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HomeMy WebLinkAboutBuilding Permit #223-2017 - 23 GILMAN LANE 8/31/2016 f � Hoary BUILDING PERMIT �' � '1`�� 1."6 TOWN OF NORTH ANDOVER }" o APPLICATION FOR PLAN EXAMINATION - y P �I ermit NO: � Date Received Date Issued: 9SSACHUS��� I RTANT: Applicant must complete all items on this page LOCATION 023 Gy,, La, /f1, 14tWe n, l r, , PROPERTY OWNER P.int 5 C) Print MAP NO: D PARCEL:lf LL ONING DISTRICT: District yes (no)Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial w Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑ Water/Sewer -ih( /v ebk) oc / > I� I --IIII �,r� c,�l' TV1 A /q , X ��� JC'ree✓� �cy ? Dn Identification Please Type or Print Clearly) OWNER; Name: � s L�rP�C SlGu n� Phone: 617- Address:, 02� ��` rn� A/1 XnC,19 41er API CONTRACTOR Name: / �v o Phone: a�j�' -7S0 7 Address: Z3 o erry IVI-1, �3c�38 Supervisor's Construction icense: Exp. Date: ©ga57� 7 as o1017 Home Improvement License: Exp. Date. / -7,2,177 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BUILDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$115.00 PER S.F. Total Project Cost: $ FEE: $ j Check No.: Receipt No.: 0 2 NOTE: Persons contracting with unregistered contractors do not have access to the guaran iind Signature of Agent/Owner Signature of contracto I f L �1 t10RTFf BUILDING PERMIT + TOWN OF NORTH ANDOVER 32 5 APPLICATION FOR PLAN EXAMINATION Permit No#:, Date Received A7Ev gSSACHU`�E� Date Issued: � IMPORTANT: Applicant must complete all items on this page LOCATION', Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition ❑Two or more family [I Industrial 11 Alteration, No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: 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$925.00 PER S.F. Total Project Cost: $ FEE: $ I Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si- n --� Location No. Date • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ L Check# �� /r , f k Building Inspector t' J 1 Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer' ❑ Tanning/MassageA3ody 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 a PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on � _ Signature I COMMENTS I HEALTH Reviewed on Signature COMMENTS i Zoning Board of Appeals: Variance, Petition No: Zoning Decisionfrecei t 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 um DEPARaTMENT ; TempDpste rfl�onEsite: eyes tiLoc tedat'�i1�24t11/I_aintSt�eet '` Z77 �,Fir4e{Department�s_ignature/date,_ . _ _ _ 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 APPROVE PLANNING & DEVELOPMENT ❑ ❑ � COMENTS CONSERVATION ❑ ❑ . TEO- I L, COMMENTS T\. DATE REJECTED DAT APPROVED HEALTH c '` COMMENTSc- Qj1 ci r Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments t ' Water&;Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signatureldate COMMENTS d Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total a 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 ti MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine I NOTES and DATA— (For department use) 4 C� f 9 I D Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 I 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 OTE: All dumps-ter permits require sign off from Fire Department prior to issuance of Bldg Permit t 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 ;r< Floor/Cross Section/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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4 Building Permit Application 4 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 2012 I ECC Energy code Engineering Affidavits for Engineered products OTE: 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 I Doc:Building Permit Revised 2014 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 4789.00 m $ - $ 465.47 Plumbing Fee $ 58.18 -' Gas Fee 100 comm. $ 100.00 Electrical Fee $ 58.18 Total fees collected $ 681.84 23 Gilman Lane 223-2017 on 8/31/2016 replace deck and screen room t%0 R T►y Town o .. ? _ 6Andover _ t No. IL n o h ver, Mass, Amom3 2 4 �! coc"I M .".. y1. 7,qs RAr6ED ►� �(5 U BOARD OF HEALTH Food/Kitchen PE Septic System THIS CERTIFIES THAT r.. 1. .... Dra.elsj� BUILDING INSPECTOR has permission to erect .......................... buildings on 4a>f � Foundation .... .... ............%9A4.................. Z IC, Rough tobe occupied as . .. .. . ... ..................... ..................................�......eck Chimney provided that the person accepting!1s!peWr3shall 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. 144 X1t se"46) tu>^ PLUMBING INSPECTOR �� Rough R� IT T LD VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR, UNLESS CONST TION Rough Service .. ..... . . .. ....... Final BUILDING I PELT R GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough r 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. 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 APPROVE PLANNING & DEVELOPMENT 11 10' a4 L(k COMENTS I CONSERVATION El El COMMENTS DATE REJECTED DAT APPROVED HEALTH c ❑ , -` COMMENTS ❑ C, j 1, 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 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 Z®NE LITERAT'URE: Yes N® MGL Chapter 166 Section 21A—F and G min.$1oo-$1o0o fine NOTES and DATA-- (For department use) i ❑ Notified for pickup Call Email Date — Time Contact Name Doc.Bufld*mg Permit Revised 2014 ' 4 / r` e 5 ll� cs— -71 -7 F ' a � k of Ch�OA*I,-ey batt 4t, Wo. I�k viers ara VI C\t MAC oil ' END- oil � x ce �OOYVN x l p _ a a x. X $ aoc a r J � 661G�� 4 a I O - 0 .s V\A T 1 l 4L iL i s 4 1• a Xe S�Q _DO �l�� ; g Xt 000 1 Ll I I JAA 3 i j 1 j �o do S ora �� \INA0o -0 s 1 ccs a�� ;L x- X NL o � F 114-6 d _ 410 Custom Design Carpentry 176 Fordway Ext. Derry, NH. 03038 Derek and Melissa Slayton 8/18/2016 23 Gilman Lane N. Andover, Ma. 01854 Deck and Screen room Project: "Demo: Remove old deck from rear of house and dispose of. li Foundation: Install eight 10" Sona Tubes, four feet below grade. _. Fidliji1%,yt8x22 deck with . Set two bearns of triple 2x10 pt. with 6x6 pt. post. Deck framing to be constructed with 2x8 pt. 16 oc, and blocked where needed for screen room post. The deck is to be covered with Azek Vintage Collection Dark Hickory with hidden fasteners, and only screwed on outside edges. Handrails will be Azek Trademark in white. Azek trim board will be used to enclose the underneath of the deck in a vertical pattern. The screen room will have 5x5 wood post wrapped with vinyl sleeves to hold roof framing from rear wail of house, wrapping around existing chimney. Roof framing will of 2x8 kd. The in the screen room will be %a" drywall. Screen will be fixed to vinyl post with a track system. There will be two screen doors one will be swing and the other will slide open. We will also change the n rear of house with a double swing singlepatio door o g door with a three;point locking system. We will also install one section of hand rail to cover second patio door that will no longer have access leading to the ground. All Cedar siding that has been disturbed, will be replaced with new. Total Cost $ 38,789.00 Plus Permit Fees J G Raymond Lirette Custom Design Carpentry Derek an elissa Slayton II Office of Consumer Affairs and Business Regulation 10 Park Plaza , Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 172177 Type: DBA �§ Expiration: 5/31/2018 Tr# 419291 RAY LIRETTE CUSTOM DESIGN CARPENT- RAYMOND LIRETTE 176 FORDWAY EXT. DERRY, NH 03038 Update Address and return card.Mark reason for change. Address FRenewal Employment Lost Card SCA 1 20M-05/11 Office of Consumer Affairs&Business Regulation License or registration valid for individual use only (?HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration '. 172177 Type Office of Consumer Affairs and Business Regulation Expiration 5131/2018 DBA 10 Park Plaza-Suite 5170 > Boston,MA 02116 RAY LIRETTE CUSTOM 4E&GN.CARPENTRY RAYMOND LIRETTE 176 FORDWAY EXT DERRY,NH 03038 Undersecretary Not valid Zwithout signature ., F : :Massachusetts Department of Public Safety Board of$wilding Regulations and Standards . Licsnse CS-092527 Construction Supervisor I Is RAYMOND C LIRETTE 176 FORDWAY EXT DERRY NH 03038 !� , Expiration: 08/20/2017 Commissioner I The Commonwealth of Massachusetts Department of Industrial Accidents d 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Apolicaflt Information 4 11 Please Print Legibly Name (Business/Organization/Individual): L 11/,j 0/17 �S/ Address: OV' wv a City/Stat e/Zip: err Q3Q38 Phone c2 6F- 7 07 Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).' 7. ❑New construction 2.®I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.D I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.F1 Plumbing repairs or additions 5.M I am algeneral contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof re airs These'sub-contractors have employees and have workers'comp.insurance.: / 6.n We are a corporation and its officers have exercised their right of exemption per MGL c. 14.©Other I 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 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#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 MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cern nder the ns n ena pe jury that the information providedfa o is a and correct. Si ature: Date: a�4�Gi6 Phone#: y' 7�7 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.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: FILE NO.: 1 $4171 N/F STIGLIN .00 bo 00 a I LOT 25—A 44,931± S.F. LOT 26-A N/F DESUN CORP. I N / �S aG 0 1 60.80' SB/DH GILMAN LANE 111.32' OF MASS9 JOHN S. o LAURETANI �i LOT 24-A # 34311 ti A��FESS\OIA1 lgNO SUR�EMORTGAGE LENDER USE ONLY plotplans.com Rubin, Weisman, Colasanti, Kajko & Stein, LLP DES LALIPJERs °°"` �ASSOGATI-S,INC:. 101 CONSTITU ON BLVD, SUITE D ' FRANKLIN, MA 02038 i One Elm Square, Suite 2F Tel: (978)475-1919 - - (800)287-8800 FAX.:(508)528-4011 Andover,MAO 1810 www.massfinnxom -�- - THERE ARE NO DEEDED EASEMENTS IN MORTGAGE INSPECTION PLAN THE ABOVE REFERENCED DEED OR ADDRESS:23 GILMAN LANE, NORTH ANDOVER, MA ENCROACHMENTS WITH RESPECT TO EXCEPT AS STATED ON THE DEED OF _ LENDER: MORTGAGE FINANCIAL. INC. RECORD SHOWN. ATTORNEY: RUBIN WEISMAN COLASANTI KAJKO do STEIN LLP A3102 6TME LOCATION OF THE DWELLING AS i OWNER: RICHARD do UNDY MCMAHON SHOWN HEREON EITHER WAS IN APPLICANT: DEREK & MEUSSA SLAYTON COMPLIANCE WITH THE LOCAL ZONING DATE: 6/7/2010 SCALE: 1*=60' COUNTY:ESSEX NORTH BY-LAWS IN EFFECT WHEN CONSTRUCTED (WITH RESPECT TO UNREGISTERED LAND STRUCTURAL SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION FLOOD HAZARD INFO:. DEED BOOK: 1712 PAGE:232 ENFORCEMENT ACTION UNDER MASS. G.L. ZONE: X DATED: 6/2/1993 PLAN BOOK: PAGE: LOT(S):25A COMMUNITY PANEL: 250098 OOO8C PLAN NUMBER:8699 OF THE LOCATION OF THE DWELLING SHOWN REGISTERED LAND CERTIFICATE OF TITLE: DOES NOT FALL WITHIN A SPECIAL REGISTRATION.BOOK: PAGE: ASSESSORS MAP: FLOOD HAZARD ZONE, EXCEPT AS MAY BE INDICATED. PLAN NUMBER: LOT(S): BLOCK: LOT: GENERAL NOTES: (1) THE DECLARATIONS MADE ABOVE ARE ON THE BASIS OF MY KNOWLEDGE, INFORMATION, AND BELIEF AS THE RESULT OF A MORTGAGE INSPECTION TAPE SURVEY, NOT THE RESULT OF AN INSTRUMENT SURVEY MADE TO THE NORMAL STANDARD OF CARE OF REGISTERED LAND SURVEYORS PRACTICING IN MASSACHUSETTS. (2) DECLARATIONS ARE MADE TO THE ABOVE NAMED CLIENT ONLY AS OF THIS DATE. (3) THIS PLAN WAS NOT MADE FOR RECORDING PURPOSES, FOR USE IN PREPARING DEED DESCRIPTIONS OR FOR CONSTRUCTION. (4) VERIFICATIONS OF PROPERTY LINE DIMENSIONS, BUILDING OFFSETS, FENCES, OR LOT CONFIGURATION MAY BE ACCOMPLISHED BY AN ACCURATE INSTRUMENT SURVEY. (5) NO RESPONSIBILITY IS ASSUMED HEREIN TO THE LAND OWNER OR OCCUPANT. Copyright(C)2008,Des Lcuriers k Assoc.,Inc.