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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 rf µ°RTH Cft:f�eo - 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 � �10RT1� 3=Of,�t��o bgti� 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 C z rA Cd w W4 0 o g x w o U a z q O U w W p G w a -co w w w �R C/) o Ev) V c O N W O V C3 a c �v o m C Z O O L N= Ea m y •- c CD co • �•O' y co 0430 CD c ' CL "=' mca 3 = N Qf m N C C � Cc c c N O C I; m E co act m N m cc �_= O Q1 C_ O a -o . acs 'o Z . O CD _ `D m .,. G N t_ WMD •N dt O C Z C:.3, y... m •N 0 v .m o CDCL, F - ti a m$CD:6210 go CD M g. r- sam f M O O co O O v Z CL °L O y � C co cm I .g m m CD O.O CL ~ .0 O � 3.0 CO O 0 O O O d a cm< c C., c ev ccv J 'C C C Z CD CL �..� N2 c C C . C cc ca d uj uj U) W W 19 W to 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 0 c 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 Mm Dom. i.n 9 -F G m C Conceptual Drawing n---,2 'f -f G C m c Footing Notes House n- -- 2 -s e C C 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" 4 7-1 aw 1� lr� vq C U �W-Tnws 11 ...iOv$ -,FloI,N� moll Ad, D--- G -f G 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 'f a 47; y +'xi r• "S. z 77, ��� � ?%�°.x,�X �Yr `� �` � �"`� •rte-^��y�`�"'� _ ��p��'""y'��� �' _ •*�'z. � .f'�'��., '+ �.., �'�, ,",i+, "a 9.i �.,� ? � M•3 4' h it �i�" ',,� �� 4x �� "yr . yf ��s a* ,y?at�k ''r .,,r3 y�t"�`•'-x-, ,�`' r"'r'.W`' p'`++',�t" •.¢ 'r. : c +1� 3"ySrt" "a a� �,z1„trr•�'.s.x�1 •w., �' '' i o, x3 d� Xi: 'y' '�'1 v • n.f"�a. tT.f�' ' ^t 4',! ;E„ +` 'o+Ef' ., '� y, d I. # k<. It ;T; x T ' ai rtt 1 �� r 13--^ 'f .YF G Footing Notes I - + - J[aTr i 1 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" D ---A -fG m I ra - WRIP71 ff!PP; "n. -i- - WRIP71 ff!PP; "n. -i- 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 �(