Loading...
HomeMy WebLinkAboutBuilding Permit #011-2017 - 2302 TURNPIKE STREET 7/5/2016 BUILDING PERMIT o� NORT" 4 t�ED TOWN OF NORTH ANDOVER. 4' o APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received a SSACHU`�E Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION f, . Anda/rr . Print PROPERTY OWNER Print 100 Year Structure yesno MAP �O PARCEL: ZONING DISTRICT: Historic District yes ci 7 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 ❑ Repair, replacement ❑Assessory Bldg ❑ Others: �s Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: a n1i�) of )Se- CLnA b&r 3 60- Identifieati99n- Please Type or Print Clearly OWNER: Name: Phone:cacaos- -7 v Address: N byA AnLzuCK W \ 5 Contractor Name: Dan yx\ ( Ce-ft I 11 Phone: q U - Q_(.o S - 7 3 0 Email: Address: QZ3,+<10 1 Jeri �' _ � cel .L] 1411 jaGf /Vicolosi Supervisor's Construction License: (25 Na,?yf Exp. Date: % L-azie Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ a2sbo FEE: $ ,&) Check No.: ?b 0 Receipt No.: 30f ;, NOTE: Persons contracting with unregistev d ontractors do not have access to the guaranty u zd i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanuing/Massage/Body Art ❑ Sw"' .ung 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS ,9-AI CONSERVATION Reviewed on Si tur na e g COMMENTS / d HEALTH Reviewed on Signature GCOMMENTS 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: Locate 84 Osgood Street FIRE40EPARJTMENT Tempa©umpster onsite Nyes .Fire' 'epartmen'ts_ignature/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 ease) ® Notified for pickup Call Email Date Time Contact Name Doc.Building Pen-nit 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 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 dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit i 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/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) 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 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 Doc:Building Permit Revised 2014 Location ��� No. �l� ' orf: r Date : /1 . - TOWN OF NORTH ANDOVER ' • "gid,.. � Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ ' TOTAL $ Q � Check# rV `r %7-00576 ,000o' Building Inspector r , NORTH w: 1 : : 1c . : ve' A*. h ver, Mass COCHICNewic« 1' •Q.o `y S U BOARD OF HEALTH Food/Kitchen PERMIT T LD qSeptic System THIS CERTIFIES THAT IC-r. �. ....... 1�A,Aoe ............. BUILDING INSPECTOR �G Foundation has permission to erect .......................... buildingson ...; ... ... ....... ...4 .......... Rough to be occupied as J4-01-40....��i:�.lr.j$e4......�:�/ti , .� ............... Chimney provided that the person accepting this permit shall in every respect conforhe 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N ST Rough ,Oervice .... .... ...... Final BUILDING INSPECT, 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. Town of North Andover NORTH q Building Department O ��LEo !eg tip 1600 Osgood Street Bldg 20, Suite 2035 0� North Andover MA 01845 •� • �' Tel: 978-688-9545 Fax: 978-688-9542 �c - . b DEMOLITION OF BUILDING AFFIDAVIT °-QA CoCOSIC N ICK`y�0 �� 9 °RAreo Ok (� SSACHUS�� DATE � OWNER'S NAME &ADDRESS :]Da i Jars n 1,1 Lo 11 -23 AS h SSh V . A1hdk\&\ I-tA o I�'�I� sa - LOCATION OF PROPERTY TO DEMOLISH 3 O a rr\ p)'L` _ DESCRIPTION I /MOI&I00 pf vwsf, aV�A ?yw I(1 CONTRACTOR'S NAME &ADDRESS Edd44\ [,ui6fV S lvx Q&,An�_1-�. A .,23A\rA N . ►��,1�,�er Idly DEPARTMENT SIGN-OFFS j DEPT. OF PUBLIC WORKS -WATER: G SEWER: TREE WARDEN 4�Ld TOWN ENGINEER ZZ DEPT. OF CONS VATION HEALTH D §EPTIC WELL HISTORIC COMMISSION PLANNING0AA,-,LDA(Ann )k GAS Stu ELECTRIC Ste A4+6 C\\S TELEPHONE TAXES ��Zz116 POLICE Chi FIRE EXTERMINATOR _ DUMPSTER.- O=1OFFSTREED DIG SAFE NUMBER aS BLDG. INSPECTOR k Building Demolition Affidavit TRGET Lodes 617 waw Sheet www.ontarLretservices.com Unlit $erwAmes+ Gardiner,Wine oa3as Y tel$00-s98-0G2$ fax 2D9-5$$3302 email: screening, ontargetservices.com Date/Time :6/14/2016 12:38:05 PM EARTH WORKS P 0 BOX 565 N ANDOVER MA 01845 Tel.:(878)-265-7320 ext. This message is being sent in response to your request for underground cable location.The following represents a list of responses for the indicated member.These reponses only pertain to the specific member. Ticket#: 20162314296 Place : NORTH ANDOVER, MASSACHUSETTS Address : TURNPIKE ST/SHARPENERS POND RD 1-COMCAST CABLE-GREATER BOSTON-NORTH Ticket Screened on 06!10!'2016 This ticket is clear of conflict and has been screened by On Target Utility Services If there are questions regarding this transmission or if you arrive at the site and have a question about the markings, please call 1-800-598-0628, during normal business hours, Monday- Friday 6/29/2016 kayla@earthworksma.com-Yahoo Mail A Home Mail Search News Sports Finance Celebrity Weather Answers Fiickr Mobile More Q All Search Search Mail Search Web Home ® Kayla Iaz9El ® o Compose « ♦ O Archive Move ® Delete Spam •« More ♦ ♦ X Inbox2302 Turnpike Street People # Drafts Janice Williams<jrmillinery@gmail.com> Jun 23 at 12:23 PM Sent To kayla@earthworksma.com Archive CC Kathy Szyska Spam Trash According our research the house was not on the 1840 map or the Forbes map. We researched the barn,too, which was on the Forbes Map, owned by Jane Wysocki and built in 1956. These structures do not require that Smart Views the Historical Commission sign off on its demolition. Important Jan Williams Unread Starred People Sent from my iPhone Social Shopping Travel Finance > Folders > Recent i i .❑ Max Ma on flickr https://us-mg6.maii.yahoo.com/neoAaunchftail 1/1 7/5/2016 Rodent Inspection Results-Danny Gill Rodent Inspection Results i Preve, Kenneth Sat 7/2/2016 7:55 AM Inbox To-earthworks300@msn.com <earthworks300@msn.com>; Rodent Activity Inspection Report Date Performed: 7/1/16 Property Address: 2302 Turnpike St, North Andover, MA, 01845 i Contractor: Earth Works I i Rodent Droppings: None ' Rodent Burrows: None Rodent Scratching/Chewing: None At this time, the fore mentioned property shows no sign of current rodent activity in the two free standing structures or the area surrounding the structures. i Ken Preve I Terminix Commercial Inspector Cell 603-540-3111 Email kpreve@terminix.com NOTICE: The information contained in this e-mail is considered ServiceMaster intellectual property and is subject to confidentiality agreements in place between ServiceMaster and its business partners. If you have received this email in error, please reply to the sender, and delete this message, copies, and attachments. For more information, please visit https://www.servicemaster.com/privacy-policy. Thank you. hdps://outlook.)ive.com/owa/?viewmodel=ReadMessageltem&Item ID=AQMkADAwATc3AGZmAGUtODA2MCO2N DVhLTAwAiOwMAoARgAAA4goGTbOW8V... 1/1 nationalgrid 40 Sylvan Rd Waltham MA 02451 June 17, 2016 Danny Gill 2302 Turnpike St N Andover, MA RE: Service Removal for Building Demolition. This letter is to confirm that,per your request;National Grid has removed the electrical service and meters from 2302 Turnpike St, N Andover, MA. If you have any questions or need further assistance, please feel free to contact me at (508) 357-4520. Sincerely, Tara Alorri.5 Order Processing Rep Customer Order Fulfillment nationalgrid 4o Sylvan Road Waltham,MA 02451 Office (508) 357-4520 Email Tara.Morris@nationalgrid.com nationalgrodo June 28,2016 To:Danny Gill, Re: 2302 Turnpike St.North Andover,MA This letter is to notify you that after our investigating our records it has been determined that there is no gas service to 2302 Turnpike St.North Andover,MA. National Grid's gas main ends at the intersection of Turnpike St. and Sharpners Pond Rd. Furthermore we have no records of a service at this address in our system. If you have any questions please feel free to contact me at 781-794-3532 Sincerely, O PVOftoft iii Chris O'Donnell Sr.Gas Sales Support Representative National Grid 40 Sylvan Rd Waltham, Ma 02451 781-794-3532 The Commonwealth of Massachusetts Department of.IndlustrialAccidents X Congress Street,Suite 100 Foston,MA 02114-2417 www.massgow/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Eleetricians/Plumbers. TO BE MOM WITH THE P]ERIVHTTING AUTHORITY. Applicant Information ( Please Print Legibly Name(Business/Organizationadividual): C� `,�_ k`( " 1 NG .Address: A6V1 St t)4y, Am&;m O r A- S u 3 City/Mate/Zip,��jY � V� P ogle#: 1 t�' lo �- -7 a6 Are you an employer?Check apliropriaie box: Type of project(]required): 1. a employer with = employees(fall and/or part-time).° 7. []New construction 2.❑I am a sole proprietor or partnership and have no employees working for me.in 8. [J Remodeling any capacity.[No workers'comp.insurance required] ,Demolition 3.Q 10❑ I am a homeowner doing all work myself[No workers'comp..insurance zequired.]t 9. Building addition 4.r]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.❑Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ 13.[�Roof repairs These snb-contractors have employees and have workers'comp.instuance. 6.❑We are a corporation and ifs officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have na employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. i Homeowners who submif 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 state whether or not those entities have rs fiave employees,�liey must provide their workers'comp.policy number. employees. If the.sub-contracto .: lain an empioyer that is providing workers'compensation insurance for my employees.•Below is the policy and job site information. "" a \ Insurance Company Name: ,Ar b u-611 ! ctiam �S�Waft u 3� _ Policy#or Self-ins,Lic.#: "� �� 1�� k e Expiration Date: L4 �^( fob Site Address: ' 2 0, - nU\V_c City/State/Zip: (V , N,& I"vlT 01 Attach a copy of the workers'compen tlsa on 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 fnie 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 certif der the pains a_ndpe aloes of perjury that the information provided above is true and correct. Signature: jlADate: CP Phone#: C7 3 f to --7 3,2_C:!) 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#: Information and Instructions Massachusetts General Laws cL x 152 requires all employers to provide workers'compensation for their emp'-�vees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contrdct€. .re, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or'any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of aft individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment b6 deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who lias not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall. enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority."_ Applicants Please fill-oat-the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub=contractors)name(s),address(es)and-phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents foi•confiimation of insurance coverage. Also be sure to sign and date the affidavit. The,affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensatioii'Policy,please call the Department•at the number listed below. Self-insured companies should•enter-their self-insurance1 wense number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 Www.mass.gov/dia 7/5/2016 imagel.JPG !ppFFFF Board of i8u Idtng Regutatsons °irci as4.1r=IArd'. License: CS-022848 MICHAEL S NICOLOSI 85 INDIAN RIDGE RD ".. E HAMPSTEAD NH 03826 i` Commissioner r FA � r r ...AF+ r �' r.•"�' ,,>,�` https://mail.google.com/—/scs/maiI-static/�!s/k=gmail.main.en.egzX2cokd8.0/m=m_i,t/am=nhGPBDD_7 38ulZRQFb6SoV57w3fLSk__YOGH_-9M-Eit8vG 2f... 1/1