HomeMy WebLinkAboutBuilding Permit #518 - 189 BRADFORD STREET 1/4/2012I
Permit N0:
Date
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
IMPORTANT: Applicant must
rrAra+0r
Date Received
all items on this
-t re e +
�
! Print
PROPERTY OWNER PPy (J_ Jl� Unit #
Print
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
100 year-old structure yes no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
El Addition
A One family
El Two or more family
11 Industrial
❑ Alteration
No. of units:
❑ Commercial
Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
0 Septic 0. Well
❑ Other
®€Floodplain® Wetlands
E(] Watershed.District,
ll1;WFdF I WIN Ur W Ulu`- i U r.r, rr,1tP v1�iv1�L.
Giles S w`T�
W00A <,4-a,t r.5 v
(Idr
tification P1eCse�Type or Print Clearly) phone: �4y- 6 g 5 Ii � Or
OWNER: Name:
Add
CONTRACTOR Name:/ h Phone:
Address:
Supervisor's Construction License:
Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE. BULDING PERMIT, $92.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $®fid FEE: $�
Check No.: �D Receipt No.:
NOTE: Persons contracting with n gistered c ado not have access to the guaranty fund
Permit NO: ^ 2"
Date
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
IWORTANT:
r
Date Received
must complete all items on this
/-J 5tr-e-e+
-- ---- Print - JC
PROPERTY OWNER 1/c a .1 Unit #
Print
MAP NO: _(Y(D 0 PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
100 year-old structure yes no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
El Addition
❑ Alteration
0 One family
El Two or more family
No. of units:
11 Industrial
❑ Commercial
ig Repair, replacement
❑ Demolition
{®eptic ,(]W ll
_sQ�Water/Sewer`
❑ Assessory Bldg
❑ Other
E oodplam� 1® We lands
❑ Others:
;atershed.IDistnct�
DESCRIP" 101 Ur. WUK& -1v bh YtMUKIVMIJ:
e CA
W00A 43 4�- i r V
(Id ratification Please Type or Print Clearly) Q
OWNER: Name: �C�V c S Phone: �°� O�
Address: � v ro- l� � gf!��
CONTRACTOR Name: �/ C� Phone:
Address
Supervisor's Construction License:
Home Improvement License:
Exp. Date:
Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE. BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: FEE: $ v�(�
Check No.: a DO Receipt No.:��—
NOTE: Persons contracting with n gistere c ado not have access to the guaranty fund
Location Z& or
No. Date
NORTh
0:��•o .tip
TOWN OF NORTH ANDOVER
,•
F R
�e
Certificate of Occupancy
$
sACMUS
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
Check # U
24927
Building Inspector
I
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/MassageBody 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
PLANNING & DEVELOPMENT ❑ .
COMMENTS
CONSERVATION
COMMENTS
Is
HEALTH
COMMENTS
Reviewed
c�
Ca��III Srn�-Cl �o��
DATE APPROVED
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision: Commen
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
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
CONSERVATION
COMMENTS
11
HEALTH
COMMENTS
Reviewed
C-i:�
!a l l SAAA-111n0�14
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decisionfreceipt 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.$1oo-$100o fine
Doc:.Building Permit Revised 2011 June/mi
L_
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.$10o-$1000 fine
Doc:.Building Permit Revised 2011 June/mi
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
❑ 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 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: Doc.Building Permit Revised 2008mi
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- TOWN OF NORTH ANDOVER
ry6'S1O
OFFICE OF
BUILDING
DEPARTMENT
�� • ,P^"*
:. 1600 Osgood Street Building 20, Suite 2=36
`SqCHOs��5
North Andover, Massachusetts 01845
Gerald A. Brown Telephone (978) 688-9545
Inspector of Buildings Fax (978) 688-9542
HOMEOWNER -LICENSE EXEMPTION
BUIDING PERMIT APPLICATION
Please print
DATE: P Lo- C
JOB LOCATION: t
Number
I;IOMEOWNER CC li'l
Name
Street Address Map/Lot
home.Phone
93 6h 9P 2-.-5` 4
Work Phone
PRESENT MAILING ADDRESS
Vor4 A110ovs—r- 114
City To m Rite . Zip Code
The current exemption for "homeowners" was extended to include owner -occupied dweIlingS to two units or less and
to allow such homeot=tners 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 Qwns 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 Forth Andover Building Department
minimum inspection procedures and requirements and that he/she will c mply 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 PLANNING 688-9535
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1 * _
CONSERVATION DEPARTMENT
Community Development Division
December 22, 2011
David Ghikas
186 Bradford Street
North Andover, MA 01845
186 Bradford Street, North Andover
Front Stair Replacement
Conservation Conditions of Approval, NACC #90
Pursuant to section 4.4.2 (A) of the North Andover Wetlands Protection Regulations, David Ghikas
(owner) filed for a small project for work proposed at 186 Bradford Street, North Andover. The
proposed work includes the removal of cinder block and cement stairs and installation of a 12'x 18'
wood and composite decking stairs. The work is approximately 70' from the edge of Bordering
C Vegetated Wetland (BVW) associated with an intermittent stream as shown on the herein referenced
plan. Erosion controls are not necessary.
During the December 21, 2011 public meeting, the North Andover Conservation Commission
(NACC) voted unanimously to approve this project as proposed. The following conditions are
hereby mandated:
RECORD DOCUMENTS: Small Project Filing Including:
Narrative, Conceptual Drawing, Property Plot Plan (proposed
work and approximate wetland location shown), and
Application Checklist
Prepared by: David Ghikas
Received: December 14, 2011
CONDITIONS:
1. Excess construction material shall be properly disposed of offsite.
2. The owner shall properly dispose of dead shrubs, currently located in jurisdictional areas, to an
appropriate brush dump facility.
1600 Osgood Street, Building 20, Suite 2-36, North Andover, Massachusetts 01845
Phone 978.688.9530 Fax 978.688.9542 Web www. http://www.townofnorthandover.com/conservel.htm
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fl` 3. Upon completion of the approved project and site stabilization, please contact the Conservation
Department for a final inspection.
4. This Permit shall expire six months from the date of issue.
0
Should you have any question or comments regarding the contents of this letter, please do not
hesitate to contact the undersigned at 978.688.9530 at your earliest convenience. Thanking you in
advance for your anticipated cooperation with this matter.
Respectfully,
ORTH ANDOVE CO SERVATION DEPARTMENT
J f' er A. H ghes
servation Administra or
1600 Osgood Street, Building 20, Suite 2-36, North Andover, Massachusetts 01845
Phone 978.688.9530 Fax 978.688.9542 Web www. http://www.townofnotthandover.com/conservel.httn
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David Ghikas
186 Bradford Street
North Andover MA 01845
Home: 978-684-8205
Cell: 978-902-5487
Fax: 978-662-7824
Email: David@Ghikas.net
Wednesday, December 14, 2011
Brian Leathe
Building Department
Town of North Andover
1600 Osgood Street - Bldg 20 - Suite 2-36
North Andover MA 01845
Brian,
O I am writing to you in order to obtain a building permit to replace my existing stairs at my home
at 186 Bradford Street North Andover.
The existing stairs consisted of cemented cinder block with on top of a cement slab. The new
stairs will be made from a pressure treated pine substructure with composite wood decking
and will be set back 37' from the edge of the road.
Please find attached the following documents:
• Conceptual Drawing
• Footing Notes
• Stair Notes
• Pictures of existing construction.
Please let me know if you have any questions,
Regards,
David
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Conceptual Drawing
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Footing Notes
House
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Stair Notes
Total Rise
2' 9 -1/2 -
Total Run
6' 3-7/8-
6 runs of
V-21/32-
7 rises of
4-25/32
Angle 20.70
6-25/32" Throat
a �� + s I
4'83/4" Base Length -5'11/16"
6'3-7/8"
7'4-17/32"
D- A -fr.
2'9-1/2"
1 -9 -15/32-
D-
'9 -15/32"
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David Ghikas
186 Bradford Street
North Andover MA 01845
Home: 978-684-8205
Cell: 978-902-5487
Fax: 978-662-7824
Email: David@Ghikas.net
Wednesday, December 14, 2011
Brian Leathe
Building Department
Town of North Andover
1600 Osgood Street — Bldg 20 — Suite 2-36
North Andover MA 01845
Brian,
I am writing to you in order to obtain a building permit to replace my existing stairs at my home
at 186 Bradford Street North Andover.
The existing stairs consisted of cemented cinder block with on top of a cement slab. The new
stairs will be made from a pressure treated pine substructure with composite wood decking
and will be set back 37' from the edge of the road.
Please find attached the following documents:
• Conceptual Drawing
• Footing Notes
• Stair Notes
• Pictures of existing construction.
Please let me know if you have any questions,
0
Conceptual Drawine
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Footing Notes
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Stair 2
t
Stair 3
Stair 4
Stair 5
Cry A
House
13
Stair Notes
Total Rise
Total Run
q' 9-1/2"
6' 3-7/8-
6 runs of
1`21/32-
7 rises of
425/32
Angle 20.70
1'9— 15/32"
625/32" Throat
4,83/4„ Base -Length 5'11/16"
6'37/8"
7'4— 17/32"
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From Street
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): X(A-V 1 vl 4 (,k<
Address: 1 q Kr& J-fQ -
City/State/Zip,ff o r4A11dQV1_rfM[�9Phone #:_/ t 0_ — j�l✓
Are you an employer? Check the appropriate box:
1. ❑ I am a employer with
4. ❑ I am a general contractor and I
employees (full and/or part-time).*
have hired the sub -contractors
2. ❑ 1 am a sole proprietor or partner-
listed on the attached sheet. $
ship and have no employees
These sub -contractors have
working for me in any capacity.
workers' comp. insurance.
[No workers' comp. insurance
5. ❑ We are a corporation and its
required.]
officers have exercised their
3. I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
c. 152, §1(4), and we have no
insurance required.] t
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7. ® Remodeling
8. ❑ Demolition
9. ❑ Building addition
10.0 Electrical repairs or additions
11.❑ Plumbing repairs or additions
12.❑ Roof repairs
13.❑ Other
*Any applicant that checks box # 1 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 it 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 ce t' y under the pains and e alties of perjury that the information provided above is true and correct.
Si L l nature: gate -ec /`/t` LLo �(