HomeMy WebLinkAboutBuilding Permit #736-14 - 1049 SALEM STREET 4/22/2014 r
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TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0: Date Received
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Date Issued: 2
4-
PORTANT: Applicant must complete all items on this page
-LOCATION:. 70--_ O --
rant_
PROPERTY OWNERC (�(9 - NCS r _- ---
Prim, y ,,pp 100 Year Old Structure yes rio:
MAP NO: O '70BD.PARCEL` � ZONING DISTRICTA ;;Historic District yes QD.
' Machine.Shop Village yes no_
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
'1 New Building El One family
fj Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain. 0 Wetlands ❑ Watershed District
-
❑Water/Sewer - -
DESCRIPTION OF WORK TO B - ERFORM _
Ow 5I Vrlti�l Vve 1!V
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Identification Please Type or Print Clearly)
OWNER: Name: � ry Phone:
Address: � � ��� e o I g i o
CONTRACTOR Name: Phone: 7��1L`�33 I
Address: ?'7 � � Ste_ t 1c� [)Ueti-
Supervisor's Construction License: �,S�C1 ��63 Exp. Date:
Home Improvement License; Exp. Date: N
ARCH ITECT/ENGINEER— � _ Phone: �i'�
i
Address: 2o (VA- Reg. No.
FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSJ BASED ON$125.00 S.F.
r o .Gb FEE: U!/1�(A �Y1 tOO
Total Project Cost:,$_ a--ou tN $
Check No.: C Receipt
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of.Agent/Qwner" _`,_'",- - 'A k - .Signature of contractor
Plans Submitted Plans V4ked ❑ _ Certified Plot Plan Stamped Plans ❑
Building Department
The fohnwing is-la list of the required forms to be 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
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
o 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/Crossection/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
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
//,Building Permit Application
`t :'/'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
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
NOTE: 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 apn•�al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subm.tted with the building application
Doc: Doc.Building Permit Revised 2012 .
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE-OF SEWERAGE D1SP.OSAL
Public Sewer ❑ Tanning/Massage/BodyArt ❑ Swimming Pools ❑
Well ❑ ❑
Tobacco Sales Food Packaging/Sales ❑
Private(septic tank,etc. LX Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ J 7
COMMENTS__ irt� 8 1zy'� !'ey�'r � �,�i✓e�
L(
CONSERVATION Reviewed on / Sicnature' a
COMMENTS62
J �'
HEALTH Reviewed on ` Signature i
COMMENTS
41 �W-
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:_ ; Comments
Conservation Decision: �� ��1— ���`� Comments
l. -- Z7-r�
Wates° & Sewer C®nnecti®n/Slnatu7re& DateDrivewDPW Town Engineer: Signatur ��'�-r�� i.' ._'As ,QM �rT S
D
LV
_ Located 384 OS60d treet
FIRE DEPA�TMeli9T Temp Dumpster on site yes no
Located at 124 Mair, Street /
Fire Departmerit signature/date s �- J
COMMENTS
— i
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 min.$100-$1000.fine
NOTES and DATA— (For department use
� VeJAIa
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El Notified for pickup - Date
t
Doc.Buildin-Permit Revised 2010
Location � /d
No. ` - -=t Date
o - TOWN OF NORTH AM DOVER
o
Certificate of Occupancy $
Building/Frame Permit Fee $
tw Foundation Permit Fee $`
Other Permit Fee $
TOTAL
;t
Check#
27.478
`Building Inspector
NORT11
7own of 2 r z AndoveT
No. t -
�o LAKE h 01- ver, Mass,
!�p0J SATED AQP��S
s U .
BOARD OF HEALTH
Food/Kitchen
LD Septic System
THIS CERTIFIES THAT .....PER4J
........ ...�........................... ................................... BUILDING INSPECTOR
. Foundation
has permission to erect ......... ............ buildings on ...1.015........S - 1.. . .......s�.....
Rough
to be occupied as ........Of!
..!�� .�. ... ..............ovt*] ...- ................... Chimney
provided that the person a cepting this permit shall in every respect conform tjkterms 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES IN 6 MONT ELECTRICAL INSPECTOR
`rv%. UNLESS CONSTRUCTIS TS Rough
Service
.............. .. ....... ............................... Final
BUILDING INSPECTOR
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.
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LO T 70
AREA=16,604 S.F.
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291.00'
N/F
NEW ENGLAND POWER COMPANY
PLOT PLAN
PROPOSED ROUSE CONSTRUCTION
IN
woF NORTH ANDOVER, MA
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STEH DRAWN FOR
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JEFF'CO
9 7 O SCALE: 1"=40' DATE: JANUARY 27, 2014
1/27/14 TM 104D TL 70
STEPHEN E.' �t° R.L.S. DATE MERRIMACK ENGINEERING SERVICES
1166
PARK STREET
9971-28 ANDOVER, MASSACHUSETTS 01810
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North Andover Board of Assessors Public Access Page 1 of 1
North ndove• Board of ss ssors
" Property Record Card
C,b&Sad lo Retun Parcel ID :210/104.D-0070-0000.0 FY:2014 Community :North Andover
SKETCH PHOTO
Click on Sketch to Enlarge Click on Photo to Enlarge
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Summary
Residence
Detadved 517E' Ire
e
Condo
W49 s
acEHr stRa=r Vol ,,
Corral
Location: 1.049 SALEM STREET
Owner Name: 1049 SALEM STREET REALTY TRUST
C/O HANNAFORD&RILEY,LLC
Owner Address: PO BOX 802
City: ANDOVER State: MA Zip: 01810
Neighborhood:6-6 Land Area: 0.27 acres
Use Code: 101-SNGL-FAM-RES Total Finished Area: 101.9 sqft
ASSESSMENTS CURRENT YEAR PREV11OUS DEAR
Total Value: 244,800 253,400
Building Value: 77,900 77,900
Land Value: 166,900 175,500
Market Land Value: 166,900
Chapter Land Value:
LATEST SALE
Sale Price: 53,000 Sale Date: 12/26/2007
Arms Length Sale Code: A-NO-FAMILY Grantor: LANAURENCEE CE
AUR
Cert Doc: Book: 11015 Page: 207
1
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http://csc-ma.us/PROPAPP/display.do?linkId=2439129&town=NandoverPubAcc 5/13/2014
Residential Property Record Card
PARCEL ID:210/104.D-0070-0000.0 MAP:104.D BLOCK:0070 LOT:0000.0 PARCEL ADDRESS:1049 SALEM STREET FY:2014
PARCEL INFORMATION Use Code: 101 _`Sale Pricert 53;000` Book ry`11015 `Road TypeTv - Lnspect Date, 03/28/2010
Tax Class: T Sale Date 12/26/07 Page: 207 Rd Condition. Pmm Meas Date 03_/2.8/2010
Owner: _
Tot
1049 SALEM STREET REALTY TRUST Fm Area 1019 Sale T e P Cert/Doc: Trafflc:m� -WM� ��Ent'rance X "
yp - - _..
Tot- Land Area_:_0.27. Sale-Valid A w - -----—Water:------ - Collect Id. -- RRC_
C/O HANNAFORD&RILEY, LLC
G`rantor HOLLERAN,LAURENCE� Sewer" �" Inspect Reas: C "-
__._
PO BOX 802 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% /
ANDOVER MA 01810
RESIDENCE INFORMATION LAND INFORMATION
Style: CO Tot Rooms: 6 Main Fn Area: 728 Attic: N NBHD CODE: 6 NBHD CLASS: 6 ZONE: R1
.- - —_-- --- - -
Story Height:- 1.50 Bedrooms:V 3 Up Fn Area: 291__ _ Bsmt Area: µ '728—- Seg Type Code _Method Sq=Ft Acres lnflu-Y/N Value Class
P 101 S 11631 0.267 _ 166,941
Roof:. G � -Full Baths 1 --AddrFn Area_: _ Fn Bsmt Area:
Ext Wall AVHalf Baths Unfin Area: �� Bsmt Grade: P` VALUATION INFORMATION
sa
Masonry Trim: Ext BathFix: 0 Tot Fin Area: 1019 --J Current Total: 244,800 Bldg: 77,900 Land: 166,900 MktLnd: 166,900
Foundation: CN Bath Qual T m RCNLD:" 77940 Prior Total: 253,400 Bldg: 77,900 Land: 175,500 MktLnd: 175,500
Kitch Qual g T Eff Yr Builf. 1970 Mkt Ad/:
Heat Type: HW Ext Kitch: - Year Built:-- 1927 _Sound'Value:_
_ _._._ _ ,-- ---•-- -------
Fuel Type: G Grade: F __ Cost Bldg: 77,900
Fireplace:_m._�
0--
wmBsmf'Gar Cap _ -� Condition: --A � AtfStr Val1
Cental AC N VBsmt Gar Sr:'_ M Pct Complete: Att Str Val2
Aft Gar SF: %Good P/F/E/R: /100/100/68
Porch Tyne Porch Area Porch Grade Factor
E 222
SKETCH PHOTO
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141$9.f
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144 sq,F; 1049 SALEM STREET
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Parcel ID:210/104.D-0070-0000.0 as of 5/13/14 Page 1 of 1