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HomeMy WebLinkAboutBuilding Permit #214-2017 - 252 GRAY STREET 8/30/2016 BUILDING PERMIT of pORTH q ��t�eo ibi ti0 TOWN OF NORTH ANDOVER T 7 APPLICATION FOR PLAN EXAMINATION " Permit No#:;i4_ Date Received Date Issued: �T3 IMPORTANT: Applicant must complete allitemson this page LOCATION (9 �n y 5�: Nx�k ! 4yler Ilk jj-� Print PROPERTY OWNER ;`A �3. Print 100 Year Structure yes OnoMAP PARCEL: ZONING DISTRICT: Historic District y sMachine Shop Village es TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Al One family A Addition ❑Two or more family ❑ Industrial 9 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: A.1d tifcat n- Please Type or Print Clearly OWNER: Name: �� Z411144& Phone: Address: Oa (� o►' Contractor1 ame: ��'�L � Phone: Email: 60"0 `,e& 1. Address: 15/ x ' 06W Supervisor's Construction License: L� - 101 FZ� Exp. Date: Home Improvement License: MV 77 Exp. Date: c)`20 lib ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.,BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$12xr5.00 PER S.F. Total Project Cost: $ o?I'� 7.® FEE: $ a 6`�'$1�C' Check No.: -az__. Receipt No.: � !� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fu Z�; � Location �- No. Zf ^" � - Date f` J � J I • TOWN OF NORTH ANDOVER f Certificate of Occupancy $ Building/Frame Permit Fee $ i Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 4 I Check# Wic 3Ud `� ® ` or I l 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONS!RVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS I Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Wafter & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE,pEPARaTMENT Temp..+,Dumpster onsite ,yes._: - z - - Locatediat,124tMainiSt�eet ' Fie e�Departmentsignatur•e/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 use) r ® 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 4 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 Addition Or Decks 4 Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses 46 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 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 21 ,750.00 m $ - $ 261.00 Plumbing Fee $ 32.63 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 32.63 Total fees collected $ 426.25 252 Gray street 214-2017 on 8/30/2016 finish basement and finish rough bath NORT" q Town of ... 6 ndover O - 0 h ver, Mass, D COCNIC Nl WIC K y�. �- �1,9 p04ATED 116f �5 S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ......�.� r,*-#Ay . . ./ .1 , �. .................. BUILDING INSPECTOR .... ................. ..... Foundation has permission to erect .......................... buildings on ..... ►.. ... . �....... ............... ;;�� 0,0 Rough to be occupied as,�l ..�....44 �,r...Aypec . ................................................ Chimney provided that the person accepting this permit shall in at 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 TION Rough rvice .. .. . ..... .. . ........ . "' Final BUILDING INSPE OR 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. 151 Tyler St. .. SOU Methuen,MA 01844 1n sign" �� p p Phone(617)599-2629 demmonse@hotmail.com Mons Mons Mons Mons E W DEMMONS HOME IMPROVEMENT August 25,2016 Michael and Elizabeth Ensminger Re: 252 Gray St North Andover MA Basement finish with Bathroom Project Total $21,750 Scope of work • Finish framing basement walls and ceiling. • Install electrical outlets and recessed lights in pre determined locations. • Run water lines to finish roughing in bathroom. o Drain lines are already plumbed in under slab and tied into existing ejector. • Insulate exterior walls. • Blue board and plaster basement and bathroom. • Install 6 panel doors and speed base through out basement and bathroom. • Tile mudroom and bathroom floors. • Tile shower walls. • Install vanity and counter top. • Finish all plumbing and electrical. Oualifications • This contract applies to the base project as discussed. • All materials supplied by contractor unless stated otherwise. • All work to be completed during normal working hours. • All work to be done in accordance with current codes. • Decorative fixtures to be supplied by homeowner. Exclusions; • Any extra work will be completed at ana reed upon additional price. Eric Demmons Home O r EW Demmons Home Improvement North Andover MIMAP August 29, 2016 J,... !!� .: ':':'�I(i `y 229 GRAY`,ST I 107.D-01°13 212 GRAY$ ':':_ ' :::.. '"_:-•:.:_;= A 107.D-0129 '.i; •:" •. alltt{ ",i; ".� 52' 230>:GRAY ST' . •'_ -ami _:_.••:. •----_-- _- 107.D-0128 •:'':::"fir.r,.i,..:�l�tt.:.`::::'vJ!.r;: /'•. '1 u .•:;•-;•:.. :" 1074D.-01.1: 1 107.D-0127 240 GRAY,ST ......'auu...,�,.:-�•'-:::•'but•:. t '`I;_.:::::•- :: l ::- 107.0-0123 t,• :_:.:=: ,RZ, % 252 GRAY ST - '1 10,7.D-0126 236,GRAY ST 107.D-0122 N(O i Gtay, 266.GRAY ST 107.D-0125 280,-:GRAY ST 107.D-0124 107.D-0106 Andover' 107.D-0105 107.0.0104 307tD=0103_ 107.0-0102 0 MVPC Bo Zoning Overlay Zoning 0 Municipal Boundary 13 Adult Entertainment Distric Busine s 1 District 0 Machine Shop Village Ove O Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NA083, Rail Line 0 Watershed Protection Dist ■ Busin s 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates Q Historic Mill Area ■ Busine s 4 District HORTF� Valley Planning Commission(MVPC)using data provided by the Town of —I Medical Marijuana ■Gene Business District 04 t'ac �, North Andover.Additional data provided by the Executive Office of SR © — DovmtowO n Overlay District Plann Commercial Dev •�< '�ee 00 Environmental Affaim/MassGiS.The information depicted on this map is Roads 0' Historic District Corrido Development Dist ,; L for planning purposes only.It may not be adequate for legal boundary UOsgood Smart Growth(40 O Corrid Development Dist p to definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER r Easements - Hydrographic Features O Corrido Development Dist 'A MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Industri I 1 District # y THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY Parcels Streams Industri it2 District r♦ i ^ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT 7:Wetlands O IndusIn 13 Distrix ,� v ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF O Indusui I S District '' V, Exempt lands Reside ce 1 0 strict �! °�_.--�'v.�°1 THIS INFORMATION ' •rro• t Reside ce 2 District SfACNVSQ '7 Reside CB 3 District de ce 4 District 1"=100 ftde ce 5 District ede ce 6 District .,a a esidenbal District August 29, 2016 North Andover Building Department 1600 Osgood Street Building 20,Suite 2035 North Andover, MA 01845 Re:252 Gray Street Basement Renovations Dear North Andover Building Inspector: Please let this letter serve as confirmation from the current home owner of 252 Gray Street in North Andover that the proposed renovations in the basement of the house at 252 Gray Street is not meant for adding a second residence and/or a separate apartment to the property. These renovations are Intended only to add additional living space and for providing recreational space for our future children as it is zoned for a single family residence. Please also note that the wet bar area shown on the drawings is only intended to be used as such,and is not intended to be used as a full kitchen. No appliances will be added for cooking purposes as a part of this project, nor will we add any such appliances in the future. This proposed area is intended only for our growing family and for entertaining guests quietly away from our future sleeping children,as well as giving our future children an area to play in on a regular basis. Best Regards, Michael J.Ensminger 252 Gray Street SUZANNE M. PELICH NOTARYPUBLIC COMMONWEALTH OF MASSACHUSETTS. My ComM,tipifes May 27,.2022 �/7 The Cosslx.chuseitCommonwealth o�'.Mia :.i Department ofX dustrialAccidents X Congress Street,Suite 100 f Boston,.ZYA 02114 2017 was�.govldi a k�v rn -Workers,CompensationiusuranceAfdavit:Budders/Contractors/Electricians/PJ.u. burs. TO BB TILED WITH TBE PER11TTT`ING AUTHORITY. A ReantInformation Please Print X,e ' 1 NaMo (Business/orgaaizationllndiddual): Address:_1,5-1 f city/state/zip: � ? AA 0J W, Phone Areyou an employer?MecktIie apRropriate box: Type of project(re[(rfirt d)` 1.0 Tama employervaith s employees(fl l and/or parttime)•* New. colistruction &I 2 am a sole proprietor or partnership and have no employees working for me in 8. ❑Remo dealt any capacity.[No workers'Comp.insurance required.] j, ❑Demolition. 3 C]I am a homeowner doing all work myself[No workers'comp.insurance required]i 10[]Building addition 4.n I am a hom.eowne=and will be hiring contractors to conduct all work onmyproperfy. I will ensure that all contractors either have w°rkers'compensation inuarA„ce or are 11.[]Electrical reairs or.additions sole p Io tees. Plumbin re airs or addittions o'iiefors withno emp y , 12: , g p PrP ❑ 5.❑I am ageneral contractor and I have hired titre sub-contractors listed on the attached sheet 13:❑R06f repairs � These sob-coniractorshave employees andhave workers'Camp.instummce.� 14.❑Other 6.[]We,are a corporation and ifs$4qrs have exereisedtheii right of exemption perMM C. 152,§1(4),andwehaveno employees.rNo workers,comp.inmuancerequired.] Any applicantthat checksb6x#1 must aiso'fdl outthe sectionbelow shov&gtherworkers'compensationpolicy in omiation Homeowners vafio sulimif kTois fidavit indicatingthey are doing all work and thenhire outside contractors must submit anew affidavit indicating such. ?Contractors that check"bog musta[tached an additional sheet showing the name of the sub-contractors and state whether ornotthose entices have employees. Ifthe sub-coniraCtors have employees,fliey must provide file's workers'comp.policy number. I arse an enipZoyer trz at is pi opiciirigworkers'eompewa-don insurance for my employees.'Befo`ty is the pofaey aru1.jag sate in(otmadon- Insurance Company Name: Policy#or Self-ins.Zic.#: ExpirationDate: Job Site Address: City/State/Zip: Attach a copy ofthev�otckers' compeWationpolicy declaration.page(showingthepolicynumber 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 fume 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 h suraace coverage verification. I do Aerehy ceYiify er tfie pains and penalties ofpef_jrrry that the inforrrtafion provided ahove is/true and co ect. Si atctre: Date: ` Phone Official rrse only. Do not-write in this area,to he completed by city or town official City or Town: Permit/License# Issuing Authority-(circle one): 4.Electrical Inspector 5.Plumbing Xnspector 1.Board of Health 2.BuildingDeparbnent 3.City/Town Clerk 6.Other CoWLact Person' Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation fortheir employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, expxess 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 enferprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling mg 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 b e deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the eormnonwe&4 dor any applicant who lias not produced acceptable evidence of compliance-with the insurance coverage regmred." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any ofits 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 fiT1•out-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 numbers)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 maybe submitted to the Department of-7Adustdal Accidents foil confirmation ofinsurance 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 xequired to obtain a wbrkers' compensation policy,please call the Department at the number listed below. Self-insured companies should' enter their self-in surarice license 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 areference 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"lob 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 maybe 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 p ermit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts - Deparbnent 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 Massachusetts Department of Public Safety Board of Building Regulations and Standards C��ce�panvrTzaruoeccLC a� � tccc�iccaeCG1 Office of Consumer Affairs&Business Regulation License: CS-101976 ' (3HOME IMPROVEMENT CONTRACTOR Construction Supervisor 11 Registration: X78177 Type: ERIC W DEMMONS /-Expiration 3/20/-201_8 Individual � "�> 151 TYLER STREET ERIC W.DEMMONS METHUEN MA 01844 - ERIC DEMMONS 151 TYLER ST - nn ,,(� METHUEN,MA 01844 Expiration: Undersecretary- Commissioner 06/14/2018 it ; N 56`0° 3a'o" a �y 24'04 l9 0° kneawall r 4, neewa neewa. ) p Prop a' � b A 4 -1 To W-31 1.69 ----------- --------- ----- --------- ---`,-\ 40a R D. "x 3'fh° to°x 3'I�t" `9 Garage Ali woad rvcis and ' 4' Leliy Column Foundation / (�pl�efrs l�i avi rwtted wal > , W)13,' sq.x 1r3"dp.Foou !0'Concrete Wall/8 0'P o���-� _ O ceAtng to have 5/8 Type'k'F U 3,000 pal concrete o rated Wallboard Vatalied 101 dp:x 20°at eontin Ft'g, x; p ' r n ' t\� LYL eam' per etx�k{eer Dacppra�i exterior eWface 41 Concrete Slab C 1 i 3 111'$cttsd.40pipe ea end 3,8A 34• _LVL Bean' (5}1314 x t_e LYL tl a iL 1-3 in'D ia.Lally Column L I ] -y- Beam Perkat ' With f6l,x X6' x 13 dp.foattr{9 �' L11 III m beam" O o 0 4'Concrete S 2 x 12 Slab Beam - ' x e Slope For drainage l - - ' a , 3 ° id. 1 Columns 67 �° 4°4nin}Sep down into Gage—� o W 'b° I'3'dp.rooting 20 mfrnuia fire door(min} _ ' ---------------------------------- _____ I ____ -_____, n -----' --- / e� -� ------------- ---------- --'�, i gn- "----- ---------_ -- -- =' emery � Drop Drop _ _ 1 - ----- ---- -- \ ' r--------------- VO -- ` --- - --------------- 4' } -j 3'0' 4'0' 4'0' 140' 12'D' 1410' kne 1 kneemall�n0, 40'0° - 56'0° ` All dlnertsloro to be Field verified and jy �sbmade accord�•,gly. /"L ,. 0 -ou nde,l. 1 o n Plan _ Yen's window and door rough open a with marwfacturer aper-Matform. C Under Slab Yapor Barrer to have b�h;overlapping Joints, * Concrete Slab Control Joint spacing-30 ft.{matt.} ,4t orraets larger than 10 feet, * Provide a ml krum of 4 operable windows for every 1,500 eq_FL gemg n t 8 Cc°8 Sr1, f t , - 93 * Stte condlllons shalt determine the need for foundation dra"e. -1 DaIrproofhg ehall be epplled from top of rootN to rknfeh grads. Gar ages area $q, f t , _ 60B # When thle drawing'a 11 x h,it is the scale 85 Indicated, ?atel sit a. ft - 1 ��n n-3