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HomeMy WebLinkAboutBuilding Permit #396-11 - 184 WAVERLY ROAD 11/9/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: �f IMPORTANT:Applicant must complete all items on this page LOCATION kq 4/u e c— Prmt PROPERTY OWNER Print MAP NO: ,S PARCEL:ZONING DISTRICT: Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition Rfw-o or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial p1tepair, replacement ❑Assessory Bldg ❑ Others: POemolition ❑ Other - Se tickWEER,,, ®Floodpl a n+ ®Weal nds 50 Watersh d Dish t� lfl p - - W _ DESCRIPTION OF WORK TO BE PERFORMED: 01n-7D ` ���� CP ick S A6 - -Ari, rRcin Identification Please Type or Print Clearly) Iden YP Q7�j=J�Jt 7 C/�7 I�or OWNER: Name: �loti 1 Phone: li'm Address: �� [��� Se (,et� O(SgY CONTRACTOR Name: l��w i'Y\ —FLX(Cr _ Phone: Address: �5pLt� S4" er/l Ucfi o4yT a Supervisor's Construction License: CS q 2,5 Exp. Date: Home Improvement License: h��� Exp. Date: 211 q1 QU1 a , ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED O�.00 PER S.F. Total Project Cost: ®© FEE: $ Check No.: fs Receipt No.: �6 NOTE: Persons contracting with unregistered contractors do not have access to the gluarantyfund Signa re,_of/A ent/O,wrier.: .' Signature of contractor ,. .:k;,. �µ . r.,.:y-Y } <l - - -----g-�-- - - �. Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL I Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent DumP ster on Site El THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS I _ CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date 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 DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ® Notified for pickup - Date Doc:.Building Permit Revised 2008 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 ❑ BuildingPermit Application pp atlon ❑ 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 dumpsterermits require sign p q g off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ 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 I 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 40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording lust be submitted with the building application Doe: Doc.Building Permit Revised 2008mi Location/(F5 -"4J44 No. f Date f "GRT" TOWN OF NORTH ANDOVER � 0 Certificate of Occupancy $ ;�ssuMus Building/Frame Permit Fee $ C Foundation Permit Fee $ , 1 Other Permit Fee $ TOTAL $ Check #� i 0 Building Inspector ORTH � � Andover . Town of _ h ;0 a dower, Mass.,L KE ' COCHICHEWICK 1 `S BOARD OF HEALTH PERM IT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................ .......... r..�c.�+..M ........................................................ Foundation has permission to erect.... buildings on.....l. .. .... ........... ..................... ............... .....�.......... Rough to be occupied as.. . . . . Chimney p .. .. .......... �r........... ............L�.. 4 t.rs provided that the persoif accepting this permit shall in every 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 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRU<CD.TA4R ELECTRICAL INSPECTOR Rough ....................... Service BUILDING INSPEC 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. TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received la0 Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Uaurr-L�R�PP,Oi'I o6 er- M&n 026�yS Print PROPERTY OWNER -TCM 0eQ1Cr-M Print MAP NO: 0/5,'o PARCEL-/,c S' ZONING DISTRI Historic Di trict yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition &Two or more famil ❑ Industrial ❑Alteration No. of units: ❑ Commercial alepair, replacement ❑Assessory Bldg ❑ Others: 215emolition ❑ Other aterS/ ewW❑ er@ - Wansdelr WSePtic ff .. r hed� Ds FEE DESCRIPTAON WO � 'OBE PERFORMED. Z, ti eshc�t"; .z. PZace- a _ Ide ' Ica 'on Pleasi Type or Print Clearly) OWNER: Name: i Phone: L�-,5.� —9007 Address: 57 /v "eh c, CONTRACTOR Name: 6r l Phone: P C� Address: Jr �!U � fiPiY1 G� ols ((( Supervisor's nstruction License: -S Exp. Date: /// Home Improveme t License: Exp. Date: 7�l y/v�lo2 ARCHITECT/ENGINE Phone: Address: Reg. No. FEE SCHEDULE:BULDING P RMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. i V� FEE: $...3� Total Project Cost: $ ori Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si`�rature_ofP► ent/Ovvner< ? _. >� � _ ;Signature of�contractor �. �..,,�r�. �.::�� ...�.�h��x' 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 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 ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Flo or/Crossection/E levatio n 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 o 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 ( ) p Hydraulic Calculations Y (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products 40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals hat the appeal period is over. Thea applicant must then et this record lust be pp g ed at the Registry of Deeds. One copy and proof of recording submitted with the building application Doe: Doe.Building Permit Revised 2008mi i 11/5/2010 12:40:13 PM 0 y i `SAN It t=z -ti x 1 RAY r 11/5/2010 12:40:36 PM Jil I l� '•'i- 4.. Aj F 11/5/2010 12:40:51 PM 1' gflWu F t M � w �a 1 1 1 e 7 I � f i Edwin Taylor III Estimate DBA: Taylored Construction 55 Olive Street Methuen, MA 01844 Date 11/8/2010 MA Lic#CS97582 -Tax I Dzii-- 9)(6-cn 7 9 U8 y Estimate # 26 [Customer Name / Address Jim Beagan 57 Olive St Methuen, MA 01844 Description � Total Estimate for work to be performed on rental property at 184 Waverly Road, North Andover Ma Demolish/Removal of 10'x 5'x 2'h deck Fabricate new stairs in place of deck Stairs to be 8' long by 2.2"ft. high with 36" hand rails on both sides Materials: AIII lumber will be pressure treated and stair treads to be composite decking Cost 2,300.00 Deposit: $800. 2nd: $800. Final: $700. Checks Payable to:TaylorEd Construction. Thank you for your business. _ Total $2,300.00 To the Residents of 186 Waverly Road North Andover, MA Gentlemen, Starting Monday, November 8, work will be done to remove the rear porch and replace it with a set of stairs coming down from the doors. From Monday November 8 until further notice, do not use the rear entrance. Because of the hazard, two boards and tape will be placed across the two doors to block-their use. However, in the event of a fire or emergency, you will be able to exit by climbing out between the boards. The entrance is to be used only in the event of such emergency. A copy of this will be posted on the door when work begins. Thank you, Jim Reagan (978)-557-9007 To the Residents of 184 Waverly Road North Andover, MA Dear Barbara, Starting Monday, November 8, work will be done to remove the rear porch and replace it with a set of stairs coming down from the doors. From Monday November 8 until further notice, do not use the rear entrance. Because of the hazard, two boards and tape will be placed across the two doors to block-their use. However, in the event of a fire or emergency, you will be able to exit by climbing out between the boards. The entrance is to be used only in the event of such emergency. A copy of this will be posted on the door when work begins. Thank you, Jim Beagan (978)-557-9007 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA. 02111 www.mas..gov1dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 'IrPlease Print Legibly NaMe,(Business/Organization/Individual): Gr ' CG���r�G ��/� Address: .S 0�1 Ue 57L- City/State/Zip: 'LCity/State/Zip: h Uei,7 N� aT�y Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.[91am a employer with O 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).' have hired the sub-contractors 2.[ II am a sole proprietor or partner- listed on the attached sheet. �• [:]Remodeling . ship and have no employees These sub-contractors have 8. emolition working for me in any capacity. workers'comp.insurance. g, ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its ' officers have exercised their 10.❑Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.E]Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]i employees.[No workers' 13 R6ther 5 i/rr C,-- comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 7 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew 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. lam an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. ((�� n Insurance Company Name: ) C 'e C r ed MAUCL Policy.4 or SeIf-ins.Lic.#:GDool - 7.SLl Expiration Date:/1�6Lao l/ Job Site.Address:lg7 hiQricl Aa G�!/�l— City/State/Zip:9-0 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 andpenalties ofperjury that the information provided above is true and correct. J Si ature: Date: /l 1AQ10 c Phone#• L-q, /> ` 2 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.EIectricaI Inspector 5.Plumbing Inspector 6.Other C ontact Person: Phone#: ��i..,.....,... ... . ........, Board of Building- Re�-ulations and Standards Construction Supervisor License License: CS 97582 4 EDWIN TAYLOR III 55 OLIVE STREET METHUEN, MA 01844 Expiration: 11/9/2012 Commissioner Tr#: 5752 p� Offieg Oo -C-\ HOME IMPROVEMENT CONTRACTOR Type° Registration: _,160329 DBA x Expiration 7�1a4/2012. ' BRED CONS .aC� 'EDWIN TAYLOR'111 3 `55 OLIVE ST f t/ MA 018 .y Undersecretary z L?Ix cyp 'Ay 9 pt Doov- 13 per Omj. +et PLC-5 10 or X W �orS ii 6IIHk� ,F k ' S Edwin Taylor III Estimate DBA: Taylored Construction 55 Olive Street Methuen, MA 01844 MA Lic#CS97582 Date 11/8/2010 Estimate # 26 Customer Name / Address_ I Jim Beagan 57 Olive St Methuen, MA 01844 _Description - Total Estimate for work to be performed on rental property at 184 Waverly Road, North Andover Ma Demolish/Removal of 8'x 5'x 2'h deck Fabricate new deck 8'x 4' , hand rails 36" high balesters 3"on center Stairs to be 4' long by 14" high Materials: AIII lumber will be pressure treated 0.00 Cost 3,200.00 1st 1000.00 0.00 2nd: $1000.00. Final: $1200.00 Checks Payable to:TaylorEd Construction. Thank you for your business. Total $3,200.00 l G n i 1 a f 5w ) Y g f i. TYF