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HomeMy WebLinkAboutBuilding Permit #195 - 24 EDMANDS ROAD 9/10/2009 BUILDING PERMIT J(� TOWN OF NORTH ANDOVER 0 APPLICATION FOR'PLAN EXAMINATION 04?- P- Permit NO: Q ceived I Date Issued: �0 IM ORTANT:Applicant must comp'f6Ce/E items on this page "CATIf b nrT PROPERTY Y­,,OWNER`, 27 P it MAP,`N" '- r PARCEL: L' $ z DISTRICT . "Di t r 7Machine Sh yes TYPE OF IIVIPROVgMENT PROPOSED USE Residential . Non- Residential 0 New Building 219ne family J?'Addition 0 Two or more family 0 Industrial 0 Alteration No. of units: 0 Commercial 0 Repair, replacement 0 Assessory Bldg 0 Others: 0 Demolition 0 Other FI00-[,p fa� S` ftate rs h e DESCRIPTION OF WORK TO BE PREFORMED: A TeX:,t-4 Q 01pr- I-A,-C v CtG - Identification Please Type or Print Clearly) OWNER: Name: %n, v,-4- C Ck Rz rtb Phone: '1-7 rb�S 8-no((-o Address: P- 0 N4 TAk T 7 ress— -Wbticen s M1 Construction Horne ment License,., ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 13 a, �o FEE: $ Check No.4 Receipt No.: NOTE: Persons contracting with unregistered contractors do not-have access to the guaranty fund Location d 7 um a h No. Date �LSwI MORT1r TOWN OR NORTH ANDOVER � 9 4L I Certificate of Occupancy $ AM CNUS CHU tt�' Building/Frame Permit Fee $ fC Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2406 _--� Building Inspector J ' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well I ❑ 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 DATE REJECTED DATE PPRO ED CONSERVATION ❑ . COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ ,COMMENTS 4 I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I' J Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit Located at 384 Osgood Street AFIRE DEPARTMENT Temp Durnpsfier on sloe yes Y nog Looated at 1'24 Mam_Stree �fre;Department signature/date y t a - 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 2007 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 Pa P 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 a 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 Q 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 Fire Department prior to issuance of Bldg Permit NOTE: All dumpster permits require sign off from p 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 Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 �.10RTH Town of : sAndover A K E dover, Mass., ' t� COC. 00 NIC ME WICK ADRATED APS\ �4) S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System 044. BUILDING INSPECTOR THIS CERTIFIES THAT5r*`'� ................................. ..4.. ........... Foundation has permission to erect........................................ b 'Idings on ` Rough tobe occupied as.. .....V...l i, .. �. ..... ..........................................................................................:............... Chimney ��`` ��jj provided that the n ccept g 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRU,' TS ELECTRICAL INSPECTOR Rough ...................................................................................................... Service BUILDING INSPECTOR 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 Until Inspected and Approved by the Building Inspector. Burner FIRE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: E N 13 R 4 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I 0A. The debris will be disposed of in: MS a-�►� `J �U�-VL S (Location of Facility) Signature of Permit Applicant D � Date TESTA Building and Remodeling 5 APPLETON STRET NORTH ANDOVER ,MA 01845 Lic. # CS 54718 HiC. # 120296 (978) 682 2023 PHONE/ FAX Proposal August 10, 2009 Proposal Submitted To: Jack Garvin Home Phone: (978) 24 Edmands Road North Andover, MA 01845 JOB : New bath Addition Obtain building permit Complete removal of all demolition and construction materials generated by Testa Building and Remodeling and its subcontractors. CONSTRUCTION: Excavate the area four feet deep. Pour a foundation crawl space. Backfill around the foundation . Frame a 10 x 14 addition to the back of the house. Install one window and siding on the addition to match the house. Frame out a shower stall that will be tiled and a closet that will house the washer and dryer as per the plan. Wire and plumb the addition to code. Insulate and plaster the addition. Interior trim will match the house trim as close as possible. Tile the floor in the bathroom. Paint the ceiling and the walls in the addition . Plumbing fixture , vanities and tile has been figured ($5400 allowance) , There will be a strip of electric heat with a thermostat on the wall . We will move the pipes in the close as best as we can to make the opening into the bathroom as large as possible. There will be a mirror over the bathroom sink that will cover the window in the kitchen. I will remove the window and install a piece of obscured glass with a light in it so it gives the illusion of day light. A finance charge of 112%per month(18%per year)will apply to all accounts over 30 days past due. In the event collection activity is required the customer shall be responsible for all costs associated with collection,including reasonable attomey's fees. I propose hereby to furnish material and labor complete in accordance with above specifications,for the sum of: $32,615.00 Thirty Two Thousand Six Hundred and Fifteen Dollars One third to start,one third after plaster,final third at completion . Authorized signature 1 reserve the right to cancel this contr if not accepted in_30_days Signature Signatu E d CL 3� �� �,A�►�e.l�-aN �" LC `O a V'r n,.�� cr x 5:$3-c•.1q ��C10 KO �0�2 � u. 5� ?1 f-N .. #c.►ti N:oJ4•�t oC � � xa ' 0©+: N9 TY� t ne C:amimc�nwealfh of Afmachnse#a f ' t Departure of Indwtrid Accidei LrvestiQations I�y f c 6017 frashington Street }.' Boston, MA 02111 N'iww_�rzassgov/diQ . Workers, CamPsusation Ltsiu-ace A-f�Tridavi� Euilders/Contractors/Electriciiaas/Piambers A 'cant Infor"atiion N Please Print LeQibl ,8171E (Business/prgaoi�.finn/Inaivid�)• TeS�-W •�v� �il : Q` 2 Address: �- CitYlstate/Zig: ell, A^jau,,r.-tom A PhMe#: . Are you ap employer4 Cheek.the aPProP�te•box: ' I ❑ I am a einplayer with 4. ❑ I arr► a Type of P*oF (required): general contractor and T rployees(fuD and/orpart-time).* have hired the sub- 6. New caristructioit . 2• I am.asole proprietor.,or partner- listed ort the attached sheet.3 7. []Remodeling ship and have no�ployem These ss�contractors have working forme fr� aT capecity, workers' comp.insurance. 8' ❑Demolition ENo woricErs'comp, instaattce 5. [] We a� a cotporatSon and its 9• ❑Buticling addition required.] afl7no have a 10. xercis El 3, ed their ❑ =.~tries] ❑ Iain a airs hon or=owner doing ail work right �P additions of exemption per MOL 1 I.[]plumbing myself�o•Wird-3-tcamp. 152, §I(41'and,we have no TePan or additiam irrsraanc,.• regnrred.] t .°mploYees,(No work=' 12•[j Roof repairs " 7 ePP&canttharCDMP• imurari=require&] 13.❑.pther checks b W i t must etso fill oftt the sea ion below showing their workart'cotitpensatirnr poiiry informaEion T iiomeowaeta who submit this a'ffi'davit indicating they am=an _ =Caatfiacmts that Check this box must g 1O and thm�him ofifisaide conaeefara Waist submit a sew a� sa add.'tionw sheet showntg.the krone of the suh- ai`fiidavit Motceiia;such.' Mn awt employer that �rtfiactofis and'fiteir wotfceo;'Cor.. utfo ptav+via-t►r we � »r•F::..,.,ir.{omiation. T ion ..,•.' •trfst�rance�or Wry.enrplm a ZzW a. Insurarficc Company 'e .t aaayos site .. . Name: Policy#or Self ins. Lic.#: Sob Site Addrms; E.itpiratiort]Sate: Attach a co of the workers' eom Cityl3tat �: p=ass]ion Policy decd rasion showiteQ Failure to secure Coverage as Pali( e the policy number and expiration g requited under Section 25A of MCiL c. 152 can lead to the imposition of cturrural dat=e), . fine up to 1,SDO�DO and/or one-year srlprisonmetli;as we1I as civic penalties in the form of a STOP WORK ORDER Of up to$250.00 a penalties of a day against the violator. Be advised that a copy of this stst=enfa fine Investigations of the DlA for insurance coverage verifimt:ion, 3 forwarded to the Oftrcc of I do hereby c an r thepains and er or °lPP1l+vy tSfim the informadt"z Provided above is&ue and aorrec Si �..� Phone#: � S'� �� � - �Q'�3 Date: Official use only. do not melte is this area.tobe canlptetrd or town off=w City or Town: Issuio 40 ity(circle Permit/Licease# one): L Board of Health 2 Buildifitg Department 3.City/T.,.Cl 6.Other erk 4 Electrical Iosperator 5. Plumbiog Inspector Contact Person: Pbofine#: 1IlIUI-IT aeon a- nq mstruCtions Massachusetts General Laws chapter 152 requires all emp I oyers to provide workers' compensation fur their employers. Pursuant to this statute, an employee is defined as"--:every person in the service of another under any contract Aim ,- express or implied,oral or written." An employer is defined as"m individuate partnership,assiodiation, corporation or other legal entity,or any two ormore of the,f0mgoing engaged in a joint enterprise,and includir-kg the legal reprasenfativa of a dcceaserd employer,arfht receiver ortrust=-of an individual,pmtriership,associatiaa;t or other legal cntity,employing employees. 'However the ownerr•af a dweliing house having not more than th=apa_z-tnerrts and who resides therein, or the occup8at of the dwell-mg house of another who employs persons to do maimtnnance,construction or repair work on such dweliinghouse or on the grounds or building appurtenact thereto shalt not b===of such employment be d=ned to be an employer." MGL chapter 152,§25C(6)also states fhat"every state as-Local licensing agency shall withhold the issmanceor renewal of a License or permit to opemte a baseness or *a construct boitd'mg in the commonwealth for any appLLcant who has tint produced acceptable evideam o-F c oxiinc a with the.insuranc.aoverage required" Addiiiionally,MOL chapter 152,§25C(7)states"Neither the commonwealth nor any of its polificgl subdivisions shall enter intD any contract for the performence.of public worie tmtV-acceptabla evidence of compliance with the rusk e requirements.of this chapter have been presented tathe cOr actQeg authority," :Applicants Please,fill out the workers'.compensation,affidavit compi.-m-tely,by checking the boxes that appiy to your situation and,if neeerssary,supply suer-corrtraetor(s)name(sl addozss(es):ftmd phony numberc� s)along with their=rtifi (s)of insurance. Limitsd'Liabiiity Companies(LLC)or Limited Liability Partnerships(LLP)-with no employees otherthan the members or partners,are notrequired1to carry workers'c:Cbittptnsafion insurance. ifan LLC or'LLP does have empioyees,a policy is required. Be advised that this MIM -eivit may be submitted to the Department of Industrial Amidmrts for confirmation of insurance coverage. Also Eye sure to sign and date the affidavit. The affidavit should be rettaned to the city or town that the application for.tim permit or li.ccnsr is being requested,nottht Department of Industrial Accidents. Should you have any questions regal-dung the law or if you are required to obtain a workers' oorapmmtion policy,please-cantheDepartinwit at the nurmbe�r listed below. Self-bsured companies should emarthe;ir self itasr nce license,number on tho'appropfiate ilea. City or Town Officials Picas e be sure that the afbdavit is complete and primed legibly. The Department hes provided a space at tier botrmn of the affidavit for YOU to fill out in the.event the Office of Investigations has to contact you regarding the applicant. Please be sum to fell in the permit/license number which W-0 be used as a reference number. In addition,an appiicitnt that must submit multiple Peumit/liconse appTicatians in arty given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Adds-ess"the applicant should write:"all locations in (city or town)."A copy of-the affidavit that:has b=m.officially swiped or marked by tate city or town may be provided to the applicant as proof that a valid affidavit is on file for frig permits or licenses. A new affidavit must be filled out each year. Wheri a home owner or citizen isi obtaining a license: or permit not related to any business or commercial ventrad (i.e. a dog license or permit too bum leaves etc.)said person is NOT.requimd to-compiete this afndaviL The Office of Investigations would like to thank you in advanae for your cooperation and should you have any questions, please do not hesitate to give us a call Tier Department's address,telephone and fax number. The Commonwemlth of Massachusetts Department of Fmdustzial Acaidea s Office of Envestfi lotion 600 `iJadb imgton Strict Boston, MA 42111 TeL#617-727-4900 i=406 or 1-9.77-MASSAFE Fax 9 61 7-727-774Q 1L vised 5-2-6-05Fax X PNd 'oma c- v VOC civ 7�1 oo-2)ti � I a,5°ao�d `y�MO ALy � i North Andover Pictometry Viewer Page 1 of 1 ; . Town of North Andover, Massachusetts �. Municipal Information Mapping Access Program (MIMAP) View from the South a Fri,Nov 23, w 2007 ' 11:51 AM + View from the South o Fri,Nov 23, 2007 10:54 AM Q View from the West Fri,Nov 23, 2007 11:03 AM View from the North v � •V V Fri Nov 23 zoo? 10:09 AM r'r View fro the East t Size Fri,Nov 23, ❑ 2007 r, 11:03 AM n' Matz' View from the East '4 Fri,Nov 23, 2007 Google Maps 3 Go vz.o(beta 1] AppGeo r Layers r Labels -iFR* M•nn.R NM PIo4Crrwb dm asiW rr•r�n..gr.rd arin�Irlvrrert MriliAllin or nwrr.Edm fa.4 eamn.any�nre..er.ablra ar Ve flrpTYc lNee•rr a2..� IGIS)1)W veyo�4Y{r.iid rte. .-A. r1I5 del.ki14nMpnawh•rs•rA•ia�d MbeawMwad`rr•Mp.pe.'rMdW be+�ol1•e IYe�Otxd•p�err•.vme1 rd Wicl by lsq se.+reed'.zrrwr.trrr�ll.n.ap•�nd,garru.s w....a va.v nr..eco.r..r�++.w•r...adr.lv.rrw�y..•.r., w r.+n•.a d.e afanwrf Wky ILrw!Csw.rd.r.e•dr r rlr r w.rtror w,9'r'rutxw n n d.e aarnyd w.a..rr..Nr a d.4 r0mm..r.k mnpnh awe dS http://maps.mvpc.org/GPVPictoNorthAndover/viewer.aspx?lon=-71.1320672&lat=42.696... 8/21/2009 North Andover MIMAP 24 Edmands Road August 21, 2009 020.0-0036 020.0-0041 020.0-0042 020.0-0063 020.0-0043 020.0-0035 020.0-0044 a 020.0-0049 I 020.0-0061 020.0-0048 020.0-0045 —Rau Una Interstates Interstate Horizontal Datum:MA Steteplane Coordinate System,Datum NAD83, —MaJor Roads Meters Data Sources:The data for this reap was produced by Mertlmeck NORTH Valley Planning Commission(MVPC)using data provided by the Town of Roods Of so q�0 North Andover.Additional data provided by the Executive Office of Easements ? �° °•° O Environmental Aftalrs/MassGIS.The Information depleted on this map h Trails 3 L for planning purposes only.It may not be adequate for legal boundary O —• fF dellnl8on or regulatary Interpretallon.THE TOWN OF NORTH ANDOVER Streams f' •.~ S MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING O MVPC Boundary It ♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY • OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT 0 Municipal Boundary ♦ o16 _ • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF 0 Parcels ^o°e1jp'�"�j THIS INFORMATION. Hydrographic Features.. _ ,SSACNUS�t Wetlands .: Exempt Lends 1"=25 ft -^�` I 65.00' MAP 20 PARCEL 43 AREA=7,400SFf i� i PROP. �.--- ADDITION 2 Ln 20.2' 0 14 ' , o 28' r- 13' ..._I _ U_ TWO STORY CL d- o o WD FRAME N 8' Q c1 #24 20' 28' N I j L=72.00 8 45. 9 EDMANDS RD 20 0 10 20 40 80 M MR ( IN FEET ) 1 inch = 20 Pt. PLOT PLAN OF LAND 24 EDMANDS ROAD NORTH ANDOVER, MA tN OF,Mgss9c SCALE: 1 in. = 20 ft. JOHN yah DATE: AUG. 3, 2009 1 F McQUILKIN,JR. N PREPARED FOR: a, N0.36120 y Caffrey Family Trust REFERENCES: so oSJ� 24 Edmands Road NqL LpN North Andover, MA 01845 1. TITLE REFERENCE — LCC 15577 PREPARED BY: J� JIM Associates 2. REFERENCE TOWN OF NORTH ANDOVER 4;v ` 325 Main Street ASSESSORS MAP 20 PARCEL 43 North Reading, MA 01864 978-664-6668 www.jmassociateseng.com J05# 601-387 i � w 65.00' MAP 20 PARCEL 43 AREA=7,400SFf Ln PROP. �---- ADDITION 20.2' C° '` o 0 14 r- 13' --� 28' _ TWO STORY a- d- o WD FRAME 8' o `V #24. N 20' 2s' N L=72.00 5. EDMANDS RD 20 0 10 20 40 80 ( IN FEET ) 1 inch = 20 ft. I PLOT PLAN OF LAND 24 EDMANDS ROAD NORTH ANDOVER, I MA _yo, OF,OFMAs �, s9cy i SCALE. 1 in. = 20 ft.! o� JOHN DATE: AUG. 3, 2009 F M,00ILiM,JR. PREPARED FOR- No.360 Caffrey Family Trust REFERENCES: ```�s�o oSJ� 24 Edmands Road NAL LAN North Andover, MA 01845 1. TITLE REFERENCE — LCC 15577 PREPARED BY: JM Associates 2. REFERENCE TOWN OF NORTH ANDOVER �G� ` 325 Main Street ASSESSORS MAP 20 PARCEL 43 North Reading, MA 018'64 978-664-6668 www.jmossociateseng.com JOB;` S0 i—387