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HomeMy WebLinkAboutBuilding Permit #109-2017 - 101 SUTTON HILL ROAD 8/2/2016 BUILDING PERMIT of NoRTy q (t LES Eby •yO TOWN OF NORTH ANDOVER �2 I! APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received �1,9p°RAreo A oz „ +/� SSiCHUS� Date Issued: IMPORTANT: Applicant must complete all items on this page I LOCATION IU ( -SU-40a I'J KOC CLOT 3) Print PROPERTY OWNER LLC Print 100 Year Structure yes no MAP 60A- PARCEL: 8 ZONING DISTRICT: _Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential .{ New Building XOne family ❑ Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others.- El thers:❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands 11 Watershed District X Water/Sewer _ DESCRIPTION OF WORK-TnO E PERF RMED: SE Fi Fri S�rt�Ckke,– 4 d un n% y /1L_ ` Identifikation- Please Type or Print Clearly OWNER: Name: TK LLC Phone: 978-gSZ-YcbZ Address: 4 tCi S S�\_Lz W �3d&\ A43PUr, LxA �l Contractor Name: Phone: 4 79 `Z`Y462, Email: 7`Z Address: S' JZJ / �J- A s Supervisor's Construction License: Exp. Date: S Home Improvement License: Exp. Date ARCHITECT/ENGINEER Phone: Address: — Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED/ON$125.00 PER S.F. Total Project Cost: $ 12, S'60 . OD FEE: $.� JPO•�' (F6&jz4? o&)-6Nq) Check No.: Z 1 ZZ Receipt No.: © 69 2 NOTE: Persons contracting with unregistered contractors do not have access to the uaran and ��.� I Plans Submitted,® Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ ` TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dwupster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF e U FORM i PLANNING & DEVELOPMENT Reviewed On f bl)l Signature_ COMMENTS &ZI E� llr, 2UI(, bc-F. 5j6diy pup 11" yF D ciS tQ� rr_ �V 7- 116 CONSERVATION Reviewed on a �p Signature NIS COMMENTSO HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: - Zoning Decision/receipt submitted yes SS S Planning Board Decision: Comments ' �a-�'nmb 7-�\bI16> dr,uservation Decision: N 1A Comments 7-2"16I Water& Sewer Con nection/si nature& Date �__</4'VL4_ Driveway Permit DPW Town Engineer: Sjgnatnrei Located 384 Osgood Street FIREtDERAR�TMENT - Tempj-©umpster,onisite %ye _ _no �`Lrocate�at 12`4tMamcStieet• �� �_� - F,i`reDepartment signature/dafe C®MML-NTS i Dimension Number of Stories: Z Total square feet of floor area, based on Exterior dimensions. 39 Z Total land area, sq. ft.: 25, 160 S1^ 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 min.$1o0-$10o0 fine NOTES and DATA— (For department use) i i_ i ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to ba filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording m ust be submitted with the building application Doc:Building Permit Revised 2014 Raj Location I �/ / ` ' No. �8 a e)/? Date 1/7 kl • • TOWN OF NORTH ANDOVER , •moo,y�4����- Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $_ Other Permit Fee $ �r TOTAL $ _ Check# Building Inspector 1/ i i Plans Submitted A Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF o U FORM PLANNING & DEVELOPMENT Reviewed O 7111 On �� ( Signature_ COMMENTS f r iGI + , Ec E� ZU S b i ,�, i1 Ge o� IJ Cid lt1-r. 7- V 1 b tZa,- f►A i k-P V i s t ars kq-t to M TdM lry H t` u � {� �, Pam Q �'1t1s' 1�� S l • r, CONSERVATION Reviewed on Lanb Si nature ^�- �{ NIA COMMENTS \'--O HEALTH Reviewed on. Ix I Signature COMMENTS �r Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Llo 4 Planning Board Decision: Comments (T>�"Z6) 6,b Zt1b'\ Conservation Decision: N �. Comments Wafter& Sewer Connection/signature& Date � 1 Driveway Permit v DPW Town Engineer: S�gn aturei c, Located 384 Osgood Street FIRE DEPARTMENT; TempQum ste F` 1, f� t I? r onsite -tye b Locc'ated at124M5mStreet re�Department� date .. .�. ., signature/ COMMENTS-.. , OOIy RT Town of �F' s ndover 1 § h ver, MassOJ27110 [OC Mtt Ml wKK V ADRATED S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ...............T�.•Zr.. ...... .�......... ..............144-V..-.'.' . ..,,.,. BUILDING INSPECTOR Foundation has permission to erect ....... .............. ildings on ....� .�...�.wIffi .. ....... • Rough tobe occupied as ................... .. .... . ........ ..... .. . .... ............................................ Chimney provided that the person accepting this permit shall in every respect confor o 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 TION Rough Service Final BUILDING IN OR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinm 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. 101 SUTTON > IL-L POAD__ i I SDPVOi RlV t0 I I 443 a 'c TC BL L C.W-X? ' J m yy 300o PS$ 3A D' ` Z Zo"'rev'+ 2)l�2t"RE$1�1'i q I I I S st 4"qmv-S'lvl W a I 6F-crN0Cry)) 16-0 I _ — I j SII I _ _ O — — _— oRnP Pollak cta0,oOa I.q r6 5-v l9 lei-o Nz-o «-0 101 Su1'To?J 1+1tL °RbhD 9TkAPi CTY?� NOR-TN ANnove R, :MA SC.ALt. J Is'' =11011 ''u LY ZS, 201 G 101 SUTTON H f LL POAI) I I I 5ut1SN e� oPeu>uv m I J °[ a MiCONXFTTE � J d m c9 300o PSY �A'D d I i 0 I O t� C2) 112+�t�C'81.R 1 n I o 0 o r cs 4"PFRP >71Pm 7N I x a�4�1 St'a N� o I I SEGS loN (-Vy _ --"�" G-0 N � I I: -_ � I I _ o VROP AnRc%k B/I N c�Roso+� 1.9 --ii-6 .101 SU'TTw)N 41LL Pb Mt) STRAPS,CTYfI � ------ SVORTH p O-qF M.IA TKA L.1_G �vl�N.D�•Tl o SSS FL�1� SeALg� �'81 =l 101+ '-u LY ZS, 201G TPROPC6M IAWOR fbmfaltir RZVS. `t ns�-n72 CHESTNUT STREET -----�0-- n32 CHESTNUT STREET GREY F10CK CONDOMINIUM _ �� ? N/F ROBERT d SHERRY MARCOM19 i a TAX MAP 60 LOT 71 N2i-16.30•W .eY ad, TAX MAP 60A LOT 22 ro 35.91' x l A.M.Eff-p ,OAA T. 1 i 1 R.0Dm%&T.d..d Gad. 1 to on.t oAo 0 00+�.ufaw 11; 25,312 SFS , •\ • C— for \ G.O.A.a IOOX ` ___-- � iZ HEATH LIRC1£ / Jt+.tq, `�� ,� q/ NOGAFFN REALTY TRUST ' -1- - - ;j�`Stta •. �-t \ r� TAX MAP 60A LOT 17 fi , 'O/ ``♦ app. g `- •\ / i Ae+ar 0,.h t r ww 1. / MATERSTIED BOUNDARY ` S 6 ° /_ Z.T• 2 to Outlet.-Wa w—wrm°. �f Lm TAKEN FROM Tow OF NORTH ANDOVER GIS J2p• o $' ` ���' /\\ 4� Gaow"- Ilk LOT 1 20.2828F.* 298- Y C.B.A.-100% ,T r / r SA¢i b n® -- f'SHED TO ; BE RAZED � p ; p1 #9 HEATH-QRp'E-- \ __'�� 4 0 I NA CURBS 3.ENNWER COGUANO ,� - p \-`\ TAX MAP 60A LOT 18 - --- O �Az?--- - --- i 4 - g Re.R�YCS.w,s,a.e. 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THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Sandi Munroe M.P. Roberts Insurance Agency PHONE (978) 683-8073 V qx No: (978) 683-3147 TAX. a,1060 Osgood Street ADDRESS Sandi@mprobertsinsurance.com _ North Andover, MA 01845 INSURERIS)AFFORDING COVERAGE _-_- NAIC0 INSURERA:_Essex Insurance Co INSURED INSURERS:Associated Employers Insurance TKZ, LLC INSURFAC: --- _ c/o TOM ZAHORUIKO INSURER 0: 78 GREAT POND ROAD INSURER E_._.—_ NORTH ANDOVER, MA 01845 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. f EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOVAN PAY HAVE BEEN REDUCED BY PAID CLAIMS. ILI'STRRI TYPE OF INSURANCE �AD SU% POLICY NUMBER I �.Pminory YY ( M1P410fDaYLICY YYY UA7TS GENERAL LIABILITY f 3DX4936 ` 7/13/15', 7/13/161 FJiCH OCCURRENCE S 1,000,000 DANIAGE 10 RENTED 'X 1 COIAMFRCtALGFNERALLIA9tLITY i 1 PREMISES(Ea Mowcacc). SQ,000 CLAII&AIAUE }(OCCUR NT.0 FYP'Am,one Palm) r S 5,000 I ! PERSONALS ADV INJURY 1 S 3_000,000 a E I ? GLNERAI.AGC1tF.GAiE )5 2,000,000 ) - i GEN'L AGGREGATE IANIITAPPIJES PER I ?PRODUCTS-rOl-VIOP AGG i I X i POI ICY ..i FRO. J �.LOC AUTOMOBILE LIABIUTY I LONUINEU SrtJGL E UL711 I I i (Ea atGO'rt) j s I ANY AUTO i - 9GONL.Y INJURY(Per Per..on) �3 j ALLOV":D SCHL-.UULEU I 110011 INJURY(Per axidul)f 5 AUTOS AUTOS ) f I PROPEitiY DlV.WGE" 1._ - _ 1 NON-OWNED ` {Ppr AccidrAt) $ )�HIRED AUTOS AUTOS I I (I I i 5 UMBRELLALIAR OC(:LIR �k N - i t:ACH 0CCt1H1tCNCf. 'EXCESSLIAB .,. CLAVAS_AIDE! + IAGGRIi GATE--^ DFD Rt9ENT10NS I 1 10/1/15+. 10/1/163 WC STAT U- i ".DTH-IS B WORKERS COMPENSATION I ,WCC5005006517-2014A1 X!_meY.lmins: -itAND EAIPLOYERT LIABILITY YIN : I ANYPROPRIETOR/PARTNER/L=XECUTNE --I ( E:L EACH ACODEW I S S,OOO,OOO OFFICEfWAEAt9ER EXCLUE)ED7 IIIA I i 11.1ardamry in NH) EL.UIS t:ASfE-EA GVP17YEF:S_ 1,000,000 II prs rlr_cuihr.Iuxfnr I ULSt;RII'NON OF OPLRA IlONS below- !E-L.DIS FTSE-POLICY LItAn-5 1 000 000 1 I I t I _y DESCRIPTION OF OPERATIONS I LOCATIONS I VEKCLES(Attach ACORD lei,Ad-90onxl Rennrke 5chedute,it more yF&m Krequ.ed) i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPT 1600 OSGOOD STREET AUTHOR D EPRESEltTAIPjL NORTH ANDOVER, MA 01845 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mai): Massachusetts Department of Public Safety L Board of Building Regulations and Standards License: CS-055417 Construction Supervisor THOMAS D ZAHORUIKO 4 HIGH STREET SUITE 201 NORTH ANDOVER MA 01845 r— --M l .A__ Expiration: Commissioner 04/05/2018