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HomeMy WebLinkAboutBuilding Permit #199-2017 - 247 BRIDGES LANE 8/25/2016 of NoRTy G q �-� BUIL 1 PERMIT �s•E° ti � TOWN OF NORTH ANDOVER o :•. -;, 1� l�APPLICATION FOR PLAN EXAMINATION ~ _ - - V �' I � O� ' ey Permit No#: Date Received �14p°R Teo �SSACHt15�� Date Issued: IMPORTANT: Applicant must complete.all items on this page LOCATION. kZhf VelOA" aA'w'c/ v1 dl$yS Print PROPERTY OWNER C&�-�•ev �%N,e. --- Ge-� U Print 100 Year SYucture 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 ❑ Addition ❑Two or more family ❑ Industrial ❑Mteration No. of units: ❑ Commercial Repair, replacement- ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ��Sept c 1Nell O,Floodplain ' ' ❑Wetlari& - Watershed District 0 Water/Sewers DESCRIPTION OF WORK TO BE PERFORMED: �y YY1/t W 0 D cP A-0 T V t y, Z�-dLIL "i- S D/ ✓ ay X a ` Identification- Please Type or Print Clearly OWNER: Name: �,-,° V L WA` q V'a+t, Phone:1,-1'5 Address: �l�r df� �S ` � �j ori ���-wee✓ A c�\rS ' Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ACHITECT/ENGINEEZ)(���S�61 �dye� -� ,, �5 Phone: 3 :K3 -O 0`$3� Address: K O O Ski fie✓ S`4 • utAIl U kA-A Reg. No. FEE SCHEDULE.BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: � � Receipt No.: �Z, 1,TE: P rsons c •n Wath unregistered contractors do not have access to the guaranty fund H-c Siana it of Agent/Owner Signature of contractor I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Pians ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. Imo; Pennanent Dwnpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING a DEVELOPMENT Reviewed On Ib Signature_ COMMENTS AOA >)r ti Y-i sn�lcap S 0 CONSERVATION Reviewed on Signature COMMENTS F'��ao9 �0�1� �`5 w-�� ✓� C>�X i HEALTH Reviewed onsi, Signature COMMENTS (� Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes 4 Planning Board Decision: Comments f Conservation Decision: Comments !Nater & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 12.4 Main Street Fire Department signature/date COMMENTS Location l 7 ��' No. f / - -7 Date E 1S l • - TOWN OF NORTH ANDOVE'A Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 1 E r Building Inspector f t%ORT1i '9 Town of t IF sAndover O to 1Z ,� oh ver, Mass, 5 C OC"1C"2W9CK y�' Aw A�RwrED S U BOARD OF HEALTH Food/Kitchen PERMIT D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ..... ., .... ... ....... ..... .. ... .. . ... .................... has permission to erect .......................... buildings on O!�. C Foundation p C*E .. .. .� . , ,. ,�,1 .. ......... Rough t0 be occupied as . � Chimney provided that the perso accepting this pe mit shall 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST ON ST Rough Service Final BUILDING INSPEC 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. J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TXPE OF SEWERAGE DISPOSAL = Public Sewer ❑ Tanning/Massage/Body Art F1Sw;m, ;ng pools El well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ ' Permanent Dumpstex on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF o U FORD PLANNING & DEVELOPMENT Reviewed On i Ir Signature c COMMENTS k0ht&C PfTy— fL.-f[5-#7A; CONSERVATION Reviewed on Si nature COMMENTS XHEALTH Reviewed onsil Signature COMMENTS–D `l_-t, 5 Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision; Comments !Nater & Sewer Connection/Signature&nate Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE Mi.—RTMENT - Temp Dumpster on site yes. ._ no Located at 124 Main Street Fire Department signature/date COMMENTS j y : I � I � ! ' i I ; I : j1 • V _ y _o t , y 1 y , I , i 1 1 1 I i ® I Tirexx DECK DESIGNER CUSTOM DECK DESIGN REPORT Dan's Deck Design McGrath Congratulations! You just completed your Trex deck design. This report will provide the following information: • Deck Layout Diagrams • Basic Installation Tips • Deck Parts Descriptions • Shopping List • Tool & Safety Tips trex.com/deckdesigner All rights reserved copyright©2016 DlYonline.com N FO UNDA TION L 0 CA TION PLAN WILLIAM BARRETT CLIENT: { THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS,WETLANDS,EASEMENTS, ORDERS OF CONDI TIONS,ETC.) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE, EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN & SERGI INC. FURTHERMORE THIS DRAWING /S THE COPYRIGHTED PROPERTY OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR- MATION CONTAINED HEREON. BASED ON SCALED DATA ONLY THE PRIMARY STRUCTURE SHOWN IS NOT LOCATED IN A FLOOD HAZARD ZONE AS SHOWN ON FEMA FLOOD INSURANCE RATE MAP. COMMUNITY ND.:250098 0010 B DATE.6/15/83 REFERENCE PLAN:N.E R.D.8012 SCALE.1"=40' DATE.12/31/93 MICHAEL o E G1 oss,'�E TE l L S CHRI S TIA NSEN Q SERGI PRO LAND SURVEYORS ERS 160 SUMMER ST. HAVERHILL,MA. 01830 TEL. 508-373-0310 1993 8Y CHRISTIANSEN & SERGI INC. F Nt _3Kkyr.� ..�5 'c } ,3 I 4� f 1 t y,..' .;. K • ..` .`�jt(f �tr.,r r' r:. �'?'...; yc. .. 3 Y'..,..1+ a ,' y�r_ � - ;, �� +� '+. � � ,tit}"-w:u 'x tt1 ,.•t x _ td Y r qp� "`y. 4 '�.' � i a. y+ w,4'r r''• ` �'}�' ���tsu. 9.��h"* ,� �y, yZ V%' �•y��y �(� } t� �(�, J lIj 4 L9.:X5 • i r i tWIT 'at,,.k•^�"F"�t...•,y y�d "i # yG •I- y, cr _41 ! a '•�� at.`ti � S't11l� �• ���: �`E n � xLy .,g •F "'�lA.�' �-` •y: `{ � 3 �,i Y .� x ,d A.�+�' �,^i3• .i�Fy �"'k�'r -r�,.y�t,,� Y '• 3r I;r `1' .>` .�r:.Cxy +<, � t p;5 1F' :d �ra��4y� 1�''Si_'- ,x����' t � 4� � '. y' � /�f O`�+,� rEj•,�' .Y4 y1 �. NTr. a°• Y $fi:} �-i it :s,"4 .w � •a1Gt f - � �. �?. `'1k. - �i�f�+y a !� T N � r�3Y'.����.`W��j '��/rg"�"• it �+i�Y �. t �.' �„�� f�"� �'..� _�'" t. �l �� •-..}*, �Ir'3y:7 � .+` �` :rn'13 r y}�s'<��L P,�' �, ` �'�r•-�j' :`. r ��'. . �• a�, S :!�.jr�r''-��'<4��?��t� v�R."�'moi' .i- . Kr .: a t .,.y.., ��1�'�• '"r�ti's.�•;_y�. 'it' _1 r .i�`, + �t r y c Yt i xi^ '" �°'". 2x.''3!4. '\ `°.Lr'•`4 # X•� ,.. s ''J '"� 9.( r 7 Ia�l!r'. !l• i • � y� .�p L� �'.�� r �SwG. �t�'2 .. �,m1.-•� • _Y,Z7�1 (U�, � �.. 111} . ~Yi yry i D t 1 -.c ~'ems= ..':•y `i T w. �... may.' •Li1 Y '` 1iJ apr � 1 •,>r�iT c. 4 - c:?r Y' -.•.c,..::_z y '1 x R. a ' ,, t s aMVPC:. Interstates Horizontal.. Coordinate System.Datum NAD83, SIR Meters Data Sources:The data for this map was produced by Merrimack NORTHRoads Valley Planning Commission(MVPC)using data provided by the To=of North Andover.Additional data provided by the Executive Office of k I Easements Environmental Affairs/MassGIS.The information depicted on this map is Ll Parcels for planning purposes only.It may not be adequate for legal boundary definition or regulatory interpretation.THE TOWN OF-7_40'-L0. 7 D A MAKES NO WARRANTIES, DOCONCERNING THE ACCURACY.COMPLETENESS,RELIABILITY.. SUITABILITY - ASSUME ANY LIABILITY ASSOCIATED WITH THE USE• MISUSE OF i - 61 30 North Andover MIMAP a' June 14, 2016 43 CHRISTIAN WAY 104.D-0002 104.D-0135 104.D-0122 =•ti, ..:•. ally:'":•:,'�.. 104.D-0091 _:'a;1C�::.•:_=••._..•:::.:_..;`:u_Jl,�::r_:•�..•.��� 261 BRIDGES LN {.. d, -- `I _;_. 0 :- _ :,fir.:+y.-- !, .• •:. ..-: •- :_:_ .-•a, - 104.D-0090 of f:_ 33�L1"::- ._:.•:::: :? ({ '?a '.::: ':•' R1 ( 104.D-0092 .yllir ..__:,*r.,:_::?��:'.:•-:. ;. .:_::altar •- ..:.� CO ., �'�.:_~ :��-:•.`� •:_='Wit.�=•. 104.D-0089 AC f7 iQ '• ai{ ': w J 104.D-0094 a [247 BRIDGES LN v rn / cn 1 99' 209 VEST WAY 197 VEST WAY Vest Way 138 104.D-0095 104.D-0088 1S4' 104.D-0106 104.D-0105 104.D-0087 225 BRIDGES LN 104.D-0104 Q, M N 200 VEST WAY Q MVPC Bo Zoning Overlay Zoning Q Municipal Boundary 13 Adult Entertainment Distric Busine s 1 District Rail Line 0 Machine Shop Village Ove E Busine s 2 District®Watershed Protection Dist D Busine s 3 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Interstates 0 Historic Mill Area n Busine s 4 District Meters Data Sources:The data for this map was produced by Merrimack —I t;J Medical Marijuana O Genera Business District NORTf♦q Valley Planning Commission(MVPC)using data provided by the Town of —SR t3 Downtown Overlay District O Planne Commercial Dev ic1 sc 6 '�' North Andover.Additional data provided by the Executive office of Roads Historic District Corrido Development Dist 3? 6�. �6 a0L Environmental Affairs/MassGIS.The information depicted on this map is G Osgood Smart Growth(40 13 Corrido Development Dist p _ Z. for planning purposes only.It may not be adequate for legal boundary C,,Easements [:H dro ra hic Features E Comdo Development Dist F definition or regulatory Y 9 P 9 ry interpretation.THE TOWN LI NORTH ANDOVER ❑Parcels Industri I 1 District � ''. MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Streams Industri 12 District THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY '.Wetlands C IndusUi 13 District no .`•�^ r t« # OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Exempt Lands 0 Industri S District •a -<-.... +� f ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Reside ce 1 District '!/ °4-Top�ta`,�9 THIS INFORMATION Reside ce 2 District t R—ide ce 3 District 4ar$AOHUSE de ce 4 District 1"=78 ft .de ce5 District YYY de ce 6 District ,a a esid.mial District ` Ili f I 355 6' DRAI� i / C C i /51<< J 6• t n ai O - EXIST. FND. . 31.1' �. 40.3' �w V'- 85.0' / VEST WA Y M 6 i7 The Commonwealth of Massachusetts z _ Department of'IndustrialAccidents I Congress Street,Suite 100 J r d Boston,MA.02114-2017 www mass.gov1dia "yY� Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. _Applicant InformationPleasePrint Legibly Name(Business/Organization/Individual):�� `f" c c, T '� Address: �l-Q �l C,c,,J " i S_ �v�/ City/State/Zip: No . e� y4_J ML Phone#: ��`� —'C`1 0c�L + 6 Are you an employer?Check the apiiiropriafe box: Type of project(required): 1.❑1 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. Remodelilig any capacity.[No workers'comp.insurance required.] Demolition 3_FJ I am a homeowner doing all work myself.[No workers'comp."insurance required.]t 9. ❑ 10 F1 Building addition 4.471 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.'F RObf repairs These sub-contractors Bale 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.Q Other 152,§1(4),and wg have no.,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. T Homeowners who submit#his 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."1f the sub-coniractors have employees, ey must pravide their workers'comp.policy number. lain an employer tfiat is providing workers'compensation insurance for my employees'Below is the policy acid job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: ExpirationDate: 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 o. 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. X do hereb cer fy under,tliepains a - r les ofpefjury Mat the informationprovided a ove is true and correct Signa "�"l ►�- � Date: Phone#• l 47 C) a- — ( CU D 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#: TOWN OF NORTH ANDOVER ` '�` �••° OFFICE OF _ BUILDING DEPARTMENT 1600 Osgood Street,Building 20, Suite 2035 North Andover, Massachusetts 01845 Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUI DING PERMIT APPLICAT1,0 t � Please print DATE: (v JOB LOCATION: �k Number Street Ad ss Map/Lot HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS a --U�sf So A5 es l sA� City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns 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 dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.(780 CMR Section I IO.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with State Building Code and other applicable codes,by-laws,rules and regulations. Y g The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE c '-Y- ` APPROVAL OF BUILDING OFFICIAL " Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-953 I