Loading...
HomeMy WebLinkAboutBuilding Permit #205 - 127 BEVERLY STREET 9/13/2007 pORTM BUILDING PERMIT "o TOWN OF NORTH ANDOVER F APPLICATION FOR PLAN EXAMINATION Permit N0: �� Date Received 4`� 9ssgc►+us�� Date Issued: IMPORTANT: Applicant must complete all items on this page _ s. � ,•��, �� yr'."'., �` � �3t �+s �-a �" ` ��,� �� , �*�, AN Ws k1z C lf � _Q. � '� g . ��wF` a`C C�1 TYPE OF IMPROVEMENT PROPOSED USE Re ' ential Non- Residential ❑ New Building V One family ❑ Addition ❑ Two or more family 11 Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other f n DESCRIPTION OF WORK TO BE PREFORMED: Do b L Y 2 Identification Please Type or Print Clearly) OWNER: Name: 1 Phone: Address a�''sk M �=� �' g GONTRIIR arneP� nP.y c k U 72_1 g 4 b�£x M �SoP:ruasors Cc� strra�i erse Epp L atWN �a r ��a�elrrtprotzemei�t Laerisexp gate . 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: $ FEE: $ 7.6 �— /Check No.: . ,L NOTE: Persons contrac ing ith unregistered contractors do not have acce s o the guaranty fund S�gnatureo'cfontractor. Signature of Agent% caner w. Location &6&65 No. r- os� Date 6� "ORT" TOWN OF NORTH ANDOVER * ; , Certificate of Occupancy $ C ttBuildinglFrame Permit Fee $ s� s Foundation Permit Fee $ Other Permit Fee $ `" TOTAL $ Check # 2053 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanni.ng/Massage/Body Art ❑ Swimming Pools Well ❑ Tobacco Sales 11 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 APPROVED PLANNING &-DEVELOPMENT ❑ ❑ COMMENTS �. - E JECTED DATE APPROVED CONSERVATIO COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS e 1� Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street =FARE DEPARTMENT Temp Durnpster'en`site ,yes Do Nreepartmenit,signatureldate x wy 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 C'jT -I) mac, L ❑ Notified for pickup - Date .................................................... ........................................................................................................._................... ; Doc.Building Permit Revised 2007 Building Department The following is a 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 a NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application 'I ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit - o 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 appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers f Applicant Information Please Print Le ibl Name (Business/Organization/Individual): DIVA a /ald a Address: City/State/Zip:�a41," dhone #: Are you an employer? Check the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ 1 am a general contractor and I 6. A New construction k employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. + E] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition i working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its rquired.] officers have exercised their ME] Electrical repairs or additions 3.�1t:ama homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box#I 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 new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c i under the pain nd pey f perjury that the information provided ab ve is true and correct. Signature: Date: / /4 le5�q_ Phone#: Official 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 6. Other Contact Person: Phone#: ` .NORTH '9 ® of 0 dover, Mass., D � T Q LAKE 1• T COCHICHEWICK V �d ADRATED S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System 00 # 1; 0BUILDING INSPECTOR THIS CERTIFIES THAT........ ......... .........................t .I..... .. ..................................... Foundation has permission to erect........................................ buildings on .....1429... .... I........................... Rough to be occupied as.4/!rX.Z.r..... ..40..0...L................ �..�... .....�. -. 6 Alit6: Chtmn y eprovided that the person accepting thi permit shall in every respect conform to the terms of the on file in Final 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 MONS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S Rough ...... .. Service BUILDING I �MCTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. i 1 U e 06 September, 2007 To Whom It May Concern, We have been informed of the proposed renovations to the property at 127 Beverly Street in North Andover,MA. This letter specifically refers to proposed replacement of a deck which sat at the edge of the property line between the address above and our property. The proposed renovations are an improvement to the edge of the property that runs along the lines shared between 127 Beverly Street and our property at 6 Perry Street. We certify the following: A: There has been a deck abutting our property at the above address since the time of our purchase of said property, and: B: We do not oppose the construction of a new, safer, smaller,properly-fenced deck on the site of the old deck. Signed, 1, Andrew and Carrie Graham, 6 Perry Street,North Andover, MA The oval Harvest pool fits any size yard with its buttress-free design! r f ��_� A 1. # H ` '. t W iI 1 4^N J. f 52 INCH s 74" !9Z Features Available Sizes Liner - All-Weather EZ Hook Metal Diamond 15' Round Deck Options Print Liner 18' Round Wall - Harvest Designer Steel Wall 21' Round Two-piece Top Seats - 9" Deluxe Ribbed Steel 24' Round Fantail Deck Verticals - 7.5" Deluxe Contoured Steel 27' Round Tracks - 1 " Steel Universal Top & Bottom Rails 30' Round Seat Cover - 2-Piece Resin Seat Cover 24' x 15' Oval JWT,YM0. Plates - Steel Universal Top & Bottom Plates 30' x 15' Oval mmm� 33' x 18' Oval 6 Gloom NamcoPool.com N°RTq TOWN OF NORTH ANDOVER 4.°t 4'UND 'G. OFFICE OF BUILDING DEPARTMENT gat r : 1600 Osgood Street Building 20, Suiten-36 North Andover,Massachusetts 01845 1sswcNus�t Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please priest DATE: !3 JOB LOCATION: ® a� Number Stred Address Map/Lot HOMEOWNER fdjf 11 Name Nome Phone Work Phone PRESENT MAILING ADDRESS z . , ` City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allm 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 and that will comply with said procedures and requirements. Of HOMEOWNERS SIGNATURE n APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homwwws Exemption 130ARD OF \PPE:\I.S 633-9541 CO. SER\".\TIO`633-9530 1TEALTH 633-9540 PLANNING 633-9535 I I t L s 0(.74 cua VQ v, opo.� �,� �� �=���is w�� �� ;��a�2�-� aet CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE.1"=20' DATE:8/30/2007 Scott L.Giles R.P.L.S. Frank. S. Giles R.P.L.S. 50 Deer Meadow Road North Andover, Mass. BEVERLY STREET 95'DEED c ti PORCH 211+/ 2+/ #127 m EXIST. HSE. FND. Cn v 20' o O 'v W mPROPOSED DECK o O .- 5� PROP.ABOVE GROUND POOL LOTS 16&17 N 15x25' PLAN 024 7 N.E.R.D. 9500 S.F. ASSESSORS MAP 5, y PARCEL 36 m m 95'DEED I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE tri OF THE OFFSETS OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY � AND SUCH USE IS FOR THE WITH THE ZONING DETERMINATION OF ZONING .13872 BYLAWS OF CONFORMITY OR NON-CONFORMITY �fC►gEEttEO NORTH ANDOVERWHEN CONSTRUCTED. LAO WHEN BUILT Jo