HomeMy WebLinkAboutBuilding Permit #571-14 - 1055 Salem Street 1/29/2014 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0: ,.S-7!- /S' I Date Received
Date Issued: l oZ /zf
I RT NT: Xprlicant must complete all items on this page
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LOCATIQNi ._ n .., d �
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{PR'OPERTTY 0W- NER -_ t'
.
Print 1:00 Year Clld Sttucture_ yes, no—
MAP NO`:. sPA . ZONINGrDISTkRICT Historic Distract yes &
M
�_ 4 achine Shop Village, yes 'rio
TYPE OF IMPROVEMENT, PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
Demolition ❑ Other
•Septic ❑Well �F
❑ loodplarnr' Q:Wetlands ❑ UVatershedi District -
❑1Nater7Sewer.., m � I
DESCRIPTION OF WORK TO BE PERFORMED:
iw r Hqyle
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
�^
CON;YRAC,5 x R� Name T �� �• Phon.e;_
7
Address:_
supervisor's Construction`License C � `� 7V Exp , Date
Home Improvement License: 1EXP., Qat0-:
., _
ARCHITECT/ENGINEER �---- Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PER T:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. '.
Total Project Cost: $ 0 ) FEE: $
Check No.: `���a Receipt No.: 27�2o;�G
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
Signature=of Agent/Owne ; S.igafureJof'_cont_r,"aw ctorr,_
Plans Submitted Pla s aived ❑ Certified Plot Plan ❑ Stamped Plans ❑
Building Department
The foi?owing`is a=list of-the required-forms to be filled out for:the.appropriate.permit to be obtained.
J
Roofing, Siding, Interior Rehabilitation Permits
a Bailding 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
❑ 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 apo,-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submAted with the building application
Doc: Doc.Buil,ding permit Revised 2012
-- Plans Submitted ❑ ' PlansWaived-El '..Certified Plot Plan ❑ Stamped Plans ❑
i
TYPE.:OF°SEWERAGE DISPOSAI,
Public Sewer ElTanning/Massage/Body Art El .. SRW'T--ni igrP861s ❑
❑ #
Well ❑ Tobacco.Sales Food Packaging/Sales ❑
Private(septic tank,:etc.._: 'El"
❑ - permanent Dutnpster on_-Site. ❑
.,`req
THE-FOLLOWING SECTIONS OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
:._ DATE. REJECTED: DATEAPPR-OVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
.CONSERVATION Reviewed on SWature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS- A-.
L .
� f
. V
ZoningBoard of Appeals:als: Variance Petition No:
pp Zoning Decision/receipt submitted yes
PlanningBoard Decision:
Comments
Conservation Decision: :Comments
Water & Sewer Connection/Signature& Date Driveway Permit
DPW Tow;! Engineer: Signature:
¢ Located 384 Osgood Street
.. ...:,FIRE DEPARTIYIEN Temp Dumpster on site .yes . no
Located-ate 124,Mair;`Street _ t. z<_
Fipre De art` meitsi
. gnatuXe/date � ar
COMMENTS
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.Z®NE LITERATURE: Yes No
MGL-.Chapter-166 Section 21A=F and G min.$100-$1000.fin.e
NOTES and DATA— (For department use
® Notified for pickup - Date
E
Doc.Building Permit Revised 2010
Location
I
No. - Date
i
• - TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#B-10
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G / L 6 6 �� Building Inspector
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Jan. 16. 2014 11 ;48AM • Town of North Andover No. 1441 P. 1
--` Towdof North Andover j%aRT#j
Building Department �10° 16N
7600 Osgood Street .�► „� .. ..: .• L
rr.
North Andovor MA 01.845 � �
Tel: 970-688-9545 Fax: 978-688-9542
. � �g+�loraicKiwrc.e`R�
DEMOLITION OF WILDING AFFIDAVIT
ACHO
DATE 1
OWNER'S NAME&ADDRESSj /
xgu
.LOCATION OF PROPERTY TO DEMOLISH 10" +1051
DESCRIPTION. `WD MA, sl �Qynll Q)NMes
CONTRACTOR'S NAMr-_&'ADDRESS �V rSQAt1
DEP
EN IGN-OFFS
DEPT:OF PUBLIC W RKS -WATER: SEWER:
k
lit s b(�� C'.c'��S`�i���f7G� '..&i i� ..
DEPT QF CONSERVATION �7_� EAL• H Septic Well p1Cxn��•h
- � g -ori
HISTORIC COMMISSION - A/-]-,4
GAS E U �� VC Nwow oP �P vias, 7 "' l 610 wu ( -4o C'em w1ak _UL ( j v
ELECTRIC
TELEPHONE \ 1
CABLE AXL1
V 1A
- -- TAKES- - -
1
POLICE /
FIRE �� �---
EXTERMINATOR r
DUMPSTER—ON/OFF STREET (�
DIG SAFE NUMBER AH 0�0 -�-
DATE REC'D BLDG_ INSPECTOR
Dor-Jorm demolition of building affidavit
North Andover Board of Assessors Public Access Page 1 of 1
Kms. Math Andover Board of Assessors
:i± Property Record Card
Click Sed To Remn Parcel fD:210/104.D-01.92-0000.0 FY:2014 Community:North Andover
SKETCH PHOTO
Click on Sketch to Enlarge Click on Photo to Enlarge
Search for parcels
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Summary III n
Orli" i �I
Residnvn ce y �`
�•-'`
Detached$'trx;tYrrG
Condo t=SALEM S=
6` I
Commercial
Location: 1053 SALEM STREET
Owner Name: HOLLERAN,GAIL
C/O HANNAFORD&RILEY,LLC
Owner Address: PO BOX 802
City: ANDOVER State: MA Zip: 01810
Neighborhood:6-6 Land Area: 0.15 acres
Use Code: 101-SNGL-FAM-RES Total Finished Area: 780 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 205,200 213,100
Building Value: 52,600 52,600
Land Value: 152,600 . 160,500
Market Land Value: 152,600
Chapter Land Value:
LATEST SALE
Sale Price: 1 Sale Date: 10/02/1990
Arms Length Sale Code: A-NO-FAMILY Grantor: HOLLERAN.
LAURENCE
Cert Doc: Book: 3171 Page: 0300
http://csc-ma.us/PROPAPP/display.do?linkld=2439248&town=NandoverPubAcc 5/13/2014
Residential Property Record Card
PARCEL_ID:210/104.D-0192-0000.0 MAP:104.113 BLOCK:0192 LOT:0000.0 PARCEL ADDRESS:1053 SALEM STREET FY:2014
PARCEL INFORMATION Use-Code®• 101 Sale Price '1- - - Book 3171 Road Type. TY Inspect Date: 03/28/2010
Tax Class: T Sale Date 10/02/90 Page 0300 Rd Condition _P Meas Date: 03/28/2010
Owner: __. _ _-_�
HOLLERAN, GAIL Tot Fin Area 780 Sale Type P `` Cert/Doc Traffic: M _ Entrance X
C/O HANNAFORD&RILEY, LLC TotLa6d Area: 0.15 --Sale Valid "'A-'-'- � �L �� �W 1Nater � T Collect Id: RRC
�'� ' Grantor ��HOLLERAN LAURENCE�®��`�Sewer." '_��_- �In`spect Reas: ' `�C'�
Address:
PO BOX 802 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/° Indust-B/L% / Open Sp-B/L% /
ANDOVER MA 01810
RESIDENCE INFORMATION LAND INFORMATION
NBHD CODE: 6 NBHD CLASS: 6 ZONE: R1
Style: BN Tot Rooms: 4 Main Fn Area:.._ 780 _Attic _ _, ,,,�,�„�,_ ,
Story Height: 1.00 Bedrooms1 Up Fn Area Bsmt Area _ 0 Seg_Type Code MefhodSq=Ft Acres Influ-Y/N Vatue Class
" "" `" 1 P 101 S 65597—b.1'51— 152,633~ -_ _
Roof'-"� G Full Baths:�'�1� Add`Fri Area: Fn Bsmt Area:
Ext Wall:'- AV Half Bath-s:- _ Unfin Area: Bsmt Grade:.'_. . VALUATION INFORMATION
_ _ g_ - -
Masonry Trim: _E3t Bath Fix: 0 To Fin Area 780" Current Total: 205,200 Bldg: 52,600 Land: 152,600 MktLnd: 152,600
Foundation: CN Bath Qual T_ ._n RCNLD V' '_52599 Prior Total: 213,100 Bldg: 52,600 Land: 160,500 MktLnd: 160,500
.gy m - Yr B
Type:
Kitch Qual�T T'�'Eff uilt: 1 970 Mkt Adj:i
Heat FA Ext Kitch:-_ - __.Year_Built:
Fueell Type: 1927 -Sound Value:
-..G �. ..
:Cost Bldg: 52,600
Fireplace: 0 Bsmf Gar Cap. Condition: A Aft Str Val1_:
Central AC N -�Bsmt Gar SF." Pct complete: Att Str Val2"-"
- - Att Gar SF: %Good'P%F/E%R: _ /100/100/68 -
SKETCH PHOTO
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784 Sq.ft
44
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1063 SALEM STREET
Parcel ID:210/104.D-0192-0000.0 as of 5/13/14 Page 1 of 1
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NORT11 q
Town of n
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o h , ver, Mass,
COC NIC A, �1
�s,9 q°Q�rEo �'Pp,�gS
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ........ dA/C` ....... BUILDING INSPECTOR
has permission to erect .......... buildings on .�®�"'�..,., r!��'?�l. Foundation
................ ........... ........ .........................................
... Rough
�!y1 s`S' ...
to be occupied as .............. ....E � ��� S�"!y�r. � /�G 1i/�' y
provided that the person accepting this permit shall in every respect conform to the terrrfs of the application
p p p 9 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 CONSTRUCTI N STARTS 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.
IF SEE REVERSE SIDE
r '
Massachusetts -Department'of Public Safety
Board of Buildingand Standards,
Construction Supervisor
License: CS-031830
DOUGLAS J ABYJtN
PO BOX 802
ANDOVER MA 81810
W
Expiratior
Commissioner 09/21/201: