Loading...
HomeMy WebLinkAboutBuilding Permit #235 - 127 OLYMPIC LANE 9/26/2007 BUILDING PERMIT NORTH q qt\•!C 16 r 4�•ill ...a..•6 � TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 4L = ems~ o Permit N0: 3 5— Date Received A_4q`"""o 7 �A I.PR� .9S wTt SACHUS� Date I G'U ssued: IMPORTANT Applicant must complete all items on this page Lfl1✓A.IONr `g .,,t�'.,,. +'+" ef•,1- u ..a% '-'`, t t6 ' craw' ' >Prrat ..- _ Ri120' RTY w <°' n ;r font iAP ARCfL ZflI�1G DISTRICT . "tiastonc Dastnct w yes ono Ma-him, Sl op Ila e Vires rao J. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family kd dition Two or more family Industrial Iteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other �` Septre 1111i�11= {_ t Floodpla n g : �IUetlara�ds aNatershed D�stnct } a W t x ESCRIPTION/OF WORK/TO BE PREFORMED: /^ o� d 2Ci�C i l Identification Please Type or Print Clearly) /7 OWNER: Name: X Phone: -73 ' 219 Address: CINTRCT�OR Marne , S _ . Adtress` Superv�s©r's © #ruction: cense � 6te� ` ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ a/. CJS FEE: $�``�a-a(Z ^ Check No.: l S �� Receipt No.: 001033 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agen#/Owner � , '' Signature 0 qontrac Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit Located at 384 Osgood Street FIRE DEPp►RTMIEN? 1"! -DU Aster 1611srte �res< . .a � r F�re,Deartrnent$�gnature/elate ` s OMMEfrITS} 3 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions.6 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 i i i i i I t I i 1 ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 i I A 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application \:y Certified Surveyed Plot Plan la Workers Comp Affidavit `m ' Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler-Plafl-Acrd dt Hq aufle-GaItionslicable If Applicable). PP ). ❑ Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products i 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:INSPECTIONALER S VICES DEPART MENT:BPFORM07 Revised 2.2007 LocationNo. Date S Date �oRTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ k S+cMuS Building/Frame/Frame Permit Fee $ t `" �St 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #-/-) f l 20673 Building Inspector N0RTH Town of No. Z 3 s 2-JZ4 • �dower, 1Vlass., b T Q LAKE COCHICHEWICK V OOATED �7 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System I C�� BUILDING INSPECTOR THIS CERTIFIES THAT........1�.1.�'.!!1..�� ......... ...........v..�'�.............................................................................. Foundation has permission to erect........................................ buildings on .. .2"?........(j.C, ;.�,�,,.i�.t,........ �........... Rough to be occupied as....... ..... ............... .04 .......... 4. Chimney t.1.. .... ...... .... .n�. ,....:.................... . ... . . . ... . ... ................. provided that the person accepting this permit shall in eve respect conform to the terms of the application 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 • PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRU TS Rough ........................................ .... BUILDING INSPEC Service Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final T No Lathing or Dry Wall 1 o Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. do s d/H 7n7o�xZo 3714 -a C7 ')/ r�lt�ti° 09;Ub/OG 16:.4 rAA b,1d 637 JJJb 1VUxl'tih" AJJUl IYYAMAN,It LgJU01/UU2 MORTGAGE INSPECTION PLAN NORTHERN ASSOCIATES, INC. 401 SOUTH BROADWAY, LAWRENCE MA. 01843-3522 TEL(978) 837-3335 FAX.(978) 837-3336 MORTGAGOR: ANTHONY J * KIMBERLY R FI!5TA DEED REP: .5293/ G9 LOCATION: 127 OLYMPIC LANE PLAN REF: 7865. CITY.5TATE: N ANDOVER, MA 5CALE: 1 °=G0' DATE: 9/6/02 J013 #: 202.091 G I 1.�8635' i R LOT 30 48,0 1 7 S.F. LOT 31 LOT 29 40'DRqJ AGE eA5EmeNT �p N I 4.0 m CD M :O:c i L i D@CK �2 wO0 lz L= 150' R= 1315' OLYMPIC LANE CERTIFIED TO: . METROPOLITAN HOME FINANCE Flood hazard zone has been determined by scale and is not necessarz6 acne y accurate.Until definitive plans are tissued by HUD and/or a vertical control survey is perjbrrned,precise elevations cannot be determined. NOrh'r Thin mortgage rnayeal:on was prepares! OF ' Me mortgaga inspection uns pmpagad ire 0000rdanoe apactflcatly Jbr mortgage Pusposa Only and wtih the Technical Standards jbr JfOrtgago fear is r.of fo Sa raliad capon oa a tand or yroy.rty IwsyecHans as odoptad by the Yassvahrvaaits Board of ncrt rury, used lbr rseordirrg, p-.px—ng load JOHN nagut"won of Pmitsatonal Is'ngtnears and Land 0. lane, Or const,,,tion No �nQ �,, stioveyare E6o cL� eos. sat Autlding looatton and ojYaots ace rw r furaher ata" that in my proibssionat opinion that appnairnatoty Loadted an ground and RUSSELL the structsv+a chawa conform with the Local zoning horizontal are ahoum sp¢aifraally lbr Boning deternttnation dimensional setback raguirunw7 a at the tune of constriction or only and are not to be used to ea'tabl" property aro asampt ro,da► p.arldsiona of Y.C.L CR /O—A Sao, V. lsnea. rho matters shown haraon an bases on chant—jkwnishad infarnu tion aced mall be subpat O!. Plop rtylifousa is not to Hood Hazard to Ilerther out—sales, takings, aasnoiants and rights `9 � p A Property/florae is ie. a Flood Hazard Arad. of wry, and other mortars of reoord and praserpttla S. In wmatior+ is insufftcent to determine Flood Hasard. or other rights. Northam Associates, Inc. assp+amnas no 9 �l reapo ibility hersirs tov 16 ow�7 �rTeo t{ [ 'QOC Flood Hazard determined fain West Federal Flood acts no rasporasibilt! r da ng from said raLiarua by o,►.yano other than the said mortgages as,d its assigns, Inar rence Rate Map Pkwud in connaation with it8 proposed mortgage finar�eing to sadd mortgagor Data Zone � o � 7X24- � ✓�ie �ir,.»am�nuieczl� a�,��,tr�:urr�,r�� - � Board of Building Regulations and Standards J = HOME IMPROVEMENT CONTRACTOR Registration: 130727 Expiration: 4111/2008 Type: DBA BEAL CARPENTRY JAMES BEAL 27 JASPER ST. SAUGUS,MA 01906 µ ` Administrator' r Boiof � ghon�.an�, anddr& C`eseMueNen&upiwiaar Lieangs Liaente: CS 75111 Birthdatw 1/5/1965 Expirstica W2009 Tr# 8364 a Ftestrlctioa: Ota . JAMES S BEAL 27 JASPER ST SAtJbUS,MA 01906 Commissioner 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 Applicant Information Please Print Legibly Name (Business/Organization/Individual): e_, Address: City/State/Zip: S &. cam r /� Ot S Phone #: Are ywan employer? Check the appropriate box: Type of project(required): 1. l am a employer with 4. F1I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. # 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. uilding addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.E] Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#t 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: (�$ ( �(� tZG.-I e. L Policy#or Self-ins. Lic. #: jr �,,G ��C / OU-2 Expiration Date: y4� u Job Site Address:_/4X) 1-1 - i L &I � Ci /State/Zi p� T � r 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 certify under the pains and penalties erjury that the information provided above is true and correct. Si nature: `' _ Z—)�+ Date: 60 Phone#: -XI -,)3- 37 3- /y 6 Official use only. Do not write in this area, to be completed by city or town official z 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#: i Beal Carpentry 27 Jasper street Saugus Ma 01906 781-233-9144 Anthony and Kim Festa Aug.29,2007 127 Olympic Lane N.Andover MA Beal Carpentry to provide materials and labor for the following: 1.Build walls and roof on existing porch 2.Install roofing and siding to match house. 3.Install 4 doors and 6 windows to match existing house. 4.Install electrical and baseboard heat. 5.Install R30 insulation in floor and ceiling,R13 in walls. 6.Install blue board and plaster. 7.Remove all debris. Materials and labor: $21,000 Grp //JJames Beal �� Location ZJ.�-� No.,3 1, Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ �e Building/Frame Permit Fee $ , Foundation Permit Fee $ w .� Other Permit Fee $ A iED TOTAL $ t r, Check# 27044 Building Inspector