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HomeMy WebLinkAboutBuilding Permit #653-13 - 14 LINCOLN STREET 4/9/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: 4t.7 S—f-F' Date Received II Date Issued: IMPORTANT:Applicant must complete all items on this page S' L®CATI0 �lf�l�COf''V - - Print? — - - - PROPERTY(0INNER. ��� Pnrit 100 Qarr0ld Structure yes., nog. MAPkNO'.--7 PAR'CELJ� ZONING 1)ON,RICaTHistoric,Olstncf yess nog _-_ Machine Shop,Village} yes, not _ - - TYPE OF IMPROVEMENT PROPOSED USE 'i 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 ❑ S,egtici ❑fWell+ ❑:Floodplamr ❑Wetlands, 0 WatershedGistrict 4E CRIPTION OF WORK TO BEERFORMED: Identification Please Type or Pring Clearly) OWNER: Name: U keG VA.A t- ��� tv 1v �/� Phone: Address: / -/ L oIv �S1 -o&n &UC(CUn1L, e v t eqs-- P d0 Phone:: C.ON SRA,TOR, Name: _ _ _ Address: �d� �� S J — 0l.I&`lY. - - - Supervisor-s Construction L cense: _ Exp Date. 5 �� c o ig Home Improvement'License;:; Z _ __._ Exp. Date: ARCHITECT/ENGINEER Phone: ` d Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.0000/PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ `7O� FEE: I Check No.: l Receipt No.: R4!5;�?410 NOTE: Persons contracting with unregister d contractop do not have access to the guaran nd rSlgn t re�gf A ent/®wna Ina ure of contractor] Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ tamped Plans ❑ Building Department The fol owing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o 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 o Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) o Building pp Permit Application ❑ Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report a 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 subm;rted with the building application Doc: Doc.Bui?ding permit Revised 2012 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer i Tanning/MassageBodyArt E] Swimming Pools El 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 CONSERVATION Reviewed on T Si nature JI COMMENTS �QJLO HEALTH Reviewed on Signature COMMENTS s Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Vanning Board Decision: Comments Conservation Decision: Comments Water & Sewer ConncctiOn/Signature& Date Driveway Permit DPW Towo Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on siteyes no Located at 124Vairl`Strdet ,Fire De partmerit-signatu"re/date' r COMMENTS 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 DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A-F and G min.$10041000 fine NOTES and DATA— (For department use a I B Notified for pickup - Date Doc.Building Permit Revised 2010 Location "�i� No. Date y. a - TOWN OF NORTH ANDOVER �rti P ®. Certificate of Occupancy $ Building/Frame Permit Fee $ �-- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �M H Check# 26263 Efuilding Inspector �a � N 0 R Th ...,2�own o � ._ : :.,., n ovr'e _ O - 0 No. soh ver, Mass, ® coc«1c«ew¢« 1_ A0'4ATE0 S U BOARD OF HEALTH Food/Kitchen PERMIT T, LD Septic System THIS CERTIFIES THATG.':?a?'`-5....L:�. �,Q. BUILDING INSPECTOR Foundation has permission to erect ............ ..... uildings o .��..'. t. �rr��Y.., ....................................... g r..... Rou h to be occupied as ........C�.��: j�6..................... ......(JS...rS......: .... .:.: ........................................... Chimney provided that the person accepting this permit shall in every respect conform to 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 CONSTRUCTION ARTS 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. SEE REVERSE SIDE NORTH own .of . _E : 1, ndover C% ver, Mass, X1 /-9 COCKICeWICK �Ot• ,e ORATED S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System Gsfs BUILDING INSPECTOR THIS CERTIFIES THAT ................ ... ,1.c�.q:�k.ht.c��..................................................... Foundation has permission to erect .......................... buildings on ./ l.;'Wc;a1�Y..+ ..:..........................•...•••••• Rough /* 6,�/c i to be occupied as . 0 ,T.C�;. �� .4c.� or.. ...... ....,,t..:.. ........... ............................... Chimney ....... .................................. provided that the person accepting this permit shall in every respect conform to 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 PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service �Ide"V_A. ........................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises -,Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and. Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE • 4 DRY ,d.� ,d N TOWN_ OF NORTH ANDOVER TA OFFICE OF BUILDING DEPARTMENT -"1600 Osgood Street Buil r x,,po �a, , • , g ding 20,-Suite 2-36 • North Andover,Massachusetts 01845 a�Hu Gerald A.Brown Telephone(978}688-9545 InspectorofBuildings Fax (978)688-9542 HOMEOWNER-LICENSE EXEMPTION BRIDING PERMIT APPLICATION Please print • , DATE: JOB LOCATION: j LI Number Street Address Map/Lot WMEOWNER Name Home Phone WorkPhone PRESENT MAILING ADDRESS 1 Ll L 1 N C a/Pi Ala P rh A iv do y C9tri To Zip Code The current exemption for"homeowners"was extended to?lzclnde owner-occupied dwellings to f�vo units or less and to allow such supervhom isor). �tate,s u engage an adividual.for hire who does not possess a license,provided that the owner acts as supervisor). Slate Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Persons)who gwns 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 fair lily structures. A person who constructs more thatone home in a two-yearperiod 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 requirements and that he/she will comply with,said procedures and requirements, HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PUNNING 688-9535 ACQ CERTIFICATE OF LIABILITY INSURANCE (Mm 3)13 V: THIS CERTIFICATE.IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES I BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pol)cypes)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). PRODUCER CONTACT NAME: Bates Insurance Agency Inc. PHONE781 396-4985 �X (gel) 395-9454 92 High Street, Suite Bl L Medford, MA 02155 DREss: Andrea@Bates Ins.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:RCA—Essex Ins Co INSURED INSURERS:A.I.M. Mutual Ins. Co. Robert Bohondoneiy INSURER C: Bohondoney Construction INSURER D: 12 Hall St INSURERE: Methuen, MA 01844 INSURER F: 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 REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AML SUBR POLICY EFF P rAINSR TYPE OF INSURANCE POU NUMBER. M MMmdYYYY IJMITS GENERALLUUBIUTY 2CM7726-13 2/3/13 2/3/14 EACHOCCURRENCE $ 1.000,000 DAMAGE TO RENTED X COMMERCIAL GENE PAL LIABILITY $ 100,000 CLAIMS-MADE M OCCUR MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 1,000,000 GEN'LAGGREGATELIMITAPPUESPER PRODUCTS-COMP/OPAGG $ 1,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITYJO a acciderrt SINGLELI $ • ANYAUTO BODILY INJURY(Per person) $ ALLOWAED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED P OP.R DAMAGE $ HIREDAUTOS _AUTOS d I $ U118RELLALIA13 OCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ DED RETENTION B WORKERS COMPENSATION AWC40070243322013 8/9/13 8/9/14 1 WCSTATU• I 10TH AND EMPLOYERS'LIABILITY Y)NCRY FIR ANY PROPRIETOR/PARTNER/EXECUTNE — l NIA E.L.EACH ACCIDENT $ OFFICERMEMBER EXCLUDED? _J (MandaloryInNH) E.L.DISEASE-EA EMPLOYE $ If Yes describe under DESCRIPTION CF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Addltlonal Rerreft SdmKk e,K more space Is regd red) 12 Lincoln Street North Andovef, MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED M Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Inspectional Services 1600 Osgood Street AU1HOR¢ED REPRESENTATIVE North Andover, MA 01845 D 1 9 CORPORATION. Aff r g is reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: Office ofConsumer Affairs&Dust ess R% egulation f/ TOME IMPROVEMENT CONTRACTOR .- tL egistration: 114238 T �B :est,!-�� �\ xpiration: Type: 8/16/2013 DBA ROBERT BOHONDONEy CONST CO ROBERT BOHONDONEY - 12 HALL ST METHUEN,MA 01844 Undersecretary t Massachusetts - Department of Public ublic Safety Board of Building Reguiations and Standards f",rl,tfl.rtlIIn .tiupt.I'1 is,,y License: CS-000979 ROBERT A BOHONDONEY Y. 12 HAIL ST i METHUEN MA 0184401 ratic.'n 04/21/2014 1014113 Office of Consumer Affairs&Business Regulation-Mass.Gov e -The Off ic ial Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation Home Consumer Home Improvement Contracting Hom Improvement Contractor Registration Lookup You c2 n search/fuer the registration list by any of the crteria below. Search by Registration Number 1114238 Search Search by Registrant Name Search by City ...�.m...��...��.,, ...�..� Tip Code Searc tRegistrants Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The los is current as of Thursday, October 3, 2013. Search Results REGISTRANT NAME RESPONSIBLE REGISTRATION ADDRESS EXPIRATION STATUS INDIVIDUAL NUMBER DATE ROB BOHONDONEY BOHONDONEY, 114238 12 HALL ST 08/16/2015 Current i' NST 00 ROBERT METHUEN, MA 01844 ©2012 C ornmonwealth of Massachusetts. Mass.Go ®is a registered service mark of the Commonw ealth of Massachusetts. serHces. .state.ma.ushcAicenseelist.aspx 111 6 s 1 DATE:APRIL 7,:2013 SCOT ES SCOTT L. GILES SH OF M REVISIONS:. Boa jos • �� SI7BJECT PROPERTY LAND CONSUL sc n CERTIFIED PLOT JAMES E. IVIACCANNELL .• 50 DEERMEADOW ROAD , PLAN OF LAND 39 v-i, 1'� 14 LINCOLN .STREET NORTH ANDOVER, MA 01845 .: SCALE: 1 INCH=20 FEEToF�ss�oaP� NORTH ANDOVER, MA. '' LOCATION � 20• 40, TEL: 978-683=3924. . q"o suRVE���' 14 LINCOLN : STREET MAP 70 PARCELS 36 AND 37 S.SCOTTGILES@comcast.net .BOOK 6869, PAGE:62 APRIL 7 2013 NORTH ANDOVER, MA. 0184.5 PREPARED FOR . ZONING DISTRICT R4 JAMES- E. MACCANNELL • 190' : - 1LLLL_ LLLL j . ®DOSE _LL L + LLL! EXIST NLLL/Ai -- _ 6RAGE� .MAP 70 PARCELS ` � LLL LLLI 36 & 37 ,`9 'L 1+/ 16755 s.f. I - . I � EX _ ISTING� G, ,DWELLI N . ', I declare that this plan and survey was done in accordance with the Procedural and Technical Standards for the practice of Land #14 � Surveying in the Commonwealth of Massachusetts. THE OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING INSPECTOR ' ONLY AND SUCH USE IS FOR THE DETERMINATION OF ZONING }} CONFORMITY OR NON-CONFORMITY WHEN CONSTRUCTED. 139 THE LOCATION OF THE BUILDING AS SHOWN HEREON EITHER WAS IN COMPLIANCE_ WITH THE LOCAL ZONING BY LAW IN EFFECT WHEN CONSTRUCTED(WITH RESPECT TO SETBACK REQUIREMENTS ONLY)OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS G.L. TITLE VII BUILDING CHAPTER 40A SECTION T. LINCOLN STREET ( LIC WIDTH) SCOTT L. GILES Z:\CLIENTS/MACCANNELL\PLAN