I certify that the, information on this Certifiratc roprosents my best effonts to interpret the data avaifable, ]? \W lxm I urtdcrstand that any false statcrncnt may bo punishablo by find or imprisonment under 18 U.S, Code, Section 1001, (71 Check here if comments are provided on rack of form. Were latitude and longitude in Section A provided by a I(' E I Check here if attachments licensed land surveyor? ® Yes C] No sr ' RD -. - --- y - r` --t CW er's NameGEORGE:f�DWARD SMITH III License Number 38718 c] i It3 r i _.____..-_._.._: _ f�RU1 FSBIUPlAL Title PLS Company Name NEW ENGLAND LAND SURVkY,INC, P _ l,ST _ Address 25 SUTTON AVENUE SUITE 4 City OXFORD State MA 7_If�Code 01540 � �j11 Signatur ,. Date 712512014 Telephone 508-987­0025 Replace:;all previous editions. FEMA Form 086-0-33 (7112) See reverse side for eonfinuation, ELEVATION CERTIFICATE, page~ 3 Building Photographs See Instructions for Item X16. IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg,No.)or P.O,Route and Box No. I'olicy.N mbar: 730 WINTER STREET City NORTH ANDOVER State MA IIP Code 01845 Corrtpat y NAIL Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View," When applicable, photographs must show the foundation with represontative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. gg f K f"MR r; A Rz ti FRONT VIEW 2/22/2014 FRONT VIEW 2/22/2014 y 1^777 �3 0. is �''�k6 ^ RIGHT SIDE VIEW 212212014 REAR VIEW 2122/2Q14.,_.. _ r , 04 RO I r r, s 53 � ,x REAR VIEW 21 M014 LEFT ME VIEW V22M14 FEMA Form 086.0-33(7112) Replaces all previous editions. Page 1 of 2 Date; April 24,2014 Case No.: 14.01.1694A LOMA Federal Emergency Management Agency Washington,D.C. 20472 lq NoD 5t -. LETTER OF MAP AMENDMENT DETERMINATION DOCUMENT REMOVAL COMMUNITY AND MAP PANEL.INFORMATION LEGAL PROPERTY DESCRIPTION TOWN OF NORTH ANDOVER, Lot 1, as described in the Quitclaim Deed, recorded as Document ESSEX COUNTY, No. 26482, in Book 12682, Pages 145, 146 and 147, in the Office of MASSACHUSETTS the Registry of Deeds, Essex County, Massachusetts COMMUNITY COMMUNITY NO.:250098 NUMBER:25009CO241 F AFFECTED MAP PANEL -- DATE:71312012 FLOODING SOURCE: FISH BROOK APPROXIMATE LATITUDE&LONGITUDE OF PROPERTY:42.684, -71.057 SOURCE OF LAT&LONG:ARCGIS 10.1 DATUM:NAD 83 DETERMINATION OUTCOME 1%ANNUAL LOWEST LOWEST WHAT IS CHANCE ADJACENT LOT LOT BLOCKI SUBDIVISION STREET REMOVED FROM FLOOD FLOOD GRADE ELEVATION 9 SECTION THE SFHA ZONE ELEVATION ELEVATION (NAVD 88) NAVD 88) (NAVD 88 730 Winter Street Structure X -- 141.0 feet -- (unshaded) u Special Flood Hazard Area (SFHA) - The SFHA is an area that world be inundated by the flood having a 1-percent chance of being equaled or exceeded in anv given vear(base flood). ADDITIONAL CONSIDERATIONS(Please refer to the appropriate section on Attachment 1 for the additional considerations listed below.) PORTIONS REMAIN IN THE SFHA ZONE A STUDY UNDERWAY This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Amendment for the property described above. Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we have determined that the structure(s) on the property(les) islare not located in the SFHA, an area inundated by the flood having a 1-percent chance of being equaled or exceeded in any given year (base flood). This document amends the effective NFIP map to remove the subject property from the SFHA located on the effective NFIP map; therefore, the Federal mandatory flood insurance requirement does not apply. However, the lender has the option to continue the flood insurance requirement to protect its financial risk on the loan. A Preferred Risk Policy (PRP) is available for buildings located outside the SFHA. Information about the PRP and how one can apply is enclosed. This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this determination. If you have any questions about this document, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse, 847 South Pickett Street, Alexandria,VA 22304-4605. Luis Rodriguez,P.E.,Chief Engineering Management Branch Federal Insurance and Mitigation Administration Page 2 of 2 Date: April 24,2014 Case No.: 14.01.1694A LOMA Federal Emergency Management Agency ND 5f- Washington,D.C. 20472 LETTER OF MAP AMENDMENT DETERMINATION DOCUMENT (REMOVAL) ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS) PORTIONS OF THE PROPERTY REMAIN IN THE SFHA(This Additional Consideration applies to the preceding 1 Property.) Portions of this property, but not the subject of the Determination/Comment document, may remain in the Special Flood Hazard Area. Therefore, any future construction or substantial improvement on the property remains subject to Federal, State/Commonwealth, and local regulations for floodplain management. ZONE A(This Additional Consideration applies to the preceding 1 Property.) The National Flood Insurance Program map affecting this property depicts a Special Flood Hazard Area that was determined using the best flood hazard data available to FEMA, but without performing a detailed engineering analysis. The flood elevation used to make this determination is based on approximate methods and has not been formalized through the standard process for establishing base flood elevations published in the Flood Insurance Study. This flood elevation is subject to change. STUDY UNDERWAY(This Additional Consideration applies to all properties in the LOMA DETERMINATION DOCUMENT(REMOVAL)) This determination is based on the flood data presently available. However, the Federal Emergency Management Agency is currently revising the National Flood Insurance Program (NFIP) map for the community. New flood data could be generated that may affect this property. When the new NFIP map is issued it will supersede this determination. The Federal requirement for the purchase of flood insurance will then be based on the newly revised NFIP map. This attachment provides additional information regarding this request. If you have any questions about this attachment, please contact the FEMA Map Assistance Center toll free at (877) 336-2627(877-FEMA MAP) or by letter addressed to the Federal Emergency Management Agency,LOMC Clearinghouse,847 South Pickett Street,Alexandria,VA 223044605, Luis Rodriguez,P.E.,Chief Engineering Management Branch Federal Insurance and Mitigation Administration Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,coiporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other Iegal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment b6 deemed to be an ernployer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their ceitifieate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to fire Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should p be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A now affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-NUSSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia ` Tlie Commonwealth of Massachusetts Department oflndustrialAccidents 1 Congress Street,Suite.100 s Boston,MA 02114-2017 www.mass.gov/dia Wormers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FTL1+.A WITH THE PERMITTING AUTHORIT'SC. Applicant Information Please rrint Letaibly Name(Business/Organizationllndividual): Matthew Norton Address: 730 Winter Street City/State/Zip: North Andover, MA 01845 Phone#: (978) 844-0565 Are yon an employer?Checlt ibe appropriate box: Type of project(required): 10 I am a employer with employees(full and/or part-time).* 7. ❑New construction 2,❑I am a sale proprietor or partnership and have no employees working for me in 8. ©Remodeling any capacity.[No workers'camp.insurance required.] 9. Q Demolition 3.®I am a homeowner doing all work myself.[No workers'camp.insurance required.]t 10❑Building addition 4.❑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 11.0 Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6,F]We are a corporation and its officers have exercised their right of exemption per MGL e. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] u *Any applicant that checks box#1 must also fill out the 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 such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and slate whether or not those entities have o employees, If the sub-contraetors have employees,they must provide their workers'comp.policy number. I aitt alt etitployer that is pt'ovidirtg Ivorlfers'eonlpertsatiort ittsiiratice fol•itiy employees. Below is flee policy aced job site information. Insurance Company Name: _ Policy#or Self-ins.Lic.it: Expiration Date: r Cit /State/Zi Job Site Address: Y p Attach a copy of the wormers'compensation policy declaration page(showing the policy number and expirations 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 DU fon insurance coverage verification. I do heireby eertify trader the pains an penalties of petyriiy tltat the ttefortuation provided above is t`t rte and correct Signature: Date: Phone#: Official use only. Do not write lit this area,to be completed by city or torts official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.)f lectrieal Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M i Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-104716 Construction ;supervisor MATTHEW D NORTON 730 WINTER STREET NORTH ANDOVER MA'„Q1845 ,,,, Expiration: Commissioner 09123/2018